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Journal of Primary Care & Community Health

Akiko Kamimura, Bethany Gull, Shannon Weaver, Lindsey Wright, Jeanie Ashby, Lea E Erickson
INTRODUCTION: The collaborations between dental care providers and other health care providers are especially needed for underserved populations. There is a deficit of research focused on underserved populations who utilize a safety net facility such as a free clinic in the United States. The purpose of this study is to examine the association between health-related beliefs and oral health behaviors among uninsured adults utilizing a primary care free clinic providing oral health care...
November 29, 2016: Journal of Primary Care & Community Health
Christine E Wells, Sarah J Smith
OBJECTIVES: Increasing diagnostic rates of dementia is a national health priority; to meet this priority, improvement needs to be made to diagnostic services. It has been increasingly recognized that primary can play a significant role in the diagnostic journey for people with dementia, with some diagnostic services entirely located in primary care. This article reviews the extent of the involvement of primary care in diagnostic care pathways for people presenting with memory complaints within England, and presents examples of innovative approaches, which may be of interest to practitioners...
November 22, 2016: Journal of Primary Care & Community Health
Karla Mendoza, Arianna Ulloa, Nayelhi Saavedra, Jorge Galván, Shoshana Berenzon
OBJECTIVE: To analyze factors associated with and predicting Mexican women seeking primary care mental health services (PCMHS) and provide suggestions to increase PCMHS utilization. METHOD: We administered a questionnaire to (N = 456) female patients in Mexico City primary care clinics. We conducted chi-square analyses of seeking PCMHS and sociodemographic variables, perceptions of and experiences with PCMHS. Our results and literature review guided our logistic regression model...
November 17, 2016: Journal of Primary Care & Community Health
Niharika Khanna, Fadia T Shaya, Priyanka Gaitonde, Andrea Abiamiri, Ben Steffen, David Sharp
PURPOSE: Each of the participating patient-centered medical home (PCMH) received coaching and participated in learning collaborative for improving teamwork. The objective of the study was to assess the impact of trainings on patient-centered teamwork. METHODS: The Teamwork Perception Questionnaire (TPQ) was administered once in spring 2014 and then in fall 2015. The TPQ consists of 35 questions across 5 domains: mutual support, situation monitoring, communication, team structure, and leadership...
November 11, 2016: Journal of Primary Care & Community Health
Maya Tabet, Erin A Sanders, Mario Schootman, Jen Jen Chang, Fredric D Wolinsky, Theodore K Malmstrom, Douglas K Miller
OBJECTIVE: We examined associations between observed neighborhood conditions (good/adverse) and psychosocial outcomes (stress, depressive symptoms, resilience, and sense of control) among middle-aged and older African Americans. METHODS: The sample included 455 middle-aged and older African Americans examined in Wave 10 of the African American Health (AAH) study. Linear regression was adjusted for attrition, self-selection into neighborhoods, and potential confounders, and stratified by the duration at current address (<5 vs ≥5 years) because of its hypothesized role as an effect modifier...
October 31, 2016: Journal of Primary Care & Community Health
Plernta Ethisan, Ratana Somrongthong, Jamil Ahmed, Ramesh Kumar, Robert S Chapman
Physical activity in later years of life is not only essential to healthy aging and independent functioning, but it also helps prevent chronic diseases. We aimed this cross-sectional study to assess the prevalence of physical activity and associated factors among rural elderly Thais. We conducted this study on a sample of 300 elderly in 2 rural districts of Phranakornsiayutthaya province in Thailand. The mean age of participants were 67.5±6 years and 42% of them did not perform physical activity. Prevalence of vigorous and moderate intensity physical activity was 43...
October 31, 2016: Journal of Primary Care & Community Health
Stephanie Lynn Chau, Amy Alabaster, Karin Luikart, Leslie Manace Brenman, Laurel A Habel
PURPOSE: Half of US states mandate women be notified if they have dense breasts on their mammogram, yet guidelines and data on supplemental screening modalities are limited. Breast density (BD) refers to the extent that breast tissue appears radiographically dense on mammograms. High BD reduces the sensitivity of screening mammography and increases breast cancer risk. The aim of this study was to determine the potential impact of California's 2013 BD notification legislation on breast cancer screening patterns...
October 31, 2016: 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
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 10 408 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
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