Descriptive phenomenology study of the reasons for the low uptake of free health service package among type II diabetic patients

Rarani, Mostafa Amini; Karimi, Saeed; Gharacheh, Laleh

doi:10.1186/s12913-022-08953-9

Cited by 3 publications

(1 citation statement)

References 64 publications

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“…In addition, the sub-themes were lack of awareness, poor health literacy, adverse patient experience, problems using services, cultural barriers, verbal miscommunication, low trust, geographical barriers, time barriers, nancial problems, lack of human resources, poor service delivery. And organizational factors were barriers to participation (43).…”

Section: Discussionmentioning

confidence: 99%

measuring socio-economic inequality in utilization of type 2 diabetes services

Torabipour,

Karimi,

Amini-Rarani

et al. 2024

Preprint

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Introduction: Health inequities are important issue; this study was conducted in order to measuring socio-economic inequality in utilization of type 2 diabetes services. Methods: This study is an explanatory sequential mixed method that was conducted in two Quantitative and Qualitative phases. In the Quantitative part, type 2 diabetes patients referred to health centers, hospitals and diabetes clinics in Isfahan and Khuzestan provinces were selected through available samples. Using the Concentration Index(CI) approach, the existence of inequality in utilization of type 2 diabetes services was examined. In the next step, in order to analyze the inequality, the inequality contribution of each of the determining factors was determined by concentration index analysis method. Next step, we conducted in-depth interviews with key experts in the field of health to extracted effective solutions. Results: most of the samples were 1306 (65.3%) men. The most age group involved was799 people (40%) over 60 years. concentration index value in outpatient services was 0.31 (p<0.05), inpatient services -0.10 (p>0.05), and pharmaceutical services 0.11 (p<0.05). This means that there was a disparity in the use of outpatient and drug services for type 2 diabetic patients, while the disparity in inpatient services is not significant. Variables contributing to inequality for outpatient services were health status (33.54%), basic insurance (27.43%) and socio-economic status (24.08%), also in pharmaceutical services, health status variable (22.20%), basic insurance (13.63%) and socio-economic status (34.35%) contributed to socio-economic inequality in utilizing from services related to type 2 diabetes patients. Also, the experts' point of view for solutions to reduce socio-economic inequalities in Iran were classified in 3 main themes (socio-economic status, health status, basic insurance) and 29 sub-themes. Conclusion: According to the results, it is suggested that targeted health interventions for the poor patient, and the efforts towards outpatient and medicinal items insurance coverage for type 2 diabetic patients. Improving the status of variables affecting of socio-economic inequality in type 2 diabetic patients and improving the status of the country's health system, strengthening the package of basic health insurance utilization.

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Section: Discussionmentioning

confidence: 99%

measuring socio-economic inequality in utilization of type 2 diabetes services

Torabipour,

Karimi,

Amini-Rarani

et al. 2024

Preprint

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The urban-rural disparities and factors associated with the utilization of public health services among diabetes patients in China

Ma,

Fan,

Zhang

et al. 2023

BMC Public Health

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Background Basic public health services for diabetes play an essential role in controlling glycemia in patients with diabetes. This study was conducted to understand the urban-rural disparities in the utilization of basic public health services for people with diabetes and the factors influencing them. Methods The data were obtained from the 2018 China Health and Retirement Longitudinal Study (CHARLS) with 2976 diabetes patients. Chi-square tests were used to examine the disparities in the utilization of diabetes physical examination and health education between urban and rural areas. Logistic regression was performed to explore the factors associated with the utilization of diabetes public health services. Results Among all participants, 8.4% used diabetes physical examination in the past year, and 28.4% used diabetes health education services. A significant association with age (OR = 0.64, 95% CI:0.49–0.85; P < 0.05) was found between patients’ use of health education services. Compared with diabetes patients living in an urban area, diabetes patients living in a rural area used less diabetes health education. (χ2= 92.39, P < 0.05). Patients’ self-reported health status (OR = 2.04, CI:1.24–3.35; P < 0.05) and the use of glucose control (OR = 9.33, CI:6.61–13.16; P < 0.05) were significantly positively associated with the utilization of diabetes physical examination. Patients with higher education levels were more likely to use various kinds of health education services than their peers with lower education levels (OR = 1.64, CI:1.21–2.22; P < 0.05). Conclusion Overall, urban-rural disparities in the utilization of public health services existed. Vulnerable with diabetes, such as those in rural areas, are less available to use diabetes public health services. Providing convenient health service infrastructure facilitates the utilization of basic public health services for diabetes in older patients with diabetes, especially in rural areas.

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The impact of sociocultural contexts on the knowledge, attitudes, and practices of adults living with HIV/AIDS in Ethiopia towards metabolic syndrome risks: A descriptive phenomenology study using the PEN-3 model

Bune

2024

PLoS ONE

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Introduction The global HIV/AIDS initiative in Africa aims for eradication by 2030 and treatment for 95% of HIV-positive adults by 2025. Adult People living with HIV (PLWHs) face health complications, including metabolic syndrome (MS), which heightens the risk of non-communicable diseases (NCDs) and cardiovascular problems. WHO and UNAIDS advocate for the integration of NCDs into primary healthcare, yet addressing MS remains a significant challenge in Africa. The WHO’s Global Action Plan aims to reduce chronic diseases by managing risk factors and promoting healthy lifestyles within this population. However, effectively promoting healthy lifestyles necessitates an understanding of the sociocultural contexts that influence behaviors related to MS. Therefore, this study investigates how sociocultural contexts influences on knowledge, attitudes, and practices of PLWHs in Ethiopia regarding MS prevention and associated lifestyle risks, utilizing the PEN-3 model as a sociocultural framework. Methods The study utilized a deductive descriptive phenomenological approach, involving 32 voluntarily selected PLWHs who sought routine care at public health institutions from December 29, 2017, to January 22, 2018. Data collection was facilitated by experienced research and task teams using standardized guidelines for focus group discussions and in-depth interviews tailored to the research context. The collected text and survey data were managed with Atlas.ti and SPSS software and analyzed through thematic content analysis. Results were reported in accordance with the consolidated criteria for reporting qualitative research (COREQ) checklist. Results A study of 32 HIV-positive adults found that knowledge, attitudes, and health-related behaviors were key factors in their health. Participants learned about metabolic syndrome (MS) risks through mass media, peer discussions, and family education. However, there was a lack of awareness about the impact of HIV medications on MS and limited understanding of lifestyle factors for disease prevention. Attitudes reflect complex challenges for PLWHs in perceiving MS and its management. Health-related behaviors varied, with positive practices like fruit and vegetable consumption, regular exercise, and avoidance of harmful substances. Negative practices included sedentary lifestyles, raw meat consumption, alcohol, smoking, and ’Khat’ use, which could negatively affect health outcomes. Addressing these culturally preferred behaviors is crucial for improving health among PLWHs. Conclusion The study revealed a notable knowledge gap regarding metabolic syndrome (MS) and its risk factors, leading to inadequate health attitudes and practices. Sociocultural factors—such as beliefs, values, family dynamics, and community support—are crucial in shaping the knowledge, attitudes and practice of PLWHs toward the prevention and management of chronic diseases like MS. The finding suggested that addressing the sociocultural factors affecting HIV-positive individuals’ knowledge and practices regarding metabolic syndrome requires a comprehensive, inclusive approach that emphasizes education, community involvement, policy reform, and a focus on reducing stigma.

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Descriptive phenomenology study of the reasons for the low uptake of free health service package among type II diabetic patients

Cited by 3 publications

References 64 publications

measuring socio-economic inequality in utilization of type 2 diabetes services

measuring socio-economic inequality in utilization of type 2 diabetes services

The urban-rural disparities and factors associated with the utilization of public health services among diabetes patients in China

The impact of sociocultural contexts on the knowledge, attitudes, and practices of adults living with HIV/AIDS in Ethiopia towards metabolic syndrome risks: A descriptive phenomenology study using the PEN-3 model

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