Abstract:
BACKGROUND:The commitment to promoting equity in health is derived from the notion that all human beings have the right to the best attainable health. However, disparities in health care are well-documented. The objectives were to explore disparities in diabetes prevalence, care and control among diabetic patients. The study was conducted by Maccabi Healthcare Services (MHS), an Israeli HMO (health care plan). METHODS:Retrospective study. The dependent variables were diabetes prevalence, uptake of follow-up examinations, and disease control. The independent variables were socio-economic rank (SER), ethnicity (Arab vs non Arab), supplementary voluntary health insurance (SVHI), and immigration from Former Soviet Union (FSU) countries. Chi Square and Logistic Regression Models were estimated. RESULTS:We analyzed 74,953 diabetes patients. Diabetes was more prevalent in males, lower SER patients, Arabs, immigrants and owners of SVHI. Optimal follow up was more frequent among females, lower SERs patients, non Arabs, immigrants and SVHI owners. Patients who were female, had higher SERs, non Arabs, immigrants and SVHI owners achieved better control of the disease. The multivariate analysis revealed significant associations between optimal follow up and age, gender (males), SER (Ranks 1-10), Arabs and SVHI (OR 1.02, 0.95, 1.15, 0.85 and 1.31, respectively); poor diabetes control (HbA1C > 9 gr%) was significantly associated with age, gender (males), Arabs, immigrants, SER (Ranks1-10) and SVHI (OR 0.96, 1.26, 1.38, 0.72, 1.37 and 0.57, respectively); significant associations with LDL control (< 100 gr%) were revealed for age, gender (males) and SVHI (OR 1.02, 1.30 and 1.44, respectively). CONCLUSION:Disparities in diabetes prevalence, care and control were revealed according to population sub-group. MHS has recently established a comprehensive strategy and action plan, aimed to reduce disparities among members of low socioeconomic rank and Arab ethnicity, sub-groups identified in our study as being at risk for less favorable health outcomes.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Wilf-Miron R,Peled R,Yaari E,Shem-Tov O,Weinner VA,Porath A,Kokia Edoi
10.1186/1471-2458-10-729subject
Has Abstractpub_date
2010-11-25 00:00:00pages
729issn
1471-2458pii
1471-2458-10-729journal_volume
10pub_type
杂志文章abstract:BACKGROUND:Health Related Quality of Life (HRQoL) is an important outcome in times of Highly Active Antiretroviral Treatment (HAART). We compared the HRQoL of HIV positive patients receiving HAART with those awaiting treatment in public sector facilities in the Free State province in South Africa. METHODS:A stratified...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-7-244
更新日期:2007-09-14 00:00:00
abstract:BACKGROUND:Despite the magnitude of youth unemployment there is a lack of studies, which explore the relations between health experiences and labour market position in various contexts. The aim of this paper was to analyse health experiences among young people in NEET (not in education, employment or training) in relat...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-8005-5
更新日期:2019-12-10 00:00:00
abstract:BACKGROUND:To improve retention in antiretroviral therapy (ART), lessons learned from chronic disease care were applied to HIV care, providing more responsibilities to patients in the care of their chronic disease. In Tete--Mozambique, patients stable on ART participate in the ART provision and peer support through Com...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-364
更新日期:2014-04-15 00:00:00
abstract:BACKGROUND:Political violence and war are push factors for migration and social determinants of health among migrants. Somali migration to Sweden has increased threefold since 2004, and now comprises refugees with more than 20 years of war experiences. Health is influenced by earlier life experiences with adverse sexua...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-892
更新日期:2014-08-30 00:00:00
abstract:BACKGROUND:Telephone hotlines designed to address common concerns in the early postpartum could be a useful resource for parents. Our aim was to test the feasibility of using a telephone as an intervention in a randomized controlled trial. We also aimed to test to use of algorithms to address parental concerns through ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-10-611
更新日期:2010-10-15 00:00:00
abstract:BACKGROUND:Low individual-level socioeconomic status (SES) is associated with higher prevalence of cigarette smoking. Recent work has examined whether neighborhood-level SES may affect smoking behavior independently from individual-level measures. However, few comparisons of neighborhood-level effects on smoking by rac...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-877
更新日期:2011-11-21 00:00:00
abstract:BACKGROUND:Salt reduction is a public health priority but there are few studies testing the efficacy of plausible salt reduction programs. METHODS:A multi-faceted, community-based salt reduction program using the Communication for Behavioral Impact framework was implemented in Lithgow, Australia. Single 24-h urine sam...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3064-3
更新日期:2016-05-11 00:00:00
abstract:BACKGROUND:The aim of this paper was to ascertain whether greater familiarity with a smartphone or tablet was associated with participants' preferred mobile delivery modality for eHealth interventions. METHODS:Data from 1865 people who participated in the Australian Health and Social Science panel study were included ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3316-2
更新日期:2016-07-22 00:00:00
abstract:BACKGROUND:Internationally, men with disabilities have higher rates of social and economic disadvantage and poorer health and wellbeing than men without disabilities. No single study has provided comprehensive, population-level information about the magnitude of such differences among adult men using a well-validated i...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3700-y
更新日期:2016-10-31 00:00:00
abstract:BACKGROUND:It is unclear if objective selection of employees, for an intervention to prevent sickness absence, is more effective than subjective 'personal enlistment'. We hypothesize that objectively selected employees are 'at risk' for sickness absence and eligible to participate in the intervention program. METHODS:...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-7-67
更新日期:2007-05-02 00:00:00
abstract:BACKGROUND:A change in pattern of tobacco use has been observed in the last decade in Norway. Snuff use and occasional smoking have to some degree replaced daily smoking among adolescents and young adults. Daily smoking is known to be negatively associated with social background factors, but little is known about these...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-322
更新日期:2008-09-22 00:00:00
abstract:BACKGROUND:The technical efficiency (TE) of care among the elderly in long-term care facilities (LTCF) have become increasingly crucial policy concerns faced by developing countries and Asia, especially China. The purpose of this study was to evaluate the TE and the quality of care and identify its influencing factors ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7571-x
更新日期:2019-09-05 00:00:00
abstract:BACKGROUND:Children and adolescents are important target groups for prevention of overweight and obesity as overweight is often developed early in life and tracks into adulthood. Research into behaviors related to overweight (energy balance-related behaviors) and the personal and environmental determinants of these beh...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-142
更新日期:2008-04-28 00:00:00
abstract:BACKGROUND:Literature suggests that Americans may have higher levels of perceived threat to Ebola than are warranted. METHODS:We surveyed 1018 U.S. adults from a nationally representative Internet panel about their knowledge, perceived threat, and behavioral intentions during the 2014 Ebola outbreak. RESULTS:Eighty-s...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2441-7
更新日期:2015-11-16 00:00:00
abstract:BACKGROUND:Studies throughout North America and Europe have documented adverse perinatal outcomes for racial/ethnic minorities. Nonetheless, the contrast in newborn characteristics between indigenous and non-indigenous populations in Latin America has been poorly characterized. This is due to many challenges, including...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-392
更新日期:2010-07-03 00:00:00
abstract:BACKGROUND:Developing an effective HIV vaccine is the overriding priority for HIV prevention research. Enrolling and maintaining cohorts of men into HIV vaccine efficacy trials is a necessary prerequisite for the development and licensure of a safe and efficacious vaccine. METHODS:One hundred-fifty consenting HIV-nega...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-017-4355-z
更新日期:2017-07-04 00:00:00
abstract:BACKGROUND:Alcohol use is an important risk factor for morbidity, mortality and social harm among adolescents. There is paucity of data on alcohol use among high school students in Ethiopia. This study aimed to determine the prevalence and factors associated with alcohol use among high school students in Ethiopia METH...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-213
更新日期:2012-03-20 00:00:00
abstract:BACKGROUND:National dietary surveys among Norwegian 12-months olds have been conducted twice: in 1999 and 2007. At both time-points diet were assessed by a semi-quantitative food frequency questionnaire (SFFQ) (the SFFQ-1999 and the SFFQ-2007). Modifications in the SFFQ-2007 compared to the SFFQ-1999 have been made; th...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-680
更新日期:2013-07-24 00:00:00
abstract:BACKGROUND:Previous studies have suggested that food preference is a good indicator of actual food intake and that sedentary activity preference is a significant predictor of lower physical activity level. But no studies have examined the direct relationship between leisure time physical activity (LTPA) preferences and...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4386-5
更新日期:2017-05-16 00:00:00
abstract:BACKGROUND:The objective of this systematic review was to explore the association between private health insurance and health care utilization. METHODS:We searched the MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials (CENTRAL) electronic databases for relevant articles since 2010. Studies were eligi...
journal_title:BMC public health
pub_type: 杂志文章,meta分析
doi:10.1186/s12889-020-08861-9
更新日期:2020-07-23 00:00:00
abstract:BACKGROUND:The management of health care, particularly for people with chronic conditions, combines the activities of health professionals, patients, informal carers and social networks that support them. Understanding the non-professional roles in health management requires information about the health related activit...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-12-1044
更新日期:2012-12-03 00:00:00
abstract:BACKGROUND:Screen-related behaviours are highly prevalent in schoolchildren. Considering the adverse health effects and the relation of obesity and screen time in childhood, efforts to affect screen use in children are warranted. Parents have been identified as an important influence on children's screen time and there...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-14-857
更新日期:2014-08-18 00:00:00
abstract:BACKGROUND:Epidemiological studies over the last decade have supplied growing evidence of an association between urbanization and the prevalence of psychiatric disorders. Our aim was to examine the link between levels of urbanization and 12-month prevalence rates of psychiatric disorders in a nationwide German populati...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-8-17
更新日期:2008-01-17 00:00:00
abstract:BACKGROUND:Métis are descendants of early 17th century relationships between North American Indians and Europeans. This study's objectives were: (1) to compare the health status of the Métis people to all other residents of Manitoba, Canada; and (2) to analyze factors in predicting the likelihood of diabetes and relate...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-814
更新日期:2011-10-19 00:00:00
abstract:BACKGROUND:In Ethiopia, there is a growing concern about the increasing rates of loss to follow-up (LTFU) in HIV programs among people waiting to start HIV treatment. Unlike other African countries, there is little information about the factors associated with LTFU among pre-antiretroviral treatment (pre-ART) patients ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-867
更新日期:2013-09-22 00:00:00
abstract:BACKGROUND:The Icelandic Prevention Model (IPM) is a collaborative upstream model that was designed to influence risk and protective factors related to substance use within the community, school, peer and family contexts. By engaging whole communities, the IPM has been found to be effective in reducing youth substance ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09288-y
更新日期:2020-08-14 00:00:00
abstract:BACKGROUND:Today industrialized countries face a burgeoning aged population. Thus, there is increasing attention on the functioning and disabilities of aged adults as potential determinants of autonomy and independent living. However, there are few representative findings on the prevalence and determinants of disabilit...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-137
更新日期:2013-02-14 00:00:00
abstract:BACKGROUND:A number of studies have shown a range of negative psychological symptoms (e.g. depression) after exposure to natural disasters. The aim of this study was to determine risk factors for depression in both children and adults who have survived natural disasters. METHODS:Four electronic databases (PubMed, Emba...
journal_title:BMC public health
pub_type: 杂志文章,meta分析,评审
doi:10.1186/1471-2458-14-623
更新日期:2014-06-19 00:00:00
abstract:BACKGROUND:Although desperate need and drug counterfeiting are linked in developing countries, little research has been carried out to address this link, and there is a lack of proper tools and methodology. This study addresses the need for a new methodological approach by developing a scale to aid in understanding the...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-829
更新日期:2013-09-11 00:00:00
abstract:BACKGROUND:Psychological distress and lack of family support may explain the mental health problems that are consistently found in young unaccompanied refugees in Western countries. Given the strong relationship between poor mental health and alcohol misuse, this study investigated hospital admissions due to alcohol re...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4645-5
更新日期:2017-08-08 00:00:00