Community health equity research & policy最新文献_第3页

Use of Subsidized Health Services by Artists in Canada: An Exploratory Study. 加拿大艺术家使用补贴医疗服务的情况：一项探索性研究。

Community health equity research & policy Pub Date : 2024-10-12 DOI: 10.1177/2752535X241290666

Sesinam de Youngster, Shelly-Anne Li

{"title":"Use of Subsidized Health Services by Artists in Canada: An Exploratory Study.","authors":"Sesinam de Youngster, Shelly-Anne Li","doi":"10.1177/2752535X241290666","DOIUrl":"10.1177/2752535X241290666","url":null,"abstract":"Introduction: Creative and performing artists are often confronted with precarious employment and insufficient healthcare coverage. A clinic in Canada that provides specialized healthcare to artists offers eligible artists subsidized health services. We aim to compare the use of health services, demographics and health conditions between subsidy artist recipients (SAs) and non-subsidy artists (NSAs).Methods: We accessed existing data from 265 SAs and 711 NSAs and applied descriptive and inferential statistics to address our research questions.Results: Musculoskeletal issues, stress, anxiety disorders, and depressive disorders are the most common health problems faced by SAs. Compared to NSAs, SAs were more likely to seek treatment for stress, but less likely to seek treatment for anxiety disorders, depressive disorders, chronic problems, and upper extremity problems.Discussion: Future research may investigate the enduring effects of subsidized health services on SAs' health outcomes. Sustained positive outcomes are crucial for maintaining an artist's career and well-being.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X241290666"},"PeriodicalIF":0.0,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Travel Burden to Cancer Screening and Treatment Facilities Among Washington Women: Data From an Integrated Healthcare Delivery System. 华盛顿妇女到癌症筛查和治疗机构的旅行负担:来自综合医疗保健服务系统的数据。

Community health equity research & policy Pub Date : 2024-10-01 Epub Date: 2023-11-17 DOI: 10.1177/2752535X231215881

Solmaz Amiri, Jeanne Robison, Chaya Pflugeisen, Pablo Monsivais, Ofer Amram

{"title":"Travel Burden to Cancer Screening and Treatment Facilities Among Washington Women: Data From an Integrated Healthcare Delivery System.","authors":"Solmaz Amiri, Jeanne Robison, Chaya Pflugeisen, Pablo Monsivais, Ofer Amram","doi":"10.1177/2752535X231215881","DOIUrl":"10.1177/2752535X231215881","url":null,"abstract":"Purpose: To characterize distance traveled for breast cancer screening and to sites of service for breast cancer treatment, among rural and urban women served by a Washington State healthcare network.Methods: Data for this study came from one of the largest not-for-profit integrated healthcare delivery systems in Washington State. Generalized linear mixed models with gamma log link function were used to examine the associations between travel distance and sociodemographic and contextual characteristics of patients.Results: Median travel distance for breast cancer screening facilities, hematologist/oncologists, radiation oncologists, or surgeons was 11, 19, 23, or 11 miles, respectively. Travel distance to breast cancer screening or referral facilities was longer in non-core metropolitan ZIP codes compared to metropolitan ZIP codes. AI/AN and Hispanic women travelled longer distances to reach referral facilities compared to other racial and ethnic groups.Conclusion: Disparities exist in travel distance to breast cancer screening and treatment. Further research is needed to describe sociodemographic and system level characteristics that contribute to such disparities and to discover novel approaches to alleviate this burden.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"13-21"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Qualitative Exploration of Refugee Experiences of Access to a Dedicated Multi-Disciplinary Refugee Health Team in an Australian Context: Implication for Future Care. 在澳大利亚背景下，对难民获得专门的多学科难民医疗团队服务的经历进行定性探索：对未来护理的启示。

Community health equity research & policy Pub Date : 2024-09-19 DOI: 10.1177/2752535X241286250

Jennifer White, Ashley Young, Murray Webber, Joy Harrison, Amy Hiscox, Jessica Lush, Baeho Joo, Janessa Sherrin, Mattias Grasselli, Julie Byles

{"title":"A Qualitative Exploration of Refugee Experiences of Access to a Dedicated Multi-Disciplinary Refugee Health Team in an Australian Context: Implication for Future Care.","authors":"Jennifer White, Ashley Young, Murray Webber, Joy Harrison, Amy Hiscox, Jessica Lush, Baeho Joo, Janessa Sherrin, Mattias Grasselli, Julie Byles","doi":"10.1177/2752535X241286250","DOIUrl":"https://doi.org/10.1177/2752535X241286250","url":null,"abstract":"Aims: Refugees experience physical and mental health issues that need attention following settlement in a new community. However, access to and utilisation of healthcare services is challenging. We aimed to explore the experience of refugee access to a dedicated multi-disciplinary refugee health team.Methods: An interpretative qualitative study. 17 qualitative interviews were conducted with Ezidi refugees who attended a newly established multi-disciplinary refugee health program in a regional town in NSW, Australia. Data were analysed using an inductive thematic approach.Results: Participants (n = 17) identified as Ezidi and were from Iraq. Parents were between 23 and 57 years of age and had 1-12 children per family. Most had been in Australia between 2 and 5 years. Four key themes were identified: (1) Identifying the extent of health needs following a long wait to migrate; (2) Health support across the life span: the benefit of access to a multi-disciplinary team; (3) Gaps in cultural competence - impacted by understanding and interpreter access; and (4) Ongoing health and lifestyle concerns - influenced by understanding and education.Conclusions: We identified the benefit of access to allied health for prompt diagnosis, treatment and management of conditions including congenital and developmental conditions, mental health and chronic diseases. Access to a dedicated team ensured early intervention for a broad range of health and social issues including early referral to services, close coordination and help to complete supporting paperwork and applications. Ongoing investments are needed to maintain this comprehensive and coordinated approach to care that is underpinned by a family centric approach.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X241286250"},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Women and Children of India's Red-Light Brothel Districts: An Exploratory Investigation of Vulnerability and Survival During a Global Pandemic. 印度红灯妓院区的妇女和儿童：对全球大流行病期间脆弱性和生存状况的探索性研究。

Community health equity research & policy Pub Date : 2024-09-12 DOI: 10.1177/2752535x241280226

Sharvari Karandikar,Rochelle L Dalla,Kaitlin Casassa

{"title":"The Women and Children of India's Red-Light Brothel Districts: An Exploratory Investigation of Vulnerability and Survival During a Global Pandemic.","authors":"Sharvari Karandikar,Rochelle L Dalla,Kaitlin Casassa","doi":"10.1177/2752535x241280226","DOIUrl":"https://doi.org/10.1177/2752535x241280226","url":null,"abstract":"Globally, women and children were disproportionately impacted by the COVID-19 pandemic. Vulnerable populations of women and children-including those who live in poverty, lack access to health care, have little informal support, and who face stigma and discrimination-were particularly susceptible to harm incurred by the pandemic. Using social determinants of health framework, this investigation sought to understand the lived experiences of women and children residing in an impoverished, resource-poor, urban brothel red-light brothel area district in India, at the outset of the pandemic and following the national lockdown(s). Four questions guided the investigation: (1) How did participants first hear about COVID-19 and what was learned regarding self-protective measures? (2) What daily life challenges were posed by the national lockdown? (3) To what extent were participants able to access or rely on informal supports support during the initial stages of the pandemic? and (4) What types of assistance, if any, did participants receive from non-governmental organizations (NGOs) or other (e.g., governmental) sources? This is one of only a handful of empirical investigations elevating the voices of children residing in urban brothel-based red-light districts. Findings pose significant implications for practice, policy, and continued research.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":"5 1","pages":"2752535X241280226"},"PeriodicalIF":0.0,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the Use of Multiple Participatory Tools to Engage Community Health Workers in Program Evaluation and Implementation: A Case Study From the Philippines. 探索使用多种参与式工具让社区卫生工作者参与计划评估和实施：菲律宾案例研究》。

Community health equity research & policy Pub Date : 2024-09-06 DOI: 10.1177/2752535X241280353

Laura J Brubacher, Lincoln L Lau, Monica Bustos, Melinda Kelly Mijares, Krisha Lim Mar, Warren Dodd

{"title":"Exploring the Use of Multiple Participatory Tools to Engage Community Health Workers in Program Evaluation and Implementation: A Case Study From the Philippines.","authors":"Laura J Brubacher, Lincoln L Lau, Monica Bustos, Melinda Kelly Mijares, Krisha Lim Mar, Warren Dodd","doi":"10.1177/2752535X241280353","DOIUrl":"https://doi.org/10.1177/2752535X241280353","url":null,"abstract":"This study explored the use of three participatory tools within a Philippines-based case study with community health workers (CHWs) by comparing and contrasting the process and data generated across the tools, and critically reflecting on adaptations and facilitation considerations that affected the tools' use. Facilitator notes and audio-recordings of discussions were integrated and analyzed thematically. Tools differed by the type of data generated: program-specific data related to CHWs' roles and responsibilities or data on broader structural factors. A stepwise approach within each tool facilitated focused, in-depth sharing, as did initial paired discussions that allowed exchange of knowledge and experiences among CHWs. Facilitators required topic- and context-specific knowledge to guide discussion effectively. CHWs discussed challenges and successes in their roles; program recommendations; and broader challenges related to healthcare delivery in their communities. This study contributes critical insights on the use of participatory tools to promote the inclusion of implementer perspectives in health program co-design, implementation, and evaluation.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X241280353"},"PeriodicalIF":0.0,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142143491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Life Course Perspective on Older Adults' Health Trajectories: Risk and Protective Factors. 从生命历程的角度看老年人的健康轨迹：风险和保护因素

Community health equity research & policy Pub Date : 2024-09-05 DOI: 10.1177/2752535X241273820

Cary Carr, Lindsey Marie King, Abraham A Salinas-Miranda, Karina Wilson, Estrellita Lo Berry, Deborah Austin, Roneé E Wilson, Kenneth Scarborough, Richard Briscoe, Georgette King, Lillian Cox, Carrie Hepburn, Evangeline Best, Conchita Burpee, Hamisu M Salihu

{"title":"The Life Course Perspective on Older Adults' Health Trajectories: Risk and Protective Factors.","authors":"Cary Carr, Lindsey Marie King, Abraham A Salinas-Miranda, Karina Wilson, Estrellita Lo Berry, Deborah Austin, Roneé E Wilson, Kenneth Scarborough, Richard Briscoe, Georgette King, Lillian Cox, Carrie Hepburn, Evangeline Best, Conchita Burpee, Hamisu M Salihu","doi":"10.1177/2752535X241273820","DOIUrl":"https://doi.org/10.1177/2752535X241273820","url":null,"abstract":"According to the life course perspective (LCP), optimal human development and healthy aging are key goals that must start preconceptionally and continue later in life. However, older adult health and family health across generations have received very little attention in maternal and child health (MCH). Community-based participatory research (CBPR) is an important strategy for putting the LCP into action by engaging those communities most affected by health disparities. We conducted six CBPR focus groups using the LCP as the theoretical framework to capture community members' perspectives of risk and protective factors for older adult health. Perceived protective factors for older adults included socialization, support systems, and practicing wellness. Perceived risk factors included caretaking responsibilities, isolation, medical issues, and lack of support. The identified risk and protective factors for older adult health must be considered when developing public health interventions that promote health equity in aging and MCH.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X241273820"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Childbearing Women's Experiences of and Interactions With the Health System in Vietnam: A Critical Interpretive Synthesis. 越南育龄妇女对卫生系统的体验以及与卫生系统的互动：批判性解读综述》。

Community health equity research & policy Pub Date : 2024-08-27 DOI: 10.1177/2752535X241277678

Kimberly Lakin, Nguyen Thu Huong, Sumit Kane

引用次数: 0

Health Equity in All Urban Policies: A Case Study of Richmond, California. 所有城市政策中的健康公平：加利福尼亚州里士满案例研究》。

Community health equity research & policy Pub Date : 2024-08-13 DOI: 10.1177/2752535X241273955

Jason Corburn, Shasa Curl, Gabino Arredondo

引用次数: 0

Setting the Priorities for LGBT+ Research and Intervention Effort in Malaysia Through Community Voices: A Brief Report. 通过社区的声音确定马来西亚 LGBT+ 研究和干预工作的优先事项：简要报告。

Community health equity research & policy Pub Date : 2024-08-09 DOI: 10.1177/2752535X241273831

Kyle Tan

{"title":"Setting the Priorities for LGBT+ Research and Intervention Effort in Malaysia Through Community Voices: A Brief Report.","authors":"Kyle Tan","doi":"10.1177/2752535X241273831","DOIUrl":"https://doi.org/10.1177/2752535X241273831","url":null,"abstract":"Internationally, there is a growing acceptance of gender and sexuality diversity and acknowledgment of LGBT + identities as health determinants. However, caution is warranted when applying research and intervention priorities from Global North countries to regions where LGBT + identities remain criminalized. In 2024, Malaysia maintains legal stances persecuting LGBT + individuals and shows no intent to address this human rights issue. This study offers an overview of pivotal issues identified by LGBT + communities in Malaysia that urgently require attention and resolution. Data were employed from a large-scale community-based survey: the KAMI Survey that recruited LGBT + participants in Malaysia in late 2023 and descriptive analyses were conducted on the responses of 637 participants (mean age = 27.75). Results revealed key issues deemed 'very important' to address by participants comprised HIV/AIDS, training for healthcare providers, police mistreatment, and discrimination, with more than 80% reporting each of these. When prompted to select a single issue for urgent resolution, three-fifths (61.0%) prioritized 'criminalizing laws affecting LGBT + individuals'. Echoing prolonged advocacy by local LGBT + community organizations, the author emphasizes the need for collective allyship across stakeholders to develop evidence-based practices and policies to address the concerns articulated in this paper.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X241273831"},"PeriodicalIF":0.0,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of a Hospital-Based Food Pharmacy Program on Health Outcomes of Vulnerable Patients. 医院食品药房计划对弱势患者健康结果的影响。

Community health equity research & policy Pub Date : 2024-07-26 DOI: 10.1177/2752535X241269528

Lori A Bilello, Ross Jones, Nora Kassis, Chardaè Whitner, Ann-Marie Knight, Fern Webb

{"title":"Impact of a Hospital-Based Food Pharmacy Program on Health Outcomes of Vulnerable Patients.","authors":"Lori A Bilello, Ross Jones, Nora Kassis, Chardaè Whitner, Ann-Marie Knight, Fern Webb","doi":"10.1177/2752535X241269528","DOIUrl":"https://doi.org/10.1177/2752535X241269528","url":null,"abstract":"Access to healthy foods, especially for those who are living with diabetes and hypertension, is crucial in managing these chronic diseases. This study evaluates the implementation of a food pharmacy and food prescription program at a safety-net hospital that serves vulnerable populations. Patients who screen as food insecure using the USDA adult food security survey receive a referral from the physician to the food pharmacy program where a dietician reviews their dietary requirements based on their chronic disease and develops a diet plan. Patients then receive fresh produce, meats and other products every 2 weeks that meets their nutritional needs from the food pharmacy. Biometric data from the patient's most recent clinic visit at the time of enrollment was collected as the baseline measures including blood pressure, weight, and HbA1c (if diabetic). Additionally, biometric information was collected from the patient's medical records from regularly scheduled clinic visits at 6 month intervals. A total of 266 patients were enrolled in the program during the 13-month period that was studied (121 patients with 6-month data and 68 patients with 12-month data). The statistical analysis showed a significant improvement in diastolic blood pressure at 12 months and in weight at both the 6 months and 12 months timeframes when comparing to baseline biometrics.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X241269528"},"PeriodicalIF":0.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0