Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 98
Filter
1.
Sci Data ; 11(1): 454, 2024 May 04.
Article in English | MEDLINE | ID: mdl-38704417

ABSTRACT

Potato is an important crop in the genus Solanum section Petota. Potatoes are susceptible to multiple abiotic and biotic stresses and have undergone constant improvement through breeding programs worldwide. Introgression of wild relatives from section Petota with potato is used as a strategy to enhance the diversity of potato germplasm. The current dataset contributes a phased genome assembly for diploid S. okadae, and short read sequences and de novo assemblies for the genomes of 16 additional wild diploid species in section Petota that were noted for stress resistance and were of interest to potato breeders. Genome sequence data for three additional genomes representing polyploid hybrids with cultivated potato, and an additional genome from non-tuberizing S. etuberosum, which is outside of section Petota, were also included. High quality short reads assemblies were achieved with genome sizes ranging from 575 to 795 Mbp and annotations were performed utilizing transcriptome sequence data. Genomes were compared for presence/absence of genes and phylogenetic analyses were carried out using plastome and nuclear sequences.


Subject(s)
Genome, Plant , Phylogeny , Solanum , Solanum/genetics , Solanum tuberosum/genetics , Hybridization, Genetic
2.
Health Promot Pract ; 20(3): 401-408, 2019 05.
Article in English | MEDLINE | ID: mdl-29734840

ABSTRACT

OBJECTIVE: In 2015, only half (48%) of older adults in the United States (≥60 years) reported engaging in any kind of physical activity. Few studies examine the impact of evidence-based programs when adopted in community-based settings. The purpose of this study is to assess the effectiveness of EnhanceFitness (EF) upto 12-months. METHOD: EF was offered to older adults in South Florida. A total of 222 EF classes were offered between October 2008 and December 2014. Program consisted of a 1-hour session held three times a week. Even though participation was required for 4 months, 1,295 participants continued the program for at least 1 year. RESULTS: All participants showed significant improvement in outcome measures. A mean change of 1.5, 1.7, and 1.9 was seen in number of chair stands at 4, 8, and 12 months (p < .001), respectively. The number of arm curls performed improved from 16.8 at baseline to 18.8, 18.8, and 19.2 at 4-, 8-, and 12-months, respectively. Participants improved their up-and-go time by decreasing from 9.1 (baseline) to 8.7 (4 months) to 8.6 (12 months; p = .001). DISCUSSION: Randomized controlled trials are commonly used to determine the efficacy of an intervention. These interventions when disseminated at the population level have the potential to benefit large masses. EF is currently offered at more than 700 locations. This tremendous success of EF brings attention to an important question of continuous monitoring of these programs to ensure program consistency and intended outcomes. The model used by the Healthy Aging Regional Collaborative could be replicated by other communities.


Subject(s)
Exercise/physiology , Health Promotion/organization & administration , Physical Fitness/physiology , Age Factors , Aged , Exercise Therapy/methods , Female , Florida , Geriatric Assessment/methods , Humans , Male , Patient Participation/statistics & numerical data , Self Efficacy
3.
J Assoc Nurses AIDS Care ; 29(4): 570-579, 2018.
Article in English | MEDLINE | ID: mdl-29500096

ABSTRACT

Stigma is a primary barrier to care and support for people living with HIV (PLWH). We explored relationships between HIV-related stigma and treatment adherence and the effects of psychological and structural factors on these relationships. HIV treatment adherence, stigma, and coping strategies were measured with questionnaires. Participants included 285 PLWH in Haiti. Multivariable linear regression was used to estimate predictors of treatment adherence. Structural equation modeling was used to determine whether relationships between stigma and treatment adherence variables were mediated by coping variables. Mean adherence was 93.1%; 72.3% of participants reported ≥ 95% adherence. Perceived stigma and quality-of-care satisfaction scores significantly predicted treatment adherence. Maladaptive coping did not act as a mediator between perceived stigma and treatment adherence, which could be due to stronger effects of perceived stigma on treatment adherence. Our study may help to improve treatment adherence and the care and quality of life for PLWH.


Subject(s)
Adaptation, Psychological , HIV Infections/drug therapy , Medication Adherence/psychology , Patient Satisfaction , Quality of Life/psychology , Social Stigma , Adult , Female , HIV Infections/epidemiology , HIV Infections/psychology , Haiti/epidemiology , Humans , Male , Medication Adherence/statistics & numerical data , Middle Aged , Quality of Health Care , Randomized Controlled Trials as Topic , Stereotyping , Surveys and Questionnaires
5.
Metab Syndr Relat Disord ; 14(8): 397-403, 2016 10.
Article in English | MEDLINE | ID: mdl-27529580

ABSTRACT

BACKGROUND: Metabolic syndrome is increasingly common in U.S. adolescents and has been linked to cognitive dysfunction. Purpose of this study is to explore associations between metabolic syndrome and cognitive impairment in U.S. adolescents using population-based data. STUDY DESIGN: Participants included adolescents aged 12-16 years who participated in the National Health and Nutrition Examination Survey (NHANES) III. The main outcome measures included assessments of cognitive function using Wide Range Achievement Test-Revised (WRAT-R) and Wechsler Intelligence Scale for Children-Revised (WISC-R) tools. The WRAT-R consisted of mathematics and reading tests. The WISC-R consisted of block design test, which measures spatial visualization and motor skills, and digit span test, which measures working memory and attention. Linear regression models were used to examine associations between metabolic syndrome and cognitive function. We used education levels of the family reference person, while controlling for education levels because of missing data. RESULTS: Presence or absence of metabolic syndrome was tested in 1170 of 2216 NHANES III participants aged 12-16 years. Regression models showed that participants with metabolic syndrome scored an average 1.25 [95% confidence interval (CI) = -2.14 to -0.36] points lower in reading examination and an average 0.89 (95% CI = -1.65 to -0.13) points lower in digit span examination, compared to those without metabolic syndrome. In addition, components of metabolic syndrome-elevated systolic blood pressure and increased waist circumference (WC)-were associated with impaired working memory/attention, and higher fasting glucose and increased WC were associated with poorer reading test scores. CONCLUSIONS: Metabolic syndrome was associated with impaired reading, working memory, and attention among adolescents.


Subject(s)
Cognition , Metabolic Syndrome/psychology , Adolescent , Attention , Child , Cognitive Dysfunction/complications , Cognitive Dysfunction/epidemiology , Cognitive Dysfunction/psychology , Cross-Sectional Studies , Female , Humans , Male , Memory, Short-Term , Metabolic Syndrome/complications , Metabolic Syndrome/epidemiology , Nutrition Surveys , Reading , United States/epidemiology
6.
J Immigr Minor Health ; 18(3): 710-714, 2016 06.
Article in English | MEDLINE | ID: mdl-26265029

ABSTRACT

Migrant farmworkers are disproportionately affected by many adverse health conditions, but access healthcare sparingly. This study of migrant farmworkers examined the distribution and general characteristics associated with having access to healthcare. Access to healthcare was measured by asking whether the participants (N = 413) had a primary care physician. Majority of participants did not have a primary care physician. Female migrant workers (AOR = 2.823 CI: 1.575-4.103) with insurance (AOR = 6.183 CI: 4.956-11.937) who lived at study site for more than 5 years (AOR = 2.728 CI: 1.936-7.837) and born in the United States (AOR = 2.648 CI: 1.373-3.338) had greater odds to have a primary care physician than recent male migrants without insurance who were born outside United States. There is a need to focus on Community Health Centers and Migrant Health Centers in tailoring their services and to widen the implementation and improve funding of Accountable Care Organizations to improve access to care of migrant farmworkers.


Subject(s)
Farmers/statistics & numerical data , Patient-Centered Care/statistics & numerical data , Physicians, Primary Care/statistics & numerical data , Transients and Migrants/statistics & numerical data , Adolescent , Adult , Aged , Agriculture , Female , Health Services Accessibility , Humans , Insurance, Health , Male , Middle Aged , Sex Factors , United States , Young Adult
7.
J Immigr Minor Health ; 18(3): 561-567, 2016 06.
Article in English | MEDLINE | ID: mdl-26123756

ABSTRACT

There are not many studies exploring the association between alcohol use and risky sexual behaviors among migrant workers. This study analyzed how changes in alcohol use was associated with changes in risky sexual behavior and psychosocial variables. Data for this study was drawn from an HIV risk reduction project. Repeated measures ANOVA and Linear mixed model statistical method was conducted to find changes and association between alcohol use, sexual risk and psychosocial variables over time. The sample (n = 203) was composed of African Americans (33.0 %) and Hispanics (77.0 %) men. Both groups, over time, showed reduction in sexual risk in accordance with reduction in alcohol use. Changes in alcohol use and psychosocial variables showed significant association with sexual risk changes over time. Psychological strategies like building social support should be considered for HIV risk reduction intervention directed towards high alcohol consuming migrant workers.


Subject(s)
Alcoholism/ethnology , Black or African American/statistics & numerical data , Hispanic or Latino/statistics & numerical data , Sexual Behavior/ethnology , Transients and Migrants/statistics & numerical data , Adult , Black or African American/psychology , Agriculture , Condoms/statistics & numerical data , Farmers/psychology , Farmers/statistics & numerical data , Florida , Hispanic or Latino/psychology , Humans , Intention , Male , Middle Aged , Risk-Taking , Self Efficacy , Social Norms/ethnology , Social Support , Transients and Migrants/psychology
8.
Front Public Health ; 2: 216, 2014.
Article in English | MEDLINE | ID: mdl-25426480

ABSTRACT

The HIV rate among U.S. migrant workers is 10 times that of the national rate. The highly unstable lifestyle of migrant workers places them at heightened vulnerability to sexually transmitted infections; hence, there is a need to investigate the attitudes and sexual risk factors that may play a protective role in the transmission of HIV in this population. This study examines the association between attitudes and HIV risk behaviors among Hispanic male and female migrant workers (n = 255) and their length of stay (shorter length of stay as a protective factor) in Immokalee, FL, USA. Pearson's correlation and regression analyses were utilized to analyze the relationship between HIV risk behaviors (intention to use condoms and alcohol use) with length of stay in Immokalee. Longer length of stay positively correlated with number of drinks (p < 0.05) and frequency of drinks (p < 0.01) and negatively correlated with ethnic identity search (p < 0.05). Regression analysis showed that length of stay predicted both behavioral intention to use condoms (p < 0.05) and alcohol consumption (p < 0.05). The findings suggest that migrant workers who are new to Immokalee may have a higher likelihood of practicing protective HIV risk behaviors and having more favorable attitudes toward risk reduction than long-timers. This study might provide important new evidence on the drivers of multiple concurrent and potential protective factors against risky sexual behaviors among Hispanic migrant workers.

9.
Health Promot Pract ; 15(1 Suppl): 23S-32S, 2014 Mar.
Article in English | MEDLINE | ID: mdl-24578362

ABSTRACT

Public health training centers were established to enhance competencies in skills required to meet 21st-century public health challenges. In 2011, the Puerto Rico-Florida Public Health Training Center conducted surveys to assess the training needs of two populations of public health workers serving Hispanic communities: Florida Department of Health employees and workers at the regional and central offices of the Puerto Rico Department of Health. The two surveys were similar, but not identical in content and administration. A 52.6% response rate was achieved in the Commonwealth of Puerto Rico, where limited computer access necessitated use of a pen-and-paper survey. A 20.7% response rate was achieved in Florida, where an online survey was used and incomplete responses were problematic. Puerto Rico respondents (n = 1,414) were similar in age (Mdn age = 48 years) to Hispanic Florida respondents (n = 546, Mdn age =45 years). They also reported higher levels of academic achievement and more years of experience in public health. Nevertheless, self-assessed public health competency scores were in the low- to mid-range for Hispanic respondents in both locales. Although self-assessed training priorities differed, Hispanic employees in both jurisdictions preferred hands-on and face-to-face training to distance learning. Findings indicate a need for training based on adult learning theory, targeted to entry-level employees, and addressing the top five self-assessed training needs, especially health promotion and disease prevention and public health law and policy, which emerged as priority training areas in both survey populations.


Subject(s)
Needs Assessment/organization & administration , Professional Competence , Public Health , Staff Development , Cultural Competency , Female , Florida , Humans , Male , Middle Aged , Puerto Rico , Surveys and Questionnaires
10.
J Assoc Nurses AIDS Care ; 25(4): 330-40, 2014.
Article in English | MEDLINE | ID: mdl-24210917

ABSTRACT

Migrant workers have been shown to be at a heightened level of risk for HIV, and ethnic identity has been posited to have an impact on engagement in risky sexual behaviors. Our longitudinal study examined associations between baseline and short-term changes in ethnic identity and high-risk sexual behaviors. Baseline (n = 431) and 6-month assessment (n = 270) data were obtained from a larger HIV prevention study conducted among African American and Hispanic migrant workers. Repeated-measures multivariate analysis of covariance and multiple linear regressions were used. Ethnic identity explore, a subscale of ethnic identity, was a significant predictor of overall sexual risk [F(8, 422) = 6.953, p < .001] and unprotected vaginal acts [F(8, 422) = 8.444, p < .001] at baseline. However, ethnic identity had no bearing on changes in risky sexual behaviors. Ethnic identity explore was associated with safer sexual behaviors.


Subject(s)
HIV Infections/ethnology , HIV Infections/prevention & control , Sexual Behavior/ethnology , Social Identification , Transients and Migrants/psychology , Unsafe Sex/ethnology , Adult , Black or African American/psychology , Female , Florida , Follow-Up Studies , HIV Infections/psychology , Hispanic or Latino/psychology , Humans , Male , Middle Aged , Multivariate Analysis , Regression Analysis , Risk-Taking , Sexual Behavior/psychology , Surveys and Questionnaires , Time Factors , Transients and Migrants/statistics & numerical data , White People/psychology
11.
J Assoc Nurses AIDS Care ; 25(3): 233-42, 2014.
Article in English | MEDLINE | ID: mdl-23876817

ABSTRACT

Consistent and correct use of condoms is important to prevent the transmission of HIV and other sexually transmitted diseases. We evaluated condom use skills on an 11-point scale in which participants were observed placing a condom on a penile model. Participants were 375 sexually active African American and Hispanic migrant workers. For analysis, subjects were divided into skilled and unskilled groups by a median split of the condom use skills score. Sexual risk behaviors were analyzed between condom use skilled and unskilled groups and level of condom use skills between African Americans and Hispanics. African Americans showed better skills in using condoms, and participants in the condom-use skilled group used condoms more frequently. Finally, a logistic regression was conducted to find predictors of condom use skills. Significant predictors were ethnicity, language, and assistance-related social support (obtaining advice from people who could provide tangible assistance).


Subject(s)
Condoms/statistics & numerical data , HIV Infections/prevention & control , Health Knowledge, Attitudes, Practice/ethnology , Sexually Transmitted Diseases/prevention & control , Transients and Migrants/psychology , Adult , Black or African American/psychology , Agriculture , Female , Florida , HIV Infections/psychology , Hispanic or Latino/psychology , Humans , Logistic Models , Male , Risk-Taking , Rural Population , Sexual Behavior/ethnology , Sexual Partners , Sexually Transmitted Diseases/psychology , Social Support , Socioeconomic Factors , Transients and Migrants/statistics & numerical data
12.
Res Aging ; 36(4): 431-49, 2014 Jul.
Article in English | MEDLINE | ID: mdl-25651315

ABSTRACT

Currently, 80% of adults over the age of 65 have at least one chronic disease. The Chronic Disease Self-management Program (CDSMP) focuses on increasing self-efficacy for managing chronic disease. Few studies have evaluated the effectiveness of CDSMP when offered by multiple agencies, as a collaborative effort, in community-based settings. Seven agencies delivered 108 CDSMP workshops at 81 sites from October 1, 2008, to December 31, 2010. A total of 811 participants were eligible for analysis. Participants completed surveys at baseline and week 6, the end of instruction. Controlling for agency effect and general health at baseline, the general linear model was used to assess the significance of outcomes at 6 weeks. Outcomes showing significant improvement included self-efficacy to manage disease (p = .001), self-efficacy to manage emotions (p = .026), time spent walking (p = .008), and perceived social/role activities limitations (p = .001). Findings showed that CDSMP is an effective program at improving self-efficacy, increasing physical activity, and decreasing limitations.


Subject(s)
Chronic Disease/therapy , Cooperative Behavior , Health Education/organization & administration , Health Services for the Aged/organization & administration , Self Care/methods , Self Efficacy , Aged , Aged, 80 and over , Community-Institutional Relations , Female , Florida , Humans , Male , Treatment Outcome
13.
J Immigr Minor Health ; 14(1): 100-6, 2012 Feb.
Article in English | MEDLINE | ID: mdl-21461836

ABSTRACT

Among migrant workers (MWs) in the US, HIV/AIDS prevalence may be as high as 13.5%. This serial cross-sectional study examines associations between Ethnic Identity (EI) in African American and Hispanic MWs and short-term changes in high-risk sexual behaviors. Baseline and 3-month follow-up data was collected from a larger HIV intervention study among MWs in Immokalee, Florida (n = 119) who reported unprotected sex in the past 30 days. The Multigroup Identity Measure was used to assess EI. A high EI score indicates less acculturation to one's new surroundings. Females had higher levels of positive behavior change. Lower EI was associated with higher levels of positive change in relation to HIV/AIDS risk behavior. Among Hispanics, education was negatively correlated with EI. Education was a predictor of behavior change. Future interventions should focus on reducing acculturation stress, which may prompt harmful coping behaviors, such as high-risk sex and substance abuse.


Subject(s)
HIV Infections/ethnology , HIV Infections/etiology , Social Identification , Transients and Migrants , Unsafe Sex/ethnology , Adult , Cross-Sectional Studies , Female , Florida , Humans , Male , Middle Aged , Risk Assessment , Surveys and Questionnaires
14.
Public Health Rep ; 124(6): 790-6, 2009.
Article in English | MEDLINE | ID: mdl-19894420

ABSTRACT

Migrant and seasonal workers are vulnerable to human immunodeficiency virus (HIV) due to poverty, inadequate knowledge of preventive strategies, and lack of access to health care. This study addresses the disparate impact of HIV among Hispanic and African American migrant workers in Immokalee, Florida, who use alcohol and other drugs. Through pilot testing to adapt the experimental and comparison interventions to these two distinct populations, research staff have learned the importance of (1) establishing and maintaining trust between outreach staff and the migrant community; (2) being aware of cultural nuances and practices that might create challenges to the research process, and the interaction of these factors with poverty; and (3) having flexibility in recruitment and intervention. As one of the first intervention studies in this population to use an experimental design and to focus on the social and contextual factors that contribute to risky behaviors, these lessons may provide guidance for future researchers.


Subject(s)
Community-Institutional Relations , HIV Infections/prevention & control , Transients and Migrants , Black or African American , Culture , Female , Florida , HIV Infections/ethnology , Health Education , Hispanic or Latino , Humans , Male , Risk-Taking , Socioeconomic Factors
15.
Women Health ; 47(2): 1-18, 2008.
Article in English | MEDLINE | ID: mdl-18681098

ABSTRACT

Patients hospitalized for Human immunodeficiency virus (HIV) disease among the multi-ethnic population of Florida have been incompletely characterized to date. The objectives of the present study were to determine the race/ethnic (whites, blacks, Hispanics) differences in characteristics of patients by gender and the correlates of HIV-related mortality among them. A retrospective analysis of 9,113 discharge records (January to December 2001) with primary diagnosis of HIV disease was performed. Characteristics of patients in six sex-race/ethnic groups were compared using the X2 tests and multiple regression models. A multiple logistic regression modeling was used to evaluate the odds of HIV-related death associated with these characteristics. Approximately 64%, 23%, and 13% of records were for blacks, whites, and Hispanics, respectively. The adjusted length of stay (LOS) and hospital charges significantly differed only between black men and women. The insurance status, LOS, and age were significant correlates of HIV-related deaths. The potential causes of disparities between sex-ethnic groups of patients should be further explored.


Subject(s)
Black or African American/statistics & numerical data , HIV Infections/ethnology , HIV Infections/mortality , Hispanic or Latino/statistics & numerical data , Inpatients/statistics & numerical data , Patient Discharge/statistics & numerical data , White People/statistics & numerical data , Adult , Aged , Female , Florida/epidemiology , Humans , Male , Middle Aged , Outcome and Process Assessment, Health Care , Regression Analysis , Retrospective Studies , Socioeconomic Factors , Survival Analysis
16.
Subst Use Misuse ; 42(10): 1579-92, 2007.
Article in English | MEDLINE | ID: mdl-17918028

ABSTRACT

The Community Readiness Model (CR) offers a solution to the development of prevention strategies at the community level that makes use of community collaborations and community capacity. CR was administered in the U.S. Virgin Islands on St. Thomas, St. Croix, and St. John. All three islands scored lowest on dimensions of community climate and highest on knowledge of efforts to fight HIV/AIDS. The findings suggest that initial intervention efforts should improve the community climate of HIV/AIDS denial and stigma prior to introducing interventions that address HIV/AIDS risk behaviors. Community collaborators identify the interplay of social, structural, and political-economic factors for effective prevention.


Subject(s)
Acquired Immunodeficiency Syndrome/prevention & control , Community Health Services/organization & administration , HIV Infections/prevention & control , Primary Prevention/organization & administration , Acquired Immunodeficiency Syndrome/epidemiology , Caribbean Region/epidemiology , Community Health Services/methods , Cooperative Behavior , Data Collection/statistics & numerical data , HIV Infections/epidemiology , Health Knowledge, Attitudes, Practice , Humans , Models, Organizational , Primary Prevention/methods , Program Development/methods , Program Evaluation , Risk-Taking , United States Virgin Islands/epidemiology
17.
J HIV AIDS Prev Child Youth ; 7(1): 121-138, 2006.
Article in English | MEDLINE | ID: mdl-17502921

ABSTRACT

This study examined HIV/AIDS knowledge and beliefs in Haitian adolescents in an HIV epicenter, Miami-Dade Florida. This study examined survey data from 300 Haitian adolescents, aged 13 through 18, from both low-and middle-income neighborhoods. A sub-sample of 80 adolescents was selected for in-depth interviews and continuous observations with their families and networks of friends, which added rich descriptions to the quantitative data. Overall knowledge about HIV/AIDS was high with the majority of adolescents identifying unprotected sex and sharing injection drug needles as HIV transmission routes. Moreover, approximately 75% of the adolescents reported condom use as an effective preventive strategy. However, misconceptions that could reduce adolescents' adoption of HIV preventive strategies were also identified. The adolescents' sources for information about HIV/AIDS as well as implications for prevention interventions are discussed.

18.
Soc Work Health Care ; 37(4): 39-56, 2003.
Article in English | MEDLINE | ID: mdl-14620903

ABSTRACT

While most social workers might agree that increasing the use of technology in agencies may be important for developing efficiency and effectiveness, little is known about the obstacles of doing so. In an NIDA-funded demonstration project to increase technology in agencies that serve drug abusing populations, researchers logged all email and memorandum communication for a two and a half year period. These communications documented the progress of the intervention from inception to implementation. Using a qualitative methodology, researchers for this analysis examined the communication documents, noting themes. A core theme focusing on barriers to implementing technology emerged from the data. These barriers included: agency personnel's lack of computer proficiency, lack of motivation for agency personnel to participate in the intervention, and agency personnel not following intervention protocols, having computer hardware and networking problems, the agency's physical structure (lack of space/computers), and the researchers/interventionists having restricted access to agency personnel.


Subject(s)
Attitude to Computers , Diffusion of Innovation , Social Work/education , Florida , Professional Competence , Referral and Consultation , Substance-Related Disorders
19.
J Behav Health Serv Res ; 29(4): 445-57, 2002 Nov.
Article in English | MEDLINE | ID: mdl-12404938

ABSTRACT

An intervention was designed to improve access to primary care for chronic drug users (CDUs) by enhancing health care providers' knowledge and skills. Using a case study method, three study sites were systematically selected for intervention implementation: a primary care clinic (PC), an emergency department (ED), and a drug treatment (DT) facility. Participants completed pre- and postintervention tests of knowledge, skills, and intentions to practice. Compared with pretest scores, participants had significantly higher posttest scores concerning knowledge of CDUs' health care needs. Postintervention evaluations indicated intentions to practice skills learned in the intervention. As hypothesized, the PC and ED subsequently instituted formal screening mechanisms to identify CDUs. This intervention revealed potential to build bridges between health care providers and CDUs. By overcoming provider resistance, primary care access can be realized for this and other disadvantaged populations.


Subject(s)
Emergency Service, Hospital/organization & administration , Health Services Accessibility/standards , Primary Health Care/organization & administration , Staff Development/methods , Substance Abuse Treatment Centers/organization & administration , Substance-Related Disorders/rehabilitation , Chronic Disease , Competency-Based Education , Emergency Service, Hospital/standards , Florida , Health Knowledge, Attitudes, Practice , Humans , Organizational Case Studies , Organizational Innovation , Primary Health Care/standards , Substance Abuse Treatment Centers/standards , Workforce
20.
J Behav Health Serv Res ; 29(2): 189-97, 2002 May.
Article in English | MEDLINE | ID: mdl-12032976

ABSTRACT

This article examines the satisfaction of users of cocaine and/or opiates and non-drug users with access to the health care system. Data were obtained from a sample of 1,477 injection drug users, non-injection drug users, and non-drug users recruited from neighborhoods with high drug use. Multiple regression examined the relationship between satisfaction with access to health care and demographic, health status and health care utilization, ability to pay, and alcohol and drug use variables. Age, ethnicity, health status, having received health care in the last 12 months, not having received health care when needed, having received preventive health care, health insurance, and drug use were independently associated with satisfaction. Injection drug users and non-injection drug users were less satisfied with access to health care. The article discusses strategies to improve health care delivery to drug users.


Subject(s)
Health Services Accessibility , Patient Satisfaction/statistics & numerical data , Substance-Related Disorders/psychology , Adult , Case-Control Studies , Female , Florida , Health Services Research , Health Status , Humans , Male , Patient Satisfaction/ethnology , Regression Analysis , Substance Abuse, Intravenous/complications , Substance Abuse, Intravenous/psychology , Substance-Related Disorders/complications , Surveys and Questionnaires
SELECTION OF CITATIONS
SEARCH DETAIL
...