Dataset Information

Utilization of services by abused, low-income African-American women.

ABSTRACT:

Background

Little is known about health care and service utilization patterns among low-income African-American women, particularly those who report intimate partner violence (IPV).

Objectives

(1) Identify utilization patterns among low-income African-American women. (2) Demonstrate utilization differences by IPV status.

Participants

One hundred and fifty-three African-American women from medical care clinics at a large inner-city public hospital.

Design

Case-control study. Predictor variable IPV assessed by the Index of Spouse Abuse. Outcome variables, health care, and service utilization, determined using the Adult Service Utilization Form.

Results

Of the 153 participants, 68 reported high IPV levels. The mean age was 32 years, majority were poor and unemployed, and 15.7% were homeless. The overall utilization rates were low. When controlled for homelessness and relationship status, high IPV levels were associated with greater psychiatric outpatient utilization. We found differences in the use of other medical or community services by IPV group.

Conclusions

Women reporting high IPV levels are more likely to receive mental health services than women reporting low IPV levels, but may not have access to other needed services. Primary care providers should assess the mental health, legal, and social service needs of abused women, which will facilitate receipt of services.

SUBMITTER: Paranjape A

PROVIDER: S-EPMC1484669 | biostudies-literature | 2006 Feb

REPOSITORIES: biostudies-literature

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Publications

Utilization of services by abused, low-income African-American women.

Paranjape Anuradha A Heron Sheryl S Kaslow Nadine J NJ

Journal of general internal medicine 20051222 2

<h4>Background</h4>Little is known about health care and service utilization patterns among low-income African-American women, particularly those who report intimate partner violence (IPV).<h4>Objectives</h4>(1) Identify utilization patterns among low-income African-American women. (2) Demonstrate utilization differences by IPV status.<h4>Participants</h4>One hundred and fifty-three African-American women from medical care clinics at a large inner-city public hospital.<h4>Design</h4>Case-control ...[more]

PMID: 16390509

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Project description:BackgroundCigarette smoking is a common risk factor for diseases and cancers. Oral microbiota is also associated with diseases and cancers. However, little is known about the impact of cigarette smoking on the oral microbiota, especially among ethnic minority populations.MethodsWe investigated cigarette smoking in relationship with the oral microbiota in a large population of predominately low-income and African-American participants. Mouth rinse samples were collected from 1616 participants within the Southern Community Cohort Study, including 592 current-smokers, 477 former-smokers and 547 never-smokers. Oral microbiota was profiled by 16S ribosomal RNA gene deep sequencing.ResultsCurrent-smokers showed a different overall microbial composition from former-smokers (p=6.62×10-7) and never-smokers (p=6.00×10-8). The two probiotic genera, Bifidobacterium and Lactobacillus, were enriched among current-smokers when compared with never-smokers, with Bonferroni-corrected p values (PBonferroni ) of 1.28×10-4 and 5.89×10-7, respectively. The phylum Actinobacteria was also enriched in current-smokers when compared with never-smokers, with a median relative abundance of 12.35% versus 9.36%, respectively, and with a PBonferroni =9.11×10-11. In contrast, the phylum Proteobacteria was depleted in current smokers (PBonferroni =5.57×10-13), with the relative abundance being almost three times that of never-smokers (7.22%) when compared with that of current-smokers (2.47%). Multiple taxa within these two phyla showed differences in abundance/prevalence between current-smokers and never-smokers at PBonferroni <0.05. The differences in the overall microbial composition and abundance/prevalence of most taxa were observed among both African-Americans and European-Americans. Meanwhile, such differences were not observed between former-smokers and never-smokers.ConclusionSmoking has strong impacts on oral microbial community, which was recovered after smoking cessation.

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Dataset Information

Utilization of services by abused, low-income African-American women.

Background

Objectives

Participants

Design

Results

Conclusions

Publications

Utilization of services by abused, low-income African-American women.

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