MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Health Care for the Poor and Underserved' source. Thu, 09 Feb 2012 07:35:58 +0100 http://www.medworm.com/index.php?rid=5523046&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102299%26dopt%3DAbstract Authors: McNairy S, McClure SA PMID: 22102299 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523046 Wed, 21 Dec 2011 11:06:04 +0100 5523046 http://www.medworm.com/index.php?rid=5523045&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102300%26dopt%3DAbstract Authors: Eltom SE, Tchounwou PB, Rice VM PMID: 22102300 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523045 Wed, 21 Dec 2011 11:06:04 +0100 5523045 http://www.medworm.com/index.php?rid=5523044&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102301%26dopt%3DAbstract Authors: Redda KK PMID: 22102301 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523044 Wed, 21 Dec 2011 11:06:04 +0100 5523044 http://www.medworm.com/index.php?rid=5523043&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102302%26dopt%3DAbstract Authors: Hammatt ZH, Nishitani J, Heslin KC, Perry MT, Szetela C, Jones L, Williams P, Antoine-Lavigne D, Forge NG, Norris KC Abstract Abstract:Emerging advances in health disparities research include controlled trials and comparative effectiveness studies that are frequently conducted at multiple community and academic sites. Review by different institutional review boards (IRBs) presents a major impediment to the timely and effective conduct of such research. When research involves minority and underserved communities as well as multiple geographic regions, institutional requirements and interpretation of ethical standards may vary substantially. Such variations can complicate the informed consent process and research protocol, and may undermine participant resp... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523043 Wed, 21 Dec 2011 11:06:04 +0100 5523043 http://www.medworm.com/index.php?rid=5523042&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102303%26dopt%3DAbstract Conclusions. No differences in the proportion of abnormal Pap smears were seen among ethnic groups followed within an ambulatory HIV clinic. PMID: 22102303 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523042 Wed, 21 Dec 2011 11:06:04 +0100 5523042 http://www.medworm.com/index.php?rid=5523041&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102304%26dopt%3DAbstract Authors: Artaza JN, Contreras S, Garcia LA, Mehrotra R, Gibbons G, Shohet R, Martins D, Norris KC Abstract Abstract:Cardiovascular disease (CVD), which includes coronary artery disease and stroke, is the leading cause of mortality in the nation. Excess CVD morbidity and premature mortality in the African American community is one of the most striking examples of racial/ ethnic disparities in health outcomes. African Americans also suffer from increased rates of hypovitaminosis D, which has emerged as an independent risk factor for all-cause and cardiovascular mortality. This overview examines the potential role of hypovitaminosis D as a contributor to racial and ethnic disparities in cardiovascular disease (CVD). We review the epidemiology of vitamin D and CVD in ... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523041 Wed, 21 Dec 2011 11:06:04 +0100 5523041 http://www.medworm.com/index.php?rid=5523040&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102305%26dopt%3DAbstract Authors: Abdalla E, Habtemariam T, Nganwa D, Dibaba AB, Gerbi G, Vinaida R, Tameru B Abstract Abstract:A novel influenza, Influenza A 2009 H1N1 virus outbreak, emerged in mid-April 2009, and by December 2009, spread across the world. This epidemiologic analysis uses the epidemiologic problem oriented approach to gather information for, and develop a quantitative risk assessment model that evaluates the likelihood of an influenza outbreak in the U.S., utilizing weekly incidence rates (WIR) and case fatality rates (CFR) stratified by age and the 10 U.S. regions. In addition ArcGIS was used to show variability regarding morbidity rate and WIR. Using data from the Centers for Disease Control and Prevention (CDC) Emerging Infections Program and applying Monte Carlo sim... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523040 Wed, 21 Dec 2011 11:06:04 +0100 5523040 http://www.medworm.com/index.php?rid=5523039&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102306%26dopt%3DAbstract Authors: Akil L, Ahmad HA Abstract Abstract:Obesity is among the leading causes of elevated cardiovascular disease (CVD) mortality and morbidity. In the present study, the associations between the increase in body mass index (BMI) and the increase rates of CVD and high blood pressure (HBP) in the states of Mississippi, Alabama, Louisiana, Tennessee, and Colorado are examined using regression analysis and by means of neural network models for obesity and HBP. Data from Behavioral Risk Factor Surveillance System were obtained and analyzed for obesity rates, percent of myocardial infarction, stroke, and HBP from 2005-2009. Results of this study showed a low association between obesity and myocardial infarction rates (R2=0.067); a moderate association with stroke ra... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523039 Wed, 21 Dec 2011 11:06:04 +0100 5523039 http://www.medworm.com/index.php?rid=5523038&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102307%26dopt%3DAbstract Authors: Jiang D, Mummidi S, Ahuja SK, Jarrett HW Abstract Abstract:CC chemokine receptor 5 (CCR5) is a major coreceptor for cell entry of human immunodeficiency virus (HIV); its expression is highly associated with virus replication and susceptibility. Single nucleotide polymorphisms (SNPs) in the CCR5 promoter play a critical role in CCR5 transcriptional regulation. HHA and HHE represent two contrasting haplotypes of CCR5 with only two base pair differences in the promoter. Identifying the transcription factors (TFs) that differentially bind to the polymorphic sites (the SNPs) in CCR5 haplotypes aids understanding HIV transmission/pathogenesis. Promoter trapping and two-dimensional southwestern blot analysis, to purify transcription complex and identify the di... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523038 Wed, 21 Dec 2011 11:06:04 +0100 5523038 http://www.medworm.com/index.php?rid=5523037&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102308%26dopt%3DAbstract Authors: Kalliny MS, Bassyouni MI Abstract Abstract:Silicosis is the most common occupational lung disease in Egypt where its prevalence rate ranges from 18.5 % to 45.8% among workers exposed to free crystalline silica dust. Despite its high prevalence, there is a lack of enforcement of exposure limits, availability and use of personal protective equipment, and occupational health education programs. These factors led the authors to study this unique working population; to the best of our knowledge, this is the first work that investigates the effect of exposure to crystalline silica on select immune response of exposed Egyptian phosphate miners. The main aims of this study were to investigate the effect of exposure to free crystalline silica on pulmonary functi... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523037 Wed, 21 Dec 2011 11:06:04 +0100 5523037 http://www.medworm.com/index.php?rid=5523036&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102309%26dopt%3DAbstract Authors: Liu S, Gonzalez J, Hwang BJ, Steinberg ML Abstract Abstract:Arsenic is an environmental pollutant with carcinogenic properties that is found in many regions of the world but that poses a health risk primarily in economically disadvantaged areas. In these areas, arsenic ingestion affects various tissues, especially skin in which it acts as a comutagen with the ultraviolet component of solar radiation. Both epidemiological and experimental evidence indicates that arsenic and ultraviolet radiation act on signaling pathways that effect the expression of cyclin D1. We have previously employed an in vitro model system of human epidermal keratinocytes to study the effects of submicromolar concentrations of sodium arsenite on cyclin D1 expression. Here, we empl... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523036 Wed, 21 Dec 2011 11:06:04 +0100 5523036 http://www.medworm.com/index.php?rid=5523035&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102310%26dopt%3DAbstract Conclusions. These findings provide a foundation on which to build an intervention to promote condom use among impoverished women who live in public housing in Puerto Rico in addition to other disadvantaged or impoverished women. It is imperative that health practitioners consider the reasons that these women have for not using condoms in order to inform the development and implementation of effective HIV-prevention interventions. PMID: 22102310 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523035 Wed, 21 Dec 2011 11:06:04 +0100 5523035 http://www.medworm.com/index.php?rid=5523034&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102311%26dopt%3DAbstract Socio-demographic Psychosocial and Clinical Characteristics of Participants in e-HealthyStrides<sup xmlns:m="http://www.w3.org/1998/Math/MathML" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">©</sup>: An Interactive ehealth Program to Improve Diabetes Self-Management Skills. J Health Care Poor Underserved. 2011;22(4 Suppl):146-64 Authors: Pemu PE, Quarshie AQ, Josiah-Willock R, Ojutalayo FO, Alema-Mensah E, Ofili EO Abstract Abstract:Diabetes self-management (DSM) training helps prevent diabetic complications. eHealth approaches may improve its optimal use. The aims were to determine a) acceptability of e-HealthyStrides© (an interactive, Internet-based, patient-driven, diabetes self-management support and soci... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523034 Wed, 21 Dec 2011 11:06:04 +0100 5523034 http://www.medworm.com/index.php?rid=5523033&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102312%26dopt%3DAbstract We describe the role of focus groups (FG). Research faculty and staff were organized into three groups by research interest. Each FG discussion had five steps: Brainstorming, Reporting, Card-sorting, Priority-setting, and Discussions. Integration of top priorities across each FG culminated in a final priority-setting step. Each FG generated 45 to 50 unique ideas during brainstorming that were categorized into 10 to 12 unique categories. Final priority-setting captured six top items for the initial design of the portal: ability to identify researchers working on similar research; common data management tools; access to clinical trials information; participant recruitment tools; secure access to research databases; and financial support. Focus groups allowed for a dis... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523033 Wed, 21 Dec 2011 11:06:04 +0100 5523033 http://www.medworm.com/index.php?rid=5523032&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102313%26dopt%3DAbstract Authors: Ravindran CR, Bayne JN, Bravo SC, Busby T, Crain CN, Escobedo JA, Gresham K, O'Grady BJ, Rios L, Roy S, Gdovin MJ Abstract Abstract:Dysfunctions of brainstem regions responsible for central CO2 chemoreception have been proposed as an underlying pathophysiology of Sudden Infant Death Syndrome (SIDS). We recorded respiratory motor output and intracellular pH (pHi) from chemosensitive neurons in an in vitro tadpole brainstem during normocapnia and hypercapnia. Flash photolysis of the H+ donor nitrobenzaldehyde was used to induce focal decreases in pHi alone. Hypercapnia and flash photolysis significantly decreased pHi from normocapnia. In addition, chemoreceptors did not regulate pHi during hypercapnia, but demonstrated significant pHi recovery when only pHi... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523032 Wed, 21 Dec 2011 11:06:04 +0100 5523032 http://www.medworm.com/index.php?rid=5523031&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22102314%26dopt%3DAbstract Authors: Xiao H, Tan F, Goovaerts P Abstract Abstract:Disparities in prostate cancer diagnosis among racial/ethnic groups and across Florida were mapped for the period 1996-2002 and their relationship with putative factors (individual, census tract and county level) was investigated using multilevel modeling and contingency analysis. More counties had higher rates of late-stage diagnosis for Black men than for White men and the location of these racial disparities changed with time. An important finding was the substantially larger correlation between county-level rates for Black and White men in 2002 relatively to 1996, which suggests a convergence in their spatial patterns. Major significant factors for late-stage diagnosis included lack of insurance, low hous... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5523031 Wed, 21 Dec 2011 11:06:04 +0100 5523031 http://www.medworm.com/index.php?rid=5406375&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080697%26dopt%3DAbstract Authors: Wilcox RD, Gallagher DM PMID: 22080697 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406375 Wed, 16 Nov 2011 01:21:02 +0100 5406375 http://www.medworm.com/index.php?rid=5406374&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080698%26dopt%3DAbstract Authors: Bailey SC, Agarwal N, Sleath B, Gumusoglu S, Wolf MS Abstract Abstract:Language barriers between patients and providers adversely affect quality of care and a patient's ability to obtain, understand, and act on health information. Health care organizations are mandated by law to provide language concordant services. While health systems have taken steps to promote language access, minimal effort has been made to improve pharmacy practice. This is problematic, as patient misunderstanding of prescription drug instructions is a root cause of many adverse drug events occurring annually in outpatient settings. Enhanced, language concordant prescription labeling and counseling is needed to promote safe use of prescription medications among limited English pro... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406374 Wed, 16 Nov 2011 01:21:02 +0100 5406374 http://www.medworm.com/index.php?rid=5406373&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080699%26dopt%3DAbstract Authors: Viera E, Colón D, Alonso Y, Armas J, Rico MC, Diaz R, Pagan A, Del Carpio-Cano F, Dela Cadena RA Abstract Abstract:This Report from the Field documents a series of interventions developed by Temple University Health System and School of Medicine through participation in the RWJF initiative entitled Hablamos Juntos. The report delineates outcomes to date demonstrating that these interventions have met the challenge of improving patient provider communication for Latinos. PMID: 22080699 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406373 Wed, 16 Nov 2011 01:21:02 +0100 5406373 http://www.medworm.com/index.php?rid=5406372&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080700%26dopt%3DAbstract Authors: Decamp LR, Choi H, Davis MM Abstract Abstract:Examination of Latino children in aggregate ignores important subgroup differences due to the parents' English language ability. Previous reports of the pediatric medical home have not stratified Latino children by parental language differences to compare the two groups directly. We analyzed the 2007 National Survey of Children's Health to determine medical home prevalence among Latino children, stratified by language of parental interview. Most Latino children with a Spanish-language parental interview had a usual source of care, but only one-quarter had a medical home. Striking medical home disparities persisted for Latino children with a Spanish-language interview, even after adjustment for potential conf... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406372 Wed, 16 Nov 2011 01:21:02 +0100 5406372 http://www.medworm.com/index.php?rid=5406371&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080701%26dopt%3DAbstract Conclusions. Quality improvement activities should target family planning providers who must use interpreters when serving LEP clients. Medical charts should document the use of interpreters and bilingual clinicians to monitor quality of care. PMID: 22080701 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406371 Wed, 16 Nov 2011 01:21:02 +0100 5406371 http://www.medworm.com/index.php?rid=5406370&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080702%26dopt%3DAbstract Authors: Brown TM, Parmar G, Durant RW, Halanych JH, Hovater M, Muntner P, Prineas RJ, Roth DL, Samdarshi TE, Safford MM Abstract Abstract:Individuals with cardiovascular disease (CVD) living in Health Professional Shortage Areas (HPSA) may receive less preventive care than others. The Reasons for Geographic And Racial Differences in Stroke Study (REGARDS) surveyed 30,239 African American (AA) and White individuals older than 45 years of age between 2003-2007. We compared medication use for CVD prevention by HPSA and insurance status, adjusting for sociodemographic factors, health behaviors, and health status. Individuals residing in partial HPSA counties were excluded. Mean age was 64±9 years, 42% were AA, 55% were women, and 93% had health insurance; 2,545 resi... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406370 Wed, 16 Nov 2011 01:21:02 +0100 5406370 http://www.medworm.com/index.php?rid=5406369&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080703%26dopt%3DAbstract This study investigated demographic, behavioral, and functional predictors of overweight and obesity, using secondary data from 705 community-dwelling individuals aged 65 years and older receiving or seeking Medicaid personal care services. Half of the participants were obese, while an additional 28% were overweight. The relationships between body mass index (BMI) levels and selected independent variables were analyzed. Females were more likely to be obese, while those who were older (75 years or older), more cognitively impaired, and smoked were less likely to obese. Comparing obesity with being overweight, being female and reporting more pain symptoms increased the odds of being obese, whereas being older (75 years or older) and being more cognitively impaired decre... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406369 Wed, 16 Nov 2011 01:21:02 +0100 5406369 http://www.medworm.com/index.php?rid=5406368&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080704%26dopt%3DAbstract Conclusions. Interventions promoting DASH among lower income AAs should reflect the food customs, economic concerns, and food available in communities. PMID: 22080704 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406368 Wed, 16 Nov 2011 01:21:02 +0100 5406368 http://www.medworm.com/index.php?rid=5406367&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080705%26dopt%3DAbstract Authors: Hill SC, Miller GE, Sing M Abstract Abstract:Untreated or undertreated diabetes can cause debilitating complications such as blindness and amputations. Information about the factors associated with diagnosed but untreated diabetes may help target efforts to promote appropriate treatment. Using the Medical Expenditure Panel Survey, we examine: (1) use of insulin or oral medications, (2) use of diet only, and (3) no treatment. We analyze covariates of this trichotomous outcome using multinomial logit regression. Among adults diagnosed with diabetes, 87.0% used oral medications or insulin, 10.6% used diet only, and 2.4% were untreated. Lacking a usual source of care, poor mental health, being single, and being an Asian/Pacific Islander are associated with ... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406367 Wed, 16 Nov 2011 01:21:02 +0100 5406367 http://www.medworm.com/index.php?rid=5406366&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080706%26dopt%3DAbstract Conclusions. Future research should explore specific diabetes self-care barriers/enablers and interventions should provide women with diabetes education, barrier management, and psychological support. Innovative delivery strategies are needed to provide this support in resource-limited rural communities. PMID: 22080706 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406366 Wed, 16 Nov 2011 01:21:02 +0100 5406366 http://www.medworm.com/index.php?rid=5406365&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080707%26dopt%3DAbstract Conclusion. Using a POC A1c method as a front-line screening test can facilitate the recruitment of KAs with type 2 diabetes, while saving cost, time, and effort. PMID: 22080707 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406365 Wed, 16 Nov 2011 01:21:02 +0100 5406365 http://www.medworm.com/index.php?rid=5406364&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080708%26dopt%3DAbstract This study describes the lifetime prevalence of self-reported asthma among American Indian and Alaska Native (AI/AN) people who participated in the Education and Research Towards Health (EARTH) study in Alaska. We conducted a cross-sectional analysis of asthma prevalence by sex and its associations with sociodemographic, health, and environmental factors. Among 3,828 AI/AN adults, we found a higher age-sex adjusted prevalence of asthma (15.4%) than is found in the general U.S. adult (11.0%) population based on the 2006 National Health Interview Survey. After multivariable analysis, self-reported asthma among men was associated with increased age, unemployment, lower income, and obesity. Among women, self-reported asthma was associated with increased age, being divorce... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406364 Wed, 16 Nov 2011 01:21:02 +0100 5406364 http://www.medworm.com/index.php?rid=5406363&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080709%26dopt%3DAbstract Authors: Vijayaraghavan M, Jacobs EA, Seligman H, Fernandez A Abstract Abstract:Limited data exist on whether structural factors associated with poverty such as inadequate housing and food insecurity affect diabetes care. In a sample of low-income participants with diabetes (N=711), we sought to determine if housing instability was associated with lower diabetes self-efficacy, and whether this relationship was mediated by food insecurity. We ordered housing from most to least stable. We observed a linear decrease in diabetes self-efficacy as housing instability increased (p<.01). After adjusting for age, sex, race/ethnicity, and alcohol or substance use, adults lacking a usual place to stay had lower self-efficacy than those who owned their own home (ß-c... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406363 Wed, 16 Nov 2011 01:21:02 +0100 5406363 http://www.medworm.com/index.php?rid=5406362&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080710%26dopt%3DAbstract Authors: Parrish MM, Miller L, Peltekof B Abstract Summary:This paper explores the presentation of severe depression among patients with accumulated trauma in the context of an urban community health center (primary care clinic) in California, as well as opportunities to address this phenomenon in light of diminished community-based mental health services. PMID: 22080710 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406362 Wed, 16 Nov 2011 01:21:02 +0100 5406362 http://www.medworm.com/index.php?rid=5406361&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080711%26dopt%3DAbstract Authors: Patrick G, Bisgaier J, Hasham I, Navarra T, Hickner J Abstract Abstract:Little is known about the primary-specialty care interface for underserved patients. In order better to understand inter-physician communication patterns in urban community health centers (CHCs), we conducted a retrospective chart review of specialty care referrals for patients from four South Side Chicago CHCs. Of the 406 identified referrals, 74% (n=301) were made from CHCs that employed referral coordinators and 64% (n=258) were made to affiliated specialists. Chart documentation of whether or not the patient attended the referred specialty visit was present for 43% (n=176) of referrals, and communication from the specialist to the referring clinician was present for 31% (n=127) ... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406361 Wed, 16 Nov 2011 01:21:02 +0100 5406361 http://www.medworm.com/index.php?rid=5406359&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080712%26dopt%3DAbstract Authors: Bermúdez-Millán A, Damio G, Cruz J, D'Angelo K, Segura-Pérez S, Hromi-Fiedler A, Pérez-Escamilla R Abstract Abstract:This qualitative research project explores how poverty, the built environment, education, working conditions, health care access, food insecurity and perceived discrimination are experienced by Puerto Rican Latinas through the course of their lives. Five focus groups were conducted with the primary objective of documenting community experiences and perspectives regarding: 1) stress, including perceived discrimination based on race/ethnicity (racism); 2) the impact of stress on Puerto Rican women of reproductive age, their families, and/or their community; and 3) stressors that affect maternal health. Focus groups were conducted in Engli... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406359 Wed, 16 Nov 2011 01:21:02 +0100 5406359 http://www.medworm.com/index.php?rid=5406356&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080713%26dopt%3DAbstract Conclusions. American Indian cancer patients who received PN services during their cancer treatment showed improvement in levels of satisfaction with health. However, no improvements were observed in levels of medical mistrust. PMID: 22080713 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406356 Wed, 16 Nov 2011 01:21:02 +0100 5406356 http://www.medworm.com/index.php?rid=5406355&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080714%26dopt%3DAbstract This study assessed the extent to which risk factors unreported during an intake interview were identified during a subsequent interview. A total of 708 pregnant women were screened and re-screened at three urban community health care centers between July 2007 and April 2010. Study participants were predominantly young (mean age 23.5 years), unmarried (75.1%) women of color (92.5%); 38.4% were foreign-born. The proportional increase in participants identified as being at risk for individual domains at the second interview ranged from 5.6% to 49.0% for the combined Moderate/High Risk classification and from 5.6% to 73.0% for the High Risk only classification. For women whose health and well-being are challenged by poverty, violence, social isolation, and other stressor... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406355 Wed, 16 Nov 2011 01:21:02 +0100 5406355 http://www.medworm.com/index.php?rid=5406351&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080715%26dopt%3DAbstract Conclusions. Providers at CHCs benefit from opportunities to learn and reflect together about communication challenges in practice. PMID: 22080715 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406351 Wed, 16 Nov 2011 01:21:02 +0100 5406351 http://www.medworm.com/index.php?rid=5406348&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080716%26dopt%3DAbstract This study investigated the influence of generational status, ethnicity, and mental/substance use disorders on physicians' inquiries about Asian American (AA) MH. Data from the National Latino and Asian American Study were analyzed (n=1,853). The outcome was past year physician's inquiry regarding MH. Results revealed that AA with U.S.-born parents had significantly greater odds compared to AA born outside the U.S. to report that their doctors inquired about their MH (OR=218, 95% CI: 1.28, 3.73). Past year mental/substance use disorder increased the odds of AA reporting that their doctors inquired about their MH (OR=8.41; 95% CI: 3.28, 21.66). This increase differed by ethnicity, with Chinese less affected than Vietnamese (OR=0.17; 95% CI: 0.05, 0.59). The reasons for... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406348 Wed, 16 Nov 2011 01:21:02 +0100 5406348 http://www.medworm.com/index.php?rid=5406347&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080717%26dopt%3DAbstract Conclusions. Negative experiences with contraceptive counseling may affect contraception utilization. Contraceptive education should respect each individual's autonomy, culture, and values. PMID: 22080717 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406347 Wed, 16 Nov 2011 01:21:02 +0100 5406347 http://www.medworm.com/index.php?rid=5406346&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080718%26dopt%3DAbstract Authors: Smith Fawzi MC, Holman SR, Kiley R, Li M, Barry D, Bandara S, Fuller A Abstract Abstract:While delivering innovative care for over 17 million children living with and affected by HIV/AIDS is a priority for today's global health community, most of these children's health needs remain unmet. Concerns about funding, implementation, and transparency continue to obstruct quality care for all. This paper discusses why services supported by macro-level funding, local initiatives, innovative financing, and enhanced long-term development strategies, are imperative. Concurrent advocacy and preventive measures, such as universal access to education, can sustain this investment in human capital. Such efforts may enhance economic growth, expand local capacity, and i... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406346 Wed, 16 Nov 2011 01:21:02 +0100 5406346 http://www.medworm.com/index.php?rid=5406345&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080719%26dopt%3DAbstract Conclusion. On most measures, MMC was rated either the same or better than FFS by SPD beneficiaries who voluntarily enrolled in MMC. PMID: 22080719 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406345 Wed, 16 Nov 2011 01:21:02 +0100 5406345 http://www.medworm.com/index.php?rid=5406339&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080720%26dopt%3DAbstract Conclusions. Exposure to small class size in grades K-3 appears to improve earnings and employment for black males and earnings for white males, while reducing employment and earnings among white females. PMID: 22080720 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406339 Wed, 16 Nov 2011 01:21:02 +0100 5406339 http://www.medworm.com/index.php?rid=5406338&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D22080721%26dopt%3DAbstract Authors: Brennan VM PMID: 22080721 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5406338 Wed, 16 Nov 2011 01:21:02 +0100 5406338 http://www.medworm.com/index.php?rid=5146786&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841272%26dopt%3DAbstract Authors: Kureshi S, Bullock K PMID: 21841272 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146786 Tue, 23 Aug 2011 14:20:03 +0100 5146786 http://www.medworm.com/index.php?rid=5146785&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841273%26dopt%3DAbstract This article reviews the cultural and religious factors that may facilitate or reduce HIV risk in Muslim communities. The theory of reasoned action and a harm reduction approach are utilized to demonstrate how the important concept of jihad can be integrated with HIV prevention theory to develop HIV prevention approaches at individual and structural levels. The proposed approach to HIV prevention must be validated, refined, and evaluated for specific cultures and locales through field testing. PMID: 21841273 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146785 Tue, 23 Aug 2011 14:20:03 +0100 5146785 http://www.medworm.com/index.php?rid=5146784&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841274%26dopt%3DAbstract This article examines the case for and against one possible solution to address these barriers to oral health care: the introduction of a mid-level dental provider (MDP) position within the dental field. PMID: 21841274 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146784 Tue, 23 Aug 2011 14:20:03 +0100 5146784 http://www.medworm.com/index.php?rid=5146783&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841275%26dopt%3DAbstract This report provides recommendations for the development and sustenance of community health workers. These recommendations are a result of the San Antonio Community Health Worker Summit held January 2010. Recommendations include defining the workforce, training standards, evaluating financial benefit, strategizing Medicaid reimbursement, and creating support networks. PMID: 21841275 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146783 Tue, 23 Aug 2011 14:20:03 +0100 5146783 http://www.medworm.com/index.php?rid=5146782&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841276%26dopt%3DAbstract Authors: Bakare MO, Igwe MN, Odinka PC, Iteke O Abstract Abstract:Mental hospital-based data on child and adolescent psychiatric services are uncommon in low-resource countries, although such data are important for service development and planning. Data are reported on neuropsychiatric diagnoses and psychotropic medication prescription in a child and adolescent psychiatric service in southeastern Nigeria. Schizophrenia-like and other psychotic disorders, followed by seizure disorders, were the most prevalent, while the least prevalent included autism spectrum disorders, enuresis, adolescent postpartum psychosis, and adjustment disorders, among others. Most frequently prescribed psychotropic medications included antipsychotics, benzodiazepines, and antiepileptics (either for seizure... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146782 Tue, 23 Aug 2011 14:20:03 +0100 5146782 http://www.medworm.com/index.php?rid=5146781&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841277%26dopt%3DAbstract Authors: Bardach SH, Tarasenko YN, Schoenberg NE Abstract Abstract:Social support generally is considered a valuable asset that may compensate for health service deficiencies among rural populations. Employing a mixed methods approach, we explored how vulnerable rural residents described social support in the context of self-management for multiple chronic conditions. Participants generally felt support was available, though emotional/informational support was perceived as less available than other types of support. Participants did not rely heavily on informal support to help them manage their multiple morbidities, preferring to call on their doctor and their own resources. We discuss implications of these findings for meeting this vulnerable population's self-management needs. ... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146781 Tue, 23 Aug 2011 14:20:03 +0100 5146781 http://www.medworm.com/index.php?rid=5146780&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841278%26dopt%3DAbstract Authors: Dubard CA, Schmid D, Bostrom S, Yow A, Viera AJ, Huston S, Lawrence W Abstract Abstract:Uncontrolled risk factors contribute substantially to cardiovascular disease burden. With retrospective chart review, we examined rates of cardiovascular risk factor assessment and intervention during the course of usual care for a representative sample of 3,742 adult North Carolina Medicaid recipients with diagnosed hypertension managed by a primary care provider. Most patients had been established with their provider for at least three years. Ninety-six percent had multiple modifiable risk factors. Blood pressure and cholesterol were above goal for 52.9% and 37.2% of patients, respectively. Among those with uncontrolled blood pressure, only 44.3% had intensification of therapy within ... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146780 Tue, 23 Aug 2011 14:20:03 +0100 5146780 http://www.medworm.com/index.php?rid=5146779&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841279%26dopt%3DAbstract Authors: Hodge FS, Nandy K Abstract Abstract:Wellness is an important American Indian (AI) concept, understood as being in balance with one's body, mind, and environment. Wellness predictors are reported in this paper within the context of health. A cross-sectional randomized household survey of 457 AI adults at 13 rural health care sites in California was conducted. Measures included wellness perceptions, barriers, health status/health conditions, spirituality, cultural connectivity, high-risk behaviors and abuse history. Statistical analysis obtained the best predictive model for wellness. Predictors of wellness were general health status perception, participation in AI cultural practices and suicide ideation. Significant differences in wellness status were observed depending on ... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146779 Tue, 23 Aug 2011 14:20:03 +0100 5146779 http://www.medworm.com/index.php?rid=5146778&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841280%26dopt%3DAbstract Conclusions. Telemedicine using digital imaging technology in the primary care office is a strategy that can be used to screen underserved and at-risk patients for DR, increase compliance with screening, and streamline specialist referrals. PMID: 21841280 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146778 Tue, 23 Aug 2011 14:20:03 +0100 5146778 http://www.medworm.com/index.php?rid=5146777&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841281%26dopt%3DAbstract Authors: Savageau JA, Ferguson WJ, Bohlke JL, Cragin LJ, O'Connell E Abstract Abstract:As the backbone of the safety-net system, community health centers (CHCs) provide access to essential services, yet contend with high provider turnover. Using an online survey, primary care physicians (PCPs) at 62 Massachusetts League of Community Health Centers member sites were queried about recruitment and retention factors. Nearly 300 (n=294) PCPs representing 46 CHCs completed the survey. Female physicians, those practicing in the greater Boston area, and those in practice for 10 or more years reported a higher likelihood of remaining in a CHC. Additional factors included: residency preparedness to practice in CHCs; the interview process; and satisfaction with the CHC's mission, patient dive... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146777 Tue, 23 Aug 2011 14:20:03 +0100 5146777 http://www.medworm.com/index.php?rid=5146776&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841282%26dopt%3DAbstract Authors: Simonds VW, Christopher S, Sequist TD, Colditz GA, Rudd RE Abstract Abstract:Identifying and addressing barriers and facilitators to good patient-provider clinical interactions may enhance participation in health-promoting behaviors. We used the critical incident technique to elicit descriptions of positive and negative patient-provider interactions from both patients and providers in a rural Native American community. Using the interview data, we developed a model that illustrates the factors affecting patient-provider interactions. Trust emerged as the central theme in the determination of whether an interaction is considered good or bad. Trust was influenced by four higher-level themes: visit context, visit expectations, history, and time. These higher-level themes also... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146776 Tue, 23 Aug 2011 14:20:03 +0100 5146776 http://www.medworm.com/index.php?rid=5146775&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841283%26dopt%3DAbstract Authors: Tsai J, Edens EL, Rosenheck RA Abstract Abstract:Studies of chronically homeless adults have not adequately investigated the impact of adverse childhood experiences. The current retrospective, longitudinal study profiles the childhood experiences reported by 738 participants in an 11-site supported housing initiative and examines how their childhood profile is related to their homeless history, their psychosocial status before entry into supported housing, and their outcomes once enrolled in supported housing. A two-step cluster analysis revealed three childhood profiles: Relatively Numerous Childhood Problems, Disrupted Family, and Relatively Few Childhood Problems. Results found that participants with Relatively Numerous Childhood Problems were significantly younger when... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146775 Tue, 23 Aug 2011 14:20:03 +0100 5146775 http://www.medworm.com/index.php?rid=5146774&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841284%26dopt%3DAbstract This study aimed to identify risk factors for racial and ethnic disparities for CT infection, re-infection, and persistent infection among pregnant women. We present a secondary analysis of births from a retrospective cohort study in Syracuse, NY from January 2000 through March 2002. African American women [OR 3.35 CI (2.29, 4.92)], Latin American women [OR 4.35 CI (2.52, 7.48)], unmarried women [OR 7.57 CI (4.38, 13.10)], and teen mothers [OR 3.87 CI (2.91, 5.16)] demonstrated statistically significant increased risk for infection. In multivariate analyses that included male partner variables, father's race/ethnicity but not the mother's race/ethnicity remained statistically associated with CT. Despite near universal rates of screening pregnant women, challenges to CT control remain and r... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146774 Tue, 23 Aug 2011 14:20:03 +0100 5146774 http://www.medworm.com/index.php?rid=5146773&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841285%26dopt%3DAbstract This report describes the steps taken to develop an evidence-based series of current smoking relapse-prevention booklets for Hispanic smokers. PMID: 21841285 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146773 Tue, 23 Aug 2011 14:20:03 +0100 5146773 http://www.medworm.com/index.php?rid=5146772&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841286%26dopt%3DAbstract Authors: Canales MK, Weiner D, Samos M, Wampler NS, Cunha A, Geer B Abstract Abstract:Cancer is the second leading cause of death among Native Americans, who have-some of the poorest cancer survival rates of any race/ethnicity nationwide. Considering the cancer burden experienced by Native Americans and the lack of research exploring Northeastern tribal communities' cancer experiences, a qualitative investigation of Native Americans' cancer coping strategies and health education needs was undertaken. Data were collected through group (74) and individual (17) interviews with 91 Native Americans from the Northeast. Relationships between intergenerational mistrust, individual mistrust, and utilization of biomedical health care systems for Northeastern Native Americans are presented. T... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146772 Tue, 23 Aug 2011 14:20:03 +0100 5146772 http://www.medworm.com/index.php?rid=5146771&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841287%26dopt%3DAbstract This report describes recruitment of minority cancer survivors for a randomized trial of I Can Cope, a support program of the American Cancer Society. Survivor Education and Evaluation (SURE), was designed to recruit patients, age 19 and older, with a primary cancer diagnosis. Recruitment was primarily carried out in a public hospital in Birmingham, Alabama. Of 373 patients approached, 226 were eligible for the study, 175 consented, and 140 were randomized during the 20-month recruitment period. Only 43 declined participation. This resulted in a 61.9% recruitment yield. The mean age of participants was 54.2 years (SD=10.9), 92 (65.7%) were female, and 111 (79.3%) were African American. Twenty-three different cancers were represented including breast (37.1%), colorectal (12.1%), hematologic... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146771 Tue, 23 Aug 2011 14:20:03 +0100 5146771 http://www.medworm.com/index.php?rid=5146770&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841288%26dopt%3DAbstract Authors: Shelton RC, Jandorf L, Ellison J, Villagra C, Duhamel KN Abstract Abstract:Few studies have examined barriers and facilitators to colorectal cancer (CRC) screening among Hispanics, particularly sociocultural factors that may be relevant. This paper examines the influence of sociocultural factors on adherence to fecal occult blood testing (FOBT) and colonoscopy. A survey was conducted among a sample of 400 low-income Hispanics in East Harlem, New York. Fatalism and health literacy were both significantly associated with colonoscopy screening adherence in bivariate models, though fatalism became non-significant and health literacy became less significant in multivariable models. With respect to adherence to colonoscopy or FOBT, both fatalism and health literacy were associat... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146770 Tue, 23 Aug 2011 14:20:03 +0100 5146770 http://www.medworm.com/index.php?rid=5146769&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841289%26dopt%3DAbstract Authors: Shi L, Lebrun LA, Zhu J, Tsai J Abstract Abstract:Using the National Health Interview Survey, we examined associations among race/ ethnicity, insurance coverage, and cancer screening, and assessed changes in the magnitude of disparities over the past decade. Outcomes included recent cervical, breast, and colorectal cancer screening. Rates of colorectal screening increased for all racial/ethnic groups and some insurance groups from 2000 to 2008. However, rates of Pap tests and mammograms remained stagnant, and even decreased for certain groups. Some Hispanic-White and Asian-White disparities in cancer screening were reduced or eliminated over this time period. However, in 2008 Asians continued to have lower odds of Pap tests and Hispanics lower odds of colorectal cancer scr... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146769 Tue, 23 Aug 2011 14:20:03 +0100 5146769 http://www.medworm.com/index.php?rid=5146768&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841290%26dopt%3DAbstract This study estimates if in prison tattooing is associated with self reported HCV infection in a probabilistic sample of 1,331 sentenced inmates in Puerto Rico prisons anonymously surveyed in 2004, who had previously been tested for HCV. Analysis were carried out with the total sample and among non-injectors (n=796) to control for injection drug use (IDU) and other confounders. Nearly 60% of inmates had acquired tattoos in prison. HCV was reported by 27% of subjects in the total sample and by 12% of non-injectors who had undergone tattoos in prison. IDU was the strongest predictor of HCV in the total sample (OR=5.6, 95% CI=3.2-9.7). Among non injectors, tattoing with reused needles or sharp objects and/ or reusing ink was positively associated with HCV self-report (OR=2.6, 95% CI=1.3-5.5). ... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146768 Tue, 23 Aug 2011 14:20:03 +0100 5146768 http://www.medworm.com/index.php?rid=5146767&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841291%26dopt%3DAbstract Authors: Perenyi A, Katz JS, Sklar T, Flom P Abstract We aimed 1) to define risk factors for adverse outcome in urban African American patients, 2) to determine whether clinical variables as risk factors are congruent with previously published data, and 3) to identify the proportion of infants with different outcomes. The study included African American infants who were born and participated in neurodevelopmental follow-up. Infants with gestational age range of 23 to 41 weeks, and birth weight (BW) range of 495 to 3,965 g were classified by developmental outcome. Among the smallest infants, BW, gestational age, gender and respiratory distress syndrome were significantly (p<.05) associated with adverse outcome. No significant risk factors were identified for adverse outcome i... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146767 Tue, 23 Aug 2011 14:20:03 +0100 5146767 http://www.medworm.com/index.php?rid=5146766&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841292%26dopt%3DAbstract Authors: Sadowski D, Devlin M, Hussain A Abstract Latinos are overrepresented among the uninsured in the U.S., and rural Latinos face a variety of barriers to accessing quality health care. The present study investigated the degree to which Latinos with diabetes living in non-metropolitan towns in the state of Iowa receive the recommended diabetes care services from health care providers vis-à-vis access to care. Four process measures were selected from the American Diabetes Association standards of medical care for diabetes: glycated hemoglobin tests, comprehensive foot examination, dilated eye examination, and cholesterol test. Results from this research found that just over half (54%) of the sample received all four of these diabetes care services. Adjusted logistic regression ... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146766 Tue, 23 Aug 2011 14:20:03 +0100 5146766 http://www.medworm.com/index.php?rid=5146765&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841293%26dopt%3DAbstract We examined parents' perceived needs regarding child health issues as they relate to SCD; who and what sources of information are utilized by parents regarding SCD; the frequency with which they consult these resources; and the level at which they trust them. Parents in this study reported that mothers, physicians, the Internet, and books were key sources of support, guidance, and counsel regarding the health needs of children with SCD. These three sources were rated high in importance, trust, frequency of contact, and perceived supportiveness toward mental and physical health needs. PMID: 21841293 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146765 Tue, 23 Aug 2011 14:20:03 +0100 5146765 http://www.medworm.com/index.php?rid=5146764&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841294%26dopt%3DAbstract The objectives of this study were (1) to describe the type and severity of chronic pain among overweight/obese Hispanic adults aged 40 years and older, and (2) to determine the association between chronic pain indices and key demographic variables, including excessive weight. Hispanic adults (N=101) were interviewed using validated questionnaires and measured for BMI and waist circumference. Data analyses revealed that most participants had widespread pain; 60% were suffering severe pain (including back, knee, and shoulder pain); the most common pain location was head (headache, 80%), followed by knee and upper back (75-76%), shoulder (73%) and lower back (73%). Greater obesity was associated with some negative pain outcomes. Results are relevant for pain management with this at-risk popul... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146764 Tue, 23 Aug 2011 14:20:03 +0100 5146764 http://www.medworm.com/index.php?rid=5146763&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841295%26dopt%3DAbstract Authors: Quiñonez C, Ieraci L, Guttmann A Abstract Abstract:Recently, attention has been placed on the issue of poor access to dental care, and the implications this may have for health care systems, in particular emergency department use for basic dental problems. In 2006, approximately 26,000 of 12 million Ontarians used acute-care hospital services for select dental problems, representing a cost of $16.4 million. There were 964 hospital admissions. The majority of use is by low-income adults. Although better access to dental care may lessen this burden on the health care system, the potential costs averted are considerably less than current proposals to improve access to dental care for low-income groups in Canada. Justifying renewed government investments in dental care in eco... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146763 Tue, 23 Aug 2011 14:20:03 +0100 5146763 http://www.medworm.com/index.php?rid=5146762&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841296%26dopt%3DAbstract Authors: Chen J, Rizzo JA, Ortega AN Abstract Abstract:Little is known about the impact of Medicare Part D on drug expenditures and access among different racial and ethnic groups, and its potential to reduce disparities. Using the Medical Expenditure Panel Survey from January 2004 to December 2007, we investigate the impact of Part D on drug expenditures and access among different racial and ethnic elderly Medicare beneficiaries (ages 65 and above). The results indicate that both total out-of-pocket drug expenditures and the probability of having unmet drug needs decreased significantly for Medicare beneficiaries after January 2006. Multivariate regression analyses reveal that total out-of-pocket payments decreased more for African American Medicare beneficiaries (non-dual), and t... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146762 Tue, 23 Aug 2011 14:20:03 +0100 5146762 http://www.medworm.com/index.php?rid=5146761&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841297%26dopt%3DAbstract Authors: Lebrun LA, Shi L Abstract Abstract:We conducted cross-country comparisons of Canada and the U.S., and assessed the extent to which access to care varies by nativity status overall, as well as in conjunction with race/ethnicity and socioeconomic status. Data came from the Joint Canada-U.S. Survey of Health (n.6,620 non-elderly adults). Access measures included having a regular medical doctor, consultation with a health professional in the past year, dentist visit in the past year, Pap test in the past three years, and any unmet health care needs in the past year. Logistic regression was employed to estimate the relative odds of access to care, adjusting for potential confounders. Disparities in access to care based on nativity status overall, as well as nativity-by-race joi... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146761 Tue, 23 Aug 2011 14:20:03 +0100 5146761 http://www.medworm.com/index.php?rid=5146760&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21841298%26dopt%3DAbstract Authors: Nguyen GT, Yuen EJ, Hsu L, Kue K, Nguyen T Abstract Abstract:Southeast (SE) Asians suffer from health disparities often caused by lack of preventive care, exacerbated by linguistic barriers which exclude many from surveys that fail to include minorities. This survey of linguistically-challenged SE Asians captured health status indicators, behaviors and access. Items were based upon Public Health Management Corporation's Household Health Survey. Participants were recruited by a community-based organization serving SE Asians; interviews were conducted in nine languages. Data were weighted to match age-sex distributions of Asians in Philadelphia. Of 527 interviews completed, 57% were U.S. citizens, 48% uninsured, 23% had gone without care due to cost. English was the main lan... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=5146760 Tue, 23 Aug 2011 14:20:03 +0100 5146760 http://www.medworm.com/index.php?rid=4844673&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551919%26dopt%3DAbstract Authors: Brennan VM PMID: 21551919 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844673 Fri, 20 May 2011 22:30:03 +0100 4844673 http://www.medworm.com/index.php?rid=4844672&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551920%26dopt%3DAbstract Authors: Hoffmann R, Little V PMID: 21551920 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844672 Fri, 20 May 2011 22:30:03 +0100 4844672 http://www.medworm.com/index.php?rid=4844671&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551921%26dopt%3DAbstract Authors: Dehlendorf C, Weitz T Abstract:Minority and low SES women have persistently and disproportionately higher rates of abortion than White and higher SES women, yet have limited access to these services. The response of governmental health agencies to these disparities in abortion has focused solely on decreasing the number of abortions, without attention to access to needed health services. This commentary seeks to build an understanding of how access to abortion care is currently impeded for low-income women and women of color and calls for an end to that omission. PMID: 21551921 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844671 Fri, 20 May 2011 22:30:03 +0100 4844671 http://www.medworm.com/index.php?rid=4844670&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551922%26dopt%3DAbstract Authors: Galarneau C Abstract:The health care reform signed by President Obama in March 2010 mirrors the Clinton reform proposal of 1993 in that both excluded undocumented immigrants from federal insurance coverage. In both cases substantive discussion of their possible inclusion was stifled by political timidity. This paper begins with a brief descriptive overview of undocumented immigrants in the U.S. and their health care and insurance coverage. It highlights the most common moral, economic, and public health arguments made for and against the inclusion of undocumented immigrants in the 2010 health care reform. The paper then asserts that undocumented immigrants are part of the U.S. health care community and urges health care workers to become more active participants in this policy... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844670 Fri, 20 May 2011 22:30:03 +0100 4844670 http://www.medworm.com/index.php?rid=4844669&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551923%26dopt%3DAbstract Authors: de Bittner MR, Zaghab RW Abstract:Positive health outcomes hinge on the effective use of medications especially among vulnerable, chronically ill, and aging populations. Yet, increasingly powerful and complex drug combinations are used to treat patients with chronic diseases and multiple health conditions. As treatment complexity increases the potential grows for non-adherence to medications due to side-effects, drug-disease interactions, costs, and patient confusion about medicines. Pharmacists are the medication experts on a health care team. Working in collaboration with the patient and the prescriber, pharmacists offer solutions that foster medication adherence, improve clinical outcomes and decrease drug-related adverse events. Their accessibility, extensive knowledge of ... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844669 Fri, 20 May 2011 22:30:03 +0100 4844669 http://www.medworm.com/index.php?rid=4844668&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551924%26dopt%3DAbstract Authors: Therrien N, Mattie A Abstract:Health care services provided to detained immigrants are inadequate to provide for the needs of this population. We analyzed the medical care policies and procedures for immigrants in detention, government reports on detainee medical care, and available mortality and morbidity data. We conclude that the current system of medical care for this vulnerable population needs improvement. We suggest that a federal legislative solution is one essential component to address this issue and improve medical care. Principles to be embodied in a legislative proposal necessary to address the inadequacies in the current system are presented. PMID: 21551924 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844668 Fri, 20 May 2011 22:30:03 +0100 4844668 http://www.medworm.com/index.php?rid=4844667&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551925%26dopt%3DAbstract Authors: Cooper CM, Ballard JE Abstract:Osteoporosis is a disease that primarily affects postmenopausal women of all ethnicities. Demographic projections indicate that the number of Hispanics over age 65 in the U.S. will increase from 2.9 million currently, to 17.5 million in 2050. A majority will be women. Recent research has increased understanding about biocultural correlates of osteoporosis in Hispanic women, and indicates that their risk for the disease is about equal to that of non-Hispanic White (NHW) women. Although Hispanics living in the U.S. share many biological and cultural characteristics with the general population, there are important differences in disease pre-disposition and associated morbidity that present challenges to osteoporosis prevention efforts. The purpose o... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844667 Fri, 20 May 2011 22:30:03 +0100 4844667 http://www.medworm.com/index.php?rid=4844666&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551926%26dopt%3DAbstract Authors: Little DR, Clasen ME, Hendricks JL, Walker IA Abstract:This paper demonstrates the impact of closure of a local mental health center on patients who suffer from severe mental illness. The authors analyze electronic health record data to show that these patients not only use emergency department services more than the general medical population, but also experience an increased length of stay in the emergency department. PMID: 21551926 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844666 Fri, 20 May 2011 22:30:03 +0100 4844666 http://www.medworm.com/index.php?rid=4844665&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551927%26dopt%3DAbstract Authors: Robbins JM, Thomas D, Torcato BR, Lisi LM, Robbins SW Abstract:In order to determine the proportion of infants seen in safety-net health clinics whose mothers initiated and sustained breastfeeding and to assess predictors of breastfeeding in this largely minority patient population, charts were reviewed for infants treated in the eight Philadelphia Health Centers. Breastfeeding was initiated by 42%; 7.5% breastfed for 180 or more days. Race/ethnicity, mother's age, birth weight, and prematurity were not associated with breastfeeding initiation or maintenance. There were differences in initiation rates between patients born in different hospitals, and between patients seen in different health centers. Hospital and health center differences in breastfeeding initiation and health... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844665 Fri, 20 May 2011 22:30:03 +0100 4844665 http://www.medworm.com/index.php?rid=4844664&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551928%26dopt%3DAbstract Authors: Roncancio AM, Ward KK, Berenson AB Abstract:In order to understand how culture influences Hispanic women's views about their health care provider (HCP), we examined the relationship between acculturation and fatalism in the HCP control expectations of Hispanic women. (A HCP control expectation is the extent to which an individual believes that her HCP has control over her health.) We predicted that acculturation would be negatively associated with HCP control expectations, and fatalism would be positively associated with HCP control expectations. A group of 1,027 young Hispanic women (mean age 21.24 years; SD=2.46) who were University of Texas Medical Branch clinic patients completed a comprehensive survey. Structural equation modeling was employed and, as predicted, accultura... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844664 Fri, 20 May 2011 22:30:03 +0100 4844664 http://www.medworm.com/index.php?rid=4844663&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551929%26dopt%3DAbstract This study examined whether various health care access and context factors, the quality of the patient-physician interaction, and medical mistrust predict satisfaction with health care among Latina immigrants in New York City. Structured interviews were conducted with 220 Latinas predominantly from the Dominican Republic and aged 40 years or over. Of the access to health care variables examined, greater waiting time predicted dissatisfaction with health care. Greater quality of the patient-physician interaction predicted less dissatisfaction. The effect of the patient-physician interaction on dissatisfaction was mediated, in part, by waiting time. The results illustrate the important role of specific health care factors in satisfaction with care. PMID: 21551929 [PubMed - in process] (S... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844663 Fri, 20 May 2011 22:30:03 +0100 4844663 http://www.medworm.com/index.php?rid=4844662&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551930%26dopt%3DAbstract Conclusion. Significant inter-related barriers exist at the individual, provider, and system levels. Strategies to improve access include targeting social programs and mental health services, expanding Medicaid eligibility/enrollment, promoting community-based organizations, enforcing the use of trained medical interpreters, and improving cultural competency. PMID: 21551930 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844662 Fri, 20 May 2011 22:30:03 +0100 4844662 http://www.medworm.com/index.php?rid=4844661&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551931%26dopt%3DAbstract Authors: Blanchfield BB, Gazelle GS, Khaliif M, Arocha IS, Hacker K Abstract:The availability of language services for patients with limited English proficiency has become a standard of care in the United States. Finding the resources to pay for language programs is challenging for providers, payers, and policymakers. There is no federal payment policy and states are developing policies using different methodologies for determining costs and reimbursement rates. This paper establishes a conceptual framework that identifies program costs, can be used across health care entities, and can be understood by administrators, researchers, and policymakers to guide research and analysis and establish a common ground for informed strategic discussion of payment and reimbursement policy. Using ca... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844661 Fri, 20 May 2011 22:30:03 +0100 4844661 http://www.medworm.com/index.php?rid=4844660&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551932%26dopt%3DAbstract Conclusion. This study is far-reaching and can be used to lessen the health disparities between and among social hierarchies in Jamaica. Health policies in Jamaica must be adopted that will address the social determinants of health. They should aim at making the health system more effective in reaching the poorest in the nation, especially those in rural areas. PMID: 21551932 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844660 Fri, 20 May 2011 22:30:03 +0100 4844660 http://www.medworm.com/index.php?rid=4844659&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551933%26dopt%3DAbstract Authors: Bynum SA, Brandt HM, Sharpe PA, Williams MS, Kerr JC Abstract:Factors associated with greater likelihood of human papillomavirus (HPV) vaccination among women who experience excess cervical cancer incidence and mortality requires further study. The purpose of this study was to assess factors associated with HPV vaccine uptake among young African American women. Three hundred sixty-three African American women aged 18-26 were recruited from Historically Black Colleges/Universities to complete a questionnaire to assess health beliefs associated with HPV vaccination. Onequarter of participants reported uptake of the HPV vaccine. Women who reported uptake had significantly higher HPV knowledge, lower perceived barriers to vaccination, and were younger (all p<.05). Factors s... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844659 Fri, 20 May 2011 22:30:03 +0100 4844659 http://www.medworm.com/index.php?rid=4844658&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551934%26dopt%3DAbstract Authors: Carrillo JE, Carrillo VA, Perez HR, Salas-Lopez D, Natale-Pereira A, Byron AT Abstract:The impact of social and economic determinants of health status and the existence of racial and ethnic health care access disparities have been well-documented. This paper describes a model, the Health Care Access Barriers Model (HCAB), which provides a taxonomy and practical framework for the classification, analysis and reporting of those modifiable health care access barriers that are associated with health care disparities. The model describes three categories of modifiable health care access barriers: financial, structural, and cognitive. The three types of barriers are reciprocally reinforcing and affect health care access individually or in concert. These barriers are associated with ... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844658 Fri, 20 May 2011 22:30:03 +0100 4844658 http://www.medworm.com/index.php?rid=4844657&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551935%26dopt%3DAbstract Conclusions. Gains in children's coverage and access to care during CHIP expansions have since stagnated or even reversed for some groups. Recent legislation to expand coverage for uninsured children (the PPACA of 2010) may redress these adverse changes in trends. PMID: 21551935 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844657 Fri, 20 May 2011 22:30:03 +0100 4844657 http://www.medworm.com/index.php?rid=4844656&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551936%26dopt%3DAbstract Conclusion. Immigrant women do not appear to be protected against a large body size, compared with immigrant men. Among the U.S.-born, women who retain Spanish are at higher risk for larger body size than exclusive English speakers. Initiatives targeting obesity should address differentials in body size patterns among immigrant and U.S.-born Mexican American men and women. PMID: 21551936 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844656 Fri, 20 May 2011 22:30:03 +0100 4844656 http://www.medworm.com/index.php?rid=4844655&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551938%26dopt%3DAbstract Authors: Lo CC, Cheng TC Abstract:A secondary dataset, Collaborative Psychiatric Epidemiology Surveys (CPES), 2001-2003, was employed to examine racial/ethnic differences in access to specialty and non-specialty substance abuse treatment (compared with no access to treatment). The study found that non-Hispanic White Americans were (1) likelier than members of all racial/ethnic minority groups (other than Hispanics) to address substance abuse by accessing care through specialty addiction-treatment facilities, and were (2) also less likely to access substance abuse care through non-specialty facilities. Because non-specialty facilities may have staffs whose professional training does not target treating chronic, bio-psycho-social illness such as substance abuse, our results imply that tr... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844655 Fri, 20 May 2011 22:30:03 +0100 4844655 http://www.medworm.com/index.php?rid=4844654&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551939%26dopt%3DAbstract Authors: McHugh M, Martin TC, Orwat J, Dyke KV Abstract:In 2008, Medicare implemented a policy limiting reimbursement to hospitals for treating avoidable hospital-acquired conditions (HACs). Although the policy will expand nationally to Medicaid programs in 2011, little is known about the impact on safety-net hospitals. Using data from the 2006 American Hospital Association Annual Survey and MEDPAR, we compared the incidence of cases that met the HACs criteria at safety-net and non-safety-net hospitals. We found that safety-net hospitals had an average of 65.5 HACs per 1,000 Medicare discharges compared with 57.6 at non-safety-net hospitals. Hospitals in the lowest quintile for financial margins had higher rates of HACs on average than other hospitals. Safety-net hospitals and hospital... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844654 Fri, 20 May 2011 22:30:03 +0100 4844654 http://www.medworm.com/index.php?rid=4844653&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551940%26dopt%3DAbstract Conclusions. This is the most comprehensive study of oral health among disadvantaged children of Los Angeles County. The study documented an epidemic of dental caries in the County, the oral health profiles of disadvantaged children, and prepared for the design of appropriate intervention programs. PMID: 21551940 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844653 Fri, 20 May 2011 22:30:03 +0100 4844653 http://www.medworm.com/index.php?rid=4844652&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551941%26dopt%3DAbstract Authors: Okolo CO, Reidpath DD, Allotey P Abstract:The past decade has recorded remarkable interest in socioeconomic inequalities in health care. A multivariate analysis of the World Health Survey data for Burkina Faso was conducted using STATA. This included questions on household economic factors, perceived need, and access to health care. Poverty was defined using Principal Components Analysis. There was no significant difference in perceived need on the basis of poverty or gender. The less poor accessed health care more than the poor, but this difference was significant only among males. Respondents who lived in urban areas accessed health care more than those in rural areas, but this difference was significant only among females. We argue that health care financing arrangements af... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844652 Fri, 20 May 2011 22:30:03 +0100 4844652 http://www.medworm.com/index.php?rid=4844651&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21551942%26dopt%3DAbstract This article investigates public support for including undocumented immigrants in state health care reform efforts in New Mexico. Understanding the public's perception of extending health coverage to this population is important because public opinion influences health policy formation at the state and federal levels. Our results suggest that there is little support for including undocumented immigrants (or recent migrants from other parts of the United States) in state health care reform, particularly when compared with other segments of the New Mexican population, such as the homeless or unemployed. Our discussion highlights the economic and public health consequences of excluding undocumented immigrants from coverage options. PMID: 21551942 [PubMed - in process] (Source: Journal of ... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4844651 Fri, 20 May 2011 22:30:03 +0100 4844651 http://www.medworm.com/index.php?rid=4623840&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21409850%26dopt%3DAbstract Authors: Katz RV, Green BL, Dearing BA PMID: 21409850 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4623840 Wed, 23 Mar 2011 19:30:03 +0100 4623840 http://www.medworm.com/index.php?rid=4507370&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317501%26dopt%3DAbstract Authors: Brennan VM PMID: 21317501 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507370 Wed, 23 Feb 2011 03:30:05 +0100 4507370 http://www.medworm.com/index.php?rid=4507369&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317502%26dopt%3DAbstract Authors: Withers J PMID: 21317502 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507369 Wed, 23 Feb 2011 03:30:05 +0100 4507369 http://www.medworm.com/index.php?rid=4507368&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317503%26dopt%3DAbstract Authors: Ndumele CD, Ableman G, Russell BE, Gurrola E, Hicks LS Abstract:The relative effectiveness of strategies to recruit minority patients, populations traditionally difficult to engage in research, for focus groups is unclear. We conducted a systematic review of all peer-reviewed focus group studies targeting Black and/or Hispanic participants with diabetes, hypertension, asthma, and/or cardiovascular disease reported in Pubmed, MEDLINE, and CINAHL from January 1993 through August 2009. Reviewers extracted data on each study's characteristics, methods, and outcomes. Forty-five studies were eligible. While most described recruitment strategies, only 21 presented any metric of their success in recruiting participants. Among studies with high recruitment success rates, no discernable... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507368 Wed, 23 Feb 2011 03:30:05 +0100 4507368 http://www.medworm.com/index.php?rid=4507367&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317504%26dopt%3DAbstract Authors: Felder TM, Palmer NR, Lal LS, Mullen PD Abstract:Pharmaceutical patient assistance programs (PAPs) have the potential to improve prescription drug accessibility for eligible patients, but currently there is limited information regarding their effectiveness. In an attempt to provide a systematic description of primary studies on PAPs, we reviewed 33 unique studies from commercial and grey literature (e.g., government publications, conference abstracts) sources: 15 health care outcome evaluations, seven economic evaluations, seven surveys and four miscellaneous studies. Enrollment assistance for PAPs with additional medication services (e.g., counseling) was significantly associated with improved glycemic (standardized mean difference = -0.40, 95% CI = -0.59,-0.20; k = 3 one-gro... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507367 Wed, 23 Feb 2011 03:30:05 +0100 4507367 http://www.medworm.com/index.php?rid=4507366&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317505%26dopt%3DAbstract Authors: Asomugha CN, Derose KP, Lurie N Abstract:Over the last three decades, there has been increasing interest in the role that faith-based organizations (FBOs) can play in promoting health and health care access among underserved populations. Although the research literature on church-based health interventions is growing, there are relatively few rigorous evaluations of their effectiveness in addressing health and health care outcomes. Establishing a national faith-based health research network is an excellent opportunity to create an evaluative infrastructure and generate new research on health programs and their effectiveness in FBO settings. PMID: 21317505 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507366 Wed, 23 Feb 2011 03:30:05 +0100 4507366 http://www.medworm.com/index.php?rid=4507365&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317506%26dopt%3DAbstract This study examines factors associated with graduating dental students' altruistic attitudes. We use a nationally representative dataset, the 2007 American Dental Education Association Survey of Dental School Seniors (n = 3,841), and a comprehensive framework to investigate individual, school, and community characteristics that may influence altruism. Student characteristics were the most significant predictors: women, African Americans, Hispanics, Asian/Pacific Islanders, and students with low socioeconomic status expressed greater altruism than their counterparts. These results inform dental educators and administrators to expand efforts to recruit underrepresented racial/ethnic and low-income students into dentistry. Additionally, we found that students with altruistic personalities att... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507365 Wed, 23 Feb 2011 03:30:05 +0100 4507365 http://www.medworm.com/index.php?rid=4507363&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317507%26dopt%3DAbstract Conclusions. Though financial responsibility is highly valued, poverty and related social factors are significant barriers to men's ability to achieve this goal. Discussions with men about family planning should reflect these realities. PMID: 21317507 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507363 Wed, 23 Feb 2011 03:30:05 +0100 4507363 http://www.medworm.com/index.php?rid=4507362&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317508%26dopt%3DAbstract Authors: Fiscella K, Humiston S, Hendren S, Winters P, Jean-Pierre P, Idris A, Ford P Abstract:Health and health care disparities related to cancer are a major public health problem in the United States. Providing care that is truly patient-centered could address disparities in cancer screening and follow-up through better alignment between patient needs and health care resources available to address those needs. Key health care reforms offer promise for doing so. PMID: 21317508 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507362 Wed, 23 Feb 2011 03:30:05 +0100 4507362 http://www.medworm.com/index.php?rid=4507361&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317509%26dopt%3DAbstract Authors: Thomas JF, Temple JR, Perez N, Rupp R Abstract:Psychological problems are overlooked and undertreated in adolescents, especially in low-income and ethnically-diverse youth. School-based health centers are one way to increase health care utilization, and may be particularly important for accessing hard-to-reach populations. The present study examines adolescents' psychological health and their experiences with receiving needed mental health care. Participants included 1,695 African-American (31%), Hispanic (38%), and White (31%) high-school students in southeast Texas. All students were from the same high school and all had access to a school-based mental health clinic. Twenty six percent of the sample had symptoms indicative of major depression, and 18% had scores consistent w... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507361 Wed, 23 Feb 2011 03:30:05 +0100 4507361 http://www.medworm.com/index.php?rid=4507360&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317510%26dopt%3DAbstract Authors: Boykin S, Diez-Roux AV, Carnethon M, Shrager S, Ni H, Whitt-Glover M Abstract:Many studies document racial variation, gender differences, and socioeconomic status (SES) patterning in cardiovascular disease (CVD) risk factors but few studies have investigated heterogeneity in SES differences by race/ethnicity or gender. Using data from the Multi-Ethnic Study of Atherosclerosis (N = 6,814) and stratified regression models, we investigated race/ethnic differences in the SES patterning of diabetes, hypertension, smoking, and body mass index (BMI). Inverse socioeconomic gradients in hypertension, diabetes, smoking, and BMI were observed in White and Black women but associations were weaker or absent in Hispanic and Chinese women (except in the case of diabetes for Hispanic women). ... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507360 Wed, 23 Feb 2011 03:30:05 +0100 4507360 http://www.medworm.com/index.php?rid=4507359&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317511%26dopt%3DAbstract In this study, we examined the relationship between race and treatment delay among breast cancer patients diagnosed between 2003 and 2006 with Stage I-III breast cancer from the National Cancer Database (n = 250,007). We evaluated factors associated with receipt of initial treatment more than 30, 60, and 90 days after biopsy using multivariable log binomial models to estimate risk ratios (RR) and 95% confidence intervals (CI). The average time to treatment was 34.30 days (±31.77). Independent of health insurance, stage at diagnosis, and age, Black and Hispanic patients had higher risks of 30, 60, and 90-day treatment delay compared with White patients. Further studies are needed to define the role of structural, health system, physician, clinical and patient factors in treatment delay amo... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507359 Wed, 23 Feb 2011 03:30:05 +0100 4507359 http://www.medworm.com/index.php?rid=4507358&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317512%26dopt%3DAbstract This study highlights the importance of considering ethnic diversity, nativity and immigration as independent sources of variation in health status within the American Black population. PMID: 21317512 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507358 Wed, 23 Feb 2011 03:30:05 +0100 4507358 http://www.medworm.com/index.php?rid=4507357&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317513%26dopt%3DAbstract Conclusions. Health care reform policies aimed solely at increasing health insurance may not uniformly eliminate USOC disparities disfavoring U.S. and foreign-born non-Hispanic Black men. PMID: 21317513 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507357 Wed, 23 Feb 2011 03:30:05 +0100 4507357 http://www.medworm.com/index.php?rid=4507355&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317514%26dopt%3DAbstract Conclusion. The findings from this study may lead to the development of effective intervention and policies that increase cervical cancer screening in this population. PMID: 21317514 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507355 Wed, 23 Feb 2011 03:30:05 +0100 4507355 http://www.medworm.com/index.php?rid=4507354&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317515%26dopt%3DAbstract Authors: Hunt BR, Whitman S Abstract:Birth certificate data were employed to determine the prevalence of maternal smoking in Chicago communities by race and ethnicity. For purposes of comparison, we present data for the U.S. and the city of Chicago as a whole. Across the city of Chicago, 5.6% of women smoked during pregnancy, a rate much lower than the national average of 13.9%. The maternal smoking rate among non-Hispanic (NH) Black women (11.8%) was more than twice that of NH White women (4.5%) and almost 10 times that of Hispanic women (1.2%). For predominantly NH White and NH Black communities, we observed a significant, negative relationship between household income and the percentage of women who smoke during pregnancy. The prevalence of smoking among NH Black women in Chicago wa... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507354 Wed, 23 Feb 2011 03:30:05 +0100 4507354 http://www.medworm.com/index.php?rid=4507351&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317516%26dopt%3DAbstract Conclusions. In addition to race/ethnicity, health literacy and English proficiency may be bases of discrimination. Evaluation is needed to determine whether patients are treated differently or more apt to perceive discrimination, and whether depression fosters and/or follows perceived discrimination. PMID: 21317516 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507351 Wed, 23 Feb 2011 03:30:05 +0100 4507351 http://www.medworm.com/index.php?rid=4507348&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317517%26dopt%3DAbstract This report discusses an interdisciplinary underserved practice that was reorganized in 2008 allowing for practice improvement and greater community presence. Current practice structure is discussed and a model provided that can enhance productivity, revenue, and community outreach. PMID: 21317517 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507348 Wed, 23 Feb 2011 03:30:05 +0100 4507348 http://www.medworm.com/index.php?rid=4507339&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317518%26dopt%3DAbstract Conclusions. The opt-out policy is associated with a moderate (1.4 fold) increase in the vaccination rate. Primary care resource constraints may limit further improvement. PMID: 21317518 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507339 Wed, 23 Feb 2011 03:30:05 +0100 4507339 http://www.medworm.com/index.php?rid=4507337&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317519%26dopt%3DAbstract Conclusions. Indian Health Service/tribal providers are knowledgeable about when to begin CRC screening; however, education about the appropriate use and frequency of CRC tests is needed. PMID: 21317519 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507337 Wed, 23 Feb 2011 03:30:05 +0100 4507337 http://www.medworm.com/index.php?rid=4507333&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317520%26dopt%3DAbstract Conclusion. This group of Medicare beneficiaries would have experienced difficulty in using their benefits and obtaining their medication without considerable help from professionals and family members. PMID: 21317520 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507333 Wed, 23 Feb 2011 03:30:05 +0100 4507333 http://www.medworm.com/index.php?rid=4507329&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317521%26dopt%3DAbstract This study highlights the need for culturally-tailored measures and interventions to address the specific needs within this population. PMID: 21317521 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507329 Wed, 23 Feb 2011 03:30:05 +0100 4507329 http://www.medworm.com/index.php?rid=4507328&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317522%26dopt%3DAbstract Conclusions. The FLU-FOBT Program as adapted was effective at increasing CRCS rates for primary care patients in this low-income Chinese American community. PMID: 21317522 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507328 Wed, 23 Feb 2011 03:30:05 +0100 4507328 http://www.medworm.com/index.php?rid=4507327&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317523%26dopt%3DAbstract In this study we seek to assess recent trends in complementary and alternative medicine (CAM) use based on a comparative analysis of data from the 2002 and 2007 National Health Interview Survey (NHIS). The findings suggest that CAM use, in particular the use of provider-based CAM therapies such as chiropractic care, massage, and acupuncture, have grown significantly in the U.S. This growth was more pronounced among non-Hispanic Whites than among racial and ethnic minorities, increasing an already existing White-minority gap in CAM use. Findings from this study also reveal that CAM use becomes more likely when access to conventional care has been restricted. In both 2002 and 2007, having unmet needs in medical care or having delayed care due to cost were associated with a higher chance of C... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507327 Wed, 23 Feb 2011 03:30:05 +0100 4507327 http://www.medworm.com/index.php?rid=4507326&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317524%26dopt%3DAbstract Authors: Zweifler J, Prado K, Metchnikoff C Abstract:An effective and efficient publicly sponsored health care delivery system can increase access to care, improve health care outcomes, and reduce spending. A publicly sponsored health care delivery system can be created by integrating services that are already federally subsidized: community health centers (CHCs), public and safety-net hospitals, and residency training programs. The Patient Protection and Affordable Care Act includes measures that support primary care generally and CHCs in particular. A publicly sponsored health care delivery system combining primary care based in CHCs with safety-net hospitals and the specialists that serve them could also benefit from incentives in the Patient Protection and Affordable Care Act for t... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507326 Wed, 23 Feb 2011 03:30:05 +0100 4507326 http://www.medworm.com/index.php?rid=4507325&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317525%26dopt%3DAbstract Authors: Weiland K, Neidell M, Rauh V, Perera F Abstract:Early life exposure to ambient polycyclic aromatic hydrocarbons (PAHs) can result in developmental delay. The negative health effects of PAHs have been well-documented but the cost of developmental delay due to PAH exposure has not been studied. The Columbia Center for Children's Environmental Health previously has reported the significant effect of prenatal exposure to ambient PAHs on delayed mental development at three years, using the Bayley Scales in a cohort of low-income women and children in New York City (NYC). Here we have used the cohort results to estimate the annual costs of preschool special education services for low-income NYC children with developmental delay due to PAH exposure using the Environmentally Attributa... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507325 Wed, 23 Feb 2011 03:30:05 +0100 4507325 http://www.medworm.com/index.php?rid=4507323&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317526%26dopt%3DAbstract Authors: Chesnut TJ, Laufer FN, Carrascal AF, Feldman IS Abstract:A retrospective analysis was conducted of federal fiscal year (FFY) 2007 New York State Medicaid claims and expenditure data to examine variation in expenditures among New York State Medicaid recipients with HIV disease and the extent to which this variation could be attributed to the prevalence of comorbidities and other chronic conditions unrelated to HIV disease. Median expenditures per person for the period for a high-cost group (those for whom expenditures exceeded $100,000 for the period) were over $157,000, with 40% of total expenditures for this group for treatment unrelated to their HIV disease. The prevalence of comorbidities in the high-cost population is very high, the most common being substance abuse and me... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507323 Wed, 23 Feb 2011 03:30:05 +0100 4507323 http://www.medworm.com/index.php?rid=4507321&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317527%26dopt%3DAbstract Authors: Goldberg D, Benson JL, Schiff G, Pandey T Abstract:To determine the proportions of countywide expenditures and service delivery for the Cook County Health and Hospitals System (CCHHS), we obtained data from the CCHHS budget; CCHHS registration, program, and pharmacy databases; public health departments and organization reports; and federal agency estimates. The annual CCHHS budget of $1.2B represents 3.4% of total Cook County health care expenditures. Eight of the nine population-based proportions of health care services delivered by the CCHHS exceeded this proportion of health expenditures by factors of 1.3-8 times. These services include diagnosis of tuberculosis, sexually transmitted diseases, and cancers; care of very low birth weight babies; primary care for HIV and diabe... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507321 Wed, 23 Feb 2011 03:30:05 +0100 4507321 http://www.medworm.com/index.php?rid=4507320&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317528%26dopt%3DAbstract Authors: Shaefer HL, Grogan CM, Pollack HA Abstract:This paper examines families of children who transition from private to public health insurance. These transitions include, but are not limited to, transitions that con-stitute crowd-out. We pool longitudinal panels from the Survey of Income and Program Participation (SIPP) covering 1990 to 2005. The annual rate of children who transition from private to public coverage more than doubled over this period, although it remains small. Transitioning children in recent years are typically in working families with median incomes of around 200% of poverty. Children who transition from private to public coverage are more likely to belong to minority groups, to have lower incomes, and to be in poorer health than children remaining privately in... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507320 Wed, 23 Feb 2011 03:30:05 +0100 4507320 http://www.medworm.com/index.php?rid=4507319&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317529%26dopt%3DAbstract Authors: Wiltshire JC, Dark T, Brown RL, Person SD Abstract:Women are more likely than men to forgo, delay, and ration medical care because of medical debt. Using 2003-04 Community Tracking Study Household Survey data, this study examined gender differences in five financial hardships associated with medical debt. Regression analyses accounting for predisposing, enabling, and need factors of health services use indicated women were less likely to report being contacted by a collection agency (b=-0.15, p<.05), using savings (b=-0.23, p<.005), or having any financial hardships associated with medical debt (b=-0.24, p<.05). There were no significant gender differences in putting off major purchases, borrowing money, and problems paying for necessities. Similarly, ther... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507319 Wed, 23 Feb 2011 03:30:05 +0100 4507319 http://www.medworm.com/index.php?rid=4507314&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21317530%26dopt%3DAbstract Authors: Imler E, Katz RV, Green BL, Dearing BA, Scharff DP PMID: 21317530 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4507314 Wed, 23 Feb 2011 03:30:05 +0100 4507314 http://www.medworm.com/index.php?rid=4210380&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099062%26dopt%3DAbstract Authors: Brennan VM PMID: 21099062 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210380 Tue, 30 Nov 2010 16:40:04 +0100 4210380 http://www.medworm.com/index.php?rid=4210379&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099063%26dopt%3DAbstract Authors: Little V PMID: 21099063 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210379 Tue, 30 Nov 2010 16:40:04 +0100 4210379 http://www.medworm.com/index.php?rid=4210378&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099064%26dopt%3DAbstract Authors: Bazazi AR, Zaller ND, Fu JJ, Rich JD Abstract:Opiate overdose persists as a major public health problem, contributing to significant morbidity and mortality among opiate users globally. Opiate overdose can be reversed by the timely administration of naloxone. Programs that distribute naloxone to opiate users and their acquaintances have been successfully implemented in a number of cities around the world and have shown that non-medical personnel are able to administer naloxone to reverse opiate overdoses and save lives. Objections to distributing naloxone to non-medical personnel persist despite a lack of scientific evidence. Here we respond to some common objections to naloxone distribution and their implications. PMID: 21099064 [PubMed - in process] (Source: Journal of H... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210378 Tue, 30 Nov 2010 16:40:04 +0100 4210378 http://www.medworm.com/index.php?rid=4210377&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099065%26dopt%3DAbstract Conclusions. Further research is needed to determine the consequences of and potential interventions to improve these poor experiences. PMID: 21099065 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210377 Tue, 30 Nov 2010 16:40:04 +0100 4210377 http://www.medworm.com/index.php?rid=4210376&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099066%26dopt%3DAbstract This study examined demographic, illness perception, and psychological variables as predictors of employment status among 115 adult respondents who completed a cross-sectional survey as part of the Cooperative Study of Sickle Cell Disease. Logistic regression analysis indicated that gender, assertiveness, and perceived impact of SCD were unique predictors of employment status. Women were 2.88 times more likely to be employed than men, and the odds of being employed increased by a factor of 2.47 for each one unit decrease in assertiveness. More favorable perceptions of SCD were also associated with a two-fold increase in employment. The results suggest that demographic and psychosocial factors may play a more important role in predicting employment outcomes in adults with SCD than previousl... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210376 Tue, 30 Nov 2010 16:40:04 +0100 4210376 http://www.medworm.com/index.php?rid=4210375&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099067%26dopt%3DAbstract Authors: Boehmer U, Harris J, Bowen DJ, Schroy PC Abstract:Our objective was to assess colorectal cancer (CRC) surveillance among a diverse patient population receiving care at a safety net hospital. We used administrative and clinical data to identify patients with a non-metastatic CRC diagnosis. We identified whether endoscopic surveillance occurred within one or three years of resection. Of the 253 CRC patients, 56% had colonoscopic surveillance within three years, but only 27% within one year of resection. Timely surveillance was more common for male, married, or more educated patients, those with more visits, and those with fewer comorbidities. After adjusting for confounders, there were no racial/ethnic differences in timely one-year surveillance, yet Black patients were more lik... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210375 Tue, 30 Nov 2010 16:40:04 +0100 4210375 http://www.medworm.com/index.php?rid=4210374&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099068%26dopt%3DAbstract This study compares problematic care experiences among Latinos with diabetes across usual care sites (community health centers [CHCs], private physician practices, or without a usual source of care), using a national sample of Latino diabetic patients (N=583). Nearly half of the respondents reported at least one problematic care experience during their last clinician visit. Compared with respondents treated primarily by private physicians, respondents receiving care in CHCs or without a usual source of care reported more problematic care experiences. However, patient health insurance coverage and acculturation accounted for the highest proportion of explainable differences in problematic care experiences between CHCs and private physician offices. Initiatives should clarify the extent to w... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210374 Tue, 30 Nov 2010 16:40:04 +0100 4210374 http://www.medworm.com/index.php?rid=4210373&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099069%26dopt%3DAbstract Authors: Shi L, Lebrun LA, Tsai J, Zhu J Abstract:The overall aim was to determine whether health care delivery for vulnerable populations served by community health centers (CHCs) was comparable to care for mainstream Americans primarily seen in physicians' offices (POs). Data came from the 2006 National Ambulatory Medical Care Survey. Patient visits occurring in CHCs were largely from younger, uninsured or Medicaid-insured, minority populations, while POs catered mainly to older, Medicare- or privately-insured, White patients. Communities served by CHCs were more often in low-income, low-education, urban regions. A greater proportion of visits to CHCs were from diabetic, obese, and depressed patients; CHCs also offered more evening/weekend visits and provided more health education du... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210373 Tue, 30 Nov 2010 16:40:04 +0100 4210373 http://www.medworm.com/index.php?rid=4210372&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099070%26dopt%3DAbstract Authors: Brown SC, Geiselman PJ, Broussard T Abstract:There is a lack of data on the dietary patterns and food preferences of African American women attending historically Black colleges and universities (HBCUs). African American women have higher death rates from cardiovascular disease than White women, and the initiating events of cardiovascular disease often begin in young adulthood. The purpose of this study was to identify the dietary patterns and food preferences of African American college women, which may act as risk factors for cardiovascular disease. A convenience sample of 100 African American women, ages 18 to 40 years, was administered two surveys assessing food preferences and dietary patterns. The majority of the participants (65%) preferred high-fat foods, and most of t... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210372 Tue, 30 Nov 2010 16:40:04 +0100 4210372 http://www.medworm.com/index.php?rid=4210371&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099071%26dopt%3DAbstract Conclusions. Incarceration was significantly associated with HIV-HCV co-infection in our sample. Further examination is warranted to develop policies for HCV prevention and treatment within the prison system. PMID: 21099071 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210371 Tue, 30 Nov 2010 16:40:04 +0100 4210371 http://www.medworm.com/index.php?rid=4210370&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099072%26dopt%3DAbstract This study's aim was to examine possible correlates of physical activity in NHPI adults. Height and weight were recorded in N=100 NHPIs (46.9±5.4 years; 56% males) following completion of an anonymous questionnaire addressing health behaviors (physical activity, smoking, diet), psychosocial characteristics (social support, barriers, stage of change), neighborhood environment attributes, and knowledge of physical activity recommendations. This study sample demonstrated low physical activity (20% met recommendations) and fruit and vegetable (F&V) consumption (1% met recommendations), and a high prevalence of overweight or obesity (94%). After adjusting for gender and education, F&V intake was the only significant correlate of physical activity (p<.001). Common correla... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210370 Tue, 30 Nov 2010 16:40:04 +0100 4210370 http://www.medworm.com/index.php?rid=4210369&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099073%26dopt%3DAbstract Conclusion. Emancipated migrant youth are a vulnerable population who have significant occupational stress, hazardous environmental exposures, social isolation, and drug/alcohol abuse. PMID: 21099073 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210369 Tue, 30 Nov 2010 16:40:04 +0100 4210369 http://www.medworm.com/index.php?rid=4210368&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099074%26dopt%3DAbstract Authors: Seligman HK, Davis TC, Schillinger D, Wolf MS Abstract:More than 14% of the American population is food insecure, or at risk of going hungry because of an inability to afford food. Food-insecure (FI) adults often reduce food intake or substitute inexpensive, energy-dense carbohydrates for healthier foods. We hypothesized these behaviors would predispose FI adults with diabetes to hypoglycemia and impaired diabetes self-management. We therefore assessed whether food insecurity was associated with multiple indicators of diabetes self-management (self-efficacy, medication- and glucose-monitoring adherence, hypoglycemia, or glycemic control) among 40 low-income adults with diabetes. Mean self-efficacy score was lower among FI than food-secure (FS) participants (34.4 vs. 41.2, p=.0... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210368 Tue, 30 Nov 2010 16:40:04 +0100 4210368 http://www.medworm.com/index.php?rid=4210367&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099075%26dopt%3DAbstract This study uses data from a nationally representative epidemiologic survey, the National Comorbidity Survey Replication, to investigate the association of mental health and substance use disorders, along with other factors, with past homelessness. Approximately 5% of the 5,251 adults reported having been homelessness. Multivariate analysis showed the strongest independent risk factors for past homelessness were past receipt of welfare payments (odds ratio [OR]=5.7), incarceration for 27 or more days (OR=3.9), exposure to personal violence (OR=2.7), lifetime substance use disorder (OR=2.4), and Black race (OR=2.1). Several non-substance use psychiatric disorders were also significantly, if less strongly (OR 1.4 to 1.6), associated with past homelessness. Past homelessness is associated with... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210367 Tue, 30 Nov 2010 16:40:04 +0100 4210367 http://www.medworm.com/index.php?rid=4210366&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099076%26dopt%3DAbstract Authors: Hudson AL, Wright K, Bhattacharya D, Sinha K, Nyamathi A, Marfisee M Abstract:The purpose of this study was to assess predictors of sexual and physical assault among homeless women. A multivariate, correlation design was utilized to identify independent correlates of adult physical and sexual assault. The sample consisted of 202 homeless women residing in shelters or living on the street in the Skid Row area of Los Angeles. Respondents reporting a history of child sexual abuse were almost four times more likely to report being sexually assaulted as adults and were almost two and one third times more likely to report being physically assaulted as adults. A range of factors increase homeless women's risk of adult physical and sexual victimization, including child sexual abuse, s... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210366 Tue, 30 Nov 2010 16:40:04 +0100 4210366 http://www.medworm.com/index.php?rid=4210365&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099077%26dopt%3DAbstract Authors: Nebbitt VE, Lombe M, Sanders-Phillips K, Stokes C Abstract:Research has found the early onset of sexual activity (having sexual intercourse before age 13) among adolescents to be related to teen pregnancy and a range of health-risk behaviors and higher rates of sexually transmitted infections (STIs) and HIV/AIDS. These findings are most prevalent in urban African American adolescents. Using a sample of 299 sexually active African American adolescents living in public housing developments in a large Northeast and a large Mid-Atlantic city, this study assesses the influence of family, peers, and the individual on the age of onset of sexual intercourse. All participants completed surveys in their housing developments. Results indicate an average age of onset of 14. Males reported... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210365 Tue, 30 Nov 2010 16:40:04 +0100 4210365 http://www.medworm.com/index.php?rid=4210364&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099078%26dopt%3DAbstract Authors: Sumner SA Summary:Health care systems require reliable energy for high-quality services. Rising fossil fuel prices globally limit the capacity of developing countries to provide continuous and essential health care services. Global health care projects should focus on energy innovation for health care use. PMID: 21099078 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210364 Tue, 30 Nov 2010 16:40:04 +0100 4210364 http://www.medworm.com/index.php?rid=4210363&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099079%26dopt%3DAbstract Authors: Phillips MA, Rivera MD, Shoemaker JA, Minyard K Summary:Funded community-based organizations improved utilization of children's health services by developing innovative staffing patterns, creating new data systems for scheduling appointments and maintaining records, and forging new collaborative relationships to leverage financial support. These strategies were rooted in collaboration with community-based organizations, health care providers, and the state Medicaid agency. PMID: 21099079 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210363 Tue, 30 Nov 2010 16:40:04 +0100 4210363 http://www.medworm.com/index.php?rid=4210361&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099080%26dopt%3DAbstract Conclusions. An entrepreneurial, mentored service experience can have a positive impact on health professional students and may provide benefits to the communities served. PMID: 21099080 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210361 Tue, 30 Nov 2010 16:40:04 +0100 4210361 http://www.medworm.com/index.php?rid=4210358&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099081%26dopt%3DAbstract Authors: Clark MA, Rogers ML, Allen SM Abstract:We document the methodological challenges of conducting a health survey of an ethnically diverse elderly community-dwelling Medicaid population by telephone. Individuals (N=5,382) 65 years and older were randomly selected from a state Medicaid Management Information System and 618 eligible participants were interviewed. Participants were classified as non-Hispanic White, English-speaking (NHW-E; 69.2%), non-Hispanic Black, English-speaking (NHB-E; 6.2%), Hispanic, Spanish-speaking (H-S; 9.2%), and Hispanic, English-speaking (H-E; 4.2%). Almost half (44.2%) of the individuals sampled were unreachable, most often because of no valid telephone number. More interviewer time was required to reach and interview Hispanic participants. On average... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210358 Tue, 30 Nov 2010 16:40:04 +0100 4210358 http://www.medworm.com/index.php?rid=4210357&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099082%26dopt%3DAbstract Conclusions. Poor and low-income residents' priorities may usefully inform allocation of social services that affect health. PMID: 21099082 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210357 Tue, 30 Nov 2010 16:40:04 +0100 4210357 http://www.medworm.com/index.php?rid=4210356&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099083%26dopt%3DAbstract Conclusions. Efforts are needed to improve AI/ANs access to these services. PMID: 21099083 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210356 Tue, 30 Nov 2010 16:40:04 +0100 4210356 http://www.medworm.com/index.php?rid=4210355&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099084%26dopt%3DAbstract Authors: Islam NS, Khan S, Kwon S, Jang D, Ro M, Trinh-Shevrin C Abstract:There are close to 15 million Asian Americans living in the United States, and they represent the fastest growing populations in the country. By the year 2050, there will be an estimated 33.4 million Asian Americans living in the country. However, their health needs remain poorly understood and there is a critical lack of data disaggregated by Asian American ethnic subgroups, primary language, and geography. This paper examines methodological issues, challenges, and potential solutions to addressing the collection, analysis, and reporting of disaggregated (or, granular) data on Asian Americans. The article explores emerging efforts to increase granular data through the use of innovative study design and analysis ... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210355 Tue, 30 Nov 2010 16:40:04 +0100 4210355 http://www.medworm.com/index.php?rid=4210354&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099085%26dopt%3DAbstract Authors: Wallace NT, McConnell KJ, Gallia CA, Edlund TD Abstract:Oregon's Medicaid program experienced a dramatic decrease in its non-categorically eligible adult members after implementing a new benefit policy in February 2003 for these beneficiaries. The policy included four main elements: premium increases for some enrollees; a more stringent premium payment policy; elimination of some benefits, including mental health and substance abuse treatment; and, the imposition of co-payments. The study compared monthly disenrollment rates eight months before and after the policy change. The new premium payment policy was found to be the main driver of disenrollment, followed by benefit elimination. Premium increases and co-payments had limited impact. Disenrollment was particularly high amo... Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210354 Tue, 30 Nov 2010 16:40:04 +0100 4210354 http://www.medworm.com/index.php?rid=4210353&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D21099086%26dopt%3DAbstract Conclusions. Specific characteristics of uninsured patients, the site of care, and the size of the bill are all associated with payment outcome. PMID: 21099086 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=4210353 Tue, 30 Nov 2010 16:40:04 +0100 4210353 http://www.medworm.com/index.php?rid=3849596&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20693723%26dopt%3DAbstract Authors: Dummett CO PMID: 20693723 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=3849596 Tue, 10 Aug 2010 19:48:03 +0100 3849596 http://www.medworm.com/index.php?rid=3849595&cid=s_37066_46_f&fid=37066&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20693724%26dopt%3DAbstract Authors: McClaskey EL PMID: 20693724 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved) Journal of Health Care for the Poor and Underserved journals http://www.medworm.com/rss/comments.php?id=3849595 Tue, 10 Aug 2010 19:48:03 +0100 3849595