scholarly journals Socioeconomic Vulnerability Index and Obesity among Korean Adults

2021 ◽  
Vol 18 (24) ◽  
pp. 13370
Author(s):  
Eunok Park ◽  
Young Ko
Keyword(s):  
Health Care Providers ◽  
Secondary Analysis ◽  
Vulnerability Index ◽  
Income Level ◽  
Socioeconomic Indicators ◽  
Care Providers ◽  
Socioeconomic Vulnerability ◽  
Korean Adults ◽  
Health And Nutrition ◽  
Prevalence Of Obesity

Examining the socioeconomic vulnerability–obesity relationship is a different approach than comparing obesity rates according to the socioeconomic level. This study explored the socioeconomic vulnerability–obesity relationship among Korean adults. This secondary analysis used data from the Korea National Health and Nutrition Examination Survey, which were collected nationwide from participants aged 30–64 years. Seven socioeconomic indicators (education level, residential area, personal income level, household income level, food insecurity, house ownership, and national basic livelihood security beneficiary status) were used to create the socioeconomic vulnerability index. The prevalence of obesity was higher in the lowest socioeconomic vulnerability index quartile than in the highest socioeconomic vulnerability index quartile (odds ratio = 1.31; 95% confidence interval = 1.13–1.52) after adjusting for gender. When developing future interventions for the prevention and management of obesity, health care providers and researchers need to consider the differences in socioeconomic vulnerability index in adults.

Prognosticating futures and the human experience of hope

2007 ◽  
Vol 5 (3) ◽  
pp. 227-239 ◽  
Author(s):  
Sally Thorne ◽  
Valerie Oglov ◽  
Elizabeth-Anne Armstrong ◽  
T. Gregory Hislop
Keyword(s):  
Health Care ◽  
Chronic Illness ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Secondary Analysis ◽  
Human Experience ◽  
Clinical Encounter ◽  
Care Providers ◽  
Health Care Communication ◽  
Patients With Cancer

Objectives: Communication between health care providers and patients with cancer and other chronic diseases typically references probabilities that certain future events will or will not occur. Beyond the context of diagnostic encounters and the transmission of “bad news,” such “prognostic” communications take place in various forms throughout the illness trajectory. It is well known that such information transmitted badly can have devastating psychosocial consequences for patients and their families and, conversely, that difficult information exchanged with sensitivity can lend tremendous support. This study aimed to extend our understanding of how such communications are received and interpreted by patients, so that we might optimally apply what we know about general principles of effective communication within the particularly challenging context of predicting futures.Methods: We conducted a combined secondary analysis of two prior qualitative studies into patient perceptions of helpful and unhelpful health care communication with 200 cancer patients and 30 persons with chronic illness. These data sets offered a rich resource for comparing perceptions across a range of contextual variables, and secondary analysis focused on future-oriented interactions, including both prognostication and prediction.Results: The accounts of patients with cancer and chronic illness reveal various ways in which health care communications involving future projections interact with their human experience of hope, powerfully shaping their capacity to make sense of and live with serious illness. They include a synthesis of what patients recommend health care professionals know and understand about this challenging dynamic.Significance of results: The findings of this study offer a distinct angle of vision onto the various communications that involve future predictions, illuminating a patient perspective with the potential to inform health care communication approaches that are both informative and therapeutic. As such, the study supports a dynamic understanding of the tenuous balance between hope and honesty in the clinical encounter.

Understanding Financial Barriers to Care in Patients With Diabetes

2016 ◽  
Vol 43 (1) ◽  
pp. 78-86 ◽  
Author(s):  
David J. T. Campbell ◽  
Braden J. Manns ◽  
Brenda R. Hemmelgarn ◽  
Claudia Sanmartin ◽  
Alun Edwards ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Secondary Analysis ◽  
Care Providers ◽  
Financial Barriers ◽  
Face To Face ◽  
Semistructured Interviews ◽  
Patients With Diabetes ◽  
Data Saturation ◽  
The Impact

Purpose The purpose of this study was to better understand the impact that financial barriers have on patients with diabetes and the strategies that they use to cope with them. Methods A secondary analysis was conducted of 24 interviews with patients who had either type 1 or type 2 diabetes and perceived financial barriers, which were previously undertaken for a larger grounded theory study. Semistructured interviews were undertaken either face-to-face or by telephone. Data analysis was performed by 3 reviewers using inductive thematic analysis. Sampling for the original study continued until data saturation was achieved. Results The predominant aspects of care to which participants described financial barriers were medications, diabetes supplies, and healthy food. A variety of strategies are used by these patients. Participants described that their health care providers had the potential to either play an important supporting role; or alternatively, that they could also worsen the impacts of financial barriers. Conclusions Patients with diabetes experience financial barriers to various aspects of their care. While they use a variety of strategies to overcome their barriers, their health care providers can play a particularly important role in helping them manage these important barriers that impact their care and outcomes. Providers should ask patients about the existence of financial barriers, and employ strategies to mitigate against their impact.

scholarly journals Naive Expectations to Resignation

2018 ◽  
Vol 5 (3) ◽  
pp. 219-224
Author(s):  
Michael M Evans ◽  
Judith E Hupcey ◽  
Lisa Kitko ◽  
Windy Alonso
Keyword(s):  
Heart Failure ◽  
Health Care ◽  
Longitudinal Study ◽  
Health Care Providers ◽  
Secondary Analysis ◽  
Newly Diagnosed ◽  
Care Providers ◽  
Life Activity ◽  
Chronic Group ◽  
Stage D

Purpose: This study examined life descriptions of persons with stage D heart failure (HF) comparing those newly diagnosed to those with chronic HF. Methods: A secondary analysis of interviews from 75 participants followed in a longitudinal study of persons with stage D HF was thematically analyzed. There were 24 participants who were recently diagnosed with stage D HF (less than 2 years) and 51 participants with HF longer than 2 years. Results: Both groups shared life descriptions along a continuum, where recently diagnosed participants described naive expectations with hope for improvement, while the chronic group appeared resigned to their fate and the reality of the limitations of living with HF. Four themes illustrated differences between the groups: outlook on life, activity adjustments, understanding of HF, and mood. Conclusions: Although persons with stage D HF share the same life descriptions, they have differing perspectives of life with HF. Findings from this study can help health-care providers tailor interventions based on the length of time from diagnosis.

scholarly journals Flourishing Despite Migraines: A Nationally Representative Portrait of Resilience and Mental Health among Canadians

2021 ◽  
Author(s):  
Esme Fuller-Thomson
Keyword(s):  
Mental Health ◽  
Health Care Providers ◽  
Mental Health Problems ◽  
Secondary Analysis ◽  
Well Being ◽  
Care Providers ◽  
Physical And Mental Health ◽  
History Of ◽  
Nationally Representative ◽  
The Relationship

Objective 1) To examine the relationship between migraine status and complete mental health (CMH) among a nationally representative sample of Canadians; 2) To identify significant correlates of CMH among those with migraine. Methods Secondary analysis of the nationally representative Canadian Community Health Survey – Mental Health (CCHS-MH) (N=21,108). Bivariate analyses and a series of logistic regression models were performed to identify the association between migraine status and CMH. Significant correlates of CMH were identified in the sample of those with migraine (N=2,186). Results Individuals without a history of migraine had 72% higher odds of being in CMH (OR=1.72; 95% CI=1.57, 1.89) when compared with those with a history of migraine. After accounting for physical health and mental health problems, the relationship between migraine status and CMH was reduced to non-significance, with both groups having an approximately equal likelihood of achieving CMH (OR=1.03; 05% CI=(0.92, 1.15). Among those with migraine, factors that were strongly associated with CMH were a lack of a history of depression, having a confidant, and having an income of $80,000 or more. Conclusion Clinicians and health care providers should also address co-occurring physical and mental health issues to support the overall well-being of migraineurs.

scholarly journals Health Beliefs And Medication Taking Behaviour Of Individuals Living With Mild To Moderate Chronic Kidney Disease

2021 ◽  
Author(s):  
Adelaide KL Hui
Keyword(s):  
Health Beliefs ◽  
Health Care Providers ◽  
Secondary Analysis ◽  
Perceived Barriers ◽  
Care Providers ◽  
Medication Regimen ◽  
And Gender ◽  
Moderate Chronic Kidney Disease ◽  
Shed Light ◽  
Take All

The aims of this secondary analysis were to describe medication taking behaviour and health beliefs among people with mild to moderate CKD, examine differences in health beliefs according to age and gender, and examine relationships between health beliefs and medication taking behaviour. The sample consisted of 30 men and 30 women between19 and 72 years old. Forty-two participants reported they did not miss medication doses, but remembering to take all the pills was the most challenging. Women were more likely to believe their kidney function would improve in the future and to believe treatment would keep them from becoming ill. No statistically significant differences were found in health beliefs by age. Perceived barriers were the strongest indicator of medication taking behaviour. Findings from this study shed light on the complexity of the medication regimen in CKD, and could guide health care providers to better support medication taking behaviour.

scholarly journals Sugar-Sweetened Beverage Consumption in Relation to Obesity and Metabolic Syndrome among Korean Adults: A Cross-Sectional Study from the 2012–2016 Korean National Health and Nutrition Examination Survey (KNHANES)

Nutrients ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1467 ◽  
Author(s):  
Sangah Shin ◽  
Seong-Ah Kim ◽  
Jinwoo Ha ◽  
Kyungjoon Lim
Keyword(s):  
Metabolic Syndrome ◽  
National Health ◽  
Smoking Status ◽  
Asian Population ◽  
Nutrition Examination Survey ◽  
Cross Sectional ◽  
Korean Adults ◽  
Health And Nutrition ◽  
Increased Risk ◽  
Prevalence Of Obesity

It is well known that the consumption of sugar-sweetened beverages (SSBs) increases the risk of developing obesity and metabolic syndrome (MetS). However, there are not many studies investigating the link between SSBs and increased incidences of diseases in the Asian population, and in particular, in Korea. We explored the association of SSB consumption with the risk of developing obesity and MetS among Korean adults (12,112 participants from the 2012–2016 Korean National Health and Nutrition Examination Survey). We calculated the total SSB consumption frequency by counting each beverage item, including soda beverages, fruit juices, and sweetened rice drinks. Obesity was defined as a body mass index ≥25 kg/m2, and MetS was defined using the National Cholesterol Education Program, Adult Treatment Panel III. A survey logistic regression analyses was conducted to examine the association of SSB consumption with obesity and MetS, adjusting for related confounders such as age, energy intake, household income, education, alcohol drinking, smoking status, and physical activity. The SSB consumption was positively associated with an increased risk of the prevalence for obesity (Odd ratio (OR): 1.60; 95% confidence interval (CI): 1.23–2.09; p for trend = 0.0009) and MetS (OR: 1.61; 95% CI: 1.20–2.16; p for trend = 0.0003) among women. In men, SSB consumption only contributed to a higher prevalence of obesity (OR: 1.38; 95% CI: 1.11–1.72; p for trend = 0.0041). In conclusion, increased consumption of SSBs was closely linked with a higher prevalence of obesity and MetS in the Korean population.

scholarly journals Kerentanan Sosioekonomi Rumah Tangga Petani Akibat Konversi Lahan (Studi Kasus Kabupaten Bogor Jawa Barat)

2019 ◽  
pp. 160-173
Keyword(s):  
Urban Sprawl ◽  
Buffer Zone ◽  
Vulnerability Index ◽  
Capital City ◽  
Farm Households ◽  
Land Conversion ◽  
Socioeconomic Indicators ◽  
Socioeconomic Vulnerability ◽  
Livelihood Assets ◽  
Local Stakeholders

Land conversion is one of the consequences of population growth. Bogor as a buffer zone of the capital city and Bekasi, Depok, Tangerang has significant increase number of developed land. The urban sprawl drove land use change from farmland, paddy fields, and forest area. This study tries to identify livelihood assets and livelihood structures and to analyse the socioeconomic vulnerability index of farm households as a result of land conversion in Cibungbulang Sub-district, Bogor Regency. The research focused on two villages, Cemplang and Situ Udik. We surveyed 35 households from each village to collect data on various vulnerability domains and 27 socioeconomic indicators. We built and weighted these indicators base on local stakeholders, farmers, prior researches and literature studies. The research results showed that both villages are moderate in vulnerability and are still able to deal with the existing shocks. SeVI of Cemplang is 0.51 and Situ Udik’s 0.37. There are five livelihood assets used by respondents to survive; human capital, economic, social, physical and financial.

Communicating comfort: How do cancer outpatients and health care providers talk about pain?

2014 ◽  
Vol 32 (31_suppl) ◽  
pp. 229-229 ◽  
Author(s):  
Virginia Townsend LeBaron ◽  
Traci M. Blonquist ◽  
Autumn Beecy ◽  
Donna Lynn Berry
Keyword(s):  
Health Care Providers ◽  
Healthcare Providers ◽  
Secondary Analysis ◽  
Symptom Assessment ◽  
Clinic Visit ◽  
Ambulatory Setting ◽  
Pain Patient ◽  
Care Providers ◽  
Data Set ◽  
Ambulatory Oncology

229 Background: Pain remains a significant problem for many cancer patients. Poor communication between healthcare providers and patients can contribute to this problem. This secondary analysis explored patient-provider discussions of current pain in the ambulatory oncology setting. Methods: Audio recordings from 66 adult oncology clinic visits in Boston and Seattle were selected from a pre-existing data set of a larger trial. To ensure a diverse sample, all minority recordings (n=33) were selected with a random sample of non-minority recordings (n = 33) matched on patient characteristics. Recordings were reviewed by two independent investigators and each pain discussion was quantitatively coded using 12 variables based on a review of the literature. A pain discussion was defined as any reference to pain or discomfort initiated by either patient or provider. Results: Preliminary analysis of 33 cases revealed 57 separate discussions of pain (6 involved patients denying any pain). Patients and providers were equally likely to initiate discussions about pain (patient initiated total: 27/57; 47%; provider initiated total: 30/57, 53%). Pain discussions overlapped with general symptom assessment, and pain was commonly attributed to effects of oncologic therapy and discussed as stiffness, soreness, or aching, not necessarily as ‘pain.’ Discussions of pain were typically brief and providers asked more close-ended and leading questions (n= 87) versus open-ended questions (n=18) when assessing pain. Providers rarely (n=3) used a validated pain intensity scale (e.g., 0-10) and explored reports of pain slightly more often than acknowledging only (n=27/51; 53%; n=24/51; 47%, respectively). Conclusions: Discussions of cancer related pain in the ambulatory setting are complex, often with multiple reports of pain of varying etiologies discussed throughout the clinic visit. Providers may limit communication by asking mainly close-ended questions and only exploring patient's pain reports about half the time. This analysis offers insights into areas for improvement in communication patterns related to cancer pain.

Gender Differences in Health Literacy Among Korean Adults

2014 ◽  
Vol 9 (5) ◽  
pp. 370-379 ◽  
Author(s):  
Hee Yun Lee ◽  
Jiwoo Lee ◽  
Nam Keol Kim
Keyword(s):  
Gender Differences ◽  
Health Literacy ◽  
Health Care Providers ◽  
Community Dwelling ◽  
Future Research ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Men And Women ◽  
Korean Adults

The role of gender in determining the level of health literacy in Korean adults is unclear. This study aimed to investigate the level of health literacy in Korean adults and identify factors associated with health literacy by gender. This study employed a cross-sectional survey design with a convenient sample of 585 community-dwelling Korean adults age19 years and older. Health literacy was measured by using eight items selected from Chew et al.’s 16-question self-reported health literacy measure. In accordance with Andersen’s health behavior model, predisposing, enabling, and need factors were included in the multiple regression model. Women indicated a higher level of health literacy than men in understanding medical forms, directions on medication bottles, and written information offered by health care providers. Additionally, for Korean women, a higher level of health literacy was associated with attaining a higher education level and having a consistent place to receive care. Unmarried men and men who had higher self-rated health reported a higher level of health literacy compared with their counterparts. Lower level of depression and higher monthly income were significantly linked to a higher level of health literacy in both men and women. This study has established the importance of gender differences in health literacy and suggests gender-specific intervention may be warranted to reduce the existing gap in health literacy in both Korean men and women. Future research should replicate this study to confirm whether or not our finding is an international phenomenon.

scholarly journals The Correlation between self-efficacy and iron tablets consuming of Pregnant Women in Garut District

2019 ◽  
Vol 8 (2) ◽  
pp. 125-128
Author(s):  
Tantri Puspita ◽  
Peranan Jerayingmongkol ◽  
Boosaba Sanguanprasit
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Self Efficacy ◽  
Secondary Analysis ◽  
Public Health Care ◽  
Care Providers ◽  
Moderate Correlation ◽  
The Relationship ◽  
Self Administered Questionnaire

Maternal health during pregnancy is important not only for the mothers but also for the infant. Anemia status is a condition that may cause a death against pregnant women. Consuming iron tablet lead pregnant women to prevent anemia. The purpose of this study was to identify the relationship between self-efficacy and consuming iron tablet during pregnancy. This study was a secondary analysis from previous study which included 263 pregnant women in the analysis. The pregnant women were in 5 Public Health Care area in Garut District. The Data were collected using self-administered questionnaire. The result revealed that more than 50 %  participant were confident and highly confident of taking iron tablets. Amount 22% of them were always consumed the iron tablet as they daily supplement. There was moderate correlation between self-efficacy and iron tablet consuming of pregnancy women in Garut District (r =407, α< 0,01). Health care providers are recommended to enhance pregnant women iron tablet consuming by improve their self-efficacy. It also can include their family as their motivator of improving self-efficacy to consume iron tablets.  

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