{"title":"A Scoping Review of Food Insecurity Assessments Among United States Veterans.","authors":"Taylor McClennen, Jack Tsai, Rebecca Kinney","doi":"10.1353/hpu.2026.a992125","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992125","url":null,"abstract":"<p><p>U.S. veterans face distinctive challenges placing them at a higher risk of food insecurity (FI) compared with nonveterans. However, there is a paucity of literature examining specific tools to screen for FI among this population. We conducted a scoping review of the literature to examine the use of veteran-specific FI assessments. We identified 113 articles from 2010-2024 focused on U.S. veterans and FI assessments. Of these, 22 articles were selected for review following inclusion/exclusion criteria application, removal of duplicates, and quality assessment. The most common screening tool was versions of the U.S. Household Food Security Survey Module (n=10), while 12 studies used subsets of other tools or assessments specific to their study. Studies reported up to 25% FI among screened veterans. Longitudinal research is lacking on the validity and reliability of FI assessments in veteran populations, which would aid program and policy efforts to measure and mitigate FI among veterans.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"431-448"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253979","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}
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":"<p><strong>Objective: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>The data suggest that outside dentists frequently complete preventive services and refer for restorative care.</p>","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}
Paul M Evitts, Carrie Reichwein, Ellie Blackburn, Britley Brubaker, Grace Coppersmith, Gabby Deitrich
{"title":"Mobile Health Screening and Education Unit for Speech-Language Pathology and Hearing Services in Rural Areas: Lessons from the Field.","authors":"Paul M Evitts, Carrie Reichwein, Ellie Blackburn, Britley Brubaker, Grace Coppersmith, Gabby Deitrich","doi":"10.1353/hpu.2026.a994066","DOIUrl":"https://doi.org/10.1353/hpu.2026.a994066","url":null,"abstract":"<p><p>Rural populations face distinctive challenges that may hinder their ability to access health services, including speech-language pathology and audiology. To address this, our speech-language pathology program partnered with local agencies and traveled to neighboring rural communities to provide speech and hearing services in central Pennsylvania for a minimal investment.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3S","pages":"158-165"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392028","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}
{"title":"Triaging Factors of Caregiver Depression through Chi-Square Automatic Interaction Detection (CHAID) Analysis.","authors":"Zach Monahan, Alyson Mack, Natasha Bray, Alicia Ito Ford, Micah Hartwell","doi":"10.1353/hpu.2026.a992127","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992127","url":null,"abstract":"<p><p>Over one in four caregivers in the United States report having received a diagnosis of depression, compared with less than 10% of the general adult population. We conducted a cross-sectional analysis of the 2022-2023 Behavioral Risk Factor Surveillance Survey using 23 demographic, comorbidity, or caregiving variables for 30,961 surveyed caregivers. The rate of caregivers reporting a diagnosis of depression was compared between these variables. We then conducted a chi-square automatic interaction detection analysis to determine the order of significance among these variables in predicting depression rates. The greatest differential in depression rates is based on the age of the caregiver (35.3% younger than 55 versus 21.6% 55 and older; p < .001). Among both age groups, income was the second greatest factor in predicting caregiver depression (35.4% with less than $50,000 and 21.6% with $50,000 or more; p < .001). Analysis of the factors associated with the greatest caregiver depression rates informs strategies to triage community funds and resources.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"509-521"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254010","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}
{"title":"Access to Care for Indigent People During the Colonial Period in Senegal (1852-1960).","authors":"Valéry Ridde","doi":"10.1353/hpu.2026.a998554","DOIUrl":"https://doi.org/10.1353/hpu.2026.a998554","url":null,"abstract":"<p><p>Current health systems, particularly in Senegal, are struggling to ensure that the indigent population has access to health care. Although the recent situation has been well-studied, there remains a lack of historical research on the subject. When Senegal gained independence in 1960, did the country inherit a health care system that did not adequately meet the needs of indigent people and their access to care? This article shows that from 1852 to 1960, access to health care for the indigents was not a political and financial priority, that the colonial administration often confused the Indigenous people with the indigent people, and that the latter faced discrimination in accessing health care. The analysis shows that the current challenges in accessing health care for indigent people are a continuation of colonial history. There is an urgent need for change to achieve greater equity.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"1103-1124"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762662","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}
Yulia Treister-Goltzman, Mohammad Talakat, Faraj Abu Saaluk
{"title":"Quality of Life Among Celiac Patients from the Bedouin Muslim Minority of Southern Israel.","authors":"Yulia Treister-Goltzman, Mohammad Talakat, Faraj Abu Saaluk","doi":"10.1353/hpu.2026.a998557","DOIUrl":"10.1353/hpu.2026.a998557","url":null,"abstract":"<p><strong>Background and objectives: </strong>The Bedouin population of southern Israel is a traditional Muslim community with a tribal structure and a low socioeconomic status. The objective was to assess health-related quality of life in celiac disease (CD-QOL) and its associated factors, in particular the barriers of price (BP) and family life (BF), among Bedouin patients.</p><p><strong>Methods: </strong>A cross-sectional study based on structured questionnaires.</p><p><strong>Results: </strong>The knowledge level on CD among 107 study participants was extremely low. The mean (SD) on the CD-QOL score was 49.7 (9.1), indicating a relatively good QOL. Barriers of price increased the score on CD-QOL (i.e., decreased QOL) by 5.57 (95% CI, 2.33; 8.80), and BF by 6.48 (3.30; 9.67). Female sex increased the total score of CD-QOL and education beyond elementary school reduced it.</p><p><strong>Conclusions: </strong>Educational interventions should be implemented at family and tribal levels. Partial coverage for gluten-free diet could improve the QOL of these patients.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"1056-1069"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761892","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}
Aliya Redd, Taeya Mayes, Rashida Chatani, Elizabeth Evans, Molly Jacobs
{"title":"Health Care Utilization among Young Adults: Associations with Historic Redlining.","authors":"Aliya Redd, Taeya Mayes, Rashida Chatani, Elizabeth Evans, Molly Jacobs","doi":"10.1353/hpu.2026.a982967","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982967","url":null,"abstract":"<p><strong>Introduction: </strong>This study explored the association between historic redlining and health-related outcomes.</p><p><strong>Methods: </strong>Respondents from Waves III-V of the National Longitudinal Survey of Adolescent to Adult Health were mapped to districts coded red by the Home Owners' Loan Corporation (HOLC). Logistic regression evaluated the association between distance from a redlined district and having insurance, visiting a private physician, receiving medical care, and perceiving good health.</p><p><strong>Results: </strong>About 71% of White, 53.5% of Black, and 41.9% of Hispanic individuals lived five miles or further outside a redlined district, which was associated with a higher likelihood of visiting a private physician (OR=1.20), having insurance (OR=1.05), receiving medical care (OR=1.34), and perceiving good health (OR=1.09). Compared with those living closer than five miles away, Black and Hispanic individuals residing five miles away or further were more likely to receive care (Black OR=1.09; Hispanic OR=1.02) and perceive good health (Black OR=1.20; Hispanic OR=1.03).</p><p><strong>Conclusion: </strong>Proximity to a historic redlined district was associated with worse outcomes.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"234-252"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018322","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}
Elena A Platonova, Xi Ning, Yinghao Pan, Michael E Thompson
{"title":"Patient-Centered Communication and Intention to Recommend a Safety Net Primary Care Clinic in the United States.","authors":"Elena A Platonova, Xi Ning, Yinghao Pan, Michael E Thompson","doi":"10.1353/hpu.2026.a982974","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982974","url":null,"abstract":"<p><p>Patient-centered communication (PCC) is critical to improved patient experience and outcomes. We used binary logistic regression to examine how PCC at safety-net providers was associated with patient intent to recommend the facility. We used 2021-2022 national data collected by the Health Resources and Services Administration (HRSA). Our predictors were Consumer Assessment of Healthcare Providers and Systems (CAHPS) items to measure patient assessment of provider communication. We found that patients whose providers always listened carefully and knew important information about patients' medical history had 2.34 and 1.38 times the odds of recommending the facility, respectively. The odds of recommendation increased when providers always showed respect (OR = 1.44) or spent enough time with patients (OR = 1.59). Odds were also higher if administrative staff were always helpful (OR = 2.51) or treated patients courteously and respectfully (OR = 1.42). Patient-centered communication demonstrates significant potential to improve patient experience and care quality by safety-net providers.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"352-366"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018276","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}
Carla Pezzia, Jaclyn L Albin, Michael E Bowen, Kelseanna Hollis-Hansen, Sandi Pruitt, Milette D Siler, Benaye Wadkins-Chambers, Tammy Leonard
{"title":"From Food to Finances: Early Phase Qualitative Evaluation of a Novel Resource-Coaching Program.","authors":"Carla Pezzia, Jaclyn L Albin, Michael E Bowen, Kelseanna Hollis-Hansen, Sandi Pruitt, Milette D Siler, Benaye Wadkins-Chambers, Tammy Leonard","doi":"10.1353/hpu.2026.a982972","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982972","url":null,"abstract":"<p><p>In this paper, we document the early-phase process and outcome evaluation of From Food to Finances (FFF) within the context of a high-capacity food pantry; FFF is a novel resource-coaching program stemming from guiding principles of financial coaching that may be beneficial for long-term health outcomes. Structured, qualitative interviews were conducted with 21 participants in different stages of the program, and data were analyzed for common themes. Interview participants identified perceived health and other benefits from both food and financial resource coaching sessions and noted several changes in behavior. This evaluation of the pilot program shows promising results for behavior change in a population that is often considered too unstable and focused on crisis management to engage in meaningful behavior changes necessary for improving health and financial stability. While the pilot program was developed in the context of a high-capacity food pantry, it could be adapted to a variety of settings in which people with low incomes face resource challenges.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"323-338"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018280","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}
{"title":"Strengthening the Health Care Workforce: A Path Forward for Underserved Communities.","authors":"Amanda Pears Kelly, Margaret French, Rachel Pratt","doi":"10.1353/hpu.2026.a992123","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992123","url":null,"abstract":"","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"ix-xii"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253944","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}