Rebekah Jacob1, Lauren D Arnold2, Jean Hunleth3, K Allen Greiner4, Aimee S James3. 1. Washington University in Saint Louis, School of Medicine, Division of Public Health Sciences, St Louis, MO, USA. jamesai@wudosis.wustl.edu. 2. Saint Louis University, College of Public Health & Social Justice, Department of Epidemiology, Kansas City, KS, USA. 3. Washington University in Saint Louis, School of Medicine, Division of Public Health Sciences, St Louis, MO, USA. 4. University of Kansas Medical Center, Department of Family Medicine, Kansas City, KS, USA.
Abstract
OBJECTIVES: To adapt a daily hassles measure for a low-income population and assess the relationship between hassles and health seeking behavior. METHODS: The mixed methods approach used cognitive interviews (N = 23) to inform an adapted measure of daily hassles. The adapted scale was then tested via surveys (N = 144) in community health centers; multivariate logistic regression models were used to assess relationships among variables. RESULTS: Hassle concerning having enough money for emergencies (76.5%) and worrying about personal health (68.8%) were among the most common. Increased health-related hassles were associated with an increased likelihood to delay needed care. CONCLUSIONS: Findings suggest daily hassles are unique among low-income populations and should be considered in health behavior interventions.
OBJECTIVES: To adapt a daily hassles measure for a low-income population and assess the relationship between hassles and health seeking behavior. METHODS: The mixed methods approach used cognitive interviews (N = 23) to inform an adapted measure of daily hassles. The adapted scale was then tested via surveys (N = 144) in community health centers; multivariate logistic regression models were used to assess relationships among variables. RESULTS: Hassle concerning having enough money for emergencies (76.5%) and worrying about personal health (68.8%) were among the most common. Increased health-related hassles were associated with an increased likelihood to delay needed care. CONCLUSIONS: Findings suggest daily hassles are unique among low-income populations and should be considered in health behavior interventions.
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