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American Indians’ Response To Physical Pain: Functional Limitations And Help-Seeking Behaviors., Angelique G. Day Jan 2015

American Indians’ Response To Physical Pain: Functional Limitations And Help-Seeking Behaviors., Angelique G. Day

Angelique G Day

Seventy-five American Indians, ages 25-84, representing fourteen tribal nations participated in this study. The historical, cultural, and behavioral responses to physical pain were examined. Data was collected over a seven month period with a survey instrument which included the Universal Pain Scale, Activities of Daily Living, causes of pain, cultural beliefs and self-help seeking behaviors. Also, recommendations for Western biomedical health care professionals are offered to improve services for the American Indian population. Findings demonstrate that culture plays a crucial role in wellness and significantly impacts their help-seeking behaviors, treatment regimen, response to pain, and pain management.


Timely Health Service Utilization: A Longitudinal Cohort Study Of Older Foster Youth., Angelique G. Day Jan 2015

Timely Health Service Utilization: A Longitudinal Cohort Study Of Older Foster Youth., Angelique G. Day

Angelique G Day

Purpose: To evaluate the impact of a policy change for older foster care youth from a fee-for-service (FFS) Medicaid program to health maintenance organization (HMO) providers on the timeliness of well-child visits (health care physicals). Methods: A three year observational study using linked administrative data collected by the Michigan Departments of Human Services and Community Health of 2,016 youth who were in foster care on or after their 14th birthdays during 2009-2012 was used to examine the odds of receiving a timely well-child visit within the recommended 30 day time frame (logistic regression) as well as days to the first …