Health Care Utilization Among Asthmatic Emerging Adults 公开

Morris, DeAndra Renea (2016)

Permanent URL: https://etd.library.emory.edu/concern/etds/zg64tm69w?locale=zh
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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

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

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