1
|
Li CC, Manella J, Kefi SE, Matthews AK. Does the revised LDCT lung cancer screening guideline bridge the racial disparities gap: Results from the health and retirement study. J Natl Med Assoc 2024; 116:180-188. [PMID: 38245469 DOI: 10.1016/j.jnma.2024.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Revised: 10/17/2023] [Accepted: 01/02/2024] [Indexed: 01/22/2024]
Abstract
PURPOSE This study examined racial/ethnic disparities in lung cancer screening eligibility rates using 2013 US Preventive Services Task Force (USPSTF) guidelines for lung cancer with low-dose computed tomography (LDCT) and the revised 2021 guidelines. METHODS The study utilized a retrospective and cross-sectional research design by analyzing data from the Health and Retirement Study (HRS). N = 2,823 respondents aged 50-80 who self-reported current smoking were included in the analyses. Binary logistic regression analysis was conducted to examine the changed status of LDCT screening eligibility based on the revised 2021 guidelines by race/ethnicity after adjusting for respondent demographics. RESULTS Our study found substantial increases in screening eligibility rates across racial and ethnic groups when comparing the original and revised guidelines. The largest increase was observed among Black people (174%), Hispanics (152%), those in the other category (118%), and Whites who smoke (80.8%). When comparing original screening guidelines to revised guidelines, Whites who smoke had the highest percentage of changes from "not eligible" to "eligible" (28.3%), followed by individuals in the "other" category (28.1%), Black people (23.2%) and Hispanics who smoke (18.3%) (p < 0.001). Binary logistic regression results further showed that Black people who smoke (OR = 0.71, p = 0.001), as well as Hispanics who smoke (OR=0.54, p < 0.001), were less likely to change from not eligible to eligible for screening compared to Whites who smoke after adopting the revised screening guidelines. Based on the absolute differences in screening eligibility rates between Whites and other racial/ethnic groups, the disparities may have widened under the new guidelines, particularly with larger absolute differences observed between Whites, Black people, and Hispanics. CONCLUSIONS Our study highlights racial/ethnic disparities in LDCT screening eligibility among people who currently smoke. While the revised USPSTF guidelines increased screening eligibility for racial and ethnic minorities, they did not eliminate these disparities and may have widened under the new guidelines. Targeted interventions and policies are necessary to address barriers faced by underrepresented populations and promote equitable access to lung cancer screening.
Collapse
Affiliation(s)
- Chien-Ching Li
- Rush University, Department of Health Systems Management, Chicago, Illinois, USA.
| | - Jason Manella
- Endeavor Health, Department of Orthopaedics, Skokie, Illinois, USA
| | - Safa El Kefi
- Columbia University, School of Nursing, Department of Research and Scholarship, New York , NY, USA
| | - Alicia K Matthews
- Columbia University, School of Nursing, Department of Research and Scholarship, New York , NY, USA
| |
Collapse
|
2
|
Santiago-Torres M, Mull KE, Sullivan BM, Matthews AK, Skinta MD, Thrul J, Vogel EA, Bricker JB. Do Smartphone Apps Impact Long-Term Smoking Cessation for Sexual and Gender Minority Adults? Exploratory Results from a 2-Arm Randomized Trial Comparing Acceptance and Commitment Therapy with Standard US Clinical Practice Guidelines. J Homosex 2024:1-22. [PMID: 38305816 DOI: 10.1080/00918369.2024.2309491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/03/2024]
Abstract
Sexual and gender minority (SGM) adults face unique challenges in accessing smoking cessation care due to stigma tied to their identities and smoking. While cessation apps show promise in the general population, their efficacy for SGM adults is unclear. This study utilized data from a randomized trial to compare two cessation apps, iCanQuit (Acceptance and Commitment Therapy-based) and QuitGuide (US Clinical Practice Guidelines-based) among 403 SGM adults. The primary outcome was self-reported complete-case 30-day abstinence from cigarette smoking at 12 months. Mediation analyses explored whether interventions operated through acceptance of cues to smoke and app engagement. At 12 months, quit rates did not differ between arms (26% iCanQuit vs. 22% QuitGuide, OR = 1.22; 95% CI: 0.74 to 2.00, p = .43). iCanQuit positively impacted cessation via acceptance of cues to smoke (indirect effect = 0.23; 95% CI: 0.06 to 0.50, p < .001) and demonstrated higher engagement (no. logins, 28.4 vs. 12.1; p < .001) and satisfaction (91% vs. 75%, OR = 4.18; 95% CI: 2.12 to 8.25, p < .001) than QuitGuide. Although quit rates did not differ between arms, acceptance of cues to smoke seemed to play a crucial role in helping SGM adults quit smoking. Future interventions should consider promoting acceptance of cues to smoke in this population.
Collapse
Affiliation(s)
| | - Kristin E Mull
- Division of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, Washington, USA
| | - Brianna M Sullivan
- Division of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, Washington, USA
| | - Alicia K Matthews
- Department of Population Health Nursing, College of Nursing, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Matthew D Skinta
- Department of Psychology, Roosevelt University, Chicago, Illinois, USA
| | - Johannes Thrul
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins, Baltimore, Maryland, USA
- Department of Mental Health, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins, Baltimore, Maryland, USA
- Centre for Alcohol Policy Research, La Trobe University, Melbourne, Australia
| | - Erin A Vogel
- TSET Health Promotion Research Center, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
| | - Jonathan B Bricker
- Division of Public Health Sciences, Fred Hutchinson Cancer Center, Seattle, Washington, USA
- Department of Psychology, University of Washington, Seattle, Washington, USA
| |
Collapse
|
3
|
Singer RB, Barrow J, Johnson AK, Zemlak J, Crooks N, Abboud S, Bruce D, Green N, Stamps J, Neely J, Sherman SG, Patil CL, Matthews AK. Centering PrEP: utilizing ADAPT-ITT to inform group PrEP care for sex workers in Chicago. BMC Public Health 2024; 24:56. [PMID: 38166881 PMCID: PMC10762989 DOI: 10.1186/s12889-023-17508-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Accepted: 12/16/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND Sex workers, those who trade sex for monetary or nonmonetary items, experience high rates of HIV transmission but have not been adequately included in HIV prevention and Pre-Exposure Prophylaxis (PrEP) adherence program development research. Community-empowered (C.E.) approaches have been the most successful at reducing HIV transmission among sex workers. Centering Healthcare (Centering) is a C.E. model proven to improve health outcomes and reduce health disparities in other populations, such as pregnant women, people with diabetes, and sickle cell disease. However, no research exists to determine if Centering can be adapted to meet the unique HIV prevention needs of sex workers. OBJECTIVE We aim to explain the process by which we collaboratively and iteratively adapted Centering to meet the HIV prevention and PrEP retention needs of sex workers. METHODS We utilized the Assessment, Decision, Adaptation, Production, Topical Experts, Integration, Training, Testing (ADAPT-ITT) framework, a model for adapting evidence-based interventions. We applied phases one through six of the ADAPT-ITT framework (Assessment, Decision, Adaptation, Production, Topical Experts, Integration) to the design to address the distinct HIV prevention needs of sex workers in Chicago. Study outcomes corresponded to each phase of the ADAPT-ITT framework. Data used for adaptation emerged from collaborative stakeholder meetings, individual interviews (n = 36) and focus groups (n = 8) with current and former sex workers, and individual interviews with care providers (n = 8). In collaboration with our community advisory board, we used a collaborative and iterative analytical process to co-produce a culturally adapted 3-session facilitator's guide for the Centering Pre-exposure Prophylaxis (C-PrEP +) group healthcare model. RESULTS The ADAPT-ITT framework offered structure and facilitated this community-empowered innovative adaptation of Centering Healthcare. This process culminated with a facilitator's guide and associated materials ready for pilot testing. CONCLUSIONS In direct alignment with community empowerment, we followed the ADAPT-ITT framework, phases 1-6, to iteratively adapt Centering Healthcare to suit the stated HIV Prevention and PrEP care needs of sex workers in Chicago. The study represents the first time the first time Centering has been adapted to suit the HIV prevention and PrEP care needs of sex workers. Addressing a gap in HIV prevention care for sex workers, Centering PrEP harnesses the power of community as it is an iteratively adapted model that can be piloted and replicated regionally, nationally, and internationally.
Collapse
Affiliation(s)
- Randi Beth Singer
- College of Nursing, University of Illinois Chicago (UIC), Chicago, IL, USA.
| | - Janelli Barrow
- College of Nursing, University of Illinois Chicago (UIC), Chicago, IL, USA
| | | | - Jessica Zemlak
- College of Nursing, Marquette University, Milwaukee, WI, USA
| | - Natasha Crooks
- College of Nursing, University of Illinois Chicago (UIC), Chicago, IL, USA
| | - Sarah Abboud
- College of Nursing, University of Illinois Chicago (UIC), Chicago, IL, USA
| | - Douglas Bruce
- College of Science and Health, DePaul University, Chicago, IL, USA
| | - Noel Green
- Chicago Center for HIV Elimination, Chicago, IL, USA
| | - Jahari Stamps
- Southside Health Advocacy Resource Partnership, Chicago, IL, USA
| | | | - Susan G Sherman
- Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
| | - Crystal L Patil
- College of Nursing, University of Illinois Chicago (UIC), Chicago, IL, USA
- School of Nursing, University of Michigan, Ann Arbor, USA
| | | |
Collapse
|
4
|
Bochicchio L, Porsch L, Zollweg S, Matthews AK, Hughes TL. Health Outcomes of Sexual Minority Women Who Have Experienced Adverse Childhood Experiences: A Scoping Review. Trauma Violence Abuse 2024; 25:764-794. [PMID: 37070743 PMCID: PMC10582204 DOI: 10.1177/15248380231162973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/19/2023]
Abstract
Sexual minority women (SMW; e.g., lesbian, bisexual) report higher rates of almost every negative physical health (e.g., asthma, arthritis, cardiovascular disease), mental health (e.g., depression, anxiety), and substance use outcome compared to heterosexual women. Adverse Childhood Experiences (ACEs) have been identified as risk factors for negative health outcomes. Despite this, no study to date has synthesized existing literature examining ACEs and health outcomes among SMW. This gap is important because SMW are significantly more likely than heterosexual women to report every type of ACE and a higher total number of ACEs. Therefore, using a scoping review methodology, we sought to expand understanding of the relationship between ACEs and health outcomes among SMW. Using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for. Scoping Reviews protocol, we searched five databases: Web of Science, PsycInfo, CINAHL, PubMed, and Embase for studies published between January 2000 and June 2021 that examined mental health, physical health, and/or substance use risk factors and outcomes among adult cisgender SMW who report ACEs. Our search yielded 840 unique results. Studies were screened independently by two authors to determine eligibility, and 42 met full inclusion criteria. Our findings provide strong evidence that ACEs are an important risk factor for multiple negative mental health and substance use outcomes among SMW. However, findings were mixed with respect to some health risk behaviors and physical health outcomes among SMW, highlighting the need for future research to clarify these relationships.
Collapse
Affiliation(s)
| | - Lauren Porsch
- Columbia University School of Nursing, New York, NY, USA
| | - Sarah Zollweg
- Columbia University School of Nursing, New York, NY, USA
| | | | | |
Collapse
|
5
|
Jordan H, Jeremiah R, Watson K, Corte C, Steffen A, Matthews AK. Exploring Preventive Health Care Utilization Among Black/African American Men. Am J Mens Health 2024; 18:15579883231225548. [PMID: 38243644 PMCID: PMC10799604 DOI: 10.1177/15579883231225548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Revised: 09/21/2023] [Accepted: 12/19/2023] [Indexed: 01/21/2024] Open
Abstract
Black/African American (BAA) men have the lowest life expectancy among other major demographic groups in the United States, with BAA male mortality rates 40% higher than their White male counterparts. Despite known benefits of preventive health care utilization, BAA men are 43% more likely to use the emergency department for usual care. Many intersecting factors like medical mistrust and religion have been identified as common barriers BAA men face in health care utilization with few studies exploring factors that impact their current preventive health care utilization. In addition, BAA men's perceptions of health and ability to identify or seek help have always been disproportionately lower than other racial groups despite higher rates of preventable diseases. Using the tenets of the Andersen Healthcare Utilization Model, this cross-sectional study of 176 BAA men explores BAA men's current preventive health care practices while examining the intersection of predisposing, enabling, and need factors on BAA men's preventive health care utilization. While it is well known that higher income levels and higher education positively influence health care utilization, the intersection of religious affiliation and higher levels of medical mistrust was associated with BAA men's decreased engagement with health care as religion posed as a buffer to health care utilization. This study demonstrated that BAA men's perception of health differed by sexual orientation, educational status, and income. However, across all groups the participants' perspective of their health was not in alignment with their current health outcomes. Future studies should evaluate the impact of masculine norms as potential enabling factors on BAA men's preventive health care utilization.
Collapse
Affiliation(s)
- Harrell Jordan
- College of Nursing, University of Illinois Chicago, Chicago, IL, USA
| | - Rohan Jeremiah
- College of Nursing, University of Illinois Chicago, Chicago, IL, USA
| | - Karriem Watson
- College of Nursing, University of Illinois Chicago, Chicago, IL, USA
| | - Colleen Corte
- College of Nursing, University of Illinois Chicago, Chicago, IL, USA
| | - Alana Steffen
- College of Nursing, University of Illinois Chicago, Chicago, IL, USA
| | | |
Collapse
|
6
|
Kim SJ, Kery C, An J, Rineer J, Bobashev G, Matthews AK. Racial/Ethnic disparities in exposure to neighborhood violence and lung cancer risk in Chicago. Soc Sci Med 2024; 340:116448. [PMID: 38043441 PMCID: PMC10836639 DOI: 10.1016/j.socscimed.2023.116448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 08/31/2023] [Accepted: 11/19/2023] [Indexed: 12/05/2023]
Abstract
BACKGROUND Despite the lower prevalence and frequency of smoking, Black adults are disproportionately affected by lung cancer. Exposure to chronic stress generates heightened immune responses, which creates a cell environment conducive to lung cancer development. Residents in poor and segregated neighborhoods are exposed to increased neighborhood violence, and chronic exposure to violence may have downstream physiological stress responses, which may explain racial disparities in lung cancer in predominantly Black urban communities. METHODS We utilized retrospective electronic medical records of patients who underwent a screening or diagnostic test for lung cancer at an academic medical center in Chicago to examine the associations between lung cancer diagnosis and individual characteristics (age, gender, race/ethnicity, and smoking status) and neighborhood-level homicide rate. We then used a synthetic population to estimate the neighborhood-level lung cancer risk to understand spatial clusters of increased homicide rates and lung cancer risk. RESULTS Older age and former/current smoking status were associated with increased odds of lung cancer diagnosis. Hispanic patients were more likely than White patients to be diagnosed with lung cancer, but there was no statistical difference between Black and White patients in lung cancer diagnosis. The odds of being diagnosed with lung cancer were significantly higher for patients living in areas with the third and fourth quartiles of homicide rates compared to the second quartile of homicide rates. Furthermore, significant spatial clusters of increased lung cancer risk and homicide rates were observed on Chicago's South and West sides. CONCLUSIONS Neighborhood violence was associated with an increased risk of lung cancer. Black residents in Chicago are disproportionately exposed to neighborhood violence, which may partially explain the existing racial disparity in lung cancer. Incorporating neighborhood violence exposure into lung cancer risk models may help identify high-risk individuals who could benefit from lung cancer screening.
Collapse
Affiliation(s)
- Sage J Kim
- University of Illinois at Chicago, School of Public Health, Division of Health Policy and Administration, Chicago, IL, USA.
| | | | - Jinghua An
- Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA.
| | - James Rineer
- Geospatial Science & Technology Program, RTI International, Research Triangle Park, NC, USA.
| | | | | |
Collapse
|
7
|
Shires DA, Kattari L, Hosea F, Hirsch J, Mulvaney M, Matthews AK, Thompson HS. Healthcare experiences among Black and White sexual and gender minority cancer survivors: a qualitative study. J Cancer Surviv 2023:10.1007/s11764-023-01504-z. [PMID: 38051422 DOI: 10.1007/s11764-023-01504-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 11/21/2023] [Indexed: 12/07/2023]
Abstract
PURPOSE The purpose of this study was to explore healthcare experiences of Black and White sexual and gender minority (SGM) cancer survivors across the cancer care continuum. METHODS This was a qualitative analysis of two focus groups and eight individual interviews completed as part of a larger initiative using a community-engaged research approach to reduce cancer disparities in marginalized communities. There was a total of 16 participants in the study (9 were White, 7 were Black) and data were collected between 2019 and 2020. RESULTS Three main themes emerged from the thematic analysis: strategically coming out, provider preferences, and health system challenges. Participants noted that they often came out through their support system, decided to come out based on the relevance of their SGM identity that they perceived, and expressed a desire for privacy. Lack of an accessible and competent PCP was tied to delayed cancer diagnosis and many participants voiced a preference for consistency when they found a provider they liked. CONCLUSIONS Providers across specialties can address barriers for SGM patients by not making assumptions about patient sexual orientation or gender identity. Institutions should systematically collect sexual orientation and gender identity information. Primary care providers should be aware that due to resistance to switching from trusted providers, they may need to take greater initiative to facilitate cancer screenings for their patients when appropriate or take special care when making referrals to ensure they are using SGM-affirming providers. IMPLICATIONS FOR CANCER SURVIVORS SGM cancer survivors often benefit from a cultivating relationship with a trusted PCP or other provider.
Collapse
Affiliation(s)
- Deirdre A Shires
- School of Social Work, Michigan State University, 655 Auditorium Road, 122 Baker Hall, East Lansing, MI, 48824, USA.
| | - Leonardo Kattari
- Department of Health and Human Services, University of Michigan - Dearborn, Dearborn, MI, USA
| | - Forrest Hosea
- Department of Surgery, University of Michigan, Ann Arbor, MI, USA
| | - Jen Hirsch
- School of Social Work, Michigan State University, 655 Auditorium Road, 122 Baker Hall, East Lansing, MI, 48824, USA
| | - Megan Mulvaney
- Indiana University School of Public Health, Bloomington, IN, USA
| | | | - Hayley S Thompson
- Office of Cancer Health Equity and Community Engagement, Karmanos Cancer Institute, Detroit, MI, USA
- Department of Oncology, School of Medicine, Wayne State University, Detroit, MI, USA
| |
Collapse
|
8
|
Matthews AK, Inwanna S, Oyaluade D, Akufo J, Jeremiah R, Kim SJ. Examination of provider knowledge, attitudes, and behaviors associated with lung cancer screening among Black men receiving care at a federally qualified health center. Qual Res Med Healthc 2023; 7:11546. [PMID: 38115824 PMCID: PMC10726993 DOI: 10.4081/qrmh.2023.11546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 11/07/2023] [Indexed: 12/21/2023] Open
Abstract
The study's goal was to look at providers' knowledge, attitudes, and behaviors regarding lung cancer screening among Black male smokers served by a federally qualified healthcare center. Participants in the study were interviewed in depth. Participants completed a short (5-10 minute) survey that assessed demographics, training, and attitudes toward lung cancer screening. For quantitative data, descriptive statistics were used, and for qualitative data, deductive thematic analysis was used. This study included ten healthcare professionals, the majority of whom identified as Black (80%) and were trained as advanced practice providers (60%). The majority of providers (90%) have heard of LDCT lung cancer screening; however, participants reported only being "somewhat" familiar with the LDCT eligibility criteria (70%). Despite generally positive attitudes toward LDCT, patient referral rates for screening were low. Barriers included a lack of provider knowledge about screening eligibility, a lack of use of shared decision-making tools, and patient concerns about screening risks. The reasons for the low referral rates varied, but they included a preference to refer patients for smoking cessation rather than screening, low screening completion and follow-up rates among referred patients, and a lower likelihood that Black smokers will meet pack-year requirements for screening. Additionally, providers discussed patient-level factors such as a lack of information, mistrust, and transportation. The study findings add to the body of knowledge about lung cancer knowledge and screening practices among providers in FQHC settings. This data can be used to create health promotion interventions aimed at smoking cessation and lung cancer screening in Black males and other high-risk smokers.
Collapse
Affiliation(s)
| | - Suchanart Inwanna
- The University of Illinois Chicago, College of Nursing, Chicago, IL, United States
- Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Dami Oyaluade
- The University of Illinois Hospital, Cancer Center, Chicago, IL, United States
| | - Jennifer Akufo
- The University of Illinois Chicago, College of Nursing, Chicago, IL, United States
| | - Rohan Jeremiah
- The University of Illinois Chicago, College of Nursing, Chicago, IL, United States
| | - Sage J. Kim
- The University of Illinois Chicago, School of Public Health, Chicago, IL, United States
| |
Collapse
|
9
|
Sangoleye F, Vincent C, Corte C, Matthews AK, Steffen AD, Thorkildsen T, Scott LD, Zerwic J. Enhancing the persistence and academic success of students in baccalaureate nursing programs. J Prof Nurs 2023; 49:79-89. [PMID: 38042566 DOI: 10.1016/j.profnurs.2023.08.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Revised: 06/26/2023] [Accepted: 08/25/2023] [Indexed: 12/04/2023]
Affiliation(s)
- Feyifunmi Sangoleye
- University of Illinois Hospital and Health Sciences System, 1740 W. Taylor Street, Chicago, IL 60612, United States of America.
| | - Catherine Vincent
- College of Nursing, University of Illinois at Chicago, 845 South Damen Avenue, Chicago, IL 60612, United States of America
| | - Collen Corte
- College of Nursing, University of Illinois at Chicago, 845 South Damen Avenue, Chicago, IL 60612, United States of America
| | - Alicia K Matthews
- School of Nursing, Columbia University, 560 West 168th Street, New York, NY 10032, United States of America
| | - Alana D Steffen
- College of Nursing, University of Illinois at Chicago, 845 South Damen Avenue, Chicago, IL 60612, United States of America
| | - Theresa Thorkildsen
- College of Education, University of Illinois at Chicago, 1040 W. Harrison Street, Chicago, IL 60607, United States of America
| | - Linda D Scott
- School of Nursing, University of Wisconsin - Madison, 5226 Signe Skott Cooper Hall, 701 Highland Avenue, Madison, WI 53705, United States of America
| | - Julie Zerwic
- College of Nursing, University of Iowa, 234 CNB, 50 Newton Road, Iowa City, IA 52242, United States of America
| |
Collapse
|
10
|
Matthews AK, Fitz S, Wendler C, Lisea K, Vincent C, Kavukattu T. Developing a mission statement to reflect the diversity, equity, and inclusion values and priorities of a College of Nursing. J Prof Nurs 2023; 48:40-46. [PMID: 37775239 DOI: 10.1016/j.profnurs.2023.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 05/17/2023] [Accepted: 05/19/2023] [Indexed: 10/01/2023]
Abstract
A mission statement represents an organization's values, expectations, and priorities and guides its strategic decision-making. This article describes an innovative and iterative process for developing mission statements to reflect and guide the diversity, equity, and inclusion values of schools and colleges of nursing. The process began with extensive input from the faculty during the fall 2021 faculty retreat using a World Café approach. Following the retreat, members of the Equity and Inclusion Committee reviewed the information from the faculty about the college's values, goals, and vision for our tripartite mission. In drafting the mission statement, the Equity, and Inclusion Committee, which includes faculty, staff, and student representation from the college's multiple regional campuses, units, and departments, met to craft an initial draft collaboratively. The initial draft of the mission statement was then circulated to the Faculty Leadership Team, the Faculty Executive Committee, and individual departments within the college for feedback. Committee members used the input and suggested revisions to refine and finalize a proposed new mission statement. A survey was distributed to faculty, staff, and students to provide quantitative and qualitative feedback about the proposed mission statement (N = 125). Mean scores suggested agreement that the new mission statement reflected the values and future direction of the college (M = 7.91), aligned with personal values and career goals (M = 8.25), and its achievement would advance the discipline of nursing (M = 8.30). The level of support for adopting the new mission statement was strong (M = 7.83). Most of the faculty voted to adopt the new mission statement at a faculty meeting (N = 98, 85 %). The strategies described have implications for guiding the development of mission statements to speak to the issues of diversity, equity, and inclusion as core values and priorities of schools and colleges of nursing.
Collapse
Affiliation(s)
- Alicia K Matthews
- Department of Population Health Nursing Science, College of Nursing, the University of Illinois Chicago, Chicago, IL 60612, United States of America.
| | - Sarah Fitz
- Department of Biobehavioral Nursing Science, College of Nursing, University of Illinois Chicago, Chicago, IL 60612, United States of America
| | - Cecilia Wendler
- Department of Biobehavioral Nursing Science, College of Nursing, University of Illinois Chicago, Chicago, IL 60612, United States of America
| | - Kyle Lisea
- Department of Human Development Nursing Science, College of Nursing, University of Illinois Chicago, Chicago, IL 60612, United States of America
| | - Catherine Vincent
- Department of Human Development Nursing Science, College of Nursing, University of Illinois Chicago, Chicago, IL 60612, United States of America
| | - Tina Kavukattu
- Global Health Leadership Office, College of Nursing, the University of Illinois Chicago, Chicago, IL 60612, United States of America
| |
Collapse
|
11
|
Crooks N, Debra A, Coleman D, Sosina W, Singer R, Jeremiah R, Green B, Johnson W, Caldwell C, Patil C, Matthews AK, Donenberg G. Application of ADAPT-ITT: adapting an evidence-based HIV/STI mother-daughter prevention intervention for Black male caregivers and girls. BMC Public Health 2023; 23:1426. [PMID: 37491213 PMCID: PMC10369809 DOI: 10.1186/s12889-023-16364-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 07/21/2023] [Indexed: 07/27/2023] Open
Abstract
BACKGROUND Black girls are disproportionately impacted by HIV and sexually transmitted infections (STIs), underscoring the urgent need for innovative strategies to enhance the adoption and maintenance of HIV/STI prevention efforts. Historically, Black male caregivers have been left out of girls' programming, and little guidance exists to inform intervention development for Black girls and their male caregivers. Engaging Black male caregivers in Black girls' sexual and reproductive health may reduce sexual risk-taking and improve the sustainability of preventative behaviors. OBJECTIVE This paper describes the formative phases, processes, and methods used to adapt an evidence-based mother-daughter sexual and reproductive health intervention for Black girls 9-18 years old and their male caregivers. METHODS We used the ADAPT-ITT model to tailor IMARA for Black girls and their male caregivers. Diverse qualitative methods (interviews, focus groups, and theater testing) were used throughout the adaption process. RESULTS Findings support using the ADAPT-ITT model to tailor an evidence-based HIV/STI intervention for Black girls and their Black male caregivers. Findings highlight the importance of community engagement and the use of qualitative methods to demonstrate the acceptability and feasibility of the adapted intervention. Key lessons learned are reviewed. CONCLUSIONS Adapting evidence-based interventions to incorporate Black girls and their Black male caregivers should be driven by a relevant theoretical framework that aligns with the target population(s). Adapting the intervention in partnership with the community has been shown to improve acceptability and feasibility as it is responsive to community needs. Using a systematic process like the ADAPT-ITT model will ensure that the new program is ready for efficacy trials.
Collapse
Affiliation(s)
- Natasha Crooks
- College of Nursing, University of Illinois Chicago, Chicago, IL USA
| | - Alyssa Debra
- College of Medicine, University of Illinois Chicago, Chicago, IL USA
| | - Diamond Coleman
- College of Medicine, University of Illinois Urbana Champaign, Champaign, IL USA
| | | | - Randi Singer
- College of Nursing, University of Illinois Chicago, Chicago, IL USA
| | - Rohan Jeremiah
- College of Nursing, University of Illinois Chicago, Chicago, IL USA
| | - Betty Green
- Chicago Lawndale AMACHI Mentoring Program, Chicago, IL USA
| | - Waldo Johnson
- Crown Family School of Social Work, Policy, and Practice, University of Chicago, Chicago, IL USA
| | | | - Crystal Patil
- College of Nursing, University of Illinois Chicago, Chicago, IL USA
| | | | - Geri Donenberg
- Center for Dissemination and Implementation Science, University of Illinois Chicago, Chicago, IL USA
| |
Collapse
|
12
|
Singer R, Abboud S, Johnson AK, Zemlak JL, Crooks N, Lee S, Wilson J, Gorvine D, Stamps J, Bruce D, Sherman SG, Matthews AK, Patil CL. Experiences of Sex Workers in Chicago during COVID-19: A Qualitative Study. Int J Environ Res Public Health 2023; 20:5948. [PMID: 37297552 PMCID: PMC10252736 DOI: 10.3390/ijerph20115948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Revised: 05/03/2023] [Accepted: 05/18/2023] [Indexed: 06/12/2023]
Abstract
COVID-19 exacerbated health disparities, financial insecurity, and occupational safety for many within marginalized populations. This study, which took place between 2019 and 2022, aimed to explore the way in which sex workers (n = 36) in Chicago were impacted by COVID-19. We analyzed the transcripts of 36 individual interviews with a diverse group of sex workers using thematic analysis. Five general themes emerged regarding the detrimental impact of COVID-19 on sex workers: (1) the impact of COVID-19 on physical health; (2) the economic impact of COVID-19; (3) the impact of COVID-19 on safety; (4) the impact of COVID-19 on mental health; and (5) adaptive strategies for working during COVID-19. Participants reported that their physical and mental health, economic stability, and safety worsened due to COVID-19 and that adaptive strategies did not serve to improve working conditions. Findings highlight the ways in which sex workers are particularly vulnerable during a public health crisis, such as COVID-19. In response to these findings, targeted resources, an increased access to funding, community-empowered interventions and policy changes are needed to protect the health and safety of sex workers in Chicago.
Collapse
Affiliation(s)
- Randi Singer
- Department of Human Development Nursing Science, College of Nursing, University of Illinois Chicago, Chicago, IL 60612, USA
| | - Sarah Abboud
- Department of Human Development Nursing Science, College of Nursing, University of Illinois Chicago, Chicago, IL 60612, USA
| | - Amy K. Johnson
- Ann & Robert H. Lurie Children’s, Chicago, IL 60611, USA
| | | | - Natasha Crooks
- Department of Human Development Nursing Science, College of Nursing, University of Illinois Chicago, Chicago, IL 60612, USA
| | - Sangeun Lee
- Department of Human Development Nursing Science, College of Nursing, University of Illinois Chicago, Chicago, IL 60612, USA
| | | | - Della Gorvine
- Department of Human Development Nursing Science, College of Nursing, University of Illinois Chicago, Chicago, IL 60612, USA
| | - Jahari Stamps
- Southside Health Advocacy Resource Partnership, Chicago, IL 60653, USA
| | - Douglas Bruce
- Department of Health Sciences, DePaul University, Chicago, IL 60614, USA
| | | | | | - Crystal L. Patil
- Department of Human Development Nursing Science, College of Nursing, University of Illinois Chicago, Chicago, IL 60612, USA
| |
Collapse
|
13
|
Burke LA, Steffen AD, Kataria S, Watson KS, Winn RA, Oyaluade D, Williams B, Duangchan C, Asche C, Matthews AK. Associations in Cigarette Smoking and Health Conditions by Race/Ethnicity Among a Diverse Sample of Patients Receiving Treatment in a Federally Qualified Health Care Setting in Chicago. Health Equity 2023; 7:80-88. [PMID: 36876237 PMCID: PMC9982142 DOI: 10.1089/heq.2022.0056] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/19/2022] [Indexed: 02/05/2023] Open
Abstract
Purpose To examine the association of cigarette use and smoking-related health conditions by race/ethnicity among diverse and low-income patients at a federally qualified health center (FQHC). Methods Demographics, smoking status, health conditions, death, and health service use were extracted from electronic medical data for patients seen between September 1, 2018, and August 31, 2020 (n=51,670). Smoking categories included everyday/heavy smoker, someday/light smoker, former smoker, or never smoker. Results Current and former smoking rates were 20.1% and 15.2%, respectively. Males, Black, White, non-partnered, older, and Medicaid/Medicare patients were more likely to smoke. Compared with never smokers, former and heavy smokers had higher odds for all health conditions except respiratory failure, and light smokers had higher odds of asthma, chronic obstructive pulmonary disease, emphysema, and peripheral vascular disease. All smoking categories had more emergency department visits and hospitalizations than never smokers. The associations between smoking status and health conditions differed by race/ethnicity. White patients who smoked had a greater increase in odds of stroke and other cardiovascular diseases compared with Hispanic and Black patients. Black patients who smoked had a greater increase in odds of emphysema and respiratory failure compared with Hispanic patients. Black and Hispanic patients who smoked had a greater increase in emergency care use compared with White patients. Conclusion Smoking was associated with disease burden and emergency care and differed by race/ethnicity. Health Equity Implications Resources to document smoking status and offer cessation services should be increased in FQHCs to promote health equity for lower income populations.
Collapse
Affiliation(s)
- Larisa A Burke
- College of Nursing, University of Illinois Chicago, Chicago, Illinois, USA
| | - Alana D Steffen
- College of Nursing, University of Illinois Chicago, Chicago, Illinois, USA
| | - Sandeep Kataria
- Oncology Bioinformatics, University of Illinois Cancer Center, Chicago, Illinois, USA
| | - Karriem S Watson
- Office of Director, All of Us Research Program, National Institute of Health, Bethesda, Maryland, USA
| | | | - Damilola Oyaluade
- Oncology Bioinformatics, University of Illinois Cancer Center, Chicago, Illinois, USA
| | - Barbara Williams
- Oncology Bioinformatics, University of Illinois Cancer Center, Chicago, Illinois, USA
| | - Cherdsak Duangchan
- College of Nursing, University of Illinois Chicago, Chicago, Illinois, USA
| | - Carl Asche
- University of Illinois College of Medicine, Peoria, Illinois, USA
| | - Alicia K Matthews
- College of Nursing, University of Illinois Chicago, Chicago, Illinois, USA
| |
Collapse
|
14
|
Matthews AK, Jung MY, Akufo J, Burke L, Dodd D, Donenberg G. Barriers to Using a Patient Portal Among Low-income Patient Populations: A Qualitative Descriptive Study. J Health Care Poor Underserved 2023; 34:863-883. [PMID: 38015127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2023]
Abstract
PURPOSE To qualitatively examine barriers to patient portal use among low-income patients receiving health care services at a federally qualified health center (FQHC). METHODS In-depth interviews were conducted with a volunteer sample of patients recruited from an FQHC. The interviews took 30-45 minutes. As participants arrived for each scheduled interview, written informed consent was obtained and participants completed a brief (5-10 minutes) self-administered survey. RESULTS Participants (N =25) were primarily middle-aged (M = 53 years), Black (76%), and male (60%). Over 60% of patients had heard of MyChart, but only 40% were enrolled. Barriers to enrollment and use of MyChart were organized into individual, organizational, and structural levels. Providing low-literacy informational materials and enrollment assistance emerged as potential strategies for increasing MyChart use. CONCLUSION Federally-qualified health centers serving low-income populations should enhance patient portal use by increasing awareness of the benefits of portals and assisting patients with enrollment.
Collapse
|
15
|
Matthews AK, Blatt R, Duangchan C, Hunt KL, Gaiba F, Matthew A, Noriega M, Breen E. Self-Description of a University-Community Partnership to Advocate for Restroom Access Policy Change in Chicago. Prog Community Health Partnersh 2022; 16:563-572. [PMID: 36533505 DOI: 10.1353/cpr.2022.0077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
BACKGROUND Transgender, nonbinary, and gender-non-conforming individuals face significant obstacles accessing public restrooms, resulting in negative mental and physical health consequences. OBJECTIVES We describe the Chicago Restroom Access Project, a university and community partnership aimed at reforming restroom laws in Chicago and the state of Illinois. METHODS A range of community-engagement approaches were used, including recruiting, mobilizing, and partnering with diverse stakeholders, amplifying the voices of under-represented members of the impacted community, collecting data for evidence-based decision-making, fluid membership, and diffuse leadership. RESULTS Outcomes included developing resources for public education, changing the City of Chicago Human Rights Ordinance, changing Illinois state law on single-occupancy restrooms, and implementing restroom reform at an educational institution. Lessons learned are also described. CONCLUSIONS The methods and principles of this partnership provide approaches that can be used to advocate for reform and policy change for restroom access throughout the country.
Collapse
|
16
|
Li CC, Matthews AK, Gao X, Cheung K. DEVELOPMENT AND EVALUATION OF A WEB-BASED DECISION AID FOR LUNG CANCER SCREENING FOR OLDER CHINESE AMERICANS. Innov Aging 2022. [PMCID: PMC9770525 DOI: 10.1093/geroni/igac059.2243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Low dose computed tomography (LDCT) lung cancer screening is effective in reducing lung cancer mortality. In the United States, Chinese Americans are disproportionately impacted by lung cancer compared to other Asian subgroups. Our prior study showed that over 25% of older Chinese male smokers met eligibility for LDCT screening based on the CMS guidelines. However, in general, cancer screening rates among Chinese Americans are lower compared to other Americans. Therefore, we developed a culturally and logistically web-based decision aid (DA) for LDCT screening “Lung Decision Coaching Tool (LDC-T)” to improve the older Chinese American's knowledge of lung cancer and screening and to facilitate the decision making with the physician. Compared to traditional paper-based DA, the LDC-T DA has key elements including video, pack-year calculator, eligibility determination, and visual aids to support comprehension and shared decision-making. We conducted acceptability and usability tests among 22 older Chinese American smokers. The tool was highly received by participants for its usefulness and ease to use. Over 80% reported the way of information presented in LDC-T is "good or very good" and the length of the information is "just right". Overall, the majority were satisfied with the LDC-T DA (95%) and agreed that the tool includes sufficient information for people to make the screening decision (90%) and prepare shared decision making with their healthcare providers (81%). Our study results will inform strategies for reducing lung cancer disparities among Chinese Americans and other underserved smokers thus filling important gaps in the literature.
Collapse
Affiliation(s)
| | | | - Xiaojun Gao
- University of Illinois at Chicago, Chicago, Illinois, United States
| | - Krystal Cheung
- University of Illinois at Chicago, Chicago, Illinois, United States
| |
Collapse
|
17
|
Duangchan C, Matthews AK, Smith AU, Steffen AD. Sexual minority status, school-based violence, and current tobacco use among youth. Tob Prev Cessat 2022; 8:46. [PMID: 36568487 PMCID: PMC9753573 DOI: 10.18332/tpc/156110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Revised: 10/27/2022] [Accepted: 11/03/2022] [Indexed: 12/23/2022]
Abstract
INTRODUCTION Sexual minority individuals experience elevated risk for smoking and violence due to a combination of general and unique identity-based risk factors. This study examined associations among sexual minority status, school-based violence, and tobacco use, among youth. METHODS Data for this secondary data analysis consisted of Chicago-specific data from the 2019 Youth Risk Behavior Surveillance System (n=1562). Current use (≥1 day during the previous 30 days) of any tobacco product (cigarettes, e-cigarettes, smokeless tobacco, and cigars) and school-based violence (avoided school because they felt unsafe, were threatened/injured with a weapon, were in a physical fight, and were bullied) were estimated by sexual orientation (heterosexual vs gay, lesbian, bisexual, and unsure). A chi-squared test was used to investigate associations among the variables. Path analysis was employed to examine possible mediation effects of school-based violence. RESULTS Thirty percent of sexual minority youth and 11.5% of heterosexual youth reported current tobacco use (χ2=55.91; p<0.001). Nearly one-third (31.8%) of youth reported school-based violence, with a higher rate (41.2%) reported by sexual minority youth compared to heterosexual youth (28.1%; χ2=19.48; p<0.001). Path analysis confirmed these associations, controlling for sex, age, and race/ethnicity. The model showed that sexual minority status increased odds of current tobacco use by a factor of 1.8 (95% CI: 1.3-2.6) via its relationship with school-based violence, explaining 33.8% of the total association between sexual minority status and tobacco use. CONCLUSIONS Tobacco use was higher among sexual minority youth. School-based violence partially mediated the association between sexual minority status and tobacco use. Findings highlight the need for tobacco prevention and treatment efforts for sexual minority youth and school-based interventions to reduce exposure to violence.
Collapse
Affiliation(s)
- Cherdsak Duangchan
- College of Nursing, University of Illinois at Chicago, Chicago, United States,Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand
| | - Alicia K. Matthews
- College of Nursing, University of Illinois at Chicago, Chicago, United States
| | - Ariel U. Smith
- College of Nursing, University of Illinois at Chicago, Chicago, United States
| | - Alana D. Steffen
- College of Nursing, University of Illinois at Chicago, Chicago, United States
| |
Collapse
|
18
|
Matthews AK, Li CC, Bernhardt B, Sohani S, Dong XQ. Factors influencing the well-being of Asian American LGBT individuals across the lifespan: perspectives from leaders of community-based organizations. BMC Geriatr 2022; 22:909. [PMID: 36443664 PMCID: PMC9703657 DOI: 10.1186/s12877-022-03590-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Accepted: 11/04/2022] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Lesbian, gay, bisexual, and transgender (LGBT) individuals have documented disparities in mental health that are experienced across the life course. However, limited research has been conducted to identify the factors which contribute to evaluated risk for poor mental health among older Asian Americans who identify as LGBT. The purpose of this study was to determine the perspectives of leaders of community-based organizations about the mental health needs and concerns of their LGBT constituents from diverse Asian backgrounds. METHODS Semi-structured qualitative interviews were conducted with leaders of community-based organizations serving the needs of LGBT individuals. A qualitative framework analysis approach was used to identify, analyze and report themes within the data. RESULTS 11 members of community organizations located in California (54.5%), Chicago (27.2%), and New York (18.1%) were interviewed. Chronic stress was identified as negatively impacting constituents' lives and was attributed to social determinants of health, including inadequate housing, financial insecurity, discrimination, barriers to adequate health care, and immigration status. Ageism, social isolation, language barriers, and limited connections to cultural, religious, or LGBT communities were identified as factors impacting middle-aged and older adults. Participants identified homelessness, violence, and lack of parental acceptance as contributing to distress among youth and younger adults. The most vulnerable community members were identified as gender minorities, undocumented individuals, and individuals with limited English proficiencies. Organizational leaders described strategies to address social determinants. CONCLUSIONS Asian Americans who are LGBT are confronted with substantial risks for poor mental health that are linked to modifiable social determinants of health. Organizations serving these populations play a vital role in meeting the needs of a highly underserved population.
Collapse
Affiliation(s)
- Alicia K. Matthews
- grid.185648.60000 0001 2175 0319Department of Population Health Nursing Science, University of Illinois at Chicago, Chicago, IL USA
| | - Chien-Ching Li
- grid.262743.60000000107058297Department of Health Systems Management, Rush University, Chicago, IL USA
| | | | - Shams Sohani
- grid.21729.3f0000000419368729Department of Sociomedical Sciences, Columbia University, New York City, NY USA
| | - Xin Qi Dong
- grid.430387.b0000 0004 1936 8796Health Care Policy and Aging Research, Rutgers University, Institute for Health, New Brunswick, NJ USA
| |
Collapse
|
19
|
Duangchan C, Steffen A, Matthews AK. Discharge planning practice for patients with colorectal cancer in Thailand. NPT 2022. [DOI: 10.18502/npt.v9i4.11201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Background & Aim: Nurses play a vital role in discharge planning, especially for patients with colorectal cancer who require complex post-treatment care. However, there is a limited understanding of nurses' discharge planning practice in oncology settings. This study aimed to examine current discharge planning practices for patients with colorectal cancer among oncology nurses in Thailand and associated factors.
Methods & Materials: A cross-sectional survey study was conducted between October and November 2020. Oncology nurses involved in colorectal cancer care were recruited across Thailand via Facebook and the Line application. A convenience and snowball sample of 206 nurses completed the online survey. Descriptive statistics, t-test, and one-way ANOVA were used for data analysis.
Results: The discharge planning activity with the lowest mean score was related to sharing discharge planning summaries and/or care plans with other healthcare facilities (M = 3.00, SD= 1.32), followed by providing information about returning to work (M= 3.06, SD= 1.28), financial resources (M= 3.12, SD= 1.26), and disease (M= 3.13, SD= 1.25). Factors significantly associated with discharge planning practice included nursing education levels, specialty training in cancer care, and experience in colorectal cancer care.
Conclusion: Despite the availability of discharge planning guidelines, Thai oncology nurses did not perform the full scope of discharge planning activities required for patients with colorectal cancer. Additional strategies, resources, and support systems should be established to facilitate nurses' performance of the full scope of their discharge planning practice in oncology settings. Moreover, our results suggest the need for additional education and training in the form of enhanced curriculums and continuing education seminars addressing cancer care to advance nurses' discharge planning for patients with colorectal cancer.
Collapse
|
20
|
Crooks N, Singer R, Smith A, Ott E, Donenberg G, Matthews AK, Patil C, Haider S, Johnson A. Barriers to PrEP Uptake Among Black Female Adolescents and Emerging Adults. Prev Med Rep 2022; 31:102062. [DOI: 10.1016/j.pmedr.2022.102062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 11/16/2022] [Accepted: 11/19/2022] [Indexed: 11/25/2022] Open
|
21
|
Kittiteerasack P, Matthews AK, Steffen AD. Loneliness mediates the association of minority stress and depression in sexual and gender minority populations in Thailand. Res Nurs Health 2022; 45:580-591. [DOI: 10.1002/nur.22255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2021] [Revised: 05/26/2022] [Accepted: 07/16/2022] [Indexed: 11/09/2022]
Affiliation(s)
| | - Alicia K. Matthews
- College of Nursing The University of Illinois at Chicago Chicago Illinois USA
| | - Alana D. Steffen
- College of Nursing The University of Illinois at Chicago Chicago Illinois USA
| |
Collapse
|
22
|
Li CC, Matthews AK, Yen PS, Chen YF, Dong X. The influence of perceived discrimination in healthcare settings on psychological distress among a diverse sample of older Asian Americans. Aging Ment Health 2022; 26:1874-1881. [PMID: 34319179 DOI: 10.1080/13607863.2021.1958146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVES The purpose of this study was to determine the relationship between discrimination in healthcare settings and psychological distress. METHOD This study utilized a retrospective cross-sectional study design. The dataset was obtained from 2015-2017 California Health Interview Survey (CHIS). Healthcare discrimination experience (yes, no) was measured using the following question "Over your entire lifetime, how often have you been treated unfairly when getting medical care (never, rarely, sometimes, often)?". Psychological distress was the study outcome and was measured using the Kessler Psychological Distress Scale. A composite score (0-24) was created for psychological distress for the prior 30 days and for the worse most in the past 12 months. A hierarchical multivariate linear regression was conducted to examine the influence of healthcare discrimination experience on psychological distress after adjusting for other covariates. RESULTS Study participants (weighted N = 1,360,487) had a mean age of 64.35 years (SD = 0.61), were primarily female (54.93%), heterosexual (96.61%), and married or living with a partner (73.37%). About 10.00% of older Asian Americans ever perceived healthcare discrimination over their entire lifetime. Perceived discrimination was associated with higher levels of psychological distress for the past 30 days (beta= 2.107, SE = 0.662, p < 0.05) and for the worst month in the past year (beta= 2.099, SE = 0.697, p < 0.05) after controlling for covariates. CONCLUSION Self-reported discrimination was relatively low in this sample of older Asian American adults. However, consistent with prior research, perceived discrimination in the healthcare setting was associated with increased psychological distress. The findings have implications for improving the quality of health care services received.
Collapse
Affiliation(s)
- Chien-Ching Li
- Department of Health Systems Management, Rush University, Chicago, Illinois, USA
| | - Alicia K Matthews
- Department of Population Health Nursing Science, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Pei-Shan Yen
- Center for Clinical Translational Science, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Yi-Fan Chen
- Center for Clinical Translational Science, University of Illinois at Chicago, Chicago, Illinois, USA
| | - XinQi Dong
- Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, New Jersey, USA
| |
Collapse
|
23
|
Singer RB, Crooks N, Johnson AK, Smith AU, Wesp L, Singer R, Karczmar A, Stamps J, Pardes B, Patil CL, Matthews AK. Culturally Safe Nursing Care for Black Sex Workers in the Greater Chicago Area, 2020‒2021. Am J Public Health 2022; 112:S288-S291. [PMID: 35679544 PMCID: PMC9184894 DOI: 10.2105/ajph.2022.306836] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/08/2022] [Indexed: 11/04/2022]
Abstract
Complex structural and social factors have created health inequities for Black sex workers. Black people, including those engaged in transactional sex, report leaning on spiritual beliefs to guide health-related decision-making, including whether to get the COVID-19 vaccine. Public health nurses can improve the health of Black sex workers through culturally safe care, which may include a community-stated vision of spiritual support. (Am J Public Health. 2022;112(S3):S288-S291. https://doi.org/10.2105/AJPH.2022.306836).
Collapse
Affiliation(s)
- Randi Beth Singer
- Randi Beth Singer, Natasha Crooks, Ariel Smith, Rebecca Singer, Crystal L. Patil, and Alicia Matthews are with the College of Nursing at University of Illinois Chicago. Amy K. Johnson is with Lurie Children and Northwestern University Feinberg School of Medicine, Chicago. Linda Wesp is with the College of Nursing, University of Wisconsin, Milwaukee. Alexa Karczmar is with Lurie Children. Jahari Stamps is with Southside Health Advocacy Resource Partnership, Chicago. Bronwen Pardes is with City University New York, New York, NY
| | - Natasha Crooks
- Randi Beth Singer, Natasha Crooks, Ariel Smith, Rebecca Singer, Crystal L. Patil, and Alicia Matthews are with the College of Nursing at University of Illinois Chicago. Amy K. Johnson is with Lurie Children and Northwestern University Feinberg School of Medicine, Chicago. Linda Wesp is with the College of Nursing, University of Wisconsin, Milwaukee. Alexa Karczmar is with Lurie Children. Jahari Stamps is with Southside Health Advocacy Resource Partnership, Chicago. Bronwen Pardes is with City University New York, New York, NY
| | - Amy K Johnson
- Randi Beth Singer, Natasha Crooks, Ariel Smith, Rebecca Singer, Crystal L. Patil, and Alicia Matthews are with the College of Nursing at University of Illinois Chicago. Amy K. Johnson is with Lurie Children and Northwestern University Feinberg School of Medicine, Chicago. Linda Wesp is with the College of Nursing, University of Wisconsin, Milwaukee. Alexa Karczmar is with Lurie Children. Jahari Stamps is with Southside Health Advocacy Resource Partnership, Chicago. Bronwen Pardes is with City University New York, New York, NY
| | - Ariel U Smith
- Randi Beth Singer, Natasha Crooks, Ariel Smith, Rebecca Singer, Crystal L. Patil, and Alicia Matthews are with the College of Nursing at University of Illinois Chicago. Amy K. Johnson is with Lurie Children and Northwestern University Feinberg School of Medicine, Chicago. Linda Wesp is with the College of Nursing, University of Wisconsin, Milwaukee. Alexa Karczmar is with Lurie Children. Jahari Stamps is with Southside Health Advocacy Resource Partnership, Chicago. Bronwen Pardes is with City University New York, New York, NY
| | - Linda Wesp
- Randi Beth Singer, Natasha Crooks, Ariel Smith, Rebecca Singer, Crystal L. Patil, and Alicia Matthews are with the College of Nursing at University of Illinois Chicago. Amy K. Johnson is with Lurie Children and Northwestern University Feinberg School of Medicine, Chicago. Linda Wesp is with the College of Nursing, University of Wisconsin, Milwaukee. Alexa Karczmar is with Lurie Children. Jahari Stamps is with Southside Health Advocacy Resource Partnership, Chicago. Bronwen Pardes is with City University New York, New York, NY
| | - Rebecca Singer
- Randi Beth Singer, Natasha Crooks, Ariel Smith, Rebecca Singer, Crystal L. Patil, and Alicia Matthews are with the College of Nursing at University of Illinois Chicago. Amy K. Johnson is with Lurie Children and Northwestern University Feinberg School of Medicine, Chicago. Linda Wesp is with the College of Nursing, University of Wisconsin, Milwaukee. Alexa Karczmar is with Lurie Children. Jahari Stamps is with Southside Health Advocacy Resource Partnership, Chicago. Bronwen Pardes is with City University New York, New York, NY
| | - Alexa Karczmar
- Randi Beth Singer, Natasha Crooks, Ariel Smith, Rebecca Singer, Crystal L. Patil, and Alicia Matthews are with the College of Nursing at University of Illinois Chicago. Amy K. Johnson is with Lurie Children and Northwestern University Feinberg School of Medicine, Chicago. Linda Wesp is with the College of Nursing, University of Wisconsin, Milwaukee. Alexa Karczmar is with Lurie Children. Jahari Stamps is with Southside Health Advocacy Resource Partnership, Chicago. Bronwen Pardes is with City University New York, New York, NY
| | - Jahari Stamps
- Randi Beth Singer, Natasha Crooks, Ariel Smith, Rebecca Singer, Crystal L. Patil, and Alicia Matthews are with the College of Nursing at University of Illinois Chicago. Amy K. Johnson is with Lurie Children and Northwestern University Feinberg School of Medicine, Chicago. Linda Wesp is with the College of Nursing, University of Wisconsin, Milwaukee. Alexa Karczmar is with Lurie Children. Jahari Stamps is with Southside Health Advocacy Resource Partnership, Chicago. Bronwen Pardes is with City University New York, New York, NY
| | - Bronwen Pardes
- Randi Beth Singer, Natasha Crooks, Ariel Smith, Rebecca Singer, Crystal L. Patil, and Alicia Matthews are with the College of Nursing at University of Illinois Chicago. Amy K. Johnson is with Lurie Children and Northwestern University Feinberg School of Medicine, Chicago. Linda Wesp is with the College of Nursing, University of Wisconsin, Milwaukee. Alexa Karczmar is with Lurie Children. Jahari Stamps is with Southside Health Advocacy Resource Partnership, Chicago. Bronwen Pardes is with City University New York, New York, NY
| | - Crystal L Patil
- Randi Beth Singer, Natasha Crooks, Ariel Smith, Rebecca Singer, Crystal L. Patil, and Alicia Matthews are with the College of Nursing at University of Illinois Chicago. Amy K. Johnson is with Lurie Children and Northwestern University Feinberg School of Medicine, Chicago. Linda Wesp is with the College of Nursing, University of Wisconsin, Milwaukee. Alexa Karczmar is with Lurie Children. Jahari Stamps is with Southside Health Advocacy Resource Partnership, Chicago. Bronwen Pardes is with City University New York, New York, NY
| | - Alicia K Matthews
- Randi Beth Singer, Natasha Crooks, Ariel Smith, Rebecca Singer, Crystal L. Patil, and Alicia Matthews are with the College of Nursing at University of Illinois Chicago. Amy K. Johnson is with Lurie Children and Northwestern University Feinberg School of Medicine, Chicago. Linda Wesp is with the College of Nursing, University of Wisconsin, Milwaukee. Alexa Karczmar is with Lurie Children. Jahari Stamps is with Southside Health Advocacy Resource Partnership, Chicago. Bronwen Pardes is with City University New York, New York, NY
| |
Collapse
|
24
|
Kho A, Daumit GL, Truesdale KP, Brown A, Kilbourne AM, Ladapo J, Wali S, Cicutto L, Matthews AK, Smith JD, Davis PD, Schoenthaler A, Ogedegbe G, Islam N, Mills KT, He J, Watson KS, Winn RA, Stevens J, Huebschmann AG, Szefler SJ. The National Heart Lung and Blood Institute Disparities Elimination through Coordinated Interventions to Prevent and Control Heart and Lung Disease Alliance. Health Serv Res 2022; 57 Suppl 1:20-31. [PMID: 35383917 PMCID: PMC9108215 DOI: 10.1111/1475-6773.13983] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 02/05/2022] [Accepted: 02/08/2022] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE To describe the National Heart Lung and Blood Institute (NHLBI) sponsored Disparities Elimination through Coordinated Interventions to Prevent and Control Heart and Lung Disease (DECIPHeR) Alliance to support late-stage implementation research aimed at reducing disparities in communities with high burdens of cardiovascular and/or pulmonary disease. STUDY SETTING NHBLI funded seven DECIPHeR studies and a Coordinating Center. Projects target high-risk diverse populations including racial and ethnic minorities, urban, rural, and low-income communities, disadvantaged children, and persons with serious mental illness. Two projects address multiple cardiovascular risk factors, three focus on hypertension, one on tobacco use, and one on pediatric asthma. STUDY DESIGN The initial phase supports planning activities for sustainable uptake of evidence-based interventions in targeted communities. The second phase tests late-stage evidence-based implementation strategies. DATA COLLECTION/EXTRACTION METHODS Not applicable. PRINCIPAL FINDINGS We provide an overview of the DECIPHeR Alliance and individual study designs, populations, and settings, implementation strategies, interventions, and outcomes. We describe the Alliance's organizational structure, designed to promote cross-center partnership and collaboration. CONCLUSIONS The DECIPHeR Alliance represents an ambitious national effort to develop sustainable implementation of interventions to achieve cardiovascular and pulmonary health equity.
Collapse
Affiliation(s)
- Abel Kho
- Center for Health Information Partnerships (CHiP)Northwestern University Feinberg School of MedicineChicagoIllinoisUSA
| | - Gail L. Daumit
- Department of MedicineJohns Hopkins University School of MedicineBaltimoreMarylandUSA
| | - Kimberly P. Truesdale
- Department of Nutrition, Gillings School of Global Public HealthUniversity of North CarolinaChapel HillNorth CarolinaUSA
| | - Arleen Brown
- Department of Internal MedicineUniversity of Los Angeles School of MedicineLos AngelesCAUSA
| | - Amy M. Kilbourne
- Department of Learning Health SciencesUniversity of Michigan MedicineAnn ArborMichiganUSA
- Quality Enhancement Research Initiative (QUERI)U.S. Department of Veterans AffairsWashington, D.C.USA
| | - Joseph Ladapo
- Department of MedicineUniversity of Florida College of MedicineGainesvilleFloridaUSA
| | - Soma Wali
- Department of Internal MedicineUniversity of Los Angeles School of MedicineLos AngelesCAUSA
| | - Lisa Cicutto
- Department of MedicineNational Jewish Health, Community Outreach and ResearchDenverColoradoUSA
| | | | - Justin D. Smith
- Department of Population Health SciencesUniversity of Utah HealthSalt Lake CityUtahUSA
| | - Paris D. Davis
- Total Resource Community Development OrganizationNorthwestern UniversityChicagoIllinoisUSA
| | - Antoinette Schoenthaler
- Department of Population HealthNew York University Grossman School of MedicineNew YorkNew YorkUSA
| | - Gbenga Ogedegbe
- Department of Population HealthNew York University Grossman School of MedicineNew YorkNew YorkUSA
| | - Nadia Islam
- Department of Population HealthNew York University Grossman School of MedicineNew YorkNew YorkUSA
| | - Katherine T. Mills
- Department of EpidemiologyTulane University School of Public Health and Tropical MedicineNew OrleansLouisianaUSA
| | - Jiang He
- Department of EpidemiologyTulane University School of Public Health and Tropical MedicineNew OrleansLouisianaUSA
| | - Karriem S. Watson
- NIH All of Us Bethesda, MD; FormerlyUniversity of Illinois in Chicago Hospital and Health Sciences System, Mile Square Health Center ChicagoIllinoisUSA
| | - Robert A. Winn
- Massey Cancer CenterVirginia Commonwealth UniversityRichmondVirginiaUSA
| | - June Stevens
- Department of Nutrition, Gillings School of Global Public HealthUniversity of North CarolinaChapel HillNorth CarolinaUSA
| | - Amy G. Huebschmann
- Department of Medicine, Division of General Internal MedicineUniversity of Colorado Denver School of MedicineAuroraColoradoUSA
| | - Stanley J. Szefler
- Department of PediatricsUniversity of Colorado Denver School of MedicineDenverColoradoUSA
| |
Collapse
|
25
|
Tseng TS, Li CC, Matthews AK. Editorial: The Interplay Between Social Determinants of Health and Cancer Related Health Disparities. Front Public Health 2022; 10:887847. [PMID: 35602130 PMCID: PMC9118020 DOI: 10.3389/fpubh.2022.887847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 04/19/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Tung-Sung Tseng
- Program of Behavioral and Community Health Sciences, Louisiana State University Health Sciences Center at New Orleans, New Orleans, LA, United States
| | - Chien-Ching Li
- Department of Health Systems Management, Rush University, Chicago, IL, United States
| | - Alicia K Matthews
- Department of Population Health Nursing Science, University of Illinois Chicago, Chicago, IL, United States
| |
Collapse
|
26
|
Matthews AK, Murray M, Ben Levi J, Odell D, Jeremiah R, Moore L, Oyaluade D, Chappel A, Burke L, Watson K. Preliminary Evaluation of a Citizen Scientist Educational Curriculum Aimed at Engaging Black Men in Lung Cancer Early Detection Screening. Am J Mens Health 2022; 16:15579883221099417. [PMID: 35694882 PMCID: PMC9201322 DOI: 10.1177/15579883221099417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Revised: 03/03/2022] [Accepted: 04/07/2022] [Indexed: 11/29/2022] Open
Abstract
This article describes an educational program to engage African American men as citizen scientists (CSs) and future research partners in a lung cancer screening project. We provide an overview of the curriculum used, the structure and format of the educational sessions, and associated educational outcomes. Furthermore, we describe lessons learned in the engagement of African American men as CS in community-based lung-health equity research. The CS educational program included five group-based sessions delivered through zoom. The educational curriculum was adapted from the University of Florida Citizen Scientist program and tailored to address lung health and the contextual experiences of African American men. Each session lasted 90 minutes. Pre- and post-test measures were collected to examine changes in knowledge, comfort, health literacy, research interests, and medical mistrust. Eight African American men completed the CS educational program. Attendance rates were high for each session (100%). Seven participants completed additional human subject research certification. Improvements were observed from pre- to post-test in participants' level of knowledge, comfort, and health literacy but not medical mistrust. CS reported the most interest in participating in research aimed to identify important community strengths and problems. Study findings suggest that it was feasible to deliver an online citizen scientist educational program designed to prepare participants to serve as partners in a lung cancer screening intervention for African American men. Results suggest the educational program has the potential to improve key outcomes including completion of regulatory training and increased research-related knowledge, comfort, and health literacy.
Collapse
Affiliation(s)
- Alicia K. Matthews
- College of Nursing, The University of
Illinois at Chicago, Chicago, IL, USA
| | | | - Josef Ben Levi
- College of Education, Northeastern
Illinois University, Chicago, IL, USA
| | - David Odell
- Feinberg School of Medicine,
Northwestern University, Chicago, IL, USA
| | - Rohan Jeremiah
- College of Nursing, The University of
Illinois at Chicago, Chicago, IL, USA
| | | | - Damilola Oyaluade
- Cancer Center, The University of
Illinois at Chicago, Chicago, IL, USA
| | - Alexis Chappel
- College of Education, Northeastern
Illinois University, Chicago, IL, USA
| | - Larisa Burke
- College of Nursing, The University of
Illinois at Chicago, Chicago, IL, USA
| | - Karriem Watson
- School of Public Health, The University
of Illinois at Chicago, Chicago, IL, USA
| |
Collapse
|
27
|
Matthews AK, Watson KS, Duangchan C, Steffen A, Winn R. Corrigendum: A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers. Front Public Health 2022; 10:863190. [PMID: 35273946 PMCID: PMC8902590 DOI: 10.3389/fpubh.2022.863190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2022] [Accepted: 01/28/2022] [Indexed: 11/28/2022] Open
Affiliation(s)
- Alicia K Matthews
- College of Nursing, University of Illinois at Chicago, Chicago, IL, United States
| | - Karriem S Watson
- University of Illinois Cancer Center, University of Illinois at Chicago, Chicago, IL, United States.,School of Public Health, University of Illinois at Chicago, Chicago, IL, United States
| | - Cherdsak Duangchan
- College of Nursing, University of Illinois at Chicago, Chicago, IL, United States
| | - Alana Steffen
- College of Nursing, University of Illinois at Chicago, Chicago, IL, United States
| | - Robert Winn
- Massey Cancer Center, Virginia Commonwealth University, Richmond, VA, United States.,School of Medicine, Virginia Commonwealth University, Richmond, VA, United States
| |
Collapse
|
28
|
Hart AS, Matthews AK, Arslanian-Engoren C, Patil CL, Krassa TJ, Bonner GJ. Experience of African American Surrogate Decision Makers of Patients With Dementia. J Hosp Palliat Nurs 2022; 24:84-94. [PMID: 34840282 DOI: 10.1097/njh.0000000000000822] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Dementia cases are expected to grow for African Americans and surrogate decision makers (SDMs) will have a significant role at the end of life (EOL). This qualitative exploratory case study used Cognitive Task Analysis and an integrated conceptual framework to understand the EOL decision experience of African American SDMs for patients with advanced dementia. Using a holistic multiple-case design, 8 African American SDMs were interviewed about their experiences with the decision-making process, including role acceptance, role enactment, and emotional outcomes of decision making. Thirteen themes germane to understanding the EOL decision experience of African American SDMs were identified. Findings suggest African American SDMs often lack sufficient knowledge of disease prognosis and intervention options to make informed treatment choices at EOL. In particular, African Americans extend the caregiver role to SDM for patients with dementia at EOL without being fully aware of the role and decision-making responsibilities. Surrogates lacked a general understanding of EOL options resulting in underutilization of hospice and palliative care and subsequent regret, and few interventions exist to improve the uptake of EOL care services. There is a need to develop culturally appropriate role preparation, education, and decision support to improve EOL treatment decisions and emotional adjustment of surrogates of patients with advanced dementia, which should be rendered early and throughout the illness trajectory.
Collapse
|
29
|
Duangchan C, Steffen A, Matthews AK. Thai oncology nurses' perspectives toward survivorship care plan components and implementation for colorectal cancer survivors. Support Care Cancer 2022; 30:4089-4098. [PMID: 35066665 DOI: 10.1007/s00520-021-06766-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 12/15/2021] [Indexed: 10/19/2022]
Abstract
PURPOSE To describe oncology nurses' perspectives regarding survivorship care plan (SCP) components and implementation for colorectal cancer (CRC) survivors in Thailand. METHODS A cross-sectional, descriptive online study was conducted between October and November 2020. Thai oncology nurses were recruited using Facebook and the Line application. Study participants (n = 160) rated the usefulness of four standard SCP components (treatment summaries, surveillance, late/long-term effects, and health promotion and psychosocial needs; n = 23 items) and gave input on the implementation of SCPs in clinical practice (n = 11 items). Data were analyzed using descriptive statistics. RESULTS Most oncology nurses supported providing CRC survivors with SCPs (93.2%) and felt that SCPs were an important part of their practice (93.7%). Nurses rated all four SCP components as "very useful," including treatment summaries (76.4%), surveillance (81.9%), late/long-term effects (85.7%), and health behavior and psychosocial concerns (80.2%). In terms of implementation, most nurses indicated that oncologists should prepare (84.4%) and provide SCPs (95%), but 61.9% and 69.4% of nurses, respectively, also believed that they should perform these tasks. In addition, most nurses indicated that they should play a significant role in the ongoing management of CRC survivors (95.7%) and that evidence-based surveillance guidelines are needed (96.2%). CONCLUSION Oncology nurses believed that the four SCP components were helpful to the long-term management of CRC survivors, supported SCP provision, and expressed their perceived responsibilities for preparing and delivering SCPs. The findings suggested opportunities for oncology nurses to play a significant role in developing and implementing SCPs. However, additional efforts are needed to expand nurses' roles in survivorship care and establish practice guidelines that will facilitate integration of SCPs into nursing practice.
Collapse
Affiliation(s)
- Cherdsak Duangchan
- University of Illinois at Chicago College of Nursing, Chicago, IL, USA. .,Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand.
| | - Alana Steffen
- University of Illinois at Chicago College of Nursing, Chicago, IL, USA
| | - Alicia K Matthews
- University of Illinois at Chicago College of Nursing, Chicago, IL, USA
| |
Collapse
|
30
|
Burke LA, Steffen AD, Duangchan C, Watson KS, Matthews AK. Abstract PO-010: Increased risk of smoking-related health conditions for current and former smokers in the Chicago metro area. Cancer Epidemiol Biomarkers Prev 2022. [DOI: 10.1158/1538-7755.disp21-po-010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Abstract
PURPOSE: Smoking is a main cause of lung cancer and COPD and is also a cause of coronary heart disease, stroke and a host of other cancers and diseases. The purpose of this study was to investigate rates of smoking-related health conditions in the Chicago metro area and to assess how cigarette use and demographic factors correlate with increased risk for these conditions. METHODS: The Behavioral Risk Factor Surveillance System (BRFSS) is a national system of health-related telephone surveys that collect state data about U.S. residents regarding their health-related risk behaviors, chronic health conditions, and use of preventive services. A subsample of the 2019 BRFSS data from the Chicago metro-area was used (n=4,838). Analysis was conducted with STATA survey analysis tools to account for the complex sampling design of BRFSS data. Logistic regression models predicting increased risk for each health condition for 3 categories of smokers (current, quit in past 10 years, quit >10 years ago) compared to non-smokers and including age, sex, race, income, and BMI as covariates were run. RESULTS: Rates of health problems of Chicago area residents were: 5.9% non-skin cancer, 5.1% COPD, 8.4% asthma, 5.0% coronary heart disease/myocardial infarction (MI/CHD), 2.8% stroke, 30.2% hypertension, 10.4% diabetes, and 7.5% poor/fair health. Current smoking was associated with increased odds of COPD (7.3 [4.7, 11.4]), asthma (1.8 [1.2, 2.6]), hypertension (1.6 [1.2, 2.1]), diabetes (1.5 [1.0, 2.3]), and poor/fair health (1.8 [1.3, 2.5]). Those that quit smoking in the past 10 years had increased odds of COPD (2.9 [1.7, 5.1]), stroke (2.6 [1.3, 5.4]), diabetes (1.9 [1.2, 2.9]), and poor/fair health (1.5 [1.1, 2.2]). Those that quit more than 10 years ago had increased odds of non-skin cancer (1.6 [1.1, 2.3]), COPD (2.3 [1.5, 3.6]), and MI/CHD (2.2 [1.4, 3.2]). Demographic factors also predicted greater risk of smoking-related health conditions after controlling for smoking status including greater risk for Black residents of stroke (2.0 (1.1, 3.7)], hypertension (1.7 [1.3, 2.2]), diabetes (1.7 [1.2, 2.4]), and poor/fair health (1.7 [1.3, 2.4]) and increased risk for Hispanic residents of diabetes (2.4 [1.6, 3.4]) and poor/fair health (2.5 [1.8, 3.3]). Lower income predicted greater risk for MI/CHD (1.9 [1.3, 2.9]), stroke (2.2 [1.2, 4.2]), hypertension (1.5 [1.2, 1.9]), diabetes (1.5 [1.1, 2.1]) and poor/fair health (3.0 [2.3, 3.8]). CONCLUSION: Risks for smoking-related health conditions varied for current and former cigarette users and also by different demographic factors for Chicago metro-area residents. These findings can inform clinical work by revealing the continued health risks even for those who quit smoking and how risks my be exacerbated for different racial groups and for those with lower income.
Citation Format: Larisa A. Burke, Alana D. Steffen, Cherdsak Duangchan, Karriem S. Watson, Alicia K. Matthews. Increased risk of smoking-related health conditions for current and former smokers in the Chicago metro area [abstract]. In: Proceedings of the AACR Virtual Conference: 14th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2021 Oct 6-8. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr PO-010.
Collapse
|
31
|
Li CC, Flores F, Matthews AK, James B, Shah R. The influence of cognitive function on adherence to breast cancer screening among older American women. Innov Aging 2021. [PMCID: PMC8682519 DOI: 10.1093/geroni/igab046.3534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Cognitive decline and impairment among older adults have become an important public health issue. Previous research shows older women have a greater prevalence of Alzheimer's disease than Men. Among women, breast cancer is one of the most common types of cancer. Over half of breast cancer deaths occur in women aged 65 and older. Therefore, early detection of breast cancer through mammogram screening is important among older women. This study aimed to examine the influence of cognitive function on adherence to mammogram breast cancer screening among older American women aged 65 and older. Data from the Health and Retirement Study (2012-2016) was obtained and analyzed. The independent variable of the study was cognitive function (normal, not normal). Adherence to mammogram (low, moderate, high) was the dependent variable. Multinomial regression was performed to examine the association between cognitive function and adherence to mammogram after controlling for demographic covariates. In the study, 33.3% of respondents had impaired cognitive function and 21.7% showed low adherence to mammogram screening. Regression results found that older women with impaired cognitive function were more likely to be in low adherence group (OR=1.30, p=0.01) or moderate adherence group (OR=1.47, p<0.001) relatively to be in high adherence group compared to older women with normal cognitive function. The development and implementation of interventions are needed for reducing barriers to accessing cancer screening services in high-risk vulnerable populations. This submission is considered late-breaking research because study findings were obtained from a recently completed student's master's project.
Collapse
Affiliation(s)
- Chien-Ching Li
- Rush University, Rush University, Illinois, United States
| | - Fritzi Flores
- Rush University, Rush University, Illinois, United States
| | | | - Bryan James
- Rush University, Chicago, Illinois, United States
| | - Raj Shah
- Rush, Rush University Medical Center, Illinois, United States
| |
Collapse
|
32
|
Matthews AK, Watson KS, Duangchan C, Steffen A, Winn R. A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers. Front Public Health 2021; 9:762784. [PMID: 34926386 PMCID: PMC8674302 DOI: 10.3389/fpubh.2021.762784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 11/12/2021] [Indexed: 11/27/2022] Open
Abstract
Background: Smoking rates among low-income patients are double those of the general population. Access to health care is an essential social determinant of health. Federally qualified health care centers (FQHC) are government-supported and community-based centers to increase access to health care for non-insured and underinsured patients. However, barriers to implementation impact adherence and sustainability of evidence-based smoking cessation within FQHC settings. To address this implementation barrier, our multi-disciplinary team proposes Mi QUIT CARE (Mile Square QUIT Community-Access-Referral-Expansion) to establish the acceptability, feasibility, and capacity of an FQHC system to deliver an evidence-based and multi-level intervention to increase patient engagement with a state tobacco quitline. Methods: A mixed-method approach, rooted in an implementation science framework of RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance), will be used in this hybrid effectiveness-implementation design. We aim to evaluate the efficacy of a novel delivery system (patient portal) for increasing access to smoking cessation treatment. In preparation for a future randomized clinical trial of Mi QUIT CARE, we will conduct the following developmental research: (1) Examine the burden of tobacco among patient populations served by our partner FQHC, (2) Evaluate among FQHC patients and health care providers, knowledge, attitudes, barriers, and facilitators related to smoking cessation and our intervention components, (3) Evaluate the use of tailored communication strategies and patient navigation to increase patient portal uptake among patients, and (4) To test the acceptability, feasibility, and capacity of the partner FQHC to deliver Mi QUIT CARE. Discussion: This study provides a model for developing and implementing smoking and other health promotion interventions for low-income patients delivered via patient health portals. If successful, the intervention has important implications for addressing a critical social determinant of cancer and other tobacco-related morbidities. Trial Registration: U.S. National Institutes of Health Clinical Trials, NCT04827420, https://clinicaltrials.gov/ct2/show/NCT04827420.
Collapse
Affiliation(s)
- Alicia K. Matthews
- College of Nursing, University of Illinois at Chicago, Chicago, IL, United States
| | - Karriem S. Watson
- University of Illinois Cancer Center, University of Illinois at Chicago, Chicago, IL, United States
- School of Public Health, University of Illinois at Chicago, Chicago, IL, United States
| | - Cherdsak Duangchan
- College of Nursing, University of Illinois at Chicago, Chicago, IL, United States
| | - Alana Steffen
- College of Nursing, University of Illinois at Chicago, Chicago, IL, United States
| | - Robert Winn
- Massey Cancer Center, Virginia Commonwealth University, Richmond, VA, United States
- School of Medicine, Virginia Commonwealth University, Richmond, VA, United States
| |
Collapse
|
33
|
Kittiteerasack P, Matthews AK, Park C. Psychometric properties of the Thai version of the Internalized sexual stigma scale for research on lesbian, gay, bisexual, and transgender (LGBT) populations. Psychology & Sexuality 2021. [DOI: 10.1080/19419899.2021.2000013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | - Alicia K. Matthews
- College of Nursing, The University of Illinois at Chicago, Illinois, United States
| | - Chang Park
- College of Nursing, The University of Illinois at Chicago, Illinois, United States
| |
Collapse
|
34
|
Duangchan C, Steffen A, Matthews AK. Perspectives and practices regarding colorectal cancer survivorship care: Online survey results from oncology nurses in Thailand. Eur J Oncol Nurs 2021; 55:102048. [PMID: 34634574 DOI: 10.1016/j.ejon.2021.102048] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 10/04/2021] [Accepted: 10/05/2021] [Indexed: 02/06/2023]
Abstract
PURPOSE Limited research has highlighted disparities in survivorship care in low- and middle-income countries. However, such care for colorectal cancer (CRC) survivors remains unexplored, especially in Thailand. This study examined Thai oncology nurses' perceptions of responsibility, confidence levels, and frequency of survivorship care practice for CRC survivors and identified factors impeding such care. METHODS A cross-sectional study utilizing an online survey approach was conducted between October and November 2020. Thai oncology nurses (N = 155) completed the survey's demographic questionnaire, 29-item survivorship care scale, and 16-item impeding factor scale. RESULTS Oncology nurses had high levels of perceived responsibility (mean = 73.37, SD = 12.12) and confidence (mean = 65.09, SD = 14.89) for providing CRC survivorship care. However, they reported less frequency of practice (mean = 47.60, SD = 21.03), especially concerning sexual, fertility, employment, and financial issues. Nurses with higher education had significantly higher responsibility perceptions, confidence levels, and frequency of practice (all p < .05). Also, nurses with specialty training in cancer care reported higher frequency of practice (p = .013). Common factors impeding survivorship care were lack of physical facilities (60.4%), knowledge/skills (57.4%), and educational resources for family members (52.3%) and survivors (51.6%). CONCLUSIONS This study revealed inconsistencies between oncology nurses' responsibility perceptions, confidence levels, and frequency of survivorship care practice. The results can guide nurse researchers, educators, leaders, and policymakers in enhancing the quality of CRC survivorship care in low- and middle-income countries such as Thailand. Future efforts should focus on developing educational resources and training programs for survivorship care for oncology nurses and addressing factors impeding such care during healthcare service planning.
Collapse
Affiliation(s)
- Cherdsak Duangchan
- College of Nursing, University of Illinois at Chicago, Chicago, IL, USA; Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand.
| | - Alana Steffen
- College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| | - Alicia K Matthews
- College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| |
Collapse
|
35
|
Li CC, Matthews AK, Yen PS, Chen YF, Dong X. Intimate partner violence and Its Relationship with Psychological Distress Among Older Asian Americans: Results from the California Health Interview Survey. Asian J Psychiatr 2021; 63:102798. [PMID: 34352510 DOI: 10.1016/j.ajp.2021.102798] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 06/26/2021] [Accepted: 07/22/2021] [Indexed: 11/17/2022]
Abstract
OBJECTIVE This study aimed to examine the influence of intimate partner violence on psychological distress among a diverse sample of older Asian Americans living in California. METHODS Participants in the 2007-2009 California Health and Interview Survey (CHIS) aged fifty years and older and self-reported as Asian Americans were included in the study. The primary independent variable was the history of any intimate partner violence (physical or sexual violence) since 18 years of age. The Kessler Psychological Distress Six-item Scale was used to measure the study dependent variable. A composite score (0-24) was created for psychological distress during the past 30 days as well as for the one month in the past 12 months when they were at their worst emotionally. Other covariates, including acculturation and demographic factors, were measured. Hierarchical multivariate linear regressions were conducted to examine the influence of intimate partner violence on psychological distress after adjusting for covariates. RESULTS In the study, about 8% of older Asian Americans reported ever experiencing intimate partner violence. After controlling for level of acculturation and demographic factors, a history of intimate partner violence was significantly associated with higher levels of psychological distress for the past month (beta = 2.07, SE = 0.74, p < 0.05) and for the worst month in the past year (beta = 1.99, SE = 0.68, p < 0.05). CONCLUSION Intimate partner violence is a significant risk factor for distress among older Asian Americans. Culturally targeted violence prevention efforts and treatment approaches for individuals impacted by violence are needed in this highly underserved segment of older Americans.
Collapse
Affiliation(s)
- Chien-Ching Li
- Rush University, Department of Health Systems Management, Chicago, IL, United States.
| | - Alicia K Matthews
- University of Illinois at Chicago, Department of Population Health Nursing Science, Chicago, IL, United States
| | - Pei-Shan Yen
- University of Illinois at Chicago, Division of Epidemiology and Biostatistics, Chicago, IL, United States
| | - Yi-Fan Chen
- University of Illinois at Chicago, Center for Clinical Translational Science, Chicago, IL, United States
| | - XinQi Dong
- Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ, United States
| |
Collapse
|
36
|
Li CC, Matthews AK, Kao YH, Lin WT, Bahhur J, Dowling L. Examination of the Association Between Access to Care and Lung Cancer Screening Among High-Risk Smokers. Front Public Health 2021; 9:684558. [PMID: 34513780 PMCID: PMC8424050 DOI: 10.3389/fpubh.2021.684558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 07/23/2021] [Indexed: 12/04/2022] Open
Abstract
Objective: The purpose of this study was to examine the influence of access to care on the uptake of low-dose computed tomography (LDCT) lung cancer screening among a diverse sample of screening-eligible patients. Methods: We utilized a cross-sectional study design. Our sample included patients evaluated for lung cancer screening at a large academic medical center (AMC) between 2015 and 2017 who met 2013 USPSTF guidelines for LDCT screening eligibility. The completion of LDCT screening (yes, no) was the primary dependent variable. The independent variable was access to care (insurance type, living within the AMC service area). We utilized binary logistic regression analyses to examine the influence of access to care on screening completion after adjusting for demographic factors (age, sex, race) and smoking history (current smoking status, smoking pack-year history). Results: A total of 1,355 individuals met LDCT eligibility criteria, and of those, 29.8% (n = 404) completed screening. Regression analysis results showed individuals with Medicaid insurance (OR, 1.51; 95% CI, 1.03-2.22), individuals living within the AMC service area (OR, 1.71; 95% CI, 1.21-2.40), and those aged 65-74 years (OR, 1.49; 95% CI, 1.12-1.98) had higher odds of receiving LDCT lung cancer screening. Lower odds of screening were associated with having Medicare insurance (OR, 0.30; 95% CI, 0.22-0.41) and out-of-pocket (OR, 0.27; 95% CI, 0.15-0.47). Conclusion: Access to care was independently associated with lowered screening rates. Study results are consistent with prior research identifying the importance of access factors on uptake of cancer early detection screening behaviors.
Collapse
Affiliation(s)
- Chien-Ching Li
- Department of Health Systems Management, Rush University, Chicago, IL, United States
| | - Alicia K. Matthews
- Department of Population Health Nursing Science, The University of Illinois at Chicago, Chicago, IL, United States
| | - Yu-Hsiang Kao
- Department of Behavioral and Community Health Sciences, Louisiana State University Health Sciences Center, New Orleans, LA, United States
| | - Wei-Ting Lin
- Department of Global Community Health and Behavioral Sciences, Tulane University, New Orleans, LA, United States
| | - Jad Bahhur
- Department of RUMG Administration, Rush University Medical Center, Chicago, IL, United States
| | - Linda Dowling
- Department of RUMG Administration, Rush University Medical Center, Chicago, IL, United States
| |
Collapse
|
37
|
Kittiteerasack P, Matthews AK, Steffen A, Corte C, McCreary LL, Bostwick W, Park C, Johnson TP. The influence of minority stress on indicators of suicidality among lesbian, gay, bisexual and transgender adults in Thailand. J Psychiatr Ment Health Nurs 2021; 28:656-669. [PMID: 33190351 DOI: 10.1111/jpm.12713] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 09/14/2020] [Accepted: 11/02/2020] [Indexed: 11/30/2022]
Abstract
UNLABELLED WHAT IS KNOWN ON THE SUBJECT?: Established research from the United States and other Western countries has found that lesbian, gay, bisexual and transgender (LGBT) populations are at an elevated risk for suicide. Suicidality among LGBT individuals is understudied in Thailand and other Asian countries, warranting additional research to better understand risk factors and to create effective treatment and suicide prevention interventions. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: The study examined rates and predictors of suicidality in Thai LGBT adults. Study findings suggest that general (e.g. stress and loneliness) and minority stressors (e.g. discrimination and victimization) played important roles in predicting lifetime and past-year suicidal ideation, while socio-demographic and health-related factors (e.g. living in high poverty area and having chronic diseases) were associated with suicide attempts among LGBT individuals. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Changes in the nursing curriculum and continuing education resources are needed to improve knowledge and core competencies in the mental health and treatment needs of LGBT individuals in Thailand. Among LGBT serving practitioners, routine assessment of suicidality is needed to increase the early identification and treatment of individual at risk for suicidal behaviours. Standardized measures of sexual orientation and gender identity should be included in all patient intake forms. In conducting research on strategies to improve mental health outcomes among LGBT populations, standardized measures of sexual orientation/gender identity and minority-specific stressors should be used. Suicide prevention interventions aimed at reducing general and minority stress among LGBT populations should be a priority in mental health nursing. ABSTRACT INTRODUCTION: A large and rigorous body of research in the United States has demonstrated that lesbian, gay, bisexual and transgender (LGBT) populations are at an elevated risk for suicide. However, scant research aimed at understanding the rates and predictors for suicidality among Thai LGBT individuals exists. AIM To examine rates and predictors of suicidality among Thai LGBT adults (N = 411). METHOD Data collection was conducted via online and in-person surveys. Guided by the Minority Stress Model, standardized measures of demographics, health-related factors, general and minority-specific stressors and suicidality were completed. RESULTS Thirty-nine per cent of participants reported lifetime suicidal ideation, 19.0% past 12-month suicidal ideation and 13.1% lifetime suicide attempts. Lifetime suicidal ideation was associated with higher levels of social discrimination, stress, loneliness and chronic disease (OR = 1.12, 1.16, 2.75, and 1.46, p ≤ .05, R2 = 0.327). Past-year suicidal ideation was associated with victimization, stress, loneliness and being a former smoker (OR = 1.52, 1.20, 2.34, and 4.89, p < .05, R2 = 0.345). Suicide attempts were associated with internalized homophobia, poverty, chronic disease, alcohol use and physical health (OR = 1.44, 1.06, 1.59, 1.45 and 0.95, p ≤ 0.05, R2 = 0.187). DISCUSSION General and minority-specific stressors negatively impacted suicidality among LGBT participants. IMPLICATION FOR PRACTICE Study findings have implications for nursing education, practice and research. Nursing education should include information about the influence of sexual orientation and gender identity on mental health outcomes. Further, systematic screening for suicidality should be conducted by LGBT serving psychiatric and mental health nurses. Finally, research is needed to determine best practices for interventions aimed at reducing suicidality risk among LGBT individuals.
Collapse
Affiliation(s)
| | - Alicia K Matthews
- College of Nursing, The University of Illinois at Chicago, Chicago, IL, USA
| | - Alana Steffen
- College of Nursing, The University of Illinois at Chicago, Chicago, IL, USA
| | - Colleen Corte
- College of Nursing, The University of Illinois at Chicago, Chicago, IL, USA
| | - Linda L McCreary
- College of Nursing, The University of Illinois at Chicago, Chicago, IL, USA
| | - Wendy Bostwick
- College of Nursing, The University of Illinois at Chicago, Chicago, IL, USA
| | - Chang Park
- College of Nursing, The University of Illinois at Chicago, Chicago, IL, USA
| | - Timothy P Johnson
- College of Urban Planning and Public Affairs, The University of Illinois at Chicago, Chicago, IL, USA
| |
Collapse
|
38
|
Abstract
BACKGROUND Quality end-of-life care for cancer patients is a global health priority, and nurses are instrumental in providing this care. However, little is known about nurses' experiences and perceptions in end-of-life care settings in Korea. Aims: This scoping review examined Korean nurses' end-of-life care experiences and assessed the state of research in this area. METHODS Systematic searches were conducted using 7 electronic databases (PubMed, CINAHL, Scopus, Embase, WPRIM, KCI, and RISS), and 17 studies were selected for review. FINDINGS Most studies were limited to cross-sectional, descriptive designs. Outcomes regarding end-of-life care measured in the studies were categorized into cognitive variables, emotional variables, participation/performance, and educational needs. Study results suggested low nurse knowledge and self-efficacy with regard to provision of end-of-life care. Perceived barriers to quality end of life care included difficulties in meeting family members' needs. In addition, emotional outcomes associated with end-of-life care included high levels of nurse stress and burnout. Predictors of elevated stress included inability to provide adequate pain control, inability to reconcile patient requests with physician orders, and heavy workload. Although most nurses had end-of-life care experience, fewer than half reported receiving related education. The lack of knowledge and skill related to end of life care was a primary contributor to stress. CONCLUSIONS Korean nurses providing end-of-life care for cancer patients need additional education and support to help them manage high stress levels. Further study is needed to identify strategies for meeting nurses' end-of-life care education needs and of improving their overall performance in such practice.
Collapse
Affiliation(s)
- Min Young Jung
- Department of Health Systems Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| | - Alicia K Matthews
- Department of Health Systems Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA
| |
Collapse
|
39
|
Li CC, Chen YF, Liang J, Matthews AK, Barnes LL. Trajectories of Multiple Behavioral Risk Factors and Their Associations With Cognitive Function Trajectories Among Older African Americans and White Americans. J Aging Health 2021; 33:674-684. [PMID: 33788658 DOI: 10.1177/08982643211005905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objectives: This study examined the joint trajectories of behavioral risk factors (smoking, alcohol drinking, and body mass index) and their associations with cognitive function trajectories among older African Americans and white Americans. Methods: Data from the Health and Retirement Study (1998-2014) were used. Group-based mixture modeling and multinomial logistic regression analysis were performed. Results: Three joint trajectories of behavioral risk factors (overweight, smoking and drinking, and drinking and overweight) and three cognitive function trajectories (low, moderate, and high) were identified. A significantly higher percentage of African Americans were in the "overweight," "smoking and drinking," and "low" cognitive functioning groups as measured by the total cognition composite score compared to white Americans. After accounting for covariates, the "drinking and overweight" group was associated with the "moderate" or "high" cognitive functioning group. Discussion: Future interventions targeting the combinations of behavioral risk factors are needed to promote healthy aging among high-risk populations.
Collapse
Affiliation(s)
- Chien-Ching Li
- Department of Health Systems Management, 2461Rush University, Chicago, IL, USA
| | - Yi-Fan Chen
- Center for Clinical Translational Science, 14681University of Illinois at Chicago, Chicago, IL, USA
| | - Jersey Liang
- Department of Health Management and Policy, 1259University of Michigan, Ann Arbor, MI, USA
| | - Alicia K Matthews
- Department of Population Health Nursing Science, 14681University of Illinois at Chicago, Chicago, IL, USA
| | - Lisa L Barnes
- Alzheimer's Disease Center, 2461Rush University Medical Center, Chicago, IL, USA
| |
Collapse
|
40
|
Duangchan C, Matthews AK. Application of Ferrans et al.'s conceptual model of health-related quality of life: A systematic review. Res Nurs Health 2021; 44:490-512. [PMID: 33694333 DOI: 10.1002/nur.22120] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2020] [Revised: 01/10/2021] [Accepted: 02/13/2021] [Indexed: 12/13/2022]
Abstract
Ferrans, Zerwic, Wilbur, and Larson proposed the conceptual model of health-related quality of life (HRQOL) in 2005 to explicate the constructs associated with HRQOL and to describe the associations among those constructs. In this systematic review, the authors aimed to describe empirical studies that used Ferrans et al.'s model and to examine the evidence related to the hypothesized model concepts. This review followed Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. Relevant articles were identified using Crossref, CINAHL, and PubMed. To be included, studies had to employ the model as a theoretical framework and be published in English between 2005 and 2020. Type of theory use was coded using four designations: informed by theory, applied theory, testing theory, and building theory. Thirty-one studies were included. Most studies involved adult patients with chronic illnesses (n = 20) and were conducted in Western countries (n = 22). The most common type of theory use was testing theory (74.19%). Among the seven concepts in Ferrans et al.'s model, all 20 hypothesized associations were tested and 19 were supported by study results. The three associations most frequently supported were between symptoms and functional status (n = 13), environmental characteristics and quality of life (n = 10), and individual characteristics and functional status (n = 8). No studies found an association between environmental characteristics and biological function. Our review found that Ferrans et al.'s model has been used extensively to guide HRQOL research. An emerging body of research provides preliminary support for the associations hypothesized in the model. Additional research is needed to confirm the hypothesized associations among model concepts.
Collapse
Affiliation(s)
- Cherdsak Duangchan
- College of Nursing, University of Illinois at Chicago, Chicago, Illinois, USA.,Faculty of Nursing, HRH Princess Chulabhorn College of Medical Science, Chulabhorn Royal Academy, Bangkok, Thailand
| | - Alicia K Matthews
- College of Nursing, University of Illinois at Chicago, Chicago, Illinois, USA
| |
Collapse
|
41
|
Riggle EDB, Drabble LA, Matthews AK, Veldhuis CB, Nisi RA, Hughes TL. First comes marriage, then comes the election: Macro-level event impacts on African-American, Latina/x, and White sexual minority women. Sex Res Social Policy 2021; 18:112-126. [PMID: 37528937 PMCID: PMC10393113 DOI: 10.1007/s13178-020-00435-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/03/2023]
Abstract
Sexual minority women (SMW) may have different experiences of macro-level events, such as changes in marriage laws or election outcomes, related to their multiple identities. African American, Latina/x, and White identities intersect with gender/sex and sexual identity to influence experiences at the intrapersonal, interpersonal, social, and political levels of the socio-ecological environment. Participants include 100 African American, 35 Latina/x, and 164 White SMW (N = 299) in Wave 4 (2017-2019) of a longitudinal study of SMW's health conducted in the United States (Chicago Health and Life Experiences of Women Study). Responses to nine open-ended survey questions about marriage equality and the 2016 Presidential election were examined. Thematic analysis noted similarities across groups and focused on group differences in four areas: 1) personal well-being (including fear and anxiety about discrimination; risk associated with masculine presentation; and religion as stress and support); 2) interpersonal relationships (including relationships with partners, family, and in a community); 3) societal discrimination and prejudice (including harassment in public spaces and concerns about travel); and 4) civil rights, government harassment, and police-state violence. Emerging differences emphasized the impact of race/ethnicity and the intersection of race/ethnicity and gender on experiences of marriage equality and the 2016 election. Findings suggest that a more nuanced understanding of the experiences of individuals with different racial/racialized identities and the intersection of race/ethnicity with sexual identities is essential to creating culturally competent and effective supports for SMW.
Collapse
Affiliation(s)
- Ellen D B Riggle
- Departments of Gender and Women's Studies and Political Science, University of Kentucky, 1615 Patterson Office Tower, Lexington, KY 40506-0027
| | - Laurie A Drabble
- College of Health and Human Sciences, San José State University, One Washington Square, San José, CA 95192-0049
| | - Alicia K Matthews
- Department of Health Systems Science, University of Illinois at Chicago, 845 S. Damen Ave., MC 802, Chicago, IL 60612
| | - Cindy B Veldhuis
- School of Nursing, Columbia University, 630 West 168th Street, Mail Box Code 6, New York, NY 10032
| | - Robyn A Nisi
- Department of Health Systems Science, University of Illinois at Chicago, 845 S. Damen Ave., MC 802, Chicago, IL 60612
| | - Tonda L Hughes
- School of Nursing & Department of Psychiatry, Columbia University, 630 West 168th Street, Mail Box Code 6, New York, NY 10032
| |
Collapse
|
42
|
Abstract
Older African Americans (AAs) with serious illness experience disparities in advance care planning, access to palliative care and hospice, and decision-making at end of life. While culturally specific drivers of care outcomes have been identified, little has been done to standardize integration and application of targeted elements of end-of-life (EOL) interventions for AA populations. A scoping review was conducted to describe and evaluate the benefit of culturally targeted EOL interventions for AAs. A computerized search of empirical and gray literature was completed. Twelve full-text articles, 1 brief report, and 1 abstract describing a total of 14 EOL interventions for AAs with a range of serious illness were reviewed. Interventions were described relative to culturally targeted adaptations and resulting cognitive, emotional, and behavioral outcomes. Most interventions were theory-based and used psychoeducational approaches and interactive discussion and interviews. Significant improvements in psychological and behavioral outcomes were reported including knowledge and self-efficacy (n = 8); self-reported anxiety, depression, and/or well-being (n = 5); and advance care plan completion (n = 3). Few culturally tailored randomized controlled trials (n = 9) have been conducted. Preliminary results show promise for interventions using cultural adaptations. Culturally targeted intervention approaches are feasible to address EOL outcomes for AA patients and families experiencing serious illness.
Collapse
|
43
|
McCabe SE, West BT, Matthews AK, Evans-Polce R, Lee JG, Hughes TL, Veliz P, McCabe V, Boyd CJ. Sexual Orientation, Tobacco Use, and Tobacco Cessation Treatment-Seeking: Results From a National U.S. Survey. Behav Med 2021; 47:120-130. [PMID: 32703084 PMCID: PMC7854762 DOI: 10.1080/08964289.2019.1676191] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Despite higher rates of tobacco use and smoking-related diseases among sexual minorities, tobacco cessation treatment-seeking behaviors (e.g., medication, nicotine replacement products) remain poorly understood across sexual orientation subgroups. This study examines tobacco cessation treatment-seeking behaviors associated with Diagnostic and Statistical Manual of Mental Disorders, 5th Edition tobacco use disorder (TUD) across the three major sexual orientation dimensions (identity, attraction, behavior) in U.S. adults. Prevalence estimates reflect data collected from a 2012-2013 national sample of adults 18 years and older. More than three-fourths of U.S. adults with TUD had never engaged in tobacco cessation treatment-seeking behaviors, regardless of sexual orientation. Despite having the highest rates of TUD, bisexual men and women had some of the lowest rates of tobacco cessation treatment-seeking. Men who identified as gay, reported same-sex attraction, or reported same-sex behaviors had the highest rates of tobacco cessation treatment-seeking. In contrast, women with same-sex attraction or same-sex behavior had higher rates of TUD but were less likely to engage in tobacco cessation treatment-seeking behaviors than women with only other-sex attraction or other-sex behavior, respectively. Heterosexual women were more likely to engage in tobacco cessation treatment-seeking than heterosexual men; this sex difference was not present for sexual minorities. Medications and nicotine replacement therapy products were the most prevalent forms of treatment-seeking. There were notable differences in tobacco cessation treatment-seeking behaviors based on sex and sexual orientation. Findings highlight the underutilization of tobacco cessation treatment-seeking among all U.S. adults and point to important factors to consider when working with sexual minorities who are trying to reduce or stop using tobacco.
Collapse
Affiliation(s)
- Sean Esteban McCabe
- Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, Ann Arbor, Michigan,Institute for Research on Women and Gender, University of Michigan, Ann Arbor, Michigan,Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan,Center for Human Growth and Development, University of Michigan, Ann Arbor, Michigan,Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan
| | - Brady T. West
- Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan
| | - Alicia K. Matthews
- College of Nursing, Department of Health Systems Science, University of Illinois at Chicago, Chicago, Illinois
| | - Rebecca Evans-Polce
- Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, Ann Arbor, Michigan
| | - Joseph G.L. Lee
- Department of Health Education and Promotion, College of Health and Human Performance, and Center for Health Disparities, Brody School of Medicine, East Carolina University, Greenville, North Carolina
| | - Tonda L. Hughes
- School of Nursing and Department of Psychiatry, Columbia University, New York, New York
| | - Phil Veliz
- Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, Ann Arbor, Michigan,Institute for Research on Women and Gender, University of Michigan, Ann Arbor, Michigan,Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, Michigan
| | - Vita McCabe
- Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, Ann Arbor, Michigan,St. Joseph Mercy Ann Arbor, St. Joseph Mercy Health System, Ypsilanti, Michigan
| | - Carol J. Boyd
- Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, Ann Arbor, Michigan,Institute for Research on Women and Gender, University of Michigan, Ann Arbor, Michigan,Center for Human Growth and Development, University of Michigan, Ann Arbor, Michigan,Addiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, Michigan
| |
Collapse
|
44
|
Lee MH, Matthews AK, Park CG, Vincent C, Hsieh K, Savage TA. Relationships among parenting stress, health-promoting behaviors, and health-related quality of life in Korean mothers of children with cerebral palsy. Res Nurs Health 2020; 43:590-601. [PMID: 32990995 DOI: 10.1002/nur.22074] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 09/07/2020] [Accepted: 09/13/2020] [Indexed: 11/07/2022]
Abstract
Health-promoting behaviors have been shown to enhance the quality of life across diverse populations. In this study, we examined the indirect effects of several health-promoting behaviors on the relationship between parenting stress and health-related quality of life in mothers of children with cerebral palsy (CP). A convenience sample of Korean mothers (N = 180) of children aged 10 months to 12 years with CP was recruited from clinical and school settings. Health-promoting behaviors were measured using the health-promoting lifestyle profile II, which is comprised of six subscales: health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations, and stress management. Multiple mediation analyses were conducted to examine the mediating role of these behavioral categories. Spiritual growth (β = .56, p < .05) had an indirect effect on the relationship between parenting stress and physical health-related quality of life while spiritual growth (β = -1.00, p < .01) and stress management (β = -.80, p < .05) were found to mediate the association between parenting stress and mental health-related quality of life. The findings of multiple mediation analyses provide evidence of the influence of specific health-promoting behaviors on health-related quality of life, thereby informing the development of intervention programs for mothers of children with disabilities.
Collapse
Affiliation(s)
- Meen Hye Lee
- School of Nursing at UNCW, University of North Carolina Wilmington, Wilmington, North Carolina, USA
| | - Alicia K Matthews
- College of Nursing at UIC, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Chang Gi Park
- College of Nursing at UIC, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Catherine Vincent
- College of Nursing at UIC, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Kelly Hsieh
- Disability and Human Development at UIC, College of Applied Health Science, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Teresa A Savage
- College of Nursing at UIC, University of Illinois at Chicago, Chicago, Illinois, USA
| |
Collapse
|
45
|
Li CC, Matthews AK, Wu T. Adaptation and Preliminary Evaluation of a Lung Cancer Screening Decision Tool for Older Chinese American Populations. J Natl Med Assoc 2020; 112:433-444. [PMID: 32605737 DOI: 10.1016/j.jnma.2020.05.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Revised: 04/28/2020] [Accepted: 05/19/2020] [Indexed: 11/26/2022]
Abstract
BACKGROUND Lung cancer is a significant health issue among Chinese Americans. The study purpose was to translate and culturally adapt the Agency for Healthcare Research and Quality's (AHRQ) lung cancer screening decision tool to the needs of older Chinese American smokers. METHODS This study used a mixed methods approach. In the first phase, AHRQ lung cancer screening decision aid was translated from English to Chinese. The second phase consisted of a paper and pencil survey (N = 50) designed to measure knowledge and attitudes regarding lung screening. Finally, focus groups (N = 5, 27 participants) were conducted to obtain input on the translated and culturally adapted AHRQ lung cancer screening DA. RESULTS The mean age of participants was 70.4 years (SD = 5.4) and the majority were male (n = 42; 84%). Seventy-four percent of the sample reported being a former smoker and 26% a current smoker. Perceived risk for lung cancer was low (26%) and the majority of participants (70%) were unaware of lung cancer screening. Perceived benefits (e.g., early cancer detection) and barriers of LDCT screening (e.g., costs) were reported by participants. The qualitative findings were largely consistent with the quantitative results. Following the revisions to the translated AHRQ DA, participants reported satisfaction with the readability and information provided. CONCLUSIONS Lung cancer screening represents an evidence-based approach for reducing lung cancer morbidity and mortality among chronic high frequency smokers. Culturally targeting evidence-based lung cancer screening decision-aids to the language, cultural and health literacy needs of high risk populations may increase uptake of lung cancer early detection screening.
Collapse
Affiliation(s)
- Chien-Ching Li
- Rush University, Department of Health Systems Management, Chicago, IL, USA.
| | - Alicia K Matthews
- University of Illinois at Chicago, Department of Health Systems Science, Chicago, IL, USA
| | - Tingqing Wu
- Northwestern University, School of Medicine, USA
| |
Collapse
|
46
|
Jung MY, Matthews AK. A Systematic Review of Clinical Interventions Facilitating End-of-Life Communication Between Patients and Family Caregivers. Am J Hosp Palliat Care 2020; 38:180-190. [PMID: 32462895 DOI: 10.1177/1049909120929323] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
Communication between patients and family caregivers plays a key role in successful end-of-life (EOL) care. In the majority of cases, health-care providers (HCP) are responsible for leading this communication in clinical settings. This systematic review aimed to examine the evidence for the efficacy of HCP-led interventions in enhancing communication between patients and family caregivers. The review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and involved a search of MEDLINE via PubMed, CINAHL, Scopus, Embase, and PsycINFO as well as a manual search for additional articles on Google Scholar without date restrictions. Of 2955 articles retrieved, 8 meeting the eligibility criteria were included in the review. A quality appraisal of the selected studies was performed using the van Tulder Scale, with 5 of 8 studies rated as high quality. All 8 studies employed psychoeducational interventions involving both patients and surrogate/family caregivers. Common elements of the interventions reviewed included encouraging participant dyads to share their concerns about the patient's medical condition, clarify their goals and values for EOL care, and discuss their EOL care preferences. Of 8 interventions reviewed, 6 measured EOL care preference congruence within dyads as a primary outcome, and all 6 interventions were effective in increasing congruence. Secondary outcomes measured included decisional conflict and relationship quality, with mixed outcomes reported. This review suggests that HCP-led EOL communication interventions show promise for improving EOL care preference congruence. However, further studies with improved methodological rigor are needed to establish the optimal timing, intensity, and duration of interventions.
Collapse
Affiliation(s)
- Min Young Jung
- Department of Health Systems Science, 14681College of Nursing, University of Illinois at Chicago, IL, USA
| | - Alicia K Matthews
- Department of Health Systems Science, 14681College of Nursing, University of Illinois at Chicago, IL, USA
| |
Collapse
|
47
|
Li CC, Matthews AK, Dong X, Simon M. The Influence of Smoking Status on the Health Profiles of Older Chinese American Men. J Am Geriatr Soc 2020; 67:S577-S583. [PMID: 31403203 DOI: 10.1111/jgs.15889] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 02/06/2019] [Accepted: 02/22/2019] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To examine the influence of smoking status on the health profiles of community-dwelling older Chinese American men in the greater Chicago, IL, area. DESIGN This study utilized a cross-sectional study design to analyze data obtained from the larger Population Study of Chinese Elderly in Chicago (PINE). SETTING A population-based study conducted in Chicago. PARTICIPANTS Baseline data from Chinese American men who participated in PINE (N = 1492). MEASURES Demographic characteristics measured included age, education years, marital status, income, health insurance coverage, and smoking pack-years. Self-reported smoking status included never smoker, current smoker, and former smoker. Health profile indicators included perceived health status, past 12-month changes in health, chronic medical conditions (heart diseases, stroke, cancer, diabetes, hypertension, high cholesterol, thyroid disease, and osteoarthritis), quality of life, and depression and anxiety. RESULTS The mean age of the study sample was 72.5 years. Of the sample, 65% reported a smoking history, with 25.1% current smokers and 40.1% former smokers. Current smokers were younger, less educated, and uninsured. Former smokers had the poorest overall health profiles. Compared to former smokers, current smokers were less likely to have heart disease (odds ratio [OR] = 0.59; 95% confidence interval [CI] = 0.39-0.90), hypertension (OR = 0.54; 95% CI = 0.41-0.72), high cholesterol (OR = 0.74; 95% CI = 0.56-0.99), thyroid disease (OR = 0.44; 95% CI = 0.21-0.90), depression (rate ratio [RR] = 0.76; 95% CI = 0.58-0.99), and anxiety (RR = 0.72; 95% CI = 0.59-0.89), and they had fewer overall chronic medical conditions (RR = 0.79; 95% CI = 0.70-0.88) after controlling for demographic factors and smoking pack-year history. Compared to never smokers, former and current smokers reported poorer self-rated health (OR = 1.58; 95% CI = 1.11-2.26) and lower perceived quality of life (OR = 2.11; 95% CI = 1.04-4.29). CONCLUSIONS Consistent with prior research, smoking rates were elevated among this sample of older Chinese men. Counter to study hypotheses, former smokers had worse overall health. Study findings suggest the need for health promotion interventions for both current and former smokers. J Am Geriatr Soc 67:S577-S583, 2019.
Collapse
Affiliation(s)
- Chien-Ching Li
- Department of Health Systems Management, Rush University, Chicago, Illinois
| | - Alicia K Matthews
- Department of Health Systems Science, University of Illinois at Chicago, Chicago, Illinois
| | - XinQi Dong
- Rutgers Biomedical Health Sciences, Rutgers University, New Brunswick, New Jersey
| | - Melissa Simon
- Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| |
Collapse
|
48
|
McCabe SE, Hughes TL, Matthews AK, Lee JGL, West BT, Boyd CJ, Arslanian-Engoren C. Sexual Orientation Discrimination and Tobacco Use Disparities in the United States. Nicotine Tob Res 2020; 21:523-531. [PMID: 29300994 DOI: 10.1093/ntr/ntx283] [Citation(s) in RCA: 60] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2017] [Accepted: 12/28/2017] [Indexed: 11/14/2022]
Abstract
INTRODUCTION Differences in tobacco/nicotine use by sexual orientation are well documented. Development of interventions requires attention to the etiology of these differences. This study examined associations among sexual orientation discrimination, cigarette smoking, any tobacco/nicotine use, and DSM-5 tobacco use disorder (TUD) in the United States. METHODS We used data from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions based on in-person interviews with a nationally representative sample of noninstitutionalized US adults. Approximately 8.3% of the target population was estimated to have same-sex sexual attraction, 3.1% had at least one same-sex sexual partner in the past-year, and 2.8% self-identified as lesbian, gay, or bisexual. RESULTS Sexual attraction, sexual behavior, and sexual identity were significantly associated with cigarette smoking, any tobacco/nicotine use, and DSM-5 TUD. Risk of all tobacco/nicotine outcomes was most pronounced for bisexual adults across all three sexual orientation dimensions. Approximately half of sexual minorities who identified as lesbian or gay and one-fourth of those who identified as bisexual reported past-year sexual orientation discrimination. Sexual minorities who experienced high levels of past-year sexual orientation discrimination had significantly greater probability of past-year cigarette smoking, any tobacco/nicotine use, and TUD relative to sexual minorities who experienced lower levels of sexual orientation discrimination or no discrimination. CONCLUSIONS Sexual minorities, especially bisexual adults, are at heightened risk of cigarette smoking, any tobacco/nicotine use, and DSM-5 TUD across all three major sexual orientation dimensions. Tobacco prevention and cessation efforts should target bisexual adults and consider the role that sexual orientation discrimination plays in cigarette smoking and treatment of TUD. IMPLICATIONS Differences in tobacco/nicotine use by sexual orientation are well documented, but little is known about differences across all three sexual orientation dimensions (attraction, behavior, and identity) or the origins of these differences. This study is the first to show that differences in tobacco/nicotine use across the three sexual orientation dimensions for respondents who were exclusively heterosexually-oriented were minimal, but varied more substantially among sexual minority women and men across the three sexual orientation dimensions. Sexual minorities who experienced high levels of past-year sexual orientation discrimination had significantly greater probability of cigarette smoking, any tobacco/nicotine use and DSM-5 tobacco use disorder.
Collapse
Affiliation(s)
- Sean Esteban McCabe
- Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, Ann Arbor, MI.,Institute for Research on Women and Gender, University of Michigan, Ann Arbor, MI
| | - Tonda L Hughes
- School of Nursing and Department of Psychiatry, Columbia University, New York, NY
| | | | - Joseph G L Lee
- Department of Health Education and Promotion, College of Health and Human Performance, East Carolina University, Greenville, NC
| | - Brady T West
- Institute for Social Research, Survey Research Center, University of Michigan, Ann Arbor, MI
| | - Carol J Boyd
- Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, Ann Arbor, MI.,Institute for Research on Women and Gender, University of Michigan, Ann Arbor, MI.,Addiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI
| | - Cynthia Arslanian-Engoren
- Center for the Study of Drugs, Alcohol, Smoking and Health, School of Nursing, University of Michigan, Ann Arbor, MI
| |
Collapse
|
49
|
Comer-HaGans D, Austin S, Ramamonjiarivelo Z, Matthews AK. Diabetes Standard of Care Among Individuals Who Have Diabetes With and Without Cognitive Limitation Disabilities. Diabetes Educ 2019; 46:94-107. [DOI: 10.1177/0145721719896262] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Purpose The purpose of this study is to examine diabetes standard of care among individuals who have diabetes with and without cognitive limitation disabilities (CLDs). Individuals with CLDs are more likely to develop diabetes and less likely to participate in diabetes standard of care services compared to those without CLDs. Methods We used pooled cross-sectional data (2011-2016) from the Household Component of the Medical Expenditure Panel Survey (HC-MEPS). Dependent variables were utilization of dilated eye exams, foot checks, A1C blood tests, and engagement in moderate or vigorous physical exercise 5 times per week. Our independent variable was diabetes with CLDs vs diabetes without CLDs. We controlled for predisposing, enabling, and need factors. Results Findings suggest that individuals with diabetes and CLDs were less likely to engage in moderate or vigorous physical exercise 5 times per week compared to individuals without CLDs. For other diabetes care services, individuals with CLDs are as likely to participate in health services utilization as those without CLDs. Conclusions Our study supports research that indicates individuals with diabetes and CLDs were less likely to participate in physical exercise compared to individuals without CLDs. Conversely, individuals with diabetes and CLDs were just as likely to receive a dilated eye exam, have their feet checked, and have their A1C checked as individuals without CLDs, which is a very encouraging finding.
Collapse
Affiliation(s)
| | - Shamly Austin
- Gateway Health, Research & Development, Quality Improvement Department, Pittsburgh, Pennsylvania
| | - Zo Ramamonjiarivelo
- Texas State University, School of Health Administration, Encino Hall, San Marcos, Texas
| | - Alicia K. Matthews
- University of Illinois at Chicago, College of Nursing, Chicago, Illinois
| |
Collapse
|
50
|
Lee MH, Matthews AK, Park C. Corrigendum to "Determinants of health-related quality of life among mothers of children with cerebral palsy" [Journal of Pediatric Nursing 44 (2019) 1-8]. J Pediatr Nurs 2019; 49:114. [PMID: 31248682 DOI: 10.1016/j.pedn.2019.06.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Meen Hye Lee
- School of Nursing, University of North Carolina Wilmington, Wilmington, NC, USA.
| | | | - Chang Park
- College of Nursing, University of Illinois at Chicago, IL, USA
| |
Collapse
|