scholarly journals Determinants and beliefs of health information mavens among a lower-socioeconomic position and minority population

2011 ◽  
Vol 73 (1) ◽  
pp. 22-32 ◽  
Author(s):  
Emily Z. Kontos ◽  
Karen M. Emmons ◽  
Elaine Puleo ◽  
K. Viswanath
Keyword(s):  
Health Information ◽  
Socioeconomic Position ◽  
Minority Population ◽  
Lower Socioeconomic

scholarly journals Equity in statin use in New Zealand

2014 ◽  
Vol 6 (1) ◽  
pp. 17 ◽  
Author(s):  
Pauline Norris ◽  
Simon Horsburgh ◽  
Gordon Becket ◽  
Shirley Keown ◽  
Bruce Arroll ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
New Zealand ◽  
Socioeconomic Position ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Age Group ◽  
Cross Sectional ◽  
Lower Socioeconomic ◽  
Statin Prescription ◽  
Statin Use

INTRODUCTION: Preventive medications such as statins are used to reduce cardiovascular risk. There is some evidence to suggest that people of lower socioeconomic position are less likely to be prescribed statins. In New Zealand, Maori have higher rates of cardiovascular disease. AIM: This study aimed to investigate statin utilisation by socioeconomic position and ethnicity in a region of New Zealand. METHODS: This was a cross-sectional study in which data were collected on all prescriptions dispensed from all pharmacies in one city during 2005/6. Linkage with national datasets provided information on patients’ age, gender and ethnicity. Socioeconomic position was identified using the New Zealand Index of Socioeconomic Deprivation 2006. RESULTS: Statin use increased with age until around 75 years. Below age 65 years, those in the most deprived socioeconomic areas were most likely to receive statins. In the 55–64 age group, 22.3% of the most deprived population received a statin prescription (compared with 17.5% of the mid and 18.6% of the least deprived group). At ages up to 75 years, use was higher amongst Maori than non-Maori, particularly in middle age, where Maori have a higher risk of cardiovascular disease. In the 45–54 age group, 11.6% of Maori received a statin prescription, compared with 8.7% of non-Maori. DISCUSSION: Statin use approximately matched the pattern of need, in contrast to other studies which found under-treatment of people of low socioeconomic position. A PHARMAC campaign to increase statin use may have increased use in high-risk groups in New Zealand. KEYWORDS: Ethnic groups; New Zealand; prescriptions; socioeconomic status; statins

scholarly journals Effects of Media Exposure to Conflicting Information About Mammography: Results From a Population-based Survey Experiment

2018 ◽  
Vol 53 (10) ◽  
pp. 896-908 ◽  
Author(s):  
Rebekah H Nagler ◽  
Marco C Yzer ◽  
Alexander J Rothman
Keyword(s):  
Health Information ◽  
Socioeconomic Position ◽  
Media Exposure ◽  
Population Based ◽  
News Story ◽  
Average Risk ◽  
Cognitive Responses ◽  
Survey Experiment ◽  
Poverty Level ◽  
Conflicting Information

Abstract Background Although there is growing theoretical and empirical support for the proposition that media exposure to conflicting health information negatively influences public understanding and behavior, few studies have causally linked exposure to conflict with undesirable outcomes. Such outcomes might be particularly likely in the context of mammography, given widespread media attention to conflicting recommendations about the age at and frequency with which average-risk women should be screened for breast cancer. Purpose The current study tests whether exposure to conflicting information about mammography negatively influences women’s affective and cognitive responses and examines whether effects vary by socioeconomic position. Methods We conducted an online survey experiment in 2016 with a population-based sample of U.S. women aged 35–55 (N = 1,474). Participants were randomly assigned to one of four conditions that differed in the level of conflict about mammography presented in a news story (no, low, medium, or high conflict), stratifying by poverty level. Results Greater exposure to conflict increased women’s negative emotional responses to the story they read, their confusion about and backlash toward cancer prevention recommendations and research, and their ambivalence about mammography and other types of cancer screening, though ambivalence leveled off at high levels of exposure. There was little evidence that effects varied across socioeconomic position. Conclusions Findings add to the growing evidence base documenting undesirable outcomes of exposure to conflicting health information. Future research should examine whether the negative affective and cognitive responses observed translate into behavior, which could have implications for both health campaigns and patient-provider communication.

scholarly journals Association of Lower Socioeconomic Position in Pregnancy with Lower Diurnal Cortisol Production and Lower Birthweight in Male Infants

2016 ◽  
Vol 38 (2) ◽  
pp. 265-274 ◽  
Author(s):  
Margaret H. Bublitz ◽  
Chrystal Vergara-Lopez ◽  
Maggie O’Reilly Treter ◽  
Laura R. Stroud
Keyword(s):  
Socioeconomic Position ◽  
Diurnal Cortisol ◽  
Lower Socioeconomic ◽  
Lower Birthweight ◽  
In Pregnancy

scholarly journals Perceived extrinsic mortality risk and reported effort in looking after health: Testing a behavioural ecological prediction

2013 ◽  
Author(s):  
Gillian V Pepper ◽  
Daniel Nettle
Keyword(s):  
Health Behaviour ◽  
Mortality Risk ◽  
Socioeconomic Position ◽  
Future Health ◽  
Mortality Risks ◽  
Extrinsic Mortality ◽  
Lower Socioeconomic ◽  
Key Factor ◽  
Reported Health ◽  
Intrinsic Mortality

Socioeconomic gradients in health behaviour are pervasive and well documented. Yet, there is little consensus on their causes. Behavioural ecological theory predicts that, if people of lower socioeconomic position (SEP) perceive greater personal extrinsic mortality risk than those of higher SEP, they should disinvest in their future health. We surveyed North American adults for reported effort in looking after health, perceived extrinsic and intrinsic mortality risks, and measures of SEP. We examined the relationships between these variables and found that lower subjective SEP predicted lower reported health effort. Lower subjective SEP was also associated with higher perceived extrinsic mortality risk, which in turn predicted lower reported health effort. The effect of subjective SEP on reported health effort was completely mediated by perceived extrinsic mortality risk. Our findings indicate that perceived extrinsic mortality risk may be a key factor underlying SEP gradients in motivation to invest in future health.

scholarly journals Equity in statin use in New Zealand

2021 ◽  
Author(s):  
P Norris ◽  
S Horsburgh ◽  
G Becket ◽  
S Keown ◽  
B Arroll ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
New Zealand ◽  
Socioeconomic Position ◽  
Risk Groups ◽  
Cross Sectional Study ◽  
Age Group ◽  
Cross Sectional ◽  
Lower Socioeconomic ◽  
Statin Prescription ◽  
Statin Use

INTRODUCTION: Preventive medications such as statins are used to reduce cardiovascular risk. There is some evidence to suggest that people of lower socioeconomic position are less likely to be prescribed statins. In New Zealand, Maori have higher rates of cardiovascular disease. AIM: This study aimed to investigate statin utilisation by socioeconomic position and ethnicity in a region of New Zealand. METHODS: This was a cross-sectional study in which data were collected on all prescriptions dispensed from all pharmacies in one city during 2005/6. Linkage with national datasets provided information on patients' age, gender and ethnicity. Socioeconomic position was identified using the New Zealand Index of Socioeconomic Deprivation 2006. RESULTS: Statin use increased with age until around 75 years. Below age 65 years, those in the most deprived socioeconomic areas were most likely to receive statins. In the 55-64 age group, 22.3% of the most deprived population received a statin prescription (compared with 17.5% of the mid and 18.6% of the least deprived group). At ages up to 75 years, use was higher amongst Maori than non-Maori, particularly in middle age, where Maori have a higher risk of cardiovascular disease. In the 45-54 age group, 11.6% of Maori received a statin prescription, compared with 8.7% of non-Maori. DISCUSSION: Statin use approximately matched the pattern of need, in contrast to other studies which found under-treatment of people of low socioeconomic position. A PHARMAC campaign to increase statin use may have increased use in high-risk groups in New Zealand.

scholarly journals Long-term Sickness Absence Among Professionals: Investigating Gender, Socioeconomic Position and Care Work

2019 ◽  
Vol 8 (4) ◽  
Author(s):  
Aleksander Å. Madsen
Keyword(s):  
Labor Market ◽  
Sickness Absence ◽  
Socioeconomic Position ◽  
Event History Analysis ◽  
Low Socioeconomic ◽  
Lower Socioeconomic ◽  
History Analysis ◽  
Market Factors ◽  
Care Worker

This study investigates whether the risk of long-term sickness absence among professionals de- pends upon their socioeconomic position and whether they do caring work. It also explores whether the variation in risk can be attributed to sociodemographic and labor market factors.The event history analysis is based on longitudinal register data from the entire population of Norwegian professionals from 2003 to 2013.The results showed that both low socioeconomic position and being a care worker was associated with long-term sickness absence.The group with the highest risk was professionals of lower socioeconomic position doing caring work.While the results were similar for men and women, the relative risk of sickness absence was higher for male professionals. Sociodemographic and labor market factors partly explained the observed association, and even more so for men. Several candidate explanations for the remaining association as well as potential implications for social policy are discussed.

scholarly journals Adolescent Enrollment in Psychosocial Care: Do Parents Make a Difference?

2020 ◽  
Vol 17 (19) ◽  
pp. 7066
Author(s):  
Katerina Paclikova ◽  
Zuzana Dankulincova Veselska ◽  
Andrea Madarasova Geckova ◽  
Jitse P. van Dijk ◽  
Sijmen A. Reijneveld
Keyword(s):  
Socioeconomic Position ◽  
Behavioral Problems ◽  
Psychosocial Care ◽  
Emotional And Behavioral Problems ◽  
Parenting Support ◽  
Group 4 ◽  
Parental Characteristics ◽  
Lower Socioeconomic ◽  
Group 3 ◽  
Group 1

Care for adolescents with emotional and behavioral problems (EBP) is frequently unequally distributed. Parents may play a role in the access to this care. Therefore, the aim was to explore the association between parental characteristics and their adolescent’s enrollment in psychosocial care. We used data from the Care4Youth cohort study. Our sample consisted of 446 adolescents (mean age 13.22 years, 48% boys) and 382 parents (mean age 42.95 years, 14% males). EBP combined with enrollment created four groups: 1, no EBP/no care; 2, no EBP/care; 3, EBP/no care; 4, EBP/care. We assessed differences in parental characteristics among the groups. Group 2 had a significantly lower socioeconomic position (p < 0.01), more psychological distress (p < 0.001), poorer supervision (p < 0.001) and lower family social support (p < 0.05) than Group 1. Group 4 had a significantly lower socioeconomic position (p < 0.01) and poorer supervision (p < 0.001) than Group 1. Group 3 had significantly poorer supervision (p < 0.001) than Group 4. The poor supervision in Group 3 requires attention, as these adolescents receive no care. The quality of parental supervision should be addressed generally, e.g., by providing better parenting support and more parental training.

scholarly journals Understanding the Chinese Hui Ethnic Minority’s Information Seeking on Cardiovascular Diseases: A Focus Group Study

2019 ◽  
Vol 16 (15) ◽  
pp. 2784
Author(s):  
Lei Yang ◽  
Yuping Mao ◽  
Jeroen Jansz
Keyword(s):  
Health Information ◽  
Information Seeking ◽  
Minority Group ◽  
Minority Population ◽  
Focus Group Study ◽  
Mainstream Media ◽  
Related Information ◽  
Health Related ◽  
Professional Information ◽  
Different Sources

The Chinese Hui ethnic minority group is an Islamic minority. The Hui people comprise the third largest minority population in China and are widely distributed throughout the country. Previous research shows that the Hui had a higher prevalence of cardiovascular risk factors (CVRFs) than most other ethnic groups. Therefore, the availability of health information relating to these factors is especially important for the Hui minority’s preventive healthcare. They do, however, experience difficulties in obtaining health-related information. The current research aims to identify the needs of the Hui people on where and how they obtain cardiovascular disease (CVD) related information from the media and other sources. Six focus groups were conducted in Shenyang City. The results revealed that the participants relied on different sources to get advice about CVDs, of which the internet and television were the most prominent ones. The participants expressed a desire for credible and professional information from different sources and asked for mediated health communication programs specifically targeted at the Hui. In addition, the participants felt ignored by the Chinese mainstream media at large, which created barriers for them to get health information.

scholarly journals Income and Education as Predictors of Stroke Mortality after the Survival of a First Stroke

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Kozma Ahacic ◽  
Sven Trygged ◽  
Ingemar Kåreholt
Keyword(s):  
Socioeconomic Position ◽  
Stroke Mortality ◽  
Socioeconomic Indicators ◽  
Discharge Data ◽  
Stroke Incidence ◽  
Lower Socioeconomic ◽  
All Cause Mortality ◽  
Specific Mortality ◽  
Selective Survival ◽  
Stroke Type

Background. It is well known that socioeconomic indicators, such as income and education, predict both stroke incidence and stroke mortality. This means that persons in lower socioeconomic positions are less likely to survive their stroke, and there will be a selective survival in the group discharged from hospital after their first stroke.Question. Does socioeconomic position continue to predict mortality, stroke specific, or from other causes, among patients surviving their first stroke in spite of this selective survival?Methods. All persons in Sweden aged 40–59 years who were discharged after a first hospitalization for stroke in 1996–2000 were included (n= 10,487), then followed up until the end of the fourth calendar year after discharge. Data were analysed with Cox regressions controlling for age, sex, and stroke type.Results. Persons with high socioeconomic position, measured by education and income, have lower mortality than those of low position. Education was not significant when adjusted for income, however. The risk of dying was similar for stroke-specific mortality and all-cause mortality, for those with cerebral infarction as well as for all patients.Conclusions. Socioeconomic position predicted stroke-specific mortality also in the selective group of persons who survived their first stroke.

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