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

Take-Up of Marketplace Coverage Increased After Enhanced Premium Subsidies. 提高保费补贴后，市场覆盖率增加。

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.a982965

Paul D Jacobs

引用次数: 0

Implementation of a Health History Disease Risk Instrument in Clinics Serving Medically Marginalized Patients. 健康史疾病风险量表在诊所服务边缘病人的实施。

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.a998556

Dana R Marshall, Clasherrol Edwards, Harris T Bland, Kathleen F Mittendorf, S Trent Rosenbloom, Georgia L Wiesner, Lori A Orlando, Leah Alexander, Kalkidan Bekele, Jeffrey Leegon, Siddharth Pratap

引用次数: 0

A Scoping Review of Food Insecurity Assessments Among United States Veterans. 美国退伍军人食品不安全评估的范围审查。

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.a992125

Taylor McClennen, Jack Tsai, Rebecca Kinney

引用次数: 0

Assessing Access to Pediatric Dental Services via Clinical Referrals. 评估通过临床转诊获得儿童牙科服务的机会。

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.a992139

Lisa Rawle, Brittaney Hill, Charles LeHew, Scott Tomar, Alejandra Valencia

{"title":"Assessing Access to Pediatric Dental Services via Clinical Referrals.","authors":"Lisa Rawle, Brittaney Hill, Charles LeHew, Scott Tomar, Alejandra Valencia","doi":"10.1353/hpu.2026.a992139","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992139","url":null,"abstract":"Objective: This study aimed to characterize the patients presenting to a university pediatric dental clinic and to elucidate differences in oral health treatment and status of patients on Medicaid insurance who were or were not referred by outside dentists.Methods: Chart numbers of patients presenting for initial comprehensive exams from 2019 to 2021 were obtained. The first 200 randomized charts for each year were selected for analysis. Data extracted from each chart included basic demographics, referral status, history of and need for preventive and restorative dental services, and the number of carious teeth. Descriptive and inferential statistical analysis was performed using SPSS.Results: Referred patients had a higher percentage of carious teeth and were more likely to have received dental prophylaxis and fluoride varnish, but were not more likely to have had sealants placed.Conclusions: The data suggest that outside dentists frequently complete preventive services and refer for restorative care.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"723-732"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253982","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

Inter-Party Mayoral Political Competition and Opioid Mortality in Populous Urban Peer Counties. 城市人口稠密县市市长政治竞争与阿片类药物死亡率

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.a998546

Robert S Levine, Lisaann S Gittner, Jaden Harris, Mario A Rodriguez Pitalua, Dennis Patterson

{"title":"Inter-Party Mayoral Political Competition and Opioid Mortality in Populous Urban Peer Counties.","authors":"Robert S Levine, Lisaann S Gittner, Jaden Harris, Mario A Rodriguez Pitalua, Dennis Patterson","doi":"10.1353/hpu.2026.a998546","DOIUrl":"10.1353/hpu.2026.a998546","url":null,"abstract":"The impact of political competition on opioid-related mortality in the United States is examined in urban metropolitan counties (2001 to 2024). County groups were matched for 19 socio-demographic factors, and each county was categorized as having competitive, transitional, or monopoly mayoral governance based on duration of one-party control. There is higher opioid mortality in Black people versus White people from both prescription and non-prescription opioids in monopoly versus competitive counties. Rather than bringing health stability, mayoral political monopolies potentially harm vulnerable populations and strengthen structural racism based on political privilege. Interestingly, the political party itself is not the factor; duration of party control drives the observed disparate opioid mortality. We hypothesize a framework for understanding structural racism in opioid mortality based on political privilege and monopoly rather than racial privilege and political party affiliation. Analytic epidemiologic studies are needed to test the extent to which political control affects opioid outcomes.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"956-980"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761887","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

Diabetes Cultural Health Beliefs and Practices in Asian Americans by Subgroups: A Literature Review. 亚裔美国人的糖尿病文化健康信仰和实践：文献综述。

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.a998535

Linda H Sheen, Martina R Gallagher, Alexis Elizabeth Hayes

{"title":"Diabetes Cultural Health Beliefs and Practices in Asian Americans by Subgroups: A Literature Review.","authors":"Linda H Sheen, Martina R Gallagher, Alexis Elizabeth Hayes","doi":"10.1353/hpu.2026.a998535","DOIUrl":"10.1353/hpu.2026.a998535","url":null,"abstract":"Background: Asian Americans have higher rates of type 2 diabetes mellitus (T2DM) compared with non-Hispanic Whites, reflecting a health disparity influenced by diverse cultural health beliefs and practices. Data have aggregated Asian Americans into a single group, overlooking differences in tradition, religion, and migration history. Disaggregating data is critical for developing culturally appropriate interventions, as strategies effective for one subgroup may not yield the same results for another.Methods: A literature review using PRISMA guidelines was conducted for studies on Asian American subgroups with T2DM, published between 1994-2024. The Common-Sense Model of Self-Regulation guided data extraction.Results: Twenty-six studies met inclusion criteria. Key themes included family support, dietary challenges, and reliance on traditional medicine. Subgroup-specific differences emerged in beliefs about disease cause, severity, and management.Conclusions: Cultural beliefs significantly influence illness representation and diabetes self-management among subgroups. Tailoring interventions to these beliefs can improve care effectiveness and equity.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"787-814"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762723","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

Characteristics of Adults Participating in Community Blood Pressure Screening Events: An Exploratory Cross-Sectional Analysis. 参与社区血压筛查活动的成年人的特征：一项探索性横断面分析。

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.a998537

Emmanuel Adediran, Flora Ukoli, Jatheender Kumar, Dontal Johnson, Lisa H Watson, Unjanae C Johnson, Lisa Sherden, Chike Nzerue, Adrian Samuels

{"title":"Characteristics of Adults Participating in Community Blood Pressure Screening Events: An Exploratory Cross-Sectional Analysis.","authors":"Emmanuel Adediran, Flora Ukoli, Jatheender Kumar, Dontal Johnson, Lisa H Watson, Unjanae C Johnson, Lisa Sherden, Chike Nzerue, Adrian Samuels","doi":"10.1353/hpu.2026.a998537","DOIUrl":"https://doi.org/10.1353/hpu.2026.a998537","url":null,"abstract":"Background: Community health events can be useful venues in hypertension control interventions, especially in low-income populations. This project performed blood pressure (BP) screenings at community health fairs in Nashville, Tennessee.Methods: The project collected demographic characteristics and BP measures data from May 2025-September 2025.Results: Of 272 participants screened, 126 (46.3%) occurred at public housing communities. Participants were often 65 years or older (43.4%) and female (51.8%). Men were more likely to be screened at health workshops (OR: 3.59, 95% CI: 1.92-6.71) and female attendees at churches (OR: 2.12, 95% CI: 1.15-3.90). Overall, 73 (26.8%) participants met the criteria for possible hypertension.Conclusions: This study provides insights into who attends community BP screenings. We found that people already diagnosed with hypertension, or those who deem themselves as high risk, attend BP screening events. Future research should tailor interventions based on demographic patterns to better engage underserved populations.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"821-838"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765413","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

Associations Between Socioeconomic Disadvantage and Rurality With New Diagnoses of Atrial Fibrillation. 社会经济劣势和农村状况与房颤新诊断的关系

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.a998552

Jonathan A Handler, J Rebecca Mills, Dale L Smith, Feng Dai, Katie B Tellor, Heather Somand, Marlene Robles-Granda, John Vozenilek

{"title":"Associations Between Socioeconomic Disadvantage and Rurality With New Diagnoses of Atrial Fibrillation.","authors":"Jonathan A Handler, J Rebecca Mills, Dale L Smith, Feng Dai, Katie B Tellor, Heather Somand, Marlene Robles-Granda, John Vozenilek","doi":"10.1353/hpu.2026.a998552","DOIUrl":"https://doi.org/10.1353/hpu.2026.a998552","url":null,"abstract":"Background: Atrial fibrillation (AF) is common and causes significant morbidity and mortality. However, U.S. data on socioeconomic status, rurality, and new diagnoses of AF (NDAF) have been limited and/or conflicting.Methods: Retrospective analysis, adult encounters, 2021-2022, at a Midwest U.S. health system. Inclusion criteria intended to identify those likely to seek care at the health system. Area Deprivation Index (ADI) and Rural-Urban Commuting Area (RUCA) codes represented socioeconomic status and rurality, respectively. New diagnoses of AF associations with RUCA and ADI were analyzed separately.Results: Among 346,104 patients without identified prior AF diagnosis, unadjusted NDAF proportions and most AF risk factor prevalences were significantly greater in the higher ADI and RUCA groups in all analyses. Continuous ADI and RUCA remained significantly associated with NDAF in all adjusted analyses except one RUCA sensitivity analysis.Conclusions: In this study, patients in more socioeconomically disadvantaged or more rural areas were significantly more likely to have NDAF.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"1070-1088"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765037","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 Impact of the COVID-19 Pandemic on Community Health Centers in Canada and the United States: A Scoping Review. COVID-19大流行对加拿大和美国社区卫生中心的影响：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.a982957

Ali Shukor, M Biotech, Umair Majid, Bismah Jameel, Niek Klazinga, Dionne Sofia Kringos-Pereira Martins

{"title":"The Impact of the COVID-19 Pandemic on Community Health Centers in Canada and the United States: A Scoping Review.","authors":"Ali Shukor, M Biotech, Umair Majid, Bismah Jameel, Niek Klazinga, Dionne Sofia Kringos-Pereira Martins","doi":"10.1353/hpu.2026.a982957","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982957","url":null,"abstract":"Community health centers (CHCs) play a critical role in addressing the health needs of diverse and underserved communities. However, there remains a significant gap in the literature examining their resilience, particularly in crises such as COVID-19. This scoping review analyzed 68 articles to identify which performance indicators have been used to assess the impact of the pandemic on CHCs, and to understand what these indicators reveal about the CHCs' performance and resilience. The findings revealed that most performance indicators focused on access, availability, and quality of care, highlighting CHCs' role in maintaining essential services for underserved communities. However, critical upstream primary care performance indicators related to governance, financing, workforce planning, and building resilience were largely absent in the literature reviewed. This gap indicates a need to broaden performance indicators to holistically address all key performance and resilience dimensions, including upstream factors essential for sustaining long-term resilience and equity.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"73-110"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149017861","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

Real-World Impact of Weekly Dulaglutide and Semaglutide on Hba1c and Weight in a Predominantly Underrepresented Demographic. 在代表性不足的人群中，每周服用杜拉鲁肽和西马鲁肽对Hba1c和体重的实际影响。

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.a982969

Crystal Deas, Laurel Uhomba, Kayla Snow

{"title":"Real-World Impact of Weekly Dulaglutide and Semaglutide on Hba1c and Weight in a Predominantly Underrepresented Demographic.","authors":"Crystal Deas, Laurel Uhomba, Kayla Snow","doi":"10.1353/hpu.2026.a982969","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982969","url":null,"abstract":"Background: African Americans are underrepresented in real-world studies of GLP-1 receptor agonists (RA) for type 2 diabetes.Objectives: This study evaluates the effects of weekly dulaglutide and semaglutide on glycated hemoglobin (HbA1c) and weight in a predominantly African American population.Methods: A retrospective chart review was conducted at an adult medicine clinic. Patients 19 years of age or older with at least 26 weeks of dulaglutide or semaglutide treatment and recorded baseline and follow-up HbA1c and weight were included.Results: Among 91 patients-85.7% African American, 67.0% female, mean age 56.4 years-the mean GLP-1 RA treatment duration was 14.9 months. Glycated hemoglobin decreased by 2.39% (p<.001), and weight dropped by 4.76 kg (p<.001). High-dose dulaglutide significantly lowered HbA1c compared with low-dose (p=.023).Conclusion: Weekly dulaglutide and semaglutide significantly reduced HbA1c and weight. Further research is needed to explore factors influencing differential responses.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"270-286"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018241","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