Evidence map›Paper›PMID 23795149›Full record

ArticleAddiction research & theory2010

Drinking Patterns, Gender and Health III: Avoiding vs. Seeking Healthcare.

Carla A Green, Michael R Polen, Michael C Leo, Shannon L Janoff, Bradley M Anderson, Constance M Weisner, Nancy A Perrin

Abstract read
In one paragraph

Article in Addiction research & theory, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Carla A GreenCenter for Health Research, Kaiser Permanente Northwest, 3800 N. Interstate Avenue, Portland, OR 97227-1110, USA.
Michael R Polen
Michael C Leo
Shannon L Janoff
Bradley M Anderson
Constance M Weisner
Nancy A Perrin

Funding

Gender, Drinking Pattens, Health &Services SeekingR01AA013157 · NIAAA · KAISER FOUNDATION RESEARCH INSTITUTE · PI GREEN, CARLA A. · 2002 to 2004
$1.1M
NIAAA NIH HHS R01 AA013157
6 · The paper itself

Abstract

backgroundInability to predict most health services use and costs using demographics and health status suggests that other factors affect use, including attitudes and practices that influence health

methodsA stratified random sample of health-plan members completed a mail survey, yielding 7884 respondents (2995 male/4889 female). We linked survey data to 24 months of health-plan records to examine relationships between alcohol use, gender, health-related attitudes, practices, health, and service use. In-depth interviews with a stratified 150-respondent subsample explored individuals' reasons for seeking or avoiding care.

resultsQuantitative results suggest health-related practices and attitudes predict subsequent service use. Consistent predictors of care were having quit drinking, current at-risk consumption, cigarette smoking, higher BMI, disliking visiting doctors, and strong religious/spiritual beliefs. Qualitative analyses suggest embarrassment and shame are strong motivators for avoiding care.

conclusionsAlthough models included numerous health, functional status, attitudinal and behavioral predictors, variance explained was similar to previous reports, suggesting more complex relationships than expected. Qualitative analyses suggest several potential predictive factors not typically measured in service-use studies: embarrassment and shame, fear, faith that the body will heal, expectations about likelihood of becoming seriously ill, disliking the care process, the need to understand health problems, and the effects of self-assessments of health-related functional limitations.

Indexed as

Alcohol DrinkingGenderHealth BehaviorHealth-related AttitudesHealth Services UtilizationHealth Status

Identifiers

PMID23795149
PMCPMC3686530

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.