Disparities in Health-Related Internet Use Among African American Men, 2010

Mitchell, Jamie A.; Thompson, Hayley S.; Watkins, Daphne C.; Shires, Deirdre A.; Modlin, Charles S.

doi:10.5888/pcd11.130217

Cited by 4 publications

(3 citation statements)

References 9 publications

(15 reference statements)

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“…In particular, the main pressure in performance assessment for doctors is the assessment of income generation [ 12 ], and doctors’ performance assessment shows the impact of the market-oriented reform of medical services, and patients’ perception of healthcare cost the impact of the demand side. The education level of patients shows to some extent the availability of health-related websites and other sources of medical information [ 40 – 41 ].…”

Section: Methodsmentioning

confidence: 99%

Impact of organizational and individual factors on patient-provider relationships: A national survey of doctors, nurses and patients in China

et al. 2017

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ObjectivesTo provide an empirical examination of patient–provider relationships (PPR) and its association with organizational and individual factors.MethodsA national cross-sectional survey was conducted by stratified cluster sampling in 77 hospitals across seven provinces in China between July 2014 and April 2015, involving 3621 doctors, 5561 nurses, and 8022 patients with response rates of 62.93%, 61.16%, and 33.08%, respectively. Self-perceived PPR was the outcome variable. Organizational factors included hospital type (western medicine [WM] and traditional Chinese medicine [TCM] hospital); hospital level (tertiary and secondary hospital); area of specialization (internal medicine and surgery); ratio of doctors (nurses) to ward beds; doctors/nurses’ concerns about performance assessment; and patients’ perceptions of healthcare cost. Individual factors included consultation, listening to patients and socio-demographic factors.Results54.6% of doctors, 36.6% of nurses, and 10.2% of patients perceived PPR as poor. Organizational factors independently associated with providers’ perception of poor PPR included hospital type (WM vs TCM: OR = 1.25 [95% CI: 1.06–1.47]) and concerns about performance assessment (high vs low levels: OR = 1.40 [95% CI: 1.14–1.72]) for doctors, and concerns about performance assessment (average vs low levels: OR = 0.79 [95% CI: 0.67–0.93]) for nurses. Those associated with patients’ perception of poor PPR included hospital type (WM vs TCM: OR = 0.63 [95% CI: 0.53–0.74]) and hospital level (tertiary vs secondary: OR = 0.65 [95% CI: 0.51–0.82]). Doctors and nurses reporting listening to patients “frequently” had better perceptions of PPR (OR = 0.46 [95%CI: 0.38–0.56] and 0.49 [95% CI: 0.41–0.59] for doctors and nurses, respectively), as did their patients (OR = 0.24 [95% CI: 0.18–0.31] and 0.54 [95% CI: 0.35–0.84] for doctors and nurses, respectively).ConclusionsAlthough our findings require validation in different organizational settings given the likely variability of these associations across systems, our results suggest that implementing moderate levels promoting the level of medical treatment, and broadening doctors/nurses training regarding listening to patients, may benefit to enhance PPR.

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Section: Methodsmentioning

confidence: 99%

Impact of organizational and individual factors on patient-provider relationships: A national survey of doctors, nurses and patients in China

et al. 2017

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“…The high burden of health disparities experienced by African American men across chronic diseases (Thorpe et al, 2013), cancer (Mitchell, Watkins, & Modlin, 2013, Mitchell, Manning, Shires, Chapman, & Burnett, 2014; Mitchell, Thompson, Watkins, Shires, & Modlin, 2014), and mental health (Watkins, Hawkins, & Mitchell, 2015) outcomes has been documented in the literature. Health self-efficacy, a measure of one’s self-assurance in taking care of their own health (Marks, Allegrante, & Lorig, 2005), is a proximal and direct predictor of health behaviors, intentions, and outcomes and has been linked to improvements in chronic disability (Marks et al, 2005), physical activity (McAuley et al, 2006), diabetes management (Lee & Lin, 2009), and a host of other health-related outcomes.…”

Section: Background and Research Questionmentioning

confidence: 99%

Self-Rated Health and Health Care Access Associated With African American Men’s Health Self-Efficacy

et al. 2015

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Health self-efficacy, a measure of one's self-assurance in taking care of their own health, is known to contribute to a range of health outcomes that has been under examined among African American men. The purpose of this investigation was to identify and contextualize predictors of general health self-efficacy in this population. A crosssectional sample of surveys from 558 African American was examined. These men were older than 18 years, could read and write English, and attended a hospital-based community health fair targeting minority men in 2011. The outcome of interest was health self-efficacy, which was assessed by asking, "Overall, how confident are you in your ability to take good care of your health?" Responses ranged from 1 (not confident at all) to 5 (completely confident). Covariates included age, self-rated health, health insurance status, having a regular physician, and being a smoker. The mean age of participants was 54.4 years, and 61.3% of participants indicated confidence in their ability to take good care of their health. Older age and being a smoker were inversely associated with the outcome. Good self-rated health, having health insurance, and having a regular doctor were positively associated with reports of health selfefficacy. Findings suggest that multiple points of connection to the health care system increase the likelihood of health self-efficacy for this sample and interventions to support older African American men who may evaluate their own health status as poor and who may face barriers to health care access are implicated. Keywords men's studies, development and aging, men of color, special populations, access to care, psychosocial and cultural issues

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“…Information technologies have the potential to lower these obstacles and make it easier for caregivers to obtain the assistance they require [ 180 ]. Studies have shown that older patients and African Americans are more likely to engage in telephone coaching contacts and have access to telephones compared to computers or Internet connections, which is a culturally sensitive concern for this intervention [ 204 ]. Telephonic interventions are chosen due to their low cost, convenience of use, and delivery of interventions.…”

Section: Risk Factors/susceptibility Of Ad In African Americansmentioning

confidence: 99%

Alzheimer’s Disease and Alzheimer’s Disease-Related Dementias in African Americans: Focus on Caregivers

et al. 2023

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Alzheimer’s disease (AD) and Alzheimer’s Disease-Related Dementias (ADRD) are chronic illnesses that are highly prevalent in African Americans (AA). AD and ADRD are caused by multiple factors, such as genetic mutations, modifiable and non-modifiable risk factors, and lifestyle. Histopathological, morphological, and cellular studies revealed how multiple cellular changes are implicated in AD and ADRD, including synaptic damage, inflammatory responses, hormonal imbalance, mitochondrial abnormalities, and neuronal loss, in addition to the accumulation of amyloid beta and phosphorylated tau in the brain. The contributions of race, ethnicity, location and socioeconomic status all have a significant impact on the care and support services available to dementia patients. Furthermore, disparities in health care are entangled with social, economic, and environmental variables that perpetuate disadvantages among different groups, particularly African Americans. As such, it remains important to understand how various racial and ethnic groups perceive, access, and experience health care. Considering that the mounting data shows AA may be more susceptible to AD than white people, the demographic transition creates significant hurdles in providing adequate care from family caregivers. Furthermore, there is growing recognition that AD and ADRD pose a significant stress on AA caregivers compared to white people. In this review, we examine the current literature on racial disparities in AD and ADRD, particularly concerning AA caregivers.

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Disparities in Health-Related Internet Use Among African American Men, 2010

Cited by 4 publications

References 9 publications

Impact of organizational and individual factors on patient-provider relationships: A national survey of doctors, nurses and patients in China

Impact of organizational and individual factors on patient-provider relationships: A national survey of doctors, nurses and patients in China

Self-Rated Health and Health Care Access Associated With African American Men’s Health Self-Efficacy

Alzheimer’s Disease and Alzheimer’s Disease-Related Dementias in African Americans: Focus on Caregivers

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