scholarly journals Validation of an instrument to assess barriers to care-seeking for accidental bowel leakage in women: the BCABL questionnaire

2017 ◽  
Vol 28 (9) ◽  
pp. 1319-1328 ◽  
Author(s):  
Heidi Wendell Brown ◽  
Meg E. Wise ◽  
Danielle Westenberg ◽  
Nicholas B. Schmuhl ◽  
Kelly Lewis Brezoczky ◽  
...  
Keyword(s):  
Barriers To Care ◽  
Care Seeking ◽  
Accidental Bowel Leakage

Predictors of pre-hospital delay in Hong Kong Chinese patients with acute myocardial infarction

2017 ◽  
Vol 17 (1) ◽  
pp. 75-84 ◽  
Author(s):  
Polly WC Li ◽  
Doris SF Yu
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Hong Kong ◽  
Barriers To Care ◽  
Female Gender ◽  
Perceived Barriers ◽  
Hong Kong Chinese ◽  
Chinese Patients ◽  
Care Seeking ◽  
Symptom Presentation

Background: The pre-hospital delay to seek care remains the most significant barrier for effective management of acute myocardial infarction. Many of the previous studies mainly took place in Western countries. Few data are available about the care-seeking behavior of Hong Kong Chinese. Aim: The purpose of this study was to identify the predictors of pre-hospital delay in care seeking among Hong Kong Chinese patients with acute myocardial infarction. Methods: Adult Chinese patients ( n=301) with a confirmed diagnosis of acute myocardial infarction were recruited from the cardiac units of three regional hospitals in Hong Kong. Various socio-demographic, clinical, symptom presentation characteristics and patient perceptual factors were considered as potential predictors. Multivariate analysis was conducted to identify the independent predictors with pre-hospital delay in care-seeking among acute myocardial infarction patients. Results: Perceived barriers to care seeking constituted the most significant predictor for longer pre-hospital delay in acute myocardial infarction patients. Female gender was also significant in predicting longer delay, whereas a greater extent of symptom congruence and a greater extent of typical symptom presentation were significantly associated with a shorter delay. The final model accounted for 49.6% of the variance in pre-hospital delay as a whole. Conclusion: The most prominent predictors of pre-hospital delay are modifiable in nature, including the perceived barriers to care seeking and symptom congruence. Other sociodemographic and clinical factors also influence patients’ decision. Although these are non-modifiable, our findings provide important insight for educating high-risk individuals.

scholarly journals Barriers to Care-Seeking for Children’s Oral Health Among Low-Income Caregivers

2005 ◽  
Vol 95 (8) ◽  
pp. 1345-1351 ◽  
Author(s):  
Susan E. Kelly ◽  
Catherine J. Binkley ◽  
William P. Neace ◽  
Bruce S. Gale
Keyword(s):  
Oral Health ◽  
Low Income ◽  
Barriers To Care ◽  
Care Seeking ◽  
Children’S Oral Health

Barriers to Care-Seeking for Depressed African Americans

2008 ◽  
Vol 38 (1) ◽  
pp. 71-80 ◽  
Author(s):  
Mario Cruz ◽  
Harold Alan Pincus ◽  
Jeffreys Harman ◽  
Charles F. Reynolds ◽  
Edward P. Post
Keyword(s):  
African Americans ◽  
Barriers To Care ◽  
Care Seeking

scholarly journals Barriers to care among people with schizophrenia attending a tertiary psychiatric hospital in Nigeria

2019 ◽  
Vol 25 ◽  
Author(s):  
Bawo O. James ◽  
Felicia I. Thomas ◽  
Omonefe J. Seb-Akahomen ◽  
Nosa G. Igbinomwanhia ◽  
Chinwe F. Inogbo ◽  
...  
Keyword(s):  
Psychiatric Hospital ◽  
Barriers To Care ◽  
Cross Sectional Study ◽  
Care Seeking ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Middle Income ◽  
Targeted Interventions ◽  
Benin City ◽  
Persons With Schizophrenia

Background: Individuals with schizophrenia in low- and middle-income countries and their caregivers face multiple barriers to care-seeking and continuous engagement with treatment services. Identifying specific barrier patterns would aid targeted interventions aimed at improving treatment access.Aim: The aim of this study was to determine stigma- and non-stigma-related barriers to care-seeking among persons with schizophrenia in Nigeria.Setting: This study was conducted at the Outpatient Clinics of the Federal Neuro-Psychiatric Hospital, Benin City, Nigeria.Methods: A cross-sectional study of a dyad of persons with schizophrenia and caregivers (n = 161) attending outpatient services at a neuro-psychiatric hospital in Nigeria. Stigma- and non-stigma-related barriers were assessed using the 30-item Barriers to Access to Care Evaluation (BACE) scale.Results: Lack of insight, preference for alternative care, illness severity and financial constraints were common barriers to care-seeking among persons with schizophrenia. Females were significantly more likely to report greater overall treatment barrier (p 0.01) and stigma-related barriers (p 0.02).Conclusion: This study shows that attitudinal barriers impede care access and engagement among persons with schizophrenia in Nigeria.

“Playing the system”: Structural factors potentiating mental health stigma, challenging awareness, and creating barriers to care for Canadian public safety personnel

2018 ◽  
Vol 24 (3) ◽  
pp. 259-278 ◽  
Author(s):  
Rosemary Ricciardelli ◽  
R Nicholas Carleton ◽  
Taylor Mooney ◽  
Heidi Cramm
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Public Safety ◽  
Barriers To Care ◽  
Health Needs ◽  
System Level ◽  
Care Seeking ◽  
Mental Health Needs ◽  
Public Safety Personnel ◽  
Safety Personnel

There are growing concerns about the impact of public safety work on the mental health of public safety personnel; as such, we explored systemic and individual factors that might dissuade public safety personnel from seeking care. Public safety personnel barriers to care-seeking include the stigma associated with mental disorders and frequent reports of insufficient access to care. To better understand barriers to care-seeking, we thematically analyzed the optional open-ended final comments provided by over 828 Canadian public safety personnel as part of a larger online survey designed to assess the prevalence of mental disorders among public safety personnel. Our results indicated that systematic processes may have (1) shaped public safety personnel decisions for care-seeking, (2) influenced how care-seekers were viewed by their colleagues, and (3) encouraged under-awareness of personal mental health needs. We described how public safety personnel who do seek care may be viewed by others; in particular, we identified widespread participant suspicion that coworkers who took the time to address their mental health needs were “abusing the system.” We explored what constitutes “abusing the system” and how organizational structures—systematic processes within different public safety organizations—might facilitate such notions of abuse. We found that understaffing may increase scrutiny of injured public safety personnel by those left to manage the additional burden; in addition, cynicism and unacknowledged structural stigma may emerge, preventing the other public safety personnel from identifying their mental health needs and seeking help. Finally, we discuss how system-level stigma can be potentiated by fiscal constraints when public safety personnel take any leave of absence, inadvertently contributing to an organizational culture wherein help-seeking for employment-related mental health concerns becomes unacceptable. Implications for public safety personnel training and future research needs are discussed.

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