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

Community Centered Education, Interpreter Training, and Advocacy to Improve Language Access for California's Asian Americans, Native Hawaiians, and Pacific Islanders. 以社区为中心的教育、翻译培训和倡导改善加州亚裔美国人、夏威夷原住民和太平洋岛民的语言使用。

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.a967363

Jacqueline H Tran, Eddie G Hu, Andrew Menor, Doreena P Wong

引用次数: 0

The All One Community (A1C) Program Boosts Diabetes Outcomes in Under-Engaged Asian Immigrants Through Culturally Tailored Education and Partner-Supported Enrollment. All One Community （A1C）项目通过文化量身定制的教育和合作伙伴支持的入学，提高了参与不足的亚洲移民的糖尿病结局。

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.a967365

Alia Southworth, Susan M Perrine, Paula Lozano, Chieko Maene, Shivam Bhargava, Arshiya A Baig, Karen E Kim, Fornessa T Randal

{"title":"The All One Community (A1C) Program Boosts Diabetes Outcomes in Under-Engaged Asian Immigrants Through Culturally Tailored Education and Partner-Supported Enrollment.","authors":"Alia Southworth, Susan M Perrine, Paula Lozano, Chieko Maene, Shivam Bhargava, Arshiya A Baig, Karen E Kim, Fornessa T Randal","doi":"10.1353/hpu.2025.a967365","DOIUrl":"10.1353/hpu.2025.a967365","url":null,"abstract":"The All One Community (A1C) program addresses chronic disease among immigrant populations, specifically South Asian, Arab, and Rohingya groups in Greater Chicago. The program offers culturally and linguistically tailored type 2 diabetes education, incorporating social support from family or friends. Participants (n=247) provided biometric data at baseline and during community screenings at 3, 6, and 9 months. Of the 199 participants completing at least 10 sessions, 91 had diabetes (HbA1C ≥ 6.5). Significant improvements in blood pressure (p=0.025) and body mass index (BMI, p=0.015) were observed. Diabetic participants with a social support partner experienced greater BMI reductions (p<0.05). Uninsured participants showed more significant improvements in systolic blood pressure (p=0.02) and cholesterol (p=0.04) than those with insurance. The findings suggest that social support and targeted interventions can improve diabetes management in uninsured immigrants at higher health risk.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3S","pages":"135-159"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876087","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

Medicaid Expansion and Nursing Homes Through the Lens of U.S. Rural Communities. 通过美国农村社区的镜头扩大医疗补助和养老院。

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.a975593

Laura McFadyen, Emmaline Keesee, George Pink, Sally Stearns

引用次数: 0

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.a975588

Logan D Adams, Kirsten A Dickins, Elizabeth Lewis, Marguerite E Beiser, Travis P Baggett, Danielle R Fine

{"title":"Liver-related Mortality in Homeless-experienced Adults over a 16-year Period.","authors":"Logan D Adams, Kirsten A Dickins, Elizabeth Lewis, Marguerite E Beiser, Travis P Baggett, Danielle R Fine","doi":"10.1353/hpu.2025.a975588","DOIUrl":"10.1353/hpu.2025.a975588","url":null,"abstract":"Introduction: The objective of this study was to examine liver-related mortality trends in a large cohort of homeless-experienced adults.Methods: We linked a cohort of 60,092 adults who received care at Boston Health Care for the Homeless Program (BHCHP) from 2003-2017 to death occurrence files. We evaluated temporal trends in age-standardized liver-related mortality and identified leading causes of liver-related death compared with the Massachusetts population, reporting standardized mortality rate ratios (SRRs).Results: Of the 7,130 deaths in the cohort, 652 (9.1%) were liver-related. Liver-related mortality decreased on average 3.5% annually, though remained significantly higher than the Massachusetts population. Leading causes of liver-related death were cirrhosis (n=157, SRR 3.2), liver cancer (n=148, SRR 2.4), alcohol-related liver disease (n=140, SRR 4.4), and viral hepatitis (n=99, SRR 7.2).Conclusion: Efforts to address alcohol use disorder and viral hepatitis in this population may reduce the substantial disparity seen in liver-related mortality in this population.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 4","pages":"1287-1299"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702788","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

Sex Workers' Guidance for an Outpatient Clinic, A Community-Partnered Study Using Nominal Group Process and Narrative Review in Pittsburgh, Pennsylvania. 性工作者对门诊诊所的指导，一项在宾夕法尼亚州匹兹堡使用名义小组过程和叙述回顾的社区合作研究。

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.a975591

Yasaswi Kislovskiy, Jamie Martina, Alexa Primavera, Natalie Pino, Elizabeth Miller, Judy C Chang

{"title":"Sex Workers' Guidance for an Outpatient Clinic, A Community-Partnered Study Using Nominal Group Process and Narrative Review in Pittsburgh, Pennsylvania.","authors":"Yasaswi Kislovskiy, Jamie Martina, Alexa Primavera, Natalie Pino, Elizabeth Miller, Judy C Chang","doi":"10.1353/hpu.2025.a975591","DOIUrl":"10.1353/hpu.2025.a975591","url":null,"abstract":"Objective: To identify recommendations from sex workers for the design of a hospital-based ambulatory clinic.Methods: We used community-partnered purposive recruitment to identify sex workers in our county. We used nominal group process, and participants of two focus groups generated recommendations for health care delivered in a clinic for sex workers, reviewed relevant research identified by narrative review, and ranked a final list of recommendations.Results: In the first focus group (n=6), sex workers recommended the clinic have access to housing, food, and insurance resources, along with non-judgmental, anti-racist providers who are approved by sex workers as appropriate caregivers. In the second group (n=5), participants considered five relevant research articles and added recommendations on substance use treatment services and funding for free care.Conclusion: Recommendations made by sex workers during this nominal group process created a guide for an ambulatory clinic that may improve health care for sex workers in [our region].","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 4","pages":"1344-1366"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702346","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

Storm Clouds and a New Partnership. 乌云和新的伙伴关系。

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.a967328

Virginia M Brennan

引用次数: 0

Frostbite Injuries in Chicago's Unsheltered Population. 芝加哥无家可归人口的冻伤。

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.a951597

Owen Lewer, Cassandra Singler, Emily Wong, Danielle McGinnis, Theresa Nguyen

引用次数: 0

Improving AI/AN Access to Care at a Specialty Academic Center in the American Southwest: Lessons Learned from a Practice Evaluation Initiative. 在美国西南部的一个专业学术中心改善人工智能/人工智能获得护理的机会：从实践评估计划中吸取的教训。

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.a967348

Jon Tilburt, John Fasolino, Atul Jain, Nathan Delafield, Barb Thomley, Justin Anderson, Elizabeth Burden, Cynthia Heus, Jamie Leybeck, Janice Jones, Adam Van Hyfte, Don Northfelt, Paola Scarberry, Steven Ressler

引用次数: 0

Undocumented Patients with Access to Primary Care and Avoidable Emergency Department Visits: Evidence from a Safety-Net System. 无证患者获得初级保健和可避免的急诊科访问：来自安全网系统的证据。

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.a967338

Annie Ro, Celina Morales, Sarah Axeen, Anna Gorman, Todd Schneberk

引用次数: 0

What is Unspoken: The Discomfort Experienced by Pediatric Resident Physicians Delivering Racially Discordant Clinical Care. 什么是不言而喻的：儿科住院医师在提供种族不和谐的临床护理时所经历的不适。

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.a951593

Sabrina M Darwiche, Anda K Kuo, Christine Schudel, Maya Morales, Helen Iat Chio Chan, Dayna Long

{"title":"What is Unspoken: The Discomfort Experienced by Pediatric Resident Physicians Delivering Racially Discordant Clinical Care.","authors":"Sabrina M Darwiche, Anda K Kuo, Christine Schudel, Maya Morales, Helen Iat Chio Chan, Dayna Long","doi":"10.1353/hpu.2025.a951593","DOIUrl":"10.1353/hpu.2025.a951593","url":null,"abstract":"A diverse physician workforce is imperative to addressing health inequities, but few physicians identify as Black or Hispanic. Therefore, this study used the social constructionism framework to explore pediatric residents' perceptions of race in medical encounters. A qualitative study of 47 trainees at a tertiary care center revealed the following: (1) racism, not race, influences health; (2) trainee perceptions around race create feelings of discomfort during some racially discordant patient encounters, while they were a source of comfort for trainees of color during concordant encounters; and (3) trainee perceptions around race in racially discordant clinical encounters may result in a change in clinical practice. While participants expressed awareness that racism drives health disparities, they had limited understanding of how their interactions might further perpetuate disparate health outcomes for patients of color. This emphasizes the need to support anti-racism competencies in medical education and increase workforce diversity in health care.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"192-208"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433805","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