Health care utilisation changes among Alaska Native adults after participation in an indigenous community programme to address adverse life experiences: a propensity score-matched analysis
| العنوان: | Health care utilisation changes among Alaska Native adults after participation in an indigenous community programme to address adverse life experiences: a propensity score-matched analysis |
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| المؤلفون: | Bobbi Outten, Katherine Gottlieb, Lily Ray |
| المصدر: | International Journal of Circumpolar Health, Vol 79, Iss 1 (2020) International Journal of Circumpolar Health |
| بيانات النشر: | Taylor & Francis Group, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, Health (social science), Epidemiology, RC955-962, Psychological intervention, Health Promotion, alaska native, Rate ratio, community wellness programmes, 03 medical and health sciences, 0302 clinical medicine, adverse life experiences, Arctic medicine. Tropical medicine, Health care, Humans, Medicine, Original Research Article, Community Health Services, 030212 general & internal medicine, Propensity Score, indigenous, Retrospective Studies, health disparities, 030505 public health, business.industry, Public Health, Environmental and Occupational Health, General Medicine, Emergency department, Patient Acceptance of Health Care, Alaskan Natives, United States, Health equity, Patient Satisfaction, Case-Control Studies, United States Indian Health Service, Cohort, Propensity score matching, Female, adverse childhood experiences, post-traumatic stress, 0305 other medical science, business, Cohort study, Demography |
| الوصف: | The aim of this study was to investigate whether participation in Family Wellness Warriors Initiative (FWWI), an Alaska Native program that addresses adverse life experiences, is associated with changes in health care utilisation. The study method was a propensity score-matched cohort analysis using retrospective electronic health record data from Southcentral Foundation, a tribal health care system, from 2012 to 2017. Ninety p\articipants in FWWI trainings were identified as the intervention cohort and were propensity matched with 90 people who participated in other emotional wellness-related interventions. The primary outcome was the number of total health system visits. Secondary outcomes included emergency department (ED) visits, substance-use visits and visits with somatisation potential. After adjustment for covariates, FWWI participants showed a 36% reduction in total system visits (incidence rate ratio 0.64, 95% CI 0.49–0.84) and a 70% reduction in substance use visits (incidence rate ratio 0.30, 95% CI 0.10–0.93) when compared to the control. FWWI participants showed a 40% reduction in ED visits (incidence rate ratio 0.60, 95%CI 0.35–1.02) when compared to the control that was borderline significant. No significant differences were found for visits with somatisation potential (incidence rate ratio 1.25, 95% CI 0.79–1.99). |
| اللغة: | English |
| تدمد: | 2242-3982 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::53a1edb70257857e741c8e010ef36a8fTest https://doaj.org/article/3446a4ba63d742ec9a7315a53791b5adTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....53a1edb70257857e741c8e010ef36a8f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22423982 |
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