scholarly journals Partner Referral by HIV-Infected Persons to Partner Counseling and Referral Services (PCRS) - Results from a Demonstration Project

2012 ◽  
Vol 6 (1) ◽  
pp. 8-15 ◽  
Author(s):  
Binwei Song ◽  
Elin B Begley ◽  
Linda Lesondak ◽  
Kelly Voorhees ◽  
Magdalena Esquivel ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Care Provider ◽  
Factors Associated ◽  
The Past ◽  
Intervention Specialist ◽  
Risk Characteristics ◽  
Male Sex ◽  
Disease Intervention Specialist ◽  
Choice Of Partner

Objective: The objectives of this article are to determine factors associated with refusal and agreement to provide partner information, and evaluate the effectiveness of referral approaches in offering PCRS. Methods: Index clients from 5 sites that used 3 different PCRS approaches were interviewed to obtain demographic and risk characteristics and choice of partner referral method for PCRS. Logistic regression was used to assess factors associated with providing partner information. Results: The percentage of index clients who refused to provide partner information varied by site (7% to 88%). Controlling for PCRS approach, index clients who were older than 25 years, male, or reported having male-male sex in the past 12 months were more likely (p <0.01) to refuse to provide partner information. Overall, 72% of named partners referred by index clients were located and offered PCRS. The proportion of partners who were located and offered PCRS differed by referral approach used, ranging from 38% using contract referral (index clients agree to notify their partners within a certain timeframe, else a disease intervention specialist or health care provider will notify them) to 98% using dual referral (index clients notify their partners with a disease intervention specialist or provider present). Conclusion: Success in obtaining partner information varied by the PCRS approach used and effectiveness in locating and notifying partners varied by the referral approach selected. These results provide valuable insights for enhancing partner services.

Abstract P315: Association of Marital Status with Health Care Use among Hispanic/Latino Adults: Results from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Veronica Y Womack ◽  
Peter De Chavez ◽  
Frank J Penedo ◽  
Patricia Gonzalez ◽  
Lizette Ojeda ◽  
...  
Keyword(s):  
Health Care ◽  
Marital Status ◽  
Chronic Diseases ◽  
Health Care Provider ◽  
Care Provider ◽  
Health Care Use ◽  
Never Married ◽  
Latino Women ◽  
The Past ◽  
Latino Adults

Background: Sociocultural factors have been linked to health care seeking among Latino adults. A supportive social context may encourage proactive steps leading to health maintenance, including healthcare seeking. Objective: To explore the cross-sectional association of marital status with annual health care provider visits among Hispanic/Latino adults ages 18-74 with and without chronic diseases. Methods: Participants from HCHS/SOL Sociocultural Ancillary Study with measures of social support, marital status, and health care use were included in the analysis (n=3,401). Marital status was self-reported. Health care use was defined as whether the participant saw a health care provider in the past twelve months. Weighted multiple logistic regression models were used to examine the associations of marital status with healthcare use, after adjusting for covariates. Results: On average, participants were 40 years old , 83% were currently married, and 73% had at least one health care provider visit in the past twelve months. Analyses were stratified by gender and the findings were null in men, therefore only the findings in women are reported. Among Hispanic/ Latino women with chronic diseases, individuals who were married were more likely to have an annual health care provider visit than those who had never married. However, this association no longer remained significant after adjustment. Among Latino women without chronic diseases, individuals who were married were less likely to have an annual health care provider visit than those who were never married. Conclusion: Marital status is associated with health care use among Hispanic/Latino women without chronic diseases. Future research should assess whether marianismo, a culture specific gender role characterized by self-sacrifice and prioritization of familial needs, influences marital status’ association with preventive health care utilization among Latino women.

scholarly journals Investigation of some factors associated with utilization of maternal health care services by adolescent mothers in Tanzania

2021 ◽  
Vol 47 (2) ◽  
pp. 847-861
Author(s):  
Elia Magwaja ◽  
Jacqueline Minja ◽  
Majige Selemani Budeba ◽  
Rocky R.J. Akarro
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Maternal Health ◽  
Health Facility ◽  
Adolescent Mothers ◽  
Maternal Health Care ◽  
Adolescent Mother ◽  
Cross Sectional ◽  
Safe Delivery ◽  
Factors Associated

This study examined some factors associated with the utilization of maternal health care servicesby adolescent mothers (15-19 years) in Tanzania in order to provide advice accordingly. The studyused cross-sectional study of adolescent mothers aged 15-19 years using Demographic HealthSurvey and Malaria indicator Survey 2015/16 data. The dependent variables were number ofantenatal care visits, the place where an adolescent mother delivered and post-natal checkup(adolescent mother’s health checking after being discharged or after a home delivery). Theindependent variables were birth order, education level of a mother, marital status of a mother,media exposure, wealth index, distance to health facility. Multiple binary logistic regression wasused to examine an association between each dependent variable and their respective independentvariables. Data was analyzed using IBM SPSS statistics and STATA. This study used 550adolescent mothers in the analysis. Majority of the adolescent mothers had less than four AntenatalCare (ANC) visits (53.5%), while 68.5% of adolescent mothers delivered at a health facility.Adolescent mothers with two or more children had less odds of having at least four ANCscompared to those with one child, whereas adolescent mothers with at least secondary educationhad greater odds of delivering at a health facility compared to those who had no education.Adolescent mothers who had at least four antenatal care visits and those who are married hadgreater odds of checking their health after being discharged compared to adolescent mothers whohad less than 4 ANCs and single adolescent mothers. It was advised that provision of maternaleducation to young girls on the importance of safe delivery and health checking after delivery isvery important to reduce adolescent maternal morbidity and mortality in the country. Keywords: Adolescent; Maternal Health; Logistic regression; Chi-square

scholarly journals Patient-Level Factors Associated With Lack of Health Care Provider Recommendation for the Human Papillomavirus Vaccine Among Young Cancer Survivors

2020 ◽  
Vol 38 (25) ◽  
pp. 2892-2901
Author(s):  
Jocelyn M. York ◽  
James L. Klosky ◽  
Yanjun Chen ◽  
James A. Connelly ◽  
Karen Wasilewski-Masker ◽  
...  
Keyword(s):  
Health Care ◽  
Cancer Survivors ◽  
Health Care Provider ◽  
Care Provider ◽  
Hpv Vaccine ◽  
Insurance Coverage ◽  
Hpv Vaccination ◽  
Factors Associated ◽  
Patient Level ◽  
Vaccine Recommendation

PURPOSE Young cancer survivors are at increased risk for morbidities related to infection with the human papillomavirus (HPV), yet their HPV vaccine initiation rates remain low. Patient-/parent-reported lack of health care provider recommendation for HPV vaccination is strongly associated with vaccine noninitiation. We aimed to identify patient-level factors associated with survivor-/parent-reported lack of provider recommendation for HPV vaccination among young cancer survivors. METHODS Cancer survivors ages 9-26 years and 1-5 years off therapy completed a cross-sectional survey (parent-completed for survivors 9-17 years of age). Lack of health care provider HPV vaccine recommendation was the outcome of interest in a multivariable logistic regression model that included relevant patient-level sociodemographic, clinical, and vaccine-related variables. RESULTS Of 955 survivors, 54% were male, 66% were non-Hispanic White, and 36% had leukemia. At survey participation, survivors were an average age (± standard deviation) of 16.3 ± 4.7 years and 32.8 ± 14.7 months off therapy. Lack of provider HPV vaccine recommendation was reported by 73% (95% CI, 70% to 75%) of survivors. For the entire cohort, patient-level factors associated with lack of reported provider recommendation included perceived lack of insurance coverage for the HPV vaccine (odds ratio [OR], 4.0; 95% CI, 2.7 to 5.9; P < .001), male sex (OR, 2.8; 95% CI, 1.9 to 4.0; P < .001), and decreased parent-survivor communication regarding HPV vaccination (OR, 1.7 per unit decrease in score; 95% CI, 1.3 to 2.2; P < .001). In the sex- and age-stratified models, perceived lack of insurance coverage (all models) and male sex (age-stratified models) were also significantly associated with lack of reported provider recommendation. CONCLUSION We identified factors characterizing survivors at risk for not reporting receipt of a health care provider HPV vaccine recommendation. Future research is needed to develop interventions that facilitate effective provider recommendations for HPV vaccination among all young cancer survivors.

scholarly journals Prehospital factors associated with death on hospital arrival after traffic crash in Japan: a national observational study

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e025350
Author(s):  
Yusuke Katayama ◽  
Tetsuhisa Kitamura ◽  
Kosuke Kiyohara ◽  
Junya Sado ◽  
Tomoya Hirose ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Rural Area ◽  
Multivariable Logistic Regression Analysis ◽  
Night Time ◽  
Hospital Arrival ◽  
Traffic Crash ◽  
Factors Associated ◽  
Back Seat ◽  
Multivariable Logistic Regression ◽  
Male Sex

ObjectiveAlthough it is important to assess prehospital factors associated with traffic crash fatalities to decrease them as a matter of public health, such factors have not been fully revealed.MethodsUsing data from the Japanese Trauma Data Bank, a large hospital-based trauma registry in Japan, we retrospectively analysed traffic crash patients transported to participating facilities that treated patients with severe trauma from 2004 to 2015. This study defined registered emergency patients whose systolic blood pressure was 0 mm Hg or heart rate was 0 bpm at hospital arrival as being in prehospital cardiopulmonary arrest (CPA). Prehospital factors associated with prehospital CPA due to traffic crash were assessed with multivariable logistic regression analysis.ResultsIn total, 66 243 patients were eligible for analysis. Of them, 3390 (5.1%) patients were in CPA at hospital arrival. A multivariable logistic regression model showed the following factors to be significantly associated with prehospital CPA: ages 60–74 years (adjusted OR (AOR) 1.256, 95% CI 1.142 to 1.382) and ≥75 years (AOR 1.487, 95% CI 1.336 to 1.654), male sex (AOR 1.234, 95% CI 1.139 to 1.338), night-time (AOR 1.575, 95% CI 1.458 to 1.702), weekend including holiday (AOR 1.078, 95% CI 1.001 to 1.161), rural area (AOR 1.181, 95% CI 1.097 to 1.271), back seat passenger (AOR 1.227, 95% CI 0.985 to 1.528) and pedestrian (AOR 1.754, 95% CI 1.580 to 1.947) as types of patients.ConclusionIn this population, factors associated with prehospital CPA due to a traffic crash were elderly people, male sex, night-time, weekend/holiday, back seat passenger, pedestrian and rural area. These fundamental data may be of help in reducing and preventing traffic crash deaths.

scholarly journals Health Care Provider Factors Associated with Patient-Reported Adverse Events and Harm

2020 ◽  
Vol 46 (5) ◽  
pp. 282-290
Author(s):  
Traber D. Giardina ◽  
Kathryn E. Royse ◽  
Arushi Khanna ◽  
Helen Haskell ◽  
Julia Hallisy ◽  
...  
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Health Care Provider ◽  
Care Provider ◽  
Factors Associated ◽  
Patient Reported

Financial toxicity among patients with lung cancer in a publicly funded health care system.

2018 ◽  
Vol 36 (30_suppl) ◽  
pp. 192-192
Author(s):  
Doreen Anuli Ezeife ◽  
Joshua Morganstein ◽  
Sally C Lau ◽  
Lisa Le ◽  
David Cella ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Health Care ◽  
Logistic Regression ◽  
Healthcare System ◽  
Financial Distress ◽  
Public Healthcare ◽  
Financial Toxicity ◽  
Public Healthcare System ◽  
Factors Associated ◽  
Multivariable Logistic Regression

192 Background: Financial distress has been established as a clinically relevant patient-reported outcome (PRO) associated with worse mortality and quality of life, but remains under-recognized by health care providers. Our goal was to define factors associated with financial toxicity (FT) in a public healthcare system. Methods: Patients with advanced lung cancer were recruited from outpatient clinics at the Princess Margaret Cancer Centre (Toronto, Canada). FT was measured with the validated Comprehensive Score for Financial Toxicity (COST) instrument, a 12-item survey scored from 0-44 with lower scores reflecting worse financial well-being. Data on patient and treatment characteristics, total out-of-pocket costs (OOP) and extended insurance coverage (EIC) were collected. Multivariable logistic regression models were fit for COST score and each variable, to determine factors associated with greater FT (COST < 21). Results: Of 251 patients approached, 200 (80%) participated. Median age of the cohort was 65 years; 56% were female, 64% immigrants and 77% employed or on pension. Median total OOP while on treatment ranged between $1000-5000 CAD. Median COST score was 21 (range 0-44). FT was associated with age, with patients < 65 years reporting greater FT than older patients (COST 18.0 vs. 24.0, p < 0.0001). In multivariable logistic regression analysis, younger age was associated with greater FT, when adjusting for income, employment status, OOP and EIC (OR 3.6, [95% CI, 1.5-9.1]; p < 0.0001). Total OOP > $1000 and EIC also were associated with greater FT (adjusted OR 5.0 [95% CI, 2.0-12.1] and 3.7 [95% CI, 1.5-9.1], respectively). Conclusions: Age is significantly associated with FT in the Canadian (Ontario) public healthcare system, with younger lung cancer patients reporting greater financial distress. This study highlights priority patient populations where FT should be routinely assessed and appropriate resources for support offered.

Factors Associated With Not Having a Personal Health Care Provider for Children in Florida

PEDIATRICS ◽  
2007 ◽  
Vol 119 (Supplement 1) ◽  
pp. S61-S67 ◽  
Author(s):  
Mary Beth Zeni ◽  
William Sappenfield ◽  
Dan Thompson ◽  
Hailin Chen
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Personal Health ◽  
Factors Associated

scholarly journals Pain: lessons from the past can inform the present and future

2016 ◽  
Vol 3 (1) ◽  
pp. 6-7
Author(s):  
Michelle Witkop
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Bleeding Disorders ◽  
Loved One ◽  
The Past

Abstract Pain is a phenomenon that accompanies a person with haemophilia (PWH) and many others with bleeding disorders from birth to death. Caregivers are not immune. For you cannot provide care, either as a loved one or a health care provider, and watch someone in pain without experiencing pain yourself.

scholarly journals Health care are associated with worsening of frailty in community older adults

2019 ◽  
Vol 53 ◽  
pp. 32 ◽  
Author(s):  
Jair Almeida Carneiro ◽  
Cássio De Almeida Lima ◽  
Fernanda Marques da Costa ◽  
Antônio Prates Caldeira
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Data Collection ◽  
Analytical Study ◽  
Factors Associated ◽  
The Past ◽  
Robust Variance ◽  
Prospective Longitudinal ◽  
Prevalence Ratios ◽  
Use Of Health Services

OBJECTIVE: To identify the factors associated with the worsening of frailty in older adults resident in the community. METHODS: This is a prospective, longitudinal, and analytical study. The data collection in the baseline occurred in the participants’ homes from a random sampling by conglomerates. Demographic and socioeconomic variables, morbidities, and use of health services were analyzed. Frailty was measured by the Edmonton Frail Scale. The second data collection was performed after an average period of 42 months. The adjusted prevalence ratios were obtained by multiple Poisson regression analysis with robust variance. RESULTS: A total of 394 older adults participated in both phases of the study, with 21.8% of them presenting worsening of the frailty condition. The variables that remained statistically associated with the transition to a worse state of frailty were: polypharmacy, negative selfperception of health, weight loss, and hospitalization over the past 12 months. CONCLUSIONS: The factors associated with worsening of frailty along the studied period among older adults in the community were those related to health care. This result must be considered by health professionals when addressing frail and vulnerable older adults.

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