Journal of Health Care for the Poor and Underserved最新文献_第7页

Emergency Medical Retrieval Services in Remote Indigenous Islands: Experiences in Lanyu, Taiwan. 偏远土著岛屿的紧急医疗救援服务：台湾兰屿的经验。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Shih-Tien Pan, Ying-Li Lee, Hung-Hsi Cheng, Ching-Wei Huang, Shih-Yueh Chu, Li-Mei Cheng, Feng-Yaun Chu, Felice Tien O'Donnell, Chih-Hao Lin

{"title":"Emergency Medical Retrieval Services in Remote Indigenous Islands: Experiences in Lanyu, Taiwan.","authors":"Shih-Tien Pan, Ying-Li Lee, Hung-Hsi Cheng, Ching-Wei Huang, Shih-Yueh Chu, Li-Mei Cheng, Feng-Yaun Chu, Felice Tien O'Donnell, Chih-Hao Lin","doi":"","DOIUrl":"","url":null,"abstract":"Emergency medical retrieval services (EMRS) in remote Indigenous islands is rarely investigated. We analyzed the characteristics of patients who underwent EMRS in Lanyu, an offshore island of Taiwan, from January 1, 2014 to December 31, 2021. The need for EMRS for Lanyu Indigenous residents (N=132, 3.83‰) was almost 1.5-fold and 100-fold for non-Indigenous residents (N=16, 2.64‰) and tourists (N=40, 0.04‰), respectively. The resident group had a longer hospitalization (12.0 ± 12.9 vs. 5.9 ± 11.7 days, p=.007). The tourist group had more near-drowning or decompression sickness (44.0% vs. 3.0%, p<.001) and secondary transfers (20.0% vs. 5.4%, p=.003). All the patients (N=12) that required multiple retrievals were Lanyu Indigenous residents. The Lanyu Indigenous residents, compared with the non-Indigenous residents, had fewer admissions to intensive care units (47.7% vs. 80.0%) and more in-hospital mortalities (10.6% vs. 0.0%). Multifaceted approaches should be initiated to improve the health care system in remote Indigenous islands.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3","pages":"962-977"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917791","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 Recognition, Protection, and Health: A Socio-legal Framework for Assessing Determinants of Health in the Jamaican Trans Community. 法律承认、保护和健康：评估牙买加跨性别群体健康决定因素的社会法律框架》。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Emme Christie

引用次数: 0

"We Just Brush It Off, God's Got Us . . .": African American Adolescent Girls' Expressions of Spirituality in Response to Stressful Experiences. "我们只是拂袖而去，上帝保佑我们........ .":非裔美国少女在应对压力时的精神表达。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI: 10.1353/hpu.2024.a943976

Kayoll Gyan, Preeti Khanal, Hayley Dunnack Yackel, Jill B Hamilton

{"title":"\"We Just Brush It Off, God's Got Us . . .\": African American Adolescent Girls' Expressions of Spirituality in Response to Stressful Experiences.","authors":"Kayoll Gyan, Preeti Khanal, Hayley Dunnack Yackel, Jill B Hamilton","doi":"10.1353/hpu.2024.a943976","DOIUrl":"10.1353/hpu.2024.a943976","url":null,"abstract":"The mental health burden is increasing among the young adolescent population worldwide, with more reports of sadness and mental illness diagnoses. This study explored how African American adolescent girls use religious and spiritual practices to cope with stressful experiences. A qualitative descriptive design was used to interview 22 African American adolescent girls. Data were analyzed using content analysis and constant comparison technique. The following themes emerged related to prayer, scripture, and songs: 1) Healing for themselves or others, 2) instructions on how to live, 3) provision from God, 4) protection during dangerous situations, 5) strength to endure, and 6) connectedness to God, self, and others. Adolescent girls used spirituality and religion as coping mechanisms during various life stressors while healing, reframing thoughts to a positive mindset, and seeking direction and protection. Future studies should consider incorporating spiritual and religious coping mechanisms as a mental health intervention, particularly for this population.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4","pages":"1039-1052"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711315","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

Establishing a Perinatal Medical-Legal Partnership to Address the Health-Harming Legal Needs of Pregnant and Postpartum Birthing People. 建立围产期医疗法律合作伙伴关系，以解决孕妇和产后分娩者对健康有害的法律需求。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI: 10.1353/hpu.2024.a943995

Loral Patchen, Roxana Richardson, Lisa Kessler, Deborah F Perry, Kimberly Martinez, Vicki W Girard

引用次数: 0

Building the NHPI Data Policy Platform to Identify the Most Pressing SDOH Policy Domains for the NHPI Community. 建立 NHPI 数据政策平台，为 NHPI 社区确定最紧迫的 SDOH 政策领域。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Richard Calvin Chang, 'Alisi Tulua, Karla Thomas, Corina S Penaia, Ninez A Ponce

{"title":"Building the NHPI Data Policy Platform to Identify the Most Pressing SDOH Policy Domains for the NHPI Community.","authors":"Richard Calvin Chang, 'Alisi Tulua, Karla Thomas, Corina S Penaia, Ninez A Ponce","doi":"","DOIUrl":"","url":null,"abstract":"Access to accurate Native Hawaiian and Pacific Islander (NHPI) social drivers of health (SDOH) data is crucial for understanding health needs and shaping effective public health strategies. However, this data often gets obscured within broader racial and ethnic categories making NHPI issues invisible. Moreover, NHPI communities face barriers when published data formats are inaccessible to community-based organization staff. To tackle these challenges, we initiated the Assessing Social Determinants of Health Data Through Local Data Intermediaries Initiative (AHEAD), supported by the federal Office of Minority Health. We developed two community-centered resources:1. The NHPI Data Policy Platform, shaped by 138 NHPI community leaders from 13 states and Washington, D.C., representing nine NHPI subgroups. This platform highlights NHPI priority issues and provides equitable data policy recommendations for advocates and policymakers.2. An NHPI SDOH Dashboard for California Counties, tailored to offer accessible data for community-based organization staff, ensuring better-informed interventions and support.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3S","pages":"16-26"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789504","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 Monoracial/Ethnic and Multiracial/Ethnic Classification in the Context of Mental Health Among High School Students. 探索高中生心理健康背景下的单种族/族裔和多种族/族裔分类。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Sherry Everett Jones, Izraelle I McKinnon, Kathleen H Krause, Jonetta J Mpofu, Jingjing Li

{"title":"Exploring Monoracial/Ethnic and Multiracial/Ethnic Classification in the Context of Mental Health Among High School Students.","authors":"Sherry Everett Jones, Izraelle I McKinnon, Kathleen H Krause, Jonetta J Mpofu, Jingjing Li","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To explore the prevalence of Multiracial/ethnic identity and its association with mental health among high school students.Methods: The 2021 national Youth Risk Behavior Survey (N=17,232) data were used. Respondents were classified as monoracial/ethnic or Multiracial/ethnic.Results: Overall, 21.5% of students were Multiracial/ethnic. Multiracial/ethnic status was most prevalent among students who identify as American Indian or Alaska Native, Native Hawaiian or Other Pacific Islander, and Hispanic or Latino. Logistic regression models showed Multiracial/ethnic classification was associated with persistent feelings of sadness or hopelessness among students identifying as American Indian or Alaska Native, Asian, Black, and White. Multiracial/ethnic Asian students had significantly higher odds of all four indicators of poor mental health compared with monoracial/ethnic Asian students.Conclusion: Multiracial/ethnic students constitute a heterogenous group. This study found important subgroup differences in indicators of mental health that might be missed when Multiracial/ethnic groups are considered in aggregate.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3","pages":"920-932"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11354185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917793","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

Why the Indian Health Care Improvement Act Has Failed to Effectively Fund Workforce Development for the Indian Health Service. 为什么《印第安人医疗保健改进法案》未能有效资助印第安人医疗保健服务的劳动力发展？

IF 1.4 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Michael A Sundberg, Loretta Christensen, Allison Kelliher, Matthew L Tobey, Michael Toedt, Mary J Owen

引用次数: 0

Affirming Community Cultural Wealth of Chicana/o and Latina/o Youth in a Community-Based After-School Program. 在以社区为基础的课外活动中肯定奇卡纳/奥裔和拉丁/奥裔青少年的社区文化财富。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Rafael J C Hernández, Arcela Nuñez-Alvarez, Ana María Ardón, Rosalva A Romero Gonzalez

引用次数: 0

Project DINE: Addressing Disparities in Nutrition and Maternal Mortality and Morbidity through Nutrition and Father Engagement. DINE 项目：通过营养和父亲参与解决营养和孕产妇死亡率和发病率方面的差异。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Latrice Rollins, Tiara Giddings, Sarah T Henes, Mohamed Mubasher, Chris White

引用次数: 0

Exploring Native Hawaiian and Pacific Islander Youths' E-Cigarette Resistance Strategies: Implications for Tobacco Product Use Prevention. 探索夏威夷原住民和太平洋岛民青少年抵制电子烟的策略：对烟草制品使用预防的意义。

IF 1.2 4区医学

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Scott K Okamoto, Andrew M Subica, Katlyn J An, Kelsie H Okamura, Sarah D Song, Paula Angela Saladino, Adabelle B Carson, Tea A Stephens, Sarah Momilani Marshall, Steven Keone Chin, Thomas A Wills, Joseph Keawe'aimoku Kaholokula, Pallav Pokhrel

{"title":"Exploring Native Hawaiian and Pacific Islander Youths' E-Cigarette Resistance Strategies: Implications for Tobacco Product Use Prevention.","authors":"Scott K Okamoto, Andrew M Subica, Katlyn J An, Kelsie H Okamura, Sarah D Song, Paula Angela Saladino, Adabelle B Carson, Tea A Stephens, Sarah Momilani Marshall, Steven Keone Chin, Thomas A Wills, Joseph Keawe'aimoku Kaholokula, Pallav Pokhrel","doi":"","DOIUrl":"","url":null,"abstract":"This study examined the e-cigarette and vaping resistance strategies used by Native Hawaiian and Pacific Islander (NHPI) youths in rural Hawai'i. Focus groups (N = 17) were conducted in eight geographically dispersed elementary, middle/intermediate, and multilevel schools in low-income communities on Hawai'i Island. Sixty-nine youths (67% NHPI, Mage = 12.5 years) participated in this study. The resistance strategies discussed across the greatest number of groups were \"refuse\" (saying no), \"explain\" (providing reasons for vaping refusal), \"avoid\" (avoiding people or places where e-cigarettes were used), and \"leave\" (walking away from a situation where e-cigarettes were being used). Participants described the challenges in using these strategies within contexts characterized by widespread peer and family vaping and strong social demands to use e-cigarettes. The findings suggest the need for multi-level interventions based on youths' resistance strategies to meaningfully reduce youth vaping use in rural and/or NHPI communities.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 2","pages":"692-706"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11238740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200884","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