Quality of Life and Health-Services Utilization in a Population-Based Sample of Military Personnel Reporting Multiple Chemical Sensitivities

1999 ◽  
Vol 41 (10) ◽  
pp. 928-933 ◽  
Author(s):  
Donald W. Black ◽  
Bradley N. Doebbeling ◽  
Margaret D. Voelker ◽  
William R. Clarke ◽  
Robert F. Woolson ◽  
...  
Author(s):  
Thang Pham ◽  
Nguyen Nguyen ◽  
Sophie ChieuTo ◽  
Tuan Pham ◽  
Thanh Nguyen ◽  
...  

In Vietnam, as in much of the world, the elderly population is growing rapidly. Two-thirds of Vietnam’s elderly live in rural areas, where there may be unique health profiles and needs. Furthermore, the sex ratio in the elderly population is highly skewed. The relationship between sex, health-seeking behavior, and health outcomes in elderly individuals residing in rural areas has not been well-characterized, and needs to be elucidated in order to better serve this population. This study sought to explore the associations of sex with health and health-seeking behavior among the elderly in Soc Son, a rural district of Hanoi. A cross-sectional design was employed; elderly women and men were surveyed across the domains of socioeconomic information, health status, and healthcare service utilization. We found differences between women and men in sociodemographic characteristics, quality of life, health outcomes, and patterns of health services utilization. Overall, women had poorer health and quality of life, but no difference was found between sexes regarding level of health services utilization. Future research should expand upon these findings and, moreover, characterize their underlying systemic, sociocultural, and psychological mechanisms, in order to help bring solutions to improve the health of elderly persons in rural parts of Vietnam.


2020 ◽  
Vol 53 ◽  
pp. e121-e128
Author(s):  
Bibiana Pérez-Ardanaz ◽  
José Miguel Morales-Asencio ◽  
Álvaro León-Campos ◽  
Shakira Kaknani-Uttumchandani ◽  
Inmaculada López-Leiva ◽  
...  

Epilepsia ◽  
2020 ◽  
Vol 61 (9) ◽  
pp. 1969-1978
Author(s):  
Churl‐Su Kwon ◽  
Bonnie Wong ◽  
Parul Agarwal ◽  
Jung‐Yi Lin ◽  
Madhu Mazumdar ◽  
...  

2003 ◽  
Vol 168 (11) ◽  
pp. 941-947 ◽  
Author(s):  
Tegan K. Boehmer ◽  
Vickie L. Boothe ◽  
W. Dana Flanders ◽  
Drue H. Barrett

2015 ◽  
Vol 8 (3) ◽  
pp. 125-131 ◽  
Author(s):  
Enayatollah Homaie Rad ◽  
Akbar Ghaisi ◽  
Masoud Arefnezhad ◽  
Mohsen Bayati

Purpose – The purpose of this paper is to study, inequalities between general physicians’ and specialists’ visits in Shiraz. Also, the factors effecting the utilization of visits were determined. Design/methodology/approach – Concentration index and curves, ranked by income and quality of life were used to estimate the amount of inequality in the utilization of services. Health utilization data which had been gathered already were used for this purpose. Poisson regression was used to construct the models. Findings – Results of the study showed that, inequalities in specialists’ visits were higher than GPs’. Complementary insurances users and females used more specialist services. People with higher quality of life utilized fewer GPs’ and specialists’ services. Originality/value – New evidences about inequality in health services utilization and its components in Iran was surveyed.


2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Julia Köpp ◽  
Steffen Fleßa ◽  
Wolfgang Lieb ◽  
Marcello Ricardo Paulista Markus ◽  
Alexander Teumer ◽  
...  

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M F Dell'Aringa ◽  
G E Corrêa-Oliveira ◽  
F Della Corte ◽  
L Ragazzoni ◽  
E S Miranda ◽  
...  

Abstract Background The global burden of mental health conditions is increasing, especially in middle- and low-income countries and frequently the quality of mental health services is lower than the quality of services for other conditions. Disasters may increase this burden through their direct impact or due to secondary stressors, such as the preclusion of access to essential services. The aim of this study is to assess the impact of Mariana dam burst (Brazil) in November 2015, in the utilization of public mental health services by the population that experienced an interruption of water supply after the event. Methods We used data from DATASUS, the database of the Brazilian public health system, analyzing data from 34 months before to 36 months after the event. We defined as affected the population living in the municipalities of Minas Gerais state that had an interruption of water supply after the event and the rest of the state population as the comparison group. We designed an Interrupted time-series analysis to evaluate both immediate and gradual changes in use of mental health services after the accident. Results The affected population included 381,749 inhabitants and the comparison group 20,487,352 inhabitants. The monthly rate of mental health visits in the affected population in the beginning of the series was 296 (CI 182 to 409, p < 0.001) per 100.000 person-month. Comparing the groups after the event, we observed a non-statistically significant higher increase in the rate of visits immediately after the event of 115.96 (CI -30.00 to 261.92, p = 0.118) and a significant increase in the monthly rate of visits (change in slope) of 15.55 (CI 8.19 to 22.92, p < 0.001) in the affected group. Discussion The results suggest that the event translated in a long-term increase in mental health services utilization. We believe that this study presents an innovative methodology on the assessment of mental health services after disasters and that it could be adapted to other contexts. Key messages Indirect impacts of disasters may be associated with long-term changes in the utilization of mental health services. Interrupted time series using routine data are useful tools for the assessment of health services utilization following disasters.


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