scholarly journals Factors Associated With Black Men’s Preference for Health Information

2016 ◽  
Vol 18 (1) ◽  
pp. 119-126 ◽  
Author(s):  
Lauren J. Parker ◽  
Haslyn Hunte ◽  
Anita Ohmit ◽  
Roland J. Thorpe
Keyword(s):  
Health Care ◽  
Health Information ◽  
Black Men ◽  
College Education ◽  
Preventative Care ◽  
Enabling Factors ◽  
Financial Barriers ◽  
Factors Associated ◽  
And Gender ◽  
Racial Ethnic

Black men are less likely to seek routine health care examinations or preventative care compared with their racial/ethnic and gender counterparts. Because of Black men’s limited engagement with the health system, Black men’s preference to receive health information is unclear. Guided by a revised version of the Andersen Healthcare Utilization Model, the aim of the study is to examine factors associated with Black men’s preference for informal or formal health information. Findings from the study demonstrate that financial barriers to care (odds ratio [OR] = 0.65, 95% confidence interval [CI] = 0.43-0.98) and higher income (OR = 2.44, 95% CI = 1.49-4.00) were most predictive of using a formal source for health information. Furthermore, age (OR = 1.02, 95% CI = 1.01-1.03) and having a college education (OR = 0.44, 95% CI = 0.26-0.76) were associated with using a formal place for health information. Interestingly, health care discrimination was not associated with preferred source or place for health information. Results from the study suggest that predisposing and enabling factors are most salient to the use of formal sources of health information among Black men.

Health and Gender Comparisons in the Long-Haul Trucking Industry

AAOHN Journal ◽  
2009 ◽  
Vol 57 (10) ◽  
pp. 405-413 ◽  
Author(s):  
Diane M. Layne ◽  
Bonnie Rogers ◽  
Susan A. Randolph
Keyword(s):  
Health Care ◽  
Health Information ◽  
Health Care Access ◽  
Health Problems ◽  
Health Care Information ◽  
Male And Female ◽  
The Road ◽  
On The Road ◽  
Trade Magazines ◽  
And Gender

This descriptive pilot study was conducted to determine whether health conditions and health care access differ between male and female long-haul truck drivers. Data indicated that 54% of men and 66% of women had a health care provider, but 21% of men and 35% of women had no health insurance. Male and female drivers both reported common health problems (e.g., back pain, sinus problems, hypertension, headaches, and arthritis). While working, drivers of each gender often waited until returning home to seek treatment for health problems. Approximately half of the drivers expressed dissatisfaction with health care while “on the road.” Occupational and environmental health nurses could address the health needs of drivers by conducting examinations and distributing wellness information at truck stop clinics and from mobile health vans, posting health information within truck stop driver lounges, creating interactive websites with real-time health care information, attending trucker trade shows to conduct health screenings, or providing health information through occupational or trade magazines and newsletters.

scholarly journals Enabling Factors Associated with Receipt of Interconception Health Care

2019 ◽  
Vol 24 (3) ◽  
pp. 275-282 ◽  
Author(s):  
Emily F. Gregory ◽  
Krishna K. Upadhya ◽  
Tina L. Cheng ◽  
Kevin J. Psoter ◽  
Kamila B. Mistry
Keyword(s):  
Health Care ◽  
Enabling Factors ◽  
Factors Associated

Barriers and Facilitators to PrEP Initiation and Adherence Among Transgender and Gender Non-Binary Individuals in Southern California

2020 ◽  
Vol 32 (6) ◽  
pp. 472-485
Author(s):  
C. Wei-Ming Watson ◽  
Elizabeth Pasipanodya ◽  
Micah J. Savin ◽  
Eric E. Ellorin ◽  
Katya C. Corado ◽  
...  
Keyword(s):  
Health Care ◽  
Los Angeles ◽  
Health Care Providers ◽  
Barriers And Facilitators ◽  
Care Providers ◽  
Financial Barriers ◽  
In Trans ◽  
And Gender ◽  
Prep Awareness ◽  
Exposure Prophylaxis

While transgender and gender non-binary (trans/nb) individuals are disproportionately affected by HIV, pre-exposure prophylaxis (PrEP) uptake remains low in this underserved population. We conducted four focus groups with 37 trans/nb individuals in San Diego and Los Angeles to assess barriers and facilitators of PrEP usage. Transcripts were coded for qualitative themes. Although overall PrEP awareness was high, participants reported limited knowledge and misinformation about PrEP. Barriers to PrEP use included: structural access (e.g., discrimination from health care providers, lack of trans-inclusive services, financial barriers), mental health struggles limiting ability to access PrEP, and concerns about potential side effects, drug-drug interactions with hormone therapy, and lack of other STI protection. Facilitators of PrEP usage included: increased PrEP availability, prior experience taking daily medications, and motivation to have active and healthy lives without fear of contracting HIV. Addressing both structural and psychosocial/behavioral factors in trans-affirming health care environments is crucial to designing inclusive, effective PrEP interventions.

scholarly journals A Qualitative Scoping Review of Transgender and Gender Non-conforming People's Physical Healthcare Experiences and Needs

2021 ◽  
Vol 9 ◽  
Author(s):  
Michelle Teti ◽  
Steffany Kerr ◽  
L. A. Bauerband ◽  
Erica Koegler ◽  
Rebecca Graves
Keyword(s):  
Health Care ◽  
Scoping Review ◽  
Theory Development ◽  
Community Based ◽  
Analysis Strategy ◽  
Provider Knowledge ◽  
Physical Health Care ◽  
And Gender ◽  
Racial Ethnic ◽  
Development Practice

Trans and gender non-conforming (TGNC) people experience poor health care and health outcomes. We conducted a qualitative scoping review of studies addressing TGNC people's experiences receiving physical health care to inform research and practice solutions. A systematic search resulted in 35 qualitative studies for analysis. Studies included 1,607 TGNC participants, ages 16–64 years. Analytic methods included mostly interviews and focus groups; the most common analysis strategy was theme analysis. Key themes in findings were patient challenges, needs, and strengths. Challenges dominated findings and could be summarized by lack of provider knowledge and sensitivity and financial and insurance barriers, which hurt TGNC people's health. Future qualitative research should explore the experiences of diverse and specific groups of TGNC people (youth, non-binary, racial/ethnic minority), include community-based methods, and theory development. Practice-wise, training for providers and skills and support for TGNC people to advocate to improve their health, are required.

Abstract 20395: Racial/Ethnic and Gender Disparities in Use of Drug-Eluting vs. Bare Metal Stents in ST-Elevation Myocardial Infarction Patients, 2006-2012

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Jason L Salemi ◽  
Amit P Pathak ◽  
Elizabeth B Pathak
Keyword(s):  
Black Women ◽  
Black Men ◽  
Bare Metal Stents ◽  
White Men ◽  
Metal Stents ◽  
Drug Eluting ◽  
St Elevation ◽  
And Gender ◽  
To Receive ◽  
Racial Ethnic

Background: Recent evidence continues to show the benefit of drug-eluting stents (DES) over bare metal stents (BMS) in patient outcomes following ST-elevation myocardial infarction (STEMI), although the use of DES may be contraindicated in patients with specific comorbidities. In this study, we investigated racial/ethnic and gender disparities in the use of DES, after controlling for the effects of age, insurance status, secular trends, and comorbidities. Methods: The study population included all STEMI patients (n=60,218) who received PCI and at least one stent in any Florida acute-care hospital during 2006-2012. Hospital discharge data were analyzed. Procedure codes identified DES (ICD-9-CM 36.07) and BMS (ICD-9-CM 36.06). We used logistic regression to model the odds of receiving a DES. Potential predictors included in the model were patient age, racial/ethnic-gender group (referent=White men), year, payer (referent=commercial), diabetes, atrial fibrillation (AFIB), chronic kidney disease (CKD), and end-stage renal disease (ESRD). Results: Among all STEMI patients, Hispanic women were most likely to receive a DES (61.2%) and Black men were least likely (46.8%). Furthermore, the % of patients who received no stent also varied from 6.7% among Hispanic men to 12.8% among Black women. Multivariable logistic regression results were highly significant, with included independent variables significantly predictive of the odds of receiving a DES in the expected directions. After adjustment and compared with White men, Hispanic women were 24% more likely to receive a DES (OR 1.24, 95%CI 1.13-1.37), White women were 8% more likely to receive a DES (p=0.001), and Black women were 15% less likely to receive a DES (OR 0.85, 95% CI 0.76-0.95). There were no significant differences in DES usage for Hispanic men or for men or women or “other” race/ethnicity. The strongest disparity was observed for Black men, who were 32% less likely to receive a DES than White men (OR 0.68, 95% CI 0.63-0.74, p<0.0001). Conclusions: In this real-world analysis of unselected and recent STEMI patients, a significant disparity in use of DES for Black men and women was observed. This disparity was not explained by patient age, payer or comorbidities, nor by the secular trend.

scholarly journals Educational Benefits and Cognitive Health Life Expectancies: Racial/Ethnic, Nativity, and Gender Disparities

2020 ◽  
Author(s):  
Marc A Garcia ◽  
Brian Downer ◽  
Chi-Tsun Chiu ◽  
Joseph L Saenz ◽  
Kasim Ortiz ◽  
...  
Keyword(s):  
High School ◽  
Black Men ◽  
White Women ◽  
Hispanic Women ◽  
The United States ◽  
Cognitive Health ◽  
Percentage Points ◽  
Total Life Expectancy ◽  
And Gender ◽  
Racial Ethnic

Abstract Background and Objectives To examine racial/ethnic, nativity, and gender differences in the benefits of educational attainment on cognitive health life expectancies among older adults in the United States. Research Design and Methods We used data from the Health and Retirement Study (1998–2014) to estimate Sullivan-based life tables of cognitively healthy, cognitively impaired/no dementia, and dementia life expectancies by gender for older White, Black, U.S.-born Hispanic, and foreign-born Hispanic adults with less than high school, high school, and some college or more. Results White respondents lived a greater percentage of their remaining lives cognitively healthy than their minority Black or Hispanic counterparts, regardless of level of education. Among respondents with some college or more, versus less than high school, Black and U.S.-born Hispanic women exhibited the greatest increase (both 37 percentage points higher) in the proportion of total life expectancy spent cognitively healthy; whereas White women had the smallest increase (17 percentage points higher). For men, the difference between respondents with some college or more, versus less than high school, was greatest for Black men (35 percentage points higher) and was lowest for U.S.-born Hispanic men (21 percentage points higher). Discussion and Implications Our results provide evidence that the benefits of education on cognitive health life expectancies are largest for Black men and women and U.S.-born Hispanic women. The combination of extended longevity and rising prevalence of Alzheimer’s disease points to the need for understanding why certain individuals spend an extended period of their lives with poor cognitive health.

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