Health care engagement behaviors of men who use performance- and image-enhancing drugs in Australia

2019 ◽  
Vol 41 (1) ◽  
pp. 139-145 ◽  
Author(s):  
B. Jacka ◽  
B. Larance ◽  
J. Copeland ◽  
L. Burns ◽  
M. Farrell ◽  
...  
Keyword(s):  
Health Care ◽  
Image Enhancing ◽  
Health Care Engagement

Limited English Proficiency and Disparities in Health Care Engagement Among Patients With Breast Cancer

2021 ◽  
pp. OP.20.01093
Author(s):  
Mohana Roy ◽  
Natasha Purington ◽  
Mina Liu ◽  
Douglas W. Blayney ◽  
Allison W. Kurian ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Clinical Trial ◽  
Genetic Counseling ◽  
English Proficiency ◽  
Primary Language ◽  
Patient Portal ◽  
Language Groups ◽  
English Speaking ◽  
Health Care Engagement

PURPOSE: Race and ethnicity have been shown to affect quality of cancer care, and patients with low English proficiency (LEP) have increased risk for serious adverse events. We sought to assess the impact of primary language on health care engagement as indicated by clinical trial screening and engagement, use of genetic counseling, and communication via an electronic patient portal. METHODS: Clinical and demographic data on patients with breast cancer diagnosed and treated from 2013 to 2018 within the Stanford University Health Care system were compiled via linkage of electronic health records, an internal clinical trial database, and the California Cancer Registry. Logistic and linear regression models were used to evaluate for association of clinical trial engagement and patient portal message rates with primary language group. RESULTS: Patients with LEP had significantly lower rates of clinical trial engagement compared with their English-speaking counterparts (adjusted odds ratio [OR], 0.29; 95% CI, 0.16 to 0.51). Use of genetic counseling was similar between language groups. Rates of patient portal messaging did not differ between English-speaking and LEP groups on multivariable analysis; however, patients with LEP were less likely to have a portal account (adjusted OR, 0.89; 95% CI, 0.83 to 0.96). Among LEP subgroups, Spanish speakers were significantly less likely to engage with the patient portal compared with English speakers (estimated difference in monthly rate: OR, 0.43; 95% CI, 0.24 to 0.77). CONCLUSION: We found that patients with LEP had lower rates of clinical trial engagement and odds of electronic patient portal enrollment. Interventions designed to overcome language and cultural barriers are essential to optimize the experience of patients with LEP.

scholarly journals Relapse prevalence, symptoms, and health care engagement: patient insights from the Multiple Sclerosis in America 2017 survey

2018 ◽  
Vol 26 ◽  
pp. 219-234 ◽  
Author(s):  
Tara A. Nazareth ◽  
Andrew R. Rava ◽  
Jackie L. Polyakov ◽  
Edward N. Banfe ◽  
Royce W. Waltrip II ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Health Care Engagement

scholarly journals Experiences of stigma and health care engagement among Black MSM newly diagnosed with HIV/STI

2018 ◽  
Vol 41 (4) ◽  
pp. 458-466 ◽  
Author(s):  
Lisa A. Eaton ◽  
Valerie A. Earnshaw ◽  
Jessica L. Maksut ◽  
Katherine R. Thorson ◽  
Ryan J. Watson ◽  
...  
Keyword(s):  
Health Care ◽  
Black Msm ◽  
Newly Diagnosed ◽  
Health Care Engagement

scholarly journals Health Care Engagement Among LGBT Older Adults: The Role of Depression Diagnosis and Symptomatology

2017 ◽  
Vol 57 (suppl 1) ◽  
pp. S105-S114 ◽  
Author(s):  
Chengshi Shiu ◽  
Hyun-Jun Kim ◽  
Karen Fredriksen-Goldsen
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Depression Diagnosis ◽  
Health Care Engagement

Vertical transmission of hepatitis C: Testing and health-care engagement

2018 ◽  
Vol 54 (6) ◽  
pp. 647-652 ◽  
Author(s):  
Sharon Reid ◽  
Carolyn A Day ◽  
David G Bowen ◽  
Jeannie Minnis ◽  
Joanne Ludlow ◽  
...  
Keyword(s):  
Health Care ◽  
Hepatitis C ◽  
Vertical Transmission ◽  
Health Care Engagement

scholarly journals Primary health care engagement among marginalized people who use drugs in Ottawa, Canada

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Jessy Donelle ◽  
Ahmed Bayoumi ◽  
Lisa Boucher ◽  
Alana Martin ◽  
Dave Pineau ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Family Physician ◽  
People Who Use Drugs ◽  
Outpatient Visits ◽  
Primary Health ◽  
Co Morbidity ◽  
Health Care Engagement

IntroductionEngagement in primary health care may be lower among marginalized people who use drugs (PWUD) compared to the general population, despite having greater mental and physical healthcare needs as evidenced by higher co-morbidity, and more frequent use of emergency department care. Objectives and ApproachWe investigated which socio-structural factors were related to primary care engagement among PWUD using rich survey data from the Participatory Research in Ottawa: Understanding Drugs cohort study; these data were deterministically linked to several robust provincial-level health administrative databases held at the Institute for Clinical Evaluative Sciences. We defined primary care engagement over the 2 years prior to survey completion (March-December 2013) as: not engaged (<3 outpatient visits to the same family physician) versus engaged in care (3+ outpatient visits to the same family physician). Multi-variable logistic regression was used to identify factors associated with primary health care engagement. ResultsAmong 663 participants, characteristics include: mean age of 41.4 years, 75.6% male, 66.7% in the lowest two income quintiles, and 51.1% with 6+ co-morbidities. 372 (56%) were engaged in primary care, with a mean of 15.97 visits per year (SD=20.18). Engagement was significantly associated with the following factors: receiving drug benefits from either the Ontario Disability Support Program (adjusted odds ratio [AOR] 4.48; 95% confidence interval [95%CI] 2.64 to 7.60) or Ontario Works (AOR 3.41; 95%CI 1.96 to 5.91), having ever taken methadone (AOR 3.05; 95%CI 1.92 to 4.87), mental health co-morbidity (AOR 2.93; 95%CI 1.97 to 4.36), engaging in sex work in the last 12 months (AOR 2.05; 95%CI 1.01 to 4.13), and having stable housing (AOR 1.98; 95%CI 1.30 to 3.01). Conclusion/ImplicationsNearly half of PWUD are not engaged in primary care, representing missed opportunities to improve health. Engagement in primary care may reflect both an increased need for health care, such as mental health disability, and increased access to primary care through other health and social services, such as housing support.

Response Category Functioning on the Health Care Engagement Measure Using the Nominal Response Model

Assessment ◽  
2021 ◽  
pp. 107319112110526
Author(s):  
Steven P. Reise ◽  
Anne S. Hubbard ◽  
Emily F. Wong ◽  
Benjamin D. Schalet ◽  
Mark G. Haviland ◽  
...  
Keyword(s):  
Health Care ◽  
Category Boundary ◽  
Development Project ◽  
Theory Model ◽  
Response Category ◽  
Response Model ◽  
Nominal Response Model ◽  
Health Care Engagement ◽  
Nominal Response

As part of a scale development project, we fit a nominal response item response theory model to responses to the Health Care Engagement Measure (HEM). When using the original 5-point response format, categories were not ordered as intended for six of the 23 items. For the remaining, the category boundary discrimination between Categories 0 ( not at all true) and 1 ( a little bit true) was only weakly discriminating, suggesting uninformative categories. When the lowest two categories were collapsed, psychometric properties improved greatly. Category boundary discriminations within items, however, varied significantly. Specifically, higher response category distinctions, such as responding 3 ( very true) versus 2 ( mostly true) were considerably more discriminating than lower response category distinctions. Implications for HEM scoring and for improving measurement precision at lower levels of the construct are presented as is the unique role of the nominal response model in category analysis.

Patterns of cancer-related health information seeking and receipt among Hispanic and non-Hispanic childhood cancer survivors.

2017 ◽  
Vol 35 (5_suppl) ◽  
pp. 197-197
Author(s):  
Kimberly A Miller ◽  
Cynthia N Ramirez ◽  
Katherine Wojcik ◽  
Anamara Ritt-Olson ◽  
Lourdes Baezconde-Garbanati ◽  
...  
Keyword(s):  
Health Care ◽  
Cancer Survivors ◽  
Health Information ◽  
Information Seeking ◽  
Childhood Cancer Survivors ◽  
Positive Health ◽  
Post Traumatic Growth ◽  
Hospital Resources ◽  
Information Domain ◽  
Health Care Engagement

197 Background: Because childhood cancer survivors (CCS) report a high number of unmet cancer-related information needs, knowing where CCS access information may provide insights into appropriate delivery systems to address information deficits. Active seeking of health information among CCS is associated with positive health behaviors, including adherence to follow-up care. This study examined patterns of cancer-related health information seeking as an indicator of health care engagement. Methods: Participants (N = 193) were young adult CCS diagnosed with any cancer type in Los Angeles County, 54% Hispanic, with a mean age of 19.87, and at least two years from treatment. CCS were asked where they accessed health information related to their cancer with 8 response options which were categorized into four information domains: hospital resources, social media, other survivors, and family members. Multivariable logistic regression was used to assess correlates of each information domain, including sociodemographic information, post-traumatic growth, and health care engagement, controlling for age, ethnicity, sex, education, and health insurance status. Results: Hospital resources were the most frequently endorsed information domain (65.3%), and Hispanic CCS (vs. non-Hispanic) were more likely to access this source. Online sources were more likely accessed by female CCS. Seeking information from other cancer survivors was associated with follow-up care and post-traumatic growth after cancer. Hispanic CCS were less likely to seek information from other survivors and their family than non-Hispanics. Conclusions: While CCS obtain information from a variety of sources, hospital resources were the most commonly accessed, particularly for Hispanics. Information sharing between survivors may promote positive health care engagement; however, Hispanics may be less likely to pursue this resource. Future work should address barriers Hispanic CCS face in information sharing with other cancer survivors. [Table: see text]

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