Journal of Health Care for the Poor and Underserved最新文献_第10页

Independent Relationship between Incarceration Factors and Glycemic Control in African Americans with Criminal Legal Involvement and Type 2 Diabetes. 非裔美国人刑事法律介入和2型糖尿病的监禁因素与血糖控制的独立关系

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.a982966

Olaitan Akinboboye, Rebekah J Walker, Jennifer A Campbell, Laura Hawks, Joni S Williams, Leonard E Egede

{"title":"Independent Relationship between Incarceration Factors and Glycemic Control in African Americans with Criminal Legal Involvement and Type 2 Diabetes.","authors":"Olaitan Akinboboye, Rebekah J Walker, Jennifer A Campbell, Laura Hawks, Joni S Williams, Leonard E Egede","doi":"10.1353/hpu.2026.a982966","DOIUrl":"10.1353/hpu.2026.a982966","url":null,"abstract":"Objective: Examine the relationship between incarceration factors and glycemic control in African Americans with criminal legal involvement and type 2 diabetes mellitus (T2DM).Methods: Using a cross-sectional survey analysis of 171 adults, a model was estimated using stepwise regression with forward selection to evaluate the relationship between incarceration factors and glycemic control, controlling for demographic and clinical factors.Results: Reporting a drug-related conviction (β:-0.81; 95%CI:-1.50,-0.11) was associated with higher HbA1c compared with no drug-related conviction. Compared with using only pills or oral hypoglycemic agents, the combination of pills/oral hypoglycemic agents and insulin (β:1.31; 95%CI:0.60,2.01) and using insulin or injectables alone (β:0.94; 95%CI:0.14,1.74) were associated with higher HbA1c. Each additional comorbidity (β:-0.18; 95%CI:-0.33,-0.04) and unit increase in age (β:-0.04; 95%CI:-0.08,-0.01) was associated with a lower HbA1c.Conclusion: History of a drug-related conviction, age, comorbidity, and medication were associated with glycemic control in African Americans with a history of criminal legal involvement and T2DM.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"219-233"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13594506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Differences in Risk of Substance Use Disorder between Age Groups among Adults with Lifetime Criminal Legal Involvement in the U.S. 美国有终身刑事法律牵连的成年人中不同年龄组物质使用障碍风险的差异

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.a998540

Laura Hawks, Amelia Papadimitriou, Rebekah J Walker, Leonard E Egede

{"title":"Differences in Risk of Substance Use Disorder between Age Groups among Adults with Lifetime Criminal Legal Involvement in the U.S.","authors":"Laura Hawks, Amelia Papadimitriou, Rebekah J Walker, Leonard E Egede","doi":"10.1353/hpu.2026.a998540","DOIUrl":"10.1353/hpu.2026.a998540","url":null,"abstract":"Objective: Many adults with a history of criminal legal involvement have a substance use disorder (SUD), however how this relationship changes with age is not well studied. We investigated the association between age and SUD among those with criminal legal involvement.Methods: Using data from the National Survey of Drug Use and Health, we tested the association between age group and odds of having a SUD. Multivariate logistic regression analyses controlled for socio-demographic and clinical confounders.Results: Compared with older adults, younger adults had increased odds of any substance use disorder (OR 2.2;95%CI:1.7,2.9). Middle aged adults similarly had higher odds of any substance use disorder (OR 1.7;95% CI: 1.3,2.2).Conclusions: Among adults with lifetime criminal legal involvement, younger adults experienced significantly higher odds of various SUDs compared with older adults. However, prevalence of SUD, particularly alcohol use disorder, remained high in older adults.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"873-886"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving Hypertension in Rural Georgia: A Team-Based Quality Improvement Initiative. 改善格鲁吉亚农村高血压：以团队为基础的质量改进倡议。

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.a994067

Temiloluwa Faokunla, Nina John, Martin Sheldon, Jaren H Veal, Ashley Saucier, Christy J W Ledford

引用次数: 0

Identifying Barriers and Facilitators for Stroke Recovery and Prevention Among African American Men. 识别非裔美国男性中风恢复和预防的障碍和促进因素。

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.a998539

Cheryl Killion, Martha Sajatovic, Carolyn Harmon-Still, Jacqueline Krehel-Montgomery, Beth Lute, Sally Farah, Gracie Howard-Griggs, Jessica Surdam, Nicole Fiorelli, Michaela Broadnax

{"title":"Identifying Barriers and Facilitators for Stroke Recovery and Prevention Among African American Men.","authors":"Cheryl Killion, Martha Sajatovic, Carolyn Harmon-Still, Jacqueline Krehel-Montgomery, Beth Lute, Sally Farah, Gracie Howard-Griggs, Jessica Surdam, Nicole Fiorelli, Michaela Broadnax","doi":"10.1353/hpu.2026.a998539","DOIUrl":"10.1353/hpu.2026.a998539","url":null,"abstract":"Strokes disproportionately affect African Americans compared with all other U.S. adults. This study's goal was to identify perceived barriers and facilitating factors for stroke prevention and recovery. In-depth, baseline qualitative interviews of 40 AA men were conducted as part of the initial phase of an ongoing 12-month prospective randomized controlled trial (RCT) to test the effectiveness of a stroke risk reduction intervention, TargEted MAnageMent (TEAM). Directed content analysis revealed eight themes from each of the two domains. Dominant barrier themes include (1) seeking the \"old normal,\" (2) contextualizing the stroke experience, and (3) feeling insecure about health equity. Dominant facilitator themes include (1) developing strategies to manage specific conditions, (2) connecting man-to-man, and (3) extending health care \"beyond buildings.\" Personal health goals were sometimes challenging to achieve because the men's experiences were intertwined with larger forces, often at odds with seeking and maintaining good health.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"850-872"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761812","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

The Community Health Centers at Sixty: As Essential as Ever. 60岁的社区卫生中心：一如既往的重要。

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.a982977

Eli Y Adashi, Daniel P O'Mahony, I Glenn Cohen

引用次数: 0

Unveiling the Impact: A Scoping Review of the COVID-19 Pandemic's Effects on Low-Income Populations in Canada. 揭示影响：2019冠状病毒病大流行对加拿大低收入人群影响的范围审查。

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.a982956

Menna Komeiha, Iryna Artyukh, Oluwasegun J Ogundele, Q Jane Zhao, Notisha Massaquoi, Sharon Straus, Fahad Razak, Benita Hosseini, Azza Eissa, Mathieu Isabel, Andrew D Pinto

{"title":"Unveiling the Impact: A Scoping Review of the COVID-19 Pandemic's Effects on Low-Income Populations in Canada.","authors":"Menna Komeiha, Iryna Artyukh, Oluwasegun J Ogundele, Q Jane Zhao, Notisha Massaquoi, Sharon Straus, Fahad Razak, Benita Hosseini, Azza Eissa, Mathieu Isabel, Andrew D Pinto","doi":"10.1353/hpu.2026.a982956","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982956","url":null,"abstract":"Objectives: This scoping review examines the impact of the COVID-19 pandemic on low-income populations in Canada.Methods: We conducted the scoping review using the Joanna Briggs Institute (JBI) methodology and adhered to the PRISMA-ScR guidelines for reporting. The review included studies focusing on generally healthy, low-income populations residing in Canada. The definition of low income varied among the included articles.Results: A total of 7,054 citations were screened, resulting in six peer-reviewed studies selected for data extraction and analysis. The grey literature search produced ten reports that were included. Findings resulted in three categories: (1) COVID-19 morbidity and mortality rates, (2) impact on mental health, and (3) impact on social determinants of health.Conclusion: Urgent policy interventions are needed to mitigate the negative impacts of future health care crises on low-income individuals. Implementing livable wage mandates and paid sick leave policies could facilitate equitable recovery.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"44-72"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149017936","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

Prioritizing the Health of Underserved Communities in Prenatal Genetics. 优先考虑服务不足社区的产前遗传学健康。

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.a982975

Megan A Allyse, Stephanie Meredith, Kirsten A Riggan, Katie A Stoll, Jane Q Yap, Marsha Michie

{"title":"Prioritizing the Health of Underserved Communities in Prenatal Genetics.","authors":"Megan A Allyse, Stephanie Meredith, Kirsten A Riggan, Katie A Stoll, Jane Q Yap, Marsha Michie","doi":"10.1353/hpu.2026.a982975","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982975","url":null,"abstract":"Prenatal cell-free genetic screening (cfDNA) for fetal chromosomal conditions, including aneuploidy and microdeletion syndromes, is increasingly offered in diverse patient populations and clinical settings, including in safety-net clinics and other public health settings. Companies testing for cfDNA have argued for first-tier cfDNA by state Medicaid programs, arguing that differences in coverage of these screens between public and private insurance constitute a health disparity. We contend that this framing is unhelpful considering the ongoing maternal and perinatal health crisis affecting low-income families and existing data on the primary drivers of disparate pregnancy outcomes. cfDNA technology has the potential for a significant impact on public health and prenatal health disparities, if panels were less expensive and addressed the leading causes of maternal and perinatal morbidity. Finally, we examine the role of prenatal genetics in public health and discuss promising prenatal technologies that could help address adverse pregnancy outcomes disproportionately affecting minoritized and underserved populations.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"367-377"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018285","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

Community-led Health Needs Assessment: A Co-development Approach to Identify Community Priorities in Los Angeles and Orange Counties. 社区主导的卫生需求评估：洛杉矶和奥兰治县确定社区优先事项的共同发展方法。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI: 10.1353/hpu.2025.a967367

Jasmin R Navarrete, Corina Martinez, Cristina Mares, Rosa Vazquez, Dordaneh Ashouriha, Kyle J Moon, Gloria Itzel Montiel, Saira Nawaz

引用次数: 0

Community Health Centers: Leveraging Artificial Intelligence to Address Workforce and Value Based Care Challenges. 社区卫生中心：利用人工智能解决劳动力和基于价值的护理挑战。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI: 10.1353/hpu.2025.a975574

Peter Shin, Raymonde Uy

引用次数: 0

A Case Study of Community Dental Health Coordinator: Evaluating a Medical-Dental Collaboration to Address Barriers to Preventive Dental Care. 社区牙科健康协调员的案例研究：评估医疗-牙科合作以解决预防牙科保健的障碍。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2025-01-01 DOI: 10.1353/hpu.2025.a951585

Jessica Weisz, Desiree de la Torre, Anupama Rao Tate

{"title":"A Case Study of Community Dental Health Coordinator: Evaluating a Medical-Dental Collaboration to Address Barriers to Preventive Dental Care.","authors":"Jessica Weisz, Desiree de la Torre, Anupama Rao Tate","doi":"10.1353/hpu.2025.a951585","DOIUrl":"10.1353/hpu.2025.a951585","url":null,"abstract":"Background: Tooth decay is common, but low-income families have low rates of preventive oral health care. The American Dental Association community dental health coordinator (CDHC) model has successfully increased referrals to co-located dentists.Objective: To implement a CDHC to link families between the medical home and community dentists.Methods: The CDHC universally screened patients between 2-17 years of age during medical check-ups at two sites. Iterative plan-do-study-act (PDSA) cycles aim to increase screening, increase participants, and increase phone follow-up with families. When participation was low, family and provider focus groups were held.Results: The CDHC completed 2,933 intakes with 745 appointments made and 250 dental appointments attended. Focus group participants of patients and providers endorsed support for the program, but iterative PDSA cycles did not increase participation.Discussion: The generalizability of the CDHC model from referrals to internal, co-located dentists to external, community providers was not as successful as expected.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"67-74"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434167","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