using health services 2-2-09

using health services 2-2-09 - Using Health Services...

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Using Health Services
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Overview Recognition of Symptoms Interpretation of Symptoms Cervical Study BRCA Study Use of Health Services Misuse of Health Services
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What factors play a role in the recognition of symptoms?
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Personality Factors Individual Differences in Personality Some people are consistently more likely to notice symptoms Hypochondriacs are worried that normal bodily symptoms are indicators of illness 4-5% of population are hypochondriacs They make extensive use of medical care services Neurotics recognize and report symptoms more quickly than those who are not neurotic
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What factors play a role in the interpretation of symptoms?
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Interpreting Symptoms Mood Those in a positive mood Rate themselves as more healthy Report fewer illness-related memories Report fewer symptoms Those in a negative mood Report more symptoms Are pessimistic about relief from symptoms Perceive themselves as more vulnerable to future illness
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Illness Representations Illness Schemas - Illness Representations Organized conceptions of illness Acquired through the media, personal experience, family and friends Illness Schemas influence Preventive health behaviors Reaction to symptoms Adherence to treatment recommendations Expectations for future health
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Cervical Cancer Screening in Appalachia OSU CPHHD Electra Paskett, PhD Mary Ellen Wewers, PhD Sites Dr. Whitacre Dr. Cerny Donna White, RN Consultants (UK) Nancy Schoenberg, PhD (ACCN) Michael Andrykowski, PhD Research Assistants Raquel Tobian Amber Remy
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Purpose To compare those up-to-date on cervical screening with those not up-to-date on cervical cancer screening in terms of the Self-Regulation Model Self-System Cognitive Representation CSM Affective Representation Stimulus Procedures Appraisal
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Common Sense Model A lay model of health Attributes Identity/Label Cause Consequences Cure/Control Timeline
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Methods Recruitment Locations CARE (n=13 up-to-date, 1 not up-to-date)Not up-to-date would wait until Pap Senior Center (n=1 not up-to-date) Underserved Clinic (n=8 not up-to-date, n=1 up-to-date) Demographics Age M=44(SD=12) Race: White (n=23), Afr Am (n=1) Education: <HS (n=2), HS/GED (n=12), >HS (n=10) Income: <$15K (n=9), $15K-25K (n=7), >$25K (n=8) Regular Care: MD office (n=14), Clinic (n=9), None (n=1)
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Results Causes Environment “I think it’s more environmental. Your water…I don’t know. I think that here, there is just more crap in the air. I don’t know if that’s true, but I feel like it, with all the coal mining, and the industry and everything.” Personal behavior “…but I don’t know about transmission from one person to another. I know that nutrition
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This note was uploaded on 04/04/2009 for the course PSYCH 531 taught by Professor Kelly during the Spring '09 term at Ohio State.

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using health services 2-2-09 - Using Health Services...

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