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https://www.readbyqxmd.com/read/28817875/re-geriatric-conditions-in-a-population-based-sample-of-older-homeless%C3%A2-adults
#1
Tomas L Griebling
No abstract text is available yet for this article.
September 2017: Journal of Urology
https://www.readbyqxmd.com/read/28816720/racial-inequities-in-hiv-prevalence-and-composition-of-risk-networks-among-people-who-inject-drugs-in-hptn-037
#2
Florence Momplaisir, Mustafa Hussein, Danielle Tobin-Fiore, Laramie Smith, David Bennett, Carl Latkin, David S Metzger
BACKGROUND: HIV prevention interventions in the U.S. have failed to eliminate racial inequities. Here, we evaluate factors associated with racial inequities in HIV prevalence among people who inject drugs (PWID) using HIV Prevention Trial Network 037 data. METHODS: We measured racial homophily (i.e., all members share the same race), being in an HIV+ network (network with ≥ 1 HIV+ member) and drug and sex risk behaviors. A two-level logistic regression with a random intercept evaluated the association between being in an HIV+ network and race adjusting for individual and network-level factors...
August 12, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28815623/housing-and-child-welfare-emerging-evidence-and-implications-for-scaling-up-services
#3
Patrick J Fowler, Anne F Farrell, Katherine E Marcal, Saras Chung, Peter S Hovmand
Inadequate housing threatens family stability in communities across the United States. This study reviews emerging evidence on housing interventions in the context of scale-up for the child welfare system. In child welfare, scale-up refers to the extent to which fully implemented interventions sustainably alleviate family separations associated with housing instability. It incorporates multiple aspects beyond traditional measures of effectiveness including costs, potential reach, local capacities for implementation, and fit within broader social services...
August 17, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/28814336/risk-behaviour-determinants-among-people-who-inject-drugs-in-stockholm-sweden-over-a-10-year-period-from-2002-to-2012
#4
Niklas Karlsson, Michele Santacatterina, Kerstin Käll, Maria Hägerstrand, Susanne Wallin, Torsten Berglund, Anna Mia Ekström
BACKGROUND: People who inject drugs (PWID) frequently engage in injection risk behaviours exposing them to blood-borne infections. Understanding the underlying causes that drive various types and levels of risk behaviours is important to better target preventive interventions. METHODS: A total of 2150 PWID in Swedish remand prisons were interviewed between 2002 and 2012. Questions on socio-demographic and drug-related variables were asked in relation to the following outcomes: Having shared injection drug solution and having lent out or having received already used drug injection equipment within a 12 month recall period...
August 16, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28813207/examination-of-synthetic-cannabinoid-and-cathinone-use-among-a-drug-using-offender-sample-2013-2015
#5
Kirsten Elin Smith, Amanda M Bunting, Michele Staton, Robert Walker, Sara Shalash, Erin Winston, Kevin Pangburn
Use of novel psychoactive substances (NPS) such as synthetic cannabinoids (e.g., "Spice," "Serenity") and cathinones (e.g., "bath salts") has proliferated in recent years; however, there is a gap in research examining prevalence among offender samples. This study examined demographics, drug use, mental health characteristics, and criminal histories of NPS users compared to non-NPS users within an offender sample entering drug treatment. Using logistic regression analysis, combined 2013-2015 assessment data were examined (N = 8,791)...
August 16, 2017: Journal of Psychoactive Drugs
https://www.readbyqxmd.com/read/28806374/long-acting-reversible-contraception-among-homeless-women-veterans-with-chronic-health-conditions-a-retrospective-cohort-study
#6
Lori M Gawron, Andrew Redd, Ying Suo, Warren Pettey, David K Turok, Adi V Gundlapalli
BACKGROUND: US women Veterans are at increased risk of homelessness and chronic health conditions associated with unintended pregnancy. Veterans Health Administration (VHA) provision of long-acting reversible contraception (LARC) can assist in healthy pregnancy planning. OBJECTIVES: To evaluate perinatal risk factors and LARC exposure in ever-homeless women Veterans. RESEARCH DESIGN: A retrospective cohort study of women Veterans using VHA administrative data from fiscal years 2002-2015...
September 2017: Medical Care
https://www.readbyqxmd.com/read/28806373/patient-aligned-care-team-engagement-to-connect-veterans-experiencing-homelessness-with-appropriate-health-care
#7
Adi V Gundlapalli, Andrew Redd, Daniel Bolton, Megan E Vanneman, Marjorie E Carter, Erin Johnson, Matthew H Samore, Jamison D Fargo, Thomas P O'Toole
BACKGROUND: Veterans experiencing homelessness frequently use emergency and urgent care (ED). OBJECTIVE: To examine the effect of a Patient-aligned Care Team (PACT) model tailored to the unique needs of Veterans experiencing homelessness (H-PACT) on frequency and type of ED visits in Veterans Health Administration (VHA) medical facilities. RESEARCH DESIGN: During a 12-month period, ED visits for 3981 homeless Veterans enrolled in (1) H-PACT at 20 VHA medical centers (enrolled) were compared with those of (2) 24,363 homeless Veterans not enrolled in H-PACT at the same sites (nonenrolled), and (3) 23,542 homeless Veterans at 12 non-H-PACT sites (usual care) using a difference-in-differences approach...
September 2017: Medical Care
https://www.readbyqxmd.com/read/28806363/clinical-epidemiology-of-single-versus-multiple-substance-use-disorders-polysubstance-use-disorder
#8
Ish P Bhalla, Elina A Stefanovics, Robert A Rosenheck
OBJECTIVE: While research on substance abuse has largely focused on people who have a single substance use disorder (SUD), many people abuse multiple substances. Studies have yet to examine the distinctive characteristics of patients diagnosed with more than 1 SUD and how those with polysubstance use disorder (PSUD) differ from those with a single SUD. METHODS: National Veterans Health Administration data from fiscal year 2012 were used to compare veterans diagnosed 1 SUD to veterans diagnosed with 2-3, and >3 SUDs on demographic characteristics, psychiatric and medical diagnoses, medical and psychiatric service utilization, and psychotropic medication fills...
September 2017: Medical Care
https://www.readbyqxmd.com/read/28806361/health-disparities-in-veterans-a-map-of-the-evidence
#9
Karli Kondo, Allison Low, Teresa Everson, Christine D Gordon, Stephanie Veazie, Crystal C Lozier, Michele Freeman, Makalapua Motu'apuaka, Aaron Mendelson, Mark Friesen, Robin Paynter, Caroline Friesen, Johanna Anderson, Erin Boundy, Somnath Saha, Ana Quiñones, Devan Kansagara
BACKGROUND: Goals for improving the quality of care for all Veterans and eliminating health disparities are outlined in the Veterans Health Administration Blueprint for Excellence, but the degree to which disparities in utilization, health outcomes, and quality of care affect Veterans is not well understood. OBJECTIVES: To characterize the research on health care disparities in the Veterans Health Administration by means of a map of the evidence. RESEARCH DESIGN: We conducted a systematic search for research studies published from 2006 to February 2016 in MEDLINE and other data sources...
September 2017: Medical Care
https://www.readbyqxmd.com/read/28806101/homeless-women-s-service-use-barriers-and-motivation-for-participating-in-substance-use-treatment
#10
Carole C Upshur, Darlene Jenkins, Linda Weinreb, Lillian Gelberg, Elizabeth Aaker Orvek
BACKGROUND: Homeless women are at high risk for substance use disorder (SUD), and are a growing proportion of the homeless population. However, homeless women experience barriers to engaging in substance use services. OBJECTIVES: Among homeless women with SUD, to explore service use, motivation to change, service barriers, and willingness to have substance use and mental health problems addressed in primary health care. METHODS: Women with SUD were sampled from 11 Health Care for the Homeless (HCH) primary care clinics in 9 states, yielding 241 with either an alcohol or drug use disorder who then completed questions about SUD services...
August 14, 2017: American Journal of Drug and Alcohol Abuse
https://www.readbyqxmd.com/read/28792993/prevalence-risk-factors-and-hepatitis-b-immunization-helping-fill-the-gap-on-hepatitis-b-epidemiology-among-homeless-people-goi%C3%A3-nia-central-brazil
#11
Paulie Marcelly Ribeiro Dos Santos Carvalho, Marcos André de Matos, Regina Maria Bringel Martins, Raquel Silva Pinheiro, Karlla Antonieta Amorim Caetano, Márcia Maria de Souza, Megmar Aparecida Dos Santos Carneiro, Sheila Araujo Teles
Data are limited in Brazil on hepatitis B infection among homeless individuals, a marginalized population with high risk of sexually transmissible infections (STI), including hepatitis B. The aim of this study was to investigate hepatitis B epidemiology in homeless persons lodged in a public shelter in Goiânia, Central Brazil. From August 2014 to June 2015, 353 individuals were interviewed and tested for markers of HBV infection. Overall HBV prevalence was 21.8% (95%CI: 17,82-26,41), and 19,5% (95%CI: 15,75-24,0) showed a serological profile of previous HBV vaccination...
August 7, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28792063/youth-homelessness-and-vulnerability-how-does-couch-surfing-fit
#12
Susanna R Curry, Matthew Morton, Jennifer L Matjasko, Amy Dworsky, Gina M Samuels, David Schlueter
Youth homelessness is a problem characterized by high levels of vulnerability. The extent to which couch surfing - moving from one temporary housing arrangement to another - is part of youth homelessness is not well understood. Chapin Hall's Voices of Youth Count, a national research initiative, involves a multicomponent approach to studying youth homelessness. This study reports emerging findings regarding couch surfing and homelessness primarily from a national survey of 13,113 adults with youth ages 13-25 in their households or who are themselves ages 18-25...
August 9, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/28792062/housing-and-child-well-being-implications-for-research-policy-and-practice
#13
Patrick J Fowler, Anne F Farrell
Inadequate housing and homelessness represent significant barriers to family stability and child development. An accumulating body of evidence documents the relatively high risk of family separation among families experiencing housing instability and homelessness, the extent of housing problems experienced by families involved in the child welfare system, and the disproportionately high rates of homelessness among youth aging out of foster care. Vulnerable youth and families interact frequently with various social service programs intended to mitigate multifaceted and multilevel risks, however, systems efforts and resources are rarely coordinated and results to date are mixed...
August 9, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/28792060/screening-for-housing-instability-and-homelessness-among-families-undergoing-child-maltreatment-investigation
#14
Anne F Farrell, Kate E Dibble, Kellie G Randall, Preston A Britner
This paper reports results of mixed methods, population survey of housing instability, and homelessness. Child welfare personnel conducted the Quick Risks and Assets for Family Triage (QRAFT), a three-question screening tool intended to identify housing instability and homelessness. The QRAFT requires users to assess family housing history, current housing arrangement, and current housing condition, on a four-point scale from "asset/not a risk" to "severe risk." The QRAFT was completed among 6828 families undergoing new child maltreatment investigations...
August 9, 2017: American Journal of Community Psychology
https://www.readbyqxmd.com/read/28791876/limited-awareness-of-pre-exposure-prophylaxis-among-black-men-who-have-sex-with-men-and-transgender-women-in-new%C3%A2-york-city
#15
Matthew Garnett, Yael Hirsch-Moverman, Julie Franks, Eleanor Hayes-Larson, Wafaa M El-Sadr, Sharon Mannheimer
Awareness of Pre-exposure prophylaxis (PrEP) was assessed among a cohort of substance-using black men who have sex with men and transgender women (MSM/TGW) participating in the STAR Study, which recruited black MSM/TGW in New York City for HIV testing and linked HIV-infected individuals into care from July 2012 to April 2015. Sociodemographic, psychosocial, known HIV risk factors, and PrEP awareness were assessed among participants. Multivariable logistic regression was conducted to assess factors associated with PrEP awareness...
August 9, 2017: AIDS Care
https://www.readbyqxmd.com/read/28790044/access-3-project-protocol-young-people-and-health-system-navigation-in-the-digital-age-a-multifaceted-mixed-methods-study
#16
Melissa Kang, Fiona Robards, Lena Sanci, Katharine Steinbeck, Stephen Jan, Catherine Hawke, Marlene Kong, Tim Usherwood
BACKGROUND: The integration of digital technology into everyday lives of young people has become widespread. It is not known whether and how technology influences barriers and facilitators to healthcare, and whether and how young people navigate between face-to-face and virtual healthcare. To provide new knowledge essential to policy and practice, we designed a study that would explore health system access and navigation in the digital age. The study objectives are to: (1) describe experiences of young people accessing and navigating the health system in New South Wales (NSW), Australia; (2) identify barriers and facilitators to healthcare for young people and how these vary between groups; (3) describe health system inefficiencies, particularly for young people who are marginalised; (4) provide policy-relevant knowledge translation of the research data...
August 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/28789733/mobile-health-care-for-people-who-are-homeless
#17
Angela L Caires
Individuals experiencing homelessness face significant challenges on a daily basis. The ongoing need to find shelter, safety, and food becomes a priority and often supersedes the need for health care. People who are homeless have significantly higher morbidity and mortality rates than those who are sheltered, at least in part because care is sought when health care issues become acute and more difficult to manage from a medical standpoint. Most acute care for this population is provided in the emergency department, which is more expensive and more fragmented than regular care provided by a primary provider...
August 1, 2017: Creative Nursing
https://www.readbyqxmd.com/read/28783072/stated-preferences-for-dog-characteristics-and-sources-of-acquisition
#18
Courtney Bir, Nicole J Olynk Widmar, Candace C Croney
People's preferences for where they acquire dogs and the characteristics they focus on may provide insight into their perceptions of socially responsible pet ownership, as acquiring a dog is the first step in dog ownership. An online survey of 1523 U.S. residents was used to aid understanding of public perceptions of dog acquisition. Likert-scale questions allowed respondents to assign a level of agreement, within the given scale, to ten statements related to dog acquisition. A significantly higher percentage of women (39...
August 5, 2017: Animals: An Open Access Journal From MDPI
https://www.readbyqxmd.com/read/28782542/supported-employment-for-veterans-with-traumatic-brain-injury-patient-perspectives
#19
Kathleen F Carlson, Terri K Pogoda, Tess Gilbert, Sandra G Resnick, Elizabeth Twamley, Maya E O'Neil, Nina A Sayer
OBJECTIVE: To quantify the need for, and interest in, Supported Employment (SE) among recent military Veterans with traumatic brain injury (TBI), and to examine characteristics associated with Veterans' interest in SE. DESIGN: Stratified random sample of Iraq and Afghanistan War Veterans confirmed to have TBI through the Veterans Health Administration (VHA) screening and evaluation system. SETTING: Community-based via mailed survey. PARTICIPANTS: We recruited 1,800 Veterans with clinician-confirmed TBI (1,080 mild TBI; 720 moderate/severe TBI) through multiple mailings...
August 3, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28782374/addressing-the-challenges-of-palliative-care-for-homeless-veterans
#20
Evelyn Hutt, Karen Albright, Hannah Dischinger, Mary Weber, Jacqueline Jones, Thomas P O'Toole
BACKGROUND: Veterans who nearing the end of life (EOL) in unstable housing are not adequately served by current palliative care or homeless programs. METHODS: Multidisciplinary focus groups, interviews with community and Veterans Affairs (VA) leaders and with 29 homeless veterans were conducted in five cities. A forum of national palliative and homelessness care leaders (n=5) and representatives from each focus group (n=10), then convened. The forum used Nominal Group Process to suggest improvements in EOL care for veterans without homes...
January 1, 2017: American Journal of Hospice & Palliative Care
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