Journal of Health Care for the Poor and Underserved最新文献

The Impact of Social Vulnerability on 10-year Trends in Age-Adjusted Mortality in Kansas: An Ecologic Analysis. 社会脆弱性对堪萨斯州年龄调整死亡率10年趋势的影响：生态学分析。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a992135

Jennifer S Oliveira, Sharon Fitzgerald Wolff, Lisa Sanderson Cox

{"title":"The Impact of Social Vulnerability on 10-year Trends in Age-Adjusted Mortality in Kansas: An Ecologic Analysis.","authors":"Jennifer S Oliveira, Sharon Fitzgerald Wolff, Lisa Sanderson Cox","doi":"10.1353/hpu.2026.a992135","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992135","url":null,"abstract":"Socioeconomic and structural factors, including social vulnerability, play critical roles in population health and health disparities. In recent years, Kansas reported age-adjusted mortality rates (AAMR) above the national average, with five-year county-average AAMRs ranging from 606 to 1,267 deaths per 100,000, revealing county-level disparities. This study examined county-level social vulnerability in relation to AAMR in Kansas. Counties were classified into four levels of social vulnerability using the Social Vulnerability Index (SVI). County annual AAMRs were obtained from the Kansas Department of Health and Environment. Repeated measures linear regression analyzed four levels of county social vulnerability and change in AAMR from 2013 to 2022. At the county level, increased social vulnerability was significantly associated with increased AAMR (p=.00). The change in AAMR over time was not significantly associated with SVI group (p=.65). Continued efforts to understand disparities are needed to prioritize interventions and inform policies to advance health equity.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"660-672"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disparities in Lead Poisoning Outcomes: A Bioecological Model. 铅中毒结果的差异：一个生物生态学模型。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a998553

Robert J Karp

引用次数: 0

Frontline Social Service Workers' Experiences Supporting Sexual and Reproductive Health of People Who Have Been Incarcerated. 一线社会服务工作者支持被监禁者性健康和生殖健康的经验。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a998541

Martha Paynter, Clare Heggie, Anja McLeod, Wendy V Norman

{"title":"Frontline Social Service Workers' Experiences Supporting Sexual and Reproductive Health of People Who Have Been Incarcerated.","authors":"Martha Paynter, Clare Heggie, Anja McLeod, Wendy V Norman","doi":"10.1353/hpu.2026.a998541","DOIUrl":"https://doi.org/10.1353/hpu.2026.a998541","url":null,"abstract":"Background: Research on sexual and reproductive health (SRH) care among women and gender-diverse people in prisons in Canada demonstrates gaps in access to health information and institutional barriers to care. Women and gender-diverse people leaving prison often access community supports provided by non-governmental organizations (NGOs). The experiences, needs and skills of staff at these organizations with respect to supporting client SRH are under-researched.Methods: This study followed a community-based design involving four qualitative focus groups at partner organization sites, for a total of 30 participants. Participants included directors of NGOs, case workers, peer support workers, and housing support workers. Data were analyzed using reflexive thematic analysis.Results: Four key themes emerged from our analysis: (1) Pregnancy in transitional times; (2) Encouraging and accompanying clients to care; (3) Am I supposed to do this? Role conflict; (4) Being realistic: Navigating child welfare.Conclusion: In the transition from custody to community, SRH services are frequently required. Frontline staff working with people recently released from prison are motivated to enhance their ability to support client SRH.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"887-896"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sources of Change in Health Care Use by Agricultural Workers in the United States, 2000 to 2020. 2000年至2020年美国农业工人医疗保健使用变化的来源

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a998550

Jeffrey M Timberlake, Alexa J Friesen-Haarer

引用次数: 0

Training the Next Generation of Health Equity Leaders: Development and Implementation of the Boston Medical Center Executive Health Equity Fellowship. 培训下一代健康公平领导者：波士顿医疗中心执行健康公平奖学金的发展和实施。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a982979

Emily Cleveland Manchanda, James C Hudspeth, Thea James, Nancy Gaden, Ravin Davidoff, Jeffrey I Schneider

引用次数: 0

Healing Together: Advocating for Community Mental Health Through Restorative Circles in Low-Income Latine and Pre-Columbian Indigenous Immigrant Communities. 共同治愈：通过低收入拉丁裔和前哥伦比亚土著移民社区的恢复性圈子倡导社区心理健康。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a982961

Evelyn Vázquez, Arianna Zimmer, Martin Pallares Perez, Connie Marmolejo, Muriel Casamayor, Maria Pozar, Laysi Da Silva Zacarias, Ann Cheney

{"title":"Healing Together: Advocating for Community Mental Health Through Restorative Circles in Low-Income Latine and Pre-Columbian Indigenous Immigrant Communities.","authors":"Evelyn Vázquez, Arianna Zimmer, Martin Pallares Perez, Connie Marmolejo, Muriel Casamayor, Maria Pozar, Laysi Da Silva Zacarias, Ann Cheney","doi":"10.1353/hpu.2026.a982961","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982961","url":null,"abstract":"Low-income immigrant communities experience significant trauma and structural health inequities, particularly in mental health access, quality of care, and outcomes. This study evaluates the effects of restorative circles as a community-driven intervention for psychological trauma among low-income Latine and Pre-Columbian Indigenous immigrants in rural California. We conducted three focus groups (N=34), each representing a distinct immigrant community. Findings revealed diverse, community-specific challenges: Relocated immigrants (n=14) reported post-COVID-19 trauma, economic precarity, and the psychological toll of undocumented status. Farmworkers (n=10) identified school violence and substance abuse as key concerns. The Purépecha community (n=10), a Pre-Columbian Indigenous group, highlighted suicidality, mental health stigma, and severe resource scarcity. Across all groups, participants described discrimination and school-based bullying as persistent issues. These findings emphasize the urgent need for culturally responsive, community-based mental health interventions co-developed with rural immigrant populations.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"143-165"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racial Income Inequality and COVID-19 Burden in Louisiana: A Spatial Analysis of Public Health Disparities. 路易斯安那州种族收入不平等与COVID-19负担：公共卫生差异的空间分析

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a982963

Hyunsu Oh, Shriya Thakkar

{"title":"Racial Income Inequality and COVID-19 Burden in Louisiana: A Spatial Analysis of Public Health Disparities.","authors":"Hyunsu Oh, Shriya Thakkar","doi":"10.1353/hpu.2026.a982963","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982963","url":null,"abstract":"Background: Louisiana has experienced one of the highest COVID-19 burdens in the United States. This article investigates the geospatial pattern of COVID-19 in Louisiana using the perspective of racial capitalism.Methods: Using data from the Louisiana Department of Health and the American Community Survey, we employed spatial autoregressive models to assess how racial income inequality between White and Black residents was connected to COVID-19 case rates in Louisiana parishes, controlling for other parish-level characteristics.Results: When a parish was characterized by greater White-Black income inequality, there was a higher risk of COVID-19 in the state of Louisiana. The relationship is primarily attributable to conditions in parishes with greater racial income inequality, rather than to the diffusion of COVID-19 cases across parish boundaries.Conclusions: Racial and socioeconomic inequity is an ecological driver associated with the COVID-19 burden in Louisiana. Based on Louisiana's historical and sociocultural contexts, implications are further discussed.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"181-195"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Housing Status and Overall Survival in People with Lung Cancer: Utilization of a Housing Insecurity Screening and Referring Program. 肺癌患者的住房状况和总体生存：利用住房不安全筛查和转诊计划。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a982971

Alexander Lazzaro, Laura B Amin, Chinmay Jani, Sara Young, Hyerim Jang, Monica Abou-Ezzi, Amr Radwan, Omar Al Omari, Mohini Patel, Harshitha Dudipala, Mariam Markouli, Pablo Buitron de la Vega, Matthew H Kulke, Umit Tapan

{"title":"Housing Status and Overall Survival in People with Lung Cancer: Utilization of a Housing Insecurity Screening and Referring Program.","authors":"Alexander Lazzaro, Laura B Amin, Chinmay Jani, Sara Young, Hyerim Jang, Monica Abou-Ezzi, Amr Radwan, Omar Al Omari, Mohini Patel, Harshitha Dudipala, Mariam Markouli, Pablo Buitron de la Vega, Matthew H Kulke, Umit Tapan","doi":"10.1353/hpu.2026.a982971","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982971","url":null,"abstract":"Social determinants of health (SDOH), including housing insecurity, have been linked to poorer lung cancer outcomes. We investigated the relationship between housing status and overall survival (OS) of people with lung cancer. Our study examined all patients with lung cancer evaluated at Boston Medical Center (BMC), a tertiary care academic medical center and New England's largest safety-net hospital, between 2015 and 2021. Data was collected from electronic health records and THRIVE, a program that screens and refers for SDOH. We conducted univariable and multivariable survival analyses on 346 participants (housing-secure: n = 308; housing-insecure: n = 38). Results showed no statistically significant association between housing security and OS (HR 1.40, 95% C.I. 0.78-2.53, p = .27). While our findings suggest that standardized SDOH screening and referral programs may help reduce health disparities among housing-insecure people with lung cancer, prospective studies are needed to establish causality.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"308-321"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reverse Integration: Community-Based Breastfeeding Experts Integrated with Integrity into Traditional Clinical Prenatal Care. 反向整合：以社区为基础的母乳喂养专家整合到传统的临床产前护理。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a982978

Kiddada Green, Jaye I Clement, Isha Johnson, Malak Ismail, Sarah J Clark, Kimberlydawn Wisdom

引用次数: 0

MOWA Medical Hub: A Student-Run Free Clinic's Approach to Meeting the Needs of an Underserved Community. MOWA医疗中心：学生经营的免费诊所满足服务不足社区需求的方法。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2026-01-01 DOI: 10.1353/hpu.2026.a982981

Caroline Howell, Emily Cleveland, Hope H Lund, Chandler Hinson, Benjamin Cockrell, Thomas Robinson, Hanna Bobinger, Richard A Perkins, Antonette Francis-Shearer, Ashley Y Williams

引用次数: 0