{"title":"Breaking Barriers to Visual Care: Ophthalmology Nights at a Free Clinic.","authors":"Yaw Adu, Michelle Onuoha, Adithi Govindan, Faith Avila, Kenn Freedman, Kelly Bennett, Fiona Prabhu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This report from the field provides an overview of Ophthalmology Nights at the Free Clinic at Lubbock Impact, highlighting its challenges and its usefulness in combating disparities in visual care accessibility for our high-risk population.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3","pages":"1018-1021"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917788","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}
Harry Owen Taylor, Robert Joseph Taylor, Kazumi Tsuchiya, Linda Chatters
{"title":"Social Isolation, Self-Rated Health, and Self-Rated Oral Health among African Americans.","authors":"Harry Owen Taylor, Robert Joseph Taylor, Kazumi Tsuchiya, Linda Chatters","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Social isolation is associated with worse health; however, few studies have examined the health effects of isolation among African Americans. The purpose of this study is to evaluate associations between social isolation and self-rated physical and oral health from the National Survey of American Life, a nationally representative sample of African Americans. Social isolation was operationalized to reflect both objective isolation (lack of contact) and subjective isolation (lack of emotional closeness). Self-rated physical and oral health were regressed on objective and subjective isolation while controlling for marital status, gender, age, family income, education, and health behaviors. Poorer self-rated physical health was associated with objective isolation, while poorer self-rated oral health was associated with subjective isolation. This study contributes to the small literature of the impact of social isolation on health among African Americans; furthermore, it is the first to examine the relationship between isolation and self-rated oral health in this population.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 1","pages":"18-36"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11058460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874905","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}
Arrianna Marie Planey, Sharita R Thomas, Hannah Friedman, Hillary K Hecht, Erin Kent, G Mark Holmes
{"title":"Rural Hospital Closures: A Scoping Review of Studies Published Between 1990 and 2020.","authors":"Arrianna Marie Planey, Sharita R Thomas, Hannah Friedman, Hillary K Hecht, Erin Kent, G Mark Holmes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Between 1990 and 2020, 334 rural hospitals closed in the United States, and since 2011 hospital closures have outnumbered new hospital openings. This scoping review evaluates peer-reviewed studies published since 1990 with a focus on rural hospital closures, synthesizing studies across six themes: 1) health care policy environment, 2) precursors to rural hospital closures, 3) economic impacts, 4) effects of rural hospital closures on access to care, 5) health and community impacts, and 6) definitions of rural hospitals and communities. In the 1990s, rural hospitals that closed were smaller, while rural hospitals that closed in the 2010s tended to have more beds. Many studies of the health impacts of rural hospital closures yielded null findings. However, these studies differed in their definitions of \"rural hospital closure.\" Given the accelerated rate of hospital closures, more attention should be paid to hospitals that serve rural communities of color and low-income communities.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 2","pages":"439-464"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200906","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}
Victoria N Huynh, Nhat-Ha T Pham, Suji Ro, Q Eileen Wafford, Milkie Vu
{"title":"A Scoping Review on Food Insecurity Among Asian Americans.","authors":"Victoria N Huynh, Nhat-Ha T Pham, Suji Ro, Q Eileen Wafford, Milkie Vu","doi":"10.1353/hpu.2024.a942867","DOIUrl":"10.1353/hpu.2024.a942867","url":null,"abstract":"<p><p>We conducted a scoping review to address the knowledge gap concerning the prevalence of food insecurity and participation in food assistance programs among Asian Americans. In 2022, we searched nine databases for peer-reviewed articles. A team of four authors screened 900 records, identifying 35 studies. Ten studies reported food insecurity prevalence for Asian origin groups: 8.3%-41.1% for Filipinos, 13.1%-28.2% for Vietnamese, 6.6%-22.2% for Koreans, 2.3%-11.2% for Japanese, and 47.6% for Hmong. Fourteen studies used Asian language-specific standardized data collection instruments, and nine noted community engagement. Factors associated with food insecurity included lower income, education, acculturation, and limited English proficiency. Studies suggested that SNAP benefits were insufficient, and one reported that barriers to participation involved negative administrative experiences. Our review highlights the need for disaggregated data, multilingual data collection, and community involvement to address food insecurity. Policies and interventions should consider cultural norms, backgrounds, and unique challenges of different Asian groups.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4S","pages":"7-47"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711446","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}
Alleigh Stahman, Mollee K Steely Smith, Melissa J Zielinski
{"title":"Hospital Restrictions Experienced by Women who Give Birth While Incarcerated.","authors":"Alleigh Stahman, Mollee K Steely Smith, Melissa J Zielinski","doi":"10.1353/hpu.2024.a943977","DOIUrl":"10.1353/hpu.2024.a943977","url":null,"abstract":"<p><p>Women who are incarcerated give birth in community hospitals, but under conditions that differ dramatically from women who present from community settings. However, systematic examinations of the full breadth of possible restrictions imposed upon incarcerated women hospitalized for childbirth and recovery are lacking, limiting knowledge on how carceral status affects hospital practices for this population. To bridge this gap, we identified the electronic medical records of 180 women who gave birth in a community-based hospital while in custody of a state prison between June 2014 and July 2022 and extracted textual data related to care restrictions imposed during hospitalization for childbirth and recovery. We found that 45 records contained documentation of one or more atypical restrictions. Specific restrictions documented related to mother-infant contact (n=14), shackling (n=12), breastfeeding (n=10), infant-caregiver visitation (n=8), infant pictures (n=6), and health service access/involvement (n=3). Implications of restrictions are discussed.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4","pages":"1053-1067"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711428","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}
Lisa Tobe, Khudeja Ilyas, Julie Nelson Ingoglia, Gloria Addo-Ayensu, Christopher Revere, Adam Allston, Mahadere Getachew, Anthony J Mingo, Scott Folks, Andrea Scott, Ivory Velasco
{"title":"Public Health Youth Ambassador Program: Educating and Empowering the Next Generation of Public Health Leaders to Build Thriving Communities.","authors":"Lisa Tobe, Khudeja Ilyas, Julie Nelson Ingoglia, Gloria Addo-Ayensu, Christopher Revere, Adam Allston, Mahadere Getachew, Anthony J Mingo, Scott Folks, Andrea Scott, Ivory Velasco","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Through a collaboration among Fairfax County Health Department (FCHD), Fairfax County Public Schools (FCPS), Morehouse School of Medicine (MSM), George Mason University College of Public Health, federally qualified health centers, hospital systems, non-profits, and other agencies, this initiative targets underserved high school students as a way to increase diversity among community health professionals, build generational health, and provide participants with tools to enhance their post-secondary educational and career opportunities.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3S","pages":"132-142"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789517","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}
{"title":"The Use of Health Equity Impact Assessments to Modify Evidence Based Strategies within Local Health Departments in North Carolina.","authors":"Imani J Belton, Lindsey Yates, Erin Magee, Dorothy Cilenti, Christine Tucker","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Health equity impact assessments (HEIAs) inform the reduction of health inequities by evaluating programs or policies that affect target populations. Local health departments (LHD) receiving funding through the Improving Community Outcomes for Maternal and Child Health (ICO4MCH) Program conducted HEIAs for evidence-based strategies (EBSs). This paper describes the impact of HEIAs on the implementation of EBSs and highlights lessons learned during implementation of HEIA modifications.</p><p><strong>Methods: </strong>We conducted a content analysis using data from the HEIA Modification Tracker and focus groups to identify themes and lessons learned.</p><p><strong>Results: </strong>Fifteen HEIAs were conducted by five LHDs between 2016 and 2020. The most common modifications to EBS implementation were 1) increasing education and training for community members and 2) altering messaging mediums and language to reach intended audiences.</p><p><strong>Discussion: </strong>Health equity impact assessments serve as a systematic and tangible way to center health equity, reflect on past processes, and inform improvements.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 2","pages":"658-671"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201002","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}
Gabriela Drucker, John Rausch, Ewelina Swierad, Vanessa Sawyer, James M Noble, Rachael Gazdick, Marisol De La Rosa, Joseph Eimicke, Olajide Williams
{"title":"Addressing Food Insecurity During the COVID-19 Pandemic: An Academic Research Group's Response to a Major Social Determinant of Health.","authors":"Gabriela Drucker, John Rausch, Ewelina Swierad, Vanessa Sawyer, James M Noble, Rachael Gazdick, Marisol De La Rosa, Joseph Eimicke, Olajide Williams","doi":"10.1353/hpu.2024.a942876","DOIUrl":"https://doi.org/10.1353/hpu.2024.a942876","url":null,"abstract":"<p><p>We developed and implemented a novel food assistance intervention to address rapidly increasing food insecurity during COVID-19. Parents of children from underserved schools enrolled in our National Institutes of Health-funded research participated in a food security needs assessment survey. The tool used validated instruments to assess household food security status and barriers to accessing food assistance. The intervention provided a resource information sheet or direct home food deliveries. We evaluated the intervention using a quasi-experimental design, with baseline serving as the control. One hundred and ninety (190) parents participated. Of the completed responses, 46.0% were food-insecure, 41.0% faced one or more barriers, and 17.9% families qualified for home deliveries. Post-intervention, 72.4% of high-needs families reported deliveries helped \"to a great extent\"; 29.6% reported no remaining barriers (p<.005, Fischer's exact test). Implementation of a novel food security research tool and two-level food assistance intervention was feasible, highlighting the role community-based researchers can serve in supporting research participants' emerging needs as they become evident.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4S","pages":"186-195"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711453","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}
{"title":"Moving Upstream in Overdose Prevention: Lessons Learned from a Nonprofit's Experience in Overdose Safety Planning.","authors":"Julian A Mitton, Virna Little","doi":"10.1353/hpu.2024.a943974","DOIUrl":"https://doi.org/10.1353/hpu.2024.a943974","url":null,"abstract":"","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4","pages":"xi-xiv"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711445","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}
Arshiya A Baig, Erin M Staab, Mengqi Zhu, Daisy Nunez, Jefferine Li, Wen Wan, Amanda Campbell, Cynthia T Schaefer, Michael T Quinn
{"title":"Cluster Randomized Trial of Diabetes Group Visits in Community Health Centers across the Midwest.","authors":"Arshiya A Baig, Erin M Staab, Mengqi Zhu, Daisy Nunez, Jefferine Li, Wen Wan, Amanda Campbell, Cynthia T Schaefer, Michael T Quinn","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Diabetes group visits (GVs) have not been rigorously evaluated in community health centers.</p><p><strong>Methods: </strong>This cluster randomized controlled study recruited adults with diabetes mellitus with glycosylated hemoglobin, A1C greater than or equal to eight percent: 75 intervention and 120 usual care. Group visit patients completed a six-month program. Primary outcome was A1C change from baseline to 12 months.</p><p><strong>Results: </strong>Participants improved their A1C by 0.38%-0.40% with no difference across arms (p=.63). Group visit patients improved their diabetes social support, knowledge, and distress and were more likely to receive guideline-based care compared with control. Group visit patients with anxiety or depression were more likely to have a visit with behavioral health compared with usual care (p=.02).</p><p><strong>Conclusions: </strong>Community health center patients with diabetes had improvements in glucose control across arms. Group visits improved the receipt of mental health care and guideline-based care.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3S","pages":"27-46"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789505","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}