Health preferences and decision-making needs of disadvantaged women

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dc.contributor.authorBunn, Helen
dc.contributor.authorLange, Ilta
dc.contributor.authorUrrutia, Mila
dc.contributor.authorSylvia Campos, Maria
dc.contributor.authorCampos, Solange
dc.contributor.authorJaimovich, Sonia
dc.contributor.authorCampos, Cecilia
dc.contributor.authorJacobsen, Mary Jane
dc.contributor.authorGaboury, Isabelle
dc.date.accessioned2024-01-10T12:05:46Z
dc.date.available2024-01-10T12:05:46Z
dc.date.issued2006
dc.description.abstractAim This paper reports the results of a survey of disadvantaged women in La Pintana, a municipality of Santiago, Chile, to determine their health decision-making needs.
dc.description.abstractBackground Research is needed as there is no published community-based study focusing specifically on health decision-making needs of disadvantaged women.
dc.description.abstractMethods From April to November 1999, we conducted a cross-sectional interview survey of women registered at primary healthcare centres in La Pintana, an impoverished municipality of Santiago, Chile.
dc.description.abstractResults The survey participants were 554 adult women over 15 years of age. Seventy-five percent reported making current health-related decisions. Types of decisions were primarily about navigation: where, when and from whom to seek care. The most common role in decision-making was sharing the decision with others, specifically husbands and other family members. Fifty-four percent experienced decisional conflict or uncertainty about options. Those reporting more manifestations of decisional conflict were more likely to lack information on available options, pros and cons of the options, and chances of benefits and harms associated with the options; they were also more likely to be unclear about what was important to them, to feel pressure from others, lack skill or ability in decision-making and be older. The most common strategies used when making all types of decisions were obtaining information on options and recommendations, and getting support from others. Participants preferred to receive information about options through counselling from their physicians, rather than nurses, from printed materials and from discussion groups of people facing the same decision.
dc.description.abstractConclusion The majority of disadvantaged women were actively involved in decision-making and needed decision support to navigate the healthcare system. Nurses should play a more pivotal role in providing health decision support. This study needs to be replicated in other countries and cultural contexts.
dc.fechaingreso.objetodigital2024-05-07
dc.format.extent14 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1111/j.1365-2648.2006.04029.x
dc.identifier.issn0309-2402
dc.identifier.pubmedidMEDLINE:17042804
dc.identifier.urihttps://doi.org/10.1111/j.1365-2648.2006.04029.x
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/76064
dc.identifier.wosidWOS:000241237100005
dc.information.autorucEnfermería;Campos C;S/I;98779
dc.information.autorucEnfermería;Campos M;S/I;55933
dc.information.autorucEnfermería;Campos S;S/I;638
dc.information.autorucEnfermería;Jaimovich S;S/I;98572
dc.information.autorucEnfermería;Lange I;S/I;98190
dc.information.autorucEnfermería;Urrutia M;S/I;99243
dc.issue.numero3
dc.language.isoen
dc.nota.accesocontenido parcial
dc.pagina.final260
dc.pagina.inicio247
dc.publisherBLACKWELL PUBLISHING
dc.revistaJOURNAL OF ADVANCED NURSING
dc.rightsacceso restringido
dc.subjectChile
dc.subjectdecision-making
dc.subjectdisadvantaged women
dc.subjecthealth
dc.subjectnurses
dc.subjectquestionnaire
dc.subjectsurvey
dc.subjectPATIENT-PHYSICIAN PARTNERSHIP
dc.subjectLOW-INCOME WOMEN
dc.subjectCESAREAN-SECTIONS
dc.subjectCONTROLLED-TRIAL
dc.subjectHORMONE-THERAPY
dc.subjectCARE MANAGEMENT
dc.subjectBREAST-CANCER
dc.subjectAID
dc.subjectPARTICIPATE
dc.subjectCONFLICT
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleHealth preferences and decision-making needs of disadvantaged women
dc.typeartículo
dc.volumen56
sipa.codpersvinculados98779
sipa.codpersvinculados55933
sipa.codpersvinculados638
sipa.codpersvinculados98572
sipa.codpersvinculados98190
sipa.codpersvinculados99243
sipa.indexWOS
sipa.trazabilidadCarga SIPA;09-01-2024
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