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Journal of Primary Care & Community Health

Taeho Greg Rhee, Roni L Evans, Donna D McAlpine, Pamela Jo Johnson
OBJECTIVES: To examine the prevalence of complementary and alternative medicine (CAM) use by race/ethnicity and to identify sociodemographic and health-related factors associated with CAM use among US adults with moderate mental distress (MMD). METHODS: We analyzed data from the 2012 National Health Interview Survey (NHIS). We used data for 6016 noninstitutionalized US adults with MMD (3492 non-Hispanic whites, 953 non-Hispanic blacks, 1078 Hispanics, 268 Asians, and 225 others consisted of American Indian, Alaska Native, and those reporting multiple races)...
September 27, 2016: Journal of Primary Care & Community Health
Nikki Keene Woods
There are many different professional stances on safe sleep and then there is the reality of caring for a newborn. There is a debate among professionals regarding safe sleep recommendations. The continum of recommendations vary from the American Academy of Pediatrics (AAP) Safe Sleep Guidelines to the bed-sharing recommendations from the Mother-Baby Behavioral Sleep Laboratory. The lack of consistent and uniform safe sleep recommendations from health professionals has been confusing for families but has more recently raised a real professional ethical dilemma...
September 22, 2016: Journal of Primary Care & Community Health
J Drew Payne, David Michaels, Menfil Orellana-Barrios, Kenneth Nugent
Electronic cigarettes (e-cigarettes) are often advertised as a healthier product when compared with traditional cigarettes. Currently, there are limited data to support this and only a threat of federal regulation from the US Food and Drug Administration. Calls to poison control centers about e-cigarette toxicity, especially in children, and case reports of toxic exposures have increased over the past 3 years. This research letter reports the frequency of hazardous exposures to e-cigarettes and characterizes the reported adverse health effects associated with e-cigarette toxicity...
September 20, 2016: Journal of Primary Care & Community Health
Lisa Cassidy-Vu, Keli Beck, Justin B Moore
Despite approximately equal numbers of male and female medical school graduates, women are entering academic medicine at a lower rate than their male colleagues. Of those who do assume a faculty position, female faculty members report higher levels of burnout, often attributable to gender-specific difficulties in clinical expectations and maintenance of work-life balance. Many of these struggles are attributable to issues that are amenable to supportive policies, but these policies are inconsistent in their availability and practice...
September 20, 2016: Journal of Primary Care & Community Health
Jeffrey F Hine, Allison Q Grennan, Kathryn M Menousek, Gail Robertson, Rachel J Valleley, Joseph H Evans
As the benefits of integrated behavioral health care services are becoming more widely recognized, this study investigated physician satisfaction with ongoing integrated psychology services in pediatric primary care clinics. Data were collected across 5 urban and 6 rural clinics and demonstrated the specific factors that physicians view as assets to having efficient access to a pediatric behavioral health practitioner. Results indicated significant satisfaction related to quality and continuity of care and improved access to services...
September 15, 2016: Journal of Primary Care & Community Health
Anita Ravi, Linda Prine, Gabrielle deFiebre, Susan E Rubin
PURPOSE: To describe rates of and reasons for follow-up among adolescents and adults receiving contraceptive implants in a Federally Qualified Health Center (FQHC). METHODS: Retrospective comparison of patient-initiated implant-related contacts during the 6 months postinsertion among adolescents (110) and adults (154) who had implants placed at a FQHC network. RESULTS: Forty percent of adolescents and 26% of adults initiated follow-up (P = ...
September 1, 2016: Journal of Primary Care & Community Health
Kaustubh Bora, Mauchumi Saikia Pathak, Probodh Borah, Dulmoni Das
BACKGROUND: Obesity is an important risk factor for decrease in high-density lipoprotein cholesterol (HDL-C) levels, which predisposes to cardiovascular diseases. But, the relative contribution of obesity toward decreased HDL-C and the risk estimates of decreased HDL-C attributable to obesity are unavailable. Such measures will help in understanding the extent by which the burden of decreased HDL-C can be reduced by tackling obesity. OBJECTIVES: The objectives of this study were to (a) determine the association between decreased HDL-C and obesity and (b) estimate the attributable risk proportion (ARP) and population attributable risk proportion (PARP) for decreased HDL-C due to obesity...
August 16, 2016: Journal of Primary Care & Community Health
Avinash R Patwardhan
Research on yoga is witnessing an unprecedented proliferation currently, partly because of great interest in yoga's health utility. However, yoga research does not seem to be sufficiently public health oriented, or its quality corresponding to its quantity. Yoga research is falling short to enable key stakeholders like end users, prescribers, and payers to meaningfully, confidently, and fruitfully answer the questions like: Is it generalizable? Is it standardizable? Which yoga style should be used/recommended/paid for? Or will it be worth the money? Therefore, it is important to examine the alignment to purpose or value of yoga research from a public health point of view so as to make it more practical...
August 11, 2016: Journal of Primary Care & Community Health
Jim Sanders, Clare E Guse
BACKGROUND: There is a significant disparity in hypertensive treatment rates between those with and without health insurance. If left untreated, hypertension leads to significant morbidity and mortality. The uninsured face numerous barriers to access chronic disease care. We developed the Community-based Chronic Disease Management (CCDM) clinics specifically for the uninsured with hypertension utilizing nurse-led teams, community-based locations, and evidence-based clinical protocols...
August 9, 2016: Journal of Primary Care & Community Health
Joseph Lunyera, Charles Jonassaint, Jude Jonassaint, Nirmish Shah
BACKGROUND: Sickle cell disease (SCD) is a complex chronic disease requiring multidisciplinary care that involves primary care physicians (PCPs) working with a hematologist or SCD specialists. However, PCPs often lack access to SCD specialists and are unaware of SCD guidelines or efficacious treatment. METHODS: We partnered with Community Care of North Carolina (CCNC) to identify assigned PCPs for SCD patients with Medicaid across North Carolina. CCNC network administrators distributed a web-based questionnaire for completion...
August 9, 2016: Journal of Primary Care & Community Health
Michelle Y Raji, Nai-Wei Chen, Mukaila Raji, Yong-Fang Kuo
BACKGROUND: A shortage of primary care physicians has led to the alternative strategy of nurse practitioners (NPs) as primary care providers for the growing elderly population. Many states have implemented policies that allow NPs to practice independently with no physician oversight. Little is known about the continuity of primary care provided by NPs. OBJECTIVE: To examine rate and correlates of switching from exclusive NP primary care to receiving some or all primary care from physicians...
October 2016: Journal of Primary Care & Community Health
Kyle L Grazier, Mary L Smiley, Kirsten S Bondalapati
OBJECTIVE: Despite barriers, organizations with varying characteristics have achieved full integration of primary care services with providers and services that identify, treat, and manage those with mental health and substance use disorders. What are the key factors and common themes in stories of this success? METHODS: A systematic literature review and snowball sampling technique was used to identify organizations. Site visits and key informant interviews were conducted with 6 organizations that had over time integrated behavioral health and primary care services...
October 2016: Journal of Primary Care & Community Health
James J Annesi, Stephanie M Walsh, Brittney L Greenwood
INTRODUCTION: Volume of moderate-to-vigorous physical activity completed during the elementary school day is insufficient, and associated with health risks. Improvements in theory-based psychosocial factors might facilitate increased out-of-school physical activity. METHODS: A behaviorally based after-school care protocol, Youth Fit 4 Life, was tested for its association with increased voluntary, out-of-school physical activity and improvements in its theory-based psychosocial predictors in 9- to 12-year-olds...
October 2016: Journal of Primary Care & Community Health
Sonya Gabrielian, Anita H Yuan, Ronald M Andersen, Lillian Gelberg
PURPOSE: Little is known about how permanent supported housing influences ambulatory care received by homeless persons. To fill this gap, we compared diagnoses treated in VA Greater Los Angeles (VAGLA) ambulatory care between Veterans who are formerly homeless-now housed/case managed through VA Supported Housing ("VASH Veterans")-and currently homeless. METHODS: We performed secondary database analyses of homeless-experienced Veterans (n = 3631) with VAGLA ambulatory care use from October 1, 2010 to September 30, 2011...
October 2016: Journal of Primary Care & Community Health
Karen Abernathy, Jingwen Zhang, Patrick Mauldin, William Moran, Mac Abernathy, Elisha Brownfield, Kimberly Davis
OBJECTIVES: Patients with coexisting mental health disorder and chronic disease are more at risk for poor outcomes, including increased acute care utilization. This study was performed to assess the association of mental health disorders on acute care utilization (emergency department [ED] use, hospitalization, and rehospitalization within 30 days) using disease clustering. METHODS: A retrospective cohort analysis was performed on 10‚ÄČ408 patients. Adult patients >18 years of age were included in the study if they were seen at least twice in University Internal Medicine primary care clinic at the Medical University of South Carolina from October 10, 2010 through September 30, 2013...
October 2016: Journal of Primary Care & Community Health
Sandhya Raveendran, P S Rakesh, Soumya Dev, Nithin Vijayakumar, Prathibha Prasannakumar
An outbreak investigation was initiated following an unusual occurrence of hepatitis A reported among people residing in the coastal belt of Vadi to Vedikunnu area, Kollam district, Kerala, southern India. The time frame of disease occurrence, pattern of its distribution, and the incubation period of hepatitis A infection indicated the probability of occurrence of the outbreak as a result of pipe line water contamination due to mixing of sewage from a canal. The results add evidence to the epidemiology of hepatitis A in the state and warrant the establishment of an efficient water quality surveillance system...
October 2016: Journal of Primary Care & Community Health
Elizabeth K Seng, Cynthia Cervoni, Jessica L Lawson, Tanya Oken, Sloane Sheldon, M Diane McKee, Karen A Bonuck
INTRODUCTION: Sleep disorders affect up to 1 in 4 adults and can adversely affect a variety of health conditions. However, little is known about detection of sleep disorders in ethnically diverse urban primary care settings. METHODS: Patients in urban primary care settings completed surveys to screen for sleep problems and identify comorbid conditions. Providers were given screening results, and provided feedback regarding their clinical utility. RESULTS: Participants (n = 95) were predominantly women (76...
October 2016: Journal of Primary Care & Community Health
Jennifer L Hay, Geoffrey S Gold, Raymond E Baser, Hedvig Hricak, Lawrence T Dauer
BACKGROUND: In recent years, there have been dramatic increases in medical imaging use and increasing media attention to increased exposure to ionizing radiation in the United States. Patient perspectives on medical imaging radiation (MIR) use is understudied, but could guide primary care discussions. This study examines prevalence of worry about the health harms from MIR in the US general population. METHODS: This cross-sectional study used the 2012-2013 Health Information National Trends Survey conducted by the National Cancer Institute...
October 2016: Journal of Primary Care & Community Health
Brian A Lynch, Natalie Gentile, Julie Maxson, Stephanie Quigg, Laura Swenson, Tara Kaufman
BACKGROUND: Pediatric obesity is a significant public health problem with a prevalence of 16.9% among US children. School-based obesity interventions show promise for reducing adiposity in elementary age children. This pilot study evaluated the impact of the Let's Go! 5-2-1-0 pediatric obesity intervention program in an elementary school setting. METHODS: This was a cluster randomized controlled field trial comprising 8 classrooms of second- and third-grade children...
October 2016: Journal of Primary Care & Community Health
Jeffrey D Kravetz, Robert F Walsh
OBJECTIVE: Hypertension is the most common condition seen in primary care, occurring in 1 in 3 adults in the United States. The patient-centered medical home provides an opportunity for proactive, team-based care of hypertension. The purpose of this pilot study was to measure the effectiveness of a team-based approach to blood pressure management in a busy, primary care setting. METHODS: Using panel management within 2 primary care clinics, a cohort of patients with blood pressures >160/100 mm Hg, was identified...
October 2016: Journal of Primary Care & Community Health
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