This paper considers the impact of community-level variables over and above effects individual characteristics on healthcare access low-income children adults residing in large metropolitan statistical areas (MSAs). Further, we rank MSAs' performance promoting for their populations. The individual-level data come from 1995 1996 National Health Interview Survey (NHIS). are derived multiple public-use sources. outcome variable is whether individuals received a physician visit past twelve...

Racial and ethnic groups in the United States continue to experience major disparities health status. Compared majority non-Latino white population, racial minorities bear a disproportionate burden of mortality morbidity across wide range conditions. These status are compounded by reduced access care services. Although many factors affect status, lack insurance other barriers obtaining services diminish minorities’ utilization preventive medical treatments that could reduce disease...

The framework presented in this article extends the Andersen behavioral model of health services utilization research to examine effects contextual determinants access. A conceptual is suggested for selecting and constructing (or community-level) variables representing social, economic, structural, public policy environment that influence low-income people's use medical care. Contextual capture characteristics population disproportionately relies on care safety net, support safety-net...

The cultural and linguistic diversity of the U.S. population presents challenges to design implementation population-based surveys that serve inform public policies. Information derived from such may be less than representative if groups with limited or no English language skills are not included. California Health Interview Survey (CHIS), first administered in 2001, is a health survey more 55,000 households. This article describes process designers CHIS 2001 underwent culturally adapting...

Public health in imperialism: early Rockefeller programs at home and abroad. E R BrownCopyRight https://doi.org/10.2105/AJPH.66.9.897 Published Online: October 07, 2011

Objectives: The use of complementary and alternative medicine (CAM) is likely to vary among racial/ethnic groups because its related cultural health beliefs. Understanding patterns CAM ethnic could inform clinical practice the study in a diverse population. authors compared Asian-Americans, American Indians, African Americans, Latinos, whites, other order develop ethnic-specific measures explore factors associated with such across groups. Design: A cross-sectional survey sample 9187 adults...

We examined potential nonresponse bias in a large-scale, population-based, random-digit-dialed telephone survey California and its association with the response rate.

Abstract BACKGROUND Recent research has supported the use of colorectal cancer (CRC) tests to reduce disease incidence, morbidity, and mortality. A new health survey provided an opportunity examine these in California's ethnically diverse population. The authors used 2001 California Health Interview Survey (CHIS 2001) evaluate 1) rates CRC test use, 2) predictors receipt tests, 3) reasons for nonuse tests. METHODS CHIS is a random‐digit dial telephone that was conducted California. Responses...

This article examines the extent and correlates of complementary alternative medicine (CAM) use among a population-based sample California adults that is highly diverse in terms sociodemographic characteristics health status. As follow-up to state-wide survey 55,428 people, 9187 respondents were interviewed by phone regarding their 11 different types CAM providers, special diets, dietary supplements, mind-body interventions, self-prayer support groups. The included all participants initial...

Health status is directly affected by environmental conditions and personal health-related behaviors, it indirectly that themselves influence health behaviors. A comprehensive approach to promotion, therefore, should encourage individuals adopt maintain behaviors would prevent disease promote health; discourage health-damaging facilitate people engaging in health-promoting behaviors; eliminate hazards from the physical social environment make more health-promoting. This require community...

Examine the effect of including cell-phone numbers in a traditional landline random digit dial (RDD) telephone survey.The 2007 California Health Interview Survey (CHIS).CHIS is an RDD survey supplementing sample with cell-only (CO) adults.We examined degree bias due to exclusion CO populations and compared series demographic health-related characteristics by usage.When adjusted for noncoverage through weighting, potential excluding adults surveys diminished. Both who have both cell phones...

This study examines the effects of community-level and individual-level factors on access to ambulatory care for lower-income adults in 54 urban metropolitan statistical areas United States. Drawing a conceptual behavioral structural framework access, authors developed multivariate models insured uninsured assess adjusted community- two indicators access: having usual source care, at least one physician visit past year. Several community influenced but they did so differently measures used....

We sought to determine whether primary language use, measured by of interview, is associated with disparities in cervical cancer screening.We undertook a secondary data analysis pooled sample the 2001 and 2003 California Health Interview Surveys. The surveys were conducted English, Spanish, Cantonese, Mandarin, Korean, Vietnamese.The study was cross-sectional 3-year Pap test use among women ages 18 64, no reported diagnosis or hysterectomy (n = 38,931). In addition other factors studied...

Health educators have created a new professional role that emphasizes the changing of individuals rather than their social conditions. The article shows how historical roots, ideological perspectives, and structural constraints combined to create an ambiguous, generally conservative for health education profession. Epidemiological evidence is presented contradicts many implicit notions disease etiology underlie approaches. Finally, authors suggest “ecological” model takes account multiple...

OBJECTIVE. Many studies have documented the adverse consequences of uninsurance for children, but less is known about differential effects varying periods uninsurance. This study examines relative (uninsured 1–4 months, 5–11 or all year) on children's access to care. METHODS. Using data from 2005 California Health Interview Survey Children's File (ages 0–11), we estimated logistic regressions examine effect insurance status 6 measures health care access, controlling child demographics,...

Abstract BACKGROUND Despite the lack of evidence demonstrating a survival benefit from prostate‐specific antigen (PSA) screening, its use has become widespread, organizations have encouraged physicians to discuss early detection prostate carcinoma, and two higher risk groups been recognized. In current study, authors examined whether African‐American men who had family history carcinoma underwent PSA testing preferentially, patterns test were according age, race, other factors. METHODS Data...

Experts recommend that health care providers (HCPs) collect patients' race/ethnicity and language, but we know little about public attitudes towards this.To determine HCPs collecting language data.A telephone survey was held with 563 Californians, including 105 whites, 97 blacks, 199 Hispanics (162 Spanish-speaking), 129 Asians (73 Chinese-speaking), 33 multiracial individuals.Attitudes asking patients their preferred concerns providing own information, reactions to statements explaining the...

This study examines the factors associated with discontinuous health insurance coverage without periods of uninsurance during past year (ie, switching coverage), and whether it has a detrimental effect on basic access to care.We analyze 2003 California Health Interview Survey samples adults, ages 19-64 (n = 32,850) children, 0-18 13,062), using weighted bivariate multivariate analyses. We stratified population first by age (modeling adults separately from children) then status full reporting...

Other| August 01 1987 From Advocacy to Allocation: The Evolving American Health Care System David Mechanic, (New York: Free Press, 1986), 238 pp., $24.95 cloth, $12.95 paper Ronald M. Andersen; Andersen Search for other works by this author on: This Site Google E. Richard Brown J Polit Policy Law (1987) 12 (4): 811–816. https://doi.org/10.1215/03616878-12-4-811 Views Icon Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Facebook Twitter LinkedIn Email Tools...