ObjectivesEnvironmental pollution is a significant global issue. Both objective (scientifically measured) environmental pollution and perceived levels of pollution are important predictors of self-reported health. The purpose of this study was to compare the associations between perceived environmental pollution and health in China, Japan, and South Korea.MethodsData were obtained from the East Asian Social Survey and the Cross-National Survey Data Sets: Health and Society in East Asia, 2010 (n=7938; China, n=3866; Japan, n=2496; South Korea, n=1576).ResultsSouth Koreans perceived environmental pollution to be the most severe, while Japanese participants perceived environmental pollution to be the least severe. Although the Japanese did not perceive environmental pollution to be very severe, their self-rated physical health was significantly related to perceived environmental pollution, while the analogous relationships were not significant for the Chinese or Korean participants. Better mental health was related to lower levels of perceived air pollution in China, as well as lower levels of perceived all types of pollution in Japan and lower levels of perceived noise pollution in South Korea.ConclusionsPhysical and mental health and individual socio-demographic characteristics were associated with levels of perceived environmental pollution, but with different patterns among these three countries.
Introduction: Patient-centered care has become increasingly important within the United States (US) healthcare system. Given that patient-centered care predicts patient satisfaction, health outcomes, and cost-effectiveness, it is of the utmost importance to study patient-centered care from the perspectives of marginalized populations including minorities, immigrants, and other underserved populations. The purpose of this study is to examine factors that affect underserved primary care patients' perceptions of patient centeredness. Methods: The data were cross-sectional and collected in Fall 2016. Free clinic patients (N ¼ 723) completed a selfadministered survey, which measures patient centeredness, patient involvement in care, and clinical empathy. Validated measures were part of the survey, and the internal consistency of scales was tested. The general linear model was performed to predict factors associated with patients' perceptions of patient centeredness. Results: Higher levels of perceived patient involvement in care and higher levels of perceived empathy in consultation are related to higher levels of patient centeredness. While better physical health is associated with higher levels of perceived empathy in consultation, high levels of emotional health and depression are not. Conclusions: Patients' perceptions of involvement and empathy are important factors for patient-centered care, although this study did not show causal directions among variables. Based on the findings of this study, it is recommended that future studies should focus on the following three points: (1) to develop and evaluate trainings for providers, (2) develop education classes for patients who utilize free clinics, (3) analyze how these programs affect patient-centered care and health outcomes.
Purpose Although India has a number of health issues, the healthcare facilities in India are insufficient due to poor quality of care. The purpose of this paper is to examine the factors affecting the structural quality of healthcare facilities in India. Design/methodology/approach This study used the medical facility data from the India Human Development Survey-II, 2011-2012 (ICPSR 36151) ( n=4,218). Logistic regression was conducted to predict structural quality of healthcare facilities. Findings The results suggest that it is difficult to have all standard resources available at health care facilities in India. Surprisingly, having a drinking water source inside the health facility appears to be an indicator of poor structural quality of health care facilities. Having a water source inside a health care facility is associated with not having a separate exam room and not having a sink to wash hands. A higher registration fee was associated with good structural quality and with having a separate exam room and having a sink to wash hands. Originality/value This study shows the complexity of providing quality health care to the poor, particularly in developing countries. Research on quality of healthcare facilities in India is needed to improve the health of the population. Little research has been done on the factors influencing the structural quality of the healthcare facilities in India. This study is an important contribution to the current knowledge of structural healthcare facility standards and its influences in India.
This study compares the factors, which influence individuals from the countries of China, Japan and South Korea to obtain any type of influenza vaccines and their perceived concerns about the new strain of the influenza - pandemic (H1N1) 2009. The data analyzed was from the East Asian Social Survey (EASS), Cross-National Survey Data Sets: Health and Society in East Asia, 2010 (ICPSR 34608) (N=7938). The results of this study suggest that individuals who are concerned about the new strain of influenza are more likely to have obtained influenza vaccine. In these countries, perceived concerns may be directly related to vaccine-related behaviors. The results of this study also indicate that there are variations within each country regarding as to why individuals do or do not obtain the influenza vaccine. Over all, this project provides new insights about the acquisition of the influenza vaccine within China, Japan and South Korea, which will be useful for medical practice within these countries and future research.
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