title: Determining satisfaction with access and financial aspects of care for persons exposed to Libby amphibole asbestos: rural and national environmental policy implications.
abstract: Libby, Montana is a Superfund site and epicenter of one of the worst environmental disasters in the USA history in terms of asbestos-related mortality and morbidity. Perceptions of access and financial aspects of care were explored among a national cohort of persons postasbestos exposure and prior to a 2009 Public Health Emergency Declaration. Our findings indicated the Libby cohort was significantly less satisfied with access and financial aspects of care as measured by two PSQ-III scales when compared to an adult, chronically ill patient sample. Participants with higher levels of respiratory morbidity and depression had significantly lower satisfaction scores.
authors: College of Nursing, Montana State University, Missoula, MT 59812-7416, USA. winters@montana.edu
authors: Charlene A
authors: CA
authors: Winters
authors: Wade
authors: W
authors: Hill
authors: Sandra W
authors: SW
authors: Kuntz
authors: Clarann
authors: C
authors: Weinert
authors: Kimberly
authors: K
authors: Rowse
authors: Tanis
authors: T
authors: Hernandez
authors: Brad
authors: B
authors: Black
mesh_terms: D000328:Adult; D000368:Aged; D017636:Asbestos, Amphibole / Q000633:toxicity*; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000453:epidemiology; D004190:Disasters; D004781:Environmental Exposure / Q000009:adverse effects*; D058735:Environmental Policy; D005260:Female; D006256:Hazardous Waste; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D008906:Mining; D009009:Montana / Q000453:epidemiology; D016273:Occupational Exposure / Q000009:adverse effects*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D012140:Respiratory Tract Diseases / Q000453:epidemiology; D012423:Rural Health; D055815:Young Adult
chemical_list: D017636:Asbestos, Amphibole; D006256:Hazardous Waste