Perspectives of Caregivers Experiencing Persistent Food Insecurity at an Academic Primary Care Clinic

2021 ◽  
Author(s):  
Ingrid L. Tablazon ◽  
Deepak Palakshappa ◽  
Faith C OBrian ◽  
Brenda Ramirez ◽  
Joseph A. Skelton ◽  
...  
Keyword(s):  
Primary Care ◽  
Food Insecurity ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Academic Primary Care

Abstract P134: Selected Social Determinants Of Health And Hypertension For Patients Of An Urban Community Primary Care Clinic

Hypertension ◽  
2021 ◽  
Vol 78 (Suppl_1) ◽  
Author(s):  
Melvin R Echols ◽  
Paula Pollard-Thomas ◽  
Henry Nuss ◽  
Heartley Egwuogu ◽  
Kristen Hobbs ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Primary Care ◽  
African American ◽  
Food Insecurity ◽  
Care Setting ◽  
Primary Care Setting ◽  
Primary Care Clinic ◽  
Financial Strain ◽  
Care Clinic ◽  
Stage 1

Background: Hypertension (HTN) is the most potent cardiovascular disease worldwide and a major public health concern in the U.S. Although Social Determinants of Health (SDoH) are associated with HTN, it is unclear whether these indicators are routinely captured in the primary care setting. We sought to examine the prevalence of any HTN and its association with captured SDoH for new patients (pts) presenting to an urban community primary care clinic for 2019 and 2020. Methods and Results: We identified a cohort-based, cross-sectional sample of 2,577 new pts ≥ 18 years of age in a community clinic in Atlanta, GA, between Jan 2019 and Dec 2020. Electronic health records were reviewed to determine the rate of selected SDoH indicators (financial strain, transportation, medical transportation, and food insecurity) captured at any time and the presenting blood pressure for all new patients. Blood pressure was classified as follows: normal, systolic BP/diastolic BP (SBP/DBP) ≤120/80 mmHg, elevated SBP 120-129mmHg and DBP<80mm, stage 1 SBP 130-139mmHg or DBP 80-90mmHg, and stage 2 SBP ≥ 140mmHg+ or DBP 90mmHg+. Likelihood-ratio Chi-square tests were analyzed to detect an association between SDOH and stages of HTN. Of the 2,577 pts seen, 93% were African American, 72% were female, 59% were single, 77% had BMI ≥ 25, and 85% were insured. Only 41% (n=1062) pts had information of at least one SDoH measure in the entire cohort. Of the SDoH domains evaluated, financial strain and food insecurity were more likely in new pts with stage 1 HTN or higher (χ2= 16.0, df=8, p=0.04; χ2= 27.7, df=12, p=0.006). Conclusion: Routine assessments of SDoH for African American pts presenting for new pt visits are suboptimal in the primary care setting. However, financial strain and food insecurity are significantly associated with stage 1 and 2 HTN in this population. Standardization of intake processes is essential to increase the collection of SDoH indicators and may ultimately guide secondary prevention strategies for HTN interventions.

Assessing outcomes of educational videos in group visits for patients with chronic pain at an academic primary care clinic

2017 ◽  
Vol 129 (5) ◽  
pp. 524-530
Author(s):  
Carrie N. Vogler ◽  
Stacy Sattovia ◽  
Laura Y. Salazar ◽  
Tiffany I. Leung ◽  
Albert Botchway
Keyword(s):  
Primary Care ◽  
Chronic Pain ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Group Visits ◽  
Educational Videos ◽  
Academic Primary Care

Direct-to-Consumer Marketing of Osteoporosis Drugs and Bone Densitometry

2003 ◽  
Vol 37 (7-8) ◽  
pp. 976-981 ◽  
Author(s):  
Matthew F Hollon ◽  
Eric B Larson ◽  
Thomas D Koepsell ◽  
Ann E Downer
Keyword(s):  
Primary Care ◽  
Bone Densitometry ◽  
Pap Smear ◽  
Strong Association ◽  
Primary Care Clinic ◽  
Screening Tests ◽  
Care Clinic ◽  
Direct To Consumer ◽  
Academic Primary Care ◽  
Consumer Marketing

OBJECTIVE: To determine whether there is an association between a woman's exposure to direct-to-consumer (DTC) advertisements for 2 osteoporosis drugs and presentation for bone densitometry. METHODS: A matched case–control study was conducted between October and December 1998 at an academic primary care clinic in Seattle, WA. Seventeen women from the study population (aged ≥18 y, seen in the previous 2 y at the academic primary care clinic) presented for bone densitometry. All 51 women completed a self-administered questionnaire. RESULTS: Women familiar with 1 of 2 osteoporosis drugs due to exposure to advertisements had 9 times the odds of densitometry (unadjusted OR 9.3, 95% CI 1.0 to 86). Multivariate analysis, including confounders such as education level and whether a woman had previously had 3 screening tests (mammography, Pap smear, serum cholesterol), revealed a significant and strong association between exposure to advertisements and densitometry (adjusted OR 29, 95% CI 1.6 to 511). CONCLUSIONS: DTC marketing may increase health services utilization. Further independent evaluation of DTC marketing based on available observational evidence is feasible and warranted.

scholarly journals Management of Chronic Kidney Disease in an Academic Primary Care Clinic

2002 ◽  
Vol 23 (1) ◽  
pp. 47-54 ◽  
Author(s):  
Ajay Israni ◽  
Cynthia Korzelius ◽  
Raymond Townsend ◽  
Douglas Mesler
Keyword(s):  
Primary Care ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Academic Primary Care

scholarly journals The Prevalence of Limited Health Literacy and Its Associated Factors among Elderly Patients Attending an Urban Academic Primary Care Clinic in Malaysia

2021 ◽  
Vol 18 (17) ◽  
pp. 9044
Author(s):  
Siti Nur Hidayah Abd-Rahim ◽  
Mohamed-Syarif Mohamed-Yassin ◽  
Suraya Abdul-Razak ◽  
Mohamad Rodi Isa ◽  
Noorhida Baharudin
Keyword(s):  
Primary Care ◽  
Health Literacy ◽  
Elderly Patients ◽  
Associated Factors ◽  
Medical Information ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Limited Health Literacy ◽  
Academic Primary Care ◽  
Limited Health

Limited health literacy (HL) is linked to many negative health outcomes, including poor self-management of chronic diseases and medication adherence among patients. There are a lack of data regarding HL in the elderly population in Malaysia. This study aimed to determine the prevalence of limited HL levels and its associated factors among elderly patients in an urban academic primary care clinic in Selangor, Malaysia. A cross-sectional study was conducted among 413 elderly patients (≥60 years old) who attended this academic primary care clinic between January 2020 and January 2021. Sociodemographic data, clinical characteristics, and health literacy scores were collected. Descriptive statistics (median with interquartile ranges (IQR), frequency, and percentages) and multiple logistic regression were utilized. The prevalence of limited HL in our population was 19.1% (95% CI: 15.3, 23). The middle-old (70–79 years) and very-old (≥80 years) age groups were more likely to have limited HL (aOR 4.05; 95% CI: 2.19, 7.52 and aOR 4.36; 95% CI: 1.02, 18.63, respectively). Those with at least secondary school education (aOR 0.06; 95% CI: 0.02, 0.24) and those who found medical information via the internet/television (aOR 0.21; 95% CI: 0.05, 0.93) had lower odds of having limited HL. In conclusion, having limited HL levels was not common among elderly patients in this primary care clinic. Further studies involving rural and larger primary care clinics in Malaysia are required to support these findings.

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