When asked to speculate on why patients with lower educational level were given less oncological treatment than highly educated, poor compliance, more prevalent substance abuse, communication difficulties, immigrant status and poorer social networks were offered as possible explanations.
As other media (e.g., social media) become more prevalent in the risk communication process, this category may need to be studied further to determine how best to capitalize on elements related to "Learning Stimulation and Motivation".
For example, it is possible that poor parent-adolescent communication is more prevalent among higher financially stressed families, and hence adolescents were not told about the situations associated with family SES.
However, there appears to be some evidence that caregiver perception of the child was altered, such that identified deficits were perceived as less severe and communication activities were viewed as more prevalent.
This suggests that rigour-relevance issues were more prevalent in larger projects and that this may have been related to communication and mutual understanding.
But the ease of stranger-to-stranger communication in the internet era makes it that much more prevalent.
Thus the stronger association between physician communication skills and mammography uptake for urban patients that we noted may reflect the importance of better communication in motivating women to overcome potential barriers to mammography that are more prevalent in urban areas (poverty, transportation barriers, unfavorable attitudes toward preventative care, mistrust of the medical system).
This situation is more prevalent in multiple-family neighborhoods, where tree canopy cover is lower to begin with (D. Bure, personal communication, July 30, 2007; L. Sarno, personal communication, July 30, 2008).
As wireless devices become less expensive and consequently more prevalent we are also seeing increasing use of data transmission (email, web access) in addition to voice communication, by staff and visitors.
Resentment is more prevalent.
