Abstract:
BACKGROUND:Adherence to screening guidelines has been widely accepted to reduce morbidity, mortality, and cost outcomes. The aim of this study was to identify predictors of adherence to screening guidelines for chronic diseases of lifestyle (CDL), cancers, and HIV in a health-insured population in South Africa, some of whom voluntarily opt into a wellness program that incentivizes screening. METHOD:A cross-sectional study for the period 2007-2011 was conducted using a random sample of 170,471 health insurance members from a single insurer. Adherence to screening guidelines was calculated from medical claims data. RESULTS:Adherence to screening guidelines ranged from 1.1% for colorectal cancer to 40.9% for cholesterol screening. Members of the wellness program were up to three times more likely to screen for diseases (odds ratio [OR] = 3.2 for HIV screening, confidence interval [CI] = 2.75-3.73). Plan type (full comprehensive plan) was most strongly associated with cholesterol screening (OR = 3.53, CI = 3.27-3.80), and most negatively associated (hospital-only core plan) with cervical cancer screening (OR = 0.44, CI = 0.28-0.70). Gender was a negative predictor for glucose screening (OR = 0.88, CI = 0.82-0.96). Provincial residence was most strongly associated with cervical cancer screening (OR = 1.89, CI = 0.65-5.54). CONCLUSION:Adherence to screening recommendations was <50%. Plan type, gender, provincial residence, and belonging to an incentivized wellness program were associated with disproportionate utilization of screening services, even with equal payment access.
journal_name
Glob Health Actionjournal_title
Global health actionauthors
Adonis L,Basu D,Luiz Jdoi
10.3402/gha.v7.23807subject
Has Abstractpub_date
2014-03-14 00:00:00pages
23807eissn
1654-9716issn
1654-9880pii
23807journal_volume
7pub_type
杂志文章abstract::Background: Co-creation is the process of involving stakeholders in the development of interventions. Although co-creation is becoming more widespread, reports of the process and lessons learned are scarce.Objective: To describe the process and lessons learned from using the COHESION manual, a co-creation methodology ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1754016
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:Noma is an infectious but opportunistic disease that often results in severe facial disfigurements and mortality if untreated. As noma progresses quickly, early detection and treatment are important to prevent its development. OBJECTIVES:The objective of this study was to investigate primary healthcare work...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1340253
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The term HbA1c (glycated haemoglobin) is commonly used in relation to diabetes mellitus. The measure gives an indication of the average blood sugar levels over a period of weeks or months prior to testing. For most low- and middle-income countries HbA1c measurement in community surveillance is prohibitively ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.31691
更新日期:2016-08-09 00:00:00
abstract:BACKGROUND:Vietnam has achieved great improvements in maternal healthcare outcomes, but there is evidence of increasing inequity. Disadvantaged groups, predominantly ethnic minorities and people living in remote mountainous areas, do not gain access to maternal health improvements despite targeted efforts from policyma...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.27554
更新日期:2015-07-07 00:00:00
abstract:INTRODUCTION:Dengue is currently a major public health burden in Asia Pacific Region. This study aims to establish an association between dengue incidence, mean temperature and precipitation, and further discuss how weather predictors influence the increase in intensity and magnitude of dengue in Singapore during the p...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v2i0.2036
更新日期:2009-11-11 00:00:00
abstract:BACKGROUND:Nutrition is the intake of food in relation to the body's dietary needs. Malnutrition results from the intake of inadequate or excess food. This can lead to reduced immunity, increased susceptibility to disease, impaired physical and mental development, and reduced productivity. OBJECTIVE:To perform a syste...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v8.28298
更新日期:2015-10-29 00:00:00
abstract:BACKGROUND:Early medical checkups during and after delivery are key strategies to detect, prevent and treat maternal health concerns. Knowledge of interrelationships between early Antenatal Care (ANC), skilled delivery and early postnatal care (EPNC) is essential for focused and well-targeted interventions. This paper ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1830463
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:Many efficacious health service interventions to improve diabetes care are known. However, there is little evidence on whether such interventions are effective while delivered in real-world resource-constrained settings. OBJECTIVE:To evaluate an intervention aimed at improving diabetes care using the RE-AIM...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.28762
更新日期:2015-11-16 00:00:00
abstract:BACKGROUND:Climate change is producing major impacts including increasing temperatures in tropical countries, like Costa Rica, where the sugarcane industry employs thousands of workers who are exposed to extreme heat. OBJECTIVES:This article outlines a pilot qualitative evaluation of working conditions and heat in the...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v2i0.2062
更新日期:2009-11-11 00:00:00
abstract:BACKGROUND:Adolescents are particularly vulnerable to poor sexual and reproductive health outcomes. In addition, Lao PDR has the highest teenage pregnancy rate in southeast Asia and a high maternal mortality ratio. OBJECTIVE:This study aimed to provide a comprehensive exploration of factors that influence SRH knowledg...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1791426
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Support supervision is one of the strategies used to check the quality of services provided at health facilities. From 2013 to 2015, Makerere University School of Public Health strengthened support supervision in the district of Kibuku, Kamuli and Pallisa in Eastern Uganda to improve the quality of maternal ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1345496
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Despite considerable global attention to the issues of climate change, relatively little priority has been given to the likely effects on human health of current and future changes in the global climate. We identify three major societal determinants that influence the impact of climate change on human health...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.20513
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Blindness from glaucoma is associated with socio-economic deprivation, presumed to reflect poor access to care and poor adherence to treatment. OBJECTIVES:To determine why people with glaucoma are presenting late for treatment and to understand access to glaucoma care. Additionally, we sought to identify wh...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.31886
更新日期:2016-12-06 00:00:00
abstract:BACKGROUND:Strengthening surgical services in resource-constrained settings is contingent on using high-quality data to inform decision making at clinical, facility, and policy levels. However, the evidence is sparse on gaps in paper-based medical record quality for surgical and obstetric patients in low-resource setti...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1765526
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:The 4-year (2007-2011) Revitalizing Health for All international research program (http://www.globalhealthequity.ca/projects/proj_revitalizing/index.shtml) supported 20 research teams located in 15 low- and middle-income countries to explore the strengths and weaknesses of comprehensive primary health care (...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24997
更新日期:2014-08-21 00:00:00
abstract:BACKGROUND:Having a child with a disability is a heavy burden for mothers, especially in developing countries, where there is little available financial or other government support. Having a child with a disability is also linked to mental health problems and poor quality of life. Communities rich in social capital and...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.18886
更新日期:2013-02-11 00:00:00
abstract:BACKGROUND:In order to track progress towards the target of universal access to sexual and reproductive health care services of the post-2015 Sustainable Development Goals (SDGs), a measure (demand for family planning satisfied with modern contraceptive methods) and a benchmark (at least 75% by 2030 in all countries) h...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.29734
更新日期:2015-11-09 00:00:00
abstract:BACKGROUND:Hazardous alcohol use is detrimental to persons with HIV (PWH), impacting medication adherence and liver function, yet globally resources to target alcohol use behavior in this population are limited. Few studies have identified the costs of integrating alcohol reduction interventions into HIV care. OBJECTI...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1814035
更新日期:2020-12-31 00:00:00
abstract::Background: Language and communication lie at the heart of good quality mental health care and are a vital, yet complex, part of the diagnostic and treatment process. In South African mental health care, ad hoc interpreting arrangements are the status quo. However, these can cause both clinician and patient shame and ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1684072
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:A previous review of early infant diagnosis (EID) using polymerase chain reaction technology (PCR) under integrated HIV care (IHC) program in Myanmar revealed a low uptake of timely (within 6 to 8 weeks of babies' age) EID and a long turnaround time (TAT) of receiving results. OBJECTIVE:This study aimed to ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1395657
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The double burden of tuberculosis (TB) and diabetes mellitus (DM) is hitting certain Asian countries harder than other areas. In a global estimate, 15% of all TB cases could be attributable to DM, with 40% of those cases coming from India and China. Many other countries of South, East, and South-East Asia ar...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.1080/16549716.2016.1264702
更新日期:2017-01-01 00:00:00
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journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1386932
更新日期:2017-01-01 00:00:00
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journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.19287
更新日期:2013-01-24 00:00:00
abstract:BACKGROUND:We have found that community health workers (CHWs) with appropriate training are able to accurately identify people at high cardiovascular disease (CVD) risk in the community who would benefit from the introduction of preventative management, in Bangladesh, Guatemala, Mexico, and South Africa. This paper exa...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.26318
更新日期:2015-04-07 00:00:00
abstract::The objective of this study is to critically assess the possible roles of information and communications technology (ICT) in supporting global health goals. This is done by considering privilege and connectibility. In short, ICT can contribute by providing health information via four different kinds of access, each wi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1321904
更新日期:2017-06-01 00:00:00
abstract:AIM:The Västerbotten Intervention Programme (VIP) addresses cardiovascular disease and diabetes in the middle-aged population of Västerbotten County, Sweden. Self-reported health (SRH) is one of the risk factors for both conditions. The aim of this study was to analyse the development patterns of SRH among the VIP part...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v4i0.5435
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:This study explores violence against women in a low-income setting in relation to residency and literacy. SETTING:The study was conducted within the Butajira Rural Health Programme (a Health and Demographic Surveillance Site), which includes rural and semi-urban settings in south-central Ethiopia. DESIGN:Th...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.2070
更新日期:2010-02-25 00:00:00
abstract::Average temperatures around the world are already increasing, and climate change projections suggest that global mean temperatures will continue to rise. As the effects, and projected effects, of climate change are becoming clearer, it is more apparent that the health effects of heat exposure will need further investi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.5632
更新日期:2010-12-29 00:00:00
abstract:BACKGROUND:Previous research has shown that men who have sex with men (MSM) avoid formal healthcare services because of the fear of discrimination as homosexuality is illegal and stigmatized in Tanzania. Instead, self-treatment by medications obtained directly from pharmacies or drugstores may be common when MSM experi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1389181
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Managing cancer in a multicultural environment poses several challenges, which include the communication between the patient and the healthcare provider. Culture is an important consideration in clinical care as it contributes to shaping patients' health-related values, beliefs, and behaviours. This integrat...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v9.33208
更新日期:2016-11-30 00:00:00