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Celebrating 60 years of Community Health Centers-Saving Lives, Costs, and Jobs. 庆祝社区卫生中心成立60周年——挽救生命、成本和就业。
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.a967329
Kyu Rhee, Peter Shin
{"title":"Celebrating 60 years of Community Health Centers-Saving Lives, Costs, and Jobs.","authors":"Kyu Rhee, Peter Shin","doi":"10.1353/hpu.2025.a967329","DOIUrl":"10.1353/hpu.2025.a967329","url":null,"abstract":"","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"xi-xiv"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876034","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 Health Needs Assessment of Ethiopian American Immigrants in Two Nontraditional Migration Cities. 两个非传统移民城市埃塞俄比亚裔美国移民的社区卫生需求评估
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.a967335
Meron Hirpa Kassa, Lisa M Vaughn, Beakal Amsalu, Zoe Schnadower, Israel Jorga, Aremiyas Habte, Seleshi Asfaw, Tesfaye B Mersha
{"title":"Community Health Needs Assessment of Ethiopian American Immigrants in Two Nontraditional Migration Cities.","authors":"Meron Hirpa Kassa, Lisa M Vaughn, Beakal Amsalu, Zoe Schnadower, Israel Jorga, Aremiyas Habte, Seleshi Asfaw, Tesfaye B Mersha","doi":"10.1353/hpu.2025.a967335","DOIUrl":"10.1353/hpu.2025.a967335","url":null,"abstract":"<p><p>The Ethiopian American immigrant (EAI) population is the second-largest African immigrant group in the U.S., yet little health research exists on this community. Ethiopian American immigrants arrive with good health but face declines over time due to acculturation, dietary changes, and health care barriers, increasing their risk of chronic diseases and mental health issues. This study assessed the health needs of EAIs in Cincinnati and Columbus, Ohio-two non-traditional migration cities. Through qualitative interviews with 45 community members, leaders, and health/social providers, we identified six key themes on cultural influences, health care barriers, and social connections. Using thematic analysis and deductive mapping, we classified health concerns into four categories: medical conditions, health behaviors, community conditions, and health system priorities. Findings highlight EAI health needs and priorities in less established migration areas, informing strategies to improve health care access and support for this growing population.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"830-854"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876037","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 Screening Events to Increase Lung Cancer Screening in an Urban AI/AN Clinic. 以社区为基础的筛查事件增加城市AI/ an诊所的肺癌筛查。
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.a967331
Elijah Johnson, An Garagiola, Antony Stately, Abbie Begnaud
{"title":"Community-Based Screening Events to Increase Lung Cancer Screening in an Urban AI/AN Clinic.","authors":"Elijah Johnson, An Garagiola, Antony Stately, Abbie Begnaud","doi":"10.1353/hpu.2025.a967331","DOIUrl":"10.1353/hpu.2025.a967331","url":null,"abstract":"<p><p>American Indians/Alaska Natives (AI/AN) in Minnesota have experiences with lung cancer that end in mortality at nearly twice the rate of White Minnesotans. Low dose computed tomography (LDCT) chest scans are potentially lifesaving screening tests which, when used annually, are expected to reduce deaths. However, these lung cancer screenings (LCS) are underutilized in the general population. Moreover, many AI/AN are expected to be eligible for LCS but screening uptake is likely even lower in AI/AN than the general population. We and others have reported barriers to LCS, but solutions to improve LCS rates are elusive. Here, we describe a novel approach to overcome patient-level barriers to LCS through community-based LCS events. We worked with a community clinic serving AI/AN and a large health care organization to overcome barriers to LCS through a same-day screening event based in the community and report on the feasibility of this approach.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"771-781"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876039","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
Using Peer Outreach to Identify Hepatitis C Infections Among Clients of a Syringe Service Program. 使用同伴外展来识别注射器服务项目客户中的丙型肝炎感染。
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.a967332
Kristen J Mertz, Jennifer Fiddner, Aaron Arnold, Karin E Tobin
{"title":"Using Peer Outreach to Identify Hepatitis C Infections Among Clients of a Syringe Service Program.","authors":"Kristen J Mertz, Jennifer Fiddner, Aaron Arnold, Karin E Tobin","doi":"10.1353/hpu.2025.a967332","DOIUrl":"10.1353/hpu.2025.a967332","url":null,"abstract":"<p><p>To increase testing for hepatitis C among people who inject drugs, a syringe service program (SSP) in the northeastern United States trained peer workers to offer testing at van-based clinics. Peer workers approached SSP clients from August 2019 through March 2020 and from June 2021 through March 2022 to discuss hepatitis C and offer rapid onsite hepatitis C antibody testing. Of 573 clients approached, 28 (5%) consented to testing. Reasons for refusal included: 1) already tested, 2) not enough time, and 3) not worried about hepatitis. Of 28 tested, 9 (32%) were positive for hepatitis C antibodies. Adjustments to peer-worker testing strategy may be needed to increase acceptance of testing in this high-risk population.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"782-786"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876071","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
Improving Health Equity During the COVID-19 Pandemic. 在COVID-19大流行期间改善卫生公平。
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.a967355
Tressa Tucker, Jennifer Beane, Sadia Sleweon, Mary Langley, Brad Mitchell
{"title":"Improving Health Equity During the COVID-19 Pandemic.","authors":"Tressa Tucker, Jennifer Beane, Sadia Sleweon, Mary Langley, Brad Mitchell","doi":"10.1353/hpu.2025.a967355","DOIUrl":"10.1353/hpu.2025.a967355","url":null,"abstract":"<p><p>The COVID-19 pandemic highlighted national health disparities for African American people compared with other races. An urban health district in Georgia developed innovative strategies to improve equity for COVID-19 outcomes among this population.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3S","pages":"12-23"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876080","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
Mental Health Equity for Culturally and Linguistically Diverse Farmers in Hawai'i. 夏威夷不同文化和语言的农民的心理健康平等。
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.a967366
Shubhanshu Jain, John Souza, Thao N Le
{"title":"Mental Health Equity for Culturally and Linguistically Diverse Farmers in Hawai'i.","authors":"Shubhanshu Jain, John Souza, Thao N Le","doi":"10.1353/hpu.2025.a967366","DOIUrl":"10.1353/hpu.2025.a967366","url":null,"abstract":"<p><p>This study examines the systemic challenges to accessing culturally and linguistically responsive mental health care among farmers and limited English proficient (LEP) agricultural workers in Hawai'i, with a focus on the role of federally qualified health centers (FQHCs) in addressing these access barriers and service gaps. Using geospatial analysis, document reviews, and interviews with FQHC personnel, this study explored potential gaps in services tailored for agricultural communities. Key findings reveal a misalignment between FQHC locations and farming regions, limited culturally responsive programs, and barriers such as stigma and language accessibility. Recommendations include expanding mobile clinics, integrating cultural practices, and enhancing language support to address the special needs of Hawai'i's diverse farming populations. This study underscores the need for systemic innovation to ensure mental health accessibility and support for the well-being of essential agricultural workers.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3S","pages":"160-182"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876082","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
Sources of Racial Disparities in Critical Care Outcomes: A Single Center Analysis. 重症监护结果中种族差异的来源：单中心分析。
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.a967342
Meera Mody, Kirby D Gong, Robert D Stevens
{"title":"Sources of Racial Disparities in Critical Care Outcomes: A Single Center Analysis.","authors":"Meera Mody, Kirby D Gong, Robert D Stevens","doi":"10.1353/hpu.2025.a967342","DOIUrl":"10.1353/hpu.2025.a967342","url":null,"abstract":"<p><p>There has been substantial documentation of racial and ethnic disparities in health outcomes, and a growing body of research on critical care outcomes specifically. In this paper, we seek to quantify the sources of racial disparities in a single urban intensive care unit (ICU), at Johns Hopkins Hospital in Baltimore, Maryland. Between 2014 and 2021, we document significant disparities in in-unit mortality, and length of ICU stay between racial and ethnic minority group patients versus White patients. Using the ZIP-Code and sociodemographic information collected on patients, we quantify the extent to which the disparities can be attributed to the observable socioeconomic and physiological factors. We find that socioeconomic factors and the Sequential Organ Failure Assessment (SOFA) score-a measure of ICU acuity-explain the Black-White, Hispanic-White, and Asian-White gaps in length of stay, and the Hispanic-White and Asian-White gaps in mortality. The SOFA score fully explains the Black-White gap in mortality outcomes, and socioeconomic factors surprisingly offset these gaps.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 3","pages":"971-986"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876050","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
Clinician Perceptions of Clinical Pharmacy Services at Federally Qualified Health Centers in Ohio. 临床医生对俄亥俄州联邦合格医疗中心临床药学服务的看法。
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.a959107
Christopher O Hernandez, Ariela A Wagner, Ashley M Lohmann, Jangus B Whitner, Dana Vallangeon, Ariel C Williams, Alexa S Valentino
{"title":"Clinician Perceptions of Clinical Pharmacy Services at Federally Qualified Health Centers in Ohio.","authors":"Christopher O Hernandez, Ariela A Wagner, Ashley M Lohmann, Jangus B Whitner, Dana Vallangeon, Ariel C Williams, Alexa S Valentino","doi":"10.1353/hpu.2025.a959107","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959107","url":null,"abstract":"<p><p>Federally qualified health centers (FQHCs) are safety-net institutions that are heavily affected by burnout among health care professionals. We examined pharmacist-clinician relationships in FQHCs by assessing clinicians' satisfaction with clinical pharmacy services (CPS), perceptions of the impact of CPS on patient care and clinician well-being, and the potential impact of CPS on clinician retention. We used a survey composed of 21 questions sent to clinicians practicing within Ohio-based FQHCs with access to CPS. Respondents noted that CPS positively affected their well-being, specifically contributing to a more manageable workload, increased professional development, and freedom for clinicians to focus on more professionally fulfilling tasks. Clinicians perceived that CPS positively affects patient outcomes and provider retention. Federally qualified health center leadership can use these results to understand the contributions of CPS to patient care and clinician well-being and retention to enhance health care access and quality.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"445-457"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053716","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":"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":"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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