Determining Satisfaction with Access and Financial Aspects of Care for Persons Exposed to Libby Amphibole Asbestos: Rural and National Environmental Policy Implications | Zendy

Charlene A. Winters | Zendy; Wade Hill | Zendy; Sandra W. Kuntz | Zendy; Clarann Weinert | Zendy; Kimberly Rowse | Zendy; Tanis Hernandez | Zendy; Brad Black | Zendy

Open Access

Determining Satisfaction with Access and Financial Aspects of Care for Persons Exposed to Libby Amphibole Asbestos: Rural and National Environmental Policy Implications

Author(s) -

Charlene A. Winters,

Wade Hill,

Sandra W. Kuntz,

Clarann Weinert,

Kimberly Rowse,

Tanis Hernandez,

Brad Black

Publication year - 2011

Publication title -

journal of environmental and public health

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.869

H-Index - 35

eISSN - 1687-9813

pISSN - 1687-9805

DOI - 10.1155/2011/789514

Subject(s) - declaration , cohort , environmental health , medicine , asbestos , depression (economics) , superfund , hazardous waste , economics , political science , materials science , law , metallurgy , ecology , biology , macroeconomics

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.

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