Journal of Health Care for the Poor and UnderservedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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Recently received.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19648717 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Engaging Student Health Organizations in Reducing Health Disparities in Underserved Communities through Volunteerism: Developing a Student Health Corps.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: One underutilized method for reducing health disparities and training culturally competent health care workers is the engagement of undergraduate student health organizations in conducting health screenings, promotion, and health education outreach activities in in underserved racial/ethnic communities. We conducted a needs assessment of 14 predominantly racial/ethnic minority undergraduate student-run health organizations. The 14 organizations annually served approximately 12,425 people (67% Hispanic, 25% African American, 6.33% Asian Pacific Islander), predominantly at health fairs within Los Angeles County...
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Physicians' implicit and explicit attitudes about race by MD race, ethnicity, and gender.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study measured implicit and explicit attitudes about race using the Race Attitude Implicit Association Test (IAT) for a large sample of test takers (N=404,277), including a sub-sample of medical doctors (MDs) (n=2,535). Medical doctors, like the entire sample, showed an implicit preference for White Americans relative to Black Americans. We examined these effects among White, African American, Hispanic, and Asian MDs and by physician gender. Strength of implicit bias exceeded self-report among all test takers except African American MDs. African American MDs, on average, did not show an implicit preference for either ...
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Can quality reports help address health care disparities?: use and awareness of comparative quality information by african americans.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Comparative quality information (CQInfo) might help ameliorate racial disparities in health care. However, barriers such as low literacy and non-representative materials may make African Americans less likely than Whites to use CQInfo, thus diminishing its effect. Therefore, this analysis sought to evaluate racial differences in awareness and use of CQInfo using a national, random digit dial telephone survey. Results show that African Americans were less likely than Whites to have seen CQInfo concerning hospitals and doctors (not health plans), but were not less likely to have used it. Conditional on awarenes...
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Transforming administrative and clinical practice in a public behavioral health system: an ethnographic assessment of the context of change.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion. Policymakers must account for the challenges that SNIs face as the reform continues to unfold. The financial stability of SNIs is of critical importance. Efforts are needed to increase training and development opportunities in evidence-based care and cultural competency; SNIs typically lack resources to pursue these opportunities on their own. PMID: 19648713 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Dually eligible and colorectal cancer screening: too little, too late?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Dually eligible CRC patients were screened less and diagnosed later than Medicare patients. Fecal occult blood testing remains a less invasive and less costly screening option that may reduce late-stage diagnosis in lowincome populations. PMID: 19648712 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

An ethnographic study of meal programs for homeless and under-housed individuals in toronto.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Over the past two decades, Canada has witnessed a proliferation of community-based initiatives providing charitable meals to homeless and under-housed individuals. The existing research has raised concerns about the ability of such initiatives to meet users' nutrient needs. As part of a study of Toronto meal programs, open-ended interviews with program coordinators and observations of 16 meal programs were conducted to provide insight into the nutritional vulnerability of program users. Analysis using ethnographic methods revealed that, although charitable meal programs began in response to concerns about unm...
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

A Comparison of National Emergency Department Use by Homeless versus Non-Homeless People in the United States.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Homeless patients who visited EDs in 2005 were more likely to arrive by ambulance despite similar triage urgency and admission rates compared with the non-homeless, and were less likely to be insured. PMID: 19648710 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

The use of antiplatelet agents for secondary prevention of ischemic stroke in u.s. Ambulatory care settings.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Variations by visit characteristics suggest that improvement in using antiplatelet agents is possible, especially for non-Hispanic Black patients. PMID: 19648709 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Challenges of collaboration to address health disparities in the rapidly growing community of las vegas, nevada.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Collaboration was established between a university and the faith-based community in Clark County, Nevada to develop a coalition to address chronic disease in the African American population. The university faculty enlisted several churches and health related agencies to join the coalition. The challenges of collaborating with a community coalition to develop and implement a grant are discussed. PMID: 19648708 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

The health status of black canadians: do aggregated racial and ethnic variables hide health disparities?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: This paper examines the importance of collecting and reporting data on race and ethnicity in public health and biomedical research in Canada. Literature and available statistics related to social determinants of health were reviewed and analyzed to illustrate that minority populations in Canada, especially Blacks, are likely to experience poorer health outcomes. Statistics Canada in its commitment to multiculturalism uses broad categories such as visible minorities and racialised groups as surrogates for race and ethnicity. These categories, when used in health literature may conceal underlying inequities in ...
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

The BRAVE (Building Resiliency and Vocational Excellence) Program: Evaluation Findings for a Career-Oriented Substance Abuse and Violence Preventive Intervention.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article examines the effectiveness of a career-oriented intervention for preventing involvement with alcohol, tobacco, and other drugs (ATODs) and violence and for promoting resilient behavior among eighth-grade, African American middle school students (N=178; n=92 intervention and n=86 comparison) through the implementation of the Building Resiliency and Vocational Excellence (BRAVE) Program. Students were randomly assigned to either the intervention or control group. Students in the evaluation participated in the school-based BRAVE Program intervention and the standard public school curriculum. Comparison students p...
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Ethnically Diverse Mothers' Views on the Acceptability of Screening for Maternal Depressive Symptoms during Pediatric Well-Child Visits.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: The under-identification of depressive symptoms among low-income, minority women contributes to disparities in mental health outcomes. Pediatric visits offer a new venue for the identification of such symptoms. We explored women's views related to depression screening during pediatric well-child visits in interviews conducted with 42 mothers of diverse ethnicities. Women considered their child's pediatric provider to be an appropriate person with whom to discuss their emotional health and were aware of the inter-relationship between their mood and their child's well-being. Thus, they felt discussing their emo...
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Primary Household Language and Asthma Care among Latino Children.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: To determine if language barriers affect the level of asthma management and quality of health care in Latino children, a cross-sectional, parent-report survey was conducted in 26 randomly selected public elementary schools in New York City. The overall response rate was 76.9%, yielding a sample of 1,847 Latino children. The prevalence of asthma among Latinos from Spanish-speaking households was 20.8%, compared with 25.8% among Latino children from English-speaking households. Although asthmatics from Spanish-speaking families were less likely to have symptoms than children from English-speaking families, they...
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Increasing the Reach of HIV Testing to Young Latino MSM: Results of a Pilot Study Integrating Outreach and Services.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Venue-based and selective media outreach, in combination with linking rapid testing to HIV care, may help overcome some of the barriers to testing among high-risk young Latino MSM. PMID: 19648703 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Development of a Computerized Medical History Profile for Children in Out-of-Home Placement Using Medicaid Data.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Children in out-of-home placements (foster children) often undergo multiple placement changes while under the care of child protective services. This instability can result in lack of health care continuity and poor health outcomes. This brief describes the development of a medical history profile, or passport, developed from Medicaid administrative data. A purposive sample of 25 youths was provided from a county child protective services agency. The patients were systematically matched with data from the state Medicaid agency. Using Medicaid claims/encounter data we generated health care profiles that provid...
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Cost of racial disparity in preterm birth: evidence from michigan.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined the economic costs associated with racial disparity in preterm birth and preterm fetal death in Michigan. Linked 2003 Michigan vital statistics and hospital discharge data were used for data analysis. Thirteen percent of the singleton births among non-Hispanic Blacks were before 37 completed weeks of gestation, compared with only 7.7% among non-Hispanic Whites (risk ratio = 1.66, 95% confidence interval: 1.59-1.72; p<.0001). One thousand one hundred and eighty four (1,184) non-Hispanic Black, singleton preterm births and preterm fetal deaths would have been avoided in 2003 had their preterm birth rat...
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Exploring the financial impact of breast cancer for african american medically underserved women: a qualitative study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: In addition to the physical suffering experienced by cancer survivors, there are considerable financial hardships and access barriers to quality health care. The current study explored the financial burden of breast cancer on African American medically underserved women. Four focus groups were conducted in three major cities across Tennessee. Research participants (N=36) were recruited by the staff of cancer support and treatment programs in the area. Findings revealed that participants' lack of insurance or inadequate insurance resulted in missed, delayed, or fewer treatment opportunities. The financial burd...
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

The cost of health care services provided to women enrolled in a community-based breast and cervical cancer screening program.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the annual cost and reimbursement associated with all services delivered to 483 program enrollees at one health care system during 2001-03. The average per-enrollee cost for all clinical services provided was $1,056. However, average revenue was $533 per enrollee ($138 from NBCCEDP and $395 from other sources); the cost of uncompensated care thus averaged $523 per year per enrollee (approximately 50% of total cost). The net cost to the health system was nearly four dollars for each dollar of NBCCEDP revenue. The public health benefit of the NBCCEDP may extend beyond breast and cervical cancer but at a cost of i...
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Adapting CAHPS(R) for an American Indian Population.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion. The CAHPS American Indian Survey is useful for assessing perceptions of care at the clinic level and across different clinics. The close partnership with CNHS helped yield a survey that is scientifically sound, reflects how services are organized and delivered locally, and meets CNHS information needs. PMID: 19648698 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Family health history and health behaviors in alaska native and american Indian people.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Individuals with a family history of diseases may have lifestyles that influence their disease risk. PMID: 19648697 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Race and ethnicity and rural mental health treatment.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Findings suggest that characteristics of the rural environment may disadvantage all residents with respect to mental health treatment. In more populated areas where mental health services are more plentiful, complex racial and service system factors may play a greater role in evident ethnic/racial treatment disparities. PMID: 19648696 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Maternal mental health and the persistence of food insecurity in poor rural families.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Poor mental health is associated with keeping families food-insecure by limiting their employment. High-quality, accessible mental health care is needed for poverty-associated food insecurity to be alleviated. PMID: 19648695 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Do patients bypass rural hospitals?: determinants of inpatient hospital choice in rural california.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Rural hospitals play a crucial role in providing health care to rural Americans, a vulnerable and underserved population; however, rural hospitals have faced threats to their financial viability and many have closed as a result. This paper examines the hospital characteristics that are associated with patients choosing rural hospitals, and sheds light on the types of patients who depend on rural hospitals for care and, hence, may be the most harmed by the closure of rural hospitals. Using data from California hospitals, the paper shows that patients were more likely to choose nearby hospitals, larger hospital...
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Medical education in the 21st century.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: This commentary is a reaction of medical educators and health practitioners to the Josiah Macy Jr. Foundation's recently released report, Revisiting the Medical School Mission at a Time of Expansion. The report is a fresh assessment of what more medical schools must do to prepare students for 21st century challenges and opportunities to improve the health status of the population including underserved groups. PMID: 19648693 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

For the ADA Sesquicentennial: A Special Salute.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19648692 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Stress and provider retention in underserved communities.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19648691 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

A note from the editor.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19648690 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - August 1, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Analysis of Maryland Cancer Patient Participation in National Cancer Institute-Supported Cancer Treatment Clinical Trials.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Results highlight disparities in the accrual of Maryland patients with cancer onto NCIsponsored treatment trials based on patient age, race/ethnicity, geography of residence, and county-level socioeconomic factors. Findings provide the basis for development of innovative tailored and targeted educational efforts to improve trial accrual, particularly for the underserved. PMID: 19430136 [PubMed - as supplied by publisher]
Source: Journal of Health Care for the Poor and Underserved - June 28, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Health Disadvantages in Colorectal Cancer Screening Among African Americans: Considering the Cultural Context of Narrative Health Promotion.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: African Americans are more likely than any other racial or ethnic group to develop colorectal cancer (CRC) and to die as a result. Factors such as age, family history, income, knowledge, attitudes and beliefs regarding screening are important predictors of risk, and multiple factors may contribute to poor CRC outcomes for African Americans. Although screening is not the only factor associated with CRC outcomes, it may be one of the more important and modifiable risk factors for African Americans. Few programs have utilized narrative approaches to promote cancer screening among African Americans. None have foc...
Source: Journal of Health Care for the Poor and Underserved - June 28, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Increasing Pap Smear Utilization among Samoan Women: Results from a Community Based Participatory Randomized Trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. The findings support the efficacy of the multifaceted, theory-guided, culturally tailored community-based participatory cervical cancer education program for Samoan women in effecting positive changes in Pap smear use and cervical cancer related knowledge and attitudes. PMID: 19430134 [PubMed - as supplied by publisher]
Source: Journal of Health Care for the Poor and Underserved - June 28, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

A Comprehensive Examination of the Health Knowledge, Attitudes and Behaviors of Students Attending Historically Black Colleges and Universities.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: There is limited information about African American students attending Historically Black Colleges and Universities (HBCUs) in the areas of health behavior, health knowledge, and attitudes. To fill this gap, a comprehensive examination of first-year students was undertaken at a consortium of HBCUs. A non-random sample of 1,115 freshmen were administered a survey that assessed several domains including: (1) demographics, (2) general health, (3) smoking habits, (4) disease risk, (5) weight perception, (6) physical activity, (7) perceived stress, (8) eating habits, (9) social support, (10) personal/family medica...
Source: Journal of Health Care for the Poor and Underserved - June 28, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Eating as a Cultural Expression of Caring among Afro-Caribbean and African American Women: Understanding the Cultural Dimensions of Obesity.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. In the development of community-based interventions to counter trends towards obesity among people of African descent, it may be important not to assume that 'one size fits all' cultures. PMID: 19430132 [PubMed - as supplied by publisher]
Source: Journal of Health Care for the Poor and Underserved - June 28, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Transient Populations: Linking HIV, Migrant Workers, and South African Male Inmates.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Risk factors associated with the spread of HIV are common among South Africa's transient populations-migrant workers and prisoners. Social ills in South Africa have yielded a growing transient population. Importantly, the migrant workers and prisoners in this population are likely to subscribe to masculine beliefs. Migrants have proven to be an effective bridge in the spread of HIV from high-risk to low-risk populations. Although a relationship between the populations has yet to be established, the circumstances of migrant camps are similar to those of prison camps. Given the high levels of HIV in South Afric...
Source: Journal of Health Care for the Poor and Underserved - June 28, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

A Descriptive Analysis of State Legislation and Policy Addressing Clinical Trials Participation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Besides cost and insurance barriers, there is a need to address important patient, physician and researcher, and structural barriers to clinical trial participation. Maryland provides a comprehensive model to address the multi-faceted clinical trial participation determinants as it tracks state and federal policy, documents trial barriers, and conducts community education. PMID: 19430130 [PubMed - as supplied by publisher]
Source: Journal of Health Care for the Poor and Underserved - June 28, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Disadvantages in Mental Health Care among African Americans.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: African Americans experience mental health disadvantages relative to European Americans with respect to financial barriers, barriers to help seeking, and poorer quality services. This paper provides an overview of these mental health inequalities, and offers recommendations for addressing them. PMID: 19430129 [PubMed - as supplied by publisher]
Source: Journal of Health Care for the Poor and Underserved - June 28, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Mental Health, Substance Abuse, and HIV Disparities in Correctional Settings: Practice and Policy Implications for African Americans.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: Mental health challenges, substance use disorders, and HIV/AIDS disproportionately affect Black people in correctional settings. Culturally responsive practice and equitable policy is predicated upon research that explores the burden, prevalence, and mortality of these public health concerns on the health and social well-being of African Americans in the correctional setting. This paper has three sections: (1) mental health; (2) substance abuse; and (3) HIV/AIDS. Each section summarizes current treatment issues unique to correctional settings, and provides recommendations for enhancing programs and policy to ...
Source: Journal of Health Care for the Poor and Underserved - June 28, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Spotlighting William Alexander Darity, Sr., PhD.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19430127 [PubMed - as supplied by publisher]
Source: Journal of Health Care for the Poor and Underserved - June 28, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Issue Overview.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19430126 [PubMed - as supplied by publisher]
Source: Journal of Health Care for the Poor and Underserved - June 28, 2009 Category: Global & Universal Tags: J Health Care Poor Underserved Source Type: journals

Relation of domestic violence to health status among Hispanic women.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Little research has addressed the association of domestic violence (DV) with physical and mental health in Hispanic women. We conducted a cross-sectional study with 146 Hispanic women patients in 2002 at an urban family medicine practice. Twenty-one percent of the women were identified as current victims of DV. Two-fifths of victims (41.9%) experienced physical and/or sexual abuse. Approximately two-thirds (64.5%) had depressive symptoms. Poorer mental health was associated with all forms of abuse. Relatively low socioeconomic status and acculturation level may lead to disparities in obtaining services for DV intervent...
Source: Journal of Health Care for the Poor and Underserved - May 1, 2009 Category: Global & Universal Authors: Chen PH, Rovi S, Vega M, Jacobs A, Johnson MS Tags: J Health Care Poor Underserved Source Type: journals

Knowledge, attitudes, and behaviors among a sample of HIV-positive and HIV-negative females visiting an urban VCT center in Haiti.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The knowledge, attitudes, and behaviors of over 43,000 women attending the Groupe Hatien d'Etude du Sarcome de Kaposi et des Infections Opportunistes (GHESKIO) Centers in Haiti between 1999-2004 were examined. Comparative analyses were conducted for several sub-samples. Analyses revealed that across the entire sample, HIV-positive women appeared to engage in more risky behaviors than HIV-negative women (p< .01); however, as a group, pregnant HIV-positive women reported safer behaviors than non-pregnant HIV-positive women (p<.01). Women from all groups were generally knowledgeable about the risk of HIV transmissio...
Source: Journal of Health Care for the Poor and Underserved - May 1, 2009 Category: Global & Universal Authors: Dévieux JG, Deschamps MM, Malow RM, Jean-Gilles M, Saint-Jean G, Saint-Jean G, Marcelin A, Pape JW Tags: J Health Care Poor Underserved Source Type: journals

CenteringPregnancySmiles: implementation of a small group prenatal care model with oral health.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This report describes the model and preliminary outcomes of the CenteringPregnancySmiles program. PMID: 19395848 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - May 1, 2009 Category: Global & Universal Authors: Skelton J, Mullins R, Langston LT, Womack S, Ebersole JL, Rising SS, Kovarik R Tags: J Health Care Poor Underserved Source Type: journals

Early collaboration for adaptation: addressing depression in low-income new mothers.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This paper describes the development and implementation of a collaborative research project between a community agency and university-based researcher. The goal of the project was to address depression in low-income new mothers who would not ordinarily have access to mental health services. PMID: 19395847 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - May 1, 2009 Category: Global & Universal Authors: Pfefferle SG, Cooper B, Layton D, Rohrbach S Tags: J Health Care Poor Underserved Source Type: journals

Physical and mental health status of Hurricane Katrina evacuees in Houston in 2005 and 2006.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The evacuees displaced by the storm experienced loss of full-time employment, income, and deteriorating health, as well as struggles accessing necessary physical and mental health care. PMID: 19395846 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - May 1, 2009 Category: Global & Universal Authors: Mortensen K, Wilson RK, Ho V Tags: J Health Care Poor Underserved Source Type: journals

Why do some health centers provide more enabling services than others?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Enabling services (such as outreach, transportation, case management, and discharge planning) play a critical role in improving care for vulnerable populations. However, these services are generally not covered by third party payers, making them a challenge for safety net providers that are themselves often financially strained. The study reported here identified organizational and patient population characteristics associated with enabling services provided by community health centers funded by the Health Resources and Services Administration (HRSA). Lagged regressions on 2003-2004 data from HRSA's Uniform Data System...
Source: Journal of Health Care for the Poor and Underserved - May 1, 2009 Category: Global & Universal Authors: Wells R, Punekar RS, Vasey J Tags: J Health Care Poor Underserved Source Type: journals

Point-of-sale marketing of tobacco products: taking advantage of the socially disadvantaged?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
With increasing regulation of tobacco industry marketing practices, point-of-sale advertising has become an important channel for promoting tobacco products. One hundred and ten convenience stores in Oklahoma County were surveyed for tobacco-related advertising. There were significantly more point-of-sale tobacco advertisements in low-income and minority neighborhoods than in better educated, higher-income, predominantly White neighborhoods. Storeowners or managers were also interviewed to determine who has decision-making power regarding store signage and placement, and to elicit perceptions of industry tactics. Contr...
Source: Journal of Health Care for the Poor and Underserved - May 1, 2009 Category: Global & Universal Authors: John R, Cheney MK, Azad MR Tags: J Health Care Poor Underserved Source Type: journals

Are there patient disparities when electronic health records are adopted?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Using nationally representative samples of visits from the 2005-2006 National Ambulatory Medical Care Surveys and the National Hospital Ambulatory Medical Care Surveys (N=39,343), this study examines whether electronic health record (EHR) systems have been adopted by primary care physicians or providers (PCPs) for poor minority patients at the same rate as by the PCPs for wealthier non-minority patients. Although we found that electronic health record adoption rates varied primarily by type of practice of the PCP, we also found that uninsured Black and Hispanic or Latino patients, as well as Hispanic or Latino Medicaid...
Source: Journal of Health Care for the Poor and Underserved - May 1, 2009 Category: Global & Universal Authors: Hing E, Burt CW Tags: J Health Care Poor Underserved Source Type: journals

Preventive dental service utilization for Medicaid-enrolled children in New Hampshire: a comparison of care provided by pediatric dentists and general dentists.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, we compared preventive dental utilization through visits to a pediatric dentist (PD) vs. visits to a general dentist (GD) among Medicaid-enrolled children in New Hampshire (n = 12,964). Dental claims were analyzed using conditional logistic regression models. After adjusting for covariates, children seen by a PD were 51% more likely to have received fluoride treatment, 26% more likely to have had at least two dental examinations, and 19% more likely to have received a sealant than children seen by a GD. Overall, our results suggest that children seen by a PD were more likely to have received preventive servi...
Source: Journal of Health Care for the Poor and Underserved - May 1, 2009 Category: Global & Universal Authors: Chi D, Milgrom P Tags: J Health Care Poor Underserved Source Type: journals

Inpatient hospital service utilization of the uninsured in Nebraska: policy implications for addressing uncompensated care.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In order better to inform policymakers about financing uncompensated hospital care through appropriate allocation of resources among Nebraska communities, this study used seven years (1996-2002) of county-level data from multiple sources to examine the relationship between population economic factors and the hospital inpatient care use by uninsured patients. The generalized estimating equation (GEE) regression analysis showed that, at the county level, the population uninsurance rate and other economic factors (e.g., per capita income, the percentage of population receiving welfare) are statistically significant predic...
Source: Journal of Health Care for the Poor and Underserved - May 1, 2009 Category: Global & Universal Authors: Chen LW, Shambaugh-Miller MD, Meza JL, Zhang W, Shaw KL, Mueller KJ Tags: J Health Care Poor Underserved Source Type: journals

Diabetes disease management results in Hispanic Medicaid patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The study demonstrates that a nursing disease management program for diabetes can significantly improve hospitalizations, drug compliance, and vaccinations in a Hispanic Medicaid population. PMID: 19395840 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - May 1, 2009 Category: Global & Universal Authors: Berg GD, Wadhwa S Tags: J Health Care Poor Underserved Source Type: journals