Abstract：
:The objective of this study was to examine geographic and race/ethnic disparities in access to end of life care among elderly patients with lung cancer. The study sample consisted of 91,039 Medicare beneficiaries with lung cancer who died in 2008. The key outcome measures included the number of emergency room visits, the number of inpatient admissions and the number of intensive care unit (ICU) days in the last 90 days of life, hospice care ever used and hospice enrollment within the last 3 days of life. Medicare beneficiaries with lung cancer residing in rural, remote rural, and micropolitan areas had more ER visits in the last 90 days of life as compared to urban residents. Urban residents however, had more ICU days in the last 90 days of life and were more likely to have ever used hospice as compared to residents of rural, remote rural and micropolitan counties. Racial minority lung cancer patients had more ICU days, ER visits and inpatient days than non-Hispanic White patients, and also were less likely to have ever used hospice care or be enrolled in hospice in the last 3 days of life. Lung cancer patients with very low socioeconomic status (SES) were less likely to ever use hospice or be enrolled in hospice care in the last 3 days of life, as compared to those who had very high SES. Geographic, racial and socioeconomic disparities in end of life care call for targeted efforts to address access barriers for these groups of patients.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
Nayar P,Qiu F,Watanabe-Galloway S,Boilesen E,Wang H,Lander L,Islam Mdoi
10.1007/s10900-014-9850-xsubject
Has Abstractpub_date
2014-10-01 00:00:00pages
1012-9issue
5eissn
0094-5145issn
1573-3610journal_volume
39pub_type
杂志文章abstract：:This paper describes the first year of an ongoing village health care and economic development project in the Krong Buk district of Dak Lak province in Vietnam's Central Highlands. The project serves 21 villages with a total population of just over 15,000. Most belong to ethnic minority groups. Physicians from the pro...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1023/a:1026589131476
更新日期：2001-02-01 00:00:00
abstract：:The Spring Valley community of Washington, District of Columbia, was built on the site of a World War I chemical weapons lab where testing activities had distributed arsenic to surface soil and waste disposal had resulted in localized subsurface contamination. In previous work, findings were suggestive of potential si...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9848-4
更新日期：2014-10-01 00:00:00
abstract：:To examine common reasons for utilization of health care services at a free homeless youth clinic. This is a retrospective chart review for visits over a 1 year period. Data on age, gender, and up to 3 chief complaints per visit were collected from the electronic medical record. Of the 744 clinical encounters, the mea...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-013-9789-3
更新日期：2014-06-01 00:00:00
abstract：:Even after the introduction of the Patient Protection and Affordable Care Act (ACA), uninsured visits remain high, especially in states that opted out of Medicaid expansion. Since the ACA does not provide universal coverage, free clinics serve as safety nets for the un- or under-insured, and will likely continue servi...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0076-3
更新日期：2016-02-01 00:00:00
abstract：:Consumer participation and influence were studied in one Health Systems Agency in the southeastern United States over a 20-month period (July 1976--February 1978). Consumer board members were found to be significantly less influential in agency decision making than were provider board members. This difference in influ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01323009
更新日期：1981-04-01 00:00:00
abstract：:Seasonal influenza continues to impose a substantial healthcare and economic burden in the United States each year. This study assessed influenza vaccination rates among the uninsured population, determined the need for free flu vaccines, and analyzed associations of vaccination status with access, beliefs, and sociod...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-020-00873-1
更新日期：2020-12-01 00:00:00
abstract：:Preventing the transmission of SARS-CoV-2 (causative agent for COVID-19) requires implementing contact and respiratory precautions. Modifying human behavior is challenging and requires understanding knowledge, attitudes, and practices (KAPs) regarding health threats. This study explored KAPs among people in Ecuador. A...
journal_title：Journal of community health
pub_type： 评论,杂志文章
doi：10.1007/s10900-020-00916-7
更新日期：2020-12-01 00:00:00
abstract：:We evaluated access to and satisfaction with dental services for people living with HIV/AIDS receiving services from a dental case manager (DCM). People living with HIV/AIDS who had received dental services at two Community Dental Centers on Cape Cod, Massachusetts were eligible to participate in a mailed, anonymous r...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-009-9195-z
更新日期：2010-02-01 00:00:00
abstract：:This study determined prevalence of intimate partner violence (IPV) victimization among female clients at three hair salons in Connecticut using an anonymous tablet based screening tool. While many may assume that women receive services at hair salons, victims of IPV are often isolated by their partners and unable to ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0429-1
更新日期：2018-04-01 00:00:00
abstract：:Chronic hepatitis B is the leading cause of liver cancer and the largest health disparity between Asian/Pacific Islanders (APIs) and the general US population. The Hep B Free model was launched to eliminate hepatitis B infection by increasing hepatitis B awareness, testing, vaccination, and treatment among APIs by bui...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9339-1
更新日期：2011-08-01 00:00:00
abstract：:Local health departments (LHDs) are an important source for screening and treating sexually transmitted diseases (STDs) in rural communities. Yet, they oftentimes lack the resources needed to adequately assess and monitor these conditions. The purpose of this study was to (1) explore how rural LHDs assess and monitor ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9298-6
更新日期：2011-04-01 00:00:00
abstract：:The number of reported outbreaks of typhoid fever in the United States has recently increased. Only six were reported from 1980-1989, but seven outbreaks were reported in 1990. In August 1990, health officials in Montgomery County, Maryland, were notified of two cases of typhoid fever among persons who had attended bo...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF02277062
更新日期：1995-12-01 00:00:00
abstract：:Originating in 1850, the New York Medical College was one of the earliest medical schools to adopt the educational reforms advocated by the American Medical Association. This college lengthened the school term, employed more professors than usual and established a separate Board of Censors to approve students for thei...
journal_title：Journal of community health
pub_type： 历史文章,杂志文章
doi：10.1007/BF01321790
更新日期：1993-10-01 00:00:00
abstract：:To identify significant predictors of the adoption of more than one tick-exposure and tick-borne disease risk reduction behavior among a cross-section of Indiana residents. Study participants were recruited through quota sampling, before completing an online self-administered questionnaire in Qualtrics. The most adopt...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-020-00803-1
更新日期：2020-08-01 00:00:00
abstract：:We assessed the relationship between sun protection policies and practices at child care centers in Massachusetts. We hypothesized that centers with sun protection policies were more likely to have regular sun protection practices in place compared to centers without these policies. We conducted a telephone survey wit...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-005-7283-2
更新日期：2005-12-01 00:00:00
abstract：:Hepatitis B virus (HBV) infection is an infectious disease that is specific to the liver, causing both acute and chronic hepatitis. This study determined the trend of HBV infection among blood donors in the Kpandai District Hospital from January 2014 to December 2018. Retrospective analysis of donor profiles for a per...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-020-00862-4
更新日期：2020-12-01 00:00:00
abstract：:Significant differences in adult obesity prevalence exist between rural and urban settings throughout the world. Here, we estimate and evaluate the prevalence of adult obesity in rural Independent Samoa, rural American Samoa, and urban American Samoa in 2009. Volunteers over the age of 40 years were weighed and measur...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9338-2
更新日期：2011-08-01 00:00:00
abstract：:We investigated social disparities in breast cancer (BC) mortality, leveraging data from the California Breast Cancer Survivorship Consortium. The associations of race/ethnicity, education, and neighborhood SES (nSES) with all-cause and BC-specific mortality were assessed among 9372 women with BC (diagnosed 1993-2007 ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0052-y
更新日期：2015-12-01 00:00:00
abstract：:The impact of a community-based heart disease risk factor screening program was evaluated after three years. The study population was predominantly white, older, and upper-middle class. Rescreening of the 211 study subjects showed improvements in both health-related behaviors and in risk factor distributions to a degr...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01324396
更新日期：1982-10-01 00:00:00
abstract：:Hospital closure, a devastating event in the life of small communities, can have long-lasting medical, economic, and psychological consequences. This study focuses on a 1991 closure that occurred in the rural North Dakota town of Beach that left local residents 40 and 61 miles away from the nearest hospitals. Two hund...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF02260496
更新日期：1995-02-01 00:00:00
abstract：:Whereas, most cancer research data come from high-profile academic centers, little is known about the outcomes of cancer care in rural communities. We summarize the experience of building a multi-institution partnership to develop a cancer outcomes research infrastructure in Southwest Georgia (SWGA), a primarily rural...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-008-9123-7
更新日期：2009-02-01 00:00:00
abstract：:HIV prevalence and socio-demographic data were analyzed to assess the alignment of CDC-funded HIV testing activity in 2012 with its high-impact prevention approach. CDC-funded HIV-testing was conducted in counties with high HIV prevalence and in places potentially more affected by HIV as measured by urbanicity, percen...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0028-y
更新日期：2015-10-01 00:00:00
abstract：:We describe an outcome-based approach to quality assurance in primary care and present data from an initial study made to explore its usefulness. A questionnaire, which asked patients to report on the status of their problem in terms of the amount of symptoms, activity limitation, and anxiety it caused, was mailed to ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01498506
更新日期：1978-07-01 00:00:00
abstract：:Many patients have a rudimentary knowledge of their body's anatomy and functioning. In a clinical setting, deficits in patient understanding can lead to miscommunication affecting patient care and satisfaction. Hence, this study aims to estimate a baseline of patient knowledge regarding pelvic anatomy and to assess th...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-016-0241-3
更新日期：2017-02-01 00:00:00
abstract：:In the few surveys of injuries occurring in schools, severity has been defined using a priori criteria based on the nature of injury and by the area injured. The validity of these methods of classifying injury severity has not been established. The association between two commonly used measures of injury severity (nat...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01324294
更新日期：1987-01-01 00:00:00
abstract：:Sexual violence in conflict situations is gaining worldwide recognition as a human rights issue. There is growing awareness and concern about the risks associated with sexual violence against women. This study was conducted in order to explore the perceptions and experiences of the risk of sexual violence in the Democ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-9992-5
更新日期：2015-08-01 00:00:00
abstract：:This study is aimed at investigating the factors determining the timing of first prenatal care (PNC) visit and the number of PNC visits among a national representative sample of Nepali women. Data was drawn from the 2006 Nepal Demographic and Health Survey on women age 15-49 years old who had delivery within three yea...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9521-0
更新日期：2012-08-01 00:00:00
abstract：:Electronic cigarette (e-cigarette) conventions are trade shows held across the globe to promote e-cigarette products and provide a venue for users to socialize. E-cigarette users that attend these events likely represent the most intensive e-cigarette user group. No study has characterized addiction and behavior chara...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0399-3
更新日期：2018-02-01 00:00:00
abstract：:We investigated whether hard-of-hearing older adults were more likely to report difficulties and delays in accessing care and decreased satisfaction with healthcare access than those without hearing loss. The Wisconsin Longitudinal Study (2003-2006 wave, N = 6,524) surveyed respondents regarding hearing, difficulties/...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9369-3
更新日期：2011-10-01 00:00:00
abstract：:To better understand and promote physical activity on a newly constructed trail, the present study examined the demographic characteristics and physical activity behaviors of trail users; the demographic characteristics of trail users compared to the demographic profile Greenville County, South Carolina residents; tra...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9530-z
更新日期：2012-10-01 00:00:00
