Journal of Health Care for the Poor and Underserved最新文献_第9页

Meal-plate Method: Hemoglobin A1c Levels and Dietary Behavior Among Hispanics with Diabetes and Varying Levels of Acculturation Over Three Months. 餐盘法：三个月内西班牙裔糖尿病患者的血红蛋白A1c水平和饮食行为以及不同的文化适应水平

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.a959119

Bharat Gautam, Joshua Fogel, Bishal Tiwari, Huijuan Liao

{"title":"Meal-plate Method: Hemoglobin A1c Levels and Dietary Behavior Among Hispanics with Diabetes and Varying Levels of Acculturation Over Three Months.","authors":"Bharat Gautam, Joshua Fogel, Bishal Tiwari, Huijuan Liao","doi":"10.1353/hpu.2025.a959119","DOIUrl":"10.1353/hpu.2025.a959119","url":null,"abstract":"Objective: We studied education with the meal-plate method among Hispanics with uncontrolled diabetes and its impact on hemoglobin A1c (HbA1c) and dietary behaviors over three months.Methods: Retrospective study of 102 Hispanics with HbA1c of eight percent or greater. Patients received physician-led education about the meal-plate method. Acculturation measures were the Short Acculturation Scale for Hispanics (SASH) and years lived in the United States. HbA1c and dietary behaviors were recorded at baseline and at three-month follow-up.Results: Education with the meal-plate method was associated with lower HbA1c and improved dietary behavior of less juice-drinking and less cake/pastry/cookie-eating. Media acculturation on SASH was positively associated with appropriate juice-drinking at baseline. Years lived in the United States was positively associated with appropriate juice-drinking at follow-up.Conclusions: Meal-plate method education, even if delivered by a solo clinician outside of an interdisciplinary program, can reduce HbA1c levels in people who are Hispanic.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"657-669"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988317","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

Heat Exposure, Rest Breaks, Dehydration, and Heat-Related Illness Among Agricultural Workers in Florida Summer Heat. 高温暴露、休息休息、脱水和与高温有关的疾病在佛罗里达州的农业工人。

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.a959115

Nancy Rudner, Lisa Elon, Nezahualcoyotl Xiuhtecutli, Ernesto Ruiz, Roxana Chicas

{"title":"Heat Exposure, Rest Breaks, Dehydration, and Heat-Related Illness Among Agricultural Workers in Florida Summer Heat.","authors":"Nancy Rudner, Lisa Elon, Nezahualcoyotl Xiuhtecutli, Ernesto Ruiz, Roxana Chicas","doi":"10.1353/hpu.2025.a959115","DOIUrl":"10.1353/hpu.2025.a959115","url":null,"abstract":"As the earth's temperatures rise, heat is killing workers. This study of 115 agricultural workers in Florida's hot summers examines heat exposures, working conditions, dehydration, and lack of federal heat protection standards. In the summer, the median heat index in Florida, reflecting temperature and humidity, was 95°F. Some agricultural workers worked in a heat index as high as 131°F. The workers had only two daily breaks, on average, significantly less than the federal recommendations. They drank about a third of the recommended beverage consumption, and 66% finished the workday dehydrated. Over the three summer data-collection days, 11% (29) of study participants experienced one or more serious heat-related illness symptoms on the 260 individual data collection days. This study shows that, contrary to the industry's claim, voluntary worker heat protections are not followed, demonstrating the need for enforceable, required heat protections as planetary warming creates unsustainable risks for outdoor workers.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"590-604"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12352266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143991331","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

Community Health Center Experiences of Integrating Professional Medical Interpreter Services for Patients with Limited English Proficiency. 社区卫生中心为英语水平有限的病人整合专业医疗口译服务的经验。

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.a959113

Jacob Chen, Xiaoyu Cai, Paola Hernandez Fernandez, Salma Bibi, Hector P Rodriguez

{"title":"Community Health Center Experiences of Integrating Professional Medical Interpreter Services for Patients with Limited English Proficiency.","authors":"Jacob Chen, Xiaoyu Cai, Paola Hernandez Fernandez, Salma Bibi, Hector P Rodriguez","doi":"10.1353/hpu.2025.a959113","DOIUrl":"https://doi.org/10.1353/hpu.2025.a959113","url":null,"abstract":"In March 2022, the California Department of Health Care Services launched the Medical Interpreter Pilot Project to assess the impact of integrating professional medical interpreter services for patients with limited English proficiency (LEP) in community health centers (CHCs) that previously relied on bilingual personnel and remote services when language-concordant care was not possible. Implementation lessons were identified using thematic analysis of clinician and staff interviews (n=31) at three pilot CHCs. Facilitators of medical interpreter integration included: 1) leadership-led educational efforts targeted toward clinicians; 2) taking advantage of the benefits of in-person, onsite medical interpreters to assist patients with accessing care; 3) offering flexible, on-demand medical interpreter services; and 4) incremental implementation of interpreter services to help resolve issues before scaling up. Given that CHCs have a wide range of existing capabilities, flexible staffing models for expanding interpreter services are needed to ensure high-quality, timely language access for patients with LEP.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 2","pages":"545-571"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052680","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

The Quadruple Aim and Homelessness: A Framework for Evaluating Program- and System-level Outcomes and Prioritizing Effective Interventions in Policy. 四重目标和无家可归：评估项目和系统级结果和优先考虑有效政策干预的框架。

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.a959124

Nick Kerman, Vicky Stergiopoulos

引用次数: 0

Traumatic Stress Among Women who are Incarcerated: A Community Engaged Approach to Determining Needs and Opportunities for Intervention. 被监禁妇女的创伤压力：一种社区参与的方法来确定干预的需求和机会。

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.a951598

Kirsten A Dickins, Mary Clare Kathleen Houlihan, Amy Kim, Imani Dixon, Monique Reed, Niranjan S Karnik

{"title":"Traumatic Stress Among Women who are Incarcerated: A Community Engaged Approach to Determining Needs and Opportunities for Intervention.","authors":"Kirsten A Dickins, Mary Clare Kathleen Houlihan, Amy Kim, Imani Dixon, Monique Reed, Niranjan S Karnik","doi":"10.1353/hpu.2025.a951598","DOIUrl":"10.1353/hpu.2025.a951598","url":null,"abstract":"The rate of increase at which women are incarcerated in the United States dramatically outpaces the rate of increase among men. Women frequently enter incarceration after facing extensive trauma and often suffer the consequences of unacknowledged and undertreated post-traumatic stress disorder (PTSD). Yet, little is known regarding the types of traumas that women who are incarcerated (WI) experience, the types/magnitude of traumatic stress symptoms endured, or attitudes towards intervention. We sought to understand trauma experiences of WI (particularly those related to violent victimization), the degree of traumatic stress symptoms faced, and population-tailored opportunities for intervention. Via sequential mixed methods, we assessed trauma exposure and symptoms in 51 WI in two state prisons, then conducted 16 in-depth interviews. Participants universally reported exposure to traumatic life events, demonstrating collectively high PTSD symptom severity. Qualitatively, we deductively applied three main themes to interview data: trauma exposure, trauma responses, and recovery. Findings highlight the essential nature of trauma-focused service availability for WI.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"295-326"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433796","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

Relationship between Safety-net Oral Health Care Practices and Income among American Indian/Alaska Native, Black, and Hispanic/Latino Dentists. 美国印第安人/阿拉斯加原住民、黑人和西班牙裔/拉丁裔牙医的安全网口腔保健实践与收入的关系

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.a951590

Jessica C Williams, Astha Singhal, Paul Gates, Matthew Jura, Elizabeth Mertz, Brenda Heaton

{"title":"Relationship between Safety-net Oral Health Care Practices and Income among American Indian/Alaska Native, Black, and Hispanic/Latino Dentists.","authors":"Jessica C Williams, Astha Singhal, Paul Gates, Matthew Jura, Elizabeth Mertz, Brenda Heaton","doi":"10.1353/hpu.2025.a951590","DOIUrl":"10.1353/hpu.2025.a951590","url":null,"abstract":"Background: American Indian/Alaska Native (AI/AN), Black (B), and Hispanic/Latino (H/L) people are underrepresented in dentistry, yet disproportionately constitute the safety-net dental workforce. We examined the relationship between serving as safety-net providers (SNPs) and self-reported income.Methods: Using data from a 2012 national survey of AI/AN, B, and H/L dentists, we examined the relationship between being an SNP and income using linear regression, stratified by potential modifying factors.Results: In 2011, AI/AN, B, and H/L SNPs earned 82% of non-SNP income, even after considering traditional predictors of practice choice and income (race and educational debt), as well as practice trends (practice ownership and busyness).Discussion: Serving as a SNP may explain observed income differences between AI/AN, B, and H/L dentists and their non-SNP counterparts. Given that these dentists are more likely to practice in safety nets, practice choice may contribute to the observed racial income gap in dentistry.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"36 1","pages":"144-166"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434292","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

Nonmydriatic Diabetic Retinopathy Screening in the Federally Qualified Health Center Primary Care Setting: Comparison of Active Outreach Versus Point-of-Care Testing. 非糖尿病视网膜病变筛查在联邦合格卫生中心初级保健设置：主动外展与护理点检测的比较。

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.a951586

Adam G Hidad, Paul J Bryar

引用次数: 0

The Work of OMH. OMH的工作。

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.a967353

Virginia M Brennan

引用次数: 0

The Landscape of Physician Residency Training in the Indian Health System. 医师住院医师培训在印度卫生系统的景观。

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.a967347

Matthew Tobey, Michael Toedt, Emily Hawes, Terry Maresca, Maria Teachout, Vincent Lin, Loretta Christensen, Natasha Bray, Dan Waldman, Jason Hill, Lance Whitehair, Vijay Kannan, Mary Owen

引用次数: 0

Improving Hydroxyurea Uptake in Children: Results from a Provider Incentive Program in a Large Metropolitan Health System. 改善儿童羟基脲摄取：来自大型都市卫生系统的提供者激励计划的结果。

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.a967368

Lindsay W Cogan, Claire Fan, Alka Goel, Paloma Luisi

引用次数: 0