2,463 results match your criteria Journal of Health Care for the Poor and Underserved [Journal]


Assessing the Impact of Electronic Health Record Interventions on Hepatitis B Screening and Vaccination.

J Health Care Poor Underserved 2018 ;29(4):1587-1605

Background: Hepatitis B virus (HBV) infection is a major health disparity between Asian Americans, Native Hawaiians, and Pacific Islanders compared with other racial/ethnic groups in the U.S.

Aims: Our aims were to determine the effectiveness of an electronic health record (EHR) data-driven clinical intervention to improve HBV screening and vaccination rates at a community health center primarily serving Asian American patients. Read More

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https://muse.jhu.edu/article/708260
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http://dx.doi.org/10.1353/hpu.2018.0114DOI Listing
January 2018
3 Reads

The Impact of Federal and State Policy on Oral Health Care Delivery in Long-Term Care Settings.

J Health Care Poor Underserved 2018 ;29(4):1570-1586

Residents of long-term care (LTC) facilities have a significantly higher risk of poor oral health status compared with those living independently; moreover, the provision of oral health services to LTC residents is often limited. This study identifies and classifies state-level policies and funding sources for dental services that are available to LTC residents. The research details variability in coverage levels, payment sources, workforce capacity, and care delivery configuration, finding little coherence between policy and the needs of patients or providers. Read More

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https://muse.jhu.edu/article/708259
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http://dx.doi.org/10.1353/hpu.2018.0113DOI Listing
January 2018
3 Reads

Understanding the Needs of Older (Mature) Black Men who have Sex with Men: Results of a Community-based Survey.

J Health Care Poor Underserved 2018 ;29(4):1558-1569

Older (mature) Black men who have sex with men (BMSM) are an understudied group disproportionately affected by HIV/AIDS and experience competing priorities such as medical comorbidities, social isolation, and financial stressors. The purpose of this study was to assess the needs and priorities of a sample of urban mature BMSM to inform HIV prevention programming. A cross-sectional survey of BMSM ages 40 and older was conducted among men recruited from community-based organizations. Read More

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http://dx.doi.org/10.1353/hpu.2018.0112DOI Listing
January 2018

The New Mexico Peer Education Project: Filling a Critical Gap in HCV Prison Education.

J Health Care Poor Underserved 2018 ;29(4):1544-1557

Introduction: Hepatitis C (HCV) is an epidemic in the incarcerated population in the United States. In New Mexico, more than 40% of people entering the prison systems test positive for HCV antibodies. Project ECHO's New Mexico Peer Education Project (NMPEP) was developed to educate prisoners about HCV and impact the cycle of HCV transmission in the prison system. Read More

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https://muse.jhu.edu/article/708257
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http://dx.doi.org/10.1353/hpu.2018.0111DOI Listing
January 2018
7 Reads

Perspectives of Community Advisory Board Members in a Community-Academic Partnership.

J Health Care Poor Underserved 2018 ;29(4):1529-1543

Background: Community-academic partnerships are increasingly used to engage community members and researchers in research activities; however, little is known about the motivations and perceptions of community members to participate in such projects.

Objectives: The overall goal was to elicit Community Advisory Board (CAB) members' motivations and perceptions of involvement in a community-academic partnership about cancer prevention.

Methods: An external evaluator conducted 15 one-on-one semi-structured interviews with CAB members of the project. Read More

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https://muse.jhu.edu/article/708256
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http://dx.doi.org/10.1353/hpu.2018.0110DOI Listing
January 2018
2 Reads

Does Medicaid Coverage Modify the Relationship between Glycemic Status and Teeth Present in Older Adults?

J Health Care Poor Underserved 2018 ;29(4):1509-1528

Understanding the relationships among diabetes, teeth present, and dental insurance is essential to improving primary and oral health care. Participants were older adults who attended senior centers in northern Manhattan (New York, N.Y. Read More

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https://muse.jhu.edu/article/708255
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http://dx.doi.org/10.1353/hpu.2018.0109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6289051PMC
January 2018
3 Reads

Tobacco Use Patterns among GED Recipients.

J Health Care Poor Underserved 2018 ;29(4):1488-1508

U.S. General Educational Development diploma (GED) recipients have the highest smoking prevalence of any education level. Read More

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https://muse.jhu.edu/article/708254
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http://dx.doi.org/10.1353/hpu.2018.0108DOI Listing
January 2018
2 Reads

Gaining Medicaid Coverage During ACA Implementation: Effects on Access to Care and Preventive Services.

J Health Care Poor Underserved 2018 ;29(4):1472-1487

Objective: The continued expansion of Medicaid is under debate; it is critical to evaluate the effect of obtaining Medicaid on access to preventive care.

Methods: We analyzed longitudinal data from the 2013-2014 Medical Expenditure Panel Survey and applied a difference-in-differences approach. Our treatment group included low-income, non-pregnant, non-disabled adults aged 18-64 with no insurance in 2013 who received Medicaid in 2014; the comparison group included individuals who did not have insurance in either year. Read More

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https://muse.jhu.edu/article/708253
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http://dx.doi.org/10.1353/hpu.2018.0107DOI Listing
January 2018
3 Reads

Exploring the Relationship between Maternal Health Literacy, Parenting Self-Efficacy, and Early Parenting Practices among Low-Income Mothers with Infants.

J Health Care Poor Underserved 2018 ;29(4):1455-1471

Objective: To explore the association of maternal health literacy (MHL), parenting self-efficacy and early parenting practices among low-income mothers with infants.

Design: A cross-sectional, descriptive correlational design.

Participants: Low-income mothers (N=186) with infants. Read More

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https://muse.jhu.edu/article/708252
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http://dx.doi.org/10.1353/hpu.2018.0106DOI Listing
January 2018
3 Reads

Defining "Community" from the Perspectives of Individuals with Sickle Cell Disease in Rural Georgia.

J Health Care Poor Underserved 2018 ;29(4):1438-1454

Individuals with sickle cell disease (SCD) often struggle to transition from pediatric to adult-centered medical environments. One probable cause is that many transition programs do not focus on what happens when patients leave the medical environment and return to their communities. Little is known about how individuals with SCD define community. Read More

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http://dx.doi.org/10.1353/hpu.2018.0105DOI Listing
January 2018

Colorectal Cancer Screening Among South Asians: Focus Group Findings on Attitudes, Knowledge, Barriers and Facilitators.

J Health Care Poor Underserved 2018 ;29(4):1416-1437

Background: Colorectal cancer (CRC) screening rates are low among South Asians. Understanding barriers and facilitators about CRC screening among South Asians may inform effective messaging and interventions.

Methods: We conducted eight focus groups (FGs) among South Asians to gather contextual information about CRC causes, screening barriers and facilitators, and cultural factors affecting screening. Read More

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https://muse.jhu.edu/article/708250
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http://dx.doi.org/10.1353/hpu.2018.0104DOI Listing
January 2018
1 Read

Philadelphia Telemedicine Glaucoma Detection and Follow-up Study: Ocular Findings at Two Health Centers.

J Health Care Poor Underserved 2018 ;29(4):1400-1415

Blindness from glaucoma can be prevented by early detection and treatment. Telemedicine improves access to treatment in high-risk populations that face barriers to receiving adequate ophthalmic care. We used a practice-based telemedicine screening model at two health centers. Read More

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http://dx.doi.org/10.1353/hpu.2018.0103DOI Listing
January 2018

Alumni Perspectives on the Role of Medical School Service Learning Experiences in Their Professional Development and Practice.

J Health Care Poor Underserved 2018 ;29(4):1386-1399

Purpose: Understand how participation in service-learning activities in medical school influenced physicians' early careers.

Methods: Researchers conducted semi-structured interviews with physicians who had completed residency training and held leadership positions within an established medical-student-run, service-learning initiative. The research team analyzed the interviews iteratively, using an editing coding strategy to identify categories, and identified themes by prolonged data immersion. Read More

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http://dx.doi.org/10.1353/hpu.2018.0102DOI Listing
January 2018
9 Reads

Cervical Cancer Screening Behaviors and Perceptions of Medical Mistrust among Rural Black and White Women.

J Health Care Poor Underserved 2018 ;29(4):1368-1385

Background: This study examined the relationship of medical mistrust using the Group-based Medical Mistrust Scale (GBMMS), and Papanicolaou testing behaviors among rural Black and White women.

Methods: Utilizing a convenience sample, a cross-sectional study was performed. Inclusion criteria included self-identification as a non-Hispanic Black or White woman, at least 21 years of age, and a resident of one of the selected counties in the region. Read More

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http://dx.doi.org/10.1353/hpu.2018.0101DOI Listing
January 2018

An Emergency Department Pilot Study to Save Money for Patients through use of Retail Pharmacy Generic Drug Discount Programs.

J Health Care Poor Underserved 2018 ;29(4):1356-1367

Objective: The objective was to assess the number of emergency department patients with selected chronic medical conditions having medicine on a generic drug discount program list (GDDP), and to see if providing information about GDDPs would lead to cost savings.

Methods: A survey was given to consenting patients with at least one of 16 chronic medical conditions. Participants were offered education, which provided information about the three pharmacies closest to the participant. Read More

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https://muse.jhu.edu/article/708246
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http://dx.doi.org/10.1353/hpu.2018.0100DOI Listing
January 2018
2 Reads

"Feastworthy is Something That Gives Us Our Dignity Back:" Feasibility of A Delivered Prepared Meal Program for Families in Motel-Shelters.

J Health Care Poor Underserved 2018 ;29(4):1333-1355

Families experiencing homelessness struggle with food access and face a high burden of nutrition-related diseases. We assessed feasibility of Feastworthy, a prepared meal delivery program for families in motel-shelters with meals made from surplus food from local colleges. We used pre-and post-program surveys and semi-structured interviews, comparing participating families with families in a nearby shelter. Read More

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http://dx.doi.org/10.1353/hpu.2018.0099DOI Listing
January 2018

Failure to Thrive among Immigrant and Refugee Children: A Quality Improvement Project to Innovate a Primary Care Approach.

J Health Care Poor Underserved 2018 ;29(4):1319-1332

Objective: This quality improvement (QI) project aimed to improve primary care for immigrant and refugee children with failure to thrive (FTT) in a diverse clinic where elevated rates of FTT were noted.

Methods: The QI intervention included a patient registry managed by a care coordinator, a manual to educate providers, and group visits for patients with shared primary language. Rates of clinical follow-up, growth parameters of children in group visits versus standard care, and provider confidence/satisfaction were evaluated. Read More

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http://dx.doi.org/10.1353/hpu.2018.0098DOI Listing
January 2018
2 Reads

Transgender and Genderqueer Individuals' Experiences with Health Care Providers: What's Working, What's Not, and Where Do We Go from Here?

J Health Care Poor Underserved 2018 ;29(4):1300-1318

Research demonstrates health disparities between gender-minority individuals and cisgender individuals. These disparities arise from multiple sources, including negative health care experiences. This study examines interactions between transgender and gender non-binary (TGGNB) individuals and their health care providers. Read More

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http://dx.doi.org/10.1353/hpu.2018.0097DOI Listing
January 2018

Using Post-discharge Home Visitation to Improve Cultural Sensitivity and Patient-centered Discharge Planning by Internal Medicine Trainees.

J Health Care Poor Underserved 2018 ;29(4):1288-1299

Background: Patient-centered discharge planning improves transitional care and health outcomes for vulnerable adults. The HOME Initiative was an educational intervention aiming to improve trainees' patient-centered discharge planning skills.

Methods: Using a quasi-experimental design, 52 internal medicine residents at an academic medical center were randomized to intervention or control in 2014-2015. Read More

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http://dx.doi.org/10.1353/hpu.2018.0096DOI Listing
January 2018

Impact of Nurses' Strike in Kenya on Number of Fully Immunized Infants in 18 County Referral Hospitals.

Authors:
John Njugun

J Health Care Poor Underserved 2018 ;29(4):1281-1287

Introduction: Nurses in Kenya provide significant health care including immunization in government-run health facilities. Nurses' went on strike for 150 days in 2017. This study sought to determine the strike's effect on immunization services. Read More

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http://dx.doi.org/10.1353/hpu.2018.0095DOI Listing
January 2018
10 Reads

Increased Health and Social Vulnerability Among Hepatitis C Infected Individuals Co-infected with Hepatitis B.

J Health Care Poor Underserved 2018 ;29(4):1269-1280

Hepatitis B (HBV) and hepatitis C (HCV) infections contribute significant morbidity in the United States, particularly among those with a history of incarceration, homeless-ness, and/or co-morbid mental illness. Data from the Philadelphia Department of Public Health's viral hepatitis registry were matched at the person-level to the city's shelter, jail, and mental health system datasets (vulnerability datasets), and descriptive statistics were calculated. Between January 2010 and December 2014, 29,807 cases of HCV and 133 cases of HBV/HCV were reported. Read More

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https://muse.jhu.edu/article/708240
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http://dx.doi.org/10.1353/hpu.2018.0094DOI Listing
January 2018
2 Reads

Non-profit hospital community benefit spending based on local sociodemographics.

J Health Care Poor Underserved 2018 ;29(4):1259-1268

Non-profit hospitals are facing greater pressure to address the social determinants of health. Since 2012, with new requirements for greater transparency and community health needs assessments, non-profit tax exemption requirements are believed to incentivize investments in the community, particularly for vulnerable populations. We conducted a cross-sectional analysis of community benefit spending by private, acute care, non-profit hospitals from 2012-2014 to measure if hospitals have begun to address local community needs. Read More

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http://dx.doi.org/10.1353/hpu.2018.0093DOI Listing
January 2018

The Use of Traditional and Complementary Medicine for Diabetes in Rural Guatemala.

J Health Care Poor Underserved 2018 ;29(4):1188-1208

Objectives: The global burden of type 2 diabetes mellitus is increasing, especially in Central America. In resource-limited settings, such as Guatemala, there are significant barriers to diabetes care and many Guatemalans use medicinal plants as treatment. The purpose of this study is to understand the use of medicinal plants in an indigenous population with diabetes in rural Guatemala. Read More

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https://muse.jhu.edu/article/708238
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http://dx.doi.org/10.1353/hpu.2018.0092DOI Listing
January 2018
2 Reads

The Evidence Base for Social Determinants of Health as Risk Factors for Infant Mortality: A Systematic Scoping Review.

J Health Care Poor Underserved 2018 ;29(4):1188-1208

The objectives of this study were to identify social determinants of health as risk factors for infant mortality, particularly among African Americans, and to determine the extent to which research has demonstrated an association between each social determinant of health and infant mortality. A systematic scoping review was conducted following PRISMA guidelines. Databases searched include: EBSCOhost, CINAHL Plus, PsycINFO, SocINDEX, Social Work Abstracts, and Sociological Collection. Read More

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https://muse.jhu.edu/article/708237
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http://dx.doi.org/10.1353/hpu.2018.0091DOI Listing
January 2018
7 Reads

Dietary Inadequacies Among US Homeless Families: An Enduring Problem.

J Health Care Poor Underserved 2018 ;29(4):1188-1208

We reviewed the literature on eating patterns, prevalent diet-related illnesses, barriers to healthy eating, and interventions to improve diet among the U.S. homeless family population. Read More

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https://muse.jhu.edu/article/708236
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http://dx.doi.org/10.1353/hpu.2018.0090DOI Listing
January 2018
11 Reads

Meeting Health Care Needs in Rural Alabama: The Power of Partnerships.

J Health Care Poor Underserved 2018 ;29(4):1177-1187

Recruiting and retaining rural primary care providers is challenging. The Graduate Nursing Education Primary Care Scholars (GNEPCS) is a partnership between a philanthropic organization and a school of nursing to recruit, educate, train, and retain primary care advanced practice registered nurses (APRNs) for practice in rural Alabama with a focus on improving the state's health outcomes. In its initial four years, the GNEPCS partnership has been successful in identifying 60 registered nurses interested in becoming rural primary care APRNs. Read More

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http://dx.doi.org/10.1353/hpu.2018.0089DOI Listing
January 2018

Change and Constancy.

J Health Care Poor Underserved 2018 ;29(4):ix-x

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http://dx.doi.org/10.1353/hpu.2018.0088DOI Listing
January 2018

Errata.

Authors:

J Health Care Poor Underserved 2018 ;29(4):vii

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http://dx.doi.org/10.1353/hpu.2018.0087DOI Listing
January 2018

Racial/Ethnic Disparities in Failure to Initiate HIV Care: Role of HIV Testing Site, Individual Factors, and Neighborhood Factors, Florida, 2014-2015.

J Health Care Poor Underserved 2018 ;29(3):1153-1175

Delayed initiation of human immunodeficiency virus (HIV) care affects disease progression. To determine the role of HIV testing site and neighborhood- and individual-level factors in racial/ethnic disparities in initiation of care, we examined Florida population-based HIV/AIDS surveillance system records. We performed multilevel Poisson regression to calculate adjusted prevalence ratios (APR) for non-initiation of care by race/ethnicity adjusting for HIV testing site type and individual- and neighborhood-level characteristics. Read More

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http://dx.doi.org/10.1353/hpu.2018.0085DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292206PMC
January 2018

Influence of Socioecomomic and Oral Health Status on Acceptability of Dental Therapists' Oral Health Care.

J Health Care Poor Underserved 2018 ;29(3):1135-1152

This study explored the acceptability of dental therapists by respondents' socioeconomic factors and oral health status.

Methods: Data were collected from 405 adults during the 2014 Minnesota State Fair through completion of an electronic questionnaire and a modified Basic Screening Survey (BSS).

Results: This study found no relevant and statistically significant relationships between a respondent's various socioeconomic factors and their acceptability of care provided by a dental therapist. Read More

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http://dx.doi.org/10.1353/hpu.2018.0084DOI Listing
January 2018

Disparities in Access to Sorafenib in Communities with Low Socioeconomic Status.

J Health Care Poor Underserved 2018 ;29(3):1123-1134

Objective: In the United States, hepatocellular carcinoma (HCC) is more common among communities with low socioeconomic status (SES), and these groups tend to be diagnosed with later-stage cancers. Sorafenib is the primary treatment for advanced HCC, however its substantial cost raises concern for access to treatment.

Methods: The newly developed Case-Background method was used to estimate odds ratios for the impacts of various sociodemographic factors on sorafenib access in clinically eligible patients. Read More

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https://muse.jhu.edu/article/701006
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http://dx.doi.org/10.1353/hpu.2018.0083DOI Listing
January 2018
6 Reads

Exploring Dietary Factors in the Food Insecurity and Obesity Relationship Among Latinos in California.

J Health Care Poor Underserved 2018 ;29(3):1108-1122

We explored the role of dietary factors, as measured by individual behaviors and neighborhood produce availability, in the relationship between food insecurity and obesity among a representative sample of Latinos in California. We utilized data from the 2012, 2013/2014 California Health Interview Survey and included Latinos aged 18-65 years and under 200% of the federal poverty line (n=5,957). We conducted logistic regressions to first estimate the association between food insecurity and obesity and then examine whether this association remained significant after adjusting for soda and fast food consumption, perceived neighborhood fresh produce environment, and covariates. Read More

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http://dx.doi.org/10.1353/hpu.2018.0082DOI Listing
January 2018

Integrated Care with Indigenous Populations: Considering the Role of Health Care Systems in Health Disparities.

J Health Care Poor Underserved 2018 ;29(3):1083-1107

Introduction: There is increased evidence for the effectiveness of integrated behavioral health care, however, it is unknown if integrated care is effective or culturally appropriate for Indigenous populations-the population with the largest health disparities in the nation.

Methods: We conducted a literature review to analyze the state of Indigenous health care focusing specifically on the appropriateness of integrated care in this population.

Results: Integrated care could improve access to comprehensive care, quality of care, and may be a promising model to reduce health disparities for Indigenous people. Read More

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http://dx.doi.org/10.1353/hpu.2018.0081DOI Listing
January 2018
2 Reads

Health Literacy Mediates Racial Disparities in Cardiopulmonary Resuscitation Knowledge among Chronic Kidney Disease Patients.

J Health Care Poor Underserved 2018 ;29(3):1069-1082

Black patients with chronic kidney disease (CKD) receive more cardiopulmonary resuscitation (CPR) than other racial groups, and knowledge of CPR influences preferences for care. As limited health literacy disproportionately affects Blacks and contributes to disparities in end-of-life (EOL) care, we investigated whether health literacy mediates racial disparities in CPR knowledge. Black and White adult patients with advanced CKD completed CPR knowledge surveys. Read More

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http://dx.doi.org/10.1353/hpu.2018.0080DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249689PMC
January 2018
2 Reads

Medication Related Self- efficacy among Linguistically Diverse Patients with Chronic Illnesses.

J Health Care Poor Underserved 2018 ;29(3):1054-1068

This study examines medication-related self-efficacy in a linguistically diverse group of patients with diabetes, hypertension, and elevated cholesterol. A telephone survey of 509 adults conducted in six languages (English, Spanish, Korean, Vietnamese, Mandarin, and Cantonese) was analyzed. Self-efficacy was assessed with the overall Medication Understanding and Use Self-Efficacy (MUSE) score and its two subscale scores on taking medication and learning about medications. Read More

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http://dx.doi.org/10.1353/hpu.2018.0079DOI Listing
January 2018
2 Reads

Communicating Against the Current.

Authors:
David Scales

J Health Care Poor Underserved 2018 ;29(3):1046-1053

Communicating with patients who speak different languages in health care environments is a well-known challenge, for which there are myriad solutions to provide increased access for patients with low proficiency in the language of care. Clinicians often overlook communication challenges with patients for whom language is not a barrier, but mismatches in cultural and personal communication styles can lead to poor communication between doctor and patient that can negatively affect the clinical relationship and patient care. Just as patients who require interpreters require more time, clinicians must expect to spend more time to navigate different communication styles. Read More

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https://muse.jhu.edu/article/701001
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http://dx.doi.org/10.1353/hpu.2018.0078DOI Listing
January 2018
7 Reads

Physical Activity Levels and Cardiometabolic Risks in Obese African American Adults: A Pilot Intervention Study.

J Health Care Poor Underserved 2018 ;29(3):1027-1045

Limited information is available regarding the effects of physical activity on risks of cardiometabolic diseases among obese African American adults. We conducted a church-based 12-week weight control and cardiometabolic risk reduction intervention (n=30, 22 females, 56.7±11. Read More

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https://muse.jhu.edu/article/701000
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http://dx.doi.org/10.1353/hpu.2018.0077DOI Listing
January 2018
6 Reads

Burden of Chronic Conditions among Patients from Free Clinics: A Retrospective Chart Review of 2015.

J Health Care Poor Underserved 2018 ;29(3):1011-1026

Introduction: There is limited research about the poor and uninsured patients who visit free clinics.

Methods: We conducted a retrospective chart review of uninsured adult patients in four free clinics seen between January and December 2015. Prevalence of chronic conditions and their association with socioeconomic factors were investigated. Read More

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http://dx.doi.org/10.1353/hpu.2018.0076DOI Listing
January 2018

Mid-level Practitioners in Oral Health: Tennessee Dental Professional's Attitudes and Perceptions of the Dental Therapist Workforce Model.

J Health Care Poor Underserved 2018 ;29(3):997-1010

Objectives: To determine Tennessee dentists' knowledge and attitudes about the Dental Therapist Workforce Model (DTWM), as one means of expanding access to oral health care.

Methods: We surveyed 1,047 general dentists in Tennessee to determine their attitudes and perceptions of the DTWM. We used descriptive statistics such as frequency distributions for demographic variables. Read More

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http://dx.doi.org/10.1353/hpu.2018.0075DOI Listing
January 2018

Haiti's rural Central Plateau: Baseline data from mobile health clinics.

J Health Care Poor Underserved 2018 ;29(3):984-996

Introduction: George Washington Students for Haiti conducts mobile clinics in the Central Plateau of Haiti. Baseline health data for specific rural areas of Haiti are needed.

Methods: Medical teams conducted mobile clinics in rural locations of Haiti's Central Plateau. Read More

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http://dx.doi.org/10.1353/hpu.2018.0074DOI Listing
January 2018

Theoretical and Pragmatic Adaptation of the 5As Model to Patient-Centered Hypertension Counselling.

J Health Care Poor Underserved 2018 ;29(3):975-983

Patient-centered communication is a means for engaging patients in partnership. However, patient centered communication has not always been grounded in theory or in clinicians' pragmatic needs. The objective of this report is to present a practical approach to hypertension counselling that uses the 5As framework and is grounded in theory and best communication practices. Read More

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https://muse.jhu.edu/article/700996
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http://dx.doi.org/10.1353/hpu.2018.0073DOI Listing
January 2018
8 Reads

Using HIV Surveillance Data for Targeted, Community-based Hepatitis C Virus Testing among Baby Boomers in Washington, D.C.

J Health Care Poor Underserved 2018 ;29(3):964-974

Community-based hepatitis C virus screening can identify individuals who are unaware of their infection and not regularly engaged in care. We report on a pilot study exploring the utility of using HIV surveillance data to identify targeted, geographical areas with high HIV prevalence and poor care indicators for screening baby boomers at risk for HCV. Between August-September 2014, we conducted community-based HCV rapid testing in high-risk census tracts. Read More

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http://dx.doi.org/10.1353/hpu.2018.0072DOI Listing
January 2018
8 Reads

Using Health Information Technology to Bring Social Determinants of Health into Primary Care: A Conceptual Framework to Guide Research.

J Health Care Poor Underserved 2018 ;29(3):949-963

Several recent national initiatives have called for increased efforts to integrate social determinants of health (SDH) into health care settings using health information technology (HIT). However, there is limited evidence to guide the implementation of these recommendations in practice. Research is needed to understand what SDH information is most important to collect, how SDH information can be used to inform clinical care and referrals, and ultimately, whether and how integrating SDH screening and action into primary care affects individual and population health. Read More

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http://dx.doi.org/10.1353/hpu.2018.0071DOI Listing
January 2018

Health Care for the Homeless Transgender Community: Psychiatric Services and Transition Care at a Student-Run Clinic.

J Health Care Poor Underserved 2018 ;29(3):940-948

Transgender individuals disproportionately experience homelessness and health disparities, including lack of access to gender-affirming care. The student-run Lotus Wellness Center provides care to transgender individuals experiencing homelessness, including primary care, mental health stabilization, and transition via hormone therapy, while medical students learn of the unique health needs of this community. Read More

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http://dx.doi.org/10.1353/hpu.2018.0070DOI Listing
January 2018

Strategic partnerships for outreach and enrollment: Filling in insurance gaps for Florida's military children and families.

J Health Care Poor Underserved 2018 ;29(3):930-939

Military-provided health insurance does not adequately cover children with special needs and children of veterans. Medicaid and the Children's Health Insurance Program (CHIP) can help eliminate insurance gaps, if promoted within the military community. This manuscript describes a Military Outreach Program to educate and reach Florida military families about insurance. Read More

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http://dx.doi.org/10.1353/hpu.2018.0069DOI Listing
January 2018
1 Read

Depression among Women Released from Prison or Jail in the United States.

J Health Care Poor Underserved 2018 ;29(3):914-929

Risk factors for depression among 179 women recently released from prison or jail in a state correctional facility in the northeastern United States were examined in this study. The Center for Epidemiologic Studies Depression Scale (CESD-10) was used to measure longitudinal, self-reported depression data. In addition, potential risk factors for depression among women recently released from prison and jail were analyzed. Read More

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https://muse.jhu.edu/article/700991
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http://dx.doi.org/10.1353/hpu.2018.0068DOI Listing
January 2018
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Outcomes of a Community-based Breast Cancer Screening Program in Baltimore City.

J Health Care Poor Underserved 2018 ;29(3):898-913

Introduction: African American women have disproportionately high breast cancer (BC) mortality in comparison with White women. Early BC detection rates are lower in African American women than White women, reflecting sub-optimal use of screening mammography particularly among women who are uninsured.

Methods: A descriptive analysis of a community-based, cancer control program targeted at uninsured African Americans is presented. Read More

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http://dx.doi.org/10.1353/hpu.2018.0067DOI Listing
January 2018
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We Should Know Ourselves: Burmese and Bhutanese Refugee Women's Perspectives on Cervical Cancer Screening.

J Health Care Poor Underserved 2018 ;29(3):881-897

Refugee women are at increased risk for cervical cancer and have low rates of cervical cancer screening both in their countries of origin and in the U.S. Using the Behavioral Model for Vulnerable Populations as a conceptual framework, we conducted eight focus groups with Burmese and Bhutanese refugee women to gather information about factors influencing cervical cancer screening (31 Burmese and 27 Bhutanese participants). Read More

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http://dx.doi.org/10.1353/hpu.2018.0066DOI Listing
January 2018
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Intimate Partner Violence and Women's Health-seeking Behaviors in Northwestern Botswana.

J Health Care Poor Underserved 2018 ;29(3):864-880

Despite evidence suggesting a strong association between women's experience of violence and their health-seeking behaviors, limited research has been conducted to date that explores factors associated with these behaviors in Botswana. A prospective, cross-sectional study involving semi-structured interviews with 479 women took place in Maun, Botswana, in 2012. Twenty-five percent of those interviewed reported not having visited a medical clinic at least once despite wishing to do so. Read More

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http://dx.doi.org/10.1353/hpu.2018.0065DOI Listing
January 2018

The Affordable Care Act and Changes in Insurance Coverage and Source of Health Care among High-risk Rural, Substance-using, Female Offenders Transitioning to the Community.

J Health Care Poor Underserved 2018 ;29(3):843-863

Purpose: This study examines health care coverage and health care among rural, drug-involved female offenders under the Affordable Care Act (ACA) compared with pre-ACA and whether being insured is associated with having a usual source of care.

Methods: This study involved random selection, screening, and face-to-face interviews with drug-using women in three rural Appalachian jails. Analyses focused on participants who had completed a three-month follow-up interview after release from jail (N=371). Read More

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http://dx.doi.org/10.1353/hpu.2018.0064DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6130194PMC
January 2018