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Journal of Health Care for the Poor and Underserved

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https://www.readbyqxmd.com/read/27698549/factors-associated-with-hiv-discussion-and-condom-use-with-sexual-partners-in-an-underserved-community-in-south-africa
#1
Donaldson F Conserve, Keren Middelkoop, Gary King, Linda-Gail Bekker
We examined factors associated with discussing HIV and condom use with a sexual partner. Two cross-sectional surveys were conducted in 2004 prior to the implementation of an HIV awareness campaign in a South African community and in 2008 after a three-year education program. Overall, the proportion of individuals who had discussed HIV with a sexual partner increased from 76% in 2004 to 89% in 2008 (p < .001). Among respondents who had sex six months before completing the surveys, condom use significantly increased from 64% in 2004 to 79% in 2008 (p < ...
February 2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27587942/disparities-in-primary-care-ehr-adoption-rates
#2
Dominic Mack, Shun Zhang, Megan Douglas, Charles Sow, Harry Strothers, George Rust
This study evaluates electronic health record (EHR) adoption by primary care providers in Georgia to assess adoption disparities according to practice size and type, payer mix, and community characteristics. Frequency variances of EHR "Go Live" status were estimated. Odds ratios were calculated by univariate and multivariate logistic regression models. Large practices and community health centers (CHCs) were more likely to Go Live (>80% EHR adoption) than rural health clinics and other underserved settings (53%)...
February 2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27528794/homelessness-hiv-and-incomplete-viral-suppression
#3
Kinna Thakarar, Jake R Morgan, Jessie M Gaeta, Carole Hohl, Mari-Lynn Drainoni
BACKGROUND: The importance of HIV viral suppression is widely known, however few studies have examined the effects of homelessness on HIV viral suppression. METHODS: The study included HIV-seropositive patients in a health care for the homeless program (HCH). Electronic medical record data for 138 patients were analyzed to compare demographic characteristics, health characteristics, and utilization by housing status. For the 95 individuals with available HIV viral loads, multivariable logistic analysis was performed to examine factors associated with incomplete viral suppression...
February 2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27217712/psychometric-validation-of-the-insomnia-severity-index-in-adults-with-sickle-cell-disease
#4
Gyasi Moscou-Jackson, Jerilyn Allen, Michael T Smith, Carlton Haywood
BACKGROUND: The Insomnia Severity Index (ISI) is an instrument to evaluate insomnia symptoms. The psychometric properties have not been established in adults (18 years of age or older) with sickle cell disease (SCD). OBJECTIVE: Evaluate the reliability and validity of the ISI among adults with SCD. METHODS: Analysis included psychometric evaluation with exploratory factor analysis. RESULTS: Our 263 participants had a mean age of 35...
February 2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27182187/african-american-patients-intent-to-screen-for-colorectal-cancer-do-cultural-factors-health-literacy-knowledge-age-and-gender-matter
#5
Kelly Brittain, Shannon M Christy, Susan M Rawl
African Americans have higher colorectal cancer (CRC) mortality rates. Research suggests that CRC screening interventions targeting African Americans be based upon cultural dimensions. Secondary analysis of data from African-Americans who were not up-to-date with CRC screening (n=817) was conducted to examine: 1) relationships among cultural factors (i.e., provider trust, cancer fatalism, health temporal orientation (HTO)), health literacy, and CRC knowledge; 2) age and gender differences; and 3) relationships among the variables and CRC screening intention...
February 2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27168716/adult-cancer-risk-behaviors-associated-with-adverse-childhood-experiences-in-a-low-income-population-in-the-southeastern-united-states
#6
Charles P Mouton, Margaret K Hargreaves, Jianguo Liu, Saudat Fadeyi, William J Blot
OBJECTIVES: Adverse childhood experiences (ACE) can affect health in adulthood. We investigate the relationship between childhood experiences and adult cancer risk and screening behaviors in a racially diverse, low income population. METHODS: Nearly 22,000 adults 40 years and older in the Southern Community Cohort Study were administered the ACE questionnaire. We estimated odds ratios (OR) for the prevalence of smoking, alcohol consumption, BMI and five cancer screening methods in relation to the ACE score...
February 2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27158216/implementing-community-engagement-as-a-mission-at-the-david-geffen-school-of-medicine-at-the-university-of-california-los-angeles
#7
Bowen Chung, Arleen Brown, Gerardo Moreno, Pattie Cuen, Visith Uy, Sitaram Vangala, Douglas Bell, A Eugene Washington, Keith C Norris, Carol Mangione
This manuscript describes the development and implementation of community engagement as a mission at UCLA's David Geffen School of Medicine (DGSOM) and UCLA Health System, and summarizes survey results documenting existing community-engaged projects and interest between 2010 to 2013.
February 2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27818451/books-recently-received
#8
(no author information available yet)
No abstract text is available yet for this article.
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27818450/list-of-reviewers-2015-2016
#9
(no author information available yet)
No abstract text is available yet for this article.
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27818449/association-of-obesity-bmi-and-hispanic-ethnicity-on-ambulatory-status-in-children-with-spinal-dysraphism-followed-near-the-california-mexico-border
#10
Michelle L McDonald, Andy Huang, James A Proudfoot, Joan T Le, George J Chiang, Ruth A Bush
PURPOSE: Evaluate the relationship between body mass index (BMI), overweight status (OW), or obesity (OB) and ambulatory status in a predominantly Hispanic population of children with spinal dysraphism (SD). METHODS: Retrospective data were extracted from records of 272 children and youth aged 0-24 years with a diagnosis of SD. Body mass index (BMI) and OW / OB rates were calculated for children 0-3 years, 4-11 years, and adolescents older than 11. RESULTS: Ethnicity was predominantly Hispanic (65...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27818448/neighborhoods-social-and-cultural-correlates-of-obesity-risk-among-latinos-living-on-the-u-s-mexico-border-in-southern-california
#11
Barbara Baquero, Marisa Molina, John P Elder, Gregory J Norman, Guadalupe X Ayala
OBJECTIVES: We explored the relationship between obesity and neighborhood-related, social, and cultural variables and possible moderation by acculturation and cross-national practices. METHODS: We obtained data from the 2009 San Diego Prevention Research Center's community survey, which used multistage sampling methods to recruit 397 adult respondents and conducted multilevel logistic analytic methods. RESULTS: Nearly half of the respondents were obese...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27818447/applying-concept-mapping-methodology-to-identify-the-perceptions-of-risk-and-protective-factors-for-childhood-obesity-among-southeast-asian-refugees
#12
Akilah Dulin Keita, Shannon Whittaker, Jamila Wynter, Tamnnet Woldemichael Kidanu, Channavy Chhay, Michelle Cardel, Kim M Gans
BACKGROUND: This study identifies Southeast Asian refugee parents' and grandparents' perceptions of the risk and protective factors for childhood obesity. METHODS: We used a mixed methods approach (concept mapping) for data collection and analyses. Fifty-nine participants engaged in modified nominal group meetings where they generated statements about children's weight status and structuring meetings where they sorted statements into piles based on similarity and rated statements on relative importance...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27818446/urban-latino-families-food-built-environment-and-young-children-s-produce-consumption
#13
Ne P Mathieu, Evan C Sommer, Stephanie J Mitchell, Shari L Barkin
This study explored the association between objective and subjective ratings of the food environment and child produce consumption for Latino preschoolers at-risk for obesity. Parental surveys (N = 115) assessed perceptions of food availability, affordability, and acceptability. Comparable factors were objectively rated by a trained observer, using the Nutrition Environment Measures Survey for Stores (NEMS-S), in commonly frequented grocery stores cited by participants. There were no significant correlations between objective and subjective measures of food availability, affordability, and acceptability...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27818445/the-medical-home-experience-of-low-income-children-with-non-urgent-encounters-in-acute-care-settings
#14
Jean L Raphael, Carl Tapia, Leah S Fischer, John McKeever, Angelo P Giardino
PURPOSE: Assess relationships between having a medical home and health care-seeking behavior attitudes among parents of low-income children with non-urgent encounters in acute settings (emergency, urgent care centers). METHODS: We analyzed data from 1,743 publicly insured children within non-urgent encounters. Parents completed surveys assessing medical home access and attitudes regarding health care-seeking behavior. Multivariate logistic regression analyses were conducted to investigate relationships between medical home access and attitudes...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27818444/utilization-and-outcomes-of-inpatient-surgery-at-safety-net-hospitals
#15
Lindsey A Herrel, Sandra L Wong, Zaojun Ye, David C Miller
Funding changes enacted with health care reform may compromise care and outcomes for vulnerable populations undergoing surgery in safety-net hospitals (SNHs). We performed a retrospective cohort study of surgical patients from 2007 through 2011. We examined the distribution of surgical procedures for SNHs (quartile of hospitals with the highest proportion of Medicaid plus self-pay discharges) vs. non-SNHs (lowest quartile). We fit multivariable models to compare in-hospital mortality, prolonged length of stay (LOS), and hospital costs at SNHs vs...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27818443/screening-for-parental-depression-in-urban-primary-care-practices-a-mixed-methods-study
#16
James P Guevara, Marsha Gerdes, Brooke Rothman, Victor Igbokidi, Susan Doughterty, Russell Localio, Rhonda C Boyd
We sought to determine feasibility and acceptability of parental depression screening in urban pediatric practices. We recruited seven practices to participate. Patient Health Questionnaire-2, a validated two-item screening tool, was used to screen for depressive symptoms at 1-3 year old well visits. We conducted semi-structured interviews with clinicians to identify barriers and facilitators to screening. Of 8,621 eligible parents, 21.1% completed screening with site-specific rates ranging from 10.1% to 48...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27818442/identification-and-practice-patterns-of-sobering-centers-in-the-united-states
#17
Otis Warren, Shannon Smith-Bernardin, Katherine Jamieson, Nickolas Zaller, Aisha Liferidge
BACKGROUND: Sobering centers operate as an alternative to hospitals and jails in many communities across the country as a safe place where an acutely intoxicated person can be observed until he or she becomes sober. No national data on this practice exist. We aim to create a preliminary database of sobering centers and describe national practices of these sobering centers. METHODS: This study is a cross-sectional analysis and survey of sobering centers with a review of current practices...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27818441/seniors-and-people-with-disabilities-experiences-with-mandatory-medicaid-managed-care-in-california-populations-to-target-for-additional-support-during-transitions
#18
Carrie L Graham, Diana D McDonnell
With more states moving people with disabilities and complex care needs into managed care, it is important to target beneficiaries for additional anticipated support before specific needs arise. In a survey of 1,521 seniors and people with disabilities in California who moved into Medicaid managed care six-16 months previously, the majority reported neutral or positive experiences with managed care continuity, access, and quality, compared with fee-for-service. Beneficiaries most likely to have negative experiences included those with poor self-rated health, functional impairment, cognitive impairment, frequent ED visits, and claims for back / osteoarthritis and cancer...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27818440/prevalence-of-untreated-hearing-loss-by-income-among-older-adults-in-the-united-states
#19
Sara K Mamo, Carrie L Nieman, Frank R Lin
Age-related hearing loss is highly prevalent and only 20% of adults with hearing loss report using hearing aids. A major barrier to increased hearing aid use is the high out-of-pocket costs associated with hearing aids. The objective of this brief report is to estimate the numbers of millions of Americans 60 years or older with untreated hearing loss stratified by income level. Using multiple cycles from the National Health and Nutrition Examination Survey (NHANES; 1999-2006 and 2009-2010), the prevalence of untreated hearing loss is reported based on audiometric hearing tests and self-reported hearing aid use from a cross-sectional, nationally representative sample...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27818439/examining-social-capital-and-its-relation-to-breast-and-cervical-cancer-screening-among-underserved-latinas-in-the-u-s
#20
Rachel C Shelton, Elizabeth A Gage-Bouchard, Lina Jandorf, Pathu Sriphanlop, Linda D Thelemaque, Deborah O Erwin
Many Latinos in the U.S. experience structural barriers to health care. Social capital and its implications for health and access to health care among this group are not well understood by researchers. This study examined associations between social capital and breast and cervical cancer screening adherence among a sample of 394 predominately Puerto Rican and Dominican women. Data were collected at baseline from Latinas attending screening education programs in Buffalo, New York and New York City in 2011-2012...
2016: Journal of Health Care for the Poor and Underserved
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