Health Care Utilization Among Asthmatic Emerging Adults Open Access

Abstract

In this study, three research questions were used to examine the impact of predisposing, enabling, and need factors on health care utilization during the emerging adulthood developmental period from 18 to 24 years of age, in which asthmatics' transition from pediatric to adult health care. This study used the combined 2013 Behavioral Risk Factor Surveillance System (BRFSS) and the BRFSS Asthma Call-Back Survey Statistical Package for Social Sciences data set. The participants were a sample of 253 asthmatic emerging adults between the ages of 18-24. The sample was composed of 123 (48.6%) males and 130 (51.4%) females. Bivariate and multivariate analyses were conducted for each research question to examine the impact of predisposing, enabling, and need factors on emerging adults' health care utilization practices and behaviors. In addition, bivariate analyses were conducted to examine the relationship between demographic characteristics of the sample and key variables. The results of the bivariate and multivariate analyses showed that the General Knowledge Index was the only predisposing factor significantly associated with health care utilization among the sample of asthmatic emerging adults. The results showed that no enabling factors were significantly associated with health care utilization, and no need factors were significantly associated with health care utilization among the sample of asthmatic emerging adults. Lastly, the study found significant associations between demographic characteristics and key variables. These findings suggest that predisposing factors have the most influence on asthmatic emerging adults' health care utilization during the transition from pediatric to adult health care.

Table of Contents

List of Tables and Figures………..…….........………………………………........1

List of Appendices……………………………………………………………...........2

Introduction………………………………………………...…………………..........3

Problem Statement …………………………………………………………............7

Research Questions …………………………………………………………...…......9

Literature Review……………………………………………………………….........11

Theory…………...…………………………………………………………...............14

Predisposing, Enabling, and Need Factors and Health Care Utilization…..16

Conclusion…………...………………………………………………………….........23

Methods………………………………………………………………………………....25

Procedures …...……………………………………………………………...............25

Recruitment and Sampling……………………………………………………….....27

Participants……………………………………………………………………...........28

Measures……………………………………………………………….....................28

Data Analysis Plan………………………………………………………………….....44

Results …………………………………………………………………………………...47

Descriptive Statistics …………………………………………………………….......47

Bivariate and Multivariate Results by Research Question……………….......54

Discussion……………………………………………………………………………….59

Summary …………………………………………………………….......................59

Findings by Research Question………………………………………………........59

Strengths and Limitations…………………………………………………............65

Implications…………………………………………………………………..............67

Recommendations for Future Research…………..……………………………....68

Conclusions……………………………………………………………………….........70

References…………………………………………………………………………........71

Appendix A: IRB Determination Letter……………………………………………79

About this Master's Thesis

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School	Rollins School of Public Health
Department	Behavioral Sciences and Health Education
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health Psychology, Behavioral Health Sciences, General
Keyword	young adults pediatric health care utilization predisposing factors Asthma Call-Back Survey need factors adult health care Arnett’s Emerging Adulthood Development Theory enabling factors asthmatic asthma ACBS transition BRFSS transition in health care Andersen’s Behavioral Model of Health Services Use emerging adults health care use
Committee Chair / Thesis Advisor	Jacob Arriola, Kimberly R, Emory University
Committee Members	Comeau, Dawn L, Emory University Escoffery, Ngoc Cam, Emory University Nehl, Eric J., Emory University
Partnering Agencies	CDC

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	DMorris_IRB_NHS NR Letter.pdf ()	2018-08-28 14:24:43 -0400	Press to Select an action Download