Access to Health Care, Health Conditions and Behavioral Health Risks Among Rhode Island Adults in 2005

Purpose The Sub-Saharan African (SSA) region remains at the epicentre of the HIV epidemic and disproportionately affecting women, girls and prisoners. Women in prison are a minority group and their special health needs relating to gender sensitivity, reproductive health, their children and HIV/AIDs are frequently neglected. Our study responded to this need, and aimed to investigate the issue. Design/methodology/approach A qualitative study using focus group discussions and key informant interviews explored the perspectives of women in prison, correctional officers, correctional health professionals and non-governmental organisations around prison conditions and standards of health care while incarcerated in a large female prison in Zimbabwe. Narratives were transcribed and analysed using thematic analysis. Findings The three key themes that emerged are as follows: “Sanitation and hygiene in the prison”, “Nutrition for women and children” and “Prison-based health services and health care”. Divergence or agreement across perspectives around adequate standards of sanitation, hygiene, quality and adequacy of food, special diets for those with health conditions, access to health care in prison and the continuum of care across incarceration and community are presented. Practical implications Understanding prison environmental cultures which shape correctional staff’s understanding and responsiveness to women in prison, environmental health conditions and access to health care are vital to improve conditions and continuum of care in Zimbabwe. Originality/value Policy and technical guidance continues to emphasise the need for research in SSA prisons to garner insight into the experiences of women and their children, with a particular emphasis on the prison environment for them, their health outcomes and health-care continuum. This unique study responded to this need.

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Expanding access to health care: Evaluating project Extension for Community Health Care Outcomes (ECHO) Idaho’s tele-education behavioral health program.

Rural Mental Health ◽

10.1037/rmh0000157 ◽

2020 ◽

Vol 44 (4) ◽

pp. 205-216

Author(s):

Russell T. Baker ◽

Madeline P. Casanova ◽

Jessica N. Whitlock ◽

Lachelle H. Smith ◽

Jeffrey G. Seegmiller

Keyword(s):

Health Care ◽

Community Health ◽

Behavioral Health ◽

Access To Health Care ◽

Health Program ◽

Community Health Care ◽

Health Care Outcomes ◽

Access To Health ◽

Care Outcomes ◽

Behavioral Health Program

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Behavioral Changes in Accessing Outpatient Care During the Covid-19 Pandemic

Jurnal Ekonomi Kesehatan Indonesia ◽

10.7454/eki.v6i1.4863 ◽

2021 ◽

Vol 6 (1) ◽

Author(s):

Alfiah Hasanah ◽

Donny Hardiawan ◽

Jefani Marrosa ◽

Adlan Ramadhan ◽

Heriyaldi Heriyaldi ◽

...

Keyword(s):

Health Care ◽

Access To Health Care ◽

Health Condition ◽

Behavioral Changes ◽

Health Conditions ◽

Small Scale ◽

Supply Side ◽

The West ◽

Access To Health ◽

Economic Slowdown

Unwillingness to seek healthcare has been observed in citizens from many countries during the Covid-19 pandemic. Previous studies show that the changes in behavior are due to various reasons such as economic slowdown, loss of health insurance due to termination of employment, and fear of contracting the virus. This behavior may result in worsened health conditions, making a individual more susceptible to the virus. The supply side of health care is one of the things that should be considered in the discussion about access to health care in developing countries. This paper investigates access to the healthcare problem of Indonesians, discusses both the supply side and demand side by looking at the change of behavior due to the patients’ fear of getting treatment during pandemic covid-19. We will serve this purpose through a small-scale survey and offer some insights from a statistical analysis perspective as well. Based on a survey from 588 respondents from the west Indonesia region, this study observes that the respondents’ health condition shows no significant change before and during the Covid-19 pandemic era. On the other hand, the respondents’ frequency of accessing outpatient healthcare proves to be significantly decreasing during the Covid-19 pandemic era, with 23,4% of the respondents stating that they avoid utilizing outpatient healthcare as an effort to avoid the Coronavirus. The frequency of using Kartu Indonesia Sehat to access outpatient healthcare also shows a significant decrease during this pandemic era.

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Health outcomes in a national sample of American Indian and Alaska Native adults: Differences between multiple-race and single-race subgroups

PLoS ONE ◽

10.1371/journal.pone.0242934 ◽

2020 ◽

Vol 15 (12) ◽

pp. e0242934

Author(s):

Ursula Running Bear ◽

Nancy L. Asdigian ◽

Janette Beals ◽

Spero M. Manson ◽

Carol E. Kaufman

Keyword(s):

Health Care ◽

Health Outcomes ◽

American Indian ◽

Access To Health Care ◽

Multinomial Logistic Regression ◽

Chronic Health Conditions ◽

Health Conditions ◽

Chronic Health ◽

Access To Health ◽

Increased Risk

Objectives To determine differences among multi-race (MR) American Indian and Alaska Natives (AIAN), single race (SR) AIANs, and SR-Whites on multiple health outcomes. We tested the following hypotheses: MR-AIANs will have worse health outcomes than SR-AIANs; SR-AIANs will have worse health outcomes than SR-Whites; MR-AIANs will have worse health outcomes than SR-Whites. Methods Behavioral Risk Factor Surveillance System data were used to examine general health, risk behaviors, access to health care, and diagnosed chronic health conditions. Those identifying as SR-White, SR-AIAN, and MR-AIAN were included in multinomial logistic regression models. Results Compared to SR-AIANs, MR-AIANs had more activity limitations, a greater likelihood of experiencing cost as a barrier to health care and were more likely to be at increased risk and diagnosed with more chronic health conditions. Both SR and MR-AIANs have worse health than SR-Whites; MR-AIANs appear to be at increased risk for poor health. Conclusions The current study examined access to health care and nine chronic health conditions, neither of which have been considered in prior work. MR AIANs are at increased risk compared to SR groups. These observations beg for further inquire into the mechanisms underlying these differences including stress related to identify, access to care, and discrimination. Findings support the continued need to address health disparities among AIANs regardless of SR or MR identification.

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