The Experts below are selected from a list of 358581 Experts worldwide ranked by ideXlab platform
Steven D Stellman - One of the best experts on this subject based on the ideXlab platform.
-
Unmet mental Health Care Need 10–11 years after the 9/11 terrorist attacks: 2011–2012 results from the World Trade Center Health Registry
BMC public health, 2014Co-Authors: Sharon J Ghuman, Robert M Brackbill, Steven D Stellman, Mark R Farfel, James E ConeAbstract:There is little current information about the unmet mental Health Care Need (UMHCN) and reasons for it among those exposed to the World Trade Center (WTC) terrorist attacks. The purpose of this study was to assess the level of UMHCN among symptomatic individuals enrolled in the WTC Health Registry (WTCHR) in 2011–2012, and to analyze the relationship between UMHCN due to attitudinal, cost, and access factors and mental Health symptom severity, mental Health Care utilization, Health insurance availability, and social support. The WTCHR is a prospective cohort study of individuals with reported exposure to the 2001 WTC attacks. This study used data from 9,803 adults who completed the 2003–2004 (Wave 1) and 2011–2012 (Wave 3) surveys and had posttraumatic stress disorder (PTSD) or depression in 2011–2012. We estimated logistic regression models relating perceived attitudinal, cost and access barriers to symptom severity, Health Care utilization, a lack of Health insurance, and social support after adjusting for sociodemographic characteristics. Slightly more than one-third (34.2%) of study participants reported an UMHCN. Symptom severity was a strong predictor of UMHCN due to attitudinal and perceived cost and access reasons. Attitudinal UMHCN was common among those not using mental Health services, particularly those with relatively severe mental Health symptoms. Cost-related UMHCN was significantly associated with a lack of Health insurance but not service usage. Access-related barriers were significantly more common among those who did not use any mental Health services. A higher level of social support served as an important buffer against cost and access UMHCN. A significant proportion of individuals exposed to the WTC attacks with depression or PTSD 10 years later reported an UMHCN, and individuals with more severe and disabling conditions, those who lacked Health insurance, and those with low levels of social support were particularly vulnerable.
-
unmet mental Health Care Need 10 11 years after the 9 11 terrorist attacks 2011 2012 results from the world trade center Health registry
BMC Public Health, 2014Co-Authors: Sharon J Ghuman, Robert M Brackbill, Steven D Stellman, Mark R Farfel, James E ConeAbstract:There is little current information about the unmet mental Health Care Need (UMHCN) and reasons for it among those exposed to the World Trade Center (WTC) terrorist attacks. The purpose of this study was to assess the level of UMHCN among symptomatic individuals enrolled in the WTC Health Registry (WTCHR) in 2011–2012, and to analyze the relationship between UMHCN due to attitudinal, cost, and access factors and mental Health symptom severity, mental Health Care utilization, Health insurance availability, and social support. The WTCHR is a prospective cohort study of individuals with reported exposure to the 2001 WTC attacks. This study used data from 9,803 adults who completed the 2003–2004 (Wave 1) and 2011–2012 (Wave 3) surveys and had posttraumatic stress disorder (PTSD) or depression in 2011–2012. We estimated logistic regression models relating perceived attitudinal, cost and access barriers to symptom severity, Health Care utilization, a lack of Health insurance, and social support after adjusting for sociodemographic characteristics. Slightly more than one-third (34.2%) of study participants reported an UMHCN. Symptom severity was a strong predictor of UMHCN due to attitudinal and perceived cost and access reasons. Attitudinal UMHCN was common among those not using mental Health services, particularly those with relatively severe mental Health symptoms. Cost-related UMHCN was significantly associated with a lack of Health insurance but not service usage. Access-related barriers were significantly more common among those who did not use any mental Health services. A higher level of social support served as an important buffer against cost and access UMHCN. A significant proportion of individuals exposed to the WTC attacks with depression or PTSD 10 years later reported an UMHCN, and individuals with more severe and disabling conditions, those who lacked Health insurance, and those with low levels of social support were particularly vulnerable.
-
mental Health of those directly exposed to the world trade center disaster unmet mental Health Care Need mental Health treatment service use and quality of life
Social Science & Medicine, 2013Co-Authors: Robert M Brackbill, Steven D Stellman, Sharon E Perlman, Deborah J Walker, Mark R FarfelAbstract:Mental Health service utilization several years following a man-made or natural disaster can be lower than expected, despite a high prevalence of mental Health disorders among those exposed. This study focused on factors associated with subjective unmet mental Health Care Need (UMHCN) and its relationship to a combination of diagnostic history and current mental Health symptoms, 5-6 years after the 9-11-01 World Trade Center (WTC) disaster in New York City, USA. Two survey waves of the WTC Health Registry, after exclusions, provided a sample of 36,625 enrollees for this analysis. Important differences were found among enrollees who were categorized according to the presence or absence of a self-reported mental Health diagnosis and symptoms indicative of post-traumatic stress disorder or serious psychological distress. Persons with diagnoses and symptoms had the highest levels of UMHCN, poor mental Health days, and mental Health service use. Those with symptoms only were a vulnerable group much less likely to use mental Health services yet reporting UMHCN and poor mental Health days. Implications for delivering mental Health services include recognizing that many persons with undiagnosed but symptomatic mental Health symptoms are not using mental Health services, despite having perceived Need for mental Health Care.
Mark R Farfel - One of the best experts on this subject based on the ideXlab platform.
-
Unmet mental Health Care Need 10–11 years after the 9/11 terrorist attacks: 2011–2012 results from the World Trade Center Health Registry
BMC public health, 2014Co-Authors: Sharon J Ghuman, Robert M Brackbill, Steven D Stellman, Mark R Farfel, James E ConeAbstract:There is little current information about the unmet mental Health Care Need (UMHCN) and reasons for it among those exposed to the World Trade Center (WTC) terrorist attacks. The purpose of this study was to assess the level of UMHCN among symptomatic individuals enrolled in the WTC Health Registry (WTCHR) in 2011–2012, and to analyze the relationship between UMHCN due to attitudinal, cost, and access factors and mental Health symptom severity, mental Health Care utilization, Health insurance availability, and social support. The WTCHR is a prospective cohort study of individuals with reported exposure to the 2001 WTC attacks. This study used data from 9,803 adults who completed the 2003–2004 (Wave 1) and 2011–2012 (Wave 3) surveys and had posttraumatic stress disorder (PTSD) or depression in 2011–2012. We estimated logistic regression models relating perceived attitudinal, cost and access barriers to symptom severity, Health Care utilization, a lack of Health insurance, and social support after adjusting for sociodemographic characteristics. Slightly more than one-third (34.2%) of study participants reported an UMHCN. Symptom severity was a strong predictor of UMHCN due to attitudinal and perceived cost and access reasons. Attitudinal UMHCN was common among those not using mental Health services, particularly those with relatively severe mental Health symptoms. Cost-related UMHCN was significantly associated with a lack of Health insurance but not service usage. Access-related barriers were significantly more common among those who did not use any mental Health services. A higher level of social support served as an important buffer against cost and access UMHCN. A significant proportion of individuals exposed to the WTC attacks with depression or PTSD 10 years later reported an UMHCN, and individuals with more severe and disabling conditions, those who lacked Health insurance, and those with low levels of social support were particularly vulnerable.
-
unmet mental Health Care Need 10 11 years after the 9 11 terrorist attacks 2011 2012 results from the world trade center Health registry
BMC Public Health, 2014Co-Authors: Sharon J Ghuman, Robert M Brackbill, Steven D Stellman, Mark R Farfel, James E ConeAbstract:There is little current information about the unmet mental Health Care Need (UMHCN) and reasons for it among those exposed to the World Trade Center (WTC) terrorist attacks. The purpose of this study was to assess the level of UMHCN among symptomatic individuals enrolled in the WTC Health Registry (WTCHR) in 2011–2012, and to analyze the relationship between UMHCN due to attitudinal, cost, and access factors and mental Health symptom severity, mental Health Care utilization, Health insurance availability, and social support. The WTCHR is a prospective cohort study of individuals with reported exposure to the 2001 WTC attacks. This study used data from 9,803 adults who completed the 2003–2004 (Wave 1) and 2011–2012 (Wave 3) surveys and had posttraumatic stress disorder (PTSD) or depression in 2011–2012. We estimated logistic regression models relating perceived attitudinal, cost and access barriers to symptom severity, Health Care utilization, a lack of Health insurance, and social support after adjusting for sociodemographic characteristics. Slightly more than one-third (34.2%) of study participants reported an UMHCN. Symptom severity was a strong predictor of UMHCN due to attitudinal and perceived cost and access reasons. Attitudinal UMHCN was common among those not using mental Health services, particularly those with relatively severe mental Health symptoms. Cost-related UMHCN was significantly associated with a lack of Health insurance but not service usage. Access-related barriers were significantly more common among those who did not use any mental Health services. A higher level of social support served as an important buffer against cost and access UMHCN. A significant proportion of individuals exposed to the WTC attacks with depression or PTSD 10 years later reported an UMHCN, and individuals with more severe and disabling conditions, those who lacked Health insurance, and those with low levels of social support were particularly vulnerable.
-
mental Health of those directly exposed to the world trade center disaster unmet mental Health Care Need mental Health treatment service use and quality of life
Social Science & Medicine, 2013Co-Authors: Robert M Brackbill, Steven D Stellman, Sharon E Perlman, Deborah J Walker, Mark R FarfelAbstract:Mental Health service utilization several years following a man-made or natural disaster can be lower than expected, despite a high prevalence of mental Health disorders among those exposed. This study focused on factors associated with subjective unmet mental Health Care Need (UMHCN) and its relationship to a combination of diagnostic history and current mental Health symptoms, 5-6 years after the 9-11-01 World Trade Center (WTC) disaster in New York City, USA. Two survey waves of the WTC Health Registry, after exclusions, provided a sample of 36,625 enrollees for this analysis. Important differences were found among enrollees who were categorized according to the presence or absence of a self-reported mental Health diagnosis and symptoms indicative of post-traumatic stress disorder or serious psychological distress. Persons with diagnoses and symptoms had the highest levels of UMHCN, poor mental Health days, and mental Health service use. Those with symptoms only were a vulnerable group much less likely to use mental Health services yet reporting UMHCN and poor mental Health days. Implications for delivering mental Health services include recognizing that many persons with undiagnosed but symptomatic mental Health symptoms are not using mental Health services, despite having perceived Need for mental Health Care.
James E Cone - One of the best experts on this subject based on the ideXlab platform.
-
unmet mental Health Care Need 10 11 years after the 9 11 terrorist attacks 2011 2012 results from the world trade center Health registry
BMC Public Health, 2014Co-Authors: Sharon J Ghuman, Robert M Brackbill, Steven D Stellman, Mark R Farfel, James E ConeAbstract:There is little current information about the unmet mental Health Care Need (UMHCN) and reasons for it among those exposed to the World Trade Center (WTC) terrorist attacks. The purpose of this study was to assess the level of UMHCN among symptomatic individuals enrolled in the WTC Health Registry (WTCHR) in 2011–2012, and to analyze the relationship between UMHCN due to attitudinal, cost, and access factors and mental Health symptom severity, mental Health Care utilization, Health insurance availability, and social support. The WTCHR is a prospective cohort study of individuals with reported exposure to the 2001 WTC attacks. This study used data from 9,803 adults who completed the 2003–2004 (Wave 1) and 2011–2012 (Wave 3) surveys and had posttraumatic stress disorder (PTSD) or depression in 2011–2012. We estimated logistic regression models relating perceived attitudinal, cost and access barriers to symptom severity, Health Care utilization, a lack of Health insurance, and social support after adjusting for sociodemographic characteristics. Slightly more than one-third (34.2%) of study participants reported an UMHCN. Symptom severity was a strong predictor of UMHCN due to attitudinal and perceived cost and access reasons. Attitudinal UMHCN was common among those not using mental Health services, particularly those with relatively severe mental Health symptoms. Cost-related UMHCN was significantly associated with a lack of Health insurance but not service usage. Access-related barriers were significantly more common among those who did not use any mental Health services. A higher level of social support served as an important buffer against cost and access UMHCN. A significant proportion of individuals exposed to the WTC attacks with depression or PTSD 10 years later reported an UMHCN, and individuals with more severe and disabling conditions, those who lacked Health insurance, and those with low levels of social support were particularly vulnerable.
-
Unmet mental Health Care Need 10–11 years after the 9/11 terrorist attacks: 2011–2012 results from the World Trade Center Health Registry
BMC public health, 2014Co-Authors: Sharon J Ghuman, Robert M Brackbill, Steven D Stellman, Mark R Farfel, James E ConeAbstract:There is little current information about the unmet mental Health Care Need (UMHCN) and reasons for it among those exposed to the World Trade Center (WTC) terrorist attacks. The purpose of this study was to assess the level of UMHCN among symptomatic individuals enrolled in the WTC Health Registry (WTCHR) in 2011–2012, and to analyze the relationship between UMHCN due to attitudinal, cost, and access factors and mental Health symptom severity, mental Health Care utilization, Health insurance availability, and social support. The WTCHR is a prospective cohort study of individuals with reported exposure to the 2001 WTC attacks. This study used data from 9,803 adults who completed the 2003–2004 (Wave 1) and 2011–2012 (Wave 3) surveys and had posttraumatic stress disorder (PTSD) or depression in 2011–2012. We estimated logistic regression models relating perceived attitudinal, cost and access barriers to symptom severity, Health Care utilization, a lack of Health insurance, and social support after adjusting for sociodemographic characteristics. Slightly more than one-third (34.2%) of study participants reported an UMHCN. Symptom severity was a strong predictor of UMHCN due to attitudinal and perceived cost and access reasons. Attitudinal UMHCN was common among those not using mental Health services, particularly those with relatively severe mental Health symptoms. Cost-related UMHCN was significantly associated with a lack of Health insurance but not service usage. Access-related barriers were significantly more common among those who did not use any mental Health services. A higher level of social support served as an important buffer against cost and access UMHCN. A significant proportion of individuals exposed to the WTC attacks with depression or PTSD 10 years later reported an UMHCN, and individuals with more severe and disabling conditions, those who lacked Health insurance, and those with low levels of social support were particularly vulnerable.
Chaweewon Boonshuyar - One of the best experts on this subject based on the ideXlab platform.
-
Behaviors and perceptions of Japanese tourists affecting diarrheal illness and Health Care Need assessment: A questionnaire study
Environmental Health and Preventive Medicine, 2006Co-Authors: Nawarat Suwannapong, Nopporn Howteerakul, Chaweewon BoonshuyarAbstract:Objectives To measure the prevalence rate of, and determine the association between food and drink related behaviors and diarrheal illness among Japanese tourists, and assess their Health Care Needs. Methods Eligible Japanese tourists (1,480) aged ≥15 years traveling in Chiangmai Province in the north, Ayutthaya Province in the center, Kanchanaburi Province in the west, Pattaya City in the east, and Krabi Province in the south of Thailand were enrolled in the study. Of these tourists, 1,318 consented to participate in this study and completed questionnaires in Japanese, giving a response rate of 89.1%. Results Among these Japanese tourists 21.3% had diarrheal illness, and of these tourists, 5.0% had classical travelers’ diarrhea (TD), 11.8% had mild TD, 3.3% had good food and drink related behaviors, and 75.4% had moderate level of perception of diarrhea related to drinking and eating. Multiple logistic regression analysis indicated three significant diarrheal illness predictors: large number of previous visits to Thailand, longer stay in Thailand, and the experience of visiting other countries. Furthermore, 56.9% suggested providing an adequate number of toilets at tourist destinations; 53.9% suggested providing a 24-hour emergency call facility for a public ambulance; and 51.9% suggested providing garbage bins and garbage disposal facilities at tourist destinations. Conclusions TD still affects experienced Japanese tourists who visit Thailand. Although the proportions of the good levels of food and drink related behaviors were low, there were indications that Japanese tourists perceived the risk of contracting TD.
-
Behaviors and perceptions of Japanese tourists affecting diarrheal illness and Health Care Need assessment: A questionnaire study.
Environmental health and preventive medicine, 2006Co-Authors: Nawarat Suwannapong, Nopporn Howteerakul, Chaweewon BoonshuyarAbstract:To measure the prevalence rate of, and determine the association between food and drink related behaviors and diarrheal illness among Japanese tourists, and assess their Health Care Needs. Eligible Japanese tourists (1,480) aged ≥15 years traveling in Chiangmai Province in the north, Ayutthaya Province in the center, Kanchanaburi Province in the west, Pattaya City in the east, and Krabi Province in the south of Thailand were enrolled in the study. Of these tourists, 1,318 consented to participate in this study and completed questionnaires in Japanese, giving a response rate of 89.1%. Among these Japanese tourists 21.3% had diarrheal illness, and of these tourists, 5.0% had classical travelers’ diarrhea (TD), 11.8% had mild TD, 3.3% had good food and drink related behaviors, and 75.4% had moderate level of perception of diarrhea related to drinking and eating. Multiple logistic regression analysis indicated three significant diarrheal illness predictors: large number of previous visits to Thailand, longer stay in Thailand, and the experience of visiting other countries. Furthermore, 56.9% suggested providing an adequate number of toilets at tourist destinations; 53.9% suggested providing a 24-hour emergency call facility for a public ambulance; and 51.9% suggested providing garbage bins and garbage disposal facilities at tourist destinations. TD still affects experienced Japanese tourists who visit Thailand. Although the proportions of the good levels of food and drink related behaviors were low, there were indications that Japanese tourists perceived the risk of contracting TD.
Robert M Brackbill - One of the best experts on this subject based on the ideXlab platform.
-
Unmet mental Health Care Need 10–11 years after the 9/11 terrorist attacks: 2011–2012 results from the World Trade Center Health Registry
BMC public health, 2014Co-Authors: Sharon J Ghuman, Robert M Brackbill, Steven D Stellman, Mark R Farfel, James E ConeAbstract:There is little current information about the unmet mental Health Care Need (UMHCN) and reasons for it among those exposed to the World Trade Center (WTC) terrorist attacks. The purpose of this study was to assess the level of UMHCN among symptomatic individuals enrolled in the WTC Health Registry (WTCHR) in 2011–2012, and to analyze the relationship between UMHCN due to attitudinal, cost, and access factors and mental Health symptom severity, mental Health Care utilization, Health insurance availability, and social support. The WTCHR is a prospective cohort study of individuals with reported exposure to the 2001 WTC attacks. This study used data from 9,803 adults who completed the 2003–2004 (Wave 1) and 2011–2012 (Wave 3) surveys and had posttraumatic stress disorder (PTSD) or depression in 2011–2012. We estimated logistic regression models relating perceived attitudinal, cost and access barriers to symptom severity, Health Care utilization, a lack of Health insurance, and social support after adjusting for sociodemographic characteristics. Slightly more than one-third (34.2%) of study participants reported an UMHCN. Symptom severity was a strong predictor of UMHCN due to attitudinal and perceived cost and access reasons. Attitudinal UMHCN was common among those not using mental Health services, particularly those with relatively severe mental Health symptoms. Cost-related UMHCN was significantly associated with a lack of Health insurance but not service usage. Access-related barriers were significantly more common among those who did not use any mental Health services. A higher level of social support served as an important buffer against cost and access UMHCN. A significant proportion of individuals exposed to the WTC attacks with depression or PTSD 10 years later reported an UMHCN, and individuals with more severe and disabling conditions, those who lacked Health insurance, and those with low levels of social support were particularly vulnerable.
-
unmet mental Health Care Need 10 11 years after the 9 11 terrorist attacks 2011 2012 results from the world trade center Health registry
BMC Public Health, 2014Co-Authors: Sharon J Ghuman, Robert M Brackbill, Steven D Stellman, Mark R Farfel, James E ConeAbstract:There is little current information about the unmet mental Health Care Need (UMHCN) and reasons for it among those exposed to the World Trade Center (WTC) terrorist attacks. The purpose of this study was to assess the level of UMHCN among symptomatic individuals enrolled in the WTC Health Registry (WTCHR) in 2011–2012, and to analyze the relationship between UMHCN due to attitudinal, cost, and access factors and mental Health symptom severity, mental Health Care utilization, Health insurance availability, and social support. The WTCHR is a prospective cohort study of individuals with reported exposure to the 2001 WTC attacks. This study used data from 9,803 adults who completed the 2003–2004 (Wave 1) and 2011–2012 (Wave 3) surveys and had posttraumatic stress disorder (PTSD) or depression in 2011–2012. We estimated logistic regression models relating perceived attitudinal, cost and access barriers to symptom severity, Health Care utilization, a lack of Health insurance, and social support after adjusting for sociodemographic characteristics. Slightly more than one-third (34.2%) of study participants reported an UMHCN. Symptom severity was a strong predictor of UMHCN due to attitudinal and perceived cost and access reasons. Attitudinal UMHCN was common among those not using mental Health services, particularly those with relatively severe mental Health symptoms. Cost-related UMHCN was significantly associated with a lack of Health insurance but not service usage. Access-related barriers were significantly more common among those who did not use any mental Health services. A higher level of social support served as an important buffer against cost and access UMHCN. A significant proportion of individuals exposed to the WTC attacks with depression or PTSD 10 years later reported an UMHCN, and individuals with more severe and disabling conditions, those who lacked Health insurance, and those with low levels of social support were particularly vulnerable.
-
mental Health of those directly exposed to the world trade center disaster unmet mental Health Care Need mental Health treatment service use and quality of life
Social Science & Medicine, 2013Co-Authors: Robert M Brackbill, Steven D Stellman, Sharon E Perlman, Deborah J Walker, Mark R FarfelAbstract:Mental Health service utilization several years following a man-made or natural disaster can be lower than expected, despite a high prevalence of mental Health disorders among those exposed. This study focused on factors associated with subjective unmet mental Health Care Need (UMHCN) and its relationship to a combination of diagnostic history and current mental Health symptoms, 5-6 years after the 9-11-01 World Trade Center (WTC) disaster in New York City, USA. Two survey waves of the WTC Health Registry, after exclusions, provided a sample of 36,625 enrollees for this analysis. Important differences were found among enrollees who were categorized according to the presence or absence of a self-reported mental Health diagnosis and symptoms indicative of post-traumatic stress disorder or serious psychological distress. Persons with diagnoses and symptoms had the highest levels of UMHCN, poor mental Health days, and mental Health service use. Those with symptoms only were a vulnerable group much less likely to use mental Health services yet reporting UMHCN and poor mental Health days. Implications for delivering mental Health services include recognizing that many persons with undiagnosed but symptomatic mental Health symptoms are not using mental Health services, despite having perceived Need for mental Health Care.
