Journal of primary health care最新文献_第2页

Conventional medication adherence and self-treatment practices among South Asian immigrants: a qualitative study. 南亚移民的传统药物依从性和自我治疗实践：一项定性研究。

IF 1.1

Journal of primary health care Pub Date : 2024-12-01 DOI: 10.1071/HC24084

Sumera Saeed Akhtar, Mudassir Anwar, Kirsten J Coppell, Sherly Mathew Parackal

{"title":"Conventional medication adherence and self-treatment practices among South Asian immigrants: a qualitative study.","authors":"Sumera Saeed Akhtar, Mudassir Anwar, Kirsten J Coppell, Sherly Mathew Parackal","doi":"10.1071/HC24084","DOIUrl":"10.1071/HC24084","url":null,"abstract":"Introduction Globally, cardiovascular disease (CVD) is a common cause of death. The highest CVD rate is among South Asian populations and South Asian immigrants have a higher risk of developing CVD than other ethnic groups. While treatment of established CVD risk factors is recommended, medication adherence may be poor. Aim This qualitative study aimed to explore medication adherence practices of New Zealand South Asians who are prescribed medications for type 2 diabetes, and/or hypertension, and/or dyslipidaemia, established risk factors for CVD. Method Twenty-one semi-structured telephone interviews were conducted with South Asians with type 2 diabetes, and/or hypertension, and/or dyslipidaemia. Data were transcribed, then analysed thematically using NVivo12. Codes and inductively derived themes were discussed. Results Five themes with 12 subthemes were identified. The five themes included daily routine and medication adherence practices, perceived necessity of medications and concerns about side effects, concern and hesitancy to start conventional medications, integration of herbal and alternative therapies, and the role of healthcare providers and communication. Discussion These findings highlight the importance of personalised approaches to medication management that consider patients' beliefs, daily routines, and cultural contexts to reduce CVD risk and improve health outcomes among South Asians.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 4","pages":"390-397"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prescriptions and prescribers in primary health care. 初级卫生保健中的处方和开处方者。

IF 1.1

Journal of primary health care Pub Date : 2024-12-01 DOI: 10.1071/HC24181

Felicity Goodyear-Smith, Tim Stokes

引用次数: 0

Patient perceptions of barriers to effective migraine management in Aotearoa New Zealand. 在新西兰奥特罗阿，患者对偏头痛有效管理障碍的认知。

IF 1.1

Journal of primary health care Pub Date : 2024-12-01 DOI: 10.1071/HC24020

Blair McInnarney, Fiona Imlach, Jonathan Kennedy, Susan M Garrett

{"title":"Patient perceptions of barriers to effective migraine management in Aotearoa New Zealand.","authors":"Blair McInnarney, Fiona Imlach, Jonathan Kennedy, Susan M Garrett","doi":"10.1071/HC24020","DOIUrl":"https://doi.org/10.1071/HC24020","url":null,"abstract":"Introduction Migraine is a complex neurological condition which requires evidence based treatment, tailored to the individual. International evidence shows that treatment is often sub-optimal, but the experience of people with migraine in NZ is unknown. Aim This study aimed to describe the barriers people with migraine disease face when seeking care for their condition in Aotearoa New Zealand (NZ). Methods The Migraine in Aotearoa New Zealand Survey (MiANZ) was delivered online via SurveyMonkey from 22 August 2022 to 7 October 2022. Questions included: sociodemographics, the Migraine Disability Assessment Scale (MIDAS), ability to access health care, perception of health professionals' knowledge and open-ended questions. Analysis used a mixed method approach. Results Five hundred and thirty people from NZ responded, of whom 82% (433/530) were female and 77% (409/530) NZ European/other. Eighty-eight percent (467/530) had accessed primary care for migraine, with 36% (167/467) finding GPs' knowledge of migraine to be excellent or very good. Forty-two percent (222/530) reported at least one instance where they had felt judged because of migraine by a health professional. Themes from free-text data included patient perception of health professionals' knowledge of migraine, the presence of stigma within medical practice and systemic barriers to accessing effective health care. Discussion People with migraine in NZ report significant barriers when trying to access effective management. Barriers were in both primary and secondary care and impacted the ability of people with migraine to manage their condition. More current migraine continuing medical education for GPs and other health professionals, better development and communication of care plans between primary and secondary care and patients and measures to address stigma are required to improve management of this complex disease.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 4","pages":"347-356"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Taken out of context: academic rural health in Aotearoa New Zealand. 断章取义：新西兰奥特亚罗瓦的农村学术卫生。

IF 1.1

Journal of primary health care Pub Date : 2024-09-01 DOI: 10.1071/HC24133

Garry Nixon

引用次数: 0

Preferred format and strategies for seeking and trusting online health information: a survey of cardiology outpatient attendees across three New Zealand hospitals. 寻求和信任在线健康信息的首选格式和策略：对新西兰三家医院心脏科门诊病人的调查。

IF 1.1

Journal of primary health care Pub Date : 2024-09-01 DOI: 10.1071/HC23143

Susan Wells, Faith Mahony, Arier Lee, Andrew McLachlan, Jennie Dean, Jane Clarke, Siobhan Lehnhard, Robyn Whittaker, Matire Harwood, Jacqueline Cumming, Janine Bycroft

{"title":"Preferred format and strategies for seeking and trusting online health information: a survey of cardiology outpatient attendees across three New Zealand hospitals.","authors":"Susan Wells, Faith Mahony, Arier Lee, Andrew McLachlan, Jennie Dean, Jane Clarke, Siobhan Lehnhard, Robyn Whittaker, Matire Harwood, Jacqueline Cumming, Janine Bycroft","doi":"10.1071/HC23143","DOIUrl":"https://doi.org/10.1071/HC23143","url":null,"abstract":"Introduction The volume and quality of online health information requires consumers to be discerning. Aim This study aimed to explore consumer Internet use for health information, preferred format and what factors helped them to trust the source. Methods A cross-sectional study was conducted in 2016-2017 with adults attending three cardiology outpatient clinic sites using a short paper-based survey. The survey included questions regarding online health information use and perceived trustworthiness with opportunities for free text responses. Survey data were summarised with key questions adjusted by age group, gender and ethnicity using logistic regression. Results Of the 708 respondents (51% women, 66% aged 45-74 years, 16% Māori, 12% Pacific), 73% had sought health information online (64% in the previous 12 months), commonly for medication side effects, their health condition and self-help. Most (65%) were successful, although Pacific respondents reported a lower likelihood of search success compared to Europeans. Younger age groups were more concerned about information quality. Fact sheets (80%) were the most popular format and for all ethnic groups, followed by short videos (31%) and discussion groups (23%). Trusting online information required many strategies with 72% wanting health professionals to recommend websites. Discussion Online health information seeking is a norm for consumers, with simple fact sheets being the preferred format to build knowledge and skills. With the rising tide of misinformation, health portal providers need to offer accurate and easy-to-read fact sheets in their suite of formats and health professionals need to support consumers guiding them to trusted websites.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 3","pages":"270-277"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reframing rural health inequities: a norm-critical approach. 重塑农村健康不公平现象：规范批判方法。

IF 1.1

Journal of primary health care Pub Date : 2024-09-01 DOI: 10.1071/HC24130

Kyle Eggleton

引用次数: 0

Can SSRI's help women suffering with PMS? SSRI 能帮助经前综合征妇女吗？

IF 1.1

Journal of primary health care Pub Date : 2024-09-01 DOI: 10.1071/HC24135

Vanessa Jordan

引用次数: 0

Comfort with having sexual orientation recorded on official databases among a community and online sample of gay and bisexual men in Aotearoa New Zealand. 新西兰奥特亚罗瓦男同性恋和双性恋社区及网络样本对官方数据库记录性取向的满意度。

IF 1.1

Journal of primary health care Pub Date : 2024-09-01 DOI: 10.1071/HC23107

A H Ludlam, H Petousis-Harris, B Arroll, P J W Saxton

{"title":"Comfort with having sexual orientation recorded on official databases among a community and online sample of gay and bisexual men in Aotearoa New Zealand.","authors":"A H Ludlam, H Petousis-Harris, B Arroll, P J W Saxton","doi":"10.1071/HC23107","DOIUrl":"https://doi.org/10.1071/HC23107","url":null,"abstract":"Introduction Sexual orientation minorities have worse health outcomes than the heterosexual majority. In 2023, Aotearoa New Zealand (NZ) added sexual and gender identity items to the Census, offering actionable data for improving sexual identity and gender identity (SOGI) community health. However, this also raises questions about individuals' willingness to provide such information to Government and their comfort with data privacy and governance. Methods Using data from gay, bisexual, and other men who have sex with men (GBM) participants of the Gay Auckland Periodic Sex Survey and Gay Men's Online Sex Survey 2014 cross-sectional surveys, the study question examined comfort having their sexual orientation recorded in official databases. A logistic regression model was used to identify independent predictors of comfort, including sociodemographic and behavioural variables. Results Of 3173 participants who completed the question, 63.1% were comfortable with recording sexual orientation. Adjusted odds ratios showed less comfort among those identifying with an 'Other' ethnicity (AOR: 0.64, 95% CI: 0.43-0.96), identifying as bisexual (AOR: 0.45, 95% CI: 0.35-0.56), and those who did not believe their GP to be aware of their sexuality (AOR: 0.32, 95% CI: 0.26-0.40). No sexual behaviours were independently associated with comfort. Discussion The majority of GBM participants reported comfort with having their sexual orientation recorded on official databases, but some are not, and this is patterned by sociodemographic variables. Officials should improve the safety and perceived relevance of sexual orientation data collection efforts to increase their representativeness and utility for sexual minority populations.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 3","pages":"243-249"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Māori and Pacific young people's perspectives on testing for sexually transmitted infections via an online service: a qualitative study. 毛利和太平洋裔青少年对通过在线服务进行性传播感染检测的看法：一项定性研究。

IF 1.1

Journal of primary health care Pub Date : 2024-09-01 DOI: 10.1071/HC23136

Sally B Rose, Tracey Gardiner, Abigail Dunlop, Marama Cole, Susan M Garrett, Eileen M McKinlay

{"title":"Māori and Pacific young people's perspectives on testing for sexually transmitted infections via an online service: a qualitative study.","authors":"Sally B Rose, Tracey Gardiner, Abigail Dunlop, Marama Cole, Susan M Garrett, Eileen M McKinlay","doi":"10.1071/HC23136","DOIUrl":"10.1071/HC23136","url":null,"abstract":"Introduction International research suggests free online postal self-sampling for sexually transmitted infection (STI) testing is an acceptable alternative to clinic-based testing. A user-pays online STI testing service exists in Aotearoa New Zealand, but acceptability among priority populations is unknown. Aim To explore Māori and Pacific young people's perspectives on online postal self-sampling for STI testing (as prospective service users). Methods Four wānanga (knowledge-sharing forum) were held between November 2022 and May 2023 with Māori and Pacific participants aged 15-24 years who were recruited via youth-focused community organisations. Three facilitators guided discussions about STI testing and use of an online service. Inductive thematic analysis was used to analyse data generated from audio-recorded discussions, group work notes and facilitator field notes. Results None of the 38 participants were aware of online STI testing and all considered it cost-prohibitive. Perceptions of online testing were mixed, and discussion about concerns outweighed perceived benefits. Three themes were identified: (i) potential to support autonomy (perceived benefits and positive features of self-sample collection kits); (ii) barriers and process-related concerns; and (iii) tailoring online STI testing to young people's needs (facilitating engagement with online testing). Discussion For online STI testing to be an accessible alternative to clinic-based testing for priority populations, cost, low awareness and other barriers in the testing pathway need to be addressed. Clinician follow-up on positive results and free treatment would be critical to ensure the cycle of best practice care is completed. Regardless of where testing is accessed, investment is needed to support young people's knowledge of when, why and how to access a sexual health check.","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"16 3","pages":"258-269"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Milk thistle. 奶蓟草

IF 1.1

Journal of primary health care Pub Date : 2024-09-01 DOI: 10.1071/HC24131

Rayna Sharma, E Lyn Lee, Jo Barnes

引用次数: 0