Bakhtiar Piroozi, Farman Zahir Abdullah, Amjad Mohamadi-Bolbanabad, Hossein Safari, Mohammad Amerzadeh, Satar Rezaei, Ghobad Moradi, Masoumeh Ansari, Abdorrahim Afkhamzadeh and Jamshid Gholami
The purpose of this study is to investigate the status of perceived need, seeking behavior and utilization of health services in the elderly population of Sanandaj (west of Iran).
Abstract
Purpose
The purpose of this study is to investigate the status of perceived need, seeking behavior and utilization of health services in the elderly population of Sanandaj (west of Iran).
Design/methodology/approach
This is a cross-sectional study conducted on 800 elderly people in Sanandaj. Subjects were selected using multistage sampling and data were collected using self-report questionnaires. A multivariate logistic model with odds ratios (ORs) was used to determine the relationship of independent variables with seeking perceived need. Also, the concentration index was used to measure the inequality in using health services.
Findings
The perceived need for outpatient (during the last 30 days) and inpatient health-care services (during the past 12 months) was 69.7% and 29.7%, respectively. Among them, the unmet need for outpatient and inpatient health-care services was 46.6% and 17%, respectively. Having health insurance (adjusted OR 12.08; 95% confidence interval [CI] 1.04–140.11), middle economic status (adjusted OR 5.18; 95% CI 1.30–20.51) and being in an age group of 65–70 years (adjusted OR 7.60; CI 1.42–40.61) increased the chance of seeking inpatient care. Also, being in an age group of 60–65 years (adjusted OR 0.41; 95% CI 0.18–0.95) reduced the chance of seeking outpatient care. There was also a pro-rich inequality in using outpatient health services.
Originality/value
The elderly population suffers from unmet health-care needs, especially in outpatient services. The most important reason for not seeking outpatient and inpatient services was financial barriers and self-medication, respectively. So, designing targeted policies and interventions to address barriers in the conversion of need to demand in the elderly population is essential.
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Keywords
Jianmei Wang, Masoumeh Zareapoor, Yeh-Cheng Chen, Pourya Shamsolmoali and Jinwen Xie
The purpose of the study is threefold: first, to identify what factors influence mobile users' willingness of news learning and sharing, second, to find out whether users'…
Abstract
Purpose
The purpose of the study is threefold: first, to identify what factors influence mobile users' willingness of news learning and sharing, second, to find out whether users' learning in the news platforms will affect their sharing behavior and third, to access the impact of sharing intention on actual sharing behavior on the mobile platform.
Design/methodology/approach
This study proposes an influence mechanism model for examining the relationship among the factors, news learning and news sharing. The proposed mechanism includes factors at three levels: personal, interpersonal and social level. To achieve this, researchers collected data from 474 mobile news users in China to test the hypotheses. The tools SPSS 26.0 and AMOS 23.0 were used to analysis the reliability, validity, model fits and structural equation modeling (SEM), respectively.
Findings
The findings indicate that news learning on the mobile platforms is affected by self-efficacy and self-enhancement. And news sharing intention is influenced by self-efficacy, interpersonal trust, interpersonal reciprocity, online community identity and social norms positively. News sharing intention has a significant effect on news sharing behavior, but news learning has an insignificant relationship with new sharing.
Originality/value
This study provides practical guidelines for mobile platform operators and news media managers by explicating the various factors of users' engagement on the news platforms. This paper also enriches the literature of news learning and news sharing on mobile by the integration of two theories: the social ecology theory and the interpersonal behavior theory.
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Sakineh Taherkhani, Reza Negarandeh, Masoumeh Simbar and Fazlollah Ahmadi
The purpose of this paper is to identify barriers to seeking help among abused Iranian women.
Abstract
Purpose
The purpose of this paper is to identify barriers to seeking help among abused Iranian women.
Design/methodology/approach
This qualitative research was carried out using content analysis approach. The participants were 24 married women who were selected from health care centers, recreational centers, and two universities in Tehran, Iran. Semi-structured interviews were used to collect the data.
Findings
During data analysis, four themes emerged that explained barriers to seeking help in the participants: “fear of negative consequences of help-seeking,” “lack of resources,” “beliefs and attitudes,” and “indirect experiences of not being supported.”
Originality/value
This study has practice and policy implications for promoting help-seeking among abused women. Based on the results, to promote help-seeking, intervention plans must focus on empowering women to improve their education and employment, eliminating attitudes and beliefs hindering help-seeking, and fortifying formal and informal support systems for abused women.
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Karen Ramos and Onesimo Cuamea
The purpose of this study is to find out the factors that influence dental travelers’ revisit intention (RI) to Tijuana, Mexico.
Abstract
Purpose
The purpose of this study is to find out the factors that influence dental travelers’ revisit intention (RI) to Tijuana, Mexico.
Design/methodology/approach
Based on the push and pull model, five constructs were included: quality service, price, supporting services, cultural proximity and quality information. The information was obtained by applying an online survey to a sample of 384 dental tourists in Tijuana, Mexico, who were repeat patients of a dental clinic in Tijuana after the COVID-19 pandemic. Exploratory factor analysis, average variance explained and composite reliability were conducted to ensure the validity of each construct. Multiple regression analysis was done to identify predictors of travelers’ RI.
Findings
The results obtained show that cultural proximity, quality service, price and supporting services influenced the travelers’ revisit behavior after the COVID-19 pandemic lockdowns.
Originality/value
This study contributes to the body of knowledge on travel behavior in dental tourism after the COVID-19 pandemic lockdowns, which has been scarcely studied. Also, RI was analyzed, focusing on repeated travelers to propose a model mainly for borders or frontiers where developed and developing countries co-exist and interact.