scholarly journals Voluntary Testing Practice Among People with Clinical Symptoms of COVID-19 in Somalia: Using Andersen’s Behavioral Model

2021 ◽  
Vol 6 (2) ◽  
pp. 75
Author(s):  
Mohamed Ali Magan ◽  
Duah Dwomoh
Keyword(s):  
Clinical Symptoms ◽  
Behavioral Model ◽  
Andersen’S Behavioral Model ◽  
Voluntary Testing ◽  
Testing Practice

scholarly journals Voluntary Testing Practice Among People with Clinical Symptoms of COVID-19 in Somalia: Using Andersen’s Behavioral model

2021 ◽  
Author(s):  
Mohamed Ali Magan ◽  
Duah Dwomoh
Keyword(s):  
Peer Influence ◽  
Clinical Symptoms ◽  
Statistical Significance ◽  
Univariate Analysis ◽  
Behavioral Model ◽  
Contact Tracing ◽  
Household Level ◽  
Factors Associated ◽  
Voluntary Testing ◽  
Study Participants

Abstract Background: COVID-19, is a respiratory disease caused by a novel coronavirus. The virus is a global pandemic which threatens children and their rights in countries around the world. Epidemiologists have advocated for a robust testing and contact tracing as a potential solution to balance public health and economic priorities. Using Anderson Behavioral Model, our study aimed to analyze predisposing, Enabling and Need factors associated with VT4C-19 practice in Somalia. Methods: A cross sectional community-based survey were conducted at household level among adults above the age 18 years living in Mogadishu and Garowe cities. The study used multi-stage stratified-cluster sampling method. Out of the Four main towns in Somalia with a designated free National laboratory for COVID-19 testing by the government, the study randomly selected two cities (Mogadishu & Garowe) using Simple Random Sampling (SRS) Method. The study used univariate analysis and Multivariable Binary Logistic Regression model to control other possible confounders and to give the Andersen Behavioral Modal that were independently associated with voluntary testing for COVID-19 in Somalia. The statistical significance tests were accepted at p < 0.05.Results: Only 113 (6.6%) out of (1,708) study participants who experienced clinical symptoms of COVID-19 (between 16 March – 31 December 2020) voluntarily tested their COVID-19 status. The study found Predisposing factors including gender (P<0.001), marital status (p<0.05), mass media availability (p<0.05), telephone ownership (p<0.05), peer influence (P<0.001) and stigma of COVID-19 positive individuals in the community (P<0.001), and Enabling factors including: place of residence (p<0.001), expense decision maker at household level (p<0.05), insurance status (p<0.001) and access to outreach and health education program (p<0.05), as well as the Need factors including: perceived importance of COVID-19 voluntary test (p<0.001) and chronic diseases status among the study participants (p<0.05) were among the factors associated with the practice of voluntary tests of COVID-19 among the clinically symptomatic individuals in Somalia.Conclusion: The uptake of Voluntary testing for COVID-19 is very low in Somalia. To promote this, health officials and policy makers need to focus on a consistent and culturally sensitive community sensitization programs and bringing the COVID-19 test closer to the communities including rural communities.

scholarly journals Patient satisfaction with mental health services based on Andersen’s Behavioral Model

2017 ◽  
Vol 63 (2) ◽  
pp. 103-114 ◽  
Author(s):  
Marilyn Fortin ◽  
Jean-Marie Bamvita ◽  
Marie-Josée Fleury
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Mental Health Services ◽  
Health Services ◽  
Continuity Of Care ◽  
Multiple Linear Regression Model ◽  
Behavioral Model ◽  
Related Factors ◽  
Negatively Associated ◽  
Andersen’S Behavioral Model

Objective: The purpose of this article was to assess the satisfaction of adult patients who received mental health services (MHS) in healthcare networks staffed by multidisciplinary professionals and offering a range of MHS, and to identify variables associated with patient satisfaction. Methods: This cross-sectional study included 325 patients with mental disorders (MDs) among 4 Quebec health service networks. Data were collected using 9 standardized instruments and participant medical records. A 3-factor conceptual framework (predisposing, enabling, and needs-related factors) based on Andersen’s Behavioral Model was used, integrating sociodemographic, clinical, needs-related, service utilization, social support, and quality-of-life (QOL) variables. An adjusted multiple linear regression model was performed. Results: The global mean score for patient satisfaction was 4.11 (minimum: 2.0; maximum: 5.0). Among the enabling factors, continuity of care, having a case manager, and help received from services were positively associated with patient satisfaction, whereas being hospitalized was negatively associated. Among the needs-related factors, the number of needs was negatively associated with satisfaction. Conclusions: Findings demonstrated higher levels of satisfaction among patients who received good continuity of care and well-managed, frequent services in relation to their needs. Dissatisfaction was higher for patients with serious unmet needs or those hospitalized, which underlines the importance of taking these particular variables into account in the interest of improving MHS delivery and patient recovery.

scholarly journals Analyzing Factors of Breast Cancer Screening Adherence among Korean American Women Using Andersen’s Behavioral Model of Healthcare Services Utilization

2019 ◽  
Vol 29 (Supp2) ◽  
pp. 427-434
Author(s):  
Seok Won Jin ◽  
Hee Yun Lee ◽  
Jongwook Lee
Keyword(s):  
Breast Cancer ◽  
Behavioral Model ◽  
Healthcare Services ◽  
Decisional Balance ◽  
Korean American ◽  
Self Report ◽  
Enabling Factors ◽  
Cross Sectional ◽  
Services Utilization ◽  
Andersen’S Behavioral Model

Objectives: Regular uptake of mammogra­phy screening reduces the risk of advanced stage diagnosis of breast cancer (BC). How­ever, BC screening rates remain suboptimal among Korean American (KA) women. Using the Andersen’s Behavioral Model of Healthcare Services Utilization, this study examined factors associated with mammog­raphy screening among KA women aged 50 to 80 years in the state of Georgia, USA.Methods: We used purposive sampling to recruit study participants in the Atlanta met­ropolitan area from May 2015 to February 2016. A total of 303 KA women completed a cross-sectional, self-report survey about their sociodemographics, health care access information, knowledge, self-efficacy, deci­sional balance, and mammography history.Results: Descriptive analyses confirmed low rates of mammography screening in the participants. Multiple logistic regression analyses showed that having a mammogram within the past year was associated with greater BC knowledge, higher scores of decisional balance and fewer annual health check-ups among KA women without any cancer history.Conclusions: The findings offer implica­tions for health policy aimed at increas­ing BC screening by leveraging enabling factors among medically underserved KA women at both structural and cultural levels.Ethn Dis.2019;29(Suppl 2):427-434; doi:10.18865/ed.29.S2.427

scholarly journals A Convergence Study on Influencing Factors of Paid Care Service: Andersen's Behavioral Model

2017 ◽  
Vol 15 (4) ◽  
pp. 327-337
Author(s):  
Han-Kyoul KIM ◽  
Sung Kuk Kim ◽  
Hyun-Jin Shim ◽  
Hee Myung Lee ◽  
Hyunsill Rhee
Keyword(s):  
Influencing Factors ◽  
Care Service ◽  
Behavioral Model ◽  
Andersen’S Behavioral Model ◽  
Convergence Study

scholarly journals Use of rehabilitation services by persons with disabilities in Brazil: A multivariate analysis from Andersen’s behavioral model

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250615
Author(s):  
Arthur de Almeida Medeiros ◽  
Maria Helena Rodrigues Galvão ◽  
Isabelle Ribeiro Barbosa ◽  
Angelo Giuseppe Roncalli da Costa Oliveira
Keyword(s):  
Health Care ◽  
Multivariate Analysis ◽  
Primary Health Care ◽  
Behavioral Model ◽  
Individual Characteristics ◽  
Rehabilitation Services ◽  
Socioeconomic Conditions ◽  
Persons With Disabilities ◽  
Andersen’S Behavioral Model ◽  
Primary Health

Background For many years, discussions about health care for people with disabilities (PwD) in Brazil have not been treated as a priority; however, based on the advances made at the beginning of this century, new policies have been developed with the aim of improving access of these people to health services. Therefore, the aim of this study was to analyze how individual characteristics and contextual indicators are associated with access to rehabilitation services for PwD in Brazil. Methods A multivariate analysis was performed based on data from the National Health Survey 2013, considering access to rehabilitation services by PwD as the primary outcome and individual and contextual factors selected from Andersen’s behavioral model as independent variables. The contextual variables were reduced to two composite indicators (1-primary health care coverage and unfavorable socioeconomic conditions, and 2-economic inequality) from the analysis of the principal components. Poisson regression analysis with robust variance was performed to estimate the prevalence ratio (PR) and the respective 95% confidence interval (95%CI). Results Access to rehabilitation services by PwD was more prevalent in people aged 0 to 17 years (PR = 3.28; 95%CI 2.85–3.78), who are illiterate (PR = 1.24; 95%CI 1.09–1.40), whose socioeconomic level is A or B (PR = 1.60; 95%CI 1.35–1.88), who have health insurance (PR = 1.31; 95%CI 1.15–1.49), who have severe limitations (PR = 3.09; 95%CI 2.64–3.62), who live in states with a good offer of Specialized Rehabilitation Centers, both type II (PR = 1.20; CI95% 1.08; 1.33) and type IV (PR = 1.29; CI95% 1.15; 1.44), and who have greater coverage of primary health care, but unfavorable socioeconomic conditions (PR = 1.15; CI95% 1.03–1.28). Conclusion The results clarify the social inequities that exist regarding access to rehabilitation services for PwD in Brazil and highlight the need to formulate and implement public policies that guarantee the realization of the rights of these people.

scholarly journals Predictors of Undiagnosed Diabetes among Middle-Aged and Seniors in China: Application of Andersen’s Behavioral Model

2021 ◽  
Vol 18 (16) ◽  
pp. 8396
Author(s):  
Chaozhou Mou ◽  
Minlan Xu ◽  
Juncheng Lyu
Keyword(s):  
Logistic Regression ◽  
Health Service ◽  
Regression Model ◽  
Roc Curve ◽  
Behavioral Model ◽  
Undiagnosed Diabetes ◽  
Multiple Logistic Regression ◽  
Andersen’S Behavioral Model ◽  
Andersen Model ◽  
Geographical Regions

Undiagnosed diabetes is a threat to public health. This study aims to identify potential variables related to undiagnosed diabetes using Andersen’s behavioral model. Baseline data including blood test data from the China Health and Retirement Longitudinal Study (CHARLS) were adopted. First, we constructed health service related variables based on Andersen model. Second, univariate analysis and multiple logistic regression were used to analyze the relations of variables to undiagnosed diabetes. The strength of relationships was presented by odds ratios (ORs) and 95% confidence intervals (CIs). Finally, the prediction of multiple logistic regression model was assessed using the Receiver Operating Characteristic (ROC) curve and the area under the ROC curve (AUC). According to diagnosis standards, 1234 respondents had diabetes, among which 560 were undiagnosed and 674 were previously diagnosed. Further analysis showed that the following variables were significantly associated with undiagnosed diabetes: age as the predisposing factor; medical insurance, residential places and geographical regions as enabling factors; having other chronic diseases and self-perceived health status as need factors. Moreover, the prediction of regression model was assessed well in the form of ROC and AUC. Andersen model provided a theoretical framework for detecting variables of health service utilization, which may not only explain the undiagnosed reasons but also provide clues for policy-makers to balance health services among diverse social groups in China.

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