scholarly journals Associations of Health Conditions and Health-Related Determinants with Disability among New York City Adult Residents

2021 ◽  
Vol 31 (3) ◽  
pp. 445-452
Author(s):  
John B. Wetmore ◽  
Claudia Chernov ◽  
Sharon E. Perlman ◽  
Luisa N. Borrell
Keyword(s):  
Health Care ◽  
New York ◽  
New York City ◽  
Health Care Needs ◽  
Care Needs ◽  
Poor General Health ◽  
Health Related ◽  
Disability Prevalence ◽  
Unmet Health Care Needs ◽  
Fair Poor

Introduction: Population-based disability prevalence estimates are limited for New York City (NYC). We examined the associa­tion of several health and health-related measures with disability among NYC resi­dents aged 20-64 years.Methods: We used information from 1,314 adults who participated in the 2013-2014 NYC Health and Nutrition Examination Sur­vey (HANES). We categorized survey partici­pants as having a disability if they reported a physical, mental, and/or emotional problem preventing work or if they reported difficulty walking without special equipment because of a health problem. We used log-binomial regression to quantify the association of each exposure with disability before and after adjustment for select covariates.Results: Overall, 12.4% of the study’s NYC residents aged 20-64 years had a disabil­ity. After adjustment, disability prevalence was significantly greater among those who reported having unmet health care needs (prevalence ratio [PR] = 1.75, 95% CI: 1.18-2.57) and those who reported fair/ poor general health (PR = 2.33, 95% CI: 1.68-3.24). The probability of disability was greater among NYC residents with arthritis (PR = 2.66, 95% CI: 1.85-3.98) and hy­pertension (PR = 1.48, 95% CI: 1.04-2.11) when compared with those without these conditions. Disability was also associated with depression (PR = 2.96, 95% CI: 2.06- 4.25), anxiety (PR = 2.89, 95% CI: 2.15- 3.88), and post-traumatic stress disorder (PR = 2.55, 95% CI: 1.66-3.91). Disability, however, was not associated with diabetes.Conclusion: Disability is more prevalent among those with unmet health care needs, fair/poor general health, arthritis, hyperten­sion, depression, anxiety, and PTSD in these NYC residents, aged 20-64 years. These findings have implications for NYC’s strate­gic planning initiatives, which can be better targeted to groups disproportionately affect­ed by disability.Ethn Dis. 2021;31(3):445- 452; doi:10.18865/ed.31.3.445

scholarly journals Perceived Met and Unmet Health-Care Needs in a Community Population with Multiple Sclerosis

2012 ◽  
Vol 14 (1) ◽  
pp. 2-8 ◽  
Author(s):  
Scott B. Patten ◽  
Jeanne V.A. Williams ◽  
Dina H. Lavorato ◽  
David Terriff ◽  
Luanne M. Metz ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Unmet Needs ◽  
Care Seeking ◽  
Health Care Needs ◽  
Supportive Services ◽  
Care Needs ◽  
Health Related ◽  
Unmet Health Care Needs ◽  
Statistics Canada

Community-based studies are required to accurately describe the supportive services needed by people with multiple sclerosis (MS). Characteristics that influence (or result from) care-seeking may introduce bias into other types of studies. The Participation and Activity Limitation Survey (PALS) was a post-census survey conducted by Statistics Canada in association with a 2006 national census. The PALS collected data from a sample of 22,513 respondents having health-related impairments according to their census forms. The survey collected self-reported diagnostic data and obtained ratings for items assessing impairment as well as perceived met and unmet needs for care and support. It identified 245 individuals with MS, leading to an estimated (weighted) population prevalence of 0.2% (200 per 100,000). As expected, those with MS reported more-severe health problems than did those with other types of disability, particularly in the areas of mobility, dexterity, and cognition; they were also more likely to report having multiple caregivers. People with MS also reported more unmet health-care needs than did those with other forms of disability, particularly with respect to meal preparation, housework, shopping, and chores. Despite their more negative health status and greater reliance on caregivers, people with MS reported participation in society comparable to that of people without MS. Thus, people with MS report greater needs than do people with other forms of health-related disability and utilize supportive services more often. However, they also report higher levels of unmet needs. The substantial needs of people with MS are only partially addressed by existing services.

scholarly journals Gendered Association Between Employment Status and Unmet Health Care Needs Among Middle-Aged Koreans

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 226-226
Author(s):  
Si Young Song ◽  
Hey Jung Jun ◽  
Susanna Joo ◽  
Sun Ah Lee
Keyword(s):  
Health Care ◽  
Employment Status ◽  
Working Women ◽  
Social Contexts ◽  
Moderating Effect ◽  
Health Care Needs ◽  
Middle Aged ◽  
Care Needs ◽  
Significant Difference ◽  
Unmet Health Care Needs

Abstract Previous studies show that working people are less likely to experience unmet health care needs than non-workers. Also, employment and health are located in gendered social contexts. The present study aims to examine the moderating effect of gender on the association between employment status and unmet health care needs among middle-aged Koreans. We conducted logistic regression using the Korean Health Panel data (in 2016 and 2017; N=2,573, age range=45-64). Having experiences unmet health care needs in 2017 was the binary dependent variable. Employment status in 2016 was the binary independent variable and gender was the moderating variable. Age, education level, marital status, annual income, household type, type of medical security, disability, self-rated health, the number of chronic diseases, and stress level in 2016 were also in the analytic model based on the Andersen’s health behavioral model. The percentages of middle-aged people experiencing unmet health care needs were 18% for working men, 11% for non-working men, 13% for working women, and 16% for non-working women. The result showed there was significant moderating effect of gender (B= .72, p< .05). Specifically, working men were less likely to experience unmet health care needs than non-working men. On the contrary, there was not the significant difference in experiencing unmet health care needs between working and non-working women. It indicates that it is necessary to supplement medical services for especially for middle-aged men who are not employed because they might experience considerable amounts of unmet health care needs.

scholarly journals Unmet health care needs among sex workers in five census metropolitan areas of Canada

2016 ◽  
Vol 107 (3) ◽  
pp. e266-e271 ◽  
Author(s):  
Cecilia Benoit ◽  
Nadia Ouellet ◽  
Mikael Jansson
Keyword(s):  
Health Care ◽  
Sex Workers ◽  
Metropolitan Areas ◽  
Health Care Needs ◽  
Care Needs ◽  
Unmet Health Care Needs

scholarly journals Unmet Health Care Needs Among Young Transgender Women at Risk for HIV Transmission and Acquisition in Two Urban U.S. Cities: The LifeSkills Study

2019 ◽  
Vol 4 (1) ◽  
pp. 1-8 ◽  
Author(s):  
John Frank ◽  
Arjee Restar ◽  
Lisa Kuhns ◽  
Sari Reisner ◽  
Katie Biello ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Hiv Transmission ◽  
Transgender Women ◽  
Health Care Needs ◽  
Care Needs ◽  
Unmet Health Care Needs

scholarly journals THE HEALTH-CARE NEEDS AMONG OLDER PERSONS IN AN INDONESIAN URBAN SETTING

2017 ◽  
Vol 10 (7) ◽  
pp. 233
Author(s):  
Setiawan E ◽  
Poedjibudojo J K ◽  
Tondok Ms
Keyword(s):  
Health Care ◽  
Older Persons ◽  
Health Care Services ◽  
Capital City ◽  
Urban Setting ◽  
Health Care Needs ◽  
Care Needs ◽  
Care Services ◽  
Unmet Health Care Needs ◽  
The Government

Objective: The unmet health-care needs among older persons population should be identified and anticipated due to hideous potential impacts. Ironically, no published study regarding this phenomenon was found in Indonesia. Derived from the Indonesian population and civil data, this study was conducted to identify the health-care needs of urban older people living on Java Island, the most populated island in Indonesia.Methods: A qualitative study was conducted in 3 subdistricts in Surabaya, the capital city of East Java, namely, Rungkut, Kenjeran, and Tenggilis. There were 9 focus group discussions (FGDs) conducted during March-August 2015. Participants in this study were recruited purposively, i.e., person in charge of “Karang Werda,” and the discussion explored thematically various topics in the area of unmet health needs phenomena related to: (1) Availability, (2) accessibility, and (3) acceptability. A FGD guide was developed to ensure in-depth discussion.Results: There were 90 older persons serving as volunteers who participated in this study. The unmet health-care needs addressed by participants in this study were (1) Integrated and specialized health-care services for older persons and (2) skillful yet age-friendly health-care personnel were needed by participants. Our findings pointed out that the unmet health-care needs in Indonesian urban settings were classified as primarily availability, accessibility, and acceptability issues.Conclusion: The government needs to take actions to solve the challenges related to the fulfillment of health-care needs among older persons in Indonesia. Further study of the health care personnel’s beliefs and attitudes in providing care among older persons needs to be conducted to provide a more holistic picture of the phenomena before making any strategy for the future Indonesia’s health-care system.

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