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1
More Than Smell-COVID-19 Is Associated With Severe Impairment of Smell, Taste, and Chemesthesis.
In: Chemical senses, vol 45, iss 7 (2020)
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The Use of Technology for Communicating With Clinicians or Seeking Health Information in a Multilingual Urban Cohort: Cross-Sectional Survey.
In: Journal of medical Internet research, vol 22, iss 4 (2020)
Abstract: BACKGROUND:Technology is being increasingly used to communicate health information, but there is limited knowledge on whether these strategies are effective for vulnerable populations, including non-English speaking or low-income individuals. OBJECTIVE:This study assessed how language preferences (eg, English, Spanish, or Chinese), smartphone ownership, and the type of clinic for usual source of care (eg, no usual source of care, nonintegrated safety net, integrated safety net, private or community clinic, academic tertiary medical center, or integrated payer-provider) affect technology use for health-related communication. METHODS:From May to September 2017, we administered a nonrandom, targeted survey to 1027 English-, Spanish-, and Chinese-speaking San Francisco residents and used weighted multivariable logistic regression analyses to assess predictors of five technology use outcomes. The three primary predictors of interest-language preference, smartphone ownership, and type of clinic for usual care-were adjusted for age, gender, race or ethnicity, limited English proficiency, educational attainment, health literacy, and health status. Three outcomes focused on use of email, SMS text message, or phone apps to communicate with clinicians. The two other outcomes were use of Web-based health videos or online health support groups. RESULTS:Nearly one-third of participants watched Web-based health videos (367/1027, 35.74%) or used emails to communicate with their clinician (318/1027, 30.96%). In adjusted analyses, individuals without smartphones had significantly lower odds of texting their clinician (adjusted odds ratio [aOR] 0.27, 95% CI 0.13-0.56), using online health support groups (aOR 0.14, 95% CI 0.04-0.55), or watching Web-based health videos (aOR 0.31, 95% CI 0.15-0.64). Relative to English-speaking survey respondents, individuals who preferred Chinese had lower odds of texting their clinician (aOR 0.25, 95% CI 0.08-0.79), whereas Spanish-speaking survey respondents had lower odds of using apps to communicate with clinicians (aOR 0.34, 95% CI 0.16-0.75) or joining an online support group (aOR 0.30, 95% CI 0.10-0.92). Respondents who received care from a clinic affiliated with the integrated safety net, academic tertiary medical center, or integrated payer-provider systems had higher odds than individuals without a usual source of care at using emails, SMS text messages, or apps to communicate with clinicians. CONCLUSIONS:In vulnerable populations, smartphone ownership increases the use of many forms of technology for health purposes, but device ownership itself is not sufficient to increase the use of all technologies for communicating with clinicians. Language preference impacts the use of technology for health purposes even after considering English proficiency. Health system factors impact patients' use of technology-enabled approaches for communicating with clinicians. No single factor was associated with higher odds of using technology for all health purposes; therefore, existing disparities in the use of digital health tools among diverse and vulnerable populations can only be addressed using a multipronged approach.
Keyword: Adult; Aged; Cohort Studies; Communication; consumer health information; Cross-Sectional Studies; digital divide; Female; health information technology; Health Literacy; Humans; Information and Computing Sciences; Information Seeking Behavior; internet; Male; Medical and Health Sciences; Medical Informatics; Middle Aged; Multilingualism; physician patient relations; Psychology and Cognitive Sciences; social media; Surveys and Questionnaires; Urban Health; vulnerable populations
URL: https://escholarship.org/uc/item/3g30n4ts
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3
The Use of Technology for Communicating With Clinicians or Seeking Health Information in a Multilingual Urban Cohort: Cross-Sectional Survey.
In: Journal of medical Internet research, vol 22, iss 4 (2020)
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4
Prospective cohort study on the predictors of fall risk in 119 patients with bilateral vestibulopathy
In: ISSN: 1932-6203 ; PLOS ONE, Vol. 15, No 3 (2020) P. e0228768 (2020)
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5
A Cross-Sectional Questionnaire Study of Tinnitus Awareness and Impact in a Population of Adult Cochlear Implant Users.
Gomersall, Philip A; Baguley, David M; Carlyon, Bob. - : Ovid Technologies (Wolters Kluwer Health), 2019. : Ear Hear, 2019
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6
Adaptation of a Cancer Clinical Trials Education Program for African American and Latina/o Community Members.
In: Health education & behavior : the official publication of the Society for Public Health Education, vol 43, iss 4 (2016)
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7
Translation, validity and reliability of the British Sign Language (BSL) version of the EQ-5D-5L. ...
Rogers, Katherine D; Pilling, Mark; Davies, Linda. - : Apollo - University of Cambridge Repository, 2016
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8
Translation, validity and reliability of the British Sign Language (BSL) version of the EQ-5D-5L.
Rogers, Katherine D; Pilling, Mark; Davies, Linda. - : Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2016
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9
Symptoms Have Modest Accuracy in Detecting Endoscopic and Histologic Remission in Adults With Eosinophilic Esophagitis.
In: Gastroenterology, vol. 150, no. 3, pp. 581-590.e4 (2016)
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10
Building Capacity to Address Women's Health Issues in the Mixtec and Zapotec Community.
In: Women's health issues : official publication of the Jacobs Institute of Women's Health, vol 25, iss 4 (2015)
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11
Social determinants of health in the Mixtec and Zapotec community in Ventura County, California.
In: International journal for equity in health, vol 14, iss 1 (2015)
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12
Eosinophilic oesophagitis: relationship of quality of life with clinical, endoscopic and histological activity.
In: Alimentary Pharmacology and Therapeutics, vol. 42, no. 8, pp. 1000-1010 (2015)
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13
Improving healthcare empowerment through breast cancer patient navigation: a mixed methods evaluation in a safety-net setting.
In: BMC health services research, vol 14, iss 1 (2014)
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14
Evaluation of the Patient-Reported Outcomes Information System (PROMIS(®)) Spanish-language physical functioning items.
In: Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, vol 22, iss 7 (2013)
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15
Reliability and validity of the cross-culturally adapted French version of the Core Outcome Measures Index (COMI) in patients with low back pain.
In: European Spine Journal, vol. 21, no. 1, pp. 130-137 (2012)
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16
Validation of self-reported health literacy questions among diverse English and Spanish-speaking populations.
In: Journal of general internal medicine, vol 26, iss 3 (2011)
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17
Development of alternative methods of data collection in South Asians with Type 2 diabetes.
In: Symplectic Elements at Oxford ; Europe PubMed Central ; PubMed (http://www.ncbi.nlm.nih.gov/pubmed/) ; Web of Science (Lite) (http://apps.webofknowledge.com/summary.do) ; Scopus (http://www.scopus.com/home.url) (2008)
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18
Development of the Well-being questionnaire short-form in Japanese: the W-BQ12
In: Health and Quality of Life Outcomes, 4 (2006)
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19
Development of the Well-being questionnaire short-form in Japanese: the W-BQ12
In: Health and Quality of Life Outcomes, 4 (2006)
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20
Development of the Well-being questionnaire short-form in Japanese: the W-BQ12
In: Health and Quality of Life Outcomes, 4 (2006)
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