Re-revisiting Andersen's Behavioral Model of Health Services Use: a systematic review of studies from 1998-2011.

PubMed, Год журнала: 2012, Номер unknown

Опубликована: Янв. 1, 2012

This systematic review aims to assess the use and implementation of Behavioral Model Health Services Use developed by Ronald M. Andersen in recent studies explicity using this model.A search was conducted PubMed April 2011. The strategy aimed identify all articles which model had been applied published between 1998 March 2011 English or German. yielded a total 328 articles. Two researchers independently reviewed retrieved for possible inclusion three-step selection process (1. title/author, 2. abstract, 3. full text) with pre-defined exclusion criteria each step. 16 met were used analysis. A data extraction form collect information from on 17 categories including author, title, population description, aim study, methodological approach, model, version, main results. collected collated into six are presented accordingly.Andersen's (BM) has extensively investigating health services. identified showed that several areas care system relation very different diseases. 1995 version BM most frequently studies. However, substantial differences variables used. majority included age (N=15), marital status (N=13), gender/sex (N=12), education (N=11), ethnicity (N=10) as predisposing factors income/financial situation (N=10), insurance (N=9), having usual source care/family doctor (N=9) enabling factors. As need factors, evaluated (N=13) self-reported/perceived well wide variety Although associations found examined utilization care, there lack consistency these findings. context characteristics study populations seemed have strong impact existence, strength direction associations.Although explicitly employed theoretical background studies, their operationalizations revealed only small common set huge variations way categorized, especially it concerns may stem secondary sets limited available study. Primary urgently needed enrich our understanding complexity processes shown BM.

Язык: Английский

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Disparities in the use of telehealth at the onset of the COVID-19 public health emergency

Journal of Telemedicine and Telecare, Год журнала: 2020, Номер 29(1), С. 3 - 9

Опубликована: Окт. 21, 2020

The coronavirus disease 2019 (COVID-19) pandemic resulted in an unprecedented expansion telehealth, but little is known about differential use of telehealth according to demographics, rurality, or insurance status.We performed a cross-sectional analysis 7742 family medicine encounters at single USA institution the initial month COVID-19 public health emergency (PHE). We compared demographics those using during PHE with face-to-face visits same time period; we also full audio-video audio-only.The likelihood any visit first 30 days was higher for women, age 65 years and older, self-pay patients, Medicaid Medicare as primary payers. reduced rural residence Black other races. Among all visits, patients who were Black, from urban areas, self-pay, Medicaid, payer status.Significant disparities exist by age, race, payer.

Язык: Английский

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Healthcare avoidance due to anticipated discrimination among transgender people: A call to create trans-affirmative environments

SSM - Population Health, Год журнала: 2020, Номер 11, С. 100608 - 100608

Опубликована: Май 28, 2020

Transgender people encounter interpersonal and structural barriers to healthcare access that contribute their postponement or avoidance of healthcare, which can lead poor physical mental health outcomes. Using the 2015 U.S. Survey, this study examined due anticipated discrimination among transgender adults aged 25 64 (N = 19,157). Multivariable logistic regression analysis was conducted test whether gender identity/expression, socio-demographic, transgender-specific factors were associated with avoidance. Almost one-quarter sample (22.8%) avoided discrimination. men had increased odds (AOR 1.32, 95% CI 1.21-1.45) relative women. Living in poverty 1.52, 1.40-1.65) visual non-conformity 1.48, 1.33-1.66) significant risk factors. Having insurance 0.87, 0.79-0.96) disclosure identity 0.77, 0.68-0.87) protective against A interaction identity/expression found; having moderated association between Providers should consider differences, improve accessibility services communities. multi-level multi-faceted approach be used create safe, trans-affirmative environments systems.

Язык: Английский

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A systematic review of sociodemographic reporting and representation in eating disorder psychotherapy treatment trials in the United States

International Journal of Eating Disorders, Год журнала: 2022, Номер 55(4), С. 423 - 454

Опубликована: Март 14, 2022

Abstract Objective Eating disorders (EDs) were once conceptualized as primarily affecting affluent, White women, a misconception that informed research and practice for many years. Abundant evidence now discredits this stereotype, but it is unclear if prevailing “evidence‐based” treatments have been evaluated in samples representative of the diversity individuals affected by EDs. Our goal was to evaluate reporting, inclusion, analysis sociodemographic variables ED psychotherapeutic treatment randomized controlled trials (RCTs) US through 2020. Methods We conducted systematic review RCTs examined reporting inclusion gender identity, age, race/ethnicity, sexual orientation, socioeconomic status (SES) enrolled participants, well recruitment methods, power analyses, discussion limitations generalizability. Results search yielded 58 studies meeting criteria dating back 1985. Reporting at times incomplete, absent, or centered on racial/gender majority group. No reported diverse men people color underrepresented generally, with differences noted across diagnoses. A minority papers considered analyses acknowledged related sample characteristics. Some progress made decades, increasingly providing full racial ethnic data, more included over time. Although improved somewhat, appeared stall last decade. Discussion summarize findings, consider context challenges RCT researchers, offer suggestions journal editors, reviewers improving representation, analytic practices. Public Significance Randomized eating disorder are race/ethnicity information SES inconsistent orientation absent. women still comprise overwhelming few color, no gender‐diverse individuals. Findings underscore need improve increase representation ensure evidence‐based effective within groups.

Язык: Английский

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“Macho Men” and Preventive Health Care

Journal of Health and Social Behavior, Год журнала: 2011, Номер 52(2), С. 212 - 227

Опубликована: Апрель 13, 2011

The gender paradox in mortality—where men die earlier than women despite having more socioeconomic resources—may be partly explained by men’s lower levels of preventive health care. Stereotypical notions masculinity reduce care; however, the relationship between masculinity, status (SES), and care is unknown. Using Wisconsin Longitudinal Study, authors conduct a population-based assessment beliefs care, including whether these relationships vary SES. results show that with strong are half as likely moderate to receive Furthermore, contrast well-established SES gradient health, do not benefit from higher education their probability obtaining decreases occupational status, wealth, and/or income increases. Masculinity may partial explanation for life expectancy,

Язык: Английский

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Socioeconomic Status and Cumulative Disadvantage Processes across the Life Course: Implications for Health Outcomes

Canadian Review of Sociology/Revue canadienne de sociologie, Год журнала: 2012, Номер 49(1), С. 50 - 68

Опубликована: Фев. 1, 2012

Étant donné la complexité qui entoure les différentes interactions entre déterminants de santé et le défi que présente description adéquate des processus dynamiques par lesquels ont leurs effets, l'objectif cet article est fournir un aperçu conceptuel démontrera effets condition socio‐économique du désavantage cumulatif pour produire disparités à travers parcours vie. L'idée sous‐jacente notion inégalités d'origine augmenteront vie principalement en raison d'une exposition différentielle aux facteurs risque accès différentiel ressources protection. L'avantage sociologie sa considération premières expériences dans leur contexte social historique comme contingences importantes produisent ces différences systématiques nature gradients santé.

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Difficult binds: A systematic review of facilitators and barriers to treatment among mothers with substance use disorders

Journal of Substance Abuse Treatment, Год журнала: 2021, Номер 126, С. 108341 - 108341

Опубликована: Фев. 27, 2021

Язык: Английский

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Predictors of Age of Diagnosis for Children with Autism Spectrum Disorder: The Role of a Consistent Source of Medical Care, Race, and Condition Severity

Journal of Autism and Developmental Disorders, Год журнала: 2015, Номер 46(1), С. 127 - 138

Опубликована: Авг. 17, 2015

Язык: Английский

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Changes in health care inequity in Brazil between 2008 and 2013

International Journal for Equity in Health, Год журнала: 2016, Номер 15(1)

Опубликована: Сен. 9, 2016

Brazil has made progress towards a more equitable distribution of health care, but gains may be threatened by economic instability resulting from the 2008 global financial crisis. This study measured predictors care utilization and changes in horizontal inequity between 2013. Data were two nationally representative surveys that variety sociodemographic, behaviors indicators. We used Poisson regression models to estimate adjusted prevalence ratios Horizontal Equity Index (HEI) standardized needs measure doctor dentist visits, hospitalizations reporting usual source (USC) for those 18 older. To HEI, we ranked population poorest richest using wealth index. also decomposed HEI into its different components assessed The proportion with visits past year USC increased 2013, while declined. In pro-rich significantly shifted neutral Dentist highly was slightly pro-rich; did not change over time. Health need strong predictor regardless type coverage (public or private). Education, wealth, private plans associated orientation visits. Private contributed all outcomes, Family Strategy pro-poor outcomes. results this support claim Brazil’s continued see absolute access despite recent crises. However, equity have slowed even decline if investments are maintained as country enters deeper political

Язык: Английский

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Explaining Immigrant Health Service Utilization

SAGE Open, Год журнала: 2016, Номер 6(2)

Опубликована: Апрель 1, 2016

Although there is no paucity of theoretical frameworks for explaining people’s health service utilization (HSU), designed to account variations in immigrants’ HSU remain underdeveloped. Building on influential theories or models and especially Andersen’s widely used behavior model, this article proposes a framework disparities immigrant HSU. The proposed explains by the care need, resources, predisposing factors immigrants, macrostructural/contextual conditions at both general immigrant-specific levels, as well mediating relationships among some these factors. It believed that new can offer fuller understanding determination process

Язык: Английский

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