Three Top Canadian and Personal Health Concerns of a Random Sample of Nova Scotian Women

Davidson, Karina W.; Holderby, Angela D.; Willis, Sandra; Richardson, Takesia N.; Loppie, Charlotte; Roosmalen, Erica H. van

doi:10.1007/bf03404845

Cited by 5 publications

(5 citation statements)

References 3 publications

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“…As with a previous Canadian study examining the health concerns of women (Davidson et al, 2001), few ethnic differences were evident in the results. Perhaps the only discernable difference across transcripts was that First Nations and immigrant women spoke more of discrimination than did the Caucasian participants.…”

Section: > Resultssupporting

confidence: 77%

Out of the Mainstream: Low-Income, Lone Mothers’ Life Experiences and Perspectives on Heart Health

Higgins

Young

Cunningham

et al. 2006

Health Promotion Practice

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Cardiovascular disease remains a health issue in North America, particularly for marginalized citizens. Although lifestyle issues and behavioral risk reduction continue to dominate prevention initiatives, an emerging literature suggests that contextual factors such as poverty and social exclusion also influence health. Using group and personal interviews (N = 38), this research explored the social and economic contexts shaping heart health-related experiences from the perspectives of low-income, lone mothers. The transcripts were analyzed using McKinlay and Marceau's upstream-midstream-downstream framework. The overriding pattern characterizing lone mothers' discussions was that the women felt out of the mainstream of everyday life. They lacked the resources and power to effect change, particularly regarding heart health behaviors that were not perceived to be a priority compared to more pressing survival issues. Results are discussed in terms of concepts from the population health and social determinants literature, concluding with policy implications for enhancing health while living in poverty.

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Section: > Resultssupporting

confidence: 77%

Out of the Mainstream: Low-Income, Lone Mothers’ Life Experiences and Perspectives on Heart Health

Higgins

Young

Cunningham

et al. 2006

Health Promotion Practice

View full text Add to dashboard Cite

show abstract

“…27 As long as researchers rely on designs featuring retrospective reports without control cohorts, it will be impossible to rule out the possibility that reports of emotions as triggers reflect little more than the fact that some patients believe a priori that heart disease is caused by strong negative emotions. 28 The use of case-crossover designs in recent studies of bereavement and cardiac events 1,2 is an improvement over earlier approaches, but this design is still subject to reporting bias; that is, when two major events occur that may be cognitively linked a priori, they may be recalled as more proximate to each other than they actually were. This is particularly true for cardiac events, which often induce extreme emotions.…”

Section: Arguments That Acute Emotional Triggers Mattermentioning

confidence: 99%

Emotional triggers in myocardial infarction: do they matter?

Edmondson

Newman

Whang

et al. 2012

European Heart Journal

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Considerable excitement and interest have arisen recently concerning the role that acute emotional triggers may play in precipitating a myocardial infarction (MI). Observational studies have found repeatedly that patients report excessive anger, anxiety, sadness, grief, or acute stress immediately prior to onset of MI, and recent meta-analyses summarizing these findings reported strong associations between MI occurrence and many of these acute emotions. However, it is unclear whether and through what mechanisms acute emotional triggers might influence MI, and whether there is any clinical utility in knowing if or how emotions trigger MI. We debate whether emotional triggers matter by reviewing the recent evidence for the association between acute emotional triggers and MI and by describing the potential pathophysiological characteristics and mechanisms underlying this association and the preventive strategies that could be used to mitigate the risk of acute MI. We also examine whether the study of emotional triggers could influence clinical risk management or changes in clinical practice/management. We offer suggestions for research that might shed light on whether emotional triggers could initiate a paradigm shift in preventive cardiology, or whether acute emotional triggers are either intractable catalysts for, or merely an epiphenomenon of, some MIs.

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“…Non-phone modalities included interactive websites (n = 12, 5%), SMS/ text messaging (n = 10, 4%), interactive mobile applications (n = 7, 3%), multiple modalities (n = 9, 4%), and other (n = 5, 2%). Of the studies using a primary telehealth modality other than telephone, all but two were published since 2010, 44,45 reflecting a paucity of adequately powered published literature assessing new and emerging telehealth technologies (Fig. 3).…”

Section: Primary Studies and Systematic Reviewsmentioning

confidence: 99%

Telehealth Interventions Designed for Women: an Evidence Map

et al. 2018

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BACKGROUND: Telehealth employs technology to connect patients to the right healthcare resources at the right time. Women are high utilizers of healthcare with genderspecific health issues that may benefit from the convenience and personalization of telehealth. Thus, we produced an evidence map describing the quantity, distribution, and characteristics of evidence assessing the effectiveness of telehealth services designed for women. METHODS: We searched MEDLINE ® (via PubMed ® ) and Embase ® from inception through March 20, 2018. We screened systematic reviews (SRs), randomized trials, and quasi-experimental studies using predetermined eligibility criteria. Articles meeting inclusion criteria were identified for data abstraction. To assess emerging trends, we also conducted a targeted search of ClinicalTrials.gov. RESULTS: Two hundred thirty-four primary studies and three SRs were eligible for abstraction. We grouped studies into focused areas of research: maternal health (n = 96), prevention (n = 46), disease management (n = 63), family planning (n = 9), high-risk breast cancer assessment (n = 10), intimate partner violence (n = 7), and mental health (n = 3). Most interventions focused on phone as the primary telehealth modality and featured healthcare team-to-patient communication and were limited in duration (e.g., < 12 weeks). Few interventions were conducted with older women (≥ 60 years) or in racially/ ethnically diverse populations. There are few SRs in this area and limited evidence regarding newer telehealth modalities such as mobile-based applications or short message service/texting. Targeted search of clinical.trials.gov yielded 73 ongoing studies that show a shift in the use of non-telephone modalities. DISCUSSION: Our systematic evidence map highlights gaps in the existing literature, such as a lack of studies in key women's health areas (intimate partner violence, mental health), and a dearth of relevant SRs. With few existing SRs in this literature, there is an opportunity for examining effects, efficiency, and acceptability across studies to inform efforts at implementing telehealth for women.

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Three Top Canadian and Personal Health Concerns of a Random Sample of Nova Scotian Women

Cited by 5 publications

References 3 publications

Out of the Mainstream: Low-Income, Lone Mothers’ Life Experiences and Perspectives on Heart Health

Out of the Mainstream: Low-Income, Lone Mothers’ Life Experiences and Perspectives on Heart Health

Emotional triggers in myocardial infarction: do they matter?

Telehealth Interventions Designed for Women: an Evidence Map

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