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Public Attitudes toward Premiums in the Medicaid Program: The Role of Race, Ethnicity, and Deservingness. 公众对医疗补助计划中保费的态度：种族，民族和应得性的作用。
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.a959106
Simon F Haeder
{"title":"Public Attitudes toward Premiums in the Medicaid Program: The Role of Race, Ethnicity, and Deservingness.","authors":"Simon F Haeder","doi":"10.1353/hpu.2025.a959106","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959106","url":null,"abstract":"<p><p>Recently, several states renewed efforts to implement Medicaid premiums. If implemented, premiums will substantially reduce enrollment. To explore the role that race/ethnicity and deservingness of beneficiaries may play in shaping public opinion towards Medicaid premiums, and how ideology and racial resentment may affect public attitudes, this study relied on a national survey (N=4,177) that contained an experiment using racially/ethnically identifiable names and different life circumstances of potential beneficiaries. The experiment highlighted the malleability of public attitudes related to Medicaid, identifying consistently lower levels of support for Medicaid premiums for people with a disability and single mothers compared with people with substance use disorder and single women across various analyses. No differences based on the race/ethnicity of the beneficiary presented were found. Liberals and those low in racial resentment were consistently less supportive of premiums than their counterparts. The findings help elucidate the continuing struggle over the nature of Medicaid.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"427-444"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022348","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
"I'm in Hell …": Experiences of Unmet Health Care Needs Among People with Pre-Existing Disability and Long COVID. “我在地狱……”：已有残疾和长期COVID的人未满足医疗保健需求的经历。
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.a959114
Darcy L Sullivan, Kelsey Goddard, Noelle K Kurth, Jean P Hall
{"title":"\"I'm in Hell …\": Experiences of Unmet Health Care Needs Among People with Pre-Existing Disability and Long COVID.","authors":"Darcy L Sullivan, Kelsey Goddard, Noelle K Kurth, Jean P Hall","doi":"10.1353/hpu.2025.a959114","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959114","url":null,"abstract":"<p><p>The unmet health care needs of people with pre-existing disabilities who have long COVID are understudied. During the COVID-19 pandemic, people with disabilities experienced barriers to accessing care and supplies needed to prevent and treat COVID-19. Once they had contracted COVID-19, people with disabilities were more likely to develop long COVID compared with people without disabilities. Using the 2022 National Survey on Health and Disability, this study aimed to compare how unmet health care needs differ among people with pre-existing disabilities with and without long COVID. We examined bivariate associations between unmet health care needs and respondents' demographic characteristics and responses to open-ended survey questions. About 73% of respondents with long COVID reported unmet health care needs compared with 62.6% of respondents without long COVID. Four key themes emerge from open-ended responses: exacerbation of existing disability, navigating the health care system, gaslighting by health care providers, and financial burdens.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"572-589"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992436","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
Rural-Urban Differences in the Prevalence of Adverse Childhood Experiences Following the COVID-19 Pandemic. COVID-19大流行后儿童不良经历发生率的城乡差异
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.a959111
Emma Boswell, Elizabeth Crouch, Cassie Odahowski, Peiyin Hung
{"title":"Rural-Urban Differences in the Prevalence of Adverse Childhood Experiences Following the COVID-19 Pandemic.","authors":"Emma Boswell, Elizabeth Crouch, Cassie Odahowski, Peiyin Hung","doi":"10.1353/hpu.2025.a959111","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959111","url":null,"abstract":"<p><strong>Objective: </strong>The prevalence of adverse childhood experiences (ACEs) increased during the COVID-19 pandemic, but rural-urban differences have not yet been analyzed. This study examines rural-urban disparities in the prevalence of and predictors of experiencing ACEs during COVID-19.</p><p><strong>Methods: </strong>Using data from the 2021-2022 National Health Interview Survey, rural-urban differences in the type and number of ACEs and the odds of having experienced four or more ACEs were analyzed.</p><p><strong>Findings: </strong>Rural children were more likely to experience most ACEs; there were no significant differences for racial discrimination. After adjustment, there were no rural-urban differences in the odds of having four or more ACEs. Children with a lower household income had greater odds of experiencing four or more ACEs than those with a higher income, regardless of rurality.</p><p><strong>Conclusions: </strong>The findings of this study may be helpful in guiding stakeholders considering the populations in need of resources for impacts of ACEs, particularly rural children and children in poverty.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"508-525"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046377","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
Work or Wellness? Examining the Challenges of Low-Wage Workers with Type 2 Diabetes. 工作还是健康？2型糖尿病低收入工人面临的挑战
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.a959110
Penelope Schlesinger, Princess Asante, Kasia Lipska, Danya E Keene
{"title":"Work or Wellness? Examining the Challenges of Low-Wage Workers with Type 2 Diabetes.","authors":"Penelope Schlesinger, Princess Asante, Kasia Lipska, Danya E Keene","doi":"10.1353/hpu.2025.a959110","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959110","url":null,"abstract":"<p><p>Type 2 diabetes disproportionately affects low-income and racially marginalized communities. Several social and economic factors intersect to create and reproduce this unequal burden. This qualitative study explores how low-wage workers experience and navigate diabetes management in the workplace. Our findings highlight how unpredictable work schedules, lack of access to sick leave, and inflexible work environments with limited worker autonomy create significant barriers to diabetes self-management. These challenges are compounded by limited control over work conditions and societal norms that emphasize personal responsibility. To address these disparities, we propose multi-level interventions, including educational campaigns on workplace rights, policy changes promoting flexible scheduling and paid sick leave, raising the minimum wage to improve economic security, and routine screenings by health care providers to explore workplace factors that may be affecting diabetes control.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"493-507"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046381","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
Trauma Recovery Centers as an Innovative Model of Care for Underserved Victims of Violent Crime. 创伤康复中心作为照顾服务不足的暴力犯罪受害者的创新模式。
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.a959126
Annette M Dekker, Lynn Langton, Jaclyn Houston-Kolnik, Alicia Boccellari, Breena R Taira
{"title":"Trauma Recovery Centers as an Innovative Model of Care for Underserved Victims of Violent Crime.","authors":"Annette M Dekker, Lynn Langton, Jaclyn Houston-Kolnik, Alicia Boccellari, Breena R Taira","doi":"10.1353/hpu.2025.a959126","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959126","url":null,"abstract":"<p><p>There are more than six million violent crimes annually in the United States, with persons from communities of color and lower socioeconomic status at highest risk. This article introduces the Trauma Recovery Center model of care for underserved victims that provides comprehensive mental health and case management services to all survivors of violence.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"748-756"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041733","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 Effectiveness of a Community Health Worker Program to Improve Chronic Disease Management in Immigrant and Minority Communities. 社区卫生工作者计划改善移民和少数民族社区慢性病管理的有效性。
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.a959109
Kara Smith, Caitlin Washburn
{"title":"The Effectiveness of a Community Health Worker Program to Improve Chronic Disease Management in Immigrant and Minority Communities.","authors":"Kara Smith, Caitlin Washburn","doi":"10.1353/hpu.2025.a959109","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959109","url":null,"abstract":"<p><p>We investigate the health impacts of a community health worker (CHW) program in an urban clinic serving uninsured and underinsured patients, the vast majority of whom are non-English speaking and/or have recently immigrated to the United States. Over a three-year period between January 2019 and March 2022, 1,139 clinic patients were invited to participate in a CHW program based on evidence of chronic disease including obesity, hypertension, and diabetes. During a 90-day program, enrollees demonstrated statistically significant improvement in clinical values including weight (mean reduction of 2.8 pounds), hemoglobin A1c (mean reduction of 0.49), and blood pressure (mean systolic pressure reduction of 3.1 points). We offer initial evidence on the cost-effectiveness of this intervention relative to other means of achieving similar outcomes and suggest that CHW programs are a high-value intervention within immigrant and minority communities.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"480-492"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988345","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 a Learner-Driven Pre-Health Pathway Program for Underrepresented Minority Students Impact Participants? 为少数民族学生提供的以学习者为导向的学前健康路径计划如何影响参与者？
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.a959121
Juan Robles, Maria Mora, Aurelio Diaz, Zoon Naqvi
{"title":"How Does a Learner-Driven Pre-Health Pathway Program for Underrepresented Minority Students Impact Participants?","authors":"Juan Robles, Maria Mora, Aurelio Diaz, Zoon Naqvi","doi":"10.1353/hpu.2025.a959121","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959121","url":null,"abstract":"<p><p>Pre-health pathway programs provide an important learning environment for students seeking careers in health care. We aim to assess how the Bronx Community Health Leaders (BxCHL), a longitudinal and learner-driven mentorship program for socioeconomically disadvantaged students and students belonging to groups underrepresented in medicine (URiM), affects the students' personal and professional development. We conducted a survey and analyzed the responses from 61 students who participated in the program for various lengths of time. Quantitative assessment shows measurable changes in the students' knowledge, skills, and attitudes toward health care careers. The qualitative assessment identified six themes that highlight perceived changes in students' confidence, personal/professional growth, mentorship, leadership skills, agents of change, and community service. The BxCHL's program student-driven design positively affects the students' readiness to enter health care professions.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"685-700"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990932","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
Black History Month and Research Topics of Special Interest. 黑人历史月和特别关注的研究课题。
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.a951581
Virginia M Brennan
{"title":"Black History Month and Research Topics of Special Interest.","authors":"Virginia M Brennan","doi":"10.1353/hpu.2025.a951581","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951581","url":null,"abstract":"","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"vii-viii"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434178","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
Psychiatric Emergency Service Use Trends: Adults Experiencing Homelessness in Massachusetts from 2005-2020. 精神科急诊服务使用趋势：2005-2020年马萨诸塞州无家可归的成年人
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.a951595
Kaila A Rudolph, Corinne A Beaugard, Cindy Xu, Sarah Syed, Alison Duncan, Hannah E Brown, David C Henderson, Rachel Oblath
{"title":"Psychiatric Emergency Service Use Trends: Adults Experiencing Homelessness in Massachusetts from 2005-2020.","authors":"Kaila A Rudolph, Corinne A Beaugard, Cindy Xu, Sarah Syed, Alison Duncan, Hannah E Brown, David C Henderson, Rachel Oblath","doi":"10.1353/hpu.2025.a951595","DOIUrl":"https://doi.org/10.1353/hpu.2025.a951595","url":null,"abstract":"<p><p>Adults experiencing homelessness (AEH) have high rates of psychiatric conditions, face barriers to accessing psychiatric care, and are high emergency department (ED) utilizers, a setting often unable to address their complex health needs. This study assesses time trends and high frequency utilization by AEH in one psychiatric emergency services (PES) program. A retrospective review of electronic health records from 2005 to 2020 was conducted at an urban PES program serving uninsured and publicly insured adults. Of the 227,553 PES encounters examined, 75,127 (33%) involved AEH. The percentage of PES encounters involving AEH almost doubled from 23.3% in 2005 to 41.6% in 2020. The proportion of AEH using PES aged 55 and older more than tripled, from 4.2% to 15.4%. Adults experiencing homelessness had over six times the odds of being high frequency PES utilizers (10+ visits/year) as housed adults. These findings support interventions addressing housing access within PES encounters.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"240-256"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434288","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
Perceptions of Peer-Delivered Mental Health Support for Anxiety and Depression Among Spanish-Speaking, Perinatal Latinas in the United States. 同伴传递的心理健康支持焦虑和抑郁在西班牙语，围产期拉丁美洲人在美国。
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.a959117
Anahí Collado, Laurel Hicks, Samuel Hubley, Laurel Kordyban, Marlene Palomar, Desiree Bauer, Sona Dimidjian
{"title":"Perceptions of Peer-Delivered Mental Health Support for Anxiety and Depression Among Spanish-Speaking, Perinatal Latinas in the United States.","authors":"Anahí Collado, Laurel Hicks, Samuel Hubley, Laurel Kordyban, Marlene Palomar, Desiree Bauer, Sona Dimidjian","doi":"10.1353/hpu.2025.a959117","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959117","url":null,"abstract":"<p><strong>Background and objectives: </strong>Spanish-speaking U.S. Latinas in the perinatal period often face barriers to mental health treatment despite high rates of depression and anxiety. Peer-led support programs may help alleviate these challenges.</p><p><strong>Methods: </strong>This study surveyed 674 Spanish-speaking Latinas in the perinatal period to explore their perceptions of peer-led mental health support.</p><p><strong>Results: </strong>Participants recognized benefits such as improved access, decreased isolation, and reduced stigma. Barriers included low awareness of when to seek help and confidentiality concerns. Exploratory analyses showed that having Medicaid or being uninsured was linked to favorable perceptions of peer-delivered support. Higher levels of depression and anxiety symptoms were associated with more perceived barriers to accessing this support.</p><p><strong>Conclusions: </strong>These findings highlight the importance of peer-led mental health support for Spanish-speaking Latinas during the perinatal period and informs the development of culturally responsive interventions to improve mental health care accessibility and effectiveness.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"624-643"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018866","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
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