Racial and ethnic differences in perception of provider cultural competence among patients with depression and anxiety symptoms: a retrospective, population-based, cross-sectional analysis

Eken, Hatice Nur; Dee, Edward Christopher; Powers, Albert R.; Jordan, Ayana

doi:10.1016/s2215-0366(21)00285-6

Cited by 27 publications

(18 citation statements)

References 73 publications

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“…These percentages were lower than that recorded for Korean patients who had depression for >12 months (17.8% of patients) (Kim et al, 2022). This confirms the finding of Ekn, who reported a significant variation among individuals of different races (Eken et al, 2021). Other studies confirmed the link of depression to female sex (Sønderskov et al, 2020) and age <40 years (Ahmed et al, 2020;Gao et al, 2020).…”

Section: Discussionsupporting

confidence: 82%

Neuropsychiatric symptoms in post-COVID-19 long haulers

Alghamdi

Alrashed

Jawhari

et al. 2022

Acta Neuropsychiatr.

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Background: Long haulers have been recently reported after contracting coronavirus disease (COVID-19). In the present study, we aimed to screen for the neuropsychiatric signs detected <1 to >6 months after infection by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and to determine whether vaccination has an effect on them. Methods: An online survey was conducted among participants who had been diagnosed with laboratory-confirmed SARS-CoV-2 infection. The clinical signs and durations of neuropsychiatric complaints and their correlations to sex, age, severity of COVID-19 signs, and vaccination status were screened. Results: A total of 2218 individuals, including 1358 females and 860 males, with an age range of 12–70 years, submitted their responses. The respondents experienced cognitive dysfunction, mood alteration, depression, tinnitus, sleep disorders, and loss of taste and smell, with prevalence rates ranging from 18.9% (tinnitus) to 63.9% (loss of taste and smell). Of the respondents, 2.2–7.7% of confirmed the persistence of symptoms for >6 months. Tinnitus was the least common complaint, and only 2.2% of the study participants had tinnitus for >6 months. Meanwhile, mood alteration persisted for >6 months in 7.6% of the study participants. More respondents who received two doses of BNT162b2 vaccine showed persistent symptoms than those in the other groups. Disease severity and female sex were identified as potential determinants of the development and persistency of such symptoms. Conclusion: Post-COVID neuropsychiatric symptoms were present in considerable percentages of the study participants with SARS-CoV-2 infection, persisting for >6 months in up to 7.6% of the participants.

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Section: Discussionsupporting

confidence: 82%

Neuropsychiatric symptoms in post-COVID-19 long haulers

Alghamdi

Alrashed

Jawhari

et al. 2022

Acta Neuropsychiatr.

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“…2) low awareness of developmental disabilities (Whittle et al, 2018); 3) distrust of healthcare professionals (Zeleke et al, 2019); 4) fear of not being believed (Lewis, 2017); 5) misgendering or sex bias in characterizing disability conditions (Bargiela et al, 2016;Santos et al, 2022); and 6) low cultural competency in patient-provider interactions (Aylward et al, 2021;Eken et al, 2021). Some still cannot access a formal diagnosis when missed as a child due to living in a LMIC or region, immigration status, lack of healthcare coverage, language/communication barrier, or lack of access to a professional licensed to conduct diagnostic evaluations.…”

Section: Intersection Of Neurodivergence and Socioeconomic Statusmentioning

confidence: 99%

Bridging Neurodiversity and Open Scholarship: How Shared Values Can Guide Best Practices for Research Integrity, Social Justice, and Principled Education

Elsherif¹,

Middleton²,

Phan³

et al. 2022

Preprint

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Not all people conform to what is socially construed as the norm and divergences should be expected. Neurodiversity is fundamental to the understanding of human behaviour and cognition. However, neurodivergent individuals are often stigmatised, devalued, and objectified. This position statement presents the perspectives of neurodivergent authors, the majority of whom have personal lived experiences of neurodivergence(s), and discusses how research and academia can and should be improved in terms of research integrity, inclusivity and diversity. The authors describe future directions that relate to lived experience and systematic barriers, disclosure, directions on prevalence, stigma, intersection of neurodiversity and open scholarship, and provide recommendations that can lead to personal and systematic changes to improve acceptance of neurodivergent individuals’ lived experiences within academia.

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“…These children are more likely to experience disparities related to socioeconomic status ( Statistics Sweden, 2020 ), health status, and health needs ( Gustafsson & Österberg, 2018 ; Hjern & Kling, 2019 ). Cultural competence is a response to the growing need to reduce health disparities in societies with culturally diverse populations ( Abubakar et al, 2018 ; Eken et al, 2021 ). School nurses, who encounter the children on a regular basis ( Michaud et al, 2021 ) and contribute to children’s health ( Bohnenkamp et al, 2019 ; Musliu et al, 2019 ), assess themselves as moderately culturally competent ( Wahlström et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Testing the Assumptions in the Process of Cultural Competence in the Delivery of Healthcare Services Using Empirical Data, Focusing on Cultural Awareness

et al. 2023

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Introduction: Encounters with children of foreign origin call for school nurses’ cultural competence during the health visits. This study aimed to investigate the statistical associations between the cultural constructs described by the Process of Cultural Competence in the Delivery of Healthcare Services (PCCDHS) model and whether school nurses’ cultural encounters, cultural knowledge, and cultural skill could statistically predict their cultural awareness. Methodology: Spearman correlation and hierarchical regression analyses were conducted using cross-sectional secondary data from 816 Swedish school nurses. The cultural constructs in the theoretical description of the PCCDHS model guided the selection and sorting of the items on cultural competence. Results: The constructs of cultural knowledge, cultural skill, cultural encounters, and cultural awareness were positively correlated with each other. However, becoming culturally aware was not statistically predicted by included cultural constructs ( R2 = 13.4, p = .06). Discussion: Despite the interrelations between the investigated cultural constructs of the PCCDHS model, understanding cultural awareness development requires further empirical testing.

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Racial and ethnic differences in perception of provider cultural competence among patients with depression and anxiety symptoms: a retrospective, population-based, cross-sectional analysis

Cited by 27 publications

References 73 publications

Neuropsychiatric symptoms in post-COVID-19 long haulers

Neuropsychiatric symptoms in post-COVID-19 long haulers

Bridging Neurodiversity and Open Scholarship: How Shared Values Can Guide Best Practices for Research Integrity, Social Justice, and Principled Education

Testing the Assumptions in the Process of Cultural Competence in the Delivery of Healthcare Services Using Empirical Data, Focusing on Cultural Awareness

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