Chronic Illness最新文献_第9页

Morbidity and utilisation of healthcare services among people with cardiometabolic disease in three diverse regions of rural India. 印度农村三个不同地区心脏代谢疾病患者的发病率和保健服务利用情况。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-12-01 Epub Date: 2023-02-06 DOI: 10.1177/17423953231153550

Sojib Bin Zaman, Roger G Evans, Clara K Chow, Rohina Joshi, Kavumpurathu R Thankappan, Brian Oldenburg, Ajay S Mahal, Kartik Kalyanram, Kamakshi Kartik, Michaela A Riddell, Oduru Suresh, Nihal Thomas, Gomathyamma K Mini, Pallab K Maulik, Velandai K Srikanth, Amanda G Thrift

{"title":"Morbidity and utilisation of healthcare services among people with cardiometabolic disease in three diverse regions of rural India.","authors":"Sojib Bin Zaman, Roger G Evans, Clara K Chow, Rohina Joshi, Kavumpurathu R Thankappan, Brian Oldenburg, Ajay S Mahal, Kartik Kalyanram, Kamakshi Kartik, Michaela A Riddell, Oduru Suresh, Nihal Thomas, Gomathyamma K Mini, Pallab K Maulik, Velandai K Srikanth, Amanda G Thrift","doi":"10.1177/17423953231153550","DOIUrl":"10.1177/17423953231153550","url":null,"abstract":"Objectives: To assess the prevalence and determinants of cardiometabolic disease (CMD), and the factors associated with healthcare utilisation, among people with CMD.Methods: Using a cross-sectional design, 11,657 participants were recruited from randomly selected villages in 3 regions located in Kerala and Andhra Pradesh from 2014 to 2016. Multivariable logistic regression was used to identify factors independently associated with CMD and healthcare utilisation (public or private).Results: Thirty-four per cent (n = 3629) of participants reported having ≥1 CMD, including hypertension (21.6%), diabetes (11.6%), heart disease (5.0%) or chronic kidney disease (CKD) (1.6%). The prevalence of CMD was progressively greater in regions of greater socio-economic position (SEP), ranging from 19.1% to 40.9%. Among those with CMD 41% had sought any medical advice in the last month, with only 19% utilising public health facilities. Among people with CMD, those with health insurance utilised more healthcare (age-gender adjusted odds ratio (AOR) (95% confidence interval (CI)): 1.31 (1.13, 1.51)) as did those who reported accessing private rather than public health services (1.43 (1.23, 1.66)).Discussion: The prevalence of CMD is high in these regions of rural India and is positively associated with indices of SEP. The utilisation of outpatient health services, particularly public services, among those with CMD is low.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"873-888"},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10655594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10708181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Knowledge of the health consequences of heavy alcohol consumption among individuals with different substance use statuses: A cross-sectional analysis of 2019 HINT Survey. 不同物质使用状态的人对酗酒对健康影响的了解：2019年HINT调查的横断面分析。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-11-08 DOI: 10.1177/17423953231213853

Wenxue Lin

{"title":"Knowledge of the health consequences of heavy alcohol consumption among individuals with different substance use statuses: A cross-sectional analysis of 2019 HINT Survey.","authors":"Wenxue Lin","doi":"10.1177/17423953231213853","DOIUrl":"https://doi.org/10.1177/17423953231213853","url":null,"abstract":"Objective: The aim of this study was to assess and compare knowledge of the health consequences of heavy alcohol consumption among individuals with different substance use statuses.Methods: We used a cross-sectional study design to analyze the Health Information National Trends Survey (HINTS) 5, Cycle 3 (2019). Participants were classified into four categories based on their substance use status: (a) nonsmoker and nondrinkers; (b) nonsmokers but drinkers; (c) smokers but nondrinkers; and (d) smokers and drinkers. Weighted logistic regression models were utilized to evaluate the association between knowledge of heavy alcohol consumption and health conditions by participants' substance use status.Results: More than 79% of participants were aware that drinking too much alcohol causes liver disease. However, less than 40% of them realized that heavy alcohol consumption also contributes to cancer. The odds of correctly identifying heavy alcohol consumption as a risk factor for diabetes were 3.00 times (95% confidence interval (CI): 1.29,7.00) higher among smokers but nondrinkers than smokers and alcohol drinkers. Education level was significantly associated with participants' awareness of risk factor (p < 0.01).Discussion: There is an urgent need for targeted educational campaigns and interventions to increase understanding of the impact of heavy alcohol consumption on cancer risk.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231213853"},"PeriodicalIF":1.3,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Investigating the role of treatment adherence in predicting marital satisfaction among women with coronary artery disease: A cross-sectional study from Iran. 调查冠状动脉疾病女性治疗依从性在预测婚姻满意度中的作用：一项来自伊朗的横断面研究。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-11-08 DOI: 10.1177/17423953231213850

Parvin Zandi Rad, Tayebeh Gharibi, Hakimeh Vahedparast, Razieh Bagherzadeh

{"title":"Investigating the role of treatment adherence in predicting marital satisfaction among women with coronary artery disease: A cross-sectional study from Iran.","authors":"Parvin Zandi Rad, Tayebeh Gharibi, Hakimeh Vahedparast, Razieh Bagherzadeh","doi":"10.1177/17423953231213850","DOIUrl":"https://doi.org/10.1177/17423953231213850","url":null,"abstract":"Introduction: Despite the effect of coronary artery disease on sexual function and the relation between sexual function and marital satisfaction, few studies have investigated the effect of treatment adherence on marital satisfaction. The present study aims to investigate the role of treatment adherence in predicting marital satisfaction among women with coronary artery disease.Methodology: In this cross-sectional study, 385 women with coronary artery disease in Bushehr-Iran, 2021, were selected using a convenient sampling method. The data were collected using the demographic form, Seyed Fatemi medication adherence scale, female sexual function index, and evaluation and nurturing relationship issues, communication, and happiness marital satisfaction scale. The data was analyzed using univariate and multivariate logistic regression tests.Results: The mean (± standard deviation) age of the participants was 52.19 ± 12.15 years old. Considering the effect of demographic variables, treatment adherence (β = 0.164, P = 0.001) and sexual function (β = 0.156, P = 0.001) were positive predictors of marital satisfaction.Conclusion: Treatment adherence was a positive predictor of marital satisfaction. Healthcare providers should pay attention to the family consequences of non-adherence to treatment. Moreover, when counseling patients to adhere to the treatment, they should mention the physical benefits as well as psychological and family outcomes in order to motivate patients to follow their treatment.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231213850"},"PeriodicalIF":1.3,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gaps in benefits, awareness, and comprehension that leave those with long COVID vulnerable. 福利、意识和理解方面的差距使长期新冠肺炎患者易受感染。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-10-30 DOI: 10.1177/17423953231210117

Jane A Evered, Alessandra LaJeunesse, Madison Wynn, Emily Mrig, Mark Schlesinger, Rachel Grob

{"title":"Gaps in benefits, awareness, and comprehension that leave those with long COVID vulnerable.","authors":"Jane A Evered, Alessandra LaJeunesse, Madison Wynn, Emily Mrig, Mark Schlesinger, Rachel Grob","doi":"10.1177/17423953231210117","DOIUrl":"10.1177/17423953231210117","url":null,"abstract":"Objectives: The COVID-19 pandemic has left many suffering from long COVID, an episodic and debilitating chronic condition affecting people's ability to work and manage medical expenses. Though the Biden Administration has committed to conducting research and building support programs to alleviate the strain on those affected, in practice, static eligibility criteria for unemployment and disability benefits, patchy insurance coverage, and insufficient paid leave programs have left many people vulnerable. Given the magnitude of long COVID and the dearth to date of large-scale studies about its financial consequences, a focused qualitative analysis of lived experiences is warranted to understand and highlight gaps in the policy landscape.Methods: We conducted in-depth semi-structured interviews from 2020 to 2022 with 25 people with experience of long COVID living predominately in the Midwest.Results: Our inductive analysis revealed ways people became financially exhausted by uncertain medical care costs and precarious employment that left them trying, often alone, to access benefits. People described both experiences with workplace benefits and attempts to access federal benefits to address unstable employment situations created by protracted and uncertain functional impairments.Discussion: We explore pre- and post-pandemic era unemployment, disability, and insurance policies and offer recommendations for better supporting people with long COVID.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231210117"},"PeriodicalIF":1.3,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11058107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71414840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chronic illness and psychological problems in emerging adults: Moderation by perceived parental distress. 初出茅庐的成年人的慢性病和心理问题：父母痛苦感的调节。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-10-26 DOI: 10.1177/17423953231210121

Abigail Kukay, Cliff McKinney

{"title":"Chronic illness and psychological problems in emerging adults: Moderation by perceived parental distress.","authors":"Abigail Kukay, Cliff McKinney","doi":"10.1177/17423953231210121","DOIUrl":"https://doi.org/10.1177/17423953231210121","url":null,"abstract":"Objective: The aim of the current study was to better understand if perceived parental distress moderates the effects of having a chronic illness and poor physical quality of life on psychological problems reported by emerging adults.Methods: Participants consisted of 538 college-attending emerging adults (53.5% women; 46.5% men). Participants completed an online study that was composed of questions regarding chronic illness, the World Health Organization Quality of Life - Brief, the Adult Self-Report scale, and the Adult Behavior Checklist.Results: In both emerging adult women and men, endorsing a chronic illness is significantly associated with psychological problems. Psychological problems in both emerging adult women and men were significantly predicted by the three-way interaction between endorsing a chronic illness, physical quality of life, and perceived maternal distress. Specifically, increased perceived maternal distress was associated with higher psychological problems in both emerging adult women and men with chronic illnesses and low physical quality of life.Discussion: For emerging adult women and men with a chronic illness, higher perceived maternal distress was associated with poorer psychological adjustment, while lower perceived maternal distress was associated with better psychological adjustment.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231210121"},"PeriodicalIF":1.3,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54231601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The perceived social support, life events, and depressive features among patients with diabetes mellitus. 糖尿病患者的社会支持、生活事件和抑郁特征。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-10-23 DOI: 10.1177/17423953231209462

Nizar B Said, Mohammed Hayek, Aseel E Alsayed

{"title":"The perceived social support, life events, and depressive features among patients with diabetes mellitus.","authors":"Nizar B Said, Mohammed Hayek, Aseel E Alsayed","doi":"10.1177/17423953231209462","DOIUrl":"https://doi.org/10.1177/17423953231209462","url":null,"abstract":"Objective: This study evaluated the relationship between life events, perceived social support, and depressive features among people with diabetes.Methods: This study was a cross-sectional design using convenience sampling. Questionnaires were distributed to targeted patients in primary health care services in the Nablus district.Questionnaires used were: The Holmes-Rahe Stress Inventory Scale, The Beck Depression Inventory, and The Multidimensional Scale of Perceived Social Support.Results: About 120 diabetic patients participated in this study. Findings revealed that higher diabetes mellitus prevalence was among older ages (39.2% are 60 years or older). More than half of the participants were smokers. Regarding life events, 53.3% of the patients have a 50% chance of developing major breakdowns in the next two years. Depression was found to be normal among 32.5% of participants, while 22.5% were moderately depressed. More patients had a disagreement that they could find social support from their friends than their family members.Discussion: People with diabetes are affected significantly by life events, depressive features, and perceived social support, hence, further attention is needed accompanied by frequent assessment for such factors for effective diabetes management.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":" ","pages":"17423953231209462"},"PeriodicalIF":1.3,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49693221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond dyadic communication: Network of communication in inflammatory arthritis teams. 超越二元沟通：炎症性关节炎团队的沟通网络。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-09-01 Epub Date: 2022-05-29 DOI: 10.1177/17423953221102629

Parisa Ghanouni, Kristy Inouye, Chelsey Gowan, Wendy Hartford, Annette McKinnon, Shanon McQuitty, Catherine L Backman, Linda C Li, Laura Nimmon

{"title":"Beyond dyadic communication: Network of communication in inflammatory arthritis teams.","authors":"Parisa Ghanouni, Kristy Inouye, Chelsey Gowan, Wendy Hartford, Annette McKinnon, Shanon McQuitty, Catherine L Backman, Linda C Li, Laura Nimmon","doi":"10.1177/17423953221102629","DOIUrl":"https://doi.org/10.1177/17423953221102629","url":null,"abstract":"Objective: To explore how communication is perceived and care is negotiated amongst IA healthcare teams by drawing on the perspectives of each team member.Method: This analysis drew on data from an ongoing three-year study exploring team-based IA care. We interviewed 11 participants including two men with IA and their family care providers and healthcare providers. We used a three-staged analytic process and integrated broad tenets of social network theory to understand the relational dimensions of team members experiences.Result: Analysis revealed three themes regarding communication and care: (1) seeking/sharing information, (2) striving to coordinate unified care, and (3) providing patients a voice.Discussion: This study emphasizes the importance of understanding team dynamics beyond the dyad of patient and care provider. Negotiating power and decision-making in IA care is a dynamic process involving shifting levels of responsibility amongst a care team. Communication-based strategies that extend dyadic interactions may enhance teamwork and health outcomes in chronic conditions.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":"19 3","pages":"591-604"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Post-cholecystectomy bile reflux gastritis: Prevalence, risk factors, and clinical characteristics. 胆囊切除术后胆汁反流性胃炎：患病率、危险因素和临床特征。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-09-01 Epub Date: 2022-04-25 DOI: 10.1177/17423953221097440

Amira Aa Othman, Amal Az Dwedar, Hany M ElSadek, Hesham R AbdElAziz, Abeer Af Abdelrahman

{"title":"Post-cholecystectomy bile reflux gastritis: Prevalence, risk factors, and clinical characteristics.","authors":"Amira Aa Othman, Amal Az Dwedar, Hany M ElSadek, Hesham R AbdElAziz, Abeer Af Abdelrahman","doi":"10.1177/17423953221097440","DOIUrl":"https://doi.org/10.1177/17423953221097440","url":null,"abstract":"Objective: Bile reflux gastritis is caused by the backward flow of duodenal fluid into the stomach. A retrospective cohort study was performed to estimate the prevalence and risk factors of bile reflux gastritis postcholecystectomy, and to evaluate the endoscopic and histopathologic changes in gastric mucosa.Methods: Patients with refractory upper abdominal pain right below the ribs with symptoms of bloating, burping, nausea, vomiting, and bile regurgitation during the period from January 2018 to December 2020, submitted to Zagazig University Hospitals were enrolled in this study. The studied 64 patients were divided into two groups; the control group (CG): 30 subjects who had never undergone any biliary interventions, and the post-cholecystectomy group (PCG): 34 patients who had undergone cholecystectomy.Results: The prevalence of bile reflux gastritis was (16.7%) and (61.8%) in CG and PCG, respectively. Diabetes, obesity, elevated gastric bilirubin, and elevated stomach pH were all risk factors for bile reflux gastritis in both groups (r = .28,.48,.78,.57 respectively). Age, sex, epigastric pain, heartburn, vomiting, and the existence of bile reflux gastritis, on the other hand, had no correlation.Discussion: After a cholecystectomy, bile reflux gastritis is prevalent, especially among obese and diabetic patients.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":"19 3","pages":"529-538"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Association between excessive alcohol consumption and hypertension control in hypertensive patients. 高血压患者过度饮酒与高血压控制之间的关系。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-09-01 Epub Date: 2022-05-20 DOI: 10.1177/17423953221102626

Sinwoo Hwang, Jae Woo Choi

{"title":"Association between excessive alcohol consumption and hypertension control in hypertensive patients.","authors":"Sinwoo Hwang, Jae Woo Choi","doi":"10.1177/17423953221102626","DOIUrl":"https://doi.org/10.1177/17423953221102626","url":null,"abstract":"Objectives: The purposes of this study were to investigate the association between excessive alcohol consumption and control of hypertension and the associations stratified by sex, age, and duration of hypertension among Korean adults who were diagnosed with hypertension under medication.Methods: This study was cross-sectional design with a secondary data analysis using national data from the Korea National Health and Nutrition Evaluation Survey (KNHANES) collected from 2013 to 2018, including 4278 participants who were diagnosed with hypertension under medication. A multiple logistic regression analysis was conducted to evaluate the associations between excessive alcohol consumption and hypertension control while controlling for potential confounding variables.Results: The hypertensive patients who consumed excessive alcohol were more associated with uncontrolled hypertension (OR, 1.31; 95% CI, 1.04-1.65) than those who do not consumed excessive alcohol. Specially, Excessive consumption of alcohol in men and young adults (<65 years) and short duration of hypertension (<5 years) were significantly more associated with uncontrolled hypertension compared to their counterparts.Discussion: To improve blood pressure (BP) control in hypertensive patients, healthcare plan should be focused to modifiable risk factors and the intervention for unhealthy alcohol consumption should be part of comprehensive treatment for hypertension.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":"19 3","pages":"625-634"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of smoking status on anticipated stigma and experience of care among smokers and ex-smokers with chronic illness in general practice. 吸烟状况对吸烟者和患有慢性病的戒烟者在全科医学中的预期耻辱感和护理体验的影响。

IF 1.3 4区医学

Chronic Illness Pub Date : 2023-09-01 Epub Date: 2022-05-15 DOI: 10.1177/17423953221101337

Sanduni Madawala, Joanne Enticott, Elizabeth Sturgiss, Melis Selamoglu, Chris Barton

{"title":"The impact of smoking status on anticipated stigma and experience of care among smokers and ex-smokers with chronic illness in general practice.","authors":"Sanduni Madawala, Joanne Enticott, Elizabeth Sturgiss, Melis Selamoglu, Chris Barton","doi":"10.1177/17423953221101337","DOIUrl":"https://doi.org/10.1177/17423953221101337","url":null,"abstract":"Objectives: To compare self-reported levels of 'anticipated' stigma and experience of care in general practice between current and ex-smokers living with COPD, other chronic illnesses, or those with no chronic conditions.Methods: Participants completed an online survey, advertised through social media, about their experience of care from general practitioners (GPs) in the past 12 months. Respondents self-reported doctor-diagnosed chronic illnesses. Experience of care and anticipated stigma was assessed using validated questions. Multi-nominal regressions were used to determine independent effect of smoking status on anticipated stigma and other indicators of patient experience in primary care.Results: Patients with COPD (n = 161) reported significantly higher anticipated stigma scores compared to those with other chronic conditions (n = 225) and this was strongly related to delayed or avoidance in seeking help from a GP when needed. This relationship remained irrespective of current smoking status. There was no difference between groups for relational components of experience of care.Discussion: Primary care patients living with COPD reported worse experience of care across several domains and were more likely to anticipate experiencing stigma in the GP setting irrespective of their current smoking status compared to those with other chronic illnesses or no chronic illnesses.","PeriodicalId":48530,"journal":{"name":"Chronic Illness","volume":"19 3","pages":"557-570"},"PeriodicalIF":1.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41148137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5