Journal of Health Care for the Poor and Underserved最新文献_第6页

Expectant Fathers' Intentions for Infant Involvement: Role of Knowledge, Self-Efficacy, and Beliefs. 准爸爸对婴儿参与的意向：知识、自我效能和信念的作用。

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.a982970

Morayo Akande, Kathryn Van Eck, Olivia Veira, Sara B Johnson, Tim Nelson, Alain B Labrique, Dustin Gibson, Arik V Marcell

{"title":"Expectant Fathers' Intentions for Infant Involvement: Role of Knowledge, Self-Efficacy, and Beliefs.","authors":"Morayo Akande, Kathryn Van Eck, Olivia Veira, Sara B Johnson, Tim Nelson, Alain B Labrique, Dustin Gibson, Arik V Marcell","doi":"10.1353/hpu.2026.a982970","DOIUrl":"10.1353/hpu.2026.a982970","url":null,"abstract":"Perinatal father engagement has been shown to improve maternal and infant health outcomes and parental well-being. However, we know little about expectant fathers' infant care self-efficacy and involvement intentions and their associated factors. An urban sample of 97 expectant fathers with less than a college degree completed a survey prenatally that assessed infant involvement intentions, parenting knowledge and beliefs, and expected infant care self-efficacy and coparenting support. Fathers reported high infant involvement intentions, strong infant care self-efficacy and coparenting support, and positive parenting beliefs, but lower levels of parenting knowledge. Regression analyses revealed significant positive associations between expected self-efficacy and infant involvement intentions, father role beliefs, and expected coparenting support, respectively. Anticipated weekly interaction time was positively associated with parenting knowledge. Findings underscore the importance of supporting paternal self-efficacy and knowledge prenatally and suggest that father-specific touchpoints during pregnancy could enhance early paternal engagement in infant care.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"287-307"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13594505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining Associations between COVID-19 Distress, Multilevel Resilience, and HIV Viral Suppression among African American/Black Adults in the Southeastern United States. 研究美国东南部非洲裔美国人/黑人成年人中COVID-19焦虑、多层次恢复力和HIV病毒抑制之间的关系

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.a982958

Tariz D Viera-Rojas, Jason R Gantenberg, Jee Won Park, Marta G Wilson-Barthes, Sannisha K Dale, Michael P Carey, Michael J Mugavero, Valerie A Earnshaw, Deana Agil, Sarah Dougherty Sheff, Bernadette Johnson, Akilah J Dulin, Chanelle J Howe

{"title":"Examining Associations between COVID-19 Distress, Multilevel Resilience, and HIV Viral Suppression among African American/Black Adults in the Southeastern United States.","authors":"Tariz D Viera-Rojas, Jason R Gantenberg, Jee Won Park, Marta G Wilson-Barthes, Sannisha K Dale, Michael P Carey, Michael J Mugavero, Valerie A Earnshaw, Deana Agil, Sarah Dougherty Sheff, Bernadette Johnson, Akilah J Dulin, Chanelle J Howe","doi":"10.1353/hpu.2026.a982958","DOIUrl":"10.1353/hpu.2026.a982958","url":null,"abstract":"The COVID-19 pandemic may have exacerbated HIV viral suppression disparities between African American/Black and White people living with HIV in the United States. Although COVID-19 disrupted HIV care and caused distress, multilevel resilience resources may have mitigated the impact of COVID-19 distress on HIV viral suppression. We used prospective observational data on 124 African American/Black adults from two clinical cohorts in the Southeastern United States and modified Poisson regression to examine whether an intervention that reduced COVID-19 distress and enhanced multilevel resilience resources would have more effectively improved HIV viral suppression had such a dual intervention been implemented in the real-world during the COVID-19 pandemic. This examination did not yield strong evidence that a real-world dual intervention would have more effectively improved HIV viral suppression on the additive scale during the pandemic among study participants. Larger future studies that minimize systematic sources of bias are needed.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"111-126"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13597139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving dental care access for Medicaid-enrolled adults through a dental clinic co-located within a rural health center: A mixed-methods study. 通过设在农村卫生中心内的牙科诊所改善参加医疗补助的成年人的牙科保健：一项混合方法研究。

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.a994062

Courtney M Hill, Thinh T Do, Mary Ellen Shands, Deeksha Nemawarkar, Jane K Soper, Donald L Chi

{"title":"Improving dental care access for Medicaid-enrolled adults through a dental clinic co-located within a rural health center: A mixed-methods study.","authors":"Courtney M Hill, Thinh T Do, Mary Ellen Shands, Deeksha Nemawarkar, Jane K Soper, Donald L Chi","doi":"10.1353/hpu.2026.a994062","DOIUrl":"https://doi.org/10.1353/hpu.2026.a994062","url":null,"abstract":"Purpose: Rural Medicaid enrollees face barriers to dental care. We evaluated outcomes of a dental clinic co-located within a health center in Jefferson County, a rural Health Professional Shortage Area (HPSA) in Washington state.Methods: In this mixed-methods study, we conducted 33 interviews and inductively coded the data. Using Medicaid data for adult enrollees, linear regression estimated dental use changes after clinic establishment by location of care (Jefferson County vs. elsewhere).Findings: We identified three domains. The clinic 1) provided affordable, accessible care meeting community needs; 2) faced challenges including extensive waitlists and staff shortages; 3) could address challenges by expanding clinic facilities and services offered. Adult Medicaid enrollees' dental care use increased 8.3% in Jefferson County (95% CI 4.1, 12.5) and declined 3.5% elsewhere (95% CI -6.3, -0.65) after the clinic was established.Discussion: A co-located dental clinic addressed barriers to care for rural Medicaid enrollees, yet challenges persist.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3S","pages":"98-121"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392025","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 Complications in Rural Versus Urban Community-Based Health Center Patients. 农村与城市社区卫生中心患者的糖尿病并发症

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.a994058

Annie E Larson, Robert W Voss, Treasure Allen, Dang Dinh, Miguel Marino, Nathalie Huguet

{"title":"Diabetes Complications in Rural Versus Urban Community-Based Health Center Patients.","authors":"Annie E Larson, Robert W Voss, Treasure Allen, Dang Dinh, Miguel Marino, Nathalie Huguet","doi":"10.1353/hpu.2026.a994058","DOIUrl":"https://doi.org/10.1353/hpu.2026.a994058","url":null,"abstract":"Rural residents have higher rates of diabetes and diabetes-related mortality than urban residents, complicated by higher rates of uninsurance. We sought to understand the association between rurality and health insurance and diabetes-related complications and management. Electronic health record data (EHR) from safety-net clinics across four states from 2014-2019 were used. Adjusted generalized estimating equation-based logistic regression models were fit. Among 29,019 patients with diabetes, we found no association between rurality and diabetes-related complications. Patients in large rural communities had higher odds of uncontrolled blood pressure and lower odds of statin prescriptions versus urban patients. Odds of chronic and acute complications documented in the EHR were lower for uninsured than insured patients as were statin and insulin prescriptions. Rurality was not associated with acute or chronic diabetes-related complications but was associated with underlying factors. Safety-net clinics can help address differences given their role in the rural health care system.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3S","pages":"17-32"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392071","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

Health Status of Women Experiencing Homelessness across Diverse Economic and Cultural Contexts: A Comparative Analysis in Nicaragua, Argentina, Puerto Rico, and Spain. 不同经济和文化背景下无家可归妇女的健康状况：尼加拉瓜、阿根廷、波多黎各和西班牙的比较分析

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.a992126

José Juan Vázquez, Silvia Torrego, Malena Lenta, Jorgelina Di Iorio, Alexia Suarez, Sonia Panadero

{"title":"Health Status of Women Experiencing Homelessness across Diverse Economic and Cultural Contexts: A Comparative Analysis in Nicaragua, Argentina, Puerto Rico, and Spain.","authors":"José Juan Vázquez, Silvia Torrego, Malena Lenta, Jorgelina Di Iorio, Alexia Suarez, Sonia Panadero","doi":"10.1353/hpu.2026.a992126","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992126","url":null,"abstract":"The article examines the similarities and differences related to health among women experiencing homelessness (N=292) across four countries with different cultures and income levels: Spain (n=136), Argentina (n=72), Puerto Rico (n=54), and Nicaragua (n=30). Data were collected through a structured interview, in order to ensure the homogeneity of the data and to reduce potential reading or comprehension difficulties. Results show that women experiencing homelessness interviewed in all four countries perceived their own health status as poor, with high rates of women reporting medically diagnosed severe or chronic illnesses and/or disabilities. Women who had been diagnosed with a severe or chronic illness were older on average, had experienced homelessness for longer, and consumed sedatives or tranquilizers, had used drugs, and had attempted suicide to a greater extent than those without such diagnoses. Univariate analyses were complemented by multivariate ones to identify women who were at higher health risk. Results from logistic regression suggest that increasing age, excessive drug use, and having attempted suicide are significant predictors of suffering a diagnosed severe or chronic illness among women experiencing homelessness. These findings may help guide future prevention strategies and detect indicators of especially negative outcomes, while recognizing the importance of the context, as women experiencing homelessness in countries with lower income levels face situations of increased vulnerability in relation to health issues.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"493-508"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253942","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

Association Between Reported Homelessness and Inpatient Resource Use for Medicare Beneficiaries. 报告的无家可归与医疗保险受益人住院资源使用之间的关系。

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.a992132

Rebecca Onyango, Matthew Baker, Erin Hahn

{"title":"Association Between Reported Homelessness and Inpatient Resource Use for Medicare Beneficiaries.","authors":"Rebecca Onyango, Matthew Baker, Erin Hahn","doi":"10.1353/hpu.2026.a992132","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992132","url":null,"abstract":"Objective: Evaluate the association between reported homelessness and inpatient resource use among Medicare beneficiaries, and investigate variation therein.Data sources and study design: Cross-sectional study of 6.3 million 2022 Medicare inpatient claims from 3,200 U.S. hospitals, examining the association between homelessness and three outcomes: cost, length of stay (LOS), and non-intensive care days using multilevel models. Robustness checks were conducted on five cross-sectional clinical subgroups.Principal findings: Among Medicare inpatient discharges, 0.63% reported homelessness, with teaching hospitals reporting 0.67%, in contrast to 0.55% in non-teaching hospitals. Overall, homelessness is associated with $829 (p<.001) higher costs and 2.45 (p<.001) longer LOS, primarily days outside of intensive care. For some patient subpopulations, the homelessness-cost association was greater than the national $829 magnitude.Conclusions: Reported homeless rates vary by hospital type and involve different hospital resources depending on hospital and patient type, including higher costs and longer inpatient hospital stays.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"608-620"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253966","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

An Exploration of the Intersection of Clinical Trials and Health Literacy: A Scoping Review. 临床试验与健康素养交叉的探索：范围综述。

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.a992761

Karen Lawrie, Margarita Rashev, Ali Mardini, Rouhi Fazelzad, Sun Choi, Naa Kwarley Quartey, Lorraine Pirrie, Meredith Giuliani, Janet Papadakos

{"title":"An Exploration of the Intersection of Clinical Trials and Health Literacy: A Scoping Review.","authors":"Karen Lawrie, Margarita Rashev, Ali Mardini, Rouhi Fazelzad, Sun Choi, Naa Kwarley Quartey, Lorraine Pirrie, Meredith Giuliani, Janet Papadakos","doi":"10.1353/hpu.2026.a992761","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992761","url":null,"abstract":"This scoping review synthesizes findings from 25 articles examining health literacy (HL) and clinical trials (CTs). Key factors contributing to low HL include poverty, limited education, older age, and limited English proficiency. Three thematic categories emerged: 1) barriers to recruitment and participation, 2) perceptions and comprehension of CT processes, and 3) interventions to improve knowledge and participation. Health literacy was found to influence willingness to participate in CTs, with higher HL associated with greater participation, especially in lower-burden trials. Misconceptions about CTs were prevalent among underserved populations. Interventions such as animated videos and simplified consent forms showed mixed effectiveness. A mapping exercise revealed gaps in existing HL frameworks, including provider bias and lack of target population involvement in trial design. Addressing these gaps through inclusive, culturally responsive strategies may improve comprehension, trust, and participation among underserved populations. Further research is needed to refine and evaluate HL interventions across CT contexts.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"466-492"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254022","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

Variation in Health Care Resources in Rural and Urban Counties Associated with Differences in COVID-19 Mortality. 城乡县卫生保健资源差异与COVID-19死亡率差异相关

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.a992140

Shahida Shahrir, Arati Dahal, Davis G Patterson, Bianca K Frogner

{"title":"Variation in Health Care Resources in Rural and Urban Counties Associated with Differences in COVID-19 Mortality.","authors":"Shahida Shahrir, Arati Dahal, Davis G Patterson, Bianca K Frogner","doi":"10.1353/hpu.2026.a992140","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992140","url":null,"abstract":"Few studies have examined whether the variation of health care infrastructure and workforce had potential impacts on COVID-19 mortality in rural counties. Linking national datasets, we stratified 1,548 rural and 1,148 urban U.S. counties using 2021 COVID-19 median mortality rates (19.5 vs. 14.0 per 10,000 population, respectively) as a cut-point for high and low mortality to compare sociodemographics, vaccination status, access to health centers and hospitals, and health care workforce supply between and within rural and urban counties. High-mortality (compared with low-mortality) rural counties had a higher percentage of residents who were older, Black and/or Hispanic, less educated, in poverty, and uninsured. Among all county groupings, high-mortality rural counties had the lowest percentage of residents with a complete COVID-19 vaccination series, were least likely to have a hospital or virtual patient services, and had the fewest hospital-based personnel and population-adjusted advanced-practice registered nurses. Rural communities experiencing these health care gaps require targeted health policy and resources.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"733-749"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254023","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

A Cross-Sectional Study of Women's Cervical Cancer Knowledge and Acceptance of Human Papillomavirus Vaccination in Makeni, Sierra Leone. 塞拉利昂Makeni妇女宫颈癌知识和接受人乳头瘤病毒疫苗接种的横断面研究

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.a982968

Samara Everman, Matthew Rivera, Grace Duke, Noah Weaver, Kayla Miller, Naakesh Gomanie, Abu Edwin Kargbo, Victoria Chan, Khanjan Mehta

{"title":"A Cross-Sectional Study of Women's Cervical Cancer Knowledge and Acceptance of Human Papillomavirus Vaccination in Makeni, Sierra Leone.","authors":"Samara Everman, Matthew Rivera, Grace Duke, Noah Weaver, Kayla Miller, Naakesh Gomanie, Abu Edwin Kargbo, Victoria Chan, Khanjan Mehta","doi":"10.1353/hpu.2026.a982968","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982968","url":null,"abstract":"Human papillomavirus (HPV) has become a major focus of improving health care in low- and middle-income countries. This study aims to contribute to existing literature by examining themes within Sierra Leonean women's knowledge and perception of cervical cancer and HPV as well as associations with different demographics. In this cross-sectional, door-to-door study, we conducted 189 interviews with women in rural and urban Sierra Leone using a questionnaire with four sections: demographics, women's perception and knowledge of cervical cancer, perception of the HPV vaccine, and demand-generating strategies. Among our findings were the overwhelming preference for Western medicine among participants and low awareness of cervical cancer, the HPV vaccine, and HPV. However, the vaccine is widely welcomed. Additionally, there is a statistically significant (p < .01) relationship between formal education attained and willingness to take the HPV vaccine. Policymakers and program directors may apply these results to the enhancement of immunization efforts.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"253-269"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018311","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

Investigating the Moderating Role of Food Security on Group Session Attendance of an HIV/STI Intervention for Black Women Under Community Supervision. 调查食品安全对社区监督下黑人妇女艾滋病/性传播感染干预小组会议出席率的调节作用。

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.a982959

Nishita Dsouza, Mingway Chang, ClaraGrace Pavelka, Rebecca Asoulin, Elwin Wu, Nabila El-Bassel, Dawn Goddard-Eckrich, M A Louisa, Gilbert

{"title":"Investigating the Moderating Role of Food Security on Group Session Attendance of an HIV/STI Intervention for Black Women Under Community Supervision.","authors":"Nishita Dsouza, Mingway Chang, ClaraGrace Pavelka, Rebecca Asoulin, Elwin Wu, Nabila El-Bassel, Dawn Goddard-Eckrich, M A Louisa, Gilbert","doi":"10.1353/hpu.2026.a982959","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982959","url":null,"abstract":"Background: Empowering African-American Women on the Road to Health (E-WORTH) is a five-session, culturally-tailored, group-based intervention with demonstrated effectiveness in reducing HIV/STI risk among Black women under community supervision. This study aims to examine the moderating effect of food security on STI prevalence among participants who attended group sessions.Methods: We fit modified Poisson regression models to examine the effectiveness of group sessions on reducing cumulative STI incidence and explored the moderating effect of food security in models.Results: Compared with those in the control arm, E-WORTH participants who attended all group sessions and were food-secure had a 77% reduction in STIs (p<.05). Findings were not statistically significant among food-insecure participants.Conclusion: Results indicate the importance of food security in enhancing the effectiveness of E-WORTH's group-based intervention. Additional research about mediators of group modality and the importance of meeting basic needs is needed to improve E-WORTH implementation.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"127-137"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018287","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