Mapping the need for preventive healthcare services in remote South Asian communities

2020 ◽  
pp. 93-104
Keyword(s):  
South Asian ◽  
Healthcare Services ◽  
Preventive Healthcare

Neighborhood Disorder, Social Ties, and Preventive Healthcare Utilization among Urban-Dwelling Older Adults

2020 ◽  
Vol 32 (10) ◽  
pp. 1387-1398
Author(s):  
Kenzie Latham-Mintus ◽  
Ashley Vowels ◽  
Swapnali Chavan
Keyword(s):  
Older Adults ◽  
Dental Care ◽  
Social Ties ◽  
Binary Logistic Regression ◽  
Healthcare Services ◽  
Screening Colonoscopy ◽  
Neighborhood Disorder ◽  
Preventive Healthcare ◽  
Using Data ◽  
Restricted Use

Objectives: This research examines whether perceived neighborhood disorder influences the use of preventive healthcare services (i.e. influenza vaccine, pneumonia vaccine, cholesterol screening, colonoscopy, and dental care) by older adults and whether social ties buffer the potential adverse effects of perceived neighborhood disorder. Methods: Using data from the 2012 wave of the Health and Retirement Study, binary logistic regression was used to generate odds ratio estimates of preventive healthcare use in the past 2 years. Results: We find that greater levels of neighborhood disorder were associated with fewer dental care visits net of social and health factors. Regular participation in four or more social activities was associated with decreased odds of restricted use and increased odds of receiving a pneumonia vaccine and colonoscopy. Discussion: This research provides evidence that perceived neighborhood disorder may act as a barrier for specific preventive healthcare services and highlights the need for targeted intervention.

scholarly journals Preventive healthcare services use among transgender young adults

2018 ◽  
Vol 19 (4) ◽  
pp. 417-423 ◽  
Author(s):  
Annie-Laurie McRee ◽  
Amy L. Gower ◽  
Paul L. Reiter
Keyword(s):  
Young Adults ◽  
Healthcare Services ◽  
Preventive Healthcare ◽  
Services Use

Women with Safety Concerns Report Fewer Gender-Specific Preventive Healthcare Services

2009 ◽  
Vol 18 (7) ◽  
pp. 1011-1018 ◽  
Author(s):  
Peter F. Cronholm ◽  
Marjorie A. Bowman
Keyword(s):  
Healthcare Services ◽  
Preventive Healthcare ◽  
Safety Concerns ◽  
Gender Specific

scholarly journals Barriers to healthcare access for Arabic-speaking population in an English-speaking country

2020 ◽  
Vol 18 (2) ◽  
pp. 1809
Author(s):  
Ali A. Al Jumaili ◽  
Kawther K. Ahmed ◽  
Dave Koch
Keyword(s):  
Health Insurance ◽  
Health Literacy ◽  
Focus Group ◽  
Healthcare Access ◽  
Healthcare Services ◽  
Preventive Healthcare ◽  
Physician Visits ◽  
Barriers To Healthcare ◽  
Arabic Speaking ◽  
Barriers To Healthcare Access

Objective: To identify barriers to healthcare access, to assess the health literacy levels of the foreign-born Arabic speaking population in Iowa, USA and to measure their prevalence of seeking preventive healthcare services. Methods: A cross-sectional study of native Arabic speaking adults involved a focus group and an anonymous paper-based survey. The focus group and the Andersen Model were used to develop the survey questionnaire. The survey participants were customers at Arabic grocery stores, worshippers at the city mosque and patients at free University Clinic. Chi-square test was used to measure the relationship between the characteristics of survey participants and preventive healthcare services. Thematic analysis was used to analyze the focus group transcript. Results: We received 196 completed surveys. Only half of the participants were considered to have good health literacy. More than one-third of the participants had no health insurance and less than half of them visit clinics regularly for preventive measures. Two participant enabling factors (health insurance and residency years) and one need factor (having chronic disease(s)) were found to significantly influence preventive physician visits. Conclusions: This theory-based study provides a tool that can be used in different Western countries where Arabic minority lives. Both the survey and the focus group agreed that lacking health insurance is the main barrier facing their access to healthcare services. The availability of an interpreter in the hospital is essential to help those with inadequate health literacy, particularly new arriving individuals. More free healthcare settings are needed in the county to take care of the increasing number of uninsured Arabic speaking patients.

scholarly journals SOCIODEMOGRAPHIC AND HEALTH DISPARITIES IN USE OF PREVENTIVE HEALTHCARE SERVICES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S873-S873
Author(s):  
Terese Sara Hoej Joergensen ◽  
Heather Allore ◽  
Corey Nagel ◽  
Ana R Quiñones
Keyword(s):  
Older Adults ◽  
Influenza Vaccination ◽  
Educational Level ◽  
Health Indicators ◽  
Healthcare Services ◽  
Geographical Region ◽  
Preventive Healthcare ◽  
Dementia Diagnosis ◽  
The Us ◽  
Race Ethnicity

Abstract Introduction: Older adults experience multiple health problems necessitating medical care. However, studies have shown that healthcare is not equally accessible for older adults in the US. In 2011, Medicare introduced Annual Wellness Visits to improve access to preventive healthcare including influenza vaccination. Objectives: Ascertain whether sociodemographic factors, multimorbidity, and other health indicators pose a barrier for older adults to access Annual Wellness Visits and influenza vaccination. Methods: We analyzed data from the 2012 and 2014 waves of the Health and Retirement Study linked with Medicare records. 4,858 older adults aged 65+ years were included in Conditional Random Forests to identify the most important predictors of Annual Wellness Visits and influenza vaccination during this two-year period. The predictors included: age, sex, race/ethnicity, partnered, geographical region, wealth, educational level, Medicaid coverage, body mass index, activities and instrumental activities of daily living, proxy interview, cognitive impairment, dementia diagnosis, and multimorbidity. Results: In total, 1,142 (23.6%) older adults had an Annual Wellness Visit and 3,316 (68.4%) older adults received an influenza vaccination. 11.9% were non-Hispanic black, 6.3% were Hispanic, with a median of 6 chronic conditions and 16.9% had dementia. The most important predictors of Annual Wellness Visits were region, wealth, dementia diagnosis, and race/ethnicity. The most important predictors of influenza vaccination were multimorbidity, race/ethnicity, educational level, and wealth. Conclusion: The importance of geographical region for Annual Wellness Visits suggests that the service has not been adopted equally throughout the US, whereas multimorbidity is the most important factor for receiving influenza vaccination.

Health promotion and cancer screening services for African refugee women

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 6101-6101
Author(s):  
J. K. Carroll ◽  
R. Epstein ◽  
K. Fiscella ◽  
E. Volpe ◽  
P. Jean-Pierre ◽  
...  
Keyword(s):  
Health Promotion ◽  
Cancer Screening ◽  
Healthcare Services ◽  
Theory Approach ◽  
Preventive Healthcare ◽  
Positive Health ◽  
Future Health ◽  
Health Maintenance ◽  
Refugee Women ◽  
Screening Services

6101 Background: Previous work has shown that refugee women do not receive adequate preventive healthcare services, especially cancer screening. To identify factors that could affect the provision of cancer screening services to African Somali refugee women living in Rochester, NY, we assessed beliefs these women have about health promotion, access to care and use of preventive healthcare services. Methods: Individual in-depth interviews were conducted on a community-based sample of 34 resettled Somali-born women who were older than 18 years. Interviews were audiotaped and transcribed verbatim. A professional interpreter listened to all audiotaped interviews to check accuracy of transcription and translation. Content was analyzed by a multidisciplinary team using a grounded theory approach. Results: Median age of the women was 27 years. Length of residence in US was two months to nine years. For these women, health maintenance for acute survival took precedence over long-term prevention of disease. All women were familiar with basic health promotion practices, immunizations and routine medical examinations, and participants used both US-based and traditional techniques to prevent illness. Most women (71%, n=24), recognized the importance of maintaining good hygiene (59%, n=20) understood the need to have an adequate source of safe food and water, (74%, n=25) saw the need for access to a regular source of healthcare and (65%, n=22) acknowledged the need to function well at home. Few women understood cancer prevention services. Only three (9%) women recognized that the purpose of the Papanicalaou test was to screen for cervical cancer. Only six women (18%) recognized mammography (either the term or the procedure) and all of them were English-speaking, had lived in the US five years or longer, and had worked in the healthcare field. Conclusions: While traditional beliefs about health promotion did not appear to impede delivery of most preventive services, and participants understood prevention of infectious disease, their familiarity with cancer and cancer screening services was poor. Future health promotion programs need to increase refugee women’s knowledge about these services while building on other positive health-promoting beliefs. Supported by AHRQ 5R03HS014105 and NCI 1R25CA102618 No significant financial relationships to disclose.

scholarly journals Socially-Assigned Race, Healthcare Discrimination and Preventive Healthcare Services

PLoS ONE ◽  
2013 ◽  
Vol 8 (5) ◽  
pp. e64522 ◽  
Author(s):  
Tracy MacIntosh ◽  
Mayur M. Desai ◽  
Tene T. Lewis ◽  
Beth A. Jones ◽  
Marcella Nunez-Smith
Keyword(s):  
Healthcare Services ◽  
Preventive Healthcare ◽  
Socially Assigned Race

scholarly journals Effect of Physician Gender on Demand for Pap Tests

2014 ◽  
Vol 2014 ◽  
pp. 1-8
Author(s):  
Tsui-Fang Lin ◽  
Jennjou Chen
Keyword(s):  
Cervical Cancer ◽  
Nurse Practitioners ◽  
Cancer Vaccines ◽  
Healthcare Services ◽  
Preventive Healthcare ◽  
Mountain Areas ◽  
Full Sample ◽  
Pap Tests ◽  
The Government ◽  
Female Nurses

People’s demand for preventive medical care is one type of investment in health. The aim of this paper is to examine women’s demand for secondary prevention in Taiwan, focusing on the role a physician’s gender plays in women’s inclination to undergo Pap tests. Our estimation results show that regional ratio of female doctors has a positive and significant effect on utilization of Pap tests for the full sample and for women aged below 30. In addition, doctor’s gender matters only in utilization of Pap tests not in other types of preventive healthcare services in Taiwan. We suggest that the government may consider liberalizing medical laws to make it legal for trained female nurses or nurse practitioners to perform Pap tests in order to encourage the utilization of Pap tests, especially in rural and mountain areas. The government may also consider subsidizing the use of cervical cancer vaccines to help females prevent cervical cancer.

scholarly journals Transportation Services for Older Adults and Preventive Healthcare Attainment

Urban Science ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. 38
Author(s):  
Zeenat Kotval-K ◽  
Linda Keilman ◽  
Weijing Wang
Keyword(s):  
Older Adults ◽  
Healthcare Services ◽  
Critical Element ◽  
Critical Factors ◽  
Preventive Healthcare ◽  
Active Lifestyle ◽  
Main Hypothesis ◽  
Transportation Services ◽  
Transit Services ◽  
The Impact

This study examines the impact of the provision of specialized transportation services for older adults on the attainment of preventive healthcare services in selected cities across Michigan. The main hypothesis is that transportation services are critical factors for older adults to not only attain preventive healthcare but also to maintain an active lifestyle that avoids the physical, mental and social isolation that they may face when advised to stop driving. Results indicate that provision of transit services and socio-economic characteristics have statistically significant effects on the attainment of preventive healthcare services. However, although transportation is a critical element for maintaining medical appointments, other factors need to be considered if we truly want to attain better health outcomes for all older adults. Qualitative analyses point to other logistical barriers and the need for more awareness of insurance plans and covered services in order to increase preventive healthcare attainment.

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