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Lee ML, Wei EX, Kandathil C, Most SP. Telehealth Usage in Otolaryngology: A Comparative Study Pre- and Post-COVID-19. OTO Open 2024; 8:e109. [PMID: 38282795 PMCID: PMC10821753 DOI: 10.1002/oto2.109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2023] [Accepted: 12/31/2023] [Indexed: 01/30/2024] Open
Abstract
The COVID-19 pandemic led to increased telehealth utilization in outpatient otolaryngology settings. While other studies on telehealth usage in otolaryngology settings have focused on demographic disparities during the pandemic, none have yet assessed how these demographic disparities have evolved from before versus after the pandemic. This study examines 4 recent consecutive years of demographic and clinical data from a large hospital system to investigate how the COVID-19 pandemic has changed demographic patterns in telehealth utilization. We demonstrate substantial increases in the number of otolaryngology patients participating in telehealth since the beginning of the COVID-19 pandemic but with no differences in patient distributions by race or ethnicity over time. We also found that telehealth patients, on average, were younger, more likely to be English-speaking, and more likely to be female. While these disparities widened slightly after the start of the pandemic, they were also present prior to the pandemic.
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Affiliation(s)
- Max L. Lee
- Department of Otolaryngology–Head and Neck SurgeryStanford Health CarePalo AltoCaliforniaUSA
| | - Eric X. Wei
- Department of Otolaryngology–Head and Neck SurgeryStanford Health CarePalo AltoCaliforniaUSA
| | - Cherian Kandathil
- Department of Otolaryngology–Head and Neck SurgeryStanford Health CarePalo AltoCaliforniaUSA
| | - Sam P. Most
- Department of Otolaryngology–Head and Neck SurgeryStanford Health CarePalo AltoCaliforniaUSA
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Eapen DJ, Tsusaki RB, Mullassery DG, Goolsby C, Lee K, Wardell DW. A Systematic Review of Women's Experiences of Interpersonal Violence During the COVID-19 Pandemic. Nurs Womens Health 2023; 27:435-447. [PMID: 37866396 DOI: 10.1016/j.nwh.2023.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 07/03/2023] [Accepted: 09/21/2023] [Indexed: 10/24/2023]
Abstract
OBJECTIVE To explore and synthesize women's experiences of interpersonal violence during the COVID-19 pandemic. DATA SOURCES The MEDLINE, Ovid, Embase, Cochrane, Web of Science, and CINAHL databases were searched to identify articles published between December 2019 and November 2022. STUDY SELECTION Seventeen peer-reviewed studies were included, for a total of 2,046 women. DATA EXTRACTION Data were extracted using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. DATA SYNTHESIS COVID-19 brought many challenges for women experiencing interpersonal violence. Women reported worsening of abuse during the pandemic. The pandemic led to severe economic challenges, which eventually precipitated more abuse. Additionally, women experienced mental health distress from social isolation and increased surveillance and control from their abusive partners. Several factors affected their ability to access health care and support services; these included limited availability of services, fear of contracting the virus, and an abusive partner who restricted their movement outside the home. CONCLUSION The pandemic presented multiple challenges and additional stressors for women who experienced interpersonal violence during pandemic-related restrictions on services, gatherings, and work and school outside of the home. The findings from this review signify the need to raise public awareness about violence against women and to plan for coordinated efforts to decrease violence against women and address victims' needs in the event of future pandemics or other public health emergencies.
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He L, Li ST, Qin MX, Yan Y, La YY, Cao X, Cai YT, Wang YX, Liu J, Wu DH, Feng Q. Unsupervised clustering analysis of comprehensive health status and its influencing factors on women of childbearing age: a cross-sectional study from a province in central China. BMC Public Health 2023; 23:2206. [PMID: 37946124 PMCID: PMC10634171 DOI: 10.1186/s12889-023-17096-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 10/29/2023] [Indexed: 11/12/2023] Open
Abstract
BACKGROUND Most previous studies on women of childbearing age have focused on reproductive health and fertility intentions, and evidence regarding the comprehensive health status of women of childbearing age is limited. This study aimed to comprehensively examine the health status of women of childbearing age through a multi-method and multi-indicator evaluation, analyze the factors that influence their overall health, and provide sound recommendations for the improvement and promotion of healthy behaviors. METHODS Data on women of childbearing age living in Shanxi Province were collected between September 2021 and January 2022 through online and offline surveys. The k-means algorithm was used to assess health-related patterns in women, and multivariate nonconditional logistic regression was used to assess the influencing factors of women's overall health. RESULTS In total, 1,258 of 2,925 (43%) participants were classified as having a good health status in all five domains of the three health dimensions: quality of life, mental health, and illness. Multivariate logistic regression showed that education level, gynecological examination status, health status of family members, access to medical treatment, age, cooking preferences, diet, social support, hand washing habits, attitude toward breast cancer prevention, and awareness of reproductive health were significantly associated with different health patterns. CONCLUSIONS The comprehensive health status of women of childbearing age in Shanxi Province is generally good; however, a large proportion of women with deficiencies in some dimensions remains. Since lifestyle greatly impacts women's health, health education on lifestyle and health-related issues should be strengthened.
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Affiliation(s)
- Lu He
- Department of Social Medicine, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, 030001, People's Republic of China.
- Ministry of Education, Key Laboratory of Coal Environmental Pathopoiesis and Control at Shanxi Medial University, Taiyuan, Shanxi, 030001, People's Republic of China.
| | - Si-Tian Li
- Department of Social Medicine, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, 030001, People's Republic of China
| | - Meng-Xia Qin
- Department of Social Medicine, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, 030001, People's Republic of China
| | - Yan Yan
- Department of Contingency Management, Shanxi Provincial People's Hospital, Taiyuan, Shanxi, 030001, People's Republic of China
| | - Yuan-Yuan La
- School of Social Development and Public Policy, Beijing Normal University, Beijing, 100000, People's Republic of China
| | - Xi Cao
- Department of Social Medicine, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, 030001, People's Republic of China
| | - Yu-Tong Cai
- Department of Social Medicine, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, 030001, People's Republic of China
| | - Yu-Xiao Wang
- Department of Health Economics, School of Management, Shanxi Medical University, Taiyuan, Shanxi, 030001, People's Republic of China
| | - Jie Liu
- Department of Social Medicine, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, 030001, People's Republic of China
| | - Da-Hong Wu
- Department of Social Medicine, School of Public Health, Shanxi Medical University, Taiyuan, Shanxi, 030001, People's Republic of China
| | - Qilong Feng
- Department of Physiology, Key Laboratory of Cellular Physiology, Ministry of Education, Shanxi Medical University, Taiyuan, Shanxi, 030001, People's Republic of China.
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Woodward KF, Willgerodt M, Walsh E, Johnson S, Herting J. COVID-19 Related Job Outcomes for Nurses of Color in the United States. West J Nurs Res 2023; 45:726-734. [PMID: 37322879 PMCID: PMC10273051 DOI: 10.1177/01939459231182200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
The purpose of this study was to examine factors associated with negative job outcomes for nurses during the initial phase of the COVID-19 pandemic, with a focus on nurses of color. The study used data from 3,782 nurses in the Current Population Survey to examine the relationship between nurse characteristics and COVID-19-related inability to work or look for work during May through December 2020. The analysis showed that race and gender did not significantly impact nurses' job outcomes. The odds of a negative impact were increased by age (1.5% per year, p < .05), having a child in the home (43%, p < .01), having no spouse present (36%, p < .01), and working in an outpatient role (48%, p < .001). While race alone was not linked to negative outcomes, nurses of color had higher rates of other factors that were associated with negative outcomes, indicating a need for a more nuanced examination of their work and life contexts and job outcomes throughout the pandemic.
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Affiliation(s)
- Kyla F. Woodward
- Child, Family, and Population Health Nursing, University of Washington, Seattle, WA, USA
| | - Mayumi Willgerodt
- Child, Family, and Population Health Nursing, University of Washington, Seattle, WA, USA
| | - Elaine Walsh
- Child, Family, and Population Health Nursing, University of Washington, Seattle, WA, USA
| | - Susan Johnson
- Nursing and Healthcare Leadership, University of Washington, Tacoma, WA, USA
| | - Jerald Herting
- Department of Sociology, University of Washington, Seattle, WA, USA
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