Abstract:
OBJECTIVE:Communication inequality has been offered as one potential mechanism through which social determinants influence multiple health behaviors. The purpose of this study was to examine the underlying mechanisms between communication inequality and health behaviors. METHODS:Data from a nationally representative cross-sectional survey of 18,426 people aged 18 years and above in the United States were used for secondary analysis. Measures included socio-demographic characteristics, social participation (structural social capital), health media use (TV, print, and the Internet), and five health behaviors (physical activity, cigarette smoking, alcohol use, and intake of fruit and vegetable). Path analysis was performed to examine the linkages between social determinants, health media use, social participation, and social gradients in health behaviors. RESULTS:Path analysis revealed that socioeconomic gradients in health behaviors is mediated by: 1) inequalities in health media use; 2) disparities in social participation, which leads to differential media use; and 3) disparities in social participation that are not mediated by media use. CONCLUSIONS:Consistent with the theory of communication inequality, socioeconomic disparities in media use partially mediate disparities in multiple health behaviors. PRACTICE IMPLICATIONS:To address health inequalities, it is important to utilize health media to target populations with low socioeconomic statuses.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Ishikawa Y,Kondo N,Kawachi I,Viswanath Kdoi
10.1016/j.pec.2016.05.018subject
Has Abstractpub_date
2016-11-01 00:00:00pages
1803-1807issue
11eissn
0738-3991issn
1873-5134pii
S0738-3991(16)30225-7journal_volume
99pub_type
杂志文章abstract:OBJECTIVE:Healthcare providers satisfy an important role in providing appropriate care in the prevention and management of acute and chronic pain, highlighting the importance of providers' abilities to accurately assess patients' pain. We systematically reviewed the literature on healthcare providers' pain assessment a...
journal_title:Patient education and counseling
pub_type: 杂志文章
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更新日期:2015-10-01 00:00:00
abstract:OBJECTIVE:Patient-provider communication is critical in primary care. Canada's unique health system, population distribution, and cultural context suggest there is value in addressing the topic in the Canadian context. We conducted a scoping review to synthesize recent Canadian literature to inform practice in primary ...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
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abstract:UNLABELLED:In this study we examine which factors are related to compliance with medication in patients suffering from rheumatoid arthritis (RA). PATIENTS:persons suffering recently developed, active RA, who cooperated in a randomized study on the effect of patient education. We analyzed the relation between adherence...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章,随机对照试验
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abstract::The purpose of this study was to evaluate the effectiveness of a diabetes specialty centre in assisting clients with noninsulin-dependent diabetes mellitus to improve their metabolic control and quality of life. A single-subject repeated measures design was used where data was collected on entry to the program, immedi...
journal_title:Patient education and counseling
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更新日期:1995-02-01 00:00:00
abstract:OBJECTIVES:To evaluate the Flinders Program in improving self-management in common chronic conditions. To examine properties of the Partners in Health scale (PIH). METHODS:Participants were randomized to usual care or Flinders Program plus usual care. Self-management competency, quality of life, and other outcomes wer...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2015.06.003
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:To describe the importance of teaching clinicians when and how to overcome language barriers in clinical practice, provide an example of a curriculum for teaching on this topic, and outline the critical issues that must be addressed in this type of teaching. METHODS:We describe a 1.5h educational program for...
journal_title:Patient education and counseling
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更新日期:2010-02-01 00:00:00
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journal_title:Patient education and counseling
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更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:New pharmacological measures assessing medication adherence, including longitudinal drug levels in hair, are emerging. Little is known, however, about how best to present results from such measures to patients and clinicians in comprehensive, easy-to-understand, acceptable formats. We, therefore, developed th...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2018.12.029
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:It was hypothesized that parents exposed to a communication skills intervention would participate (e.g., ask questions, express concerns) in a pre-surgical consultation more than parents in the control group. METHODS:Sixty-five parents of prospective pediatric surgery patients were randomly assigned to eithe...
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pub_type: 杂志文章,随机对照试验
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更新日期:2013-10-01 00:00:00
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journal_title:Patient education and counseling
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更新日期:2021-01-01 00:00:00
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journal_title:Patient education and counseling
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更新日期:2020-03-01 00:00:00
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journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2012.02.017
更新日期:2012-12-01 00:00:00
abstract::We report the evaluation of a pharmacist-led medication education program for the elderly. The program consisted of a single group-based education session followed by individual pre-discharge counseling. Patients also received an individual medication record card. The study design was a nonrandomised trial. Patients i...
journal_title:Patient education and counseling
pub_type: 临床试验,杂志文章
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更新日期:1990-10-01 00:00:00
abstract:OBJECTIVE:When a child is hospitalized due to an illness or injury, the entire family may experience stress and/or anxiety. According to parents who have been in such a situation, providing adequate information is one of the most valuable ways to help the family deal with such feelings. Most mild head injuries suffered...
journal_title:Patient education and counseling
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doi:10.1016/j.pec.2007.10.001
更新日期:2008-02-01 00:00:00
abstract::Since publication of Unequal Treatment by the Institute of Medicine in 2003, there has been a growing recognition of the role of provider implicit racial bias in patient care. Provider implicit racial bias has been consistently negatively associated with both care satisfaction and provider trust among racial/ethnic mi...
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doi:10.1016/j.pec.2019.04.023
更新日期:2019-09-01 00:00:00
abstract::To assess the prevalence and correlates of perceived unmet need among people with systemic lupus erythematosus (SLE) 386 people with SLE, recruited from a support association in NSW, Australia, completed a mail-back survey that included 97 items measuring perceived unmet needs across seven domains: physical, daily liv...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2004.03.015
更新日期:2005-04-01 00:00:00
abstract::Art That Heals developed five programs at the UCLA Medical Center/Cancer Center which used arts interventions to reduce stress and facilitate coping with hospitalization. These experiences were well received by patients and nursing staff. Educational modules were developed so that others may learn from these program m...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/0738-3991(93)90064-4
更新日期:1993-06-01 00:00:00
abstract::Objective Chronic fatigue syndrome (CFS) patients report limited social support, which can affect symptom severity. Friends are a key source of social support for young adults with CFS, but there is limited research on friends' responses to the CFS label. We explored the potential benefits or harms of the CFS label fo...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2018.10.011
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:To identify, appraise and synthesise the results of systematic reviews of the literature (SRLs) that examines the effectiveness of interventions to increase advance directive (AD) completion rate. METHODS:Narrative review of the literature-an overview of SRLs focused on interventions to improve patients' AD ...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2009.09.027
更新日期:2010-07-01 00:00:00
abstract::The study was designed to investigate self esteem, modes of coping and interfamilial relationships of asthmatic children and adolescents. Fifty-one asthmatic children (mean age: 12.26 +/- 2.56 years; 57% boys and 43% girls) were questioned about psychological factors of self image, coping with stressful situations and...
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journal_title:Patient education and counseling
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journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2012.11.006
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVE:This study explored the impact of breast cancer patients' experiences of physician-patient communication and participation in decision making on patient depression and quality of life three and six months after primary treatment. METHODS:Participants were 135 German breast cancer patients, recruited within a...
journal_title:Patient education and counseling
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doi:10.1016/j.pec.2009.09.005
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:Researchers and clinicians acknowledge the complexity of planning for future medical treatment desired in the event of incapacitation. Unfortunately, many attempts to evaluate the quality of such difficult planning have been stymied by the lack of measures that can be shown to have validity. This study examin...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2005.05.003
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVE:This study tested the effectiveness of a brief, learner-centered, breaking bad news (BBN) communication skills training module using objective evaluation measures. METHODS:This randomized control study (N=66) compared intervention and control groups of students (n=28) and residents' (n=38) objective structur...
journal_title:Patient education and counseling
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.pec.2016.11.008
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVE:This study sought to explore the perceived influence of narrative medicine training on clinical skill development of fourth-year medical students, focusing on competencies mandated by ACGME and the RCPSC in areas of communication, collaboration, and professionalism. METHODS:Using grounded-theory, three metho...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2013.01.014
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:To examine the informed consent process implementation and quality in Croatia using a specially developed instrument. METHODS:A cross-sectional questionnaire study was conducted in 300 patients (response rate 73%) from six hospitals in Croatia, along with psychometric evaluation of the questionnaire. RESULT...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2015.08.033
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:Preferences of women who had completed adjuvant chemotherapy for early breast cancer were compared with those of their partners by determining the smallest benefits they judged sufficient to make adjuvant chemotherapy worthwhile. METHODS:Forty-six women and their partners were interviewed separately, 3-34 mo...
journal_title:Patient education and counseling
pub_type: 杂志文章
doi:10.1016/j.pec.2008.02.021
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:To review the literature on the communicative behaviours primary care patients want from a "good" physician. METHODS:An electronic search used the key words doctor-patient relation AND patient desires OR patient expectations OR patient preferences (from now on referred to as expectations). The qualitative an...
journal_title:Patient education and counseling
pub_type: 杂志文章,评审
doi:10.1016/j.pec.2012.05.005
更新日期:2013-03-01 00:00:00