Examining the Role of Anxiety Sensitivity and Intolerance of Uncertainty in the Relationship Between Health Anxiety and Likelihood of Medical Care Utilization

The aim of the present study is exploring the mediation role of anxiety sensitivity on the relationships between intolerance of uncertainty and fear of COVID-19. The study was conducted with the relational screening method. The research data were collected online from 302 individuals (Male n = 76, Female n = 226) with Fear of COVID-19 Scale, Anxiety Sensitivity Index-3, Intolerance of Uncertainty Scale. The result of both mediation analysis and bootstrapping analysis (with 5000 bootstrap resamples) showed that the relationship between intolerance of uncertainty and fear of COVID-19 was mediated by anxiety sensitivity. Anxiety sensitivity decreased the effect of intolerance of uncertainty on fear of COVID-19. Moreover, comparing intolerance of uncertainty and anxiety sensitivity in terms of their predictive levels of the fear of COVID-19, it was concluded that anxiety sensitivity predicted the fear of COVID-19 more, and that anxiety sensitivity included the variance of intolerance to uncertainty associated with the fear of COVID-19. El objetivo del presente estudio es explorar el papel mediador de la sensibilidad a la ansiedad en las relaciones entre la intolerancia a la incertidumbre y el miedo al COVID-19. El estudio se realizó con el método de cribado relacional. Los datos de la investigación se recopilaron en línea de 302 personas (hombres n = 76, mujeres n = 226) con la escala de miedo a COVID-19, índice de sensibilidad a la ansiedad-3, escala de intolerancia a la incertidumbre. El resultado tanto del análisis de mediación como del análisis bootstrapping (con un remuestreo de 5000 bootstrap) mostró que la relación entre la intolerancia a la incertidumbre y el miedo al COVID-19 estaba mediada por la sensibilidad a la ansiedad. La sensibilidad a la ansiedad disminuyó el efecto de la intolerancia a la incertidumbre sobre el miedo al COVID-19. Además, al comparar la intolerancia a la incertidumbre y la sensibilidad a la ansiedad en términos de sus niveles predictivos del miedo al COVID-19, se concluyó que la sensibilidad a la ansiedad predijo más el miedo al COVID-19 y que la sensibilidad a la ansiedad incluyó la varianza de la intolerancia a la incertidumbre asociada. con el miedo al COVID-19.

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The Relationship of Residential Instability to Medical Care Utilization Among Poor Mothers in New York City

Medical Care ◽

10.1097/00005650-199912000-00011 ◽

1999 ◽

Vol 37 (12) ◽

pp. 1282-1293 ◽

Cited By ~ 38

Author(s):

Lisa M. Duchon ◽

Beth C. Weitzman ◽

Marybeth Shinn

Keyword(s):

New York ◽

New York City ◽

Medical Care ◽

York City ◽

Care Utilization ◽

Residential Instability ◽

Medical Care Utilization ◽

Relationship Of ◽

The Relationship

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How "Regular" (and What?) Is the "Regular Source of Medical Care?"

PEDIATRICS ◽

10.1542/peds.52.4.618a ◽

1973 ◽

Vol 52 (4) ◽

pp. 618-619

Author(s):

Rowland L. Mindlin ◽

Katherine S. Lobach

Keyword(s):

Medical Care ◽

The Other ◽

Care Utilization ◽

Medical Care Utilization ◽

Regular Source ◽

Financial Requirement ◽

The Relationship

The paper by Starfield et al.1 presents useful and interesting data about medical care utilization in a sample of Baltimore children, but it fails to address itself to the question posed in its title. The paper examines several important attributes (type of provider, accessibility, and financial requirement) of the patients' regular sources of care. It also includes data about the regularity with which those sources are actually used. However, there are no data or tables which specifically show the relationship between regularity of use and the other attributes studies.

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COVID-19 uncertainty and sleep: the roles of perceived stress and intolerance of uncertainty during the early stage of the COVID-19 outbreak

BMC Psychiatry ◽

10.1186/s12888-021-03310-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Dan Wu ◽

Tingzhong Yang ◽

Daniel L. Hall ◽

Guihua Jiao ◽

Lixin Huang ◽

...

Keyword(s):

Path Analysis ◽

Perceived Stress ◽

Mediation Analysis ◽

Early Stage ◽

Intolerance Of Uncertainty ◽

Policy Implications ◽

Self Report ◽

Poor Sleep ◽

The Relationship

Abstract Background The COVID-19 pandemic brings unprecedented uncertainty and stress. This study aimed to characterize general sleep status among Chinese residents during the early stage of the outbreak and to explore the network relationship among COVID-19 uncertainty, intolerance of uncertainty, perceived stress, and sleep status. Methods A cross-sectional correlational survey was conducted online. A total of 2534 Chinese residents were surveyed from 30 provinces, municipalities, autonomous regions of China and regions abroad during the period from February 7 to 14, 2020, the third week of lockdown. Final valid data from 2215 participants were analyzed. Self-report measures assessed uncertainty about COVID-19, intolerance of uncertainty, perceived stress, and general sleep status. Serial mediation analysis using the bootstrapping method and path analysis were applied to test the mediation role of intolerance of uncertainty and perceived stress in the relationship between uncertainty about COVID-19 and sleep status. Results The total score of sleep status was 4.82 (SD = 2.72). Age, place of residence, ethnicity, marital status, infection, and quarantine status were all significantly associated with general sleep status. Approximately half of participants (47.1%) reported going to bed after 12:00 am, 23.0% took 30 min or longer to fall asleep, and 30.3% slept a total of 7 h or less. Higher uncertainty about COVID-19 was significantly positively correlated with higher intolerance of uncertainty (r = 0.506, p < 0.001). The mediation analysis found a mediating role of perceived stress in the relationship between COVID-19 uncertainty and general sleep status (β = 0.015, 95%C.I. = 0.009–0.021). However, IU was not a significant mediator of the relationship between COVID-19 uncertainty and sleep (β = 0.009, 95%C.I. = − 0.002–0.020). Moreover, results from the path analysis further showed uncertainty about COVID-19 had a weak direct effect on poor sleep (β = 0.043, p < 0.05); however, there was a robust indirect effect on poor sleep through intolerance of uncertainty and perceived stress. Conclusions These findings suggest that intolerance of uncertainty and perceived stress are critical factors in the relationship between COVID-19 uncertainty and sleep outcomes. Results are discussed in the context of the COVID-19 pandemic, and practical policy implications are also provided.

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Sex Differences in the Medical Utilization for Ischemic Heart Disease Among Newly Diagnosed Hypertensive Korean Patients (P04-170-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz051.p04-170-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Jiae Shin ◽

Dongwoo Ham ◽

Seoeun Ahn ◽

Hee-Young Paik ◽

Hyojee Joung

Keyword(s):

Medical Care ◽

Medical Cost ◽

Medical Utilization ◽

Care Utilization ◽

Newly Diagnosed ◽

Care Providers ◽

Men And Women ◽

Hypertensive Patients ◽

Medical Care Utilization ◽

The Mean

Abstract Objectives This study aimed to investigate sex differences in the medical utilization for ischemic heart disease (IHD) among newly diagnosed hypertensive patients using a cohort data of South Korea. Methods We analyzed the National Sample Cohort version 2.0 of the National Health Insurance Service. Newly diagnosed hypertensive patients aged 40–84 were extracted from the baseline population, who received health examinations during 2003–2006 without pre-existing type 2 diabetes or circulatory diseases. Propensity score was applied to match men to women with the same ratio of body mass index (BMI) and fasting blood glucose (FBG) among the patients. Men and women (each 10, 110) were selected for analyses and followed until the end of 2015. Person-year was defined as the period from the diagnosis of hypertension to the incidence of IHD. Associations between IHD and the medical care utilization such as the mean of medical care visit, the mean medical cost, and the type and the location of medical care providers were investigated using Cox proportional hazard model. Hazard ratios (HR) of IHD according to medical care utilization were adjusted for age, income, BMI, FBG, smoking, and alcohol consumption. Results Incidence rates (per 1000 person-years) of IHD were 43.1 in men and 43.0 in women. The mean follow-up period was 5.2 person-years. The HRs of IHD were significantly higher in the subjects with a high mean medical cost (T3) (men, HR = 1.39, 95% CI 1.25–1.54; women, HR = 1.33, 95% CI 1.20–1.48) than in those with a low mean medical cost (T1). However, the subjects visiting medical care providers more (T3) had lower HRs than those visiting less (T1) (men, HR = 0.80, 95% CI 0.72–0.89; women, HR = 0.79, 95% CI 0.71–0.88). Conclusions Hypertensive patients in Korea showed an increased risk of IHD when they paid medical cost more and visited medical care less per person-year in both men and women. Funding Sources This research was supported by Support Program for Women in Science, Engineering and Technology through the National Research Foundation of Korea funded by the Korea government (MSIT). (No.2016H1C3A1903202). Supporting Tables, Images and/or Graphs

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