scholarly journals Health care utilization, somatic and mental health distress, and well-being among widowed and non-widowed female survivors of war

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Nexhmedin Morina ◽  
Paul M G Emmelkamp
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Well Being ◽  
Care Utilization ◽  
Female Survivors ◽  
Health Distress ◽  
Mental Health Distress

scholarly journals Essential but Ill-Prepared: How the COVID-19 Pandemic Affects the Mental Health of the Grocery Store Workforce

2021 ◽  
pp. 003335492110458
Author(s):  
Brian Mayer ◽  
Mona Arora ◽  
Sabrina Helm ◽  
Melissa Barnett
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Online Survey ◽  
Well Being ◽  
Workplace Safety ◽  
Health Care Sector ◽  
Grocery Store ◽  
Health Distress ◽  
Mental Health Distress ◽  
The Impact

Objectives Frontline essential workers face elevated risks of exposure to COVID-19 because of the interactive nature of their jobs, which require high levels of interaction with the general public and coworkers. The impact of these elevated risks on the mental health of essential workers, especially outside the health care sector, is not well studied. To address this knowledge gap, we examined correlations between perceptions of workplace risks and mental health distress among grocery store workers in Arizona. Methods We collected the first statewide sample of essential workers outside the health care sector focused on mental health and well-being. A total of 3344 grocery store workers in Arizona completed an online survey in July 2020. We used multiple regression models to identify demographic and work-based correlates of mental health distress. Results Levels of mental health distress among respondents were high: 557 of 3169 (17.6%) reported severe levels and 482 of 3168 (15.2%) reported moderate levels. Perceptions of workplace safety were strongly correlated with significantly reduced levels of mental health distress (ß = –1.44; SE = 0.20) and reduced perceived stress (ß = –0.97; SE = 0.16). Financially disadvantaged workers and employees aged <55 reported high levels of mental health distress. Perceptions of safety and protection in the workplace were significantly correlated with availability of safety trainings, social distancing, and policies governing customer behaviors. Conclusions Lacking sufficient workplace protections, grocery store employees in Arizona experienced high levels of mental health distress during the COVID-19 pandemic. Providing clear federal and state policies to employers to guide implementation of workplace protections may help reduce sources of mental health distress.

scholarly journals The employment and mental health impact of integrated improving access to psychological therapies services: Evidence on secondary health care utilization from a pragmatic trial in three English counties

2021 ◽  
pp. 135581962199749
Author(s):  
Veronica Toffolutti ◽  
David Stuckler ◽  
Martin McKee ◽  
Ineke Wolsey ◽  
Judith Chapman ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Physical Health ◽  
Health Problems ◽  
Care Utilization ◽  
Psychological Therapies ◽  
Physical Health Problems ◽  
Secondary Health Care

Objective Patients with a combination of long-term physical health problems can face barriers in obtaining appropriate treatment for co-existing mental health problems. This paper evaluates the impact of integrating the improving access to psychological therapies services (IAPT) model with services addressing physical health problems. We ask whether such services can reduce secondary health care utilization costs and improve the employment prospects of those so affected. Methods We used a stepped-wedge design of two cohorts of a total of 1,096 patients with depression and/or anxiety and comorbid long-term physical health conditions from three counties within the Thames Valley from March to August 2017. Panels were balanced. Difference-in-difference models were employed in an intention-to-treat analysis. Results The new Integrated-IAPT was associated with a decrease of 6.15 (95% CI: −6.84 to −5.45) [4.83 (95% CI: −5.47 to −4.19]) points in the Patient Health Questionnaire-9 [generalized anxiety disorder-7] and £360 (95% CI: –£559 to –£162) in terms of secondary health care utilization costs per person in the first three months of treatment. The Integrated-IAPT was also associated with an 8.44% (95% CI: 1.93% to 14.9%) increased probability that those who were unemployed transitioned to employment. Conclusions Mental health treatment in care model with Integrated-IAPT seems to have significantly reduced secondary health care utilization costs among persons with long-term physical health conditions and increased their probability of employment.

Racial and Ethnic Variations in Mental Health Care Utilization Among Children in Foster Care

2000 ◽  
Vol 3 (3) ◽  
pp. 133-146 ◽  
Author(s):  
Ann F. Garland ◽  
Richard L. Hough ◽  
John A. Landsverk ◽  
Kristen M. McCabe ◽  
May Yeh ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Foster Care ◽  
Health Care Utilization ◽  
Mental Health Care ◽  
Care Utilization ◽  
Children In Foster Care ◽  
Ethnic Variations ◽  
Mental Health Care Utilization

scholarly journals Sex Differences in Diabetes Prevalence, Comorbidities, and Health Care Utilization among American Indians Living in the Northern Plains

2019 ◽  
Vol 4 (Supplement_1) ◽  
pp. 42-48 ◽  
Author(s):  
Kimberly R Huyser ◽  
Jennifer Rockell ◽  
Valarie Blue Bird Jernigan ◽  
Tori Taniguchi ◽  
Charlton Wilson ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Use ◽  
Sex Differences ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Northern Plains ◽  
Men And Women ◽  
Service Unit ◽  
Adult Men

ABSTRACT Background The American Indian (AI) population experiences significant diet-related health disparities including diabetes and cardiovascular disease (CVD). Owing to the relatively small sample size of AIs, the population is rarely included in large national surveys such as the NHANES. This exclusion hinders efforts to characterize potentially important differences between AI men and women, track the costs of these disparities, and effectively treat and prevent these conditions. Objective We examined the sex differences in diabetes prevalence, comorbidity experience, health care utilization, and treatment costs among AIs within a Northern Plains Indian Health Service (IHS) service unit. Methods We assessed data from a sample of 11,144 persons using an IHS service unit in the Northern Plains region of the United States. Detailed analyses were conducted for adults (n = 7299) on prevalence of diabetes by age and sex. We described sex differences in comorbidities, health care utilization, and treatment costs among the adults with diabetes. Results In our sample, adult men and women had a similar prevalence of diabetes (10.0% and 11.0%, respectively). The prevalence of CVD among men and women with diabetes was 45.7% and 34.0%, respectively. Among adults with diabetes, men had a statistically higher prevalence of hypertension and substance use disorders than women. The men were statistically less likely to have a non–substance use mental health disorder. Although men had higher utilization and costs for hospital inpatient services than women, the differences were not statistically significant. Conclusions In this AI population, there were differences in comorbidity profiles between adult men and women with diabetes, which have differential mortality and cost consequences. Appropriate diabetes management addressing gender-specific comorbidities, such as substance use disorders for men and non–substance use mental health disorders for women, may help reduce additional comorbidities or complications to diabetes.

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