Variations in perceived primary healthcare access across family structures and their predictors in adolescents

2017 ◽  
Vol 23 (2) ◽  
pp. 132 ◽  
Author(s):  
Kénora Chau ◽  
Jean-Charles Vauthier ◽  
Bernard Kabuth

Families have greatly changed over time and little is known about primary care access barriers for adolescents associated with family type. We assessed family disparities in lack of listening and treatment explanations (LLTE) by general practitioners (GP), lack of treatment adherence (LTA) and GP change and the confounding roles of socioeconomic factors, school, behaviour and health difficulties among 1559 middle-school-aged (9.9–18.8 years old) adolescents who completed a questionnaire on sex, age, socioeconomic characteristics (family structure, nationality, parents’ occupation, education and income), school performance, substance use, physical health, psychological health, social relationships, living environment, LLTE by GPs, LTA and GP change. Data were analysed using logistic regression models. LLTE, LTA and GP change affected 22.3, 38.0 and 7.3% of subjects respectively. Compared with the adolescents living in intact families, and controlling for sex and age, those with separated or divorced parents or reconstructed families and those with single parents respectively had 1.58- and 1.96-times higher LLTE risk and 1.48- and 1.72-times higher LTA risk. Adolescents with separated or divorced parents or reconstructed families had 1.92-times higher GP-change risk. Socioeconomic factors explained 16–36% of LLTE or LTA risks, but not GP-change risk. Further considering school, behaviour and health difficulties explained 55–87% of LLTE or LTA risks and 27% of GP-change risk. In conclusion, changes in family situations may have produced more non-intact families and adolescents with greater socioeconomic, school, behaviour and health difficulties. These factors are strong barriers to primary care access and may warrant prevention targets for adolescents, their parents, schools and GP.

2021 ◽  
Vol 6 (8) ◽  
pp. e006370
Author(s):  
Tanvir Chowdhury Turin ◽  
Nashit Chowdhury ◽  
Sarika Haque ◽  
Nahid Rumana ◽  
Nafiza Rahman ◽  
...  

Primary healthcare access is one of the crucial factors that ensures the health and well-being of a population. Immigrant/racialised communities encounter a myriad of barriers to accessing primary healthcare. As global migration continues to grow, the development and practice of effective strategies for research and policy regarding primary care access are warranted. Many studies have attempted to identify the barriers to primary care access and recommend solutions. However, top-down approaches where the researchers and policy-makers ‘prescribe’ solutions are more common than community-engaged approaches where community members and researchers work hand-in-hand in community-engaged research to identify the problems, codevelop solutions and recommend policy changes. In this article, we reflect on a comprehensive community-engaged research approach that we undertook to identify the barriers to equitable primary care access among a South Asian (Bangladeshi) immigrant community in Canada. This article summarised the experience of our programme of research and describes our understanding of community-engaged research among an immigrant/racialised community that meaningfully interacts with the community. In employing the principles of community-based participatory research, integrated knowledge translation and human centred design, we reflect on the comprehensive community-engaged research approach we undertook. We believe that our reflections can be useful to academics while conducting community-engaged research on relevant issues across other immigrant/racialised communities.


2014 ◽  
Vol 29 (S2) ◽  
pp. 689-694 ◽  
Author(s):  
Rachel M. Werner ◽  
Anne Canamucio ◽  
Steven C. Marcus ◽  
Christian Terwiesch

2021 ◽  
Vol 11 (8) ◽  
pp. 791-800
Author(s):  
Katherine A. Auger ◽  
Heidi J. Sucharew ◽  
Jeffrey M. Simmons ◽  
Samir S. Shah ◽  
Robert S. Kahn ◽  
...  

2016 ◽  
Vol 28 (suppl 1) ◽  
pp. 64.1-64
Author(s):  
H. Konecna ◽  
L. Sidlo ◽  
B. Burcin ◽  
P. Stych

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
John A. Ford ◽  
Andy P. Jones ◽  
Geoff Wong ◽  
Garry Barton ◽  
Allan Clark ◽  
...  

2020 ◽  
Vol 110 (10) ◽  
pp. 1472-1475 ◽  
Author(s):  
Shelina Davis ◽  
Alexander Billioux ◽  
Jennifer L. Avegno ◽  
Tiffany Netters ◽  
Gerrelda Davis ◽  
...  

Following the devastation of the Greater New Orleans, Louisiana, region by Hurricane Katrina, 25 nonprofit health care organizations in partnership with public and private stakeholders worked to build a community-based primary care and behavioral health network. The work was made possible in large part by a $100 million federal award, the Primary Care Access Stabilization Grant, which paved the way for innovative and sustained public health and health care transformation across the Greater New Orleans area and the state of Louisiana.


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