• Title/Summary/Keyword: Women's health services

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Addressing Factors Associated with Arab Women's Socioeconomic Status May Reduce Breast Cancer Mortality: Report from a Well Resourced Middle Eastern Country

  • Donnelly, Tam Truong;Al Khater, Al-Hareth;Al Kuwari, Mohamed Ghaith;Al-Bader, Salha Bujassoum;Abdulmalik, Mariam;Al-Meer, Nabila;Singh, Rajvir;Fung, Tak
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.15
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    • pp.6303-6309
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    • 2015
  • Differences in socioeconomic status (SES) such as income levels may partly explain why breast cancer screening (BCS) disparities exist in countries where health care services are free or heavily subsidized. However, factors that contribute to such differences in SES among women living in well resourced Middle East countries are not fully understood. This quantitative study investigated factors that influence SES and BCS of Arab women. Understanding of such factors can be useful for the development of effective intervention strategies that aim to increase BCS uptake among Arab women. Using data from a cross-sectional survey among 1,063 Arabic-speaking women in Qatar, age 35+, additional data analysis was performed to determine the relationship between socioeconomic indicators such as income and other factors in relation to BCS activities. This study found that income is determined and influenced by education level, occupation, nationality, years of residence in the country, level of social activity, self-perceived health status, and living area. Financial stress, unemployment, and unfavorable social conditions may impede women's participation in BCS activities in well resourced Middle East countries.

Factors associated with the self-rated health of married immigrant women in South Korea. (국내 결혼이주여성의 주관적 건강상태에 영향을 미치는 요인)

  • Chae, Duckhee;Kang, Kyeong Hwa
    • Journal of Korean Public Health Nursing
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    • v.35 no.2
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    • pp.224-238
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    • 2021
  • Purpose: This study aimed to identify factors associated with the self-rated health of married immigrant women in South Korea. Methods: Data, collected in August 2018, were derived from the 2018 National Multicultural Family Survey. Study subjects were 9,230 married immigrant women. Data were analyzed using logistic regression. Results: Of the study subjects, 23.2% rated their health as poor. Results showed that individual factors (age, ethnic affiliation, duration in South Korea, and depressive symptoms); social and community networks (relationship with spouse, parenting efficacy, Korean proficiency, perceived discrimination, social support, and social activities); and living and working conditions (life satisfaction and unmet heath needs) were associated with health. Married immigrant women in their 50s or older, living in Korea for more than 15 years, experiencing depressive symptoms, low life satisfaction, and having unmet health needs were especially at high risk of poor health. Conclusion: More detailed health policy that considers age, length of stay, and country of origin. To prevent the rapidly deteriorating health of married immigrant women after middle age, mental health support should be given priority, and systematic improvement is needed to increase accessibility healthcare services.

Meal and Food Provision Services for Community-dwelling Vulnerable Older Adults Perceived by Health & Welfare Service Providers in Seoul (서울 지역 건강·복지담당자가 인식하는 취약계층 고령자를 위한 지역사회 식사·식품지원서비스 실태)

  • Jang, So-Mang;Bae, Jeong-Sook;Lee, Kyung-Eun
    • Journal of the Korean Dietetic Association
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    • v.25 no.4
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    • pp.295-309
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    • 2019
  • The purpose of this study were to identify the dietary practices of vulnerable older adults and to assess the foodservice and food provision service programs perceived by the health and welfare service providers in the community. A survey was conducted on health and welfare service providers working in outreach community centers and community health centers in Seoul. A total of 260 nurses and social workers participated in the survey and 224 responses were used for data analysis after excluding significant missing data. The respondents consisted of nurses (58.5%) and social workers (41.5%). In terms of the dietary life of the vulnerable older adults, they perceived that the food cost was burdensome to the older adults and poor dental conditions prohibited them from eating various foods. The health and welfare service providers rated highly for 'home-delivered meal and side dish services are effective for checking older adults' conditions' but rated low for availability of menu choices. In targeting vulnerable older adults for food and nutrition service programs, the home-delivered meal service was found to be suitable for older adults living alone, those over age of 80 years, those with mobility difficulties, and those with economic difficulties. The food provision service was appropriate for older adults living with their spouse or other family members. Vulnerable older adults are a heterogeneous population with diverse needs related to food and nutrition. Home-delivered meal/side dish service and food provision services will achieve their goals when they reach the correct targets with a customized service.

Breast Cancer Screening Barriers from the Womans Perspective: a Meta-synthesis

  • Azami-Aghdash, Saber;Ghojazadeh, Morteza;Sheyklo, Sepideh Gareh;Daemi, Amin;Kolahdouzan, Kasra;Mohseni, Mohammad;Moosavi, Ahmad
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.8
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    • pp.3463-3471
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    • 2015
  • Background: The principal aim of health service providers in the field of breast cancer is to detect and treat lesions at an appropriate time. Therefore, identification of barriers to screening can be very helpful. The present study aimed to systematically review the qualitative studies for extracting and reporting the barriers of screening for breast cancer from the womans perspective. Materials and Methods: In this systematic review; Pubmed, Google Scholar, Ovid Scopus, Cochrane Library, Iranmedex, and SID were searched using the keywords: screening barriers, cancer, qualitative studies, breast and their Persian equivalents, and the needed data were extracted and analyzed using an extraction table. To assess the quality of the studies, the Critical Appraisal Skills Programme (CASP) tool was used. Results: From 2,134 related articles that were found, 21 articles were eventually included in the study. The most important barriers from the point of view of 1,084 women were lack of knowledge, access barriers (financial, geographical, cultural), fear (of results and pain), performance of service providers, women's beliefs, procrastination of screening, embarrassment, long wait for getting an appointment, language problems, and previous negative experiences. Articles' assessment score was 68.9. Conclusions: Increasing women's knowledge, reducing the costs of screening services, cultural promotion for screening, presenting less painful methods, changing beliefs of health service providers, provision of privacy for giving service, decreasing the waiting time, and providing high quality services in a respectful manner can be effective ways to increase breast cancer screening.

Sex Differentials in the Utilization of Medical Services by Marital Status (배우자유무에 따른 남녀간 의료서비스 이용의 차이)

  • Choi, Soo-Hyeong;Cho, Young-Tae
    • Korea journal of population studies
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    • v.29 no.2
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    • pp.143-166
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    • 2006
  • It has been well known that women live longer but suffer more from degenerative diseases than men do, which, in turn, results in frequent utilization of medical care services among women. Previous studies, mostly based on Western society, have discussed that women, particularly married women, are more likely to utilize medical care services than men even after considerations of different health status and demographic and socioeconomic characteristics. Social interests in women's health and socialization process of caring for health among women are known as causes. This study examines sex differentials in the medical care service utilization in Korean society, particularly focusing on marital status. Feministic perspectives in Korea have argued that sex division of labor within family puts women in a position that has to continuously provide physical and emotional services to other family members, which keeps them from taking care of their own health. This study empirically tests if this feministic perspective holds true in Korea. Results show that Korean women and those with spouse are more likely to utilize medical care services than their men and the spouse-less counterparts, net of other risk factors. However the effect of existence of spouse on the medical care utilization is much smaller among women than men. These results suggest that the feministic perspective is in part applicable to explain sex differentials on medical care service utilization in Korea.

Health Care Experiences of Vietnamese Marriage Immigrant Women during Pregnancy, Childbirth, and Postpartum Period in Korea (베트남 결혼이주여성의 임신, 분만, 산욕기 건강관리 경험)

  • Kim, Sun-Hee
    • Journal of Korean Public Health Nursing
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    • v.29 no.2
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    • pp.325-343
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    • 2015
  • Purpose: This study was conducted in order to identify and describe the experiences of health care during pregnancy, birthing, and postpartum period for Vietnamese marriage immigrants. Methods: The participants were 15 Vietnamese married immigrant women who became pregnant and gave birth within the last five years. Data were collected by in-depth interview with Vietnamese women. Data were analyzed using Colaizzi's method of phenomenology. Results: Six theme clusters were extracted as follows: 'being left with no other option in loneliness and longing filled in a limited life', 'continued trials and errors amidst frustration and fear', 'silently following orders despite the quality of medical services that change with each medical care provider', 'compromise by selecting amidst confusion between the Korean way and the way at home', 'depending on family, who is the communication channel, but becoming disappointed', and 'finding the reason for existence and struggling by herself to become a mother amidst doubled confusion'. Conclusion: A program for effective empowerment of Vietnamese immigrant women should be developed. In addition multicultural family centered programs should be developed with emphasis on acceptance of women's culture, respect for her culture, and supports. Medical staffs and nurses should also improve culturally sensitive competence in order to provide care for immigrant women.

Public's Perception of Reimbursement for Advanced Practice Nurses' Education and Counseling in Intensive Care Units by the National Health Insurance (중환자실에서 전문간호사가 제공하는 교육상담의 국민건강보험 급여화에 대한 일반인의 인식조사 연구)

  • Ko, Chungmee
    • Journal of Korean Critical Care Nursing
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    • v.11 no.3
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    • pp.95-107
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    • 2018
  • Purpose : This study aimed to investigate the public's perception of reimbursement for the education and counseling services provided to advanced practice nurses in intensive care units. Method : This was a secondary data analysis study. The original data were collected utilizing an online panel. The sample comprised 615 individuals aged between 19 and 49 years nationwide. The study variables included the public's perception of reimbursement for education and counseling services, age, gender, education level, income, and health status. Variables such as past experience of being admitted to an intensive care unit by self, family, or relatives and the recognition of advanced practice nurses were also examined. Results : The mean of the perception score was 3.15 on a 4-point scale ranging from 1 (strongly disagree) to 4 (strongly agree). Among the participants, 89.2% answered "somewhat agreed" or "strongly agreed" to the question about the education and counseling services being covered by the National Health Insurance. Moreover, education level, past experience of being admitted to an intensive care unit by self, family, or relatives, and recognition of advanced practice nurses were significantly associated with the perception score. Conclusion : Efforts should be made to publicize the need for the education and counseling services that are provided to advanced practice nurses in intensive care units.

Crisis Experience of Domestic Violence in Women: Focus Group Interview (가정폭력 피해 여성의 위기 경험과 서비스 요구: 포커스그룹 면담방법을 사용하여)

  • Han, Youngran;Park, Younghee
    • Journal of Korean Public Health Nursing
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    • v.31 no.2
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    • pp.311-326
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    • 2017
  • Purpose: This study was conducted to explore women's experiences with domestic violence crises and needs of services. Methods: Data were collected using focus group interviews. Three focus group interviews were held with 16 victims of domestic violence in a shelter. All interviews were recorded and transcribed as they were spoken, and data were analyzed using Morgan & Krueger's four step analysis. Results: The results of this study were as follows: Four categories of crisis were perceived by victims of domestic violence, fear of death, possibility of suicide and murder, despair, facing forlorn positions when seeking help. Services that were needed for victims of domestic violence were classified into four categories: securing personal safety, providing active assistance to victims by first contact, providing information on helping facilities, continuous and preventive support. Conclusion: The results presented herein provide an opportunity to understand women who have experienced domestic violence, to recognize what type of crisis they are experiencing and to determine what help they need in a crisis situation.

FACTORS AFFECTING WOMEN'S PREVENTIVE DENTAL UTILIZATION : AN APPLICATION OF THE ANDERSEN-NEWMAN MODEL (앤더슨-뉴만 모형을 이용한 여성의 예방목적 치과의료이용행태에 관한 연구)

  • Kim, Soo-Nam;Lee, Heung-Soo;Kim, Dae-Eop
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.1
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    • pp.195-203
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    • 1997
  • The purpose of this study is to provide framework for understanding women's preventive dental utilization. In this paper Andersen-Newman's model is applied to the use of dental visits. This model consists of predisposing, enabling, and need components that describe a person's decision to use preventive health services. The sample consisted of 1907 women living Iksan city. Models are operationalized using stepwise multiple regression analysis and path analysis. The number of independent variables used in the analysis was 27 in total, i.e. 20 predisposing components, 6 enabling components, and 1 need component. Preventive dental utilization was measured based on the number of visits. The data collected by means of a questionnaire survey. In this study, the amount of variance by the model was 11 percent. Number of restricted activity days caused by oral disease, perceived threat of dental disease, having a regular dental care, and income were found to have significant major effects on preventive dental utilization of women. Number of restricted activity days caused by oral disease was the most important variable affecting preventive dental utilization of women.

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Implementation and Evaluation of Nutrition Capacity Training Program for Dietitians and Related Professionals Working at Customized Home Visiting Health Services (방문건강관리사업 담당 영양사와 연계전문인력을 위한 영양부문 교육 프로그램 운영과 평가)

  • Kim, Sook Bae;Yoon, Jin Sook;Kim, Kyung Won
    • Korean Journal of Community Nutrition
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    • v.19 no.1
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    • pp.71-83
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    • 2014
  • The purpose of the study was to implement and evaluate a nutrition capacity training program for dietitians and other professionals working at customized home visiting health services (CHVHS). This program focused on nutrition services for hypertension or diabetes mellitus patients including topics regarding CHVHS, and composed of 10 sessions with lectures, discussion and practice. Dietitians (n = 54) and other professionals (n = 20) participated in the program and completed the questionnaire to assess their understanding of nutritional management, nutrition services and CHVHS before and after the program, and to examine program satisfaction and education needs. Subjects were mostly women (98.6%) and college or university graduates (93.2%). Total score (p < 0.001), as well as all items (p < 0.001 or p < 0.01) of understanding regarding nutritional management, nutrition services and CHVHS, were significantly increased after the program both in dietitians and in other professionals. Subjects were generally satisfied with the program, showing more satisfaction with items regarding subject's participation, acquiring new knowledge, usefulness of the program for CHVHS, and education materials. In future nutrition capacity training programs, subjects wanted to have classes regarding nutrition services for specific chronic diseases, development of education materials, methods for dietary life education, modifying eating habits and so on. Other professionals compared to dietitians, showed higher education needs in meal management (p < 0.01) and nutrition counseling skills (p < 0.05). This study showed the effectiveness of a nutrition capacity training program for home-visiting dietitians and other professionals, and suggests the need and direction for future nutrition capacity training programs.