Systematically replicating a previous Toronto-Detroit comparison, this study's observed consistent pattern of Canadian survival advantage across various cancer sites suggests that their more equitable access to preventive and therapeutic health care services may be responsible for the difference.
Extremely poor Canadian women were recently observed to be largely advantaged on most aspects of breast cancer care as compared with similarly poor, but much less adequately insured, women in the United States. This historical study systematically replicated the protective effects of single-versus multipayer health care by comparing colon cancer care among cohorts of extremely poor women in California and Ontario between 1996 and 2011. The Canadian women were again observed to have been largely advantaged. They were more likely to have received indicated surgery and chemotherapy, and their wait times for care were significantly shorter. Consequently, the Canadian women were much more likely to experience longer survival times. Regression analyses indicated that health insurance nearly completely explained the Canadian advantages. Implications for contemporary and future reforms of U.S. health care are discussed.
Closed process groups (15 sessions) cofacilitated by experienced post-MSW female social workers within a generalist problem-solving framework were offered to 115 survivors of childhood sexual abuse. This quasi-experimental study compared group work intervention with a waiting-list comparison group on measures of depression and self-esteem. Survivors who completed the group work intervention (86.6%) were significantly less depressed and had significantly improved self-esteem as compared with their wait-listed counterparts. Consistent across the three outcome measures at immediate posttest, nearly three quarters of the intervention group members' scores were less than the waiting-list group's average score. At 6-month follow-up (75.6% completed), the positive effects tended to be even larger.
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