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

Doubling of New Hepatitis C Virus Infections in South Dakota American Indian Reservation Counties since 2020. 自2020年以来，南达科他州美国印第安人保留地县的丙型肝炎病毒新感染增加了一倍。

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.a982960

Gregory Yungtum, Christopher Brokus, Meghan O'Connell, Matthew Tobey

{"title":"Doubling of New Hepatitis C Virus Infections in South Dakota American Indian Reservation Counties since 2020.","authors":"Gregory Yungtum, Christopher Brokus, Meghan O'Connell, Matthew Tobey","doi":"10.1353/hpu.2026.a982960","DOIUrl":"https://doi.org/10.1353/hpu.2026.a982960","url":null,"abstract":"Background: American Indian (AI) and Alaska Native individuals experience the highest hepatitis C virus (HCV) infection rates among racial groups in the United States. We hypothesized that, in South Dakota, six counties located on AI reservations might have a distinctive and underexamined epidemiologic pattern of HCV.Methods: Using publicly available data from the South Dakota Department of Health, we analyzed rates of newly identified HCV cases in six reservation counties from 2015-2024.Results: From 2015-2024, 1,282 HCV cases occurred in the six counties. These cases represented 19.6% of the state's total, whereas the counties represent 4.3% of the state's population. Case rates doubled in 2021 and 2022 to almost seven times the statewide rate.Discussion: The observed increase in HCV case rates in these South Dakota counties may reflect increased transmission, expanded screening, or both. High-prevalence settings may benefit from tailored interventions aimed at curbing transmission and treating infections.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"138-142"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018297","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

Integrating Tele-Retinal Scans into Primary Care Visits Using an MA-Supported Quality Improvement Approach at a Community Health Center. 在社区卫生中心使用ma支持的质量改进方法将远程视网膜扫描整合到初级保健访问中。

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.a998555

Blanca Lissette Toso, Hannah Herman, Joann L Goodine, Sharon Gowing, Benjamin Oldfield

引用次数: 0

Medical Debt and Morbidity and Mortality among Rural and Urban Counties. 城乡县的医疗债务与发病率和死亡率。

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.a998549

Alexis Swendener, Hannah MacDougall, Carrie Henning-Smith

引用次数: 0

Health Care Utilization Among People Experiencing Homelessness in a Rural Region. 农村地区无家可归者的医疗保健利用情况。

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.a998544

Zi Jie Jay Wei, David Klee, Jason Schreiber, Elizabeth Abel, Alexandria Oswalt, Monica Vandenbil, Sijia He, Jill Burden, Kelly A Hirko

{"title":"Health Care Utilization Among People Experiencing Homelessness in a Rural Region.","authors":"Zi Jie Jay Wei, David Klee, Jason Schreiber, Elizabeth Abel, Alexandria Oswalt, Monica Vandenbil, Sijia He, Jill Burden, Kelly A Hirko","doi":"10.1353/hpu.2026.a998544","DOIUrl":"https://doi.org/10.1353/hpu.2026.a998544","url":null,"abstract":"Little is known about health care utilization among people experiencing homelessness (PEH) in rural areas, who are often unsheltered and face barriers from geographic isolation and resource shortages. We examined emergency department (ED) and acute hospitalization utilization in relation to weather patterns among PEH at a rural health care system in Northwest Michigan (2018-2022). Mental and behavioral health diagnoses accounted for 66.3% of ED visits and 84.4% of hospitalizations. Higher maximum daily temperature was associated with increased ED visits (β=0.017, 95% CI=0.01, 0.24), while total precipitation was associated with fewer visits (β=-0.053, 95% CI=-0.087, -0.021). Greater cumulative snow depth was linked to increased ED visits (β=0.022, 95% CI=0.008, 0.036) and hospitalizations (β=0.034, 95% CI=0.002, 0.065). Shelter availability was associated with lower monthly hospitalization rates (mean difference=-1.42, 95% CI=-2.46, -0.39). These findings underscore the need for targeted mental health services and weather-responsive care strategies for PEH in rural areas.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"923-939"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765735","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

Detection of Cataract and Surgical Outcomes in the Manhattan Vision Screening and Follow-Up Study (NYC-SIGHT). 曼哈顿视力筛查和随访研究（NYC-SIGHT）中白内障的检测和手术结果。

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.a998548

Lisa Park, Annette M Goulak, Prakash Gorroochurn, Daniel F Diamond, Stefania C Maruri, Noga Harizman, Jason D Horowitz, Desiree R Torres, George A Cioffi, Lisa A Hark

{"title":"Detection of Cataract and Surgical Outcomes in the Manhattan Vision Screening and Follow-Up Study (NYC-SIGHT).","authors":"Lisa Park, Annette M Goulak, Prakash Gorroochurn, Daniel F Diamond, Stefania C Maruri, Noga Harizman, Jason D Horowitz, Desiree R Torres, George A Cioffi, Lisa A Hark","doi":"10.1353/hpu.2026.a998548","DOIUrl":"10.1353/hpu.2026.a998548","url":null,"abstract":"Purpose: To detect rates of cataracts among underserved participants following community-based eye health screenings in Upper Manhattan.Methods: A cluster-randomized controlled trial enrolled 708 participants aged 40 years or older for eye health screenings. Participants with visual acuity (VA) 20/40 or worse, intraocular pressure 23-29 mmHg, or unreadable fundus images in either eye were referred for examination by a study optometrist and subsequent referral for ophthalmologic exam, if warranted.Results: Among 708 participants, 31.4% were diagnosed with cataracts (n=223). Logistic regression showed higher odds of visually significant cataracts with older age (adjusted odds ratio [aOR] = 1.121, 95% CI = 1.065-1.181), VA worse than 20/40 (aOR = 16.393, 95% CI = 3.268-83.333), or an unreadable fundus image (aOR = 333.333, 95% CI = 37.037-∞) (p < .001).Conclusion: Cataract detection in underserved individuals was associated with older age, poor visual acuity, and unreadable fundus images but cataract surgery rates were low.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"993-1011"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765388","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

Underlying Factors Influencing Kidney Cancer Surgical Treatment Disparities: Patients', Non-Patient Community Members', and Urologists' Perspectives. 影响肾癌手术治疗差异的潜在因素：患者、非患者社区成员和泌尿科医生的观点。

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.a992129

Ken Batai, Alejandro Cruz, D'Andre M Gomez, Juan E Adrover Claudio, Daphney Larose, Francine C Gachupin, Jacquanette R Slowtalker, Ava C Wong, Benjamin R Lee, Juan Chipollini

{"title":"Underlying Factors Influencing Kidney Cancer Surgical Treatment Disparities: Patients', Non-Patient Community Members', and Urologists' Perspectives.","authors":"Ken Batai, Alejandro Cruz, D'Andre M Gomez, Juan E Adrover Claudio, Daphney Larose, Francine C Gachupin, Jacquanette R Slowtalker, Ava C Wong, Benjamin R Lee, Juan Chipollini","doi":"10.1353/hpu.2026.a992129","DOIUrl":"10.1353/hpu.2026.a992129","url":null,"abstract":"Kidney cancer (KCa) patients from racial and ethnic minority groups often delay or forgo surgical treatment and have invasive treatment. The goal of this pilot study was to understand the factors underlying KCa treatment disparities. We interviewed KCa patients (n=13) and community members without KCa (n=61) in Arizona and conducted online surveys with urologists (n=54). Many interview participants were from minority groups (82%) and had health care access difficulties. Four out of 10 patients waited over a year to see their doctor when they had potential symptoms before diagnosis. Almost 30% reported that cultural values or religious beliefs influenced their treatment choice. Many community participants had not heard about KCa (62.3%). Urologists reported that patients from minority groups more often had health care access challenges than non-Hispanic White patients. Barriers to health care access, lack of knowledge, and cultural values may be underlying forces influencing treatment decisions and delay.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"542-567"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253999","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

"It's Not a One-Size-Fits-All": Patient Perspectives on Contingency Management and Community Reinforcement Approach for Methamphetamine Use Disorder in Permanent Supportive Housing. “这不是一刀切”：永久性支持性住房中甲基苯丙胺使用障碍的应急管理和社区强化方法的患者观点。

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.a992138

Sarah Leyde, Carson Bell, Christina Harris, Chelsea Wan, Emily Nye, Claire B Simon, Jeremy Hoog, Amy J Kennedy, Bryan Hartzler, Judith I Tsui, Callan Fockele

{"title":"\"It's Not a One-Size-Fits-All\": Patient Perspectives on Contingency Management and Community Reinforcement Approach for Methamphetamine Use Disorder in Permanent Supportive Housing.","authors":"Sarah Leyde, Carson Bell, Christina Harris, Chelsea Wan, Emily Nye, Claire B Simon, Jeremy Hoog, Amy J Kennedy, Bryan Hartzler, Judith I Tsui, Callan Fockele","doi":"10.1353/hpu.2026.a992138","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992138","url":null,"abstract":"Background: Methamphetamine use is a growing concern, particularly among individuals experiencing homelessness or living in permanent supportive housing (PSH). While evidence-based treatments such as contingency management (CM) and the community reinforcement approach (CRA) exist, little is known about their implementation and adaptation in PSH.Methods: Semi-structured interviews were conducted with 25 PSH residents using methamphetamine in Seattle, Washington (May-July 2022). Thematic analysis using the Consolidated Framework for Implementation Research identified barriers, facilitators, and adaptations for CM and CRA.Results: Residents expressed interest in CM and CRA, citing knowledge/beliefs about the interventions, implementation climate, and tension for change as facilitators. Barriers included resource availability and staff capacity. Residents suggested adapting CM by incentivizing diverse behaviors and tailoring CRA to prioritize recreational and social activities.Conclusions: Adapting CM and CRA in PSH could address needs of residents using methamphetamine but addressing social determinants and resource limitations is crucial.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"705-722"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253949","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

Optimizing Care Team Delivery in Community Health Centers: Strategic Models for Innovation Amid Fiscal Pressure. 优化社区卫生中心的护理团队交付：财政压力下的创新战略模式。

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.a992124

Peter Shin, Luis Padilla

引用次数: 0

Contraception Use and Preferences Among Individuals Experiencing Homelessness Reached Through a Menstrual Health Street Medicine Team. 通过月经健康街头医疗队达到无家可归者的避孕使用和偏好。

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.a992133

Anna Leah Eisner, Ashton Huppert Steed, Becky Salamanca, Marisol Allen, Tristan Chen, Isrealia Jado, Annie Pico, Catherine Miller, Kory Johnson, Robert Fauer, Justin Zeien, Leah Hillier

{"title":"Contraception Use and Preferences Among Individuals Experiencing Homelessness Reached Through a Menstrual Health Street Medicine Team.","authors":"Anna Leah Eisner, Ashton Huppert Steed, Becky Salamanca, Marisol Allen, Tristan Chen, Isrealia Jado, Annie Pico, Catherine Miller, Kory Johnson, Robert Fauer, Justin Zeien, Leah Hillier","doi":"10.1353/hpu.2026.a992133","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992133","url":null,"abstract":"Objectives: Contraceptive use among unhoused pregnancy-capable individuals remains understudied. This study examines contraceptive use, barriers, and preferences among these individuals.Study design: A 19-question survey was administered to 52 unhoused pregnancy-capable individuals in Phoenix, Arizona, assessing contraceptive use, access, and preferences for future contraceptive care and education.Results: Overall, 60% reported contraceptive use. While 67% wanted to avoid pregnancy, 10% desired it. The most used methods were barrier contraception (52%), abstinence (25%), and surgical sterilization (19%). Six percent used an intrauterine device (IUD); none used etonogestrel implants. Transportation (29%) and cost (25%) were the primary barriers to access. Participants preferred accessing contraception (63%) and receiving education (42%) from health care providers rather than street medicine teams or volunteers.Conclusions: Unhoused individuals reported different contraceptive patterns from the general population and preferred licensed providers for contraceptive care. Transportation and cost were the primary barriers to accessing care.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"621-633"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254019","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-Based Organizations, Indian Health Services, and Rural Federally Qualified Health Center Collaborative: Patient navigation along the cancer care continuum. 社区组织、印第安人卫生服务和农村联邦合格卫生中心合作：癌症护理连续体的患者导航。

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.a994068

Kathryn M Glaser, Josie Raphaelito, Whitney Ann Henry, Kelly Standage, Elizabeth G Bouchard, Christine E Sheffer, Alyssa McNulty, Mary Reid, Rodney Haring

引用次数: 0