Access to Health Care: Social Determinants of Preventive Cancer Screening Use in Northern British Columbia

2002 ◽  
pp. 243-262
Author(s):  
Joanne Bryant ◽  
Annette J. Browne ◽  
Sylvia Barton ◽  
Bruno D. Zumbo
Keyword(s):  
Health Care ◽  
British Columbia ◽  
Cancer Screening ◽  
Social Determinants ◽  
Access To Health Care ◽  
Access To Health

scholarly journals The Role of Social Determinants of Health in Self-Reported Access to Health Care Among Women Undergoing Screening Mammography

2020 ◽  
Vol 29 (11) ◽  
pp. 1437-1446
Author(s):  
Louise M. Henderson ◽  
Ellen S. O'Meara ◽  
Jennifer S. Haas ◽  
Christoph I. Lee ◽  
Karla Kerlikowske ◽  
...  
Keyword(s):  
Health Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Access To Health Care ◽  
Screening Mammography ◽  
Determinants Of Health ◽  
Access To Health

scholarly journals Gender Inequalities in Access to Health Care among Adults Living in British Columbia, Canada

2016 ◽  
Vol 26 (1) ◽  
pp. 74-79 ◽  
Author(s):  
M. Eugenia Socías ◽  
Mieke Koehoorn ◽  
Jean Shoveller
Keyword(s):  
Health Care ◽  
British Columbia ◽  
Access To Health Care ◽  
Gender Inequalities ◽  
Access To Health

scholarly journals Socioeconomic inequalities in women's access to health care: has Ecuadorian health reform succeeded?

2020 ◽  
Author(s):  
Edy Quizhpe ◽  
Miguel San Sebastian ◽  
Enrique Teran ◽  
Anni-Maria Pulkki-Brännström
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Access To Health Care ◽  
Skilled Birth Attendance ◽  
Socioeconomic Inequalities ◽  
Socioeconomic Variables ◽  
Birth Attendance ◽  
Access To Health

Abstract Background: Over the last twelve years, Ecuador has implemented a comprehensive health sector reform to ensure equitable access to health care services according to health needs. While there have been important achievements in terms of health care coverage, the effects of these reforms on socioeconomic inequalities in health care have not been analysed. This study assessed whether the health care reform implemented in the 2007 - 2017 decade contributed to reducing the socioeconomic inequalities in women´s health care access.Methods: This study was based on two waves of the Living Standards Measurement Survey conducted in Ecuador in 2006 and 2014. Data from women of reproductive age (15 to 49 years) was analysed to evaluate health care coverage in three indicators: skilled birth attendance, cervical cancer screening and the use of modern contraceptives. Absolute risk differences were calculated between the heath care indicators and the socioeconomic variables using binomial regression analysis for each time period. The Slope Index of Inequality (SII) was also calculated for each socioeconomic variable and period. A multiplicative interaction term between the socioeconomic variables and period was included to assess the changes in socioeconomic inequalities in health care over time.Results: Access to health care increased in the three studied outcomes during the health sector reform. Significant inequality reductions in skilled birth attendance were observed in all socioeconomic variables except in the occupational class. Cervical cancer screening inequalities increased according to education and occupation, but decreased by wealth. Only a decrease by education was observed for modern contraceptive use. Conclusions: While most socioeconomic inequalities in skilled birth attendance decreased during the reform, this was not the case for inequalities in cervical cancer screening or the use of modern contraceptives. Further work is needed to address the social determinants of these health inequalities.

scholarly journals The Cedar Project - Mobile Phone Use and Acceptability of Mobile Health Among Young Indigenous People Who Have Used Drugs in British Columbia, Canada: Mixed Methods Exploratory Study

10.2196/16783 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e16783
Author(s):  
Kate Jongbloed ◽  
Margo E Pearce ◽  
Vicky Thomas ◽  
Richa Sharma ◽  
Sherri Pooyak ◽  
...  
Keyword(s):  
Health Care ◽  
British Columbia ◽  
Mobile Phone ◽  
Indigenous People ◽  
Mobile Phones ◽  
Exploratory Study ◽  
Access To Health Care ◽  
Mobile Phone Use ◽  
Access To Health ◽  
Prevention And Treatment

Background Indigenous leaders continue to be concerned about high rates of HIV and barriers to HIV treatment among young Indigenous people involved in substance use. Growing evidence suggests that using mobile phones for health (mHealth) may be a powerful way to support connection with health services, including HIV prevention and treatment. Objective This study examined the patterns of mobile phone ownership and use among young Indigenous people who have used drugs living with or vulnerable to HIV and explored the acceptability of mHealth to support access to health care in this population. Methods The Cedar Project is a cohort study involving young Indigenous people who have used drugs in Vancouver and Prince George, British Columbia. This mixed methods exploratory study involved 131 Cedar Project participants enrolled in our WelTel mHealth program. At enrollment, participants completed a questionnaire related to mobile phone use and interest in mHealth. Data were linked to Cedar Project questionnaires and serodata. We present comparative statistics (quantitative) and results of a rapid thematic analysis (qualitative) related to mobile phone patterns and interest in receiving mHealth. Results Less than half of the participants (59/130; 45.4%) reported owning a phone. Among those with a phone, the majority owned a smartphone (46/59; 78%). Most participants with a phone reported having an unlimited texting plan (39/55; 71%), using the internet on their phone (44/59; 75%), and texting daily (44/55; 80%). A majority reported that using a mobile phone for health would be invaluable (120/130; 92.3%). There were no differences in mHealth acceptance between participants who owned a phone and those who did not (P>.99). All but one participant living with HIV felt using a mobile phone would be helpful for their health, while a small proportion of HIV-negative participants remained unsure (1.9% vs 11.7%; P=.047). In response to open-ended questions asking why using a mobile phone may be helpful for health, participants identified a diverse set of anticipated benefits: (1) connection for emotional, mental, and spiritual support, (2) connection to family, (3) staying in touch and/or being reachable, (4) overcoming current barriers to phone use, (5) convenience, privacy, and safety, and (6) access to health care and emergency services. Conclusions We observed high acceptance and interest in using mobile phone technology for health despite low rates of personal mobile phone connectivity among young Indigenous people who have used drugs living with and vulnerable to HIV in British Columbia, Canada. Mobile phones were viewed as a way to support connections and relationships that are seen as critical to health and well-being among young Indigenous people in this study. Findings may be useful for health care providers preparing to scale up mHealth programs to support HIV prevention and treatment in this population.

scholarly journals Socioeconomic inequalities in women’s access to health care: has Ecuadorian health reform been successful?

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Edy Quizhpe ◽  
Miguel San Sebastian ◽  
Enrique Teran ◽  
Anni-Maria Pulkki-Brännström
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Access To Health Care ◽  
Skilled Birth Attendance ◽  
Socioeconomic Inequalities ◽  
Socioeconomic Variables ◽  
Birth Attendance ◽  
Access To Health

Abstract Background Over the last 12 years, Ecuador has implemented comprehensive health sector reform to ensure equitable access to health care services according to need. While there have been important achievements in terms of health care coverage, the effects of these reforms on socioeconomic inequalities in health care have not been analysed. The present study assesses whether the health care reforms implemented in the decade between 2007 and 2017 have contributed to reducing the socioeconomic inequalities in women’s health care access. Methods The present study was based on two waves (2006 and 2014) of the Living Standards Measurement Survey conducted in Ecuador. Data from women of reproductive age (15 to 49 years) were analysed to evaluate health care coverage across three indicators: skilled birth attendance, cervical cancer screening, and the use of modern contraceptives. Absolute risk differences were calculated between the heath care indicators and the socioeconomic variables using binomial regression analysis for each time period. The Slope Index of Inequality (SII) was also calculated for each socioeconomic variable and period. A multiplicative interaction term between the socioeconomic variables and period was included to assess the changes in socioeconomic inequalities in health care over time. Results Access to health care increased in the three studied outcomes during the health sector reform. Significant reductions in inequality in skilled birth attendance were observed in all socioeconomic variables except in the occupational class. Cervical cancer screening inequalities increased according to education and occupation, but decreased by wealth. Only a poorer education was observed for modern contraceptive use. Conclusions While most socioeconomic inequalities in skilled birth attendance decreased during the reform period, this was not the case for inequalities in cervical cancer screening or the use of modern contraceptives. Further studies are needed to address the social determinants of these health inequalities.

scholarly journals Socioeconomic inequalities in women´s access to health care: has Ecuadorian health reform succeeded?

2020 ◽  
Author(s):  
Edy Quizhpe ◽  
Miguel San Sebastian ◽  
Enrique Teran ◽  
Anni-Maria Pulkki-Brännström
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Access To Health Care ◽  
Skilled Birth Attendance ◽  
Socioeconomic Inequalities ◽  
Socioeconomic Variables ◽  
Birth Attendance ◽  
Access To Health

Abstract Background: Over the last twelve years, Ecuador has implemented a comprehensive health sector reform to ensure equitable access to health care services according to health needs. While there have been important achievements in terms of health care coverage, the effects of these reforms on socioeconomic inequalities in health care have not been analysed. This study assessed whether the health care reform implemented in the 2007 - 2017 decade contributed to reducing the socioeconomic inequalities in women´s health care access.Methods: This study was based on two waves of the Living Standards Measurement Survey conducted in Ecuador in 2006 and 2014. Data from women of reproductive age (15 to 49 years) was analysed to evaluate health care coverage in three indicators: skilled birth attendance, cervical cancer screening and the use of modern contraceptives. Absolute risk differences were calculated between the heath care indicators and the socioeconomic variables using binomial regression analysis for each time period. The Slope Index of Inequality (SII) was also calculated for each socioeconomic variable and period. A multiplicative interaction term between the socioeconomic variables and period was included to assess the changes in socioeconomic inequalities in health care over time.Results: Access to health care increased in the three studied outcomes during the health sector reform. Significant inequality reductions in skilled birth attendance were observed in all socioeconomic variables except in the occupational class. Cervical cancer screening inequalities increased according to education and occupation, but decreased by wealth. Only a decrease by education was observed for modern contraceptive use. Conclusions: While most socioeconomic inequalities in skilled birth attendance decreased during the reform, this was not the case for inequalities in cervical cancer screening or the use of modern contraceptives. Further work is needed to address the social determinants of these health inequalities.

scholarly journals Socioeconomic inequalities in women’s access to health care: Has Ecuadorian health reform been successful?

2020 ◽  
Author(s):  
Edy Quizhpe ◽  
Miguel San Sebastian ◽  
Enrique Teran ◽  
Anni-Maria Pulkki-Brännström
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Access To Health Care ◽  
Skilled Birth Attendance ◽  
Socioeconomic Inequalities ◽  
Socioeconomic Variables ◽  
Birth Attendance ◽  
Access To Health

Abstract Background Over the last twelve years, Ecuador has implemented comprehensive health sector reform to ensure equitable access to health care services according to need. While there have been important achievements in terms of health care coverage, the effects of these reforms on socioeconomic inequalities in health care have not been analysed. The present study assesses whether the health care reforms implemented in the decade between 2007 and 2017 have contributed to reducing the socioeconomic inequalities in women’s health care access. Methods The present study was based on two waves (2006 and 2014) of the Living Standards Measurement Survey conducted in Ecuador. Data from women of reproductive age (15 to 49 years) were analysed to evaluate health care coverage across three indicators: skilled birth attendance, cervical cancer screening, and the use of modern contraceptives. Absolute risk differences were calculated between the heath care indicators and the socioeconomic variables using binomial regression analysis for each time period. The Slope Index of Inequality (SII) was also calculated for each socioeconomic variable and period. A multiplicative interaction term between the socioeconomic variables and period was included to assess the changes in socioeconomic inequalities in health care over time. Results Access to health care increased in the three studied outcomes during the health sector reform. Significant reductions in inequality in skilled birth attendance were observed in all socioeconomic variables except in the occupational class. Cervical cancer screening inequalities increased according to education and occupation, but decreased by wealth. Only a poorer education was observed for modern contraceptive use. Conclusions While most socioeconomic inequalities in skilled birth attendance decreased during the reform period, this was not the case for inequalities in cervical cancer screening or the use of modern contraceptives. Further studies are needed to address the social determinants of these health inequalities.

scholarly journals Socioeconomic inequalities in women´s access to health care: has Ecuadorian health reform succeeded?

2020 ◽  
Author(s):  
Edy Quizhpe ◽  
Miguel San Sebastian ◽  
Enrique Teran ◽  
Anni-Maria Pulkki-Brännström
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Access To Health Care ◽  
Health Sector ◽  
Socioeconomic Inequalities ◽  
Socioeconomic Variables ◽  
Birth Attendance ◽  
Access To Health

Abstract Background Over the last twelve years, Ecuador has implemented a comprehensive health sector reform to ensure equitable access to health care services according to health needs. While there have been important achievements in terms of health care coverage, the effects of these reforms on socioeconomic inequalities in health care have not been analysed. This study assessed whether the health care reform implemented in the 2007 - 2017 decade contributed to reducing the socioeconomic inequalities in women´s health care access. Methods This study was based on two waves of the Living Standards Measurement Survey conducted in Ecuador in 2006 and 2014. Data from women of reproductive age (15 to 49 years) was analysed to evaluate health care coverage in three indicators: skilled birth attendance, cervical cancer screening and the use of modern contraceptives. Absolute risk differences were calculated between the heath care indicators and the socioeconomic variables using binomial regression analysis for each time period. The Slope Index of Inequality (SII) was also calculated for each socioeconomic variable and period. A multiplicative interaction term between the socioeconomic variables and period was included to assess the changes in socioeconomic inequalities in health care over time. Results Access to health care increased in the three studied outcomes during the health sector reform. Significant inequality reductions in skilled birth attendants were observed in all socioeconomic variables except in the occupational class. Cervical cancer screening inequalities increased according to education and occupation, but decreased by wealth. Only a decrease by education was observed for modern contraceptive use. Conclusions While most socioeconomic inequalities in skilled birth attendance decreased during the reform, this was not the case for inequalities in cervical cancer screening or the use of modern contraceptives. Further work is needed to address the social determinants of these health inequalities.

Sign in / Sign up

Export Citation Format

Share Document