Journal of Health Care for the Poor and Underserved最新文献_第3页

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

Legal Issues and Outcomes of a Medical-Legal Partnership for Cancer Patients. 癌症患者的法律问题和医疗法律伙伴关系的结果。

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.a959122

Allison B Dowling, Abigail Sweeney, Megan E Gordon, Lisa P Kessler, Deborah F Perry, Vicki W Girard, Shreya Kalra

{"title":"Legal Issues and Outcomes of a Medical-Legal Partnership for Cancer Patients.","authors":"Allison B Dowling, Abigail Sweeney, Megan E Gordon, Lisa P Kessler, Deborah F Perry, Vicki W Girard, Shreya Kalra","doi":"10.1353/hpu.2025.a959122","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959122","url":null,"abstract":"The medical-legal partnership (MLP) model is a multidisciplinary intervention with demonstrated success in addressing health-harming legal needs. We analyzed initial data from the Georgetown University Health Justice Alliance's Cancer Legal Assistance and Well-being Project (Cancer LAW), an MLP between Georgetown University and MedStar Health serving cancer patients receiving care at an urban, safety-net hospital in Washington, D.C. The sample included 81 patients, who had an average of two legal issues, most commonly in the areas of Social Security, estate planning, housing, and health insurance. Data collected during legal representation captured both financial and non-financial benefits to patients. Patients who responded to a post-legal services survey reported reduced stress, and nearly 75% of survey respondents reported that legal services helped them maintain their treatment regimen. Further research, including on the impact of legal services on health outcomes, may be helpful in efforts to incorporate legal services as an accepted best practice in cancer care.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"701-714"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035177","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 the Role of Vaccine Confidence in COVID-19 Vaccination Among a Community-Based Sample of Women Who Use Drugs in Baltimore, Maryland. 在马里兰州巴尔的摩市以社区为基础的吸毒妇女样本中，探索疫苗信心在COVID-19疫苗接种中的作用

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.a959112

Laura Nicole Sisson, Catherine Tomko, Zhenglin Yuan, Katherine Haney, Emily Clouse, Katherine C Smith, Susan G Sherman

{"title":"Exploring the Role of Vaccine Confidence in COVID-19 Vaccination Among a Community-Based Sample of Women Who Use Drugs in Baltimore, Maryland.","authors":"Laura Nicole Sisson, Catherine Tomko, Zhenglin Yuan, Katherine Haney, Emily Clouse, Katherine C Smith, Susan G Sherman","doi":"10.1353/hpu.2025.a959112","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959112","url":null,"abstract":"Prevalence of COVID-19 vaccination among women who use drugs is largely unknown. Using a community-based sample, we explored correlates of COVID-19 vaccination stratified by level of vaccine confidence, measured by the widely used Vaccine Hesitancy Scale. Level of vaccine confidence was found to be significantly associated with uptake of the COVID-19 vaccine as well as recent flu vaccination. Poisson regression with robust variance was used to identify correlates of vaccination within both groups. Among higher-confidence women, vaccine uptake was associated with education and experiencing pandemic-related health care barriers and food insecurity, and likelihood of vaccination was lower among those who did not believe the vaccine was FDA-approved than among those who did. Among lower-confidence women, likelihood of vaccination was greater among Black women, those in shared housing, and drug treatment, but lower among those recruited from high-vaccination neighborhoods and who believed newer vaccines carry greater risk.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"526-544"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056820","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 Does the Health of Public Housing Residents Compare With the Rest of the Population? A Survey of OMHTR Residents. 公共住房居民的健康状况与其他人口相比如何？对OMHTR居民的调查。

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.a959116

Marc-André Blanchette, Stéphanie Wouters, Liette St-Pierre, Lisanne Guérin, Samuel Blain, Geneviève Lavigne, Caroline Poulin

{"title":"How Does the Health of Public Housing Residents Compare With the Rest of the Population? A Survey of OMHTR Residents.","authors":"Marc-André Blanchette, Stéphanie Wouters, Liette St-Pierre, Lisanne Guérin, Samuel Blain, Geneviève Lavigne, Caroline Poulin","doi":"10.1353/hpu.2025.a959116","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959116","url":null,"abstract":"This study aimed to investigate the physical health, mental health, health-related behaviors, life satisfaction, and health care utilization of Office municipal d'habitation de Trois-Rivières (OMHTR) public housing residents compared with those of residents of the Mauricie region in Quebec. We administered a reduced version of the Canadian Community Health Survey (CCHS) to 150 OMHTR residents between July and November 2019, and compared the data with aggregated data from the 2018 CCHS for the Mauricie region using multivariable logistic regression. Results revealed significant disparities in health outcomes and service utilization patterns. OMHTR residents had higher odds of poor physical, oral, and mental health, along with dissatisfaction across various life domains. They also showed increased likelihood of seeking health care for mental health issues and reported injuries within the past year. These findings highlight considerable disparities in health outcomes and access to health care between OMHTR residents and their regional counterparts.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"605-623"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039598","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

Safety-Net Providers: A Missing Feature of the Health Equity Research Landscape. 安全网提供者：卫生公平研究领域的缺失特征。

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.a959125

Maureen R Benjamins, Helen Margellos-Anast

{"title":"Safety-Net Providers: A Missing Feature of the Health Equity Research Landscape.","authors":"Maureen R Benjamins, Helen Margellos-Anast","doi":"10.1353/hpu.2025.a959125","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959125","url":null,"abstract":"Safety-net health care systems disproportionately serve the most marginalized and historically excluded groups in the U.S. Research from these systems not only focuses on those most affected by health inequities but is often strengthened by environments that are rich in direct experience, genuine community engagement, and awareness of social injustices. Despite this, research from safety-net systems is limited. Safety-net institutions face substantial structural barriers, primarily financial, that undermine their capacity to develop necessary infrastructure and compete for grants. We present a case study of a research center based in a safety-net system in Chicago to explore these challenges and potential solutions. Recommendations include the implementation of equity-focused funding approaches, research collaborations that take advantage of the expertise and community connections of safety-net providers, and strengthening the complex funding structure for safety-net hospitals. Health equity research must be driven by those most affected, and safety-net systems are well-positioned to help accomplish this.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"730-747"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050951","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

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":"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

The Community Medicine Cabinet: Experiences and Evaluation from Free Over-the-Counter Medication Access to Residents of a Small-City Homeless Shelter. 社区药柜：小城市流浪者之家居民免费获得非处方药的经验与评价。

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.a951604

Paul L Wilson, Marlow Schulz, Ashley Carlson, Chelsea Koessel, Erin Petersen, Anna McEvoy, Kelcey Daily, Gerry Groggel

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

Social Interactions and Self-Reported Health Among Resettled Refugees. 重新安置难民的社会互动和自我报告健康状况。

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.a967337

Prakash Adhikari, Wendy L Hansen, Shahjadi Zaman, Bibek Acharya

引用次数: 0