Association between patient-provider communication and withholding information due to privacy concerns among women in the United States: an analysis of the 2011 to 2018 Health Information National Trends Survey.

BACKGROUND: Electronic medical record software is common in healthcare settings. However, data privacy and security challenges persist and may impede patients' willingness to disclose health information to their clinicians. Positive patient-provider communication may foster patient trust and subsequently reduce information nondisclosure. This study sought to characterize information-withholding behaviors among women and evaluate the association between positive patient-provider communication and women's health information-withholding behavior in the United States. METHODS: Data were pooled from the 2011 to 2018 Health Information National Trends Survey. We used descriptive statistics, bivariate, and logistic regression analyses to investigate whether positive patient-provider communication significantly impacted health information-withholding behaviors. Data from 7,738 women were analyzed. RESULTS: About 10.8% or 1 in 10 women endorsed withholding health information from their providers because of privacy or security concerns about their medical records. After adjusting for the covariates, higher positive patient-provider communication scores were associated with lower odds of withholding information from the provider because of privacy and security concerns (aOR 0.93; 95% CI = 0.90-0.95). Additionally, we found that age, race/ethnicity, educational status, psychological distress, and smoking status significantly predicted women's willingness to disclose health information. CONCLUSIONS: Findings suggest that improving positive patient-provider communication quality may reduce women's privacy and security concerns and encourage them to disclose sensitive medical information.

Serological evidence of Newcastle disease virus antibodies in wild birds in Zaria, Kaduna State, Nigeria.

Wild birds have been reported to be reservoirs of viral diseases of poultry, and play an epidemiological role in their maintenance and spread. A serological survey was undertaken to determine the evidence of Newcastle disease virus (NDV) antibodies in wild birds in Zaria Kaduna State, Nigeria. A total of 150 apparently healthy wild birds comprising 30 each laughing dove, speckled pigeons, cattle egrets, village weavers and African silver bills were sampled. Sera collected were analysed for the presence of antibodies against NDV and avian paramyxovirus­2 (APMV­2) using the haemagglutination inhibition test. The results showed an overall seroprevalence of 4% (95% CI: 2.05­10.1) to NDV. African silver bill showed a seroprevalence of 10.0% (95% CI: 2.61­24.9) NDV antibodies while seroprevalence of 3.3% (95% CI: 0.16­15.4) was recorded for cattle egrets, village weavers and laughing doves respectively. No statistically significant difference existed for NDV seroprevalence (P>0.05) among the different species of wild birds. All the 150 sera tested negative for APMV­2 antibodies. The result of this study confirmed the exposure of wild birds to NDV in the study area. Continuous surveillance with isolation and characterization of NDV in the wild birds is therefore recommended for strategic planning for control.