Barriers to Treatment of Tinea Capitis in Children Living in the Jane Finch Community of Toronto

Zur, Rebecca L.; Shapero, Jonathan; Shapero, Harvey

doi:10.1177/1203475415578051

Cited by 5 publications

(7 citation statements)

References 8 publications

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“…10,11 For tinea capitis (n = 2), one study explored insurance and medication coverage as a barrier, while another explored the sociocultural and individual factors such as medical knowledge and language. 12,13 Among the studies without a pathological context (n = 4), two studies examined wait times, one examined language barriers, and the final article explored Medicaid and geography. [14][15][16][17] F I G U R E 1 Search flow for literature exploring barriers to healthcare access in pediatric dermatology | 15 Pediatric Dermatology TOY BS eT al.…”

Section: Specific Dermatological Conditionsmentioning

confidence: 99%

Barriers to healthcare access in pediatric dermatology: A systematic review

Toy

Gregory

Rehmus

2021

Pediatric Dermatology

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Barriers to healthcare access (BtHA) are factors that prevent a patient or patient population from obtaining necessary medical care. 1 Past research has revealed that BtHA are multifactorial, and in some instances, may manifest from or propagate an existing health inequity. BtHA can be categorized as systemic, sociocultural, or individual barriers. 1,2 Systemic barriers include those that arise from legal frameworks, governmental policies or institutional policies and practices. 2 For example, requiring a fixed address for identification and health insurance can act as a systemic barrier against homeless patients. Meanwhile, sociocultural barriers include factors arising from a group characteristic, such as a race/ethnicity, religion, or locality. 2 Common barriers that fall within this category stem from communication difficulties or a lack of comfort in seeking care. Individual barriers refer to characteristics unique to a patient that negatively impacts their access to health care. 1,2 These can include being overburdened with responsibilities, having previously experienced discrimination in health care or having medical and/or mental health conditions that make healthcare access challenging.Within the last two decades, a growing number of studies have examined BtHA in the context of medical specialties. These studies have confirmed that BtHA such as geography, wait times, insurance, healthcare knowledge, language, and race/ethnicity apply beyond primary care specialties. Dermatology is not immune to these issues with some studies identifying unique health inequities and barriers.For example, some studies have found an underrepresentation in the number of healthcare providers of ethnic minorities and limited institutional training and exposure to skin of color. 3,4 Improvement to either domain may lead to increased patient satisfaction and outcomes for African American patients. 4,5 In contrast to adult dermatology, little research has been conducted on BtHA within the context of pediatric dermatology. Pediatric patients likely have additional unique barriers due to factors such as their reliance on caregivers and the local availability of pediatric dermatologists. This systematic review

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Section: Specific Dermatological Conditionsmentioning

confidence: 99%

Barriers to healthcare access in pediatric dermatology: A systematic review

Toy

Gregory

Rehmus

2021

Pediatric Dermatology

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“…One may speculate that this applies to all dermatological patients in Denmark. In a North American study of patients with TC, economy seems significant of adherence to treatment of TC 21 . The reason that economy was not mentioned as a barrier to treatment in our study may be because the department provides the tablets free of charge to the families.…”

Section: Discussionmentioning

confidence: 71%

“…In a North American study of patients with TC, economy seems significant of adherence to treatment of TC. 21 The reason that economy was not mentioned as a barrier to treatment in our study may be because the department provides the tablets free of charge to the families. In other departments where oral therapy is purchased by the patients themselves, economy may play a role for nonadherence.…”

Section: Discussionmentioning

confidence: 82%

Treatment adherence and psychosocial impact of tinea capitis in families: Qualitative pilot study

Andersen

Jemec

Saunte

2020

Dermatologic Therapy

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Tinea capitis (TC) is a fungal infection of the hair and scalp. It mainly affects children, and treatment requires an extensive regimen including oral therapy, antifungal creams, and shampoo, as well as disinfection of fomites, bed linen, and clothes. Family members to patients with TC need prophylactic treatment to limit spread of the infection. Adherence to therapy in TC is time consuming, and the disease may cause psychosocial impairment to the caregivers. In this study, we performed interviews with parents to children with TC to identify factors related to treatment adherence and psychosocial implications from the parent's perspective. The interviews were performed and recorded at a dermatology outpatient clinic in Roskilde, Denmark (2018‐2019). A total of 11 families agreed to participate in the study. The families had one to four affected children (age range: 1‐14 years). We found that the key factors affecting adherence were the level of cooperation between the child and their parent, lack of symptoms in family members, and language barrier. The psychosocial well‐being of parents was negatively affected due to fear of stigma and the time spent on treatment. Our study emphasizes the need for proper treatment instructions and psychosocial support of the parents by healthcare professionals.

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“…Canadian dermatologists have distinguished themselves in a number of areas including photobiology, skin cancer, and psoriasis, to name but a few. Our “senior” members have served and continue to serve as mentors to the next generation, even to our own children, 1 -6 and I am confident that academic dermatology will continue to thrive and grow in our country. However, as is the case with other dermatology societies and publications, the quality and recognition of JCMS will continue to improve only if the society members continue to contribute to its growth and development.…”

mentioning

confidence: 99%

“…Pour être plus précis, des dermatologues canadiens se sont distingués dans de nombreux domaines, y compris la photobiologie, le cancer de la peau et le psoriasis, pour en nommer quelques-uns seulement. Nos membres « chevronnés » ont agi comme mentors de la génération suivante et continuent de le faire, même auprès de nos propres enfants 1 -6 et je suis persuadé que la dermatologie universitaire continuera de s’épanouir et de prendre de l’ampleur au Canada. Comme dans d’autres sociétés de dermatologie, la qualité et la reconnaissance du JCMS continueront toutefois de s’améliorer seulement si vous, membres de la société, continuez de contribuer à son expansion et à son développement.…”

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Bonjour et Adieu: Reflections on a Decade at the Helm of Our Journal / Bonjour et adieu: Réflexions sur une décennie à la barre de notre journal

Rivers¹

2015

J Cutan Med Surg

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Barriers to Treatment of Tinea Capitis in Children Living in the Jane Finch Community of Toronto

Abstract: A limited use code for oral antifungal treatments of tinea capitis may provide a simple, cost-effective solution to a major problem impacting children in the Jane Finch area.

Cited by 5 publications

References 8 publications

Barriers to healthcare access in pediatric dermatology: A systematic review

Barriers to healthcare access in pediatric dermatology: A systematic review

Treatment adherence and psychosocial impact of tinea capitis in families: Qualitative pilot study

Bonjour et Adieu: Reflections on a Decade at the Helm of Our Journal / Bonjour et adieu: Réflexions sur une décennie à la barre de notre journal

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