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

Health at Home: Investigating Low-Income Housing Quality on Colfax Avenue. 家庭健康：科尔法克斯大道低收入住房质量调查。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Lisa Ross DeCamp, Kisori Thomas, Raymond Pomponio, Ryan Peterson, Fernando Holguin, Kate Johnston, Ellison Carter

{"title":"Health at Home: Investigating Low-Income Housing Quality on Colfax Avenue.","authors":"Lisa Ross DeCamp, Kisori Thomas, Raymond Pomponio, Ryan Peterson, Fernando Holguin, Kate Johnston, Ellison Carter","doi":"","DOIUrl":"","url":null,"abstract":"Addressing housing insecurity contributes to health care programs as stable housing has positive health benefits. Home environmental hazards may reduce these potential health benefits and could increase morbidity for conditions such as asthma. This study examined housing and indoor air quality among urban low-income households in Colorado to inform housing-insecurity interventions. We conducted a community-engaged study among residents of motels, mobile homes, apartments, and single-family homes that included a survey on the home environment, health, and sociodemographic factors, spirometry, and indoor air quality measurement. We enrolled 60 households: 50% single-family homes, 37% apartments, and 13% residential motels. Perceived stress and depression were higher among motel residents compared with other housing types. We did not find differences in lung function by housing type. Indoor fine particulate matter (PM2.5) and black carbon concentrations were higher in motels than in other housing types. The differential health impacts of housing type support housing programs that jointly address security and quality.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3","pages":"790-801"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917794","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

Cannabis Co-Use Among Black Individuals with Chronic Pain Who Use Opioids: Associations with Other Substance Use and Pain Related Outcomes. 使用阿片类药物的黑人慢性疼痛患者中的大麻共用情况：与其他物质使用和疼痛相关结果的关联。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Jafar Bakhshaie, James D Doorley, Nathaniel R Choukas, Nathan S Fishbein, Victoria A Grunberg, Ana-Maria Vranceanu

{"title":"Cannabis Co-Use Among Black Individuals with Chronic Pain Who Use Opioids: Associations with Other Substance Use and Pain Related Outcomes.","authors":"Jafar Bakhshaie, James D Doorley, Nathaniel R Choukas, Nathan S Fishbein, Victoria A Grunberg, Ana-Maria Vranceanu","doi":"","DOIUrl":"","url":null,"abstract":"Background Black individuals with chronic musculoskeletal (MSK) pain tend to experience worse pain and opioid use-related outcomes, including other substance co-use, compared with non-Hispanic White individuals. Co-using cannabis with opioids could instigate a cascade of pain-related vulnerabilities and poor outcomes. Here, we test associations between cannabis/opioid co-use and pain-related outcomes among Black individuals with chronic MSK pain. Methods Black adults with chronic MSK pain who use opioids (N=401; 51.62% female, Mage=35.90, SD=11.03) completed online measures of pain intensity/interference, emotional distress, opioid dependence, and risky use of other substances. Results Compared with opioid use alone, opioid and cannabis co-use was associated with elevated anxiety and depression symptoms, opioid dependence, and risky substance use, but not pain. Conclusions Black individuals with chronic MSK pain who co-use opioids and cannabis warrant targeted interventions that address their needs. Tailored interventions could help address disparities in pain-related outcomes and opioid morbidity and mortality rates.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 2","pages":"564-582"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200784","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

Evaluation of a Transitional Patient Navigation Protocol for People Living With Hepatitis C Virus in the New York City Jail System. 评估针对纽约市监狱系统中丙型肝炎病毒感染者的过渡性患者指导方案。

IF 1.4 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Janet Wiersema, Jessie Schwartz, Angelica Bocour, Emily Julian, Justin Chan

引用次数: 0

Prevalence and Impact of Adverse Social and Behavioral Determinants of Health in Heart Failure: Analysis of a Safety-Net Population. 不良社会和行为健康决定因素在心力衰竭患者中的流行程度和影响：安全网人群分析。

IF 1.4 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Lucas Zellmer, Maroun Chedid, Appesh Mohandas, Holly Rodin, Katherine Diaz Vickery, Gautam R Shroff

{"title":"Prevalence and Impact of Adverse Social and Behavioral Determinants of Health in Heart Failure: Analysis of a Safety-Net Population.","authors":"Lucas Zellmer, Maroun Chedid, Appesh Mohandas, Holly Rodin, Katherine Diaz Vickery, Gautam R Shroff","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To determine the impact of adverse social and behavioral determinants of health (SBDH) on health care use in a safety-net community hospital (SNCH) heart failure (HF) population.Methods: We performed a retrospective analysis of HF patients at a single SNCH between 2018-2019 (N= 4594).Results: At least one adverse SBDH was present in 21% of the study population. Patients with at least one adverse SBDH were younger (57 vs. 68 years), more likely to identify as Black (50% vs. 36%), be male (68% vs. 53%), and have Medicaid insurance (48% vs. 22%), p<.001. Presence of at least one adverse SBDH (homelessness, substance use, or incarceration) correlated with increased hospitalizations (2.3 vs 1.4/patient) and ED visits (5.1 vs 2.1/patient), p<.0001. Adverse SBDH were independent predictors of HF readmissions. Prescribing of guideline-directed medical therapy was similar among all patients.Conclusions: In a SNCH HF cohort, adverse SBDH predominantly afflict younger Black men on Medicaid and are associated with increased utilization.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 2","pages":"503-515"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200919","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

Validating the Hunger Vital SignTM and USDA Food Insufficiency Tools Against the HFSS-10 Measure in a New York City Population Survey. 在纽约市人口调查中，根据 HFSS-10 测量值验证饥饿生命体征 TM 和美国农业部食物不足工具。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI: 10.1353/hpu.2024.a942868

Tanzia Shaheen, Yuqing Liu, Aldo Crossa

{"title":"Validating the Hunger Vital SignTM and USDA Food Insufficiency Tools Against the HFSS-10 Measure in a New York City Population Survey.","authors":"Tanzia Shaheen, Yuqing Liu, Aldo Crossa","doi":"10.1353/hpu.2024.a942868","DOIUrl":"https://doi.org/10.1353/hpu.2024.a942868","url":null,"abstract":"Introduction: Hunger Vital SignTM (HVS) and Food Insufficiency Tool (FIT) are two screeners of food insecurity that have not been extensively researched against the well-known 10-item Household Food Security Survey (HFSS-10) Module in large population settings such as New York City (NYC).Methods: We calculated sensitivity and specificity of the HVS compared with the HFSS-10-based food-insecurity measure and of the FIT compared with the very low food security category of the HFSS-10 using data from the June 2022 New York City Health Panel food access survey.Results: Overall, the HVS had a sensitivity of 98.1% and a specificity of 72.1%. The FIT had a sensitivity of 53.8% and a specificity of 94.5%. Specificity varied for the HVS while sensitivity varied for the FIT when stratified by sociodemographic subgroups.Conclusion: The HVS captured people experiencing or at risk of experiencing food insecurity. The FIT underestimated the prevalence of people experiencing very low food security. These screeners may be measuring different constructs of food insecurity.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4S","pages":"48-69"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711545","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

Immigrant Mothers' Perspectives on Pediatric Primary Care: Challenges and Solutions to Improve Medical Home Use. 移民母亲对儿科初级保健的看法：改善医疗之家使用的挑战和解决方案》。

IF 1.4 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Tricia Francisco Wagner, Allison Olmsted, Kimberly Kay Lopez, Karla Fredricks

{"title":"Immigrant Mothers' Perspectives on Pediatric Primary Care: Challenges and Solutions to Improve Medical Home Use.","authors":"Tricia Francisco Wagner, Allison Olmsted, Kimberly Kay Lopez, Karla Fredricks","doi":"","DOIUrl":"","url":null,"abstract":"Children in immigrant families (CIF) constitute 25% of all children in the United States. Known barriers to accessing and navigating the health care system for immigrants (i.e., poverty, fear, limited English proficiency, lack of insurance) lead to decreased medical home establishment among CIF, although the ways in which these obstacles affect medical home access are less studied. With a focus on Congolese, Afghan, Syrian/Iraqi, and Central American immigrants, key informant interviews and focus groups were conducted to identify mothers' perceptions of and experiences with pediatric primary health care. Five common themes emerged: mothers' critical role in children's health, uniqueness of the U.S. health care system, logistical challenges, influence of prior clinical experiences, and importance of culturally appropriate communication. Few, but distinct, differences among the groups revealed specific obstacles for individual populations. Improving rates of medical home use among CIF requires targeted, immigrant-informed approaches that involve population outreach as well as systems-level changes.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 1","pages":"299-315"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867861","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

Implementing a Teaching Rural Mobile Health Clinic: Challenges and Adaptations. 实施农村流动医疗诊所教学：挑战与适应。

IF 1.4 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Kristina Brant, Joel E Segel, Michael P McShane, Danielle Rhubart, Jennifer Kowalkowski, Hazel Velasco Palacios, Jorden Jackson

引用次数: 0

A Real-world Study Evaluating the Clinical Factors Associated with the Initial SGLT2 Inhibitor Prescription. 一项评估与 SGLT2 抑制剂首次处方相关的临床因素的真实世界研究。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Michelle Chu, Mimi Lou, Mengxi Wang, Allison Flores

{"title":"A Real-world Study Evaluating the Clinical Factors Associated with the Initial SGLT2 Inhibitor Prescription.","authors":"Michelle Chu, Mimi Lou, Mengxi Wang, Allison Flores","doi":"","DOIUrl":"","url":null,"abstract":"The American Diabetes Association (ADA) guidelines prioritize Sodicum-glucose transporter-2-inhibitors (SGLT2i) given cardio-renal and glycemic benefits. This study was conducted to observe clinical factors associated with initial SGLT2i prescription in type 2 diabetes patients eligible for SGLT2i by the ADA.Methods: A retrospective case-control study was performed in a safety-net clinic and consisted of the initial SGLT2i prescriptions group and the group without. The data from the electronic medical records between July 2021 and December 2022 were analyzed in the regressional models.Results: There was a significant association between A1c ≥8% (OR 3.7, p=.01), heart failure (OR 19.3, p<.0001), a history of hypotension (OR 11.9, p=.01), and sulfonylureas (OR 6.5, p=.003) with the SGLT2i prescription.Conclusion: Patients with high A1c levels, heart failure, a history of hypotension, and sulfonylureas were more likely than their counterparts to receive SGLT2i prescriptions. Future research should investigate adherence and provider prescribing behaviors related to SGLT2i to further assess optimal drug use.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3","pages":"866-879"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917785","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

A Clinic-Level Approach to Improve Uptake of First COVID-19 Vaccine Dose in Primary Care. 诊所层面的方法可提高基层医疗机构对第一剂 COVID-19 疫苗的接种率。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI: 10.1353/hpu.2024.a943983

Annemarie M Swamy, Noah Kaufman, Ernest Lievers, Carrie Tyler, Olivia Veira, Sofia Osio Smith, Marquita C Genies, Melina Turtle, Pamela A Matson, Julia M Kim, Arik V Marcell

{"title":"A Clinic-Level Approach to Improve Uptake of First COVID-19 Vaccine Dose in Primary Care.","authors":"Annemarie M Swamy, Noah Kaufman, Ernest Lievers, Carrie Tyler, Olivia Veira, Sofia Osio Smith, Marquita C Genies, Melina Turtle, Pamela A Matson, Julia M Kim, Arik V Marcell","doi":"10.1353/hpu.2024.a943983","DOIUrl":"10.1353/hpu.2024.a943983","url":null,"abstract":"This quality improvement initiative aimed to increase first dose of COVID-19 vaccinations during pediatric/adolescent clinic visits. Four plan-do-study-act cycles were performed with creation of eligibility lists and increasing health educator (HE) engagement. Statistical process control analysis assessed vaccine receipt over time. Logistic regression modeling evaluated odds of receipt. Among 6,740 visits, 52.2% of patients were eligible for first COVID-19 vaccine; 17.9% of eligible patients accepted it. First-vaccine improvements from 13.1% to 21.7% were not sustained. Odds of receipt increased in each cycle compared with baseline (1: Odds Ratio=1.99 [95% Confidence Interval 1.49-2.67], 2: OR=2.22 [1.58-3.14]), 3: OR=2.15 [1.51-3.05]), 4: OR=1.48 [1.11-1.96]), and with HE discussion versus no HE discussion (OR=1.64 [1.16-1.90]). First COVID-19 vaccine receipt increased with vaccine-eligible patient lists and HE-initiated discussions, although improvements diminished over time. Health educator versus no HE discussion led to improved vaccinations, supporting further quality improvement research on HE role to improve vaccine uptake.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4","pages":"1158-1173"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711321","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

Links Between Food Assistance Program Participation and Mental Health: A Systematic Review and Meta-Analysis. 参与食品援助计划与心理健康之间的联系：系统回顾与元分析》。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI: 10.1353/hpu.2024.a943992

Alexander J O'Donnell, Mary Takgbajouah, Abigail Bushnell, Dylan Sagan, Catherine Mirich, Dana Mansfield, Margaret H Clark Withington, Joanna Buscemi

{"title":"Links Between Food Assistance Program Participation and Mental Health: A Systematic Review and Meta-Analysis.","authors":"Alexander J O'Donnell, Mary Takgbajouah, Abigail Bushnell, Dylan Sagan, Catherine Mirich, Dana Mansfield, Margaret H Clark Withington, Joanna Buscemi","doi":"10.1353/hpu.2024.a943992","DOIUrl":"10.1353/hpu.2024.a943992","url":null,"abstract":"Food insecurity is a mechanism through which the mental health impacts of systemic social inequities multiply across the lifespan. Federally administered food assistance programs improve food security, but their impact on mental health is less clear. We conducted a systematic review of all studies that reported an association between food assistance participation and mental health (N = 34), and a multilevel meta-analysis among studies that met inclusion criteria and reported sufficient statistical results (n = 21; k = 44). The overall effect of food assistance on mental health was not significant (d = -0.025, p = .724). However, follow-up moderator analyses indicated that receipt of food assistance mitigated developmental risk among children (F = 7.73, p = .008). Our results highlight the importance of addressing systemic problems, such as insufficient funds and outdated nutrition guidelines, that limit the potential of food assistance programs to positively affect public health.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4","pages":"1307-1327"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711437","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