Patient-related barriers to some virtual healthcare services among cancer patients in the USA: a population-based study

2021 ◽  
Vol 10 (2) ◽  
pp. 119-126 ◽  
Author(s):  
Omar Abdel-Rahman
Keyword(s):  
High School ◽  
Logistic Regression ◽  
African American ◽  
National Health Interview Survey ◽  
Population Based ◽  
The Past ◽  
Virtual Care ◽  
The Usa ◽  
Interview Survey ◽  
African American Race

Objective: To assess the patient-related barriers to access of some virtual healthcare tools among cancer patients in the USA in a population-based cohort. Materials & methods: National Health Interview Survey datasets (2011–2018) were reviewed and adult participants (≥18 years old) with a history of cancer diagnosis and complete information about virtual healthcare utilization (defined by [a] filling a prescription on the internet in the past 12 months and/or [b] communicating with a healthcare provider through email in the past 12 months) were included. Information about video-conferenced phone calls and telephone calls are not available in the National Health Interview Survey datasets; and thus, they were not examined in this study. Multivariable logistic regression analysis was used to evaluate factors associated with the utilization of virtual care tools. Results: A total of 25,121 participants were included in the current analysis; including 4499 participants (17.9%) who utilized virtual care in the past 12 months and 20,622 participants (82.1%) who did not utilize virtual care in the past 12 months. The following factors were associated with less utilization of virtual healthcare tools in multivariable logistic regression: older age (continuous odds ratio [OR] with increasing age: 0.987; 95% CI: 0.984–0.990), African-American race (OR for African American vs white race: 0.608; 95% CI: 0.517–0.715), unmarried status (OR for unmarried compared with married status: 0.689; 95% CI: 0.642–0.739), lower level of education (OR for education ≤high school vs >high school: 0.284; 95% CI: 0.259–0.311), weaker English proficiency (OR for no proficiency vs very good proficiency: 0.224; 95% CI: 0.091–0.552) and lower yearly earnings (OR for earnings <$45,000 vs earnings >$45,000: 0.582; 95% CI: 0.523–0.647). Conclusion: Older patients, those with African-American race, lower education, lower earnings and weak English proficiency are less likely to access the above studied virtual healthcare tools. Further efforts are needed to tackle disparities in telemedicine access.

scholarly journals Factors associated with nonadherence to antihypertensive medication among middle-aged adults with hypertension: findings from the Taiwan National Health Interview Survey

2020 ◽  
Vol 48 (8) ◽  
pp. ???
Author(s):  
Chia-Pei Chou ◽  
Chun-Yu Chen ◽  
Kun-Siang Huang ◽  
Shih-Chun Lin ◽  
Chih-Fang Huang ◽  
...  
Keyword(s):  
Logistic Regression ◽  
National Health ◽  
National Health Interview Survey ◽  
Antihypertensive Medication ◽  
Regression Analyses ◽  
Middle Aged ◽  
Factors Associated ◽  
The Past ◽  
Interview Survey ◽  
Middle Aged Adults

Objective We aimed to investigate factors associated with nonadherence to antihypertensive medication among middle-aged Taiwanese adults with hypertension. Methods We used data from the 2009 Taiwan National Health Interview Survey (NHIS) to identify adults age 40 to 65 years with hypertension. We used logistic regression analyses to investigate factors associated with nonadherence to antihypertensive medication. Results A total 1,256 respondents with hypertension taking antihypertensive medication were included in this study. Multiple logistic regression analyses revealed that six factors were significantly and independently associated with nonadherence to medication: younger age (odds ratio, [OR] = 1.85), mean monthly personal income < TWD 20,000 (USD 660) (OR = 1.87), outpatient medical services use in the past month (OR = 0.57), hospitalization in the past year (OR = 1.70), diabetes or dyslipidemia (OR = 0.63), and alcohol use in the past month (OR = 2.38). Conclusions This secondary data analysis of the population-based NHIS identified six factors associated with nonadherence to antihypertensive medication. These factors should be considered when planning and implementing blood pressure control interventions among middle-aged adults with hypertension.

Presence of Allergies and Their Impact on Sleep in Children Who Stutter

2020 ◽  
Vol 5 (6) ◽  
pp. 1454-1466
Author(s):  
Patrick M. Briley ◽  
Sandra Merlo
Keyword(s):  
Food Allergy ◽  
National Health ◽  
National Health Interview Survey ◽  
Population Based ◽  
Respiratory Allergy ◽  
The Past ◽  
Asthma Attack ◽  
Skin Allergy ◽  
Interview Survey ◽  
Allergies And Asthma

Purpose Population-based research has identified insomnia or trouble sleeping, sleepiness during the day, and fatigue during the day as frequent coexisting conditions in children who stutter (CWS). Considering that allergies are well known to disturb sleep, the purpose of this study was to explore if there is an association between the presence of allergies and sleep issues among CWS, as well as if allergies are frequent in CWS. Method Data from the 2012 National Health Interview Survey were used. Children used in this sample were those whose caregivers answered definitively whether or not the child stuttered within the past 12 months. Additionally, caregivers identified the presence of allergies and/or asthma and the presence of insomnia or trouble sleeping in the sample child. Results The sample included 200 CWS and 9,951 children who do not stutter (CWNS). The odds of insomnia/trouble sleeping were greater in CWS who present with allergies and/or asthma, with the exception of food allergy, compared to CWS who do not present with with allergies and/or asthma. Additionally, the odds of insomnia/trouble sleeping were greater in CWS without any allergy, asthma, and coexisting disability ( OR = 7.48, p < .001) as compared to CWNS without any allergy, asthma, and coexisting disability. The presence of either any allergy or an asthma attack was higher among CWS (46.4%) compared to CWNS (29.5%), p < .001. Specifically, CWS were found to be at greater odds of presenting with any kind of respiratory allergy ( OR = 1.72, p = .034), food allergy ( OR = 2.32, p = .002), and skin allergy ( OR = 1.84, p = .009) than CWNS. Conclusions CWS were found to be at greater odds of allergies and asthma, conditions that also impair sleep. Interestingly, insomnia/trouble sleeping was prevalent among CWS, even when allergies, asthma, and coexisting disabilities were not present. The possible implications of these findings are discussed.

Patterns and association of vaccination among adults with a history of cancer in the USA: a population-based study

2021 ◽  
Author(s):  
Omar Abdel-Rahman
Keyword(s):  
High School ◽  
Logistic Regression ◽  
Influenza Vaccination ◽  
Hepatitis A ◽  
Pneumococcal Vaccination ◽  
Population Based ◽  
Hepatitis B Vaccination ◽  
The Usa ◽  
History Of ◽  
History Of Cancer

Aim: To assess the association of vaccination status among adults with history of cancer in a population-based cohort in the USA. Materials & methods: National Health Interview Survey datasets (2008–2018) have been accessed and information about the patterns and associations of the following vaccinations were collected (influenza vaccination, pneumococcal vaccination, hepatitis B vaccination, hepatitis A vaccination and shingles vaccination). Association of different sociodemographic variables with each of the above types of vaccination was studied through multivariable logistic regression analysis. Results: Private health insurance (vs no private insurance) was associated with higher percentages of recommended vaccination (influenza vaccination: 65 vs 59.7%; pneumococcal vaccination: 74.9 vs 68.8%; hepatitis B vaccination: 22.9 vs 19.3%; hepatitis A vaccination: 10.1 vs 8.6%; shingles vaccination: 33.8 vs 26.7%; p < 0.001 for all comparisons). Within multivariable logistic regression analyses, African American race, lower education and lower income were associated with less probability of adherence to recommended vaccination (for influenza vaccination; odds ratio (OR) for black race vs white race: 0.785; 95% CI: 0.717–0.859; OR for ≤high school vs >high school education: 0.763; 95% CI: 0.723–0.805; OR for income ≤US$45,000 vs >US$45,000: 0.701; 95% CI: 0.643–0.764). Conclusion: There is evidence of socio-economic disparities in adherence to recommended vaccination among this cohort of cancer survivors in the USA. More efforts need to be done to ensure that recommended vaccination is being delivered to all cancer survivors in need (including enhancing coverage and awareness to under-represented groups of the society).

Abstract WP312: Relaxation Techniques Profile Of Self-reported Stroke Survivors: Analysis Of The National Health Interview Survey

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Abhishek Pandey ◽  
Martina R Gallagher ◽  
Prabhat Soni ◽  
Keyword(s):  
Stress Management ◽  
National Health ◽  
National Health Interview Survey ◽  
Stroke Survivors ◽  
Relaxation Techniques ◽  
Deep Breathing ◽  
Health Interview Survey ◽  
Breathing Exercises ◽  
The Past ◽  
Interview Survey

INTRODUCTION: There is limited description of the various relaxation techniques used by stroke survivors at a population level. Objective: We examined and described differences in relaxation techniques among stroke survivors from a nationally representative survey. Methods: Analysis was based on the 2007 National Health Interview Survey (NHIS) (n=23,393 adults (>18 years); mean age=45.8; female=51.7%). The NHIS is a cross-sectional household interview survey utilizing a multistage area probability design. Data was collected by trained personnel from the US Census Bureau in face-to-face interviews. Respondents provided anthropometric and sociodemographic data and information on physician-diagnosed chronic conditions, including self-reported stroke and use of relaxation techniques (i.e. acupuncture, deep breathing exercises, guided imagery, meditation (also asked if ever), progressive relaxation, stress management class, support group meeting, practice yoga) in the past 12 months. All analyses were performed using SAS 9.3 (SAS, Inc, Cary, NC), applying relevant sample weights. Results: Self-reported stroke prevalence was 2.4% (Unweighted:647; weighted: 5,425,685). Self-identified stroke survivors were more likely to report being female, obese, widowed, and Black/African Americans compared to non-stroke survivors (p<0.05). The most common relaxation technique was deep breathing exercises (13.1%) and least reported was utilization of stress management class (1.1%). Stroke survivors were more likely to report using acupuncture and employing deep breathing exercises (2.2% versus 1.4% and 13.1% versus 12.4%; p<0.05) compared to those not reporting stroke. They were also less likely to practice yoga in the past 12 months compared to non-stroke survivors (2.3 % versus 5.8% ; p<0.05). Other relaxation measures comparisons were not significant. Conclusions: Our analysis of epidemiologic stroke data suggests that individuals who survived stroke utilize relaxation techniques such as acupuncture and deep breathing. Future research is needed to evaluate if these relaxation techniques assist stroke survivors with better health and quality of life outcomes in long-term rehabilitation.

scholarly journals E-cigarette and cigarette purchasing among young adults before and after implementation of California’s tobacco 21 policy

2020 ◽  
pp. tobaccocontrol-2019-055417 ◽  
Author(s):  
Sara Schiff ◽  
Fei Liu ◽  
Tess Boley Cruz ◽  
Jennifer B Unger ◽  
Sam Cwalina ◽  
...  
Keyword(s):  
Population Based ◽  
Tobacco Product ◽  
Cigarette Use ◽  
Limited Data ◽  
Tobacco Products ◽  
Gas Stations ◽  
The Past ◽  
Before And After ◽  
The Usa ◽  
Vape Shops

BackgroundTobacco 21 (T21) laws, which raise the minimum legal age of sale of tobacco products to 21, have been proposed and implemented in states and cities across the USA. However, limited data are available on the effect of T21 laws on youth tobacco purchasing behaviours and access to tobacco products.MethodsParticipants in a population-based prospective cohort in southern California completed questionnaires before (n=1609, age=18–19 y) and after (n=1502, age=19–20 y) T21 was implemented in California (June 2016). We examined the prevalence of past 30-day cigarette and e-cigarette use, and among past 30-day users, purchase location of tobacco products before (pre-) versus after (post-) T21. We also examined whether, post-T21, participants were refused purchase of tobacco products due to their age, and the perceived relative ease of purchasing cigarettes and e-cigarettes (vs pre-T21).ResultsNegligible changes in cigarette and e-cigarette use were observed pre-T21 versus post-T21. At both time points, the majority of past 30-day users purchased cigarettes from gas stations and e-cigarettes from vape shops. Post-T21, the proportion of participants who reported purchasing cigarettes at gas stations decreased. Post-T21, most past 30-day cigarette or e-cigarette users were not refused purchase of cigarettes (65.4%) or e-cigarettes (82.0%) in the past 30 days, despite being under 21; half of the participants felt it was harder to purchase cigarettes (54.3%) and e-cigarettes (43.6%) post-T21.ConclusionPost-T21, few participants were refused purchase of any tobacco product, despite the illegality of such sales. Better enforcement of T21 is needed to improve the efficacy of T21 legislation.

scholarly journals 2749. Disparities in Healthcare Seeking Behaviors in the Pragmatic Assessment of Influenza Vaccine Effectiveness in the DoD (PAIVED) Study

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S968-S969
Author(s):  
Christina Schofield ◽  
Stephanie Richard ◽  
Rhonda Colombo ◽  
Limone Collins ◽  
Anuradha Ganesan ◽  
...  
Keyword(s):  
African American ◽  
Open Access ◽  
Influenza Vaccine ◽  
Influenza Season ◽  
Underrepresented Populations ◽  
Research Engagement ◽  
The Past ◽  
Race Ethnicity ◽  
The Military ◽  
African American Race

Abstract Background Healthcare outcome disparities exist for underrepresented populations, which may be partially due to reduced engagement in clinical research trials. Within the military with free, open access to medical care for members and beneficiaries, some healthcare outcome disparities become less apparent. We sought to assess the impact of the open access to care within the military healthcare system on research engagement among underrepresented populations. Methods During the PAIVED study (2018–2019 influenza season) enrollees were randomized to receive an FDA approved influenza vaccine (egg-based, recombinant, or cell-culture derived) followed by weekly surveillance for influenza-like illness (ILI) symptoms throughout the influenza season. At enrollment, participants self-identified gender, race, ethnicity, and level of education. Results Overall, the non-recruit study population (n = 852) was 52% male, 18% Hispanic, 15% African American, 70% White, 24% with High School or less, 22% with Associate’s, 24% with Bachelor’s and 30% with Post-Bachelor degree at enrollment. Individuals who reported African American race (OR 2.1, 95% CI (1.4, 3.3)) or Hispanic ethnicity (OR 1.7 (1.1, 2.6)) were more likely to have missed > 15% of the surveys, whereas military retirees (OR 0.5 (0.3, 0.9)) and dependents (OR 0.6 (0.4, 0.95)) were less likely to have missed > 15%. Individuals with African American race (OR 2.2 (1.3, 3.9)) or Hispanic ethnicity (OR 1.9 (1.1, 3.0)) were more likely to have missed the past 3 survey weeks. Retirees (OR 0.4 (0.2, 0.7)), dependents (OR 0.5 (0.3, 0.9)) and those with higher levels of education were less likely to have missed the past 3 weeks. There were no gender differences for these outcomes. Conclusion Healthcare outcome disparities may be partially explained by disparities in healthcare research engagement from underrepresented populations. Our cohort provides a unique perspective where access to and affordability of care and reliable income are minimized. Despite this, there remained differences in research engagement by race, ethnicity and education level, but not by gender. Future efforts should inform research design to increase research engagement from underrepresented populations. Disclosures All authors: No reported disclosures.

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