The Experts below are selected from a list of 17517 Experts worldwide ranked by ideXlab platform
Tungwei Kao - One of the best experts on this subject based on the ideXlab platform.
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frailty and its impact on Health related quality of life a cross sectional study on elder community dwelling Preventive Health Service users
PLOS ONE, 2012Co-Authors: Yawwen Chang, Weiliang Chen, Fugong Lin, Wenhui Fang, Mingyung Yen, Chiachuan Hsieh, Tungwei KaoAbstract:Background The purpose of this study was to identify the incidence of frailty and to investigate the relationship between frailty status and Health-related quality of life (HRQoL) in the community-dwelling elderly population who utilize Preventive Health Services. Methods People aged 65 years and older who visited a medical center in Taipei City from March to August in 2011 for an annual routine check-up provided by the National Health Insurance were eligible. A total of 374 eligible elderly adults without cognitive impairment had a mean age of 74.6±6.3 years. Frailty status was determined according to the Fried frailty criteria. HRQoL was measured with Short Form-36 (SF-36). Multiple regression analyses examined the relationship between frailty status and the two summary scales of SF-36. Models were adjusted for the participants' sociodemographic and Health status. Results After adjusting for sociodemographic and Health-related covariables, frailty was found to be more significantly associated (p<0.001) with lower scores on both physical and mental Health-related quality of life summary scales compared with robustness. For the frailty phenotypes, slowness represented the major contributing factor in the physical component scale of SF-36, and exhaustion was the primary contributing factor in the mental component scale. Conclusion The status of frailty is closely associated with HRQoL in elderly Taiwanese Preventive Health Service users. The impacts of frailty phenotypes on physical and mental aspects of HRQoL differ.
Yawwen Chang - One of the best experts on this subject based on the ideXlab platform.
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frailty and its impact on Health related quality of life a cross sectional study on elder community dwelling Preventive Health Service users
PLOS ONE, 2012Co-Authors: Yawwen Chang, Weiliang Chen, Fugong Lin, Wenhui Fang, Mingyung Yen, Chiachuan Hsieh, Tungwei KaoAbstract:Background The purpose of this study was to identify the incidence of frailty and to investigate the relationship between frailty status and Health-related quality of life (HRQoL) in the community-dwelling elderly population who utilize Preventive Health Services. Methods People aged 65 years and older who visited a medical center in Taipei City from March to August in 2011 for an annual routine check-up provided by the National Health Insurance were eligible. A total of 374 eligible elderly adults without cognitive impairment had a mean age of 74.6±6.3 years. Frailty status was determined according to the Fried frailty criteria. HRQoL was measured with Short Form-36 (SF-36). Multiple regression analyses examined the relationship between frailty status and the two summary scales of SF-36. Models were adjusted for the participants' sociodemographic and Health status. Results After adjusting for sociodemographic and Health-related covariables, frailty was found to be more significantly associated (p<0.001) with lower scores on both physical and mental Health-related quality of life summary scales compared with robustness. For the frailty phenotypes, slowness represented the major contributing factor in the physical component scale of SF-36, and exhaustion was the primary contributing factor in the mental component scale. Conclusion The status of frailty is closely associated with HRQoL in elderly Taiwanese Preventive Health Service users. The impacts of frailty phenotypes on physical and mental aspects of HRQoL differ.
Stephen B Thomas - One of the best experts on this subject based on the ideXlab platform.
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trust in the Health care system and the use of Preventive Health Services by older black and white adults
American Journal of Public Health, 2009Co-Authors: Donald Musa, Richard Schulz, Roderick Harris, Myrna Silverman, Stephen B ThomasAbstract:OBJECTIVES: We sought to find racial differences in the effects of trust in the Health care system on Preventive Health Service use among older adults. METHODS: We conducted a telephone survey with 1681 Black and White older adults. Survey questions explored respondents' trust in physicians, medical research, and Health information sources. We used logistic regression and controlled for covariates to assess effects of race and trust on the use of Preventive Health Services. RESULTS: We identified 4 types of trust through factor analysis: trust in one's own personal physician, trust in the competence of physicians' care, and trust in formal and informal Health information sources. Blacks had significantly less trust in their own physicians and greater trust in informal Health information sources than did Whites. Greater trust in one's own physician was associated with utilization of routine checkups, prostate-specific antigen tests, and mammograms, but not with flu shots. Greater trust in informal information sources was associated with utilization of mammograms. CONCLUSIONS: Trust in one's own personal physician is associated with utilization of Preventive Health Services. Blacks' relatively high distrust of their physicians likely contributes to Health disparities by causing reduced utilization of Preventive Services. Health information disseminated to Blacks through informal means is likely to increase Blacks' utilization of Preventive Health Services.
Chun Chao - One of the best experts on this subject based on the ideXlab platform.
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Preventive Health Service use among survivors of adolescent and young adult cancer
Preventive medicine reports, 2020Co-Authors: Hilary C Tanenbaum, Erin E Hahn, Julie A Wolfson, Smita Bhatia, Kim Cannavale, Robert Michael Cooper, Chun ChaoAbstract:Preventive Health screenings are essential for survivors of adolescent and young adult (AYA) cancer survivors, who are at greater risk for non-cancer related death compared to individuals without a history of cancer. However, little research exists examining their use of screening Services. In order to identify potential areas for targeted improvements in AYA survivorship care, we examined adherence to United States Preventive Services Task Force (USPSTF) screening recommendations among members of Kaiser Permanente Southern California. The study population included individuals diagnosed with cancer between ages 15-39 from 2000 to 2012 who survived at least two years post-diagnosis (n = 6779) and a matched cohort of non-cancer comparisons (n = 25640). To assess adherence to screening Services, we calculated a Prevention Index (PI, proportion of person-time covered by receipt of recommended clinical Preventive Services relative to the time eligible) for every individual and the distributions for each Service. We also evaluated predictors for adherence using logistic regression. Adherence was significantly (p-value < 0.05) higher among survivors than non-cancer subjects for screenings for dyslipidemia (71.16% and 65.94, respectively), hypertension (97.43% and 89.11%), cervical cancer (87.36% and 84.45%), colorectal cancer (83.23% and 58.27%), and influenza vaccination (36.79% and 33.21%). The logistic regression showed that survivors were significantly more likely to adhere to guidelines compared to non-cancer peers for all screenings except breast cancer, with the greatest difference found for colorectal cancer (odds ratio: 5.04, p-value: <0.01). While AYA survivors appear to use Preventive screenings more than comparisons, there is room for improvement for certain Services, most notably for influenza vaccination.
Megan S Mchenry - One of the best experts on this subject based on the ideXlab platform.
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Preventive Health Service coverage among infants and children at six maternal child Health clinics in western kenya a cross sectional assessment
Maternal and Child Health Journal, 2021Co-Authors: Andrew R Deathe, Eren Oyungu, Samuel Ayaya, Ananda R Ombitsa, Carole I Mcateer, Rachel C Vreeman, Megan S MchenryAbstract:Despite the substantial reduction of child mortality in recent decades, Kenya still strives to provide universal Healthcare access and to meet other international benchmarks for child Health. This study aimed to describe child Health Service coverage among children visiting six maternal and child Health (MCH) clinics in western Kenya. In a cross-sectional study of Kenyan children who are under the age of 5 years presenting to MCH clinics, child Health records were reviewed to determine coverage of immunizations, growth monitoring, vitamin A supplementation, and deworming. Among 78 children and their caregivers, nearly 70% of children were fully vaccinated for their age. We found a significant disparity in full vaccination coverage by gender (p = 0.017), as males had 3.5 × higher odds of being fully vaccinated compared to females. Further, full vaccination coverage also varied across MCH clinic sites ranging from 43.8 to 92.9%. Health Service coverage for Kenyan children in this study is consistent with national and sub-national findings; however, our study found a significant gender equity gap in coverage at these six clinics that warrants further investigation to ensure that all children receive critical preventative Services.