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Journal of Community Health

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https://www.readbyqxmd.com/read/28707181/expanded-medicaid-provides-access-to-substance-use-mental-health-and-physician-visits-to-homeless-and-precariously-housed-persons
#1
R David Parker, Michael J Cima, Zachary Brown, Michael Regier
To describe the Medicaid costs associated with persons who are homeless or unstably housed. A retrospective secondary data analysis linked Medicaid recipient data with a statewide homeless management information system. A total of 19,950 persons received a housing service between 2012 and 2015 including 14,136 persons with Medicaid. Five of the most frequent diagnoses were substance abuse or mental health conditions in 42.83% of all diagnoses. The most frequent service was outpatient mental health and emergency department physician services...
July 13, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28707180/a-social-needs-assessment-tool-for-an-urban-latino-population
#2
Beth A Careyva, Roya Hamadani, Timothy Friel, Cathy A Coyne
Unmet social needs contribute significantly to health outcomes, yet they are not routinely assessed in health care settings. Identifying modifiable social needs and feasible tools to assess them may improve health and decrease costs. We conducted 18 focus groups with 115 participants, stratified by age (18-35, 36-64, and 65+), ethnicity (Hispanic, non-Hispanic), and language (English, Spanish) to explore priority social needs, images to depict social need categories, and acceptability of a computer-based program to identify these needs...
July 13, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28695427/distracted-pedestrian-behavior-on-two-urban-college-campuses
#3
Hayley L Wells, Leslie A McClure, Bryan E Porter, David C Schwebel
Pedestrian injuries injure about 180,000 individuals and kill 6000 each year in the United States, and pedestrian injury rates have increased each of the last several years. Distracted pedestrian behavior may play a role in the trend of increasing risk for pedestrian injury. Using in vivo behavioral coding over the course of  two weeks on two urban college campuses, this study aimed to (1) understand the type and rate of distractions engaged in by pedestrians on urban college campuses, and (2) investigate the impact of distraction on street-crossing safety and behavior...
July 10, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28695426/influenza-vaccination-beliefs-and-practices-in-elderly-primary-care-patients
#4
Sharon Rikin, Vanessa Scott, Steven Shea, Philip LaRussa, Melissa S Stockwell
The majority of influenza related deaths and hospitalizations occur among individuals ≥65 years, yet the national influenza vaccination rate for this group is 63% and is lower in the Hispanic population. Previous studies have described negative predictors of vaccination; however, there is a knowledge gap of how influenza vaccine-specific beliefs affect vaccination rates. We examined the relationship between influenza vaccine health beliefs and vaccination behaviors in a cross sectional sample of 200 primarily Hispanic patients aged ≥65 years in an academic general internal medicine clinic...
July 10, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28695425/community-health-workers-bring-cost-savings-to-patient-centered-medical-homes
#5
Maurice L Moffett, Arthur Kaufman, Andrew Bazemore
The Patient-Centered Medical Home (PCMH) model demonstrated that processes of care can be improved while unnecessary care, such as preventable emergency department utilization, can be reduced through better care coordination. A complementary model, the Integrated Primary Care and Community Support (I-PaCS) model, which integrates community health workers (CHWs) into primary care settings, functions beyond improved coordination of primary medical care to include management of the social determinants of health...
July 10, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28689340/the-grocery-store-food-environment-in-northern-greenland-and-its-implications-for-the-health-of-reproductive-age-women
#6
Zoe A Watson, Carmen Byker Shanks, Mary P Miles, Elizabeth Rink
The population of Greenland is diminishing and environmental and social shifts implicate food availability and the health of reproductive age women. There is little knowledge of the grocery store food environment in Greenland. To address this gap and provide baseline information the present study measured food availability in five grocery stores in northern Greenland. As well, 15 interviews were conducted with reproductive age women, three grocery store managers were interviewed and one interview was conducted with a food distribution manager...
July 8, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28689339/longitudinal-impact-of-a-park-based-afterschool-healthy-weight-program-on-modifiable-cardiovascular-disease-risk-factors-in-youth
#7
Sarah E Messiah, Emily M D'Agostino, Eric Hansen, M Sunil Mathew, Deidre Okeke, Maria Nardi, Jack Kardys, Kristopher L Arheart
Community-based programs hold significant potential to prevent cardiovascular disease (CVD) risk in youth. We describe here the longitudinal change in several modifiable CVD risk factors after participation in up to 3 years of Fit2Play™, a park-based afterschool program. Children ages 6-15 years old (N = 2261, mean age 9.0 years, 50% Hispanic, 47% non-Hispanic black, 54% male) who participated in Fit2Play™ for either 1-3 school years between 2010 and 2016 had height, weight, 4-site skinfold thicknesses, systolic and diastolic blood pressure, the progressive aerobic cardiovascular endurance run test, and health/wellness knowledge and behavior scores collected at the beginning and end of the school year(s)...
July 8, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28688060/community-based-study-recruitment-of-american-indian-cigarette-smokers-and-electronic-cigarette-users
#8
Dana Mowls Carroll, Lacy S Brame, Lancer D Stephens, Theodore L Wagener, Janis E Campbell, Laura A Beebe
Data on the effectiveness of strategies for the recruitment of American Indians (AIs) into research is needed. This study describes and compares methods for identifying and recruiting AI tobacco users into a pilot study. Community-based strategies were used to recruit smokers (n = 35), e-cigarette users (n = 28), and dual users (n = 32) of AI descent. Recruitment was considered proactive if study staff contacted the individual at a pow wow, health fair, or vape shop and participation on-site or reactive if the individual contacted the study staff and participation occurred later...
July 7, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28685318/us-media-coverage-of-tobacco-industry-corporate-social-responsibility-initiatives
#9
Patricia A McDaniel, E Anne Lown, Ruth E Malone
Media coverage of tobacco industry corporate social responsibility (CSR) initiatives represents a competitive field where tobacco control advocates and the tobacco industry vie to shape public and policymaker understandings about tobacco control and the industry. Through a content analysis of 649 US news items, we examined US media coverage of tobacco industry CSR and identified characteristics of media items associated with positive coverage. Most coverage appeared in local newspapers, and CSR initiatives unrelated to tobacco, with non-controversial beneficiaries, were most commonly mentioned...
July 6, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28685317/colon-cancer-worry-in-appalachia
#10
Omar F Attarabeen, Usha Sambamoorthi, Kevin T Larkin, Kimberly M Kelly
Appalachia has a higher incidence of and mortality from colon cancer (CC) than other regions of the United States; thus, it is important to know the potential impact of elevated risk on cancer worry. Guided by the Self-regulation model, we investigated the association of demographic, cultural (e.g., fatalism, religious commitment), and psychological factors (e.g., perceived risk, general mood) with CC worry among a sample of Appalachian women. A mixed method design was utilized. Appalachian women completed surveys in the quantitative section (n = 134) and semi-structured interviews in the qualitative section (n = 24)...
July 6, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28681282/integrating-traditional-healers-into-the-health-care-system-challenges-and-opportunities-in-rural-northern-ghana
#11
Eva Krah, Johannes de Kruijf, Luigi Ragno
Traditional medicine is widespread in Ghana, with 80% of Ghanaians relying on its methods for primary health care. This paper argues that integrating traditional and biomedical health systems expands the reach and improves outcomes of community health care. Moving beyond literature, it stresses the importance of trust-relationships between healers and biomedical staff. Insights are based on qualitative research conducted in Ghana's Northern Region (2013-2014). Five challenges to integration emerged out of the data: a lack of understanding of traditional medicine, discrimination, high turnover of biomedical staff, declining interest in healing as a profession, and equipment scarcity...
July 5, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28681281/population-health-outcomes-of-a-student-led-free-health-clinic-for-an-underserved-population-a-naturalistic-study
#12
Cynthia M Stuhlmiller, Barry Tolchard
There are a number of hard to reach and underserved communities who experience inadequate health care. In Australia, the Aboriginal and Torres Strait Islanders peoples experience low life expectancy, higher levels for chronic disease and elevated smoking and drinking. These problems are further exacerbated when living in regional and rural Australia and poverty. There are growing concerns over helping such groups in order to close the health disparity gap. A student-led clinic (SLC) was developed to address clinical placement shortages while providing free health and social services in an underserved community in regional Australia...
July 5, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28681280/elevated-nicotine-dependence-scores-among-electronic-cigarette-users-at-an-electronic-cigarette-convention
#13
Jona M Johnson, Jessica L Muilenburg, Stephen L Rathbun, Xiaozhong Yu, Luke P Naeher, Jia-Sheng Wang
Electronic cigarette (e-cigarette) conventions are trade shows held across the globe to promote e-cigarette products and provide a venue for users to socialize. E-cigarette users that attend these events likely represent the most intensive e-cigarette user group. No study has characterized addiction and behavior characteristics in this population. We surveyed 131 e-cigarette users attending a large Southeastern e-cigarette convention in Fall 2015. All questions from the Fagerstrom Test for Nicotine Dependence (FTND), select questions from the Penn State Electronic Cigarette Dependence Index, and novel user behavior questions were included...
July 5, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28677027/finding-sex-partners-through-social-media-among-men-who-have-sex-with-men-in-hanoi-vietnam
#14
Aparna Krishnan, Minh Nguyen, Le Minh Giang, Tran Viet Ha, Madhura Bhadra, Sang Minh Nguyen, Viet Duc Vu, Quynh T Nguyen, William C Miller, Vivian F Go
Many men who have sex with men (MSM) in low and middle income countries search for male sexual partners via social media in part due to societal stigma and discrimination, yet little is known about the sexual risk profiles of MSM social media users. This cross-sectional study investigates the prevalence of social media use to find male sex partners in Hanoi, Vietnam and examines associations between social media use and sociodemographic and behavioral characteristics, including levels of internalized, perceived and enacted stigma, high-risk sexual behaviors, and HIV testing...
July 4, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28669006/an-investigation-of-unmet-socio-economic-needs-among-arab-american-breast-cancer-patients-compared-with-other-immigrant-and-migrant-patients
#15
Claudia Ayash, Rosario Costas-Muñiz, Dalal Badreddine, Julia Ramirez, Francesca Gany
Although Arabs are a growing population in the United States, they are a hidden minority when compared to larger, more studied groups like Latinos and Caribbean immigrants of African descent (CIAD). There is limited research pertaining to patients' unmet socioeconomic and supportive care needs when undergoing breast cancer treatment, particularly among immigrants and migrants. This is a comparative study of a nested cohort of 36 Arabs, 145 Latinos and 128 CIAD breast cancer patients participating in the Integrated Cancer Care Access Network and their areas of needed assistance...
July 1, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28647860/sub-optimal-testing-and-awareness-of-hcv-and-hbv-among-high-risk-individuals-at-an-underserved-safety-net-hospital
#16
Robert J Wong, Brendan Campbell, Benny Liu, Rachel Baden, Taft Bhuket
Sub-optimal screening for chronic hepatitis C virus (HCV) and chronic hepatitis B virus (HBV) among high risk groups delays diagnosis and treatment. We aimed to evaluate overall rates of HCV and HBV screening and patient knowledge of their testing result. Adults age ≥18 years undergoing elective outpatient endoscopy at a large, urban safety-net hospital from July 2015 to July 2016 were prospectively evaluated to determine rates of HCV and HBV testing, the results of those completed tests, and patient knowledge of test results among high risk individuals (as determined by U...
June 24, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28643212/the-role-of-primary-health-care-in-hepatitis-b-testing-and-management-a-case-study
#17
Jacqueline A Richmond, Joe Sasadeusz, Meredith Temple-Smith
Hepatitis B is a complex disease requiring lifelong management. Infection is linked to birth in high prevalence regions including Africa and Asia. Best practice guidelines identify who to test for hepatitis B, however, a significant proportion of Australians with hepatitis B have not been diagnosed, and are subsequently at risk of serious morbidity and mortality. This study sought to address the gap between current and optimal hepatitis B testing in a primary care clinic with a likely high population of undiagnosed hepatitis B...
June 22, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28643211/do-energy-drink-consumers-study-more
#18
Leslie W Oglesby, Kristina A Amrani, Christopher J Wynveen, Andrew R Gallucci
The use and motivations for use of energy drinks (EDs) in college students has been documented in the literature. Many college students identify academic reasons, such as a need to study more, as a motivation for ED use. However, research has not determined if users who claim academic motivations actually study more than those who claim other motivations. A sample of 692 undergraduate students at a large, private university completed a paper survey that inquired about demographics, ED use, motivations for ED use, sleep quality, and average amount of time spent sleeping and studying per week...
June 22, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28631138/college-student-attitudes-towards-smart-guns-results-from-a-nationwide-survey
#19
Lacey N Wallace, Kaylin C Dunn
Existing studies focusing on "smart" guns, weapons that can only be fired by an authorized user, have focused largely on overall views towards the topic. Little is known about how views differ within key demographics or why Americans feel positively or negatively towards smart guns. This study used data from a nationwide web survey of 520 college students to address these concerns. Multinomial regression was used to identify patterns of smart gun preference in quantitative data. Respondents' open-ended reasoning for their views was examined through common themes and descriptive statistics...
June 19, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28620736/revisiting-prostate-cancer-screening-practices-among-vermont-primary-care-physicians
#20
Laura Donnelly, Kevan M Sternberg, Takamaru Ashikaga, Mark K Plante, Scott D Perrapato
The objective of this study was to assess the prostate cancer screening practices of Vermont primary care physicians and compare them with a prior study in 2001. An electronic survey was created and emailed to all currently practicing primary care physicians in Vermont. Data was stratified by practice length, practice location, university affiliation, and internal medicine versus family practice. Surveys were received from 123 (27.2%) primary care physicians. 27.7% of physicians in practice <10 years recommended prostate specific antigen (PSA) testing, compared with 55...
June 15, 2017: Journal of Community Health
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