scholarly journals Illness, Self-Rated Health and Access to Medical Care among Waste Pickers in Landfill Sites in Johannesburg, South Africa

2020 ◽  
Vol 17 (7) ◽  
pp. 2252 ◽  
Author(s):  
Felix Made ◽  
Vusi Ntlebi ◽  
Tahira Kootbodien ◽  
Kerry Wilson ◽  
Nonhlanhla Tlotleng ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Care ◽  
Health Clinic ◽  
Mobile Clinic ◽  
Self Rated Health ◽  
Care Access ◽  
Landfill Sites ◽  
Access To Medical Care ◽  
Waste Pickers ◽  
Clinic Visits

Waste pickers are exposed to various environmental health hazards, and self-rated health (SRH) could influence their medical care access. This study investigated the association between illness, clinic visits and SRH, and assessed if SRH can increase clinic visits. A cross-sectional study was conducted. SRH was defined as “very good”, “good”, “fair”, and “poor”. The illnesses were mental health, infectious, and chronic diseases. Medical care access included clinic visits in the previous 12 months. An ordinal logistic regression model was fitted to assess the association. There were 361 participants, 265 (73.41%) were males. Median age was 31 years, (interquartile range (IQR): 27–39). SRH: poor (29.89%), fair (15.92%), good (43.30%) very good (10.89%). Ever smoked (adjusted odds ratio (AOR): 1.72; 95% confidence interval (CI): 1.11–2.66), mental health (AOR: 1.87; 95% CI: 1.22–2.84), chronic (AOR: 2.34; 95% CI:1.47–3.68) and infectious (AOR: 2.07; 95% CI: 1.77–3.63) diseases were significantly associated with increased odds of reporting poor health. Clinic visit was not associated with SRH. From 99 (31%) individuals who rated their health as poor and ill, 40% visited a clinic (p = 0.0606). Acute and chronic illnesses were associated with poor SRH but this did not increase clinic visits. Provision of mobile clinic services at the landfill sites could increase access to medical care.

Systematic Review of Research on Barriers to Access to Veterinary and Medical Care for Deaf and Hard of Hearing Persons

2021 ◽  
pp. e20200116
Author(s):  
Allison N. Hinchcliff ◽  
Kelly A. Harrison
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Medical Care ◽  
Health Care Access ◽  
Hard Of Hearing ◽  
The United States ◽  
Care Access ◽  
Pet Owners ◽  
Access To Medical Care ◽  
Improve Access

The Deaf and hard of hearing (DHH) population suffers disproportionately from barriers to health care access. Progress has been made toward improving access to medical care in the human health field; however, the veterinary field has not yet implemented similar standards. More research is needed to improve access to veterinary care for disabled individuals. This systematic review aimed to evaluate all primary research articles pertaining to medical and veterinary health care access for DHH adults in the United States. Its purpose was to assess gaps in knowledge regarding DHH persons’ access to veterinary care. The review includes 39 articles related to DHH access to medical care and 6 articles related to general access to veterinary care. The authors found no articles related specifically to DHH access to veterinary care nor any articles on disability accessibility to veterinary care that met the inclusion criteria. Results outline significant barriers to DHH persons’ access to health care, unique needs specific for this population of patients, and recommendations to improve access to medical care for individuals who identify as DHH. The results also suggest that further research is needed to investigate barriers to veterinary care experienced by DHH pet owners, the unique needs of this population of pet owners, and how the field of veterinary medicine can better accommodate those needs.

Developing a Comprehensive Trauma- and Resiliency- Focused Program After Superstorm Sandy in New York City

2018 ◽  
Vol 13 (03) ◽  
pp. 613-617 ◽  
Author(s):  
Maria Scigliano ◽  
Virginia Roncaglione ◽  
Paula A. Madrid
Keyword(s):  
Mental Health ◽  
Health Care ◽  
New York ◽  
New York City ◽  
Mental Health Care ◽  
York City ◽  
Health Clinic ◽  
Mobile Clinic ◽  
Superstorm Sandy

ABSTRACTTo contribute to the ongoing discourse about successful programming supporting intermediate behavioral and mental health needs of vulnerable communities affected by disaster, this article presents the Children’s Health Fund (CHF) Sandy Recovery and Resiliency Program as a descriptive case study for a multifaceted, community-based approach to building resiliency, coping, and socioemotional skills in an underserved community in New York City that was affected by Superstorm Sandy. The case study involves retrospective review and analysis of qualitative and quantitative data that were collected as part of routine care and program implementation. From the analysis emerged a program consisting of 3 components: (1) delivery of workshops and community events to decrease stigma and build community-wide resilience, (2) delivery of workshops for students and educators in the local school to increase coping skills as well as referrals to clinical mental health care, and (3) provision of mental health care via a mobile mental health clinic. As a result, we found that following periods of excessive trauma, children and families require a broad-based approach to mental health support. Additionally, the use of the mobile clinic abated most common access barriers and served as a proxy of the concern of the organization for the community. (Disaster Med Public Health Preparedness. 2018;page 1 of 5)

scholarly journals Lack of access to medical care during Hurricane Sandy and mental health symptoms

2018 ◽  
Vol 10 ◽  
pp. 363-369 ◽  
Author(s):  
Julia Ruskin ◽  
Rehana Rasul ◽  
Samantha Schneider ◽  
Kristin Bevilacqua ◽  
Emanuela Taioli ◽  
...  
Keyword(s):  
Mental Health ◽  
Medical Care ◽  
Hurricane Sandy ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Access To Medical Care

scholarly journals Health in the Perception of Russians and Real Medical Practices

2021 ◽  
pp. 19-27
Author(s):  
AN Pokida ◽  
NV Zybunovskaya
Keyword(s):  
Health Status ◽  
Medical Care ◽  
Health Effect ◽  
Well Being ◽  
Sociological Research ◽  
Self Medication ◽  
Health Maintenance ◽  
Self Rated Health ◽  
Wide Range ◽  
Access To Medical Care

Introduction. Maintaining and strengthening health of the population is a priority national task. Currently, this problem, in the context of changing social reality associated with the pandemic of COVID-19, is gaining special relevance. Previous studies have demonstrated that lifestyle and concern with own health have a major impact on human health status. The objective of our study was to analyze self-rated health status of Russian people and their attitude to health issues, including practical attitude to medical care and self-medication. Methods. The article is based on the results of a sociological research of behavioral practices of the population within self-preservation behavior. The main source of empirical information was the all-Russian sociological survey of the population representing various socio-demographic groups. Results. The study reveals an increase in the positive perception of own health by the population over the past two decades. At the same time, citizens suffer from a wide range of diseases naturally affecting their self-rated health status. The situation is further aggravated by unfavorable social and psychological well-being caused, inter alia, by the pandemic and related challenges. Despite an increasing demand for qualified medical care for diseases, self-medication remains widespread and may have a negative health effect attributed to the uncontrolled drug use practiced by the respondents. Health maintenance practices of the population are largely related to the income and the lack of subspecialists, especially in rural or remote areas. Conclusions. Our findings demonstrate the need to improve access to medical care and medical literacy of citizens and to expand incentives for self-preservation and health promotion.

scholarly journals Linking Food and Resource Access to Medical Care Access in Maputo, Mozambique

2021 ◽  
Vol 13 (15) ◽  
pp. 8174
Author(s):  
Cameron McCordic ◽  
Bruce Frayne ◽  
Naomi Sunu
Keyword(s):  
Medical Care ◽  
Household Survey ◽  
Healthcare Systems ◽  
Cash Income ◽  
Rapid Urbanization ◽  
Socioeconomic Resources ◽  
Care Access ◽  
Development Goals ◽  
Access To Medical Care

Background: Rapid urbanization coupled with evolving threats from both communicable and non-communicable diseases underscore the vulnerability of urban healthcare systems. Building resilient healthcare systems and increasing access to socioeconomic resources is key for achieving sustainable development goals (SDGs). The city of Maputo (Mozambique) provides a helpful case study for the analysis of this situation. Methods: This investigation analyzes household survey data to determine the predictors of consistent household medical care access (SDG 3) in Maputo. Using those identified predictors, the study identifies key segments of households in Maputo that are vulnerable to disease given their inconsistent access to medical care. Results: The results indicate that households with inconsistent medical care access (SDG 3) also suffer from severe food insecurity (SDG 2) and inconsistent access to a cash income (SDG 8), water (SDG 6), and electricity (SDG 7). Conclusions: This study identifies challenges to the achievement of SDG 3 in Maputo, where households that are likely to need medical care under the strain of impoverished living conditions are also the least likely to have consistent access to needed medical care.

Clinical trials screening: An opportunity to increase medical care access

2001 ◽  
Vol 120 (5) ◽  
pp. A410-A410
Author(s):  
T KOVASC ◽  
R ALTMAN ◽  
R JUTABHA ◽  
G OHNING
Keyword(s):  
Clinical Trials ◽  
Medical Care ◽  
Care Access
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