Journal of Health Care for the Poor and Underserved最新文献_第2页

Adolescent Sexual Behavior, Contraceptive Use, and STI Testing during the COVID-19 Pandemic (January-June 2021). 2019冠状病毒病大流行期间的青少年性行为、避孕药具使用和性传播感染检测（2021年1月至6月）

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.a951587

Laima Licitis, Leigh E Szucs, Zach Oberholtzer, Kathleen H Krause, Jennifer Smith, Emily Young, Ari Fodeman, Sanjana Pampati

{"title":"Adolescent Sexual Behavior, Contraceptive Use, and STI Testing during the COVID-19 Pandemic (January-June 2021).","authors":"Laima Licitis, Leigh E Szucs, Zach Oberholtzer, Kathleen H Krause, Jennifer Smith, Emily Young, Ari Fodeman, Sanjana Pampati","doi":"10.1353/hpu.2025.a951587","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951587","url":null,"abstract":"Background: The COVID-19 pandemic affected adolescents' sexual and reproductive health (SRH) behaviors and access to services.Methods: We analyzed data from the 2021 Adolescent Behaviors and Experiences Survey (n=7,705) on sexual activity, condom and contraceptive use, and sexually transmitted infection (STI) testing. We tested differences in SRH outcomes by demographics, racism experience, and English proficiency.Results: Current sexual activity was higher among students reporting ever experiencing racism at school and self-rating how well they can speak English as \"not well.\" Condom use differed by sex, sexual identity, and sex of sexual contacts. Demographic differences in contraceptive use were also identified. Sexually active females (vs. males) and males with same-sex or both-sex contacts (vs. opposite-sex) had higher STI testing.Conclusion: Differences by students' demographic characteristics and experiences during the pandemic highlight needs to enhance accessibility and quality of adolescent SRH services and education in schools, clinics, and communities.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"82-95"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434170","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

Making Correctional Health Care Education Integral to Health Care Training. 使惩教卫生保健教育成为卫生保健培训的一部分。

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.a951601

Jennifer L Kemper, Rasheeda T Monroe, Theodore R Zarzar

引用次数: 0

Using See, Test & Treat® to Increase Uptake of Breast and Cervical Cancer Screenings: Report from the Field. 使用See， Test & Treat®增加乳腺癌和宫颈癌筛查的吸收：来自该领域的报告。

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.a959127

Carey August, Julieta E Barroeta, Joanna L Conant, Ranjana D Paintal

引用次数: 0

The Program Cost Effectiveness of a Safety-Net Hospital Program Expanding Social Needs Activities in Atlanta. 扩大亚特兰大社会需求活动的安全网医院计划的成本效益。

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.a951591

Kara E MacLeod, Kakoli Roy, Diane Wirth, Jasmin Minaya-Junca, Anekwe Onwuanyi, Feijun Luo, Rashon Lane

引用次数: 0

Racial Disparities in Mortality and Readmission Among COVID-19 Hospitalized Patients. COVID-19住院患者死亡率和再入院率的种族差异

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.a951589

Aize Cao, Arielle M Fisher, Russell E Poland, Todd Gary, Jeffrey Schnipper, Kenneth Sands

{"title":"Racial Disparities in Mortality and Readmission Among COVID-19 Hospitalized Patients.","authors":"Aize Cao, Arielle M Fisher, Russell E Poland, Todd Gary, Jeffrey Schnipper, Kenneth Sands","doi":"10.1353/hpu.2025.a951589","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951589","url":null,"abstract":"We conducted a cross-sectional study to investigate racial disparities among patients hospitalized for COVID-19 using electronic health records from a large community-based health care system between March 2020 and February 2021. The primary outcomes were in-hospital mortality and 30-day readmission. Demographics, clinical characteristics, and socioeconomic factors were analyzed using logistic regression, with adjusted odds ratios (AOR) reported. The study identified 90,490 patients, including Hispanic (29%), White (45.5%), Black (17.3%), Asian (3.1%), and Others (4.1%). The mortality model demonstrated a strong performance with an area under curve (AUC) of 0.88 (95%CI=0.877-0.885) and a Brier score of 0.093 (95%CI=0.092-0.095). For the 30-day readmission model, the AUC was 0.726 (95%CI=0.717-0.734) with a Brier score of 0.091 (95%CI=0.088-0.093). Compared with Whites, Hispanics exhibited a higher risk of mortality (AOR=1.23; 95%CI=1.16-1.31) but a lower likelihood of readmission (AOR=0.89; 95%CI=0.83-0.97). These findings highlight the critical need for targeted health management strategies across different racial and ethnic groups.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"115-143"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434290","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

Re-Evaluating the Medicaid Sterilization Consent Process. 重新评估医疗补助绝育同意程序。

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.a951599

Cynthia Abraham

引用次数: 0

Racial and Ethnic Disparities in Access to Care Among Adults with Cardiovascular Disease. 成人心血管疾病患者获得护理的种族和民族差异

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.a951588

Marjan Zakeri, Lincy S Lal, Susan M Abughosh, Shubhada Sansgiry, E James Essien, Sujit S Sansgiry

{"title":"Racial and Ethnic Disparities in Access to Care Among Adults with Cardiovascular Disease.","authors":"Marjan Zakeri, Lincy S Lal, Susan M Abughosh, Shubhada Sansgiry, E James Essien, Sujit S Sansgiry","doi":"10.1353/hpu.2025.a951588","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951588","url":null,"abstract":"Racial and ethnic disparities persist in cardiovascular disease (CVD) care. Using the Medical Expenditure Panel Survey, we conducted a retrospective cross-sectional study to assess access to care for CVD patients. Unadjusted analysis of 4,686 participants indicated lower consistent access to appointments for Hispanic individuals and lower timely access to care for Black and Hispanic individuals compared with the White cohort. After adjusting for predisposing, enabling, and external factors, differences were no longer significant. Individuals aged 45-64 and those 65 and older had higher odds of consistent access to appointments and timely access to care than younger individuals. Those with only public insurance (OR=0.85, p<.05) and the uninsured (OR=0.34, p<.001) had lower consistent access to appointments than individuals with any private insurance. This study highlights the need for culturally sensitive care and targeted interventions to address socioeconomic barriers in CVD management, ensuring equitable, high-quality care for all racial and ethnic groups.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"96-114"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434289","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

Exploring Factors Affecting Nurses' Actual Use of Electronic Health Records in Resource-Limited Settings in Botswana. 在博茨瓦纳资源有限的环境中，探索影响护士实际使用电子健康记录的因素。

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.a951594

Oabile Lesley Boitshoko, Irina Zlotnikova, Malatsi Galani, Tshiamo Sigwele

{"title":"Exploring Factors Affecting Nurses' Actual Use of Electronic Health Records in Resource-Limited Settings in Botswana.","authors":"Oabile Lesley Boitshoko, Irina Zlotnikova, Malatsi Galani, Tshiamo Sigwele","doi":"10.1353/hpu.2025.a951594","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951594","url":null,"abstract":"This study investigates factors influencing nurses' actual use of electronic health record (EHR) systems in resource-limited settings in Botswana, with a focus on addressing barriers to EHR adoption and utilization. Despite the potential benefits of EHR systems, many nurses continue to rely on paper-based records, hampering health care delivery in underserved areas. Using a cross-sectional survey of 193 nurses from 55 health care facilities, this research identifies key predictors of EHR use. The modified Unified Theory of Acceptance and Use of Technology (UTAUT) model developed in this study highlights behavioral intention, facilitating conditions, and EHR experience as significant factors influencing EHR utilization. Effort expectancy and computer self-efficacy were found to be less impactful. The results suggest that targeted interventions focusing on improving behavioral intention, enhancing infrastructure, and increasing nurses' EHR experience can significantly boost EHR adoption. These findings offer actionable recommendations for health care organizations aiming to improve EHR implementation, ultimately leading to better patient outcomes in resource-limited environments.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"209-239"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434150","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

How Community-Based Organizations View and Use Data: Practices, Challenges, and Opportunities. 基于社区的组织如何看待和使用数据：实践、挑战和机遇。

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.a959108

Molly A Martin, Jose Echeverria, DeAnthoni Wilkins, Preethi Navalpakkam, Samuel Battalio, Jacquelyn Jacobs, Jennifer Holcomb, Madison Hartstein, Milkie Vu, Bonnie Spring

{"title":"How Community-Based Organizations View and Use Data: Practices, Challenges, and Opportunities.","authors":"Molly A Martin, Jose Echeverria, DeAnthoni Wilkins, Preethi Navalpakkam, Samuel Battalio, Jacquelyn Jacobs, Jennifer Holcomb, Madison Hartstein, Milkie Vu, Bonnie Spring","doi":"10.1353/hpu.2025.a959108","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959108","url":null,"abstract":"This analysis aimed to define the data needs of community-based organizations (CBOs) after the COVID-19 pandemic. Through a mixed-methods explanatory sequential design during the summer/fall of 2023, 51 CBOs completed surveys and 24 participated in subsequent interviews. The CBOs provided social services to Black, Latinx, Asian, and/or low-income communities in the Chicago region. They varied in size, funding sources, and focus areas. Results showed that all used data, and 82.4% used population-level data. Data use expansion was limited by funding, staffing, data management systems, and skills. Existing population-level data was not sufficiently hyper-local, updated, and culturally appropriate to meet CBOs' needs. Community-based organization data needs and challenges have not changed significantly post-COVID despite rapid expansion of data availability. Findings highlight a need for long-term infrastructure funding and partnership from external agencies. Flexible tailored approaches to support CBOs are essential to increase social trust in data and ensure CBO missions remain community-driven.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"458-479"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001319","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

Small Steps Toward Collegiate Recovery at Historically Black Colleges/Universities. 历史悠久的黑人学院/大学走向大学复苏的一小步。

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.a951603

Dominiquie Cj Clemmons-James

引用次数: 0