scholarly journals A large-scale health survey for a pilot project to reduce the health disparity in Samho-dong, Ulsan Metropolitan City: Results and implications

2021 ◽  
Vol 5 (1) ◽  
pp. e7
Author(s):  
Haneul Lee ◽  
Minsu Ock
Keyword(s):  
Community Health ◽  
Health Survey ◽  
Health Surveys ◽  
Large Scale ◽  
Diabetes Diagnosis ◽  
Metropolitan City ◽  
Healthcare Needs ◽  
Unmet Healthcare Needs ◽  
Survey Results ◽  
Hypertension Diagnosis

Introduction: This study conducted a large-scale health survey in Namg-gu, Ulsan Metropolitan City. In specific, the survey results of Samho-dong, one of the 14 dongs in Nam-gu, and the rest of Nam-gu were compared. Also, the results were compared with the Community Health Survey results for implications.Methods: A total of 2,036 people participated in the large-scale survey. Descriptive analysis was performed to examine the socio-demographic characteristics of these two participant groups. The Chi-Square test or Fisher’s exact test was executed to identify differences between the two groups and the results were compared to the 2014-2019 Community Health Surveys results.Results: The exposure rate of secondhand smoke in public areas and the subjective obesity awareness rate were statistically significantly higher in Samho-dong residents than non-Samho-dong residents in Nam-gu. The same patterns of statistical significance were also observed in the rate of high mental stress, the rate of hypertension diagnosis (≥30), and the annual rate of unmet healthcare needs. Compared with the six-year cumulative data of Community Health Surveys, the rate of hypertension diagnosis (≥30) and the rate of diabetes diagnosis (≥30) of Samho-dong residents were lower than that of Community Health Surveys.Conclusions: It is suggested to prioritize designating smoking zones, strengthening mental health services, and operating chronic disease management programs in Samho-dong. The findings of this study support the need for large-scale surveys on the health status of local areas to reduce health disparities and serve as a foundation to reduce them.

Mapping of Household Surveys to Measure Barriers to Access to Maternal and Child Health Services in India

2021 ◽  
Vol 23 (1) ◽  
pp. 10-19
Author(s):  
Shivam Gupta ◽  
Priyanka Das ◽  
Siddhartha Kumar ◽  
Arindam Das ◽  
P. R. Sodani
Keyword(s):  
Child Health ◽  
Health Services ◽  
Health Survey ◽  
Maternal And Child Health ◽  
Household Surveys ◽  
Access Barriers ◽  
Health Service Provision ◽  
Healthcare Needs ◽  
Unmet Healthcare Needs ◽  
And Child Health

Objective: To map the range of access barrier indicators for which data can be derived from the three most common health related household surveys in India. Methods: A mapping review study was conducted to identify access dimensions and indicators of access barriers for maternal and child health (MCH) services included in three household surveys in India: National Family Health Survey (NFHS), District Level Household and Facility Survey (DLHS) and Annual Health Survey (AHS). Results: The Tanahashi framework for effective coverage of health services was used in this study, and 12 types of access barriers were identified, from which 23 indicators could be generated. These indicators measure self-reported access barriers for unmet healthcare needs through delayed care, as well as forgone care, and unsatisfactory experiences during health service provision. Multiple barriers could be identified, although there was marked heterogeneity in variables included and how barriers were measured. Conclusions: This study identified tracer indicators that could be used in India to monitor the population that experiences healthcare needs but fails to seek and obtain appropriate healthcare, and determine what the main barriers are. The surveys identified are well validated and allow the disaggregation of these indicators by equity stratifiers. Given the variability of the frequency and methodologies used in these surveys, comparability could be limited.

scholarly journals The feasibility of providing gambling-related self-help information to college students who screen for disordered gambling via an online health survey: an exploratory study

2013 ◽  
pp. 1 ◽  
Author(s):  
Ryan J. Martin
Keyword(s):  
College Students ◽  
Health Survey ◽  
Exploratory Study ◽  
Health Surveys ◽  
Gambling Behavior ◽  
Disordered Gambling ◽  
Self Help ◽  
Contact Information ◽  
Survey Results ◽  
Gambling Treatment

Individuals with gambling disorders are reluctant to enter formal gambling treatment and often recover without it. For this reason, it is important to provide disordered gamblers with resources that facilitate treatment on their own (i.e., self-help). This exploratory study examined the feasibility of collecting contact information and providing gambling-related self-help information to a sample of college students who indicated possible disordered gambling behavior via an online health survey. Results indicated that among the 60 participants who met the threshold for possible disordered gambling behavior, 29 (48.3%) voluntarily provided their contact information. Subsequently, gambling-related resources were emailed to these participants. The findings of this exploratory study indicate that online health surveys completed by a large number of students might be advantageous for screening and intervening in disordered gambling in this population.

scholarly journals Oral Health Status in India- Where Do We Stand?

2019 ◽  
pp. 21-23
Author(s):  
Dr. L S Sreela ◽  
Dr. Anita Balan ◽  
Dr. Admaja K Nair
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Oral Cancer ◽  
Health Survey ◽  
General Health ◽  
Health Surveys ◽  
Large Scale ◽  
Oral Health Status ◽  
Family Welfare ◽  
Dental Diseases

Oral health is an imperative part of general health. Moreover, dental diseases are easily preventable to a huge extent. In India, dental diseases, particularly caries and periodontal disease as well as oral cancer, still continues to be widespread in the population. Only two large scale Oral Health Surveys were conducted in the country till now: (i) National Oral Health Survey & Fluoride Mapping by Dental Council of India in 2003 and (ii) Oral Health in India: Report of multi-centric oral health survey by Ministry of Health and Family Welfare in collaboration with Dental Department AIIMS in 2005. This article highlights the desperate necessity of a nationwide oral health survey for proper identification and correction of real barriers in achieving good oral health for the population.

scholarly journals Unmet Healthcare Needs and Associated Factors Among Korean Enlisted Soldiers

2020 ◽  
Author(s):  
Eunkyoung Bae ◽  
Jeongok Park ◽  
Eunyoung Jung
Keyword(s):  
Confidence Interval ◽  
Injury Prevention ◽  
Health Survey ◽  
Individual Characteristics ◽  
Military Health ◽  
Factors Associated ◽  
Healthcare Needs ◽  
Unmet Healthcare Needs ◽  
Enlisted Soldiers ◽  
The Military

ABSTRACT Introduction The purpose of this study was to explore the rate of unmet healthcare needs among Korean enlisted soldiers and to examine the factors associated with unmet healthcare needs, based on Andersen’s Health Service Behavior Model. Method This study employed secondary data analysis using the dataset of the military health survey for two years, 2014 and 2015, conducted by the Republic of Korea School of Military Medicine. Of all military health survey participants, 3,636 enlisted soldiers who answered the question “In the last year, have you ever been unable to go to a hospital or a clinic when you wanted to go to a hospital or a clinic?”—the dependent variable in this study—were included in this study. Result The rate of unmet healthcare needs among Korean enlisted soldiers was 23.7% (n = 860) in the current study. Among the individual characteristics, on-duty stress (Odds ratio (OR) = 1.59, 95% Confidence Interval (95% CI): 1.25-2.03) and need for treatment by a mental health specialist (OR = 1.40, 95% Confidence Interval (CI): 1.00-1.95) were associated with unmet healthcare needs. Among the contextual characteristics, perception of injury-prevention effort (OR = 0.61, 95% CI: 0.52-0.71), support from superiors (OR = 0.81, 95% CI: 0.71-0.93), and possibility of accident or injury of military unit (OR = 0.73, 95% CI: 0.64-0.82) were significant factors associated with unmet healthcare needs. The subjective health condition which was a proxy of the health outcome was significantly associated with unmet healthcare needs (OR = 1.58, 95% CI: 1.13-2.22). The results indicate that the safety awareness of troops and social support of superiors were the contextual military characteristics associated with unmet healthcare needs of enlisted soldiers. Conclusions The strengthening of aspect of organizational culture, such as injury-prevention efforts at the military level, or support from superior officers, will contribute to a reduction of the unmet healthcare needs of Korean enlisted soldiers.

Frequency and characterization of mutations in genes in a large cohort of patients referred to MODY registry

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Emily Breidbart ◽  
Liyong Deng ◽  
Patricia Lanzano ◽  
Xiao Fan ◽  
Jiancheng Guo ◽  
...  
Keyword(s):  
Genetic Testing ◽  
Exome Sequencing ◽  
Large Scale ◽  
Age Of Onset ◽  
Family Members ◽  
Ethnically Diverse ◽  
Monogenic Diabetes ◽  
Diabetes Diagnosis ◽  
Pathogenic Variants ◽  
Atypical Diabetes

Abstract Objectives There have been few large-scale studies utilizing exome sequencing for genetically undiagnosed maturity onset diabetes of the young (MODY), a monogenic form of diabetes that is under-recognized. We describe a cohort of 160 individuals with suspected monogenic diabetes who were genetically assessed for mutations in genes known to cause MODY. Methods We used a tiered testing approach focusing initially on GCK and HNF1A and then expanding to exome sequencing for those individuals without identified mutations in GCK or HNF1A. The average age of onset of hyperglycemia or diabetes diagnosis was 19 years (median 14 years) with an average HbA1C of 7.1%. Results Sixty (37.5%) probands had heterozygous likely pathogenic/pathogenic variants in one of the MODY genes, 90% of which were in GCK or HNF1A. Less frequently, mutations were identified in PDX1, HNF4A, HNF1B, and KCNJ11. For those probands with available family members, 100% of the variants segregated with diabetes in the family. Cascade genetic testing in families identified 75 additional family members with a familial MODY mutation. Conclusions Our study is one of the largest and most ethnically diverse studies using exome sequencing to assess MODY genes. Tiered testing is an effective strategy to genetically diagnose atypical diabetes, and familial cascade genetic testing identified on average one additional family member with monogenic diabetes for each mutation identified in a proband.

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