دورية أكاديمية
Examining Health-Seeking Behavior among Diverse Ethnic Subgroups within Black Populations in the United States and Canada: A Cross-Sectional Study.
العنوان: | Examining Health-Seeking Behavior among Diverse Ethnic Subgroups within Black Populations in the United States and Canada: A Cross-Sectional Study. |
---|---|
المؤلفون: | Tiruneh YM; School of Medicine, University of Texas at Tyler, Tyler, TX 75708, USA.; Division of Infectious Diseases, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA., Anwoju O; HCA Houston Healthcare, Kingwood, TX 77339, USA., Harrison AC; School of Public Health, University of Texas Health Science Center at Houston, Houston, TX 77030, USA., Garcia MT; School of Medicine, University of Texas Medical Branch, Galveston, TX 77555, USA., Elbers SK; School of Interdisciplinary Arts and Sciences, University of Washington Bothell, Bothell, WA 98011, USA. |
المصدر: | International journal of environmental research and public health [Int J Environ Res Public Health] 2024 Mar 19; Vol. 21 (3). Date of Electronic Publication: 2024 Mar 19. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Basel : MDPI, c2004- |
مواضيع طبية MeSH: | Ethnicity* , Health Behavior*, Adult ; Female ; Humans ; Male ; Black People ; Cross-Sectional Studies ; Patient Acceptance of Health Care ; United States ; Canada ; Black or African American |
مستخلص: | The Black populations, often treated as ethnically homogenous, face a constant challenge in accessing and utilizing healthcare services. This study examines the intra-group differences in health-seeking behavior among diverse ethnic subgroups within Black communities. A cross-sectional analysis included 239 adults ≥18 years of age who self-identified as Black in the United States and Canada. Multiple logistic regression assessed the relationship between health-seeking behaviors and ethnic origin, controlling for selected social and health-related factors. The mean age of the participants was 38.6 years, 31% were male, and 20% were unemployed. Sixty-one percent reported a very good or excellent health status, and 59.7% were not receiving treatment for chronic conditions. Advancing age (OR = 1.05, CI: 1.01-1.09), female gender (OR = 3.09, CI: 1.47-6.47), and unemployment (OR = 3.46, CI: 1.35-8.90) were associated with favorable health-seeking behaviors. Compared with the participants with graduate degrees, individuals with high school diplomas or less (OR = 3.80, CI: 1.07-13.4) and bachelor's degrees (OR = 3.57, CI: 1.3-9.23) were more inclined to have engaged in favorable health-seeking behavior compared to those with graduate degrees. Across the Black communities in our sample, irrespective of ethnic origins or country of birth, determinants of health-seeking behavior were age, gender, employment status, and educational attainment. |
References: | BMC Health Serv Res. 2020 Nov 11;20(1):1030. (PMID: 33176760) J Health Care Poor Underserved. 2013 Feb;24(1):106-19. (PMID: 23377722) Soc Sci Med. 2000 May;50(10):1385-401. (PMID: 10741575) Health Serv Res. 2018 Jun;53(3):1407-1429. (PMID: 28480588) J Health Care Poor Underserved. 2011 Feb;22(1):157-75. (PMID: 21317513) Health Equity. 2018 Sep 24;2(1):249-259. (PMID: 30283874) Psychiatr Serv. 2015 Mar 1;66(3):258-64. (PMID: 25727113) Complement Ther Clin Pract. 2022 Aug;48:101592. (PMID: 35439706) J Pak Med Assoc. 2008 Jan;58(1):33-6. (PMID: 18297974) Am J Health Promot. 2021 Jan;35(1):84-92. (PMID: 32588638) Health Policy Plan. 2004 May;19(3):137-46. (PMID: 15070862) J Womens Health (Larchmt). 2012 Feb;21(2):140-5. (PMID: 22081983) SAGE Open Med. 2023 Dec 6;11:20503121231215236. (PMID: 38078206) Am J Mens Health. 2018 Jul;12(4):863-876. (PMID: 27170674) Neurology. 2017 Jun 13;88(24):2268-2275. (PMID: 28515272) J Public Health (Oxf). 2005 Mar;27(1):49-54. (PMID: 15590705) J Hypertens. 2004 Sep;22(9):1731-7. (PMID: 15311101) Int J Environ Res Public Health. 2018 Aug 28;15(9):. (PMID: 30154349) Cancer Med. 2021 Jun;10(11):3646-3654. (PMID: 33942535) JAMA Netw Open. 2022 Jun 1;5(6):e2217383. (PMID: 35699954) Clin Orthop Relat Res. 2020 May;478(5):979-989. (PMID: 32310622) Am J Ophthalmol. 2020 Oct;218:156-163. (PMID: 32446736) J Health Care Poor Underserved. 2012 Nov;23(4):1477-93. (PMID: 23698662) J Racial Ethn Health Disparities. 2018 Oct;5(5):995-1002. (PMID: 29234990) J Immigr Minor Health. 2012 Aug;14(4):698-705. (PMID: 22207448) J Immigr Minor Health. 2018 Feb;20(1):188-193. (PMID: 28213691) Behav Med. 2019 Apr-Jun;45(2):102-117. (PMID: 31343960) J Immigr Minor Health. 2012 Dec;14(6):903-11. (PMID: 22427109) BMC Public Health. 2020 Jan 8;20(1):27. (PMID: 31914960) J Family Med Prim Care. 2016 Apr-Jun;5(2):463-464. (PMID: 27843863) J Health Hum Serv Adm. 2005 Summer;28(1):68-95. (PMID: 16521616) Health Promot Int. 2021 Aug 30;36(4):1160-1169. (PMID: 33305322) Mt Sinai J Med. 2010 Mar-Apr;77(2):166-77. (PMID: 20309927) J Immigr Health. 2005 Jul;7(3):205-12. (PMID: 15900421) JAMA Psychiatry. 2021 Mar 1;78(3):311-319. (PMID: 33355626) J Natl Med Assoc. 1987 Apr;79(4):389-92. (PMID: 3586036) BMC Health Serv Res. 2021 Sep 19;21(1):988. (PMID: 34538243) Health Serv Res. 1998 Aug;33(3 Pt 1):597-610. (PMID: 9685124) Med Care. 2016 Feb;54(2):140-6. (PMID: 26595227) Monogr Soc Res Child Dev. 2017 Jun;82(2):13-30. (PMID: 28475254) |
معلومات مُعتمدة: | Initiatives to Develop Interdisciplinary Scholarship and Collaboration grant University of Washington Bothell, School of Interdisciplinary Arts and Sciences; Interdisciplinary Pilot Grant University of Washington Bothell, School of Nursing and Health Studies |
فهرسة مساهمة: | Keywords: African; African American; Caribbean; black populations; ethnic disparities; ethnic subgroups; health-seeking behavior; healthcare utilization; intra-group difference |
تواريخ الأحداث: | Date Created: 20240328 Date Completed: 20240329 Latest Revision: 20240712 |
رمز التحديث: | 20240712 |
مُعرف محوري في PubMed: | PMC10970228 |
DOI: | 10.3390/ijerph21030368 |
PMID: | 38541367 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1660-4601 |
---|---|
DOI: | 10.3390/ijerph21030368 |