Self-reported health status and access to health services in a community sample with Parkinson's disease

BackgroundSelective migration may affect health indicators in both urban and rural areas. Sub-Saharan African urban areas show evidence of both negative and positive selection on health status at outmigration. Health outcomes as measured in urban populations may not reflect local health risks and access to health services.MethodsUsing the Ouagadougou Health and Demographic Surveillance System and a migrant follow-up survey, we measured differences in health between matched non-migrants and outmigrants. We applied Cox and competing risks models on migration and death.ResultsControlling for premigration health status, migrants who moved out of Ouagadougou have higher mortality (HR 3.24, 95% CI 1.23 to 8.58) than non-migrants and migrants moving to other Ouagadougou areas. However, these effects vanish in the matched sample controlling for all interactions between death determinants. These and other results show little evidence that migration led to higher mortality or worse health.ConclusionsHealth outcomes as measured in Ouagadougou population do reflect local health risks and access to health services despite high migration intensity. However, neither the hypothesis of effect of health on migration nor the hypothesis of negative effect of migration on health or survival was confirmed.

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Health Status of and Access to Health Services by Residents of Urban Encampments in Los Angeles

Journal of Health Care for the Poor and Underserved ◽

10.1353/hpu.2010.0378 ◽

1997 ◽

Vol 8 (1) ◽

pp. 70-82 ◽

Cited By ~ 32

Author(s):

Michael R. Cousineau

Keyword(s):

Health Status ◽

Los Angeles ◽

Health Services ◽

Access To Health Services ◽

Access To Health

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Tribal Women Health Status and Inequality Access to Health Services in Tribal Region of Odisha: An Empirical Finding

Asian Man (The) - An International Journal ◽

10.5958/0975-6884.2014.00020.6 ◽

2014 ◽

Vol 8 (2) ◽

pp. 142

Author(s):

Abhijeeta Das

Keyword(s):

Health Status ◽

Health Services ◽

Empirical Finding ◽

Access To Health Services ◽

Women Health ◽

Tribal Women ◽

Access To Health ◽

Tribal Region

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Health status and access to health services among the urban homeless.

American Journal of Public Health ◽

10.2105/ajph.76.5.561 ◽

1986 ◽

Vol 76 (5) ◽

pp. 561-563 ◽

Cited By ~ 80

Author(s):

M J Robertson ◽

M R Cousineau

Keyword(s):

Health Status ◽

Health Services ◽

Access To Health Services ◽

Access To Health

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Physical health needs and self-reported health status among adults with autism

Autism ◽

10.1177/1362361320971099 ◽

2020 ◽

pp. 136236132097109

Author(s):

Paul Turcotte ◽

Lindsay Shea

Keyword(s):

Autism Spectrum Disorder ◽

Health Status ◽

Health Services ◽

Physical Health ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Service Needs ◽

Adults With Autism ◽

Reported Health ◽

Self Reported Health Status

Self-reported health status is an integral method to understand how adults on the autism spectrum perceive their healthcare and service needs. The objective of the study is to examine how self-reported health changes with use and need of physical health services. The Pennsylvania autism needs assessment included a survey of adults on the autism spectrum responding for themselves. Self-reported health status change over the previous year was reported as improved, decreased, or stable. Adjusted multinomial logistic regression was used to identify characteristics of individuals who experienced decreased or improved health. A total of 1197 adults responded, with most respondents’ health remaining stable (68%). Respondents who had a decreased health status reported needing more physical health services (1.64 services) compared to respondents with stable health (1.07 services) and improved health (1.18 services). Respondents with a decreased health status had 1.23 higher odds (95% confidence interval: 1.08–1.40) of having an increase in one physical health service need as compared to those whose health remained stable. Increased physical health service needs were associated with a decreased health status. Adults on the autism spectrum can present with a complex array of needs and determining the role physical health services play in improving and maintaining health remains critical. Lay abstract Self-reported health can be a powerful measure of how adults with autism spectrum disorder view their overall health. The goal of this study was to determine how health statuses of adults with autism spectrum disorder change, when they are currently receiving or need more physical health services. The Pennsylvania autism needs assessment included a survey of individuals with autism aged 18 years or older responding for themselves. They indicated whether their health status changed over the previous year as improved, decreased, or remained stable. We found that most adults with autism spectrum disorder had their health remain the same (68%). We also found that adults who said their health got worse needed more physical health services, compared to those whose health remained stable, or got better. Supporting the health of adults with autism can be complex and finding out more about how physical health services play a role in that care is important.

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Health issues in female Moldovan migrants in a north-eastern Italian region

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.751 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

A Buja ◽

F A Vianello ◽

F Zaccagnini ◽

C Pinato ◽

P Maculan

Keyword(s):

Health Care ◽

Health Status ◽

Health Literacy ◽

Health Services ◽

Health Care Services ◽

Care Services ◽

Access To Health ◽

North Eastern ◽

Reported Health ◽

Italian Women

Abstract Background Migration from Eastern Europe to Italy is still massively expanding, with a subsequent increase of migrants in the job market who are traditionally employed in low specialized and high strain jobs. In this context Health Literacy is a known factor contributing to immigrant health disparities. The purpose of this study was to evaluate the health status of a population of migrant Moldovan women and their access to health care services in northern Italy by age class and health literacy level. Methods We administered an ad-hoc questionnaire to adult Moldovan women to assess their lifestyles, employment status, reported health status, access to Health Services and Health Literacy. Moreover, the study compared our data with a sample of Italian women of the same age range living in North-Eastern region interviewed in 2015. Analysis employs descriptive statistics. Results The sample included 170 Moldovan women (age 46.5 ±12.3). Prevalence of active smokers was found double in women with a low Health Literacy. Health Literacy status also determined the different access to Public Health Services, with women with higher literacy using more programmed health services and screening programs, and women with lower literacy conversely using more emergency health services. Overall reported health status was found worse in our sample than in Italian women and reported disease prevalence among age ranges was different than Italian ones with an increased probability for allergies, lumbar diseases and depression. Conclusions Some diseases have a higher prevalence in Moldovan than in Italian women. Health literacy is associated with lifestyles and use of health care services also in migrants, as previously demonstrated for native population. Key messages Tailored prevention programs and intervention should be designed in Moldovan women to address high prevalence diseases in this population. Strategy to improve health literacy should involve immigrants. Some diseases resulted well-spread over the whole sample and not influenced by age or employment; the difficulties migrants have to overcome might influence their health status.

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