2,493 results match your criteria Journal of Health Care for the Poor and Underserved [Journal]


Human Resources for Health: Advancing Nursing in Haiti-A Qualitative Evaluation of a Master's Level Nursing Faculty Development Project.

J Health Care Poor Underserved 2019 ;30(1):404-416

Using an educate-the-educator model, this partnership responds to an international imperative to build human resource capacity among Haitian nurses. We created a graduate program of study for nursing faculty in leadership and education at the State University of Haiti. This paper describes a process and impact evaluation of the Regis College Haiti Project (RCHP). Read More

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http://dx.doi.org/10.1353/hpu.2019.0029DOI Listing
January 2019
3 Reads

Quality of Asthma Management in Children Attending Health Centres in Kingston & St. Andrew, Jamaica Compared with International Clinical Practice Guidelines.

J Health Care Poor Underserved 2019 ;30(1):392-403

Objectives: To assess the quality of asthma care within the paediatric population who attended health centres in Kingston & St. Andrew (KSA) and compare this quality to Global Initiative for Asthma (GINA) guidelines.

Methods And Materials: Data were collected from 257 dockets of children aged 2-17 years old with asthma attending seven health centres in KSA. Read More

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http://dx.doi.org/10.1353/hpu.2019.0028DOI Listing
January 2019
1 Read

Assessing the Knowledge, Attitudes, and Behaviors of Hookah Smoking among Ethiopian and Eritrean Americans.

J Health Care Poor Underserved 2019 ;30(1):378-391

The aims of this study were to estimate the prevalence of hookah smoking and describe its associated knowledge, attitudes, and behaviors among Ethiopian and Eritrean Americans. Approximately 400 participants completed an online survey on hookah tobacco use, perceptions of harm and social acceptability. Nearly 80% had tried hookah in their lifetime (ever users), and about 43% had smoked hookah in the past 30 days (current users). Read More

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http://dx.doi.org/10.1353/hpu.2019.0027DOI Listing
January 2019
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HIV Prevention among Zambian Itinerant Workers: Challenges and Solutions.

J Health Care Poor Underserved 2019 ;30(1):358-377

Mobility and alcohol abuse increase vulnerability to HIV among itinerants in Zambia. Itinerants face unique challenges to accessing HIV counselling, testing, and treatment. Zambian districts (Chingola, Mazabuka, Mufulira) were selected, and focus group discussions (FGDs = 12; n= 72) and key informant interviews (n = 71) were held. Read More

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http://dx.doi.org/10.1353/hpu.2019.0026DOI Listing
January 2019
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Financial and Behavioral Economic Factors Associated With HIV Testing In AIDS-Affected Adolescents in Uganda: A Cross-Sectional Analysis.

J Health Care Poor Underserved 2019 ;30(1):339-357

Provision of free HIV counseling and testing services (HCTS) helps remove financial barriers to care. Little is known on whether uptake of free HCTS by households impoverished by AIDS is influenced by financial and behavioral economic factors. We examined use of free HCTS by employment status, cash savings, food/income security, and present-bias preferences among 346 adolescent AIDS orphans and their household members in Uganda. Read More

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http://dx.doi.org/10.1353/hpu.2019.0025DOI Listing
January 2019
1 Read

Impact of a Conditional Cash Transfer Program Aimed at Promoting Maternal and Child Health Services in Kakamega County, Kenya.

Authors:
John Njuguna

J Health Care Poor Underserved 2019 ;30(1):329-338

Introduction: The Kenyan government launched a free maternity program in 2013. Kakamega County Government supplemented this through a conditional cash transfer program targeting poor women. This was to facilitate their access to maternal and child health services. Read More

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http://dx.doi.org/10.1353/hpu.2019.0024DOI Listing
January 2019
3 Reads

A Focus Group and Key Informant Interview Study of Experience with the NYC Health & Hospitals Options Program.

J Health Care Poor Underserved 2019 ;30(1):310-328

Objectives: This research aims to understand undocumented immigrant participants' experiences, program participation levels, and desired improvements in the Options program, a sliding-scale fee-for-service model for un/under-insured patients operated by New York City (NYC) Health and Hospitals (H&H).

Methods: Community-engaged, mixed-methods included: focus groups (FG) (n=144), post-FG surveys, and key informant interviews (KII) (n=15) across all five NYC boroughs. All FG and KII transcripts were analyzed following grounded theory methodology. Read More

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http://dx.doi.org/10.1353/hpu.2019.0023DOI Listing
January 2019

Identifying Patients Experiencing Homelessness in an Electronic Health Record and Assessing Qualification for Medical Respite: A Five-Year Retrospective Review.

J Health Care Poor Underserved 2019 ;30(1):297-309

Our team developed a transitional care and medical respite program for people experiencing homelessness and designed a retrospective chart review study to more fully understand the unique needs of this population. Using four independent techniques, we identified individuals (N=1,656) who were experiencing homelessness during at least one hospital encounter (emergency department and/or in-patient admission) in a teaching hospital in the Southeastern United States over a five-year period. Data were manually abstracted from a random sample of patients to determine which patient encounters would or would not have qualified for medical respite if it had been available at the time. Read More

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http://dx.doi.org/10.1353/hpu.2019.0022DOI Listing
January 2019
1 Read

Improving Medicaid Access in Times of Health Policy Change: Solutions from Focus Groups with Frontline Enrollment Workers.

J Health Care Poor Underserved 2019 ;30(1):280-296

Enrollment navigators and government-employed Medicaid workers were an important element in the Affordable Care Act's (ACA) initial enrollment success. The Centers for Medicare and Medicaid Services eliminated 41% of funding for 2017 navigator programs and 90% of funding for outreach, arguing less investment was needed. Given that many remain uninsured, it is critical to identify effective enrollment practices. Read More

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http://dx.doi.org/10.1353/hpu.2019.0021DOI Listing
January 2019
2 Reads

Determining Food-Insecure Families' Resource Access with Health System and Public Data.

J Health Care Poor Underserved 2019 ;30(1):265-279

Families' access to local food-insecurity (FI) resources differs. This study examines how health system and public data may be combined to identify limitations in community resources designed to address FI. We conducted a retrospective cohort study using electronic health record (EHR) data from nine practices that screened families for FI. Read More

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http://dx.doi.org/10.1353/hpu.2019.0020DOI Listing
January 2019

The Usage and Associated Factors of Alternative Tobacco Products among School-going Youth in Central Appalachia.

J Health Care Poor Underserved 2019 ;30(1):249-264

Objective: To examine alternative tobacco product (ATP) use and associated factors among middle school students in Appalachian Tennessee.

Method: Data (2015-2016; N=573) from school-based tobacco surveys in 11 middle schools in Appalachian Tennessee were analyzed. Multiple logistic regression model described factors associated with ATP use. Read More

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http://dx.doi.org/10.1353/hpu.2019.0019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441590PMC
January 2019
3 Reads

Adverse Childhood Experiences and Trust in the Medical Profession among Young Adults.

J Health Care Poor Underserved 2019 ;30(1):238-248

Attachment theory suggests that adverse childhood experiences (ACEs) should predict lower trust in the medical profession. To test this theory, a cross-sectional survey was administered to young adults self-identifying as homeless. The purpose of the survey was to examine the relationship of ACEs, attachment style, and trust in the medical profession. Read More

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http://dx.doi.org/10.1353/hpu.2019.0018DOI Listing
January 2019
3 Reads

Community Based Participatory Research (CBPR): A Dynamic Process of Health care, Provider Perceptions and American Indian Patients' Resilience.

J Health Care Poor Underserved 2019 ;30(1):221-237

American Indians are disproportionately affected by factors that lead to health disparities, however many Native people demonstrate resilience when faced with health risks. Study objectives were to use a resilience framework to identify wellness strategies among American Indian people and to assess health care provider perceptions of American Indian wellness. Participants included 39 American Indian adults who self-reported resilient change and 22 health care providers who served American Indian patients. Read More

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http://dx.doi.org/10.1353/hpu.2019.0017DOI Listing
January 2019

Money, Managed Care, and Medicaid Initiatives Matter: Patient-centered Medical Home Capacity in School-based Health Centers.

J Health Care Poor Underserved 2019 ;30(1):202-220

School-based health centers (SBHCs) have been suggested as potential medical homes, but may experience challenges implementing the patient-centered medical home (PCMH) model. It is currently unknown if there are PCMH variations among different types of SBHCs. The purpose of this study was to examine the associations between SBHC characteristics and PCMH capacity. Read More

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http://dx.doi.org/10.1353/hpu.2019.0016DOI Listing
January 2019
1 Read

"It's my Room and my Life": Housing's Influence on Medication Adherence for HIV-positive Women Released from Incarceration.

J Health Care Poor Underserved 2019 ;30(1):182-201

A high prevalence of homelessness among women with HIV released from incarceration (WHRI) poses significant challenges to antiretroviral therapy. This research examines the pathways through which housing shapes adherence for previously homeless WHRI. In-depth semi-structured interviews were conducted with 43 WHRI in a supportive transitional housing program. Read More

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http://dx.doi.org/10.1353/hpu.2019.0015DOI Listing
January 2019
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Organizational Factors Associated with Disparities in Cervical and Colorectal Cancer Screening Rates in Community Health Centers.

J Health Care Poor Underserved 2019 ;30(1):161-181

Introduction: Community health centers provide care to underserved populations least likely to adhere to cancer screening guidelines, but vary in their ability to ensure eligible patients are identified and screened. This study examines organizational factors associated with cervical and colorectal cancer screening rates among health centers funded by the Health Resources and Services Administration (HRSA).

Methods: Data were drawn from the 2015 Uniform Data System and analyzed using negative binomial regression. Read More

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http://dx.doi.org/10.1353/hpu.2019.0014DOI Listing
January 2019

Association of Ethnic Identity with Oral Health Knowledge, Attitudes, Behavior, and Outcomes on the Navajo Nation.

J Health Care Poor Underserved 2019 ;30(1):143-160

American Indians and Alaska Natives (AI/ANs) experience poor oral health. Children and adults living on the Navajo Nation have a particularly high rate of dental decay. The literature suggests that health outcomes are often associated with the strength of one's ethnic identity. Read More

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http://dx.doi.org/10.1353/hpu.2019.0013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6400317PMC
January 2019
1 Read

Depression and the Likelihood of Hospital Admission from the Emergency Department among Older Patients with HIV.

J Health Care Poor Underserved 2019 ;30(1):131-142

Objective: The objective was to determine if depression was associated with an increased likelihood of hospital admission following an emergency department (ED) visit among older patients diagnosed with HIV.

Methods: We performed secondary analysis of data from the Nationwide Emergency Department Sample (NEDS) in the United States using multivariable Poisson regression to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs). We included adults aged 50 years and older, diagnosed with HIV using International Classification of Diseases, 9th revision (ICD-9-CM) codes. Read More

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http://dx.doi.org/10.1353/hpu.2019.0012DOI Listing
January 2019
1 Read

Racial/Ethnic Disparities in Health Insurance and Differences in Visit Type for a Population of Patients with Diabetes after Medicaid Expansion.

J Health Care Poor Underserved 2019 ;30(1):116-130

This quasi-experimental study evaluated racial/ethnic disparities in health insurance and differences in visits post-versus pre-Affordable Care Act (ACA) Medicaid expansion. We utilized electronic health record data from a population of patients with diabetes aged 19-64 seen in community health centers (CHCs). We used generalized estimating equation Poisson models to estimate incidence rates of insurance type and visits post-(1/1/2014-12/31/2015) versus pre-(1/1/13-12/31/13) ACA, stratified by racial/ethnic group. Read More

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http://dx.doi.org/10.1353/hpu.2019.0011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429963PMC
January 2019
1 Read

Individual Perspectives of Majority/Minority Partnerships: Who Really Benefits and How?

J Health Care Poor Underserved 2019 ;30(1):102-115

This study ascertained historically Black colleges and universities (HBCU) academic leaders' perceptions of equity between HBCU and predominantly White institutions (PWI) health professions school partnerships related to resource capacity, sustainability and scholarship. A focus group was conducted with seven HBCU health professions schools. A survey was sent to their PWI (n=14) partners. Read More

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http://dx.doi.org/10.1353/hpu.2019.0010DOI Listing
January 2019
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A Culturally Sensitive Church-Based Health-Smart Intervention for Increasing Health Literacy and Health-Promoting Behaviors among Black Adult Churchgoers.

J Health Care Poor Underserved 2019 ;30(1):80-101

The purpose of the paper is to examine the effectiveness of a six-week, culturally sensitive, church-based health-promotion intervention in increasing nutrition label health literacy and health-promoting behaviors (i.e., healthy eating, healthy drinking, and physical activity) and improving weight and blood pressure among Black adults. Read More

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http://dx.doi.org/10.1353/hpu.2019.0009DOI Listing
January 2019

Rurality and Health in the United States: Do Our Measures and Methods Capture Our Intent?

J Health Care Poor Underserved 2019 ;30(1):70-79

Rural status in the United States can be objectively measured using multiple designations within different geographic extents, often considering both population density and proximity to urban areas. However, these measurements are often incomplete for assessing the relationship between rural status and health and are often inadequately considered in analysis. To address these limitations, we posit four recommendations: two recommendations to improve current measures by including additional factors and making measures continuous and two recommendations to improve regression analysis by considering rural status as a contextual factor in multilevel modeling and as a variable in conjunction with socioeconomic factors derived through principal component analysis. Read More

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http://dx.doi.org/10.1353/hpu.2019.0008DOI Listing
January 2019

Feasibility, Acceptability, and Short-term Behavioral Impact of the MySmileBuddy Intervention for Early Childhood Caries.

J Health Care Poor Underserved 2019 ;30(1):59-69

Objectives: To evaluate acceptability, feasibility, and short-term behavioral impact of an early childhood caries (ECC) intervention.

Methods: Predominantly low-income Hispanic parent/child (2-6 years) dyads attending a busy pediatric dental clinic in New York City completed a single administration of the iPad-based technology-assisted education, goal-setting, and behavior change MySmileBuddy program. Self-reported behavior change was assessed via telephone survey one month post-intervention. Read More

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http://dx.doi.org/10.1353/hpu.2019.0007DOI Listing
January 2019
3 Reads

Community Women and Reproductive Autonomy: Building an Infrastructure for Long-Acting Reversible Contraception (LARC) Services in a Mobile Health Clinic.

J Health Care Poor Underserved 2019 ;30(1):47-58

This article describes implementation of a long-acting reversible contraception (LARC) program in a free primary care clinic in central Florida. A background of LARC is presented, along with a description of the infrastructure built by the University of Florida Mobile Outreach Clinic, in an effort to share a framework for the provision of LARC services with other resource-limited settings. Read More

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http://dx.doi.org/10.1353/hpu.2019.0006DOI Listing
January 2019
2 Reads

From Clinic to Classroom: A Community Health Center-Based Program to Assist Families in Accessing Pre-K in New York City.

J Health Care Poor Underserved 2019 ;30(1):40-46

Medical homes are an underused resource to promote enrollment in high-quality early education in urban areas. This report summarizes a newly implemented, unique, and replicable community health center-based outreach program designed to help families apply to and enroll in Pre-K programs in the South Bronx region of New York City. Read More

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http://dx.doi.org/10.1353/hpu.2019.0005DOI Listing
January 2019

Implementation of an EConsult System with Patient Navigation.

Authors:
Sanket S Dhruva

J Health Care Poor Underserved 2019 ;30(1):28-39

Community and academic partners in New Haven, Connecticut designed and implemented a system whereby patients with Medicaid insurance at a community health center received electronic specialty consultation from academic medical center physicians as well as navigation to follow-up tests and face-to-face appointments. Specialty access was improved, but some patients reported being burdened by a lack of coordination for their overall care. Read More

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http://dx.doi.org/10.1353/hpu.2019.0004DOI Listing
January 2019

Access to Vision Services by Vulnerable Populations in Canada: A Scoping Review.

J Health Care Poor Underserved 2019 ;30(1):6-27

Vision impairment has a significant impact on quality of life. Seventy percent of existing vision impairment in Canada is estimated to be correctable with prescription glasses. The sizeable proportion of correctable vision impairment appears related to the barriers to access to vision care in Canada. Read More

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http://dx.doi.org/10.1353/hpu.2019.0003DOI Listing
January 2019

Liberation Medicine, U.S. Child-Family Border Separation, Hurricane Maria and Life Worthy of Life.

J Health Care Poor Underserved 2019 ;30(1):1-5

Liberation Medicine is the conscious, conscientious use of health to promote social justice and human dignity. The new United States of America government policy of separating children from their families at the border has galvanized action on the part of health professionals and their professional organizations. The impact of Hurricane Maria's devastation on 16 September 2017 in Puerto Rico has reverberated throughout the entire United States, and-like other examples globally-reminds us of our responsibility as clinicians to understand and influence social well-being in our patients' lives. Read More

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http://dx.doi.org/10.1353/hpu.2019.0002DOI Listing
January 2019
1 Read

Black History Month 2019 and 30 Years of JHCPU.

J Health Care Poor Underserved 2019 ;30(1):ix-x

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http://dx.doi.org/10.1353/hpu.2019.0001DOI Listing
January 2019
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Erratum.

Authors:

J Health Care Poor Underserved 2019 ;30(1):viii

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http://dx.doi.org/10.1353/hpu.2019.0000DOI Listing
January 2019
1 Read

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
15 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
11 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
3 Reads

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
19 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333479PMC
January 2018
13 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
13 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
16 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
13 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320680PMC
January 2018
15 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
2 Reads

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
Publisher Site
http://dx.doi.org/10.1353/hpu.2018.0104DOI Listing
January 2018
17 Reads

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
2 Reads

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
25 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
3 Reads

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
Publisher Site
http://dx.doi.org/10.1353/hpu.2018.0100DOI Listing
January 2018
14 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
4 Reads

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
17 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
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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
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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
23 Reads