scholarly journals Combined effects of disease management and food insecurity on physical and mental health in Korean adults

2019 ◽  
Vol 23 (1) ◽  
pp. 112-122 ◽  
Author(s):  
Hyun Ja Kim ◽  
Kirang Kim
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Disease Management ◽  
Food Insecurity ◽  
Nutrition Education ◽  
Combined Effects ◽  
Health Care Needs ◽  
Care Needs ◽  
Increased Risk ◽  
Unmet Health Care Needs

AbstractObjective:The present study aimed to examine the combined effects of disease management and food insecurity on physical and mental health in a representative Korean population.Design:A cross-sectional study.Setting:Data from the Korea National Health and Nutrition Examination Survey (KNHANES) 2012–2015.Participants:Adults aged ≥30 years (n 17 934) who participated in the KNHANES.Results:Among health-care factors, unmet health-care needs and mental health counselling were different by food insecurity status, with a higher prevalence in adults with food insecurity. The prevalence of underweight was higher in men with food insecurity (5·9 %), whereas the prevalence of obesity was higher in women with food insecurity (37·4 %), than that in men and women with food security. Food insecurity was associated with a high risk of all mental health outcomes. For the combined effects of disease management and food insecurity, unmet health-care needs was related to increased risk of obesity for food-insecure men (Pinteraction = 0·029) and lack of participation in nutrition education or counselling was related to increased risk of obesity for food-insecure women (Pinteraction = 0·010). In addition, higher unmet health-care needs in adults with food insecurity was related to higher risk of mental health outcomes.Conclusions:Unmet health-care needs may exacerbate obesity for food-insecure men and mental health problems for both food-insecure men and women. In addition, lack of participation in nutrition education or counselling may exacerbate the obesity for food-insecure women.

Prevalence of Unmet Health Care Needs and Description of Health Care–seeking Behavior Among Displaced People After the 2007 California Wildfires

2009 ◽  
Vol 3 (S1) ◽  
pp. S24-S28 ◽  
Author(s):  
J. Lee Jenkins ◽  
Edbert B. Hsu ◽  
Lauren M. Sauer ◽  
Yu-Hsiang Hsieh ◽  
Thomas D. Kirsch
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Southern California ◽  
Prescription Medication ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Health Care Needs ◽  
Care Needs ◽  
Displaced People ◽  
Unmet Health Care Needs

ABSTRACTObjectives: The southern California wildfires in autumn 2007 resulted in widespread disruption and one of the largest evacuations in the state’s history. This study aims to identify unmet medical needs and health care–seeking patterns as well as prevalence of acute and chronic disease among displaced people following the southern California wildfires. These data can be used to increase the accuracy, and therefore capacity, of the medical response.Methods: A team of emergency physicians, nurses, and epidemiologists conducted surveys of heads of households at shelters and local assistance centers in San Diego and Riverside counties for 3 days beginning 10 days postdisaster. All households present in shelters on the day of the survey were interviewed, and at the local assistance centers, a 2-stage sampling method was used that included selecting a sample size proportionate to the number of registered visits to that site compared with all sites followed by a convenience sampling of people who were not actively being aided by local assistance center personnel. The survey covered demographics; needs following the wildfires (shelter, food, water, and health care); acute health symptoms; chronic health conditions; access to health care; and access to prescription medications.Results: Among the 175 households eligible, 161 (92.0%) households participated. Within the 47 households that reported a health care need since evacuation, 13 (27.7%) did not receive care that met their perceived need. Need for prescription medication was reported by 47 (29.2%) households, and 20 (42.6%) of those households did not feel that their need for prescription medication had been met. Mental health needs were reported by 14 (8.7%) households with 7 of these (50.0%) reporting unmet needs. At least 1 family member per household left prescription medication behind during evacuation in 46 households (28.6%), and 1 family member in 48 households (29.8%) saw a health care provider since their evacuation. Most people sought care at a clinic (24, 50.0%) or private doctor (11, 22.9%) as opposed to an emergency department (6, 12.5%).Conclusions: A significant portion of the households reported unmet health care needs during the evacuations of the southern California wildfires. The provision of prescription medication and mental health services were the most common unmet need. In addition, postdisaster disease surveillance should include outpatient and community clinics, given that these were the most common treatment centers for the displaced population. (Disaster Med Public Health Preparedness. 2009;3(Suppl 1):S24–S28)

scholarly journals Statistical modelling of mental distress among rural and urban seniors

2009 ◽  
Vol 29 (3) ◽  
pp. 118-127
Author(s):  
C.P. Karunanayake ◽  
P. Pahwa
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Distress ◽  
Mental Health Problems ◽  
Statistical Significance ◽  
Health Care Needs ◽  
Care Needs ◽  
Rural And Urban ◽  
Unmet Health Care Needs

The senior population is growing rapidly in Canada. Consequently, there will be an increased demand for health care services for seniors who have mental illness. Seniors are more likely to live in rural areas than younger people; therefore, it is important to identify the differences between rural and urban seniors in order to design and deliver mental health services. The main objective of this paper was to use the National Population Health Survey (NPHS) to examine the differences with regard to mental distress between rural and urban seniors (i.e. 55 years and older). The other objectives were to investigate the long-term association between smoking and mental health and the long-term association between unmet health care needs and the mental health of seniors in rural and urban areas. The mental distress measure was examined as a binary outcome. The analysis was conducted using a generalized estimating equation approach that accounted for the complexity of a multi-stage survey design. Rural seniors reported a higher proportion of mental distress [OR=1.16; 95% CI: 0.98, 1.37] with a borderline statistical significance than urban seniors. This finding was based on a final multivariate model to study the relationship between mental distress and location of residence (i.e. rural or urban) as well as between smoking and self-perceived unmet health care needs, adjusting for other important covariates and missing outcome values. A significant correlation was noted between smoking and mental health problems among seniors after adjusting for other covariates [OR = 1.26; 95% CI: 1.00, 1.60]. Participants who reported self-perceived unmet health care needs reported a higher proportion of mental distress [OR = 1.72; 95% CI: 1.38, 2.13] compared to those who were satisfied with their health care.

scholarly journals Gendered Association Between Employment Status and Unmet Health Care Needs Among Middle-Aged Koreans

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 226-226
Author(s):  
Si Young Song ◽  
Hey Jung Jun ◽  
Susanna Joo ◽  
Sun Ah Lee
Keyword(s):  
Health Care ◽  
Employment Status ◽  
Working Women ◽  
Social Contexts ◽  
Moderating Effect ◽  
Health Care Needs ◽  
Middle Aged ◽  
Care Needs ◽  
Significant Difference ◽  
Unmet Health Care Needs

Abstract Previous studies show that working people are less likely to experience unmet health care needs than non-workers. Also, employment and health are located in gendered social contexts. The present study aims to examine the moderating effect of gender on the association between employment status and unmet health care needs among middle-aged Koreans. We conducted logistic regression using the Korean Health Panel data (in 2016 and 2017; N=2,573, age range=45-64). Having experiences unmet health care needs in 2017 was the binary dependent variable. Employment status in 2016 was the binary independent variable and gender was the moderating variable. Age, education level, marital status, annual income, household type, type of medical security, disability, self-rated health, the number of chronic diseases, and stress level in 2016 were also in the analytic model based on the Andersen’s health behavioral model. The percentages of middle-aged people experiencing unmet health care needs were 18% for working men, 11% for non-working men, 13% for working women, and 16% for non-working women. The result showed there was significant moderating effect of gender (B= .72, p< .05). Specifically, working men were less likely to experience unmet health care needs than non-working men. On the contrary, there was not the significant difference in experiencing unmet health care needs between working and non-working women. It indicates that it is necessary to supplement medical services for especially for middle-aged men who are not employed because they might experience considerable amounts of unmet health care needs.

scholarly journals Unmet health care needs among sex workers in five census metropolitan areas of Canada

2016 ◽  
Vol 107 (3) ◽  
pp. e266-e271 ◽  
Author(s):  
Cecilia Benoit ◽  
Nadia Ouellet ◽  
Mikael Jansson
Keyword(s):  
Health Care ◽  
Sex Workers ◽  
Metropolitan Areas ◽  
Health Care Needs ◽  
Care Needs ◽  
Unmet Health Care Needs
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