{"id":"https://openalex.org/W7214867233","doi":null,"title":"Exploring Affordability, Accessibility, and Health Outcomes among Non-Diabetic Patients Using Anti-Obesity Injections: A Qualitative Study in Hamilton and the Niagara Region","display_name":"Exploring Affordability, Accessibility, and Health Outcomes among Non-Diabetic Patients Using Anti-Obesity Injections: A Qualitative Study in Hamilton and the Niagara Region","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7214867233"},"language":"en","primary_location":{"id":"pmh:oai:brocku.scholaris.ca:10464/20767","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/10464/20767","pdf_url":"https://brocku.scholaris.ca/bitstreams/9e330ec9-2540-4f49-b81d-9b0b3be6ec48/download","source":{"id":"https://openalex.org/S4306401333","display_name":"Brock University Digital Repository (Brock University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I186803428","host_organization_name":"Brock University","host_organization_lineage":["https://openalex.org/I186803428"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Electronic Thesis or Dissertation"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://brocku.scholaris.ca/bitstreams/9e330ec9-2540-4f49-b81d-9b0b3be6ec48/download","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5153491070","display_name":"Dana Alagha","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I186803428","display_name":"Brock University","ror":"https://ror.org/056am2717","country_code":"CA","type":"education","lineage":["https://openalex.org/I186803428"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Alagha, Dana","raw_affiliation_strings":["Applied Health Sciences","Faculty of Applied Health Sciences , Brock University , St. Catharines , Ontario"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Applied Health Sciences","institution_ids":[]},{"raw_affiliation_string":"Faculty of Applied Health Sciences , Brock University , St. Catharines , Ontario","institution_ids":["https://openalex.org/I186803428"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5153491070"],"corresponding_institution_ids":["https://openalex.org/I186803428"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12539","display_name":"Pharmacology and Obesity Treatment","score":0.9833999872207642,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12539","display_name":"Pharmacology and Obesity Treatment","score":0.9833999872207642,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12066","display_name":"Obesity and Health Practices","score":0.013799999840557575,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10010","display_name":"Obesity, Physical Activity, Diet","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/obesity-pharmacotherapy","display_name":"obesity pharmacotherapy","score":0.906000018119812},{"id":"https://openalex.org/keywords/obesity","display_name":"obesity","score":0.6790000200271606},{"id":"https://openalex.org/keywords/non-diabetic-patients","display_name":"non-diabetic patients","score":0.8399999737739563},{"id":"https://openalex.org/keywords/weight-loss","display_name":"weight loss","score":0.6399999856948853},{"id":"https://openalex.org/keywords/drug-affordability","display_name":"drug affordability","score":0.6830000281333923},{"id":"https://openalex.org/keywords/insurance-coverage","display_name":"insurance coverage","score":0.7300000190734863},{"id":"https://openalex.org/keywords/financial-barriers-to-care","display_name":"financial barriers to care","score":0.5870000123977661},{"id":"https://openalex.org/keywords/healthcare-access-disparities","display_name":"health care access disparities","score":0.6850000023841858},{"id":"https://openalex.org/keywords/lived-experience","display_name":"lived experience","score":0.5950000286102295},{"id":"https://openalex.org/keywords/treatment-discontinuation","display_name":"treatment discontinuation","score":0.7409999966621399},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.7559999823570251}],"concepts":[{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.7414000034332275},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.7024000287055969},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.5835000276565552},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.5221999883651733},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.49639999866485596},{"id":"https://openalex.org/C2780586474","wikidata":"https://www.wikidata.org/wiki/Q332428","display_name":"Overweight","level":3,"score":0.487199991941452},{"id":"https://openalex.org/C2778715236","wikidata":"https://www.wikidata.org/wiki/Q55622662","display_name":"Discontinuation","level":2,"score":0.483599990606308},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.46939998865127563},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.46129998564720154},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.4072999954223633},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3912999927997589},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3840999901294708},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3431999981403351},{"id":"https://openalex.org/C524218345","wikidata":"https://www.wikidata.org/wiki/Q31218","display_name":"Health economics","level":3,"score":0.34060001373291016},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.3264000117778778},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.32089999318122864},{"id":"https://openalex.org/C3020299011","wikidata":"https://www.wikidata.org/wiki/Q626608","display_name":"Life insurance","level":2,"score":0.31630000472068787},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3018999993801117},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.2921000123023987},{"id":"https://openalex.org/C511355011","wikidata":"https://www.wikidata.org/wiki/Q12174","display_name":"Obesity","level":2,"score":0.28529998660087585},{"id":"https://openalex.org/C106399304","wikidata":"https://www.wikidata.org/wiki/Q868123","display_name":"Snowball sampling","level":2,"score":0.27790001034736633},{"id":"https://openalex.org/C189326681","wikidata":"https://www.wikidata.org/wiki/Q10294","display_name":"Poverty","level":2,"score":0.26019999384880066},{"id":"https://openalex.org/C544821477","wikidata":"https://www.wikidata.org/wiki/Q718113","display_name":"Weight loss","level":3,"score":0.25459998846054077}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:brocku.scholaris.ca:10464/20767","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/10464/20767","pdf_url":"https://brocku.scholaris.ca/bitstreams/9e330ec9-2540-4f49-b81d-9b0b3be6ec48/download","source":{"id":"https://openalex.org/S4306401333","display_name":"Brock University Digital Repository (Brock University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I186803428","host_organization_name":"Brock University","host_organization_lineage":["https://openalex.org/I186803428"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Electronic Thesis or Dissertation"}],"best_oa_location":{"id":"pmh:oai:brocku.scholaris.ca:10464/20767","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/10464/20767","pdf_url":"https://brocku.scholaris.ca/bitstreams/9e330ec9-2540-4f49-b81d-9b0b3be6ec48/download","source":{"id":"https://openalex.org/S4306401333","display_name":"Brock University Digital Repository (Brock University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I186803428","host_organization_name":"Brock University","host_organization_lineage":["https://openalex.org/I186803428"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Electronic Thesis or Dissertation"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.8974000215530396},{"id":"https://metadata.un.org/sdg/1","display_name":"No poverty","score":0.666700005531311}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214867233.pdf","grobid_xml":"https://content.openalex.org/works/W7214867233.grobid-xml"},"referenced_works_count":66,"referenced_works":["https://openalex.org/W1563842578","https://openalex.org/W1979290264","https://openalex.org/W2117071548","https://openalex.org/W2159368876","https://openalex.org/W2232857057","https://openalex.org/W2305278139","https://openalex.org/W2396339611","https://openalex.org/W2410213865","https://openalex.org/W2995970463","https://openalex.org/W3015229931","https://openalex.org/W3022819981","https://openalex.org/W3088463461","https://openalex.org/W3092577559","https://openalex.org/W3118501255","https://openalex.org/W4225812617","https://openalex.org/W4226347473","https://openalex.org/W4232759670","https://openalex.org/W4304080455","https://openalex.org/W4317605711","https://openalex.org/W4317938358","https://openalex.org/W4321599232","https://openalex.org/W4327586971","https://openalex.org/W4386997407","https://openalex.org/W4387819841","https://openalex.org/W4389431401","https://openalex.org/W4390202444","https://openalex.org/W4391396627","https://openalex.org/W4391486472","https://openalex.org/W4391490345","https://openalex.org/W4391893299","https://openalex.org/W4392600894","https://openalex.org/W4395465917","https://openalex.org/W4396618607","https://openalex.org/W4396637019","https://openalex.org/W4396723231","https://openalex.org/W4400880954","https://openalex.org/W4401363187","https://openalex.org/W4401379037","https://openalex.org/W4401852079","https://openalex.org/W4403419305","https://openalex.org/W4404702629","https://openalex.org/W4404780562","https://openalex.org/W4405463209","https://openalex.org/W4408029621","https://openalex.org/W4408153775","https://openalex.org/W4408368880","https://openalex.org/W4408560920","https://openalex.org/W4408648868","https://openalex.org/W4409150863","https://openalex.org/W4409433094","https://openalex.org/W4409445665","https://openalex.org/W4409471932","https://openalex.org/W4409574422","https://openalex.org/W4409765980","https://openalex.org/W4410141226","https://openalex.org/W4411346818","https://openalex.org/W4412191076","https://openalex.org/W4412492761","https://openalex.org/W4412514208","https://openalex.org/W4412582786","https://openalex.org/W4413019480","https://openalex.org/W4413108330","https://openalex.org/W4413344509","https://openalex.org/W4416864332","https://openalex.org/W7122598932","https://openalex.org/W7133326019"],"related_works":["https://openalex.org/W4400880954","https://openalex.org/W4225812617","https://openalex.org/W4409150898","https://openalex.org/W4308924658","https://openalex.org/W4281646303","https://openalex.org/W7147689725","https://openalex.org/W2013192417","https://openalex.org/W7202195993","https://openalex.org/W2127484308","https://openalex.org/W4412443151"],"abstract_inverted_index":{"Background:":[0],"Obesity":[1],"is":[2],"a":[3],"global":[4],"public":[5,235],"health":[6,18,286,301],"concern,":[7],"with":[8,70,139,199],"broader":[9],"physical":[10],"and":[11,21,25,59,88,93,102,113,150,161,169,177,185,236,242,256,273,307],"economic":[12,53],"implications":[13],"for":[14,37,105,240,283,293],"individuals,":[15],"families,":[16],"the":[17,45,52,85,158,162,254],"care":[19,281],"system":[20],"society.":[22],"Despite":[23],"preventive":[24],"therapeutic":[26],"measures,":[27],"long-term":[28,247,285,300],"weight":[29],"loss":[30],"remains":[31],"challenging,":[32],"leading":[33],"to":[34,43,58,118,137,153,192,207,245,278,297],"increased":[35],"demand":[36],"expensive":[38],"pharmacotherapies.":[39],"This":[40,251],"study":[41,252],"aimed":[42],"explore":[44],"lived":[46],"experiences":[47],"of":[48,61,125,157,164,171,180,222,305],"non-diabetics,":[49],"focusing":[50],"on":[51,203],"factors":[54],"that":[55],"influence":[56],"access":[57,131,296],"utilization":[60],"weight-loss":[62],"pharmacotherapy.":[63,76,265],"Methods:":[64],"Qualitative":[65],"research":[66],"applied":[67],"semi-structured":[68],"interviews":[69],"12":[71],"non-diabetic":[72,261],"individuals":[73,135,244,262],"undergoing":[74],"anti-obesity":[75,126,264],"Participants":[77,122],"were":[78,97,103,108],"recruited":[79],"through":[80],"family":[81],"physicians'":[82],"clinics":[83],"in":[84,110,226],"Niagara":[86],"Region":[87],"Hamilton":[89],"area":[90],"using":[91],"purposive":[92],"snowball":[94],"sampling.":[95],"Interviews":[96],"conducted":[98],"via":[99],"Microsoft":[100],"Teams":[101],"audio-recorded":[104],"transcription.":[106],"Transcripts":[107],"coded":[109],"NVivo":[111],"software":[112],"thematic":[114],"analysis":[115],"was":[116],"performed":[117],"generate":[119],"themes/sub-themes.":[120],"Results:":[121],"revealed":[123],"benefits":[124],"pharmacotherapies":[127],"as":[128,130],"well":[129],"disparities":[132],"among":[133],"uninsured":[134],"compared":[136],"those":[138],"insurance":[140,215,238,271],"coverage.":[141],"Five":[142],"themes":[143],"emerged":[144],"from":[145],"participants'":[146],"experiences:":[147],"1)":[148],"Financial":[149,320],"Insurance":[151,188],"barriers":[152,258],"Access,":[154,319],"2)":[155],"Navigation":[156],"Healthcare":[159],"System":[160],"Influence":[163],"Providers,":[165],"3)":[166],"Perceived":[167],"Health":[168,175],"Quality":[170],"Life":[172],"Benefits,":[173],"4)":[174],"Trajectories":[176],"Psychosocial":[178],"Experiences":[179],"Obesity,":[181,314],"5)":[182],"Treatment":[183],"Challenges":[184],"Long-Term":[186],"Sustainability.":[187],"gaps":[189],"further":[190],"led":[191],"treatment":[193,227],"discontinuation":[194],"or":[195],"switching":[196],"between":[197],"brands,":[198],"some":[200],"patients":[201,230],"staying":[202],"reduced":[204],"dosages":[205],"due":[206],"high":[208],"medication":[209],"costs.":[210],"Some":[211],"participants":[212],"reported":[213,231],"receiving":[214],"coverage,":[216],"while":[217],"others":[218],"paid":[219],"entirely":[220],"out":[221],"pocket,":[223],"creating":[224],"inequities":[225],"access.":[228],"Self-paying":[229],"financial":[232,255,275],"strain,":[233],"suggesting":[234],"private":[237],"coverage":[239,272],"obese":[241],"overweight":[243],"prevent":[246],"metabolic":[248,311],"syndromes.":[249],"Conclusion:":[250],"underscores":[253],"accessibility-related":[257],"experienced":[259],"by":[260],"utilizing":[263],"Addressing":[266],"these":[267],"challenges":[268],"requires":[269],"expanded":[270],"government-led":[274],"assistance":[276],"programs":[277],"facilitate":[279],"patient-centred":[280],"models":[282],"improving":[284,299],"outcomes.":[287],"The":[288],"findings":[289],"imply":[290],"policy":[291],"reforms":[292],"promoting":[294],"equitable":[295],"healthcare,":[298],"outcomes,":[302],"enhancing":[303],"quality":[304],"life,":[306],"preventing":[308],"subsequent":[309],"obesity-related":[310],"complications.":[312],"Keywords:":[313],"Non-diabetics,":[315],"Weight":[316],"loss,":[317],"Pharmacotherapy,":[318],"barriers.":[321]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-09-30T00:00:00"}