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

Ethical Reflections on Integrating Artificial Intelligence in Care Practices. 人工智能在护理实践中的伦理思考

IF 1.8

Community health equity research & policy Pub Date : 2025-08-22 DOI: 10.1177/2752535X251370928

Giulia Ricchezze, Luca Tomassini, Mauro Bacci

{"title":"Ethical Reflections on Integrating Artificial Intelligence in Care Practices.","authors":"Giulia Ricchezze, Luca Tomassini, Mauro Bacci","doi":"10.1177/2752535X251370928","DOIUrl":"https://doi.org/10.1177/2752535X251370928","url":null,"abstract":"BackgroundThe integration of artificial intelligence (AI) and robotics into disability care presents transformative opportunities while simultaneously raising pressing ethical concerns. Issues related to autonomy, human dignity, and equitable access require careful consideration, particularly as these technologies reshape the dynamics of care delivery and clinical relationships. PurposeDrawing on an interdisciplinary approach that synthesizes insights from bioethical literature, illustrative case studies, and expert perspectives from healthcare, law, and technology, this reflection examines the ethical landscape of AI-supported rehabilitation and assistance. Particular attention is given to risks such as algorithmic bias, over-reliance on automation, and the potential erosion of the human dimension in care. A biopsychosocial model serves as a guiding framework to analyze how technological systems intersect with the lived experiences of individuals with disabilities. Ethical tensions emerge around personalized care, transparency in decision-making, and the inclusivity of data and design processes.ConclusionsThe analysis emphasizes the need for governance models that embed ethical safeguards and promote fairness, while also encouraging participatory design involving patients, caregivers, and healthcare professionals. By situating technological developments within broader socio-political and clinical contexts, this reflection identifies pathways toward a more equitable and human-centered integration of AI. Recommendations include investment in inclusive datasets, the development of fairness-aware algorithms, and the establishment of regulatory mechanisms that align innovation with fundamental rights and principles of social justice in healthcare.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251370928"},"PeriodicalIF":1.8,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980827","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

Improving Human Papillomavirus (HPV) Vaccine Uptake in Canada: A Call for Equity and Inclusivity. 改善加拿大人乳头瘤病毒（HPV）疫苗的摄取：呼吁公平和包容。

IF 1.8

Community health equity research & policy Pub Date : 2025-08-14 DOI: 10.1177/2752535X251368427

Noah Doucette, Audrey Steenbeek

{"title":"Improving Human Papillomavirus (HPV) Vaccine Uptake in Canada: A Call for Equity and Inclusivity.","authors":"Noah Doucette, Audrey Steenbeek","doi":"10.1177/2752535X251368427","DOIUrl":"https://doi.org/10.1177/2752535X251368427","url":null,"abstract":"Human Papillomavirus (HPV) is the most common sexually transmitted infection worldwide. Specifically, HPV is responsible for a large proportion of anal, cervical, vaginal, vulvar, penile and oropharyngeal cancers, highlighting the importance of optimizing the prevention of this public health issue. To date, vaccination is the most effective method for preventing HPV-related infections and associated diseases; however, vaccine uptake remains well below national targets. In Canada, gender-neutral HPV vaccination is recommended for all individuals between nine and 26 years, but can also be administered to adults until the age of 45. Despite widespread adoption of publicly-funded school-based vaccination programs, some populations report disproportionately lower rates of HPV vaccine uptake, including young adults, transgender peoples and men who have sex with men (MSM), rendering them vulnerable to morbidity and mortality. Addressing HPV-related disparities requires a coordinated, multi-level call to action involving collaboration between academic and community partners to normalize inclusive, gender-neutral vaccination. This paper explores opportunities for optimizing HPV vaccine uptake in Canada by emphasizing the importance of healthcare provider recommendation, improved access to community-based vaccination services, and representation of diverse populations (e.g., young adults, transgender peoples, MSM) in the development and delivery of vaccine communication/messaging. The time is now to normalize inclusive HPV vaccination in order to mitigate the persistence of vaccine-related disparities and strive toward global initiatives of health equity.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251368427"},"PeriodicalIF":1.8,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849959","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 Itemized Versus Open Menu of Available Supplies and Services on Utilization of Street Medicine Program Resources - A Pre-post Study. 分项供应和服务对街头医疗项目资源利用的影响——一项前后研究。

IF 1.8

Community health equity research & policy Pub Date : 2025-08-11 DOI: 10.1177/2752535X251366842

Allison Dumitriu Carcoana, Doniya Milani, Emily Heideman, Jillian Ngo, Lucy Guerra, Asa Oxner, Ambuj Kumar, Lynette Menezes

{"title":"Impact of Itemized Versus Open Menu of Available Supplies and Services on Utilization of Street Medicine Program Resources - A Pre-post Study.","authors":"Allison Dumitriu Carcoana, Doniya Milani, Emily Heideman, Jillian Ngo, Lucy Guerra, Asa Oxner, Ambuj Kumar, Lynette Menezes","doi":"10.1177/2752535X251366842","DOIUrl":"https://doi.org/10.1177/2752535X251366842","url":null,"abstract":"BackgroundStreet medicine programs provide medical care to individuals experiencing homelessness through \"street runs,\" in which healthcare providers meet unhoused patients on the street and offer them care in that environment. Approximately 50 medical student-run street medicine programs operate in the United States. Data on strategies to improve street medicine services are limited. This study aimed to assess the impact of using an itemized menu of available supplies and services to guide patient encounters on a street medicine program's distribution of resources and therefore the numbers of patient needs that were met.MethodsWe performed a pre-post assessment study in an established street medicine program providing care in an urban downtown setting. Data were collected on the number and type of resources utilized in four street runs pre- and four street runs post-itemized menu implementation. Volunteers assisted patients in navigating the menu. The difference between resource utilization pre-post was assessed using the Mann-Whitney U test.ResultsThere were 98 patient encounters during the four street runs in the pre-itemized menu phase and 81 encounters in the post-itemized menu phase. There was a significant increase in patients' uptake of comfort items (p < .001), as well as clinical (p < .001) and overall (p < .001) needs met. There was no distribution of 17 resources during the four street runs pre-itemized menu implementation, but these resources were requested and received by patients 71 times in the four street runs post-implementation.ConclusionsImplementing an itemized menu significantly improved the street medicine program's ability to meet unhoused patients' needs.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251366842"},"PeriodicalIF":1.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823325","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 Group-Based Participatory Approach to Examine Community Resilience and Trauma. 以小组为基础的参与式方法来研究社区复原力和创伤。

IF 1.8

Community health equity research & policy Pub Date : 2025-07-30 DOI: 10.1177/2752535X251363925

Rhonda BeLue, Keon Gilbert, Paula Southerland, Bryan Ho, Adolf Delgado, Adaobi Anakwe, Kemba Noel-London, Eboni Hooper-Boateng, Sara Mohamed, Erica Sosa

{"title":"A Group-Based Participatory Approach to Examine Community Resilience and Trauma.","authors":"Rhonda BeLue, Keon Gilbert, Paula Southerland, Bryan Ho, Adolf Delgado, Adaobi Anakwe, Kemba Noel-London, Eboni Hooper-Boateng, Sara Mohamed, Erica Sosa","doi":"10.1177/2752535X251363925","DOIUrl":"https://doi.org/10.1177/2752535X251363925","url":null,"abstract":"BackgroundThe St Louis Resiliency in Communities After Stress and Trauma (ReCAST) project promoted community well-being in a designated Promise Zone over a 5-year period. The primary goals of the ReCAST project are: (1) to build a foundation to promote well-being, resiliency, and community healing through service integration; (2) to improve access to trauma-informed community behavioral health resources and youth peer support; and (3) to create community change through community and youth engagement, leadership development, improved governance, and capacity building.PurposeTo examine ReCAST stakeholder perceptions of resilience and trauma in their communities using Concept Mapping (CM), a participatory mixed methodology.ApproachCM is an integrated approach that supports the structured conceptualization of ideas and applies multidimensional scaling and hierarchical cluster analysis to bring together and organize the ideas of a group to capture the perspectives of multiple stakeholders.Results33 stakeholders participated in the ReCAST program. The resilience concept map yielded five clusters: (1) Community Relationships (positive and productive), (2) Religious Organizations/Spirituality, (3) Interaction with Diverse Communities, (4) People in power to create change, and (5) Community gatherings and organizations. The trauma cluster map identified the following clusters: (1) Substandard Education, (2) Traumatic events/community violence, (3) Racial Trauma, and (4) Physical Degradation of neighborhoods.DiscussionBased on CM results, participants identified the need for local political officials to make a coordinated effort to address issues expressed in both maps and funding of local organizations to address issues related to trauma and resilience, especially youth organizations.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251363925"},"PeriodicalIF":1.8,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755250","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

Understanding the Health and Social Determinants of Health Needs of Resettled Afghan Refugees in Houston, Texas. 了解德克萨斯州休斯顿重新安置的阿富汗难民健康需求的健康和社会决定因素。

Community health equity research & policy Pub Date : 2025-07-23 DOI: 10.1177/2752535X251361011

Karissa Chesky, Angelica Garcia, Aaron Pathak, Imran Humza Hanif, Srijana Shrestha, Sophia Banu

{"title":"Understanding the Health and Social Determinants of Health Needs of Resettled Afghan Refugees in Houston, Texas.","authors":"Karissa Chesky, Angelica Garcia, Aaron Pathak, Imran Humza Hanif, Srijana Shrestha, Sophia Banu","doi":"10.1177/2752535X251361011","DOIUrl":"https://doi.org/10.1177/2752535X251361011","url":null,"abstract":"PurposeThe global refugee crisis includes Afghan refugees, driven by decades of conflict. Understanding the currently unidentified, unique challenges of this group upon resettlement in the United States is crucial for bettering health outcomes. This needs assessment identifies the challenges surrounding health experiences of resettled Afghan refugees in Houston, Texas.MethodsAdult Afghan refugees resettled in Houston, Texas were surveyed via a needs assessment adapted from validated health screeners (PRAPARE, the RHS15, and CoPaQ) with translator assistance. Health experiences across demographics, urgent needs, accessibility, and healthcare services were assessed.Results: 73 participants were surveyed (median age: 33 years, 74% female). Most had lived in the U.S. for 1-3 years, primarily spoke Dari, lacked English proficiency, were unemployed, and earned less than $20,000 annually. Top needs were employment, food, and transportation, and key accessibility issues included transportation, clothing, and learning English. Though many had health insurance, only some felt comfortable visiting a doctor alone and felt understood by their physician. About one-third rated their health as fair or poor. For medical visits, most relied on case managers and interpreters for navigating appointments, traveled by car, and had wait times under an hour. Social determinants like housing, childcare, and healthcare access showed significant variation.ConclusionFindings reveal key elements, including language, transportation, provider communication, that shape the health experiences of resettled Afghan refugees. These access contributors can inform more responsive healthcare systems. Given the urgency of our analysis, healthcare, governmental and community programs should pursue targeted approaches to meet this population's needs.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251361011"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692599","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 Enablers and Barriers to Accessing Women's Health and Wellbeing Services for Women Aged 40-65 Years: A Qualitative Study. 40-65岁妇女获得妇女保健和福利服务的促进因素和障碍：一项定性研究。

Community health equity research & policy Pub Date : 2025-07-13 DOI: 10.1177/2752535X251358919

Kiersten Simmons, Jenny Hyde, Damla Harmanci, Collins Iwuji, Stephen Bremner, Carrie Llewellyn

{"title":"The Enablers and Barriers to Accessing Women's Health and Wellbeing Services for Women Aged 40-65 Years: A Qualitative Study.","authors":"Kiersten Simmons, Jenny Hyde, Damla Harmanci, Collins Iwuji, Stephen Bremner, Carrie Llewellyn","doi":"10.1177/2752535X251358919","DOIUrl":"https://doi.org/10.1177/2752535X251358919","url":null,"abstract":"Introduction: Midlife women, aged 40-65 years, are an under-researched population with poor and inequitable access to Women's Health and Wellbeing Services (WHWS). This study, which was supported by a Patient and Public Involvement group, explored the enablers and barriers to WHWS, with a focus on sexual health and wellbeing services, cervical and breast screening, menopause care, contraception, and incontinence services.Methods: Semi-structured focus groups and interviews were conducted with sixty self-identifying women and gender non-binary participants aged 40-65 years living in the South-East of England. Recruitment was focused in underserved geographic areas and in underserved groups. Framework Analysis, also using the Socioecological Model, through an intersectionality lens, was used to analyse the enablers and barriers to WHWS. A feminist pragmatist approach was employed to interlink the findings into suggestions to improve access. The study was reported according to the Consolidated Criteria for Reporting Qualitative Research (COREQ).Results: Three main themes emerged: the lack of prioritisation of midlife women; the widespread deficits in knowledge of the needs of midlife women; and the impact of stigma on access to care, particularly sexual health and genitourinary syndrome of menopause services. The intersectional disadvantage of belonging to underserved groups for example due to ethnicity, income, and disability, overlapped across the themes. Participants advocated for integrated, holistic, community-based, women-only services.Conclusion: Further research, education, and policy investment is required to address the complex, and often highly sensitive nature of many health and wellbeing issues that face midlife women. These challenges are compounded by belonging to an underserved group.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251358919"},"PeriodicalIF":0.0,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627880","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

Implementation Evaluation of Three Community-Clinical Infection-Related Cancer Prevention and Control Programs in New York City: Lessons Learned From Leveraging Community Health Worker Strategies to Enhance Reach and Fit for Asian American Communities. 纽约市三个社区临床感染相关癌症预防和控制项目的实施评估：利用社区卫生工作者策略提高亚裔美国人社区的覆盖面和健康程度的经验教训

IF 1.8

Community health equity research & policy Pub Date : 2025-07-10 DOI: 10.1177/2752535X251357464

Matthew Lee, Julie Kranick, Victoria Foster, Perla Chebli, Yousra Yusuf, Chau Trinh-Shevrin, Simona C Kwon

{"title":"Implementation Evaluation of Three Community-Clinical Infection-Related Cancer Prevention and Control Programs in New York City: Lessons Learned From Leveraging Community Health Worker Strategies to Enhance Reach and Fit for Asian American Communities.","authors":"Matthew Lee, Julie Kranick, Victoria Foster, Perla Chebli, Yousra Yusuf, Chau Trinh-Shevrin, Simona C Kwon","doi":"10.1177/2752535X251357464","DOIUrl":"10.1177/2752535X251357464","url":null,"abstract":"BackgroundCommunity health workers (CHW) can perform unique functions to facilitate the implementation of evidence-based interventions for infection-related cancer prevention and control, and alleviate minoritized and immigration-related disparities.PurposeWe describe the implementation evaluation of three CHW-delivered infection-related cancer programs focused on Asian American (AA) communities in New York City: 1) a H. pylori treatment adherence program for Chinese and Korean Americans; 2) a HPV screening program for Muslim Americans; and 3) a hepatitis B screening, linkage to care, and treatment program for AA and other priority communities.MethodsWe conducted semi-structured key informant interviews with multi-level stakeholders from the programs.ResultsLessons learned include the importance of: 1) sustaining engagement and buy-in from implementation partners; 2) prioritizing recipient- and deliverer-centeredness; 3) fostering program flexibility to accommodate multiple implementation settings and to meet dynamic community resources and priorities; and 4) understanding interoperability between the CHW-delivered intervention and the inner setting for effective program implementation.ConclusionsThese findings can inform other efforts to implement CHW-delivered community-clinical cancer programs for AA and other underserved communities to advance health equity.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251357464"},"PeriodicalIF":1.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12383678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the Impacts of Immigration Status on Access to Primary Healthcare Services: Evidence From the Lived Experiences of Ethiopian Immigrant Women in the United States. 了解移民身份对获得初级卫生保健服务的影响：来自美国埃塞俄比亚移民妇女生活经历的证据。

Community health equity research & policy Pub Date : 2025-07-03 DOI: 10.1177/2752535X251357457

Gashaye Melaku Tefera, Mansoo Yu, Setor K Sorkpor, Hyojin Im, Senait Kebede

{"title":"Understanding the Impacts of Immigration Status on Access to Primary Healthcare Services: Evidence From the Lived Experiences of Ethiopian Immigrant Women in the United States.","authors":"Gashaye Melaku Tefera, Mansoo Yu, Setor K Sorkpor, Hyojin Im, Senait Kebede","doi":"10.1177/2752535X251357457","DOIUrl":"https://doi.org/10.1177/2752535X251357457","url":null,"abstract":"ObjectivesHealth inequity is a significant and pressing concern in the United States, and multiple studies showed that immigrants are one of the groups with the poorest access to healthcare compared to native-born populations. This study focuses on developing an in-depth understanding of how immigration status impacts primary healthcare (PHC) access among African immigrant women, particularly Ethiopian immigrant women (EIW).DesignA cross-sectional qualitative design was used to examine how immigration status shaped the healthcare experiences of EIW. In-depth interviews were conducted with 21 EIW in-person and virtually. The interviews were audio recorded and transcribed verbatim. Data analysis followed an inductive thematic analysis using NVivo 12 software.ResultsFour major themes emerged from the analysis, demonstrating how immigration and immigration status shape EIW's healthcare access and experiences. These were: (1) Employment-based insurance, (2) Eligibility for primary healthcare services, (3) Work conditions and time, and (4) Fear of losing status and the unknown. Across all themes, participants' experiences were deeply gendered and tied to broader labor and sociocultural conditions, highlighting the vitality of immigration status in determining healthcare access.ConclusionThe findings demonstrated the crucial need to expand work authorization to all immigrant groups, streamline the application process, and extend document validity to mitigate healthcare access barriers and prevent immigrants from taking low-wage, unprotected, and hazardous jobs that heighten health risks. Expanding eligibility to different groups of immigrants for programs such as Medicaid and Children's Health Insurance Program, and providing clear, comprehensive healthcare information tailored for immigrant populations are recommended.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251357457"},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556059","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

Bridging the Gap Between Research and Policy: Exploring Political Determinants of Immigrant Health in an Urban County With High Cervical Cancer Disparities. 弥合研究与政策之间的差距：探索宫颈癌高差异城市县移民健康的政治决定因素。

Community health equity research & policy Pub Date : 2025-07-02 DOI: 10.1177/2752535X251352995

Marcela Nava, Monica Cañizares, James Earl, Hemali Patel, Lucy Ren

{"title":"Bridging the Gap Between Research and Policy: Exploring Political Determinants of Immigrant Health in an Urban County With High Cervical Cancer Disparities.","authors":"Marcela Nava, Monica Cañizares, James Earl, Hemali Patel, Lucy Ren","doi":"10.1177/2752535X251352995","DOIUrl":"https://doi.org/10.1177/2752535X251352995","url":null,"abstract":"BackgroundCervical cancer disproportionally burdens Hispanic immigrant communities in the United States, despite its preventable nature and curability when detected early. These persistent disparities represent a \"wicked problem,\" characterized by contested evidence, fragmented data, and a politicized health policy environment.MethodsThis study uses Tarrant County, Texas-a high-disparity urban region-as a case study to explore how multilevel governance structures shape immigrant health inequities. Drawing on the concept of wicked problems and the political determinants of health (PDoH) framework, we analyze archival data through a policy science lens to examine how electoral, legal, and institutional forces perpetuate barriers to life-saving care for immigrant women.ResultsFour key themes emerged from our analysis: (1) a reactive political environment that amplifies exclusion, (2) decision-making shaped by legal ambiguity, (3) passive enforcement of immigration policies through institutional design, and (4) blame-shifting between public and private healthcare systems. These dynamics collectively sustain health disparities by limiting access to preventive care and delaying treatment among immigrant populations.ConclusionFindings demonstrate that cervical cancer disparities are not solely the result of individual health behaviors but are produced and sustained by structural and political forces. Addressing these disparities requires interdisciplinary partnerships and place-based strategies that confront the institutional barriers embedded in local governance. We call for strategic alliances among researchers, community stakeholders, and policymakers to foster shared accountability and develop responsive, equity-driven policies for addressing cervical cancer and other preventable conditions in immigrant communities.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251352995"},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556058","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 : 2025-07-01 Epub 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":"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":"423-427"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","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