Abstract:
OBJECTIVES:The aim of the study was to describe adherence to health regimens and the factors associated with it among adult frequent attenders (FAs). DESIGN:This was a cross-sectional study. The study sample consisted of 462 healthcare FAs in 7 municipal health centres in northern Finland. An FA is a person who has had 8 or more outpatient visits to a GP (in a health centre) or 4 or more outpatient visits to a university hospital during 1 year. The main outcome was self-reported adherence to health regimens. RESULTS:Of the FAs, 82% adhered well to their health regimens. Carrying out self-care, medical care and feeling responsible for self-care were the most significant predictors to good adherence in all models. No significant differences in adherence were found in male and female subjects, age groups or educational levels. Support from healthcare providers and support from relatives were not significant predictors of good adherence. CONCLUSION:FAs in Finland adhere well to health regimens and exceptionally well to medication. Variables that predict the best adherence of FAs to health regimens are carrying out self-care, receiving medical care and feeling responsible for self-care.
journal_name
Int J Circumpolar Healthjournal_title
International journal of circumpolar healthauthors
Hirsikangas S,Kanste O,Korpelainen J,Kyngäs Hdoi
10.3402/ijch.v75.30726subject
Has Abstractpub_date
2016-03-18 00:00:00pages
30726eissn
1239-9736issn
2242-3982pii
30726journal_volume
75pub_type
杂志文章abstract:BACKGROUND:Serum thyroid hormones, plasma catecholamines and mood were examined in 10 male members of the 16th Chinese Antarctic Expedition who spent the 2000 austral winter at Great Wall Station. STUDY DESIGN:Samples were taken prior to deployment to Antarctica (December, 1999) and upon return to China 54 weeks later...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v62i3.17562
更新日期:2003-09-01 00:00:00
abstract::Drawing on census data and psychiatric hospital records, this paper examines the impact of rapid socioeconomic change on the mental health of residents in Northwestern Ontario resource-dependent communities. This research investigates whether residents in economically growing and declining communities experience more ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::Over the last 60 years, Alaska's mean annual temperature has increased by 1.6°C, more than twice the rate of the rest of the United States. As a result, climate change impacts are more pronounced here than in other regions of the United States. Warmer temperatures may allow some infected host animals to survive winter...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.19562
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:To assess the distribution of blood lipids, lipoprotein and apoB/apoA-1 ratio in a multi-ethnic population of Sami, Kvens and Norwegians in Norway. Study design. A population-based cross-sectional study was carried out in 2003-2004 in an area with a mixed Sami, Kvens/Finns and Norwegian population, the SAMIN...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:2008-02-01 00:00:00
abstract::Engaging community partners to work as co-researchers and research assistants for research involving Inuit communities or regions helps to ensure the equitable recognition of community and researcher priorities, mutual trust and respect, participation by local participants, inclusion of local knowledge and local uptak...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2018.1425581
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To examine the contribution of student co-researchers to a community-based participatory Photovoice investigation of Indigenous children's food-related lived experience. We examine co-researchers' contributions to the research process, their role in knowledge co-generation and dissemination, and factors that ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v74.27838
更新日期:2015-07-27 00:00:00
abstract:OBJECTIVES:To analyze the prevalence of poor oral health and selected determinants in First Nations (FN) and Caucasian samples in Manitoba, Canada. STUDY DESIGN:Cross-sectional survey, nested in a cohort study. METHODS:FN and Caucasian participants completed a questionnaire on socio-demographic variables, oral health...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.17394
更新日期:2012-03-19 00:00:00
abstract:OBJECTIVES:Aboriginal communities have a high prevalence of diabetes and heart disease, and limited resources to address them. The objective of this study was to test the effectiveness of prioritizing care with audit and feedback on cholesterol management of diabetic patients. STUDY DESIGN:A controlled before-after in...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,随机对照试验
doi:10.3402/ijch.v69i4.17629
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVES:Experiences in one's family of origin, especially the relationship to one's parents, supposedly form the basis of relationships in adulthood. The connection between traumatic childhood events and later life has been studied intensively, whereas average childhood growth experiences have been given less attent...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v70i2.17805
更新日期:2011-04-01 00:00:00
abstract::In August 2012, a literature search with the aim of describing indicators on food and water security in an Arctic health context was initialized in collaboration between the Arctic Human Health Expert Group, SDWG/AHHEG and the AMAP (Arctic Monitoring and Assessment Programme within the Arctic Council) Human Health Ass...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21530
更新日期:2013-08-07 00:00:00
abstract::Climate change could cause changes in the incidence of infectious diseases in Arctic regions. Higher ambient temperatures in the Arctic may result in an increase in some temperature sensitive foodborne diseases such as gastroenteritis, paralytic shellfish poisoning and botulism. An increase in mean temperature may als...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v64i5.18029
更新日期:2005-12-01 00:00:00
abstract::Diagnostic ultrasound in remote sites is limited by attendant delay in interpretation and reporting. Technology advances were incorporated in an ultrasound program based in Churchill, Manitoba, and designed to meet the needs of the Central Canadian Arctic. Still-frame ultrasound images are digitized via a sonographer'...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract::In this article we review the thirty-year-old person from the viewpoint of the development psychology, life span, physical health and family life. In his psychological development a person has at this stage become adult, but he still uses some psychic mechanisms and coping strategies which are typical for the adolesce...
journal_title:International journal of circumpolar health
pub_type: 杂志文章,评审
doi:
更新日期:1998-07-01 00:00:00
abstract::The article describes national, regional and community-level activities that contributed to the Manitoba First Nation partnership in maternal and child health programming. The activities reveal a potential for health change that is possible through working together across jurisdictional boundaries. Although we are onl...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v70i4.17837
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVES AND METHODS:Three community health promotion projects have been implemented in Greenland in the municipalities of Upernavik, Ittoqqortoormiit and Qasigiannguit. Based on project reports and other written material, this paper describes experiences from the three projects and discusses the implications of the ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v64i3.17993
更新日期:2005-06-01 00:00:00
abstract::A cluster is a mini-epidemic of a rare disease. Clusters may give clues to the etiology of disease, or may signal a hazardous exposure. Unfortunately, cluster investigations seldom are conclusive, for several reasons. Statistically significant clusters can occur by chance. The probability of finding chance cancer clus...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVE:Cochlear implant (CI) treatment was introduced to the world in the 1980s and has become a routine treatment for congenital or acquired severe-to-profound hearing loss. CI treatment requires access to a highly skilled team of ear, nose and throat specialists, audiologists and speech-language pathologists for e...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.20974
更新日期:2013-08-05 00:00:00
abstract:BACKGROUND:The US commercial fishing industry is hazardous, as measured by mortality data. However, research on non-fatal injuries is limited. Non-fatal injuries constitute the majority of occupational injuries and can result in workers' lowered productivity and wages, lost quality of life, and disability. In the Unite...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v75.30070
更新日期:2016-01-14 00:00:00
abstract::Problems with alcohol, marijuana and gambling are major public health challenges in Greenland but their prevalence in a hospital setting has not been explored. Healthcare facilities play a significant role in Greenland. One important aspect is their provision of both primary and secondary healthcare services to a smal...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2020.1771950
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:This article is based on a pilot study of Finnmark University College's off-campus bachelor programme (BA) for nurses, organised in rural areas. The objectives were to explore whether these courses had contributed to reduced vacancies; whether the learning outcome of the off-campus courses was the same as th...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.17902
更新日期:2012-03-30 00:00:00
abstract:OBJECTIVES:The rapid increase in the prevalence of type 2 diabetes (T2D) has created an urgent need to develop new practices to prevent and treat it. One possibility is to provide specialists services to remote areas through videoconferencing (VC). Therefore, the aim was to study the feasibility of short-term group cou...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v69i5.17688
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVE:To assess changes in plasma 25-hydroxy vitamin D (25(OH)D) concentrations after ingestion of
journal_title:International journal of circumpolar health
pub_type: 临床试验,杂志文章
doi:10.3402/ijch.v62i1.17527
更新日期:2003-03-01 00:00:00
abstract:BACKGROUND:Several European and North American studies have reported associations between cold temperatures and mortality from diseases of the circulatory system. However, the effects of cold vary between the settings warranting further research in other parts of the world. OBJECTIVES:To study associations between tem...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v71i0.19769
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Alaska Native people are disproportionately impacted by tobacco-related diseases in comparison to non-Native Alaskans. DESIGN:We used Alaska's Behavioral Risk Factor Surveillance System (BRFSS) to describe tobacco use among more than 4,100 Alaska Native adults, stratified by geographic region and demographi...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21208
更新日期:2013-08-05 00:00:00
abstract:OBJECTIVES:To describe the method, data collection procedure and participation in The Population-based Study on Health and Living Conditions in Areas with both Sami and Norwegian Settlements - the SAMINOR 2 questionnaire study. STUDY DESIGN:Cross-sectional and semi-longitudinal. METHODS:In 2012, all inhabitants aged ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v73.23147
更新日期:2014-06-18 00:00:00
abstract:BACKGROUND:The influence of environmental conditions early in life - including temperature and season - on health later in life has so far not attracted much attention. OBJECTIVE:Using data from the Helsinki Birth Cohort Study of 13,345 men and women, the influence of temperature and season at month of conception on b...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.3402/ijch.v72i0.21466
更新日期:2013-10-15 00:00:00
abstract::This study aims to investigate the association between earlier sexual abuse and polysubstance abuse among persons in alcohol, drug and gambling addiction treatment in Greenland. The study included 431 individuals treated in 2017-2019. Data on exposure (sexual abuse), outcome (polysubstance abuse), and potential confou...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2020.1849909
更新日期:2021-12-01 00:00:00
abstract:BACKGROUND:The medical internship as a way of exposing young doctors to training in a rural context is regarded as a useful tool to recruit and retain doctors in rural areas. Norwegian health authorities tested an arrangement of early sign-up for medical internships in the Finnmark County in Norway. OBJECTIVE:To repor...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:10.1080/22423982.2017.1314415
更新日期:2017-01-01 00:00:00
abstract::Mortality was compared in two major towns in northern Finland (Kemi and Oulu), which according to previous studies have high and low mortalities, respectively. In 1991-1995 life expectancy at birth in Oulu exceeded the national average by 0.7 years in males and 0.4 years in females but in Kemi it fell short of the nat...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::The reasons for the rapidly increasing prevalence of diabetes (NIDDM) among Alaskan Eskimos are only partly understood. This study examines the association of fatty acid metabolism in 68 Alaskan Eskimos with NIDDM or impaired glucose tolerance (IGT) and 386 with normal glucose tolerance > 24 years old. The prevalence ...
journal_title:International journal of circumpolar health
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00