Beyond Income, Access, and Knowledge

Trujillo, Antonio J.; Fleisher, Lisa

doi:10.1177/0898264313508190

Cited by 9 publications

(6 citation statements)

References 52 publications

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“…While we identified higher household income to associate with a standard perception of LP, we do not know whether this relationship reflects greater familiarity and trust associated with the modern healthcare systems, availability of neuro-diagnostic tests, ( McLane et al, 2015 ) and access to higher quality health information in families and neighborhoods with higher income. ( Marmot, 2002 ; Borhani-Haghighi et al, 2009 ; Trujillo and Fleisher, 2013 ) Alternatively, those not familiar with LP may mistake it for an expensive procedure with limited insurance coverage. We did not survey factors associated with past contacts with healthcare systems, health insurance status, or trust in medical research ( Williams et al, 2010 ) to identify mediators of the relationship.…”

Section: Discussionmentioning

confidence: 99%

Fear and Uncertainty Do Not Influence Reported Willingness to Undergo Lumbar Punctures in a U.S. Multi-Cultural Cohort

Tsvetkova

Bergquist

Parker

et al. 2017

Front. Aging Neurosci.

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Cerebrospinal fluid (CSF) biomarkers for Alzheimer’s disease and related disorders can provide early and accurate prediction of underlying neuropathology even when the clinical symptoms are mild, but lumbar punctures (LP) to obtain CSF can be perceived as frightening and invasive. We previously demonstrated that this negative perception of the LP is strongly associated with a negative LP experience in terms of discomfort and complications, but it is not known what factors can lead to a negative perception of the LP. It has also been proposed that LP is less well-perceived by adults in the U.S. compared to Europe and elsewhere, although there is a paucity of primary data to support this. To address these knowledge gaps, we conducted a survey of 237 younger and older adults in the Atlanta area including a significant number born outside of the U.S. (n = 82, 34%) to determine demographic, medical, and experiential factors associated with the perception of LP as well as the willingness to undergo LP for medical or research purposes. Our results show that one in four respondents in this cohort with limited first-hand LP experience viewed the LP as a frightening invasive procedure, but the majority (89%) were willing to undergo LP for medical reasons. General awareness of the LP was associated with both standard and negative views of the LP, but perception did not influence willingness to undergo the procedure. Multi-variate models showed that higher annual household income, not place of birth or past experience, was associated with greater willingness to undergo LPs. We conclude that Americans (born in the U.S. or abroad) are not resistant to LPs if there is useful information to improve their health, although there is limited enthusiasm to undergo LPs solely for research purposes. At the same time, we failed to find modifiable factors to improve the perception of LP among those who already perceive it as frightening and invasive. Future recruitment effort should target adults with no preconceived notion of the LP with emphasis on data related to safety and tolerability.

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Section: Discussionmentioning

confidence: 99%

Fear and Uncertainty Do Not Influence Reported Willingness to Undergo Lumbar Punctures in a U.S. Multi-Cultural Cohort

Tsvetkova

Bergquist

Parker

et al. 2017

Front. Aging Neurosci.

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“…A atitude em relação à doença pode ou não ser influenciada pelo conhecimento insatisfatório sobre ela, bem como pelo significado que o indivíduo atribui à condição crônica (12,(20)(21) . Há que se considerar que a motivação e as atitudes do paciente frente à doença não são cristalizadas, pois são influenciadas por componentes cognitivos, motivacionais, emocionais e de conhecimento sobre a doença (22) .…”

Section: Discussionunclassified

“…Nesse sentido, a existência de espaços que permitam aos indivíduos compartilharem suas angústias em relação à doença pode favorecer a mudança de atitude em relação a comportamentos saudáveis, pois compreendem que suas dificuldades vivenciadas muitas vezes representam dificuldades coletivas (21) .…”

Section: Discussionunclassified

“…Isso ficou mais evidente após o acréscimo de outras variáveis estatisticamente associadas, como a não realização de exames laboratoriais de rotina nos últimos seis meses e a circunferência abdominal alterada. Estudo realizado junto a indivíduos com DM2 e hipertensão arterial na América Latina apontou que a renda pode constituir um dos componentes mais importantes para atenuar diferenças no manejo da doença, já que constitui fator influente na escolaridade (21) .…”

Section: Discussionunclassified

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Fatores Associados Ao Conhecimento E À Atitude Em Relação Ao Diabetes Mellitus

et al. 2017

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RESUMO: O objetivo deste estudo foi identificar fatores associados ao conhecimento e à atitude diante da doença em indivíduos com diabetes. Estudo transversal com 288 indivíduos, mediante entrevista, entre março e setembro de 2014, em seis unidades básicas de saúde no estado do Paraná. O conhecimento insatisfatório sobre a doença (n=194, 67,4%) e a atitude negativa (n=211, 73,4%) foram predominantes. Os fatores associados ao conhecimento insatisfatório foram sexo feminino (p=0,004), baixa escolaridade, ausência de complicações (p=0,011), sem consulta com endocrinologista nos últimos doze meses (p=0,009). Renda maior que dois salários mínimos (p=0,002), circunferência abdominal alterada (p=0,001) e sem realização de exames de sangue nos últimos seis meses (p=0,005) estiveram associados à atitude negativa diante da doença. Evidencia-se a necessidade de intervenções que melhorem o conhecimento dos indivíduos sobre a doença, e que reforcem e estimulem o desenvolvimento e a adoção de comportamentos adequados para o enfrentamento dessa condição crônica. DESCRITORES: Diabetes mellitus; Doença crônica; Conhecimento; Atitude; Autocuidado. FATORES ASSOCIADOS AO CONHECIMENTO E À ATITUDE EM RELAÇÃO AO DIABETES MELLITUS* FACTORS ASSOCIATED WITH KNOWLEDGE AND ATTITUDE OF DIABETIC INDIVIDUALS TOWARDS DIABETES MELLITUSABSTRACT: The present study aimed to identify factors associated to the knowledge and attitude of individuals with diabetes towards the disease. Cross-sectional study in which 288 individuals were interviewed between March and September 2014, in six basic health units in the state of Paraná. Poor knowledge of the disease (n = 194, 67.4%) and negative attitude (n=211, 73,4%) were predominant. Factors associated with unsatisfactory knowledge were female gender (p = 0.004), low educational level, absence of complications (p = 0.011), individuals who had no appointments with an endocrinologist over the last twelve months (p = 0.009). A monthly income higher than two minimum wages (p = 0.002), abnormal waist circumference (p = 0.001) and who had not taken blood tests over the last six months (p = 0.005) were associated with a negative attitude towards the disease. The study highlights the need for interventions to improve the population's knowledge about the disease and encourage the adoption of appropriate behaviors to face this chronic condition. DESCRIPTORS: Diabetes mellitus; Chronic illness; Knowledge; Attitude; Self-care. FACTORES ASOCIADOS AL CONOCIMIENTO Y A LA ACTITUD ACERCA DEL DIABETES MELLITUSRESUMEN: Fue objetivo de este estudio identificar factores asociados al conocimiento y a la actitud delante de la enfermedad por individuos con diabetes. Estudio transversal con 288 individuos, hecho por medio de entrevista, entre marzo y septiembre de 2014, en seis unidades básicas de salud en estado de Paraná. El insuficiente conocimiento acerca de la enfermedad (n=194, 67,4%) y la actitud negativa (n=211, 73,4%) predominaron. Los factores asociados al conocimiento insuficiente fueron sexo femenino (p=0,004), poca ...

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“…In this manner, adequate cognitive stimulation (Nithianantharaiah & Hannan, 2011) seems to be behind this neural remnant that would equip a person with the ability to minimize the effects of age-related neurological disorders, as well as any damage from brain pathology, offering protection against the clinical development of the symptoms or signs typical of neurocognitive disease and dementia (Fratiglioni & Wang, 2007). From another perspective, one cannot overlook the effect of education in providing more information, and therefore, better and healthier lifestyle habits, which are especially important in relation to pathologies like DM (Trujillo & Fleisher, 2013).…”

Section: Discussionmentioning

confidence: 99%

Clinical and Sociodemographic Factors Associated with Cognitive Impairment and Neuroprotection in Diabetes Patients

2015

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The aim of this study is to analyze the potential impact of factors (clinical and demographic variables and comorbidities) associated with Diabetes Mellitus (DM) on certain mental processes related to cognitive impairment, with special attention to the analysis of parameters that define processing speed and executive function. Neuropsychological examination of elderly Spanish patients (N = 59, 33 females, M age 70.98 years) diagnosed with DM, in addition to application of an ad hoc questionnaire to collect information on comorbidities and other relevant demographic variables. Based on a cross-sectional design, correlational analysis was carried out. Cognitive performance showed an inverse relationship to age and cardiopathology while years of schooling and regular physical activity appeared as neuroprotective factors. DM is an illness which, linked to other variables, can be regarded as a risk factor for the development of cognitive impairment. Certain factors (physical activity and cognitive stimulation) have the potential to mitigate this tendency. There is a need to further our understanding of the neurobiological mechanisms involved.

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Beyond Income, Access, and Knowledge

Cited by 9 publications

References 52 publications

Fear and Uncertainty Do Not Influence Reported Willingness to Undergo Lumbar Punctures in a U.S. Multi-Cultural Cohort

Fear and Uncertainty Do Not Influence Reported Willingness to Undergo Lumbar Punctures in a U.S. Multi-Cultural Cohort

Fatores Associados Ao Conhecimento E À Atitude Em Relação Ao Diabetes Mellitus

Clinical and Sociodemographic Factors Associated with Cognitive Impairment and Neuroprotection in Diabetes Patients

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