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Foreign-born Mexican Women's Utilization, Adherence and Understanding of Preventive Health Screening Recommendations

Foreign-born Mexican Women's Utilization, Adherence and Understanding of Preventive Health Screening Recommendations PDF Author: Christina M. Hernández
Publisher:
ISBN:
Category : Health education of women
Languages : en
Pages : 203

Book Description
"The purpose of this cross-sectional study was to explore factors related to foreign-born Mexican women's understanding, utilization and adherence to preventive health screening recommendations using the Interaction Model of Client Health Behavior (IMCHB) as a guiding framework. Specifically, this study examined the following client singularity variables: demographic characteristics (age and marital status); social influences (acculturation, marianismo); environmental resources (education, health insurance status); cognitive appraisal (blood pressure knowledge); affective response (fatalism, cultural cancer screening beliefs); and the client-professional interaction variables affective support (trust in provider) and professional/technical competencies (perceived communication) as they related to the health outcomes utilization and adherence to national recommendations for preventive health screenings. The preventive health screenings were Papanicolaou exam, clinical breast exam (CBE), mammogram, diabetes screening and blood pressure screening. A total of 97 foreign-born Mexican-immigrant women living in central and western North Carolina participated in this study. The majority of the women were married/partnered, had a low level of acculturation, limited education, no health insurance, and income levels at the poverty threshold. Most women had a usual source of care through utilization of community health centers or health departments. The majority of the women met adherence guidelines for the Papanicolaou exam and blood pressure screening. More than three-fourths of the women met adherence guidelines for a CBE and diabetes screening; more than half were adherent to mammography guidelines. Multiple linear regression analysis was used to assess the association between demographic characteristics, social influences, environmental resources, cognitive appraisal, affective response, affective support, professional technical competencies and utilization of nationally recommended preventive health screening exams. Similarly, a multiple linear regression analysis was performed with the same predictor variables and adherence to preventive health screening recommendations. A lower level of educational attainment was related to meeting all of the screening recommendations. Trust was associated with a higher total number of screening exams in the previous five years. Cultural cancer screening beliefs were associated with higher utilization of screening exams over the five year period. Blood pressure knowledge was related to the number of specific types of health screening exams obtained at least once in the previous five years. Women reported receiving insufficient health information concerning the exams. New knowledge was learned about women's perception of their healthcare provider and its relationship to utilization and adherence to preventive health screening recommendations. Findings from this study were used to enlighten implications for practice, education, research, health policy and health systems regarding foreign-born Mexican women."--Abstract from author supplied metadata.

Foreign-born Mexican Women's Utilization, Adherence and Understanding of Preventive Health Screening Recommendations

Foreign-born Mexican Women's Utilization, Adherence and Understanding of Preventive Health Screening Recommendations PDF Author: Christina M. Hernández
Publisher:
ISBN:
Category : Health education of women
Languages : en
Pages : 203

Book Description
"The purpose of this cross-sectional study was to explore factors related to foreign-born Mexican women's understanding, utilization and adherence to preventive health screening recommendations using the Interaction Model of Client Health Behavior (IMCHB) as a guiding framework. Specifically, this study examined the following client singularity variables: demographic characteristics (age and marital status); social influences (acculturation, marianismo); environmental resources (education, health insurance status); cognitive appraisal (blood pressure knowledge); affective response (fatalism, cultural cancer screening beliefs); and the client-professional interaction variables affective support (trust in provider) and professional/technical competencies (perceived communication) as they related to the health outcomes utilization and adherence to national recommendations for preventive health screenings. The preventive health screenings were Papanicolaou exam, clinical breast exam (CBE), mammogram, diabetes screening and blood pressure screening. A total of 97 foreign-born Mexican-immigrant women living in central and western North Carolina participated in this study. The majority of the women were married/partnered, had a low level of acculturation, limited education, no health insurance, and income levels at the poverty threshold. Most women had a usual source of care through utilization of community health centers or health departments. The majority of the women met adherence guidelines for the Papanicolaou exam and blood pressure screening. More than three-fourths of the women met adherence guidelines for a CBE and diabetes screening; more than half were adherent to mammography guidelines. Multiple linear regression analysis was used to assess the association between demographic characteristics, social influences, environmental resources, cognitive appraisal, affective response, affective support, professional technical competencies and utilization of nationally recommended preventive health screening exams. Similarly, a multiple linear regression analysis was performed with the same predictor variables and adherence to preventive health screening recommendations. A lower level of educational attainment was related to meeting all of the screening recommendations. Trust was associated with a higher total number of screening exams in the previous five years. Cultural cancer screening beliefs were associated with higher utilization of screening exams over the five year period. Blood pressure knowledge was related to the number of specific types of health screening exams obtained at least once in the previous five years. Women reported receiving insufficient health information concerning the exams. New knowledge was learned about women's perception of their healthcare provider and its relationship to utilization and adherence to preventive health screening recommendations. Findings from this study were used to enlighten implications for practice, education, research, health policy and health systems regarding foreign-born Mexican women."--Abstract from author supplied metadata.

Caring for Migrant and Minority Patients in European Hospitals

Caring for Migrant and Minority Patients in European Hospitals PDF Author: Alexander Bischoff
Publisher: SFM
ISBN: 2940379017
Category : Europe
Languages : en
Pages : 75

Book Description
Social changes in European societies place migration and cultural diversity on the European political agenda. The European initiative Migrant Friendly Hospitals (MFH) aims to identify, develop and evaluate models of effective interventions. It has the following objectives: To strengthen the role of hospitals in promoting the health of migrants and ethnic minorities in the European Union and to improve hospital services for these groups. This report reviews models of effective intervention in the medical literature and provides the background information needed to enable partner hospitals taking part in the MFH initiative to select and implement suitable interventions. The interventions reviewed in this study are grouped in four areas: Communication, Responsiveness Empowerment of migrant and minority patients and communities. Monitoring of the health of migrants and minorities and the health care they receive. [Ed.]

The Future of the Public's Health in the 21st Century

The Future of the Public's Health in the 21st Century PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133181
Category : Medical
Languages : en
Pages : 536

Book Description
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

Hispanics and the Future of America

Hispanics and the Future of America PDF Author: National Research Council
Publisher: National Academies Press
ISBN: 0309164818
Category : Social Science
Languages : en
Pages : 502

Book Description
Hispanics and the Future of America presents details of the complex story of a population that varies in many dimensions, including national origin, immigration status, and generation. The papers in this volume draw on a wide variety of data sources to describe the contours of this population, from the perspectives of history, demography, geography, education, family, employment, economic well-being, health, and political engagement. They provide a rich source of information for researchers, policy makers, and others who want to better understand the fast-growing and diverse population that we call "Hispanic." The current period is a critical one for getting a better understanding of how Hispanics are being shaped by the U.S. experience. This will, in turn, affect the United States and the contours of the Hispanic future remain uncertain. The uncertainties include such issues as whether Hispanics, especially immigrants, improve their educational attainment and fluency in English and thereby improve their economic position; whether growing numbers of foreign-born Hispanics become citizens and achieve empowerment at the ballot box and through elected office; whether impending health problems are successfully averted; and whether Hispanics' geographic dispersal accelerates their spatial and social integration. The papers in this volume provide invaluable information to explore these issues.

Birth Settings in America

Birth Settings in America PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309669820
Category : Social Science
Languages : en
Pages : 369

Book Description
The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.

Mental Health

Mental Health PDF Author:
Publisher:
ISBN:
Category : African Americans
Languages : en
Pages : 28

Book Description


Pain Management and the Opioid Epidemic

Pain Management and the Opioid Epidemic PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309459575
Category : Medical
Languages : en
Pages : 483

Book Description
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Parenting Matters

Parenting Matters PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309388570
Category : Social Science
Languages : en
Pages : 525

Book Description
Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.

Health, United States, 2016, with Chartbook on Long-Term Trends in Health

Health, United States, 2016, with Chartbook on Long-Term Trends in Health PDF Author: National Center for Health Statistics
Publisher: Government Printing Office
ISBN: 9780160939778
Category : Health & Fitness
Languages : en
Pages : 494

Book Description
This annual overview report of national trends in health statistics contains a Chartbook that assesses the nation's health by presenting trends and current information on selected measures of morbidity, mortality, health care utilization and access, health risk factors, prevention, health insurance, and personal health-care expenditures. Chapters devoted to population characteristics, prevention, health risk factors, health care resources, personal health care expenditures, health insurance, and trend tables may provide the health/medical statistician, data analyst, biostatistician with additional information to complete experimental studies or provide necessary research for pharmaceutical companies to gain data for modeling and sampling. Undergraduate students engaged in applied mathematics or statistical compilations to graduate students completing biostatistics degree programs to include statistical inference principles, probability, sampling methods and data analysis as well as specialized medical statistics courses relating to epidemiology and other health topics may be interested in this volume. Related products: Your Guide to Choosing a Nursing Home or Other Long-Term Services & Supports available here: https://bookstore.gpo.gov/products/your-guide-choosing-nursing-home-or-other-long-term-services-supports Health Insurance Coverage in the United States, 2014 available here: https://bookstore.gpo.gov/products/health-insurance-coverage-united-states-2014 "Some System of the Nature Here Proposed": Joseph Lovell's Remarks on the Sick Report, Northern Department, U.S. Army, 1817, and the Rise of the Modern US Army Medical Department can be found here: https://bookstore.gpo.gov/products/some-system-nature-here-proposed-joseph-lovells-remarks-sick-report-northern-department-us Guide to Clinical Preventive Services 2014: Recommendations of the U.S. Preventive Services Task Force (ePub) -Free digital eBook download available at the US Government Online Bookstore here: https://bookstore.gpo.gov/products/guide-clinical-preventive-services-2014-recommendations-us-preventive-services-task-force --Also available for FREE digital eBook download from Apple iBookstore, BarnesandNoble.com (Nook Bookstore), Google Play eBookstore, and Overdrive -Please use ISBN: 9780160926426 to search these commercial platforms.

International Ethical Guidelines for Health-Related Research Involving Humans

International Ethical Guidelines for Health-Related Research Involving Humans PDF Author: Council for International Organizations of Medical Sciences (CIOMS)
Publisher: World Health Organization
ISBN: 9789290360889
Category : Bioethics
Languages : en
Pages : 0

Book Description
"In the new 2016 version of the ethical guidelines, CIOMS provides answers to a number of pressing issues in research ethics. The Council does so by stressing the need for research having scientific and social value, by providing special guidelines for health-related research in low-resource settings, by detailing the provisions for involving vulnerable groups in research and for describing under what conditions biological samples and health-related data can be used for research."--Page 4 de la couverture.