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Potential Implications of the Large Number of Respondents Who Prefer Not to Identify Gender or Race on Burnout Surveys. 大量受访者不愿在职业倦怠调查中确定性别或种族的潜在影响。
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.a951600
Mark Linzer, Dawn Johnson, Martin Stillman, Elizabeth Goelz
{"title":"Potential Implications of the Large Number of Respondents Who Prefer Not to Identify Gender or Race on Burnout Surveys.","authors":"Mark Linzer, Dawn Johnson, Martin Stillman, Elizabeth Goelz","doi":"10.1353/hpu.2025.a951600","DOIUrl":"10.1353/hpu.2025.a951600","url":null,"abstract":"<p><p>In burnout surveys, five to 15% of respondents prefer not to identify (PNTI) gender, race, or ethnicity and are often ignored in survey findings, yet this group of respondents appears to have the highest burnout rates. While stress is higher in workers who are Black, Indigenous, or other People of Color (BIPOC), burnout is often reported to be lower than in non-Hispanic White workers. Hypothesized reasons for not identifying include personal safety, perceived vulnerability, and believing little will occur in response to findings. Messaging survey safety, revising demographic queries, and acting upon findings may encourage individuals to identify race, gender, and ethnicity. If more respondents identified race, ethnicity, and gender, this would allow us to gain a fuller understanding of the lived experiences of all health care worker groups; the impact this may have on burnout rates in under-represented groups remains to be determined.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"335-343"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434287","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
Experiencing Housing Instability in Rural North America and Access to Health Care and Supportive Services: A Scoping Review. 经历住房不稳定在北美农村和获得卫生保健和支持服务：范围审查。
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.a951583
Jill S Roncarati, Meagan Cusack, Gala True, Julia Browne, Taylor Harris, Aerin deRussy, Jack Tsai, A Rani Elwy, Thomas H Byrne, Ann Elizabeth Montgomery
{"title":"Experiencing Housing Instability in Rural North America and Access to Health Care and Supportive Services: A Scoping Review.","authors":"Jill S Roncarati, Meagan Cusack, Gala True, Julia Browne, Taylor Harris, Aerin deRussy, Jack Tsai, A Rani Elwy, Thomas H Byrne, Ann Elizabeth Montgomery","doi":"10.1353/hpu.2025.a951583","DOIUrl":"10.1353/hpu.2025.a951583","url":null,"abstract":"<p><strong>Objective: </strong>We conducted a scoping review of 45 peer-reviewed articles to characterize the intersection of housing instability and homelessness, care, and services in rural North America. We sought gaps in literature related to geographically based health disparities among people experiencing housing instability and identify practices that may promote better health outcomes. We offer practical implications for health care and service provision for people experiencing housing instability in rural areas.</p><p><strong>Methods: </strong>We reviewed the literature and according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) standards.</p><p><strong>Results: </strong>We identified 45 articles matching the inclusion criteria for full-text review. Emerging themes included subpopulations and demographics, physical and behavioral health, and services.</p><p><strong>Conclusions: </strong>More information is needed on housing instability in rural settings such as housing instability among unsheltered individuals, Native Americans, and older persons. Solutions to end homelessness should consider tailoring resources and services to the rural context.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"21-55"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434195","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
Community Organizing for Health Justice: A Missing Link for Health Care. 社区组织卫生正义：卫生保健缺失的一环。
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.a967346
Juliana E Morris, Hilary Mar Lopez Nichols, Noel Sanders, Brian Park
{"title":"Community Organizing for Health Justice: A Missing Link for Health Care.","authors":"Juliana E Morris, Hilary Mar Lopez Nichols, Noel Sanders, Brian Park","doi":"10.1353/hpu.2025.a967346","DOIUrl":"10.1353/hpu.2025.a967346","url":null,"abstract":"<p><p>There is increasing recognition within the U.S. health care system that structural determinants are major drivers of health inequities. Many of the current strategies to advance health equity, however, do not directly address the power differentials at the roots of structural determinants. Community organizing offers a framework to address this gap, by offering time-tested tools that shift power to community members who are systemically harmed and create social change most important to them. Three important principles of community organizing-shifting power, centering lived expertise, and solidarity-may be particularly relevant to health systems in their work to advance health equity. Through two contemporary case studies and historical examples, the meanings and applications of these principles are explored. We believe that the integration of community organizing into health systems is a necessary component towards achieving community-led structural change and ultimately: health equity for all.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"1023-1038"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876038","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
Patient and Clinic Characteristics of a Prescribing Psychology Practice in New Mexico. 新墨西哥州处方心理学实践的患者和临床特征。
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.a967339
Phillip M Hughes, Jo Velasquez, David Velasquez, Jack Tsai, Aaron Garcia, Judith Steinman
{"title":"Patient and Clinic Characteristics of a Prescribing Psychology Practice in New Mexico.","authors":"Phillip M Hughes, Jo Velasquez, David Velasquez, Jack Tsai, Aaron Garcia, Judith Steinman","doi":"10.1353/hpu.2025.a967339","DOIUrl":"10.1353/hpu.2025.a967339","url":null,"abstract":"<p><p>Little is known about patients treated by prescribing psychologists. We conducted a descriptive cross-sectional study using electronic health record data of patients (N = 4,540) from a large prescribing psychology clinic in Las Cruces, New Mexico (2017-2023). Data on patient demographics (e.g., age at first visit, county of residence), clinical characteristics (e.g., psychiatric diagnoses, comorbidities), and county-level geographic factors (e.g., rurality) were collected. Less than half (48.9%) were privately insured, and patients had myriad psychiatric and comorbid conditions. Patients were from 75.8% of the counties in the state, nearly all rural counties (95.4%) with high social deprivation index scores (M = 92.1; SD = 10.8). Combination treatment with both medication and psychotherapy was most common (62.2%) and visits exclusively for medication management were rare (4.7%). Prescribing psychologists appear to treat rural, underserved patients with a diversity of psychiatric conditions using both medication and therapy.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"915-928"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876045","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
Racial and Ethnic Disparities in Preventive Health Care Utilization among Insured Adolescent Males: Do Connections to Providers and Sites Matter? 种族和民族差异在预防保健利用投保青少年男性：连接提供者和地点重要吗？
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.a967336
Carly R O'Connor, George R Smith, Arden Handler, Kristin Rankin
{"title":"Racial and Ethnic Disparities in Preventive Health Care Utilization among Insured Adolescent Males: Do Connections to Providers and Sites Matter?","authors":"Carly R O'Connor, George R Smith, Arden Handler, Kristin Rankin","doi":"10.1353/hpu.2025.a967336","DOIUrl":"10.1353/hpu.2025.a967336","url":null,"abstract":"<p><p>This study evaluated the race and ethnicity-specific association between having a personal doctor or nurse and/or a usual site for care and preventive care utilization among 15,989 insured male adolescents. The 2021-2022 National Survey of Children's Health was used to conduct bivariate and multivariable binomial regression analyses and obtain crude and adjusted prevalence differences, overall and by race and ethnicity. Seventy-nine percent of male adolescents with a personal doctor or nurse had a preventive care visit, compared with 63.0% with a usual site but no personal doctor or nurse, and 31.9% with neither. Having a personal doctor a nurse was associated with greater preventive care utilization overall and for each racial and ethnic group [aPD:43.49 (95% CI:35.24, 51.73)]. Established relationships with a personal health care provider may facilitate preventive care utilization, which could be particularly important for racial and ethnic minority adolescents given existing disparities in health care utilization and outcomes.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"855-874"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876047","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 Residence, Minority Stress, and Tobacco Use among Sexual and Gender Minority Young Adults in Oklahoma and Surrounding States. 俄克拉何马州及周边州性少数族裔青年的城乡居住、少数族裔压力和烟草使用
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.a967341
Katelyn F Romm, Clark Gilford, Erin A Vogel, Julia M McQuoid, Meng Chen, Amy M Cohn, Carla J Berg
{"title":"Rural-urban Residence, Minority Stress, and Tobacco Use among Sexual and Gender Minority Young Adults in Oklahoma and Surrounding States.","authors":"Katelyn F Romm, Clark Gilford, Erin A Vogel, Julia M McQuoid, Meng Chen, Amy M Cohn, Carla J Berg","doi":"10.1353/hpu.2025.a967341","DOIUrl":"10.1353/hpu.2025.a967341","url":null,"abstract":"<p><strong>Introduction: </strong>Sexual and/or gender minority young adults (SGM YAs) display high tobacco use rates but less is known regarding disparities among those residing in rural vs. urban areas.</p><p><strong>Methods: </strong>Among 609 U.S. SGM YAs (ages 18-25) who completed 2023/2024 surveys, multivariable regressions examined associations of: 1) rurality (vs. urbanicity) with minority stressors (negative behaviors from parents, discrimination, less peer support and SGM community connectedness); and 2) rurality and minority stressors with tobacco use for those assigned female (AFAB) or male (AMAB) at birth, separately.</p><p><strong>Results: </strong>Among SGM YAs AFAB, rurality predicted greater minority stress (negative parenting, discrimination, less SGM community connectedness). Rurality and minority stressors predicted past-month e-cigarette use, polytobacco use, and nicotine dependence. Among those AMAB, rurality predicted greater nicotine dependence.</p><p><strong>Conclusions: </strong>Findings provide insights into intervention targets for tobacco use among SGM YAs AFAB residing in rural areas with less SGM community connectedness (i.e., acceptance and resources).</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"943-970"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876048","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
Building a Qualified Medical Interpreter Workforce Program for Lesser-Spoken Languages. 为少数语言建立合格的医疗口译人员队伍计划。
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.a967358
Iris Feinberg, Michelle Mavreles Ogrodnick, Amy Zeidan
{"title":"Building a Qualified Medical Interpreter Workforce Program for Lesser-Spoken Languages.","authors":"Iris Feinberg, Michelle Mavreles Ogrodnick, Amy Zeidan","doi":"10.1353/hpu.2025.a967358","DOIUrl":"10.1353/hpu.2025.a967358","url":null,"abstract":"<p><p>There is a need for qualified medical interpreters in lesser-spoken languages at free or sliding-scale clinics and community-based organizations. We describe the process and cost of training qualified medical interpreters (QMIs) and developing the QMI Workforce Program at no charge to free or sliding-scale clinics/CBOs so they can offer language-concordant health care for patients with limited English proficiency.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3S","pages":"51-57"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876075","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
Diapers at the Doctor: Addressing Diaper Need in a Pediatric Clinic. 尿布在医生：解决尿布在儿科诊所的需求。
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.a951605
Max Lee, Janine S Bruce, Shada Sinclair, Nicola Gerbino, Vanessa Baker-Simon, Elena Vinton, Samhita Kadiyala, Gaby Escobar, Lisa J Chamberlain, Baraka Floyd
{"title":"Diapers at the Doctor: Addressing Diaper Need in a Pediatric Clinic.","authors":"Max Lee, Janine S Bruce, Shada Sinclair, Nicola Gerbino, Vanessa Baker-Simon, Elena Vinton, Samhita Kadiyala, Gaby Escobar, Lisa J Chamberlain, Baraka Floyd","doi":"10.1353/hpu.2025.a951605","DOIUrl":"10.1353/hpu.2025.a951605","url":null,"abstract":"<p><p>A needs-assessment at a federally qualified health center in the Bay Area found that over 40% of patients faced diaper need, with cost as the major barrier and few local diaper banks available to address this need. This report describes a clinic-based diaper distribution program that helps fill this gap.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"392-400"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434185","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 Mobile Health Clinics: A Scoping Review. 探索流动医疗诊所：范围审查。
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.a951582
Kathryn Sabo, Esther Herring, Christopher Clock, Jessica G Bell, Patricia Reidy
{"title":"Exploring Mobile Health Clinics: A Scoping Review.","authors":"Kathryn Sabo, Esther Herring, Christopher Clock, Jessica G Bell, Patricia Reidy","doi":"10.1353/hpu.2025.a951582","DOIUrl":"10.1353/hpu.2025.a951582","url":null,"abstract":"<p><p>Mobile health clinics (MHC) have emerged as vital resources to enhance health care access for historically marginalized populations. Using the Arksey and O'Malley framework, this scoping review explores MHC programs, focusing on target populations, settings, services, professionals, and outcomes. The review was conducted through a comprehensive search of PubMed, CINAHL Complete, and EBSCO's Business Source Complete databases from 2017 to 2024. Thirty-eight relevant articles were identified. The review underscores the significance of setting, professional roles, and services offered by MHC programs, alongside highlighting key themes such as populations served, measured outcomes, and barriers/facilitators. It advocates for interprofessional collaboration beyond traditional clinics to provide inclusive care and bridge health care disparities. Beyond health care delivery, the review underscores the importance of interprofessional collaboration in addressing health inequities. The findings of this scoping review provide insights for designing and implementing effective mobile health services in underserved communities.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"1-20"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434273","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
Bridging Generations: Youth-Adult Partnership for Black Youth Mental Health Policy Innovation in Georgia. 代际桥梁：格鲁吉亚黑人青年心理健康政策创新的青年-成人伙伴关系。
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.a967362
Malaka Y Nzinga, Brittney Newton, Rachel Alterman Wallack, Dimple Desai, Eniyah Baptiste, Sushana Lamsal, Jeremiah Mitchell, Mikayla Kendall, Chiron Bates, Laolu Oguneye, Pilar Jackson, Mitchell A Blount, Dawn Tyus, Megan D Douglas
{"title":"Bridging Generations: Youth-Adult Partnership for Black Youth Mental Health Policy Innovation in Georgia.","authors":"Malaka Y Nzinga, Brittney Newton, Rachel Alterman Wallack, Dimple Desai, Eniyah Baptiste, Sushana Lamsal, Jeremiah Mitchell, Mikayla Kendall, Chiron Bates, Laolu Oguneye, Pilar Jackson, Mitchell A Blount, Dawn Tyus, Megan D Douglas","doi":"10.1353/hpu.2025.a967362","DOIUrl":"10.1353/hpu.2025.a967362","url":null,"abstract":"<p><p>Youth-centered policy approaches are needed to address Black youth mental health and amplify their voices in policy change. This paper describes the implementation of a policy assessment framework, focusing on how it was adapted to meaningfully incorporate youth voices, and highlights successes and lessons learned for future use.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3S","pages":"90-98"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876074","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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