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Kohli K, Jain B, Dee EC. Crossing Borders: Improving Mental Health Outcomes in Asian American Immigrants With Cancer. JCO Oncol Pract 2023; 19:234-237. [PMID: 36821806 DOI: 10.1200/op.22.00740] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Affiliation(s)
| | - Bhav Jain
- Massachusetts Institute of Technology, Cambridge, MA
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2
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Xu Y, Chen F, Mirza M, Magaña S. Culturally adapting a parent psychoeducational intervention for Chinese immigrant families of young children with autism spectrum disorder. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2022. [DOI: 10.1111/jppi.12432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Yue Xu
- Department of Health Sciences Education University of Illinois College of Medicine Rockford Illinois USA
| | - Feifei Chen
- Illinois Leadership Education in Neurodevelopmental Disorder Fellow Chicago Illinois USA
| | - Mansha Mirza
- Department of Disability and Human Development University of Illinois at Chicago Chicago Illinois USA
- Department of Occupational Therapy University of Illinois at Chicago Chicago Illinois USA
| | - Sandy Magaña
- Steve Hicks School of Social work University of Texas at Austin Austin Texas USA
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3
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Wong JA, Yi SS, Kwon SC, Islam NS, Trinh-Shevrin C, Đoàn LN. COVID-19 and Asian Americans: Reinforcing the Role of Community-Based Organizations in Providing Culturally and Linguistically Centered Care. Health Equity 2022; 6:278-290. [PMID: 35402769 PMCID: PMC8985534 DOI: 10.1089/heq.2021.0124] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/10/2022] [Indexed: 11/12/2022] Open
Abstract
Introduction Methods Results Discussion Conclusion
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Affiliation(s)
- Jennifer A. Wong
- Department of Population Health, Section for Health Equity, NYU Grossman School of Medicine, New York, New York, USA
| | - Stella S. Yi
- Department of Population Health, Section for Health Equity, NYU Grossman School of Medicine, New York, New York, USA
| | - Simona C. Kwon
- Department of Population Health, Section for Health Equity, NYU Grossman School of Medicine, New York, New York, USA
| | - Nadia S. Islam
- Department of Population Health, Section for Health Equity, NYU Grossman School of Medicine, New York, New York, USA
| | - Chau Trinh-Shevrin
- Department of Population Health, Section for Health Equity, NYU Grossman School of Medicine, New York, New York, USA
| | - Lan N. Đoàn
- Department of Population Health, Section for Health Equity, NYU Grossman School of Medicine, New York, New York, USA
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4
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Kormendi NM, Brown AD. Asian American mental health during COVID-19: A call for task-sharing interventions. SSM - MENTAL HEALTH 2021; 1:100006. [PMID: 34494013 PMCID: PMC8413682 DOI: 10.1016/j.ssmmh.2021.100006] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2021] [Revised: 06/12/2021] [Accepted: 06/12/2021] [Indexed: 12/05/2022] Open
Abstract
In the age of COVID-19, the Asian American community is facing a number of unique risks and barriers to mental health care. Mounting challenges—including language barriers, unemployment, racialized trauma, and anti-Asian violence—threaten the health and wellness of these communities. Yet, structural obstacles prevent Asian Americans from accessing care within the professionalized behavioral health workforce. Leveraging the resources of Asian American peer networks, collectives, and community-based organizations through a task-sharing program presents an attractive alternative for mental health care provision. Investing in task-sharing approaches to care would both address access barriers and build capacity within the Asian American community.
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Affiliation(s)
- Nicole Misun Kormendi
- Apicha Community Health Center, 400 Broadway, New York, NY, USA, 10013.,Vassar College, 124 Raymond Ave, Poughkeepsie, NY, USA, 12604
| | - Adam D Brown
- Department of Psychology, New School for Social Research, 80 5th Avenue, 601, New York, NY, USA, 10011.,Department of Psychiatry, New York University School of Medicine, 1 Park Avenue, New York, NY, USA, 10016
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5
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Punna M, Lappalainen R, Kettunen T, Lappalainen P, Muotka J, Kaipainen K, Villberg J, Kasila K. Can peer-tutored psychological flexibility training facilitate physical activity among adults with overweight? JOURNAL OF CONTEXTUAL BEHAVIORAL SCIENCE 2021. [DOI: 10.1016/j.jcbs.2021.04.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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6
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Goss CW, Richardson WJ, Shore JH. Outcomes and Lessons Learned from the Tribal Veterans Representative Program: A Model for System Engagement. J Community Health 2019; 44:1076-1085. [PMID: 31227961 DOI: 10.1007/s10900-019-00683-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
American Indian and Alaska Native Veterans are more rural than Veterans of any other race or ethnicity and face significant barriers to accessing care. Since 2001, the Tribal Veterans Representative (TVR) Program, a partnership between the U.S. Department of Veterans Affairs (VA) and tribal nations, has trained liaisons from tribal communities to facilitate access to VA benefits and services. We delineate the TVR program model alongside supporting data. We reviewed TVR training materials and program evaluations to identify components of the program essential for increasing access to VA services and benefits. We then report a quantitative assessment of benefits attained in one tribal community. The TVR model is characterized by the exchange of two sets of knowledge and resources-'institutional' and 'community'-during a co-sponsored educational program aiming to train community liaisons about the institution. The institution leads the program's content; the community's traditions inform its process. Following the program, liaisons use support networks comprising trainers, trainees and local organizations to teach other community members to access health care and benefits. In the evaluation community, one liaison has facilitated access for hundreds of Veterans, with financial compensation exceeding $400,000 annually. The TVR program has begun to demonstrate its utility for other rural populations, though further formal evaluation is recommended. Compared with similar models to increase rural populations' access to health care and benefits, the long-term support networks from the TVR model may be most useful when the institution must build trust and engage with the target population.
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Affiliation(s)
- Cynthia W Goss
- U.S. Department of Veterans Affairs (VA) Office of Rural Health's (ORH), Veterans Rural Health Resource Center in Salt Lake City, Salt Lake City, Utah, USA.
- Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Nighthorse Campbell Native Health Building, 13055 E. 17th Avenue, Mail Stop F800, Aurora, Colorado, 80045, USA.
| | - W J Richardson
- U.S. Department of Veterans Affairs (VA), Veterans Affairs Rocky Mountain Healthcare Network (VISN 19), Fort Harrison, Montana, USA
| | - Jay H Shore
- U.S. Department of Veterans Affairs (VA) Office of Rural Health's (ORH), Veterans Rural Health Resource Center in Salt Lake City, Salt Lake City, Utah, USA
- Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Nighthorse Campbell Native Health Building, 13055 E. 17th Avenue, Mail Stop F800, Aurora, Colorado, 80045, USA
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7
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McCalman J, Campbell S, Jongen C, Langham E, Pearson K, Fagan R, Martin-Sardesai A, Bainbridge R. Working well: a systematic scoping review of the Indigenous primary healthcare workforce development literature. BMC Health Serv Res 2019; 19:767. [PMID: 31665011 PMCID: PMC6819619 DOI: 10.1186/s12913-019-4580-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Accepted: 10/09/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Strong and effective workforce models are essential for improving comprehensive Indigenous primary healthcare service (PHC) provision to Indigenous peoples in Canada, Australia, New Zealand and the USA (CANZUS nations). This review systematically scoped the literature for studies that described or evaluated models and systems that support the sustainability, capacity or growth of the Indigenous PHC workforce to provide effective PHC provision. METHODS Eleven databases, 10 websites and clearinghouses, and the reference lists of 5 review articles were searched for relevant studies from CANZUS nations published in English from 2000 to 2017. A process of thematic analysis was utilised to identify key conditions, strategies and outcomes of Indigenous PHC workforce development reported in the literature. RESULTS Overall, 28 studies were found. Studies reported enabling conditions for workforce development as government funding and appropriate regulation, support and advocacy by professional organisations; community engagement; PHC leadership, supervision and support; and practitioner Indigeneity, motivation, power equality and wellbeing. Strategies focused on enhancing recruitment and retention; strengthening roles, capacity and teamwork; and improving supervision, mentoring and support. Only 12/28 studies were evaluations, and these studies were generally of weak quality. These studies reported impacts of improved workforce sustainability, workforce capacity, resourcing/growth and healthcare performance improvements. CONCLUSIONS PHCs can strengthen their workforce models by bringing together healthcare providers to consider how these strategies and enabling conditions can be improved to meet the healthcare and health needs of the local community. Improvement is also needed in the quality of evidence relating to particular strategies to guide practice.
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Affiliation(s)
| | | | | | - Erika Langham
- Central Queensland University, QLD, Cairns, Australia
| | | | - Ruth Fagan
- Central Queensland University, QLD, Cairns, Australia
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8
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Punna M, Kettunen T, Bagnall AM, Kasila K. Implementation and Outcomes of Lay Health Worker-Led Self-Management Interventions for Long-Term Conditions and Prevention: A Systematic Review. HEALTH EDUCATION & BEHAVIOR 2019; 46:1045-1072. [PMID: 31387404 DOI: 10.1177/1090198119863842] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The aim of this study was to systematically review lay health worker (LHW)-led self-management interventions for adults with long-term conditions to see how the interventions have been implemented and to compose a synthesis of research findings, taking into consideration the intervention components that have been applied. We conducted systematic searches for articles published between January 2010 and December 2015 in five databases: Cochrane, MEDLINE, CINAHL, PsycINFO, and Web of Science. Forty original studies were found that met the inclusion criteria: self-management with diabetes (n = 29), cardiovascular diseases (n = 8), and those at risk of cardiovascular diseases (n = 3). These consisted of 22 randomized controlled trials and 18 other trials, with durations of 1 day to 24 months. The findings showed that the training of LHWs and the implementation of interventions varied widely. A synthesis of the implementation methods covers the background of the LHWs and the interventions as well as the components applied in each. Eight interventions had effects on physical activity and eight on nutrition behavior. The review also includes preliminary findings on intervention components effective in improving physical activity and nutrition behavior, including self-monitoring as a behavior change technique and group meetings as an intervention format. The same components and behavior change techniques were applied in effective and noneffective interventions. The review found that LHW-led interventions have potential in promoting self-management in long-term condition. In the future, a qualified and evidence-based structure for LHW-led interventions is suggested in order to improve the systematization of interventions and their effects.
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Affiliation(s)
- Mari Punna
- University of Jyvaskyla, Jyvaskyla, Finland.,JAMK University of Applied Sciences, Jyvaskyla, Finland
| | - Tarja Kettunen
- University of Jyvaskyla, Jyvaskyla, Finland.,Central Finland's Health Care District, Finland
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9
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Kwon SC, Kranick JA, Bougrab N, Pan J, Williams R, Perez-Perez GI, Trinh-Shevrin C. Development and Assessment of a Helicobacter pylori Medication Adherence and Stomach Cancer Prevention Curriculum for a Chinese American Immigrant Population. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2019; 34:519-525. [PMID: 29460136 PMCID: PMC6098981 DOI: 10.1007/s13187-018-1333-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Chinese American immigrants are at increased risk for Helicobacter pylori infection and stomach cancer. Despite their increased risk, very few prevention strategies exist which target this vulnerable population. The purpose of this article is to present the stakeholder engaged development, review, assessment, refinement, and finalization of a H. pylori treatment adherence and stomach cancer prevention curriculum specifically designed to engage vulnerable, limited English proficient Chinese Americans in New York City.
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Affiliation(s)
- Simona C Kwon
- Department of Population Health, NYU School of Medicine, 550 First Avenue, VZN, 8th Floor, New York, NY, 10016-6481, USA.
| | - Julie A Kranick
- Department of Population Health, NYU School of Medicine, 550 First Avenue, VZN, 8th Floor, New York, NY, 10016-6481, USA
| | - Nassira Bougrab
- Department of Population Health, NYU School of Medicine, 550 First Avenue, VZN, 8th Floor, New York, NY, 10016-6481, USA
| | - Janet Pan
- Department of Population Health, NYU School of Medicine, 550 First Avenue, VZN, 8th Floor, New York, NY, 10016-6481, USA
| | - Renee Williams
- Department of Medicine, NYU School of Medicine, 550 First Avenue, New York, NY, USA
| | - Guillermo Ignacio Perez-Perez
- Department of Medicine (Translational Medicine) and Microbiology, NYU School of Medicine, 550 First Avenue, New York, NY, USA
| | - Chau Trinh-Shevrin
- Department of Population Health, NYU School of Medicine, 550 First Avenue, VZN, 8th Floor, New York, NY, 10016-6481, USA
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10
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Stupplebeen DA, Sentell TL, Pirkle CM, Juan B, Barnett-Sherrill AT, Humphry JW, Yoshimura SR, Kiernan J, Hartz CP, Keliikoa LB. Community Health Workers in Action: Community-Clinical Linkages for Diabetes Prevention and Hypertension Management at 3 Community Health Centers. HAWAI'I JOURNAL OF MEDICINE & PUBLIC HEALTH : A JOURNAL OF ASIA PACIFIC MEDICINE & PUBLIC HEALTH 2019; 78:15-22. [PMID: 31285963 PMCID: PMC6603891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
In 2014, the Hawai'i State Department of Health (HDOH) received funding from the Centers for Disease Control and Prevention (CDC), via the 1422 Cooperative Agreement, to conduct diabetes prevention and hypertension management. To implement one grant-required strategy-the engagement of community health workers (CHWs) to promote community-clinical linkages-the HDOH partnered with the Hawai'i Primary Care Association and 9 federally qualified health centers (FQHCs). This qualitative evaluation case study sought to understand how 3 of the funded FQHCs engaged CHWs, the types of community-clinical linkages the CHWs promoted, and the facilitators of and barriers to those linkages. Evaluators conducted 2 semi-structured group interviews with 6 administrators/clinicians and 7 CHWs in April 2018. The transcribed interviews were deductively and inductively analyzed to identify major themes. First, CHWs made multiple internal and external linkages using resources provided by the grant as well as other resources. Second, CHWs faced barriers in making community-clinical linkages due to individual patient, geographic, and economic constraints. Third, CHWs have unmet professional needs related to building community-clinical linkages including professional development, networking, and burnout. Reimbursement and payment mechanisms are an all-encompassing challenge to the sustainability of CHW positions, as disease-specific funding and a complete lack of reimbursement structures make CHW positions unstable. Thus, CHWs fulfill a number of grant-specific roles at FQHCs due to this patchwork of funding sources, and this relates to CHWs' experiences of burnout. Policy implications of this study include funding and reimbursement stabilization so FQHCs may consistently engage and support the CHW workforce to meet their patients' complex, diverse needs. More professional development opportunities for CHWs are necessary to build sustainable networks of resources.
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Affiliation(s)
- David A Stupplebeen
- Office of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, HI (DAS, TLS, CMP, LBK)
| | - Tetine L Sentell
- Office of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, HI (DAS, TLS, CMP, LBK)
| | - Catherine M Pirkle
- Office of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, HI (DAS, TLS, CMP, LBK)
| | - Bryan Juan
- Hawai'i Primary Care Association, Honolulu, HI (BJ)
| | - Alexis T Barnett-Sherrill
- Chronic Disease Prevention & Health Promotion Division, Hawai'i State Department of Health, Kapolei, HI (ATB-S)
| | | | | | - Jasmin Kiernan
- West Hawai'i Community Health Center, Kailua-Kona, HI (JK, CPH)
| | - Claudia P Hartz
- West Hawai'i Community Health Center, Kailua-Kona, HI (JK, CPH)
| | - L Brooke Keliikoa
- Office of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, HI (DAS, TLS, CMP, LBK)
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11
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Lim S, Wyatt LC, Chauhan H, Zanowiak JM, Kavathe R, Singh H, Kwon SC, Trin-Shevrin C, Islam NS. A Culturally Adapted Diabetes Prevention Intervention in the New York City Sikh Asian Indian Community Leads to Improvements in Health Behaviors and Outcomes. HEALTH BEHAVIOR RESEARCH 2019; 2:4. [PMID: 31807731 PMCID: PMC6894424 DOI: 10.4148/2572-1836.1027] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
INTRODUCTION Sikh Asian Indians are an underserved, minority group demonstrating high rates of diabetes. Community health workers (CHWs) are effective in addressing health disparities by reaching socially and linguistically isolated populations. There are no culturally-adapted programs for diabetes prevention among Sikh Asian Indians, thus, this study tests the efficacy of a culturally-tailored CHW intervention to improve diabetes prevention-related outcomes among Sikh Asian Indians at-risk for diabetes. METHODS A quasi-experimental two-arm intervention among Sikh Asian Indian adults at-risk for diabetes and living in New York City (n=160) was conducted in 2013-2014. The treatment group received six monthly CHW group education sessions and ten follow-up phone calls; the control group received the first session. Main outcomes included weight, body mass index (BMI), blood pressure (BP), physical activity (PA), diet, and health self-efficacy. RESULTS Positive and significant changes in weight, BMI, and diabetes prevention-related indicators were seen among both study groups. However, only treatment group participants showed significant changes over time for weight, BMI, PA self-efficacy, and health-related self-efficacy. Significant between-group differences were seen in adjusted analyses for weight, BMI, systolic BP, total weekly PA, PA self-efficacy, PA social interaction, portion control, barriers to healthy eating, and health self-efficacy. At 6-months, treatment participants were more likely to lose ≥5% and ≥7% of their weight compared to control participants (p=0.071, and p=0.015, respectively). CONCLUSIONS Findings demonstrate that a culturally-adapted CHW diabetes prevention program in the Sikh community is efficacious, adding to the growing literature on CHWs' capacity to address health inequity among underserved populations.
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Felix H, Rowland B, Long CR, Narcisse MR, Piel M, Goulden PA, McElfish PA. Diabetes Self-Care Behaviors Among Marshallese Adults Living in the United States. J Immigr Minor Health 2018; 20:1500-1507. [PMID: 29243017 DOI: 10.1007/s10903-017-0683-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Marshallese experience high rates of type 2 diabetes. Proper management of diabetes requires multiple self-care behaviors, yet little is known about Marshallese's diabetes-related self-care behaviors. Survey data from 111 Marshallese adults with diabetes were used to examine relationships between self-care behaviors and socio-demographic characteristics. The most common self-care behavior was attending annual doctor visits, while the least common was maintaining a normal weight. Age group, education level, and having a regular doctor were significantly associated with engaging in self-care behaviors. Having a regular doctor had the most effect on performing self-care behaviors (p = 0.006); although, only 38.7% reported having a regular doctor. To minimize diabetes-related complications, efforts to improve self-care behaviors among the Marshallese should be developed. Alternatives to traditional healthcare providers, such as community health workers, may be a viable strategy with this population given only one-third reported having a regular doctor.
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Affiliation(s)
- Holly Felix
- Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Brett Rowland
- Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA
| | - Christopher R Long
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA
| | - Marie-Rachelle Narcisse
- Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA
| | - Michelle Piel
- College of Pharmacy, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA
| | - Peter A Goulden
- College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Pearl A McElfish
- College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA.
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13
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Narcisse MR, Felix H, Long CR, Hudson T, Payakachat N, Bursac Z, McElfish PA. Frequency and predictors of health services use by Native Hawaiians and Pacific Islanders: evidence from the U.S. National Health Interview Survey. BMC Health Serv Res 2018; 18:575. [PMID: 30031403 PMCID: PMC6054839 DOI: 10.1186/s12913-018-3368-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2018] [Accepted: 07/08/2018] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND Native Hawaiians and Pacific Islanders (NHPIs) are one of the fasting growing racial groups in the United States (US). NHPIs have a significantly higher disease burden than the US population as a whole, yet they remain underrepresented in research. The purpose of this study is to examine factors associated with health care utilization among NHPIs. METHODS Drawing from the 2014 NHPI-National Health Interview Survey, we used stereotype logistic regressions to examine utilization of emergency department (ED) and outpatient services among 2172 individuals aged 18 and older. RESULTS NHPIs with chronic diseases were twice as likely to be multiple ED users and nearly four times as likely to be frequent-users of outpatient services. Social support played a protective role in preventing multiple use of ED. Having a usual source of care made it more than eight times as likely to be a frequent-user of outpatient services. Use of eHealth information increased the odds of using ED and outpatient services. Ability to afford health care increased the odds of using outpatient services. There was no association between health insurance coverage and use of ED and outpatient services among NHPIs. CONCLUSIONS This research provides the first available national estimates of health services use by NHPIs. Efforts to improve appropriate use of health services should consider leveraging the protective factors of social support to reduce the odds of frequent ED use, and having a usual source of care to increase use of outpatient services.
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Affiliation(s)
- Marie-Rachelle Narcisse
- Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, 1125 North College Ave, Fayetteville, AR 72703 USA
| | - Holly Felix
- Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham St, Little Rock, AR 72205 USA
| | - Christopher R. Long
- Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, 1125 North College Ave, Fayetteville, AR 72703 USA
| | - Teresa Hudson
- Division of Health Services Research, University of Arkansas for Medical Sciences, 4301 West Markham St, Little Rock, AR 72205 USA
| | - Nalin Payakachat
- Division of Pharmaceutical Evaluation and Policy, University of Arkansas for Medical Sciences, 4301 West Markham St, Little Rock, AR 72205 USA
| | - Zoran Bursac
- Division of Biostatistics, University of Tennessee Health Science Center, 910 Madison Ave, Memphis, TN 38163 USA
| | - Pearl A. McElfish
- Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, 1125 North College Ave, Fayetteville, AR 72703 USA
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14
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Bellhouse S, McWilliams L, Firth J, Yorke J, French DP. Are community-based health worker interventions an effective approach for early diagnosis of cancer? A systematic review and meta-analysis. Psychooncology 2017; 27:1089-1099. [DOI: 10.1002/pon.4575] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Revised: 10/16/2017] [Accepted: 10/17/2017] [Indexed: 01/31/2023]
Affiliation(s)
- Sarah Bellhouse
- Christie Patient Centred Research Group, School of Oncology; The Christie NHS Foundation Trust; UK
| | - Lorna McWilliams
- Christie Patient Centred Research Group, School of Oncology; The Christie NHS Foundation Trust; UK
| | - Joseph Firth
- Division of Psychology and Mental Health, School of Health Sciences; University of Manchester; UK
- NICM, School of Science and Health; University of Western Sydney; Australia
| | - Janelle Yorke
- Christie Patient Centred Research Group, School of Oncology; The Christie NHS Foundation Trust; UK
- Division of Nursing, Midwifery and Social Work, School of Health Sciences; University of Manchester; UK
| | - David P. French
- Manchester Centre for Health Psychology, School of Health Sciences; University of Manchester; UK
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15
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Vedio A, Liu EZH, Lee ACK, Salway S. Improving access to health care for chronic hepatitis B among migrant Chinese populations: A systematic mixed methods review of barriers and enablers. J Viral Hepat 2017; 24:526-540. [PMID: 28092419 PMCID: PMC5516707 DOI: 10.1111/jvh.12673] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2016] [Accepted: 12/22/2016] [Indexed: 12/26/2022]
Abstract
Migrant Chinese populations in Western countries have a high prevalence of chronic hepatitis B but often experience poor access to health care and late diagnosis. This systematic review aimed to identify obstacles and supports to timely and appropriate health service use among these populations. Systematic searches resulted in 48 relevant studies published between 1996 and 2015. Data extraction and synthesis were informed by models of healthcare access that highlight the interplay of patient, provider and health system factors. There was strong consistent evidence of low levels of knowledge among patients and community members; but interventions that were primarily focused on increasing knowledge had only modest positive effects on testing and/or vaccination. There was strong consistent evidence that Chinese migrants tend to misunderstand the need for health care for hepatitis B and have low satisfaction with services. Stigma was consistently associated with hepatitis B, and there was weak but consistent evidence of stigma acting as a barrier to care. However, available evidence on the effects of providing culturally appropriate services for hepatitis B on increasing uptake is limited. There was strong consistent evidence that health professionals miss opportunities for testing and vaccination. Practitioner education interventions may be important, but evidence of effectiveness is limited. A simple prompt in patient records for primary care physicians improved the uptake of testing, and a dedicated service increased targeted vaccination coverage for newborns. Further development and more rigorous evaluation of more holistic approaches that address patient, provider and system obstacles are needed.
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Affiliation(s)
- A. Vedio
- Department of Infection and Tropical MedicineSheffield Teaching Hospitals NHS Foundation TrustSheffieldUK
- Public HealthSchool of Health and Related ResearchUniversity of SheffieldSheffieldUK
| | - E. Z. H. Liu
- Public HealthSchool of Health and Related ResearchUniversity of SheffieldSheffieldUK
| | - A. C. K. Lee
- Public HealthSchool of Health and Related ResearchUniversity of SheffieldSheffieldUK
| | - S. Salway
- Public HealthSchool of Health and Related ResearchUniversity of SheffieldSheffieldUK
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