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

Retention and Structural Inequities in Clinical Research: Insights from a Breastfeeding Intervention Study. 临床研究中的保留和结构不公平：来自母乳喂养干预研究的见解。

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.a992136

Helen Wilde LaPlant, Shayna Cunningham, Zhe Guan, Confidence Franics-Edoziuno, Ashwag Alhabodal, Dana Marie Scott, Mary Marshall-Crim, Idelisa Freytes, Wendy Henderson, Stephen Walsh, Ruth Lucas

{"title":"Retention and Structural Inequities in Clinical Research: Insights from a Breastfeeding Intervention Study.","authors":"Helen Wilde LaPlant, Shayna Cunningham, Zhe Guan, Confidence Franics-Edoziuno, Ashwag Alhabodal, Dana Marie Scott, Mary Marshall-Crim, Idelisa Freytes, Wendy Henderson, Stephen Walsh, Ruth Lucas","doi":"10.1353/hpu.2026.a992136","DOIUrl":"https://doi.org/10.1353/hpu.2026.a992136","url":null,"abstract":"Objective: To be effective and generalizable, research must include diverse populations representative of the intended beneficiaries. Among women with low income in the United States, 74.9% initiate breastfeeding, but only 47.5% continue to six months. This analysis examined how structural inequities, indicated by income, race, and ethnicity, affect participant retention in a breastfeeding intervention.Methods: Participants (N=250) enrolled in PROMPT, a longitudinal randomized text-based breastfeeding self-management intervention trial. Cox proportional hazards models were used to analyze retention over 24 weeks.Results: Overall retention was 72%. Dropout risk was significantly higher among Hispanic and non-Hispanic Black participants (HR 2.86, p<.001), and among those with lower income (HR 2.61, p<.001). A three-factor model (including income, race/ethnicity, and age) was statistically significant overall (p=.0001), though individual predictors were not.Conclusion: Structural inequities may contribute to differential retention in breastfeeding trials, highlighting the need for equity-focused recruitment and retention strategies.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 2","pages":"673-691"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254001","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

Introduction from NACHC. NACHC介绍。

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.a994056

Peter Shin, Amy Flowers

引用次数: 0

Listening to the Fields: Using Patient Satisfaction Data and Needs Assessment to Improve Rural Clinical Care for Agricultural and Meat Processing Workers in the Midwest. 聆听田野：使用患者满意度数据和需求评估来改善中西部农业和肉类加工工人的农村临床护理。

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.a994069

Jimmy A Reyes, Daniel Zinnel, Claudia Corwin, Kimberly Dukes

引用次数: 0

Community Health Centers and Rurality, and Other Core Topics. 社区卫生中心和农村，以及其他核心主题。

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.a998532

Virginia M Brennan

引用次数: 0

Medical Respite to Support Patients Experiencing Homelessness and Cancer Treatment. 为无家可归和接受癌症治疗的病人提供医疗暂息。

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.a998543

Simon P Kim, Chante Gamby, William E Trick, Keiki Hinami

{"title":"Medical Respite to Support Patients Experiencing Homelessness and Cancer Treatment.","authors":"Simon P Kim, Chante Gamby, William E Trick, Keiki Hinami","doi":"10.1353/hpu.2026.a998543","DOIUrl":"https://doi.org/10.1353/hpu.2026.a998543","url":null,"abstract":"Introduction: People experiencing homelessness (PEH) face significant risks of early cancer-related mortality due to barriers of care for complex treatments. We describe our pilot study for PEH with advanced cancer undergoing treatment at a large safety-net hospital system.Methods: We performed a retrospective case series of PEH with advanced cancer undergoing medical respite from 2020 to 2024. Descriptive statistics were used to describe patient characteristics and outcomes.Results: Nineteen patients participated in medical respite program while undergoing cancer treatment. Patients were referred from hospitals, clinics, and prisons; 74% were men and 67% under age 65. The most common primary cancers involved the lung, colon or rectum, and oropharynx-53% with known metastatic disease. All patients were able to complete cancer-related treatment with 42% achieving treatment response and transitioning to long-term housing.Conclusion: We demonstrated that temporary housing and support facilitated cancer treatment, which is important as states adopt medical respite to address social needs.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"915-922"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764829","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

Responding to Behavioral Health and Social Needs in Community Health Centers: A Descriptive Analysis of Patterns and Challenges. 社区卫生中心对行为健康和社会需求的回应：模式和挑战的描述性分析。

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.a998545

Kristine Namhee Kwon, Feygele Jacobs, Leighton Ku

{"title":"Responding to Behavioral Health and Social Needs in Community Health Centers: A Descriptive Analysis of Patterns and Challenges.","authors":"Kristine Namhee Kwon, Feygele Jacobs, Leighton Ku","doi":"10.1353/hpu.2026.a998545","DOIUrl":"https://doi.org/10.1353/hpu.2026.a998545","url":null,"abstract":"Community health centers (CHCs) have significantly expanded behavioral health (BH) and social service delivery in recent years. Using 2020 and 2024 Uniform Data System data and the 2023-2024 Commonwealth Fund CHC Survey data, this study describes trends and challenges in care provision. From 2020 to 2024, CHC BH and social services staffing, utilization, and patient volume increased markedly. Most CHCs offered onsite counseling for mental health (70.4% for long-term, 88.0% for short-term), while substance use disorder services were less common (66.1% onsite, 53.4% telehealth). The BH challenges most often cited by CHCs were provider shortages (66.0%) and BH needs outpacing capacity (64.0%). While over half reported routinely screening for patients' social needs, difficulty connecting patients to services was high-especially for housing (30.3% reported \"Extremely difficult\"). These findings underscore that CHCs are delivering comprehensive, community-anchored care, but rising behavioral and social needs call for targeted policy and financial support.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"940-955"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765655","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

Promoting Access to Continuous Glucose Monitoring among Patients with Type 2 Diabetes in Rural Areas: A Report from the Field. 促进农村地区2型糖尿病患者获得持续血糖监测：一份来自实地的报告

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.a994070

Emily A Schmied, Shiloh Williams, Emmeline Chuang, Yaritza Benitez, Shih-Fan Lin, Julie S Pickrel, Caroline Trujillo, Jordy Lizaola, Xitlali Ortega, Sara Sanders, Yvonne Bell, Guadalupe X Ayala

引用次数: 0

Independent Relationship between Incarceration Factors and Glycemic Control in African Americans with Criminal Legal Involvement and Type 2 Diabetes. 非裔美国人刑事法律介入和2型糖尿病的监禁因素与血糖控制的独立关系

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.a982966

Olaitan Akinboboye, Rebekah J Walker, Jennifer A Campbell, Laura Hawks, Joni S Williams, Leonard E Egede

{"title":"Independent Relationship between Incarceration Factors and Glycemic Control in African Americans with Criminal Legal Involvement and Type 2 Diabetes.","authors":"Olaitan Akinboboye, Rebekah J Walker, Jennifer A Campbell, Laura Hawks, Joni S Williams, Leonard E Egede","doi":"10.1353/hpu.2026.a982966","DOIUrl":"10.1353/hpu.2026.a982966","url":null,"abstract":"Objective: Examine the relationship between incarceration factors and glycemic control in African Americans with criminal legal involvement and type 2 diabetes mellitus (T2DM).Methods: Using a cross-sectional survey analysis of 171 adults, a model was estimated using stepwise regression with forward selection to evaluate the relationship between incarceration factors and glycemic control, controlling for demographic and clinical factors.Results: Reporting a drug-related conviction (β:-0.81; 95%CI:-1.50,-0.11) was associated with higher HbA1c compared with no drug-related conviction. Compared with using only pills or oral hypoglycemic agents, the combination of pills/oral hypoglycemic agents and insulin (β:1.31; 95%CI:0.60,2.01) and using insulin or injectables alone (β:0.94; 95%CI:0.14,1.74) were associated with higher HbA1c. Each additional comorbidity (β:-0.18; 95%CI:-0.33,-0.04) and unit increase in age (β:-0.04; 95%CI:-0.08,-0.01) was associated with a lower HbA1c.Conclusion: History of a drug-related conviction, age, comorbidity, and medication were associated with glycemic control in African Americans with a history of criminal legal involvement and T2DM.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 1","pages":"219-233"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13594506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018273","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

Differences in Risk of Substance Use Disorder between Age Groups among Adults with Lifetime Criminal Legal Involvement in the U.S. 美国有终身刑事法律牵连的成年人中不同年龄组物质使用障碍风险的差异

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.a998540

Laura Hawks, Amelia Papadimitriou, Rebekah J Walker, Leonard E Egede

{"title":"Differences in Risk of Substance Use Disorder between Age Groups among Adults with Lifetime Criminal Legal Involvement in the U.S.","authors":"Laura Hawks, Amelia Papadimitriou, Rebekah J Walker, Leonard E Egede","doi":"10.1353/hpu.2026.a998540","DOIUrl":"10.1353/hpu.2026.a998540","url":null,"abstract":"Objective: Many adults with a history of criminal legal involvement have a substance use disorder (SUD), however how this relationship changes with age is not well studied. We investigated the association between age and SUD among those with criminal legal involvement.Methods: Using data from the National Survey of Drug Use and Health, we tested the association between age group and odds of having a SUD. Multivariate logistic regression analyses controlled for socio-demographic and clinical confounders.Results: Compared with older adults, younger adults had increased odds of any substance use disorder (OR 2.2;95%CI:1.7,2.9). Middle aged adults similarly had higher odds of any substance use disorder (OR 1.7;95% CI: 1.3,2.2).Conclusions: Among adults with lifetime criminal legal involvement, younger adults experienced significantly higher odds of various SUDs compared with older adults. However, prevalence of SUD, particularly alcohol use disorder, remained high in older adults.","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"37 3","pages":"873-886"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763649","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

Medicaid Expansion and Payday Lending: Evidence from Louisiana. 医疗补助扩张和发薪日贷款：来自路易斯安那州的证据。

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.a982964

Kevin Callison, Alejandro González-Tapia, Melissa Rosenthal, Mingyang Zhang, Danju Zhou

引用次数: 0