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Journal of Health Care for the Poor and Underserved

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https://www.readbyqxmd.com/read/28709151/books-recently-received
#1
(no author information available yet)
No abstract text is available yet for this article.
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529226/self-perceived-income-sufficiency-and-self-reported-income-level-among-a-health-inequity-population
#2
Yelena N Tarasenko, Nancy E Schoenberg
This study presents a dynamic approach to collecting income information. We conducted a cross-sectional survey of 2,022 residents of historically underserved Appalachian Kentucky, an ideal location due to pervasive low income and our ability to control for potential confounders such as race/ethnicity and residential heterogeneity. In unadjusted analyses, nearly half of the sample indicated they struggled to meet their needs; 43% said they made just enough to get by; and 10% indicated they had more than they needed to live well...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529225/sedentary-behavior-and-cardiovascular-disease-risk-factors-among-latino-adults
#3
Valerie Silfee, Stephenie Lemon, Vilma Lora, Milagros Rosal
BACKGROUND: Sedentary behavior has been associated with increased risk for cardiovascular disease (CVD) among primarily White samples, while studies among Latinos have shown mixed results. PURPOSE: To explore relationships between sedentary behavior and CVD risk factors among a sample of Latino adults. METHODS: A cross-sectional study of 602 Latino adults. Surveys of sedentary behavior and physical activity were orally administered. Anthropometric measurements included weight, height, waist circumference, and blood pressure...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529224/-i-need-my-own-place-to-get-better-patient-perspectives-on-the-role-of-housing-in-potentially-preventable-hospitalizations
#4
Michelle L Quensell, Deborah A Taira, Todd B Seto, Kathryn L Braun, Tetine L Sentell
OBJECTIVE: To analyze patient perspectives on the role of housing in their potentially preventable hospitalization. METHODS: Individuals admitted with cardiovascular-or diabetes-related diagnoses (n = 90) in a major medical center in Hawai'i completed an in-person interview eliciting patient perspectives on key factors leading to hospitalization. Using the framework approach, two independent coders identified themes. This study focused on housing-related findings...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529223/apathy-and-type-2-diabetes-among-american-indians-exploring-the-protective-effects-of-traditional-cultural-involvement
#5
Amanda E Carlson, Benjamin D Aronson, Michael Unzen, Melissa Lewis, Gabrielle J Benjamin, Melissa L Walls
In this study we examine relationships between traditional cultural factors, apathy, and health-related outcomes among a sample of American Indian adults with type 2 diabetes. Participants completed cross-sectional interviewer-assisted paper and pencil surveys. We tested a proposed model using latent variable path analysis in order to understand the relationships between cultural participation, apathy, frequency of high blood sugar symptoms, and health-related quality of life. The model revealed significant direct effects from cultural participation to apathy, and apathy to both health-related outcomes...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529222/the-effect-of-childhood-household-dysfunction-on-future-hiv-risk-among-probationers
#6
Brittany Marshall, Stephanie A Spohr, Faye S Taxman, Scott T Walters
INTRODUCTION: Adverse childhood events (ACE) can lead to numerous health risks in adulthood. ACEs coupled with increased risk-taking behaviors can lead to increased risk for HIV infection, particularly in vulnerable populations. The purpose of this study was to determine if mental health symptom severity mediates the relationship between childhood household dysfunction and adult HIV risk among a group of probationers. METHODS: T-tests were used to evaluate associations between demographic characteristics and cumulative engagement in sexual risk behaviors in 282 drug-involved probationers...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529221/close-together-far-apart-an-assessment-of-the-public-health-needs-of-three-geographically-proximate-communities-in-central-haiti
#7
Kevin A Pettit, Jacob R Kundert, John M VanBuren, William T Story, Christopher T Buresh
Haiti, a country marked by extreme poverty and poor health, is also an active site for thousands of non-governmental organizations. The community needs assessment is an important tool that allows aid organizations to understand better community perspectives regarding health. In this study, 84 community members were interviewed across three geographically proximate communities in the Arcahaie region of Haiti to identify similarities and differences in community needs. Overall, the most important public health-related problems included access to clean water, sanitation, health care, and education...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529220/clinical-correlates-of-treatment-response-among-patients-with-schizophrenia-in-a-tertiary-nigerian-hospital
#8
Mark Sunday Ezeme, Richard Uwakwe, Appolos Chidi Ndukuba, Monday N Igwe, Paul Chigozie Odinka, Kennedy Amadi, Nichodemus O Obayi
A significant proportion of patients treated for schizophrenia respond poorly to medication. Few studies have systematically examined the impact of clinical characteristics of patients to antipsychotic response in our environment. The study aimed to identify clinical variables associated with response in patients with schizophrenia. A total of 172 participants diagnosed with schizophrenia, placed on antipsychotics, who presented for the first time to the hospital or have stopped medication in the preceding six months, whose responses were assessed after four to six weeks were studied...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529219/socio-demographic-characteristics-partner-characteristics-socioeconomic-variables-and-intimate-partner-violence-in-women-with-schizophrenia-in-south-south-nigeria
#9
Taiwo Opekitan Afe, Thomas C Emedoh, Olawale O Ogunsemi, Abosede Adekeje Adegohun
Intimate partner violence (IPV) is common among patients with severe mental illness such as schizophrenia. Few surveys have explored IPV among this specific group of patients and the demographic characteristics of victims in Nigeria. The aim of this survey was to explore socio-demographic, socioeconomic characteristics of victims and partners. A cross-sectional randomized survey of 79 women with schizophrenia from a major adult psychiatric outpatient in South-south Nigeria was done. The Structured Clinical Interview for DSM-IV (SCID) was used to establish the diagnosis of schizophrenia among the participants and a purposely designed questionnaire to assess IPV...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529218/assessment-of-hypertension-management-and-outcomes-at-an-indianapolis-student-run-free-clinic
#10
Benjamin Wahle, Kathryn Meyer, Meredith Faller, Komal Kochhar, Javier Sevilla
PURPOSE: To characterize the quality of health care at student-run free clinics (SRFCs) by analyzing hypertension management and outcomes at the Indiana University Student Outreach Clinic (IUSOC). METHODS: A retrospective review of medical records was conducted for hypertensive patients managed at IUSOC over 15 months (N = 64). Indiana University Student Outreach Clinic's hypertension control rate was compared with National Health and Nutrition Examination Survey (NHANES) data...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529217/new-york-community-health-centers-population-health-activities-findings-from-a-statewide-assessment
#11
Sean J Haley, Jeff Barnes
The U.S. spends just 5% of its health care budget to prevent morbidity and mortality. This study surveyed N.Y. State community health centers' (CHCs) population health activities aligned with the N.Y. Prevention Agenda (response rate of 72%). More than half of CHCs considered population health a high priority. Chronic disease and reducing preventable infections were the leading activity areas. One third of activities were dedicated to patient treatment follow-up. Community health centers reported that more than two-thirds of all activities received no funding...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529216/what-makes-patient-navigation-most-effective-defining-useful-tasks-and-networks
#12
Christine Gunn, Tracy A Battaglia, Victoria A Parker, Jack A Clark, Electra D Paskett, Elizabeth Calhoun, Frederick R Snyder, Emily Bergling, Karen M Freund
Given the momentum in adopting patient navigation into cancer care, there is a need to understand the contribution of specific navigator activities to improved clinical outcomes. A mixed-methods study combined direct observations of patient navigators within the Patient Navigation Research Program and outcome data from the trial. We correlated the frequency of navigator tasks with the outcome of rate of diagnostic resolution within 365 days among patients who received the intervention relative to controls. A focused content analysis examined those tasks with the strongest correlations between navigator tasks and patient outcomes...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529215/innovative-program-delivery-and-determinants-of-frequent-visitation-to-a-mobile-medical-clinic-in-an-urban-setting
#13
Britton A Gibson, Jamie P Morano, Mary R Walton, Ruthanne Marcus, Alexei Zelenev, R Douglas Bruce, Frederick L Altice
The Community Health Care Van (CHCV) is a mobile medical clinic (MMC) that has served vulnerable populations in New Haven, Connecticut since 1993. This study explores utilization patterns to understand if certain populations frequently rely upon non-traditional health care within a representative MMC. Patient characteristics, services used, and visitation frequency were described and compared for 8,415 unique clients making 29,728 visits. Negative binomial regression was used to model the impact of specific indicators on visitation...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529214/improving-diabetic-retinopathy-in-an-indigent-population
#14
Renee Rosati, Adrienne Z Ables, Petra Warren
Diabetic retinopathy is the leading cause of preventable blindness in working-age American adults. This study hypothesized that patients with diabetes types I and II at St.Luke's Free Medical Clinic in Spartanburg, South Carolina were not being systematically referred for annual diabetic retinopathy screening. We evaluated the number of patients referred for screening, those patients who actually went for the screening, and the rate at which retinopathy was found in those who went. Of the 111 charts reviewed, only 49...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529213/effective-strategies-for-affordable-care-act-enrollment-in-immigrant-serving-safety-net-clinics-in-new-mexico
#15
Christina M Getrich, Jacqueline M García, Angélica Solares, Miria Kano
In the new Affordable Care Act (ACA) health care environment, safety-net institutions continue to serve as important sources of culturally appropriate care for different groups of immigrant patients. This article reports on a qualitative study examining the early ACA enrollment experiences of a range of health care providers (n = 29) in six immigrant-serving safety-net clinics in New Mexico. The six clinics configured their ACA enrollment strategies differently with regard to operations, staffing, and outreach...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529212/exploring-the-case-for-eminent-domain-of-hepatitis-c-virus-treatment-patents
#16
T Joseph Mattingly Ii, Emily L Heil, Kathleen S Hoke
Hepatitis C virus (HCV) is a silent epidemic affecting millions of patients and represents the leading indication for liver transplantation in the United States and worldwide. New direct-acting antiviral agents offer the potential to cure patients infected with HCV but it comes at a staggering cost. Given the recent attention to these high-priced HCV therapies and the impact treating individuals with HCV is having on drug expenditures in the United States, there may be a need to revisit drug patent laws and the options the federal government has to ensure patient access to care...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529211/note-from-the-editor
#17
(no author information available yet)
No abstract text is available yet for this article.
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28529210/erratum
#18
(no author information available yet)
No abstract text is available yet for this article.
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28458271/playing-it-safe-addressing-the-gap-in-evidenced-based-hiv-aids-prevention-programs-targeting-african-american-college-students
#19
Deneen Long-White, Denyce Calloway, Tashawna Robertson
This study sought to investigate the sustained effects of a peer-led HIV prevention intervention on African American freshmen college students attending a historically Black university. Students participated in a HIV prevention intervention where data were collected at three points in time. Analysis of the data revealed that students had significant changes in HIV risk behaviors and HIV Prevention self-efficacy over time. Results of this study have implications for how to address HIV prevention among African American college students...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28458270/correlates-of-hiv-risk-taking-behaviors-among-african-american-college-students-hiv-knowledge-and-ethnic-identity
#20
Angela M Heads, Joseph W Dickson, Aisha T Asby
We examined ethnic identity in relation to hazardous alcohol use, illicit drug use, and risky sexual behavior in 266 college students recruited on the campus of a historically Black college/university (HBCU). Participants were primarily African American students participating in HIV education and prevention outreach efforts. Data regarding prevalence of substance use, binge drinking, and sexual risk behaviors are reported. Results found no relationship among the risk variables and ethnic identity. HIV knowledge score results demonstrated a need to continue HIV education to include the less publicized facts about HIV transmission...
2017: Journal of Health Care for the Poor and Underserved
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