Public Health-Health Care Collaboration to Improve Smoking Cessation Rates Among Low Socioeconomic Status Patients in Denver: A Population Health Case Report

2016 ◽  
Vol 6 (5) ◽  
Author(s):  
Tracey A. Richers Maruyama ◽  
◽  
Theresa Mickiewicz ◽  
Ava Cannon ◽  
Teddy Montoya ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Socioeconomic Status ◽  
Smoking Cessation ◽  
Case Report ◽  
Population Health ◽  
Low Socioeconomic Status ◽  
Low Socioeconomic

scholarly journals Access to midwifery care for people of low socio-economic status: a qualitative descriptive study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Elizabeth K. Darling ◽  
Lindsay Grenier ◽  
Lisa Nussey ◽  
Beth Murray-Davis ◽  
Eileen K. Hutton ◽  
...  
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Health Care System ◽  
Low Socioeconomic Status ◽  
Post Partum ◽  
Descriptive Study ◽  
Midwifery Care ◽  
Low Socioeconomic ◽  
Qualitative Descriptive ◽  
Care System

Abstract Background Despite public funding of midwifery care, people of low-socioeconomic status are less likely to access midwifery care in Ontario, Canada, but little is known about barriers that they experience in accessing midwifery care. The purpose of this study was to examine the barriers and facilitators to accessing midwifery care experienced by people of low-socioeconomic status. Methods A qualitative descriptive study design was used. Semi-structured interviews were conducted with 30 pregnant and post-partum people of low-socioeconomic status in Hamilton, Ontario from January to May 2018. Transcribed interviews were coded using open coding techniques and thematically analyzed. Results We interviewed 13 midwifery care recipients and 17 participants who had never received care from midwives. Four themes arose from the interviews: “I had no idea…”, “Babies are born in hospitals”, “Physicians as gateways into prenatal care”, and “Why change a good thing?”. Participants who had not experienced midwifery care had minimal knowledge of midwifery and often had misconceptions about midwives’ scope of practice and education. Prevailing beliefs about pregnancy and birth, particularly concerns about safety, drove participants to seek care from a physician. Physicians are the entry point into the health care system for many, yet few participants received information about midwifery care from physicians. Participants who had experienced midwifery care found it to be an appropriate match for the needs of people of low socioeconomic status. Word of mouth was a primary source of information about midwifery and the most common reason for people unfamiliar with midwifery to seek midwifery care. Conclusions Access to midwifery care is constrained for people of low-socioeconomic status because lack of awareness about midwifery limits the approachability of these services, and because information about midwifery care is often not provided by physicians when pregnant people first contact the health care system. For people of low-socioeconomic status, inequitable access to midwifery care may be exacerbated by lack of knowledge about midwifery within social networks and a tendency to move passively through the health care system which traditionally favours physician care. Targeted efforts to address this issue are necessary to reduce disparities in access to midwifery care.

scholarly journals Understanding the relationship between socioeconomic status, smoking cessation services provided by the health system and smoking cessation behavior in Brazil

2013 ◽  
Vol 29 (3) ◽  
pp. 485-495 ◽  
Author(s):  
André Salem Szklo ◽  
James F. Thrasher ◽  
Cristina Perez ◽  
Valeska Carvalho Figueiredo ◽  
Geoffrey Fong ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Smoking Cessation ◽  
Low Socioeconomic Status ◽  
P Value ◽  
Low Socioeconomic ◽  
Quit Smoking ◽  
Quit Attempts ◽  
And Gender ◽  
To Receive ◽  
The Relationship

Increasing the effectiveness of smoking cessation policies requires greater consideration of the cultural and socioeconomic complexities of smoking. The purpose of this paper is to explore the association between socioeconomic status and "selected midpoints" linked to smoking cessation in Brazil. Data was collected from a representative sample of urban adult smokers as part of the ITC-Brazil Survey (2009, N = 1,215). After controlling for age and gender, there were no statistically significant differences quit attempts in the last six months between individuals with different socioeconomic status. However, smokers with high socioeconomic status visited a doctor 1.54 times more often than those with low socioeconomic status (p-value = 0.017), and were also 1.65 times more likely to receive advice to quit smoking (p-value = 0.025). Our results demonstrate that disparities in health and socioeconomic status are still a major challenge for policymakers to increase the population impact of tabacco control actions worldwide.

scholarly journals How Socioeconomic Status Affects Patient Perceptions of Health Care: A Qualitative Study

2017 ◽  
Vol 8 (3) ◽  
pp. 169-175 ◽  
Author(s):  
Nicholas C. Arpey ◽  
Anne H. Gaglioti ◽  
Marcy E. Rosenbaum
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Health Care Disparities ◽  
Clinical Decision Making ◽  
Care Delivery ◽  
Clinical Decision ◽  
Clinician Bias ◽  
Low Socioeconomic ◽  
The Individual

Introduction: Clinician perceptions of patients with low socioeconomic status (SES) have been shown to affect clinical decision making and health care delivery in this group. However, it is unknown how and if low SES patients perceive clinician bias might affect their health care. Methods: In-depth interviews with 80 enrollees in a state Medicaid program were analyzed to identify recurrent themes in their perceptions of care. Results: Most subjects perceived that their SES affected their health care. Common themes included treatment provided, access to care, and patient-provider interaction. Discussion: This study highlights complex perceptions patients have around how SES affects their health care. These results offer opportunities to reduce health care disparities through better understanding of their impact on the individual patient-provider relationship. This work may inform interventions that promote health equity via a multifaceted approach, which targets both providers and the health care system as a whole.

A Public Health Home Intervention among Families of Low Socioeconomic Status

1989 ◽  
Vol 18 (2) ◽  
pp. 102-107 ◽  
Author(s):  
Claire Infante-Rivard ◽  
Gisele Filion ◽  
Mona Baumgarten ◽  
Madeleine Bourassa ◽  
Johanne Labelle ◽  
...  
Keyword(s):  
Public Health ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Low Socioeconomic ◽  
Home Intervention ◽  
Health Home

scholarly journals Complementary and alternative medicines usage in elderly patients in tertiary care teaching hospital of North India

2020 ◽  
Vol 9 (9) ◽  
pp. 1434
Author(s):  
Akanksha Mehra ◽  
Vijay Khajuria
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Elderly Patients ◽  
Dietary Supplements ◽  
Low Socioeconomic Status ◽  
Tertiary Care ◽  
North India ◽  
Endocrine Disorders ◽  
Low Socioeconomic ◽  
Complementary And Alternative

Background: Complementary and alternative medicine (CAM) is defined as a group of diverse medical health care systems, practices and products that are not presently considered to be part of conventional medicine. Its use is highly prevalent in elderly population because of presence of chronic diseases. So, present study was planned to assess CAM usage in elderly patients.Methods: This observational, questionnaire-based study was conducted at department of pharmacology, in association with department of medicine and included all adult patients of more than 60 years of age who have taken any CAM therapy. Demographic data, name of CAM preparation, its characteristics and behavioral pattern for its usage were recorded.Results: Out of 200 patients of more than 60 years attending medicine outpatient department, 115 were found to be CAM users. CAM usage was more in females (59.1%); age group of 60-69 years (49.57%); rural residents (66.08%); low socioeconomic status (81.73%). Most common CAM preparations used were dietary supplements (61.7%) and vitamins and minerals (56.52%) for indications such as chronic pain and endocrine disorders because it was thought to be safe. 76.52 % of CAM users did not discuss CAM with their health care provider.Conclusions: CAM use is highly prevalent in elderly patients and more so in females of low socioeconomic status. Most common CAM therapy used was dietary supplements. Continuous educational efforts are needed to enhance the awareness of patients and healthcare providers regarding the CAM therapy.

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