Violence and COVID-19 across the Globe
J Health Care Poor Underserved. 2021;32(3):ix-x. doi: 10.1353/hpu.2021.0110.NO ABSTRACTPMID:34421009 | DOI:10.1353/hpu.2021.0110 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Virginia Brennan Source Type: research

Developing the FQHC Workforce Pipeline-A Look at How One Primary Care Association is Reaching Students in their State
J Health Care Poor Underserved. 2021;32(3):xi-xiii. doi: 10.1353/hpu.2021.0111.NO ABSTRACTPMID:34421010 | DOI:10.1353/hpu.2021.0111 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Ashley Colwell Emma Kelley Source Type: research

Supporting Medical Providers to Combat Vaccine Hesitancy
J Health Care Poor Underserved. 2021;32(3):xiv-xvi. doi: 10.1353/hpu.2021.0112.NO ABSTRACTPMID:34421011 | DOI:10.1353/hpu.2021.0112 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Magdi Awad Kenneth Furdich Dana Webb E Demond Scott Source Type: research

Dual Priorities: Maintaining Scientific Rigor and Staff Wellbeing in the Midst of a Pandemic
J Health Care Poor Underserved. 2021;32(3):1091-1095. doi: 10.1353/hpu.2021.0114.ABSTRACTIn response to the COVID-19 pandemic, our team adjusted study procedures to support research staff wellbeing. ATN CARES is a community-based, adolescent-focused HIV research program. Our participants and frontline staff alike are predominantly Black or Latinx sexual and gender minorities. Senior researchers and staff collaborated to refine our procedures, anticipating stay-at-home orders in March 2020. Transition to virtual space appeared seamless; however, we did not foresee that staff would have the additional role of providing COVID...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Manuel A Ocasio M Isabel Fernandez Laniece Tarelle Thomas Ja'Lon Joseph Adriana Romero-Espinoza Source Type: research

Providing Psychotherapy in an Urban, Underserved Community during the COVID-19 Pandemic
J Health Care Poor Underserved. 2021;32(3):1096-1101. doi: 10.1353/hpu.2021.0115.ABSTRACTPsychologists housed in two family medicine residency clinics located in underserved communities quickly transitioned their mode of psychotherapy from in-person to completely virtual at the beginning of the COVID-19 pandemic. We share numerous successes and advantages of a telehealth model in serving our community and describe challenges we have encountered.PMID:34421014 | DOI:10.1353/hpu.2021.0115 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Michelle D Sherman Adam Sattler Dana Brandenberg Stephanie Hooker Source Type: research

Connecting Primary Care Providers in Free Clinics with Specialists Via Telehealth: A Pilot Program with Three Miami Clinics
J Health Care Poor Underserved. 2021;32(3):1102-1109. doi: 10.1353/hpu.2021.0116.ABSTRACTThe Medical Alumni Volunteer Expert Network (MAVEN) Project (MP) in Miami, Florida piloted primary care provider (PCP)-specialist telehealth consults in three clinics for the uninsured. Preliminary findings suggest telehealth consults may improve quality of care, provider knowledge, and confidence, and may represent innovative health care delivery for the uninsured.PMID:34421015 | DOI:10.1353/hpu.2021.0116 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Frederick Anderson Alan L Wells Lisa Bard Levine Sarah E Stumbar Michael Maurer Lisa Gwynn Source Type: research

Protocol for the Feasibility, Acceptability, and Preliminary Efficacy Trial of text4FATHER for Improving Underserved Fathers' Involvement in Infant Care
This study protocol describes the text4FATHER's feasibility, acceptability, and preliminary efficacy trial from mid-pregnancy through two months postnatal age.PMID:34421016 | DOI:10.1353/hpu.2021.0117 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Arik V Marcell Sara B Johnson Tim Nelson Alain B Labrique Kathryn Van Eck Sara Skelton Anushka Aqil Dustin Gibson Source Type: research

Raising Funds Through Social Media to Subsidise Cervical Cancer Screening with HPV Testing in Rural Ghana-The Battor Experience
J Health Care Poor Underserved. 2021;32(3):1136-1144. doi: 10.1353/hpu.2021.0118.ABSTRACTOver 260,000 women die yearly from cervical cancer, mostly in low and middle-income countries. Molecular testing for high-risk Human Papilloma Virus (HPV) is now the method of choice for cervical cancer screening. A limiting factor for HPV testing, however, is the cost in setting up and running the tests. Our objective was to reduce the cost of cervical cancer screening to rural folk by absorbing the initial cost of setting up. Crowdfunding was done through WhatsApp© and mobile money transfer. Individuals pledged amounts ranging f...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Kofi Effah Joseph Emmanuel Amuah Priscilla Dunyo Gladys Akwada Yusra Kalmoni Comfort Mawusi Wormenor Saviour Tetteh Patrick Kafui Akakpo Source Type: research

Experience with a Mobile Addiction Program among People Experiencing Homelessness
J Health Care Poor Underserved. 2021;32(3):1145-1154. doi: 10.1353/hpu.2021.0119.ABSTRACTA mobile addiction-focused outreach program designed to improve access to care for people experiencing homelessness was implemented in response to the opioid overdose crisis. This innovative program was readily accepted among participants and can inform the development of similar programs delivering addiction-focused care to people experiencing homelessness elsewhere.PMID:34421018 | DOI:10.1353/hpu.2021.0119 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Danielle R Fine Karen Weinstock Isabel Plakas Sarah Mackin Joseph Wright Jessie M Gaeta Karen Donelan Travis P Baggett Source Type: research

Dermatologic Care for the Uninsured West Texas Population at a Student-run Free Clinic
J Health Care Poor Underserved. 2021;32(3):1155-1159. doi: 10.1353/hpu.2021.0120.ABSTRACTWe highlight the operations of The Free Clinic at Lubbock Impact, describing its services and the patient population it serves. Dermatology Nights have been an integral part to the clinic, addressing skin conditions that the uninsured and homeless population experience.PMID:34421019 | DOI:10.1353/hpu.2021.0120 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Christine P Lin Nathan Chow John Rafael Kelly Bennett Michelle Tarbox Ashley Sturgeon Fiona Prabhu Source Type: research

An Innovative Model of Urgent Care for the Underserved: A Case Report of an Urban Hospital-Affiliated Federally Qualified Health Center Urgent Care Clinic
J Health Care Poor Underserved. 2021;32(3):1160-1165. doi: 10.1353/hpu.2021.0121.ABSTRACTMedically underserved patients experience significant barriers to affordable acute care. This brief report describes an innovative urban hospital-affiliated federally qualified health center urgent care clinic that successfully meets a medically underserved population's need for accessible, appropriate, and affordable acute care.PMID:34421020 | DOI:10.1353/hpu.2021.0121 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Jessica K Hall Isabelle C Chatroux Lindsey E Fish Source Type: research

On Pause: How a Group of Medical Students Engaged with Their Community During the COVID-19 Pandemic
J Health Care Poor Underserved. 2021;32(3):1166-1172. doi: 10.1353/hpu.2021.0122.ABSTRACTDuring academic clinical suspensions related to the COVID-19 pandemic, a group of medical students in Washington, D.C. collaborated with a local federally qualified health center to launch a free COVID-19 testing site to increase access to testing in the community. The patients who accessed the testing site were predominantly Black/African American and Hispanic/Latino, some of whom were uninsured or without access to testing or a timely physician's referral. In this article, medical students reflect on their experiences at this testing...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Gabrielle Aquino Daniel Marsden Sara Emamian Eric Hoffman Paulina Ong Randi Abramson Source Type: research

Preventing Traumatic Causes of Maternal Death
J Health Care Poor Underserved. 2021;32(3):1173-1180. doi: 10.1353/hpu.2021.0123.ABSTRACTDespite medical advances, maternal deaths in the U.S. are more common than in nearly all other developed nations. In addition, racial disparities have continued to widen. Driving our rates are maternal deaths from trauma such as homicide, suicide, and drug overdose. Here we discuss limitations of existing practices in prenatal and postpartum care in preventing maternal deaths. We then outline three simple yet novel strategies for changing care to prevent traumatic cases of maternal mortality.PMID:34421022 | DOI:10.1353/hpu.2021.0123 (S...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Melissa A Bright Dikea Roussos-Ross Diana Montoya-Williams Lindsay A Thompson Nancy Hardt Source Type: research

Research Beyond the Ivory Tower: Partnering with Safety-Net Health Systems for Equity
J Health Care Poor Underserved. 2021;32(3):1181-1187. doi: 10.1353/hpu.2021.0124.ABSTRACTSafety-net health systems serve primarily low-income, racially/ethnically diverse patients who bear a disproportionate burden of disease and high social needs. Many safety-net institutions are publicly funded and are under-resourced to deliver high-quality and timely care. Further, little clinical and translational research includes safety-net populations due to lack of funding, structure to support research, and low prioritization. However, we argue that US health care as a whole will lose key insights across all levels of translation...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Kala M Mehta Palav Babaria Kirsten Bibbins-Domingo Urmimala Sarkar Source Type: research

Quitline Reach and Effectiveness among Populations Disproportionately Affected by Tobacco Use: Future Directions
J Health Care Poor Underserved. 2021;32(3):1188-1198. doi: 10.1353/hpu.2021.0125.ABSTRACTQuitlines have great potential reach, utility, and effectiveness in promoting tobacco use cessation and for reducing tobacco-related health disparities (TRHDS). The existing literature underscores the particular promise of quitlines for addressing TRHDS among Black people and American Indians/Alaskan Natives. However, reach is a concern for several subgroups, including Latinx, sexual/gender minorities, and those with mental health conditions. The literature also suggests challenges regarding the efficacy of quitlines in promoting cessa...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Carla J Berg Source Type: research

Insurance-based Disparities in Gastro-Entero-Pancreatic Neuroendocrine Tumor Patients
J Health Care Poor Underserved. 2021;32(3):1199-1207. doi: 10.1353/hpu.2021.0126.ABSTRACTIn the United States, uninsurance remains a major barrier in accessing health care for many citizens and residents. Studies have shown that uninsured patients with many cancers and chronic diseases have worse survival than insured patients. A recent study similarly showed that uninsured patients with gastro-entero-pancreatic neuroendocrine tumors (GEP-NETs) have significantly shortened survival. While GEP-NETs are indolent tumors with generally favorable prognosis, comprehensive care involves years of surveillance, imaging, and treatme...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Jordan J Baechle Paula Marincola Smith Kamran Idrees Source Type: research

Community-Based Participatory Research and its Potential Role in Supporting Diversity in Genomic Science
CONCLUSION AND RECOMMENDATION: Previous strategies to build trust do not fully address key concerns related to the foundational aims and projects of scientific inquiry. The techniques of CBPR are well suited to address these concerns and thus build trust. Community engagement strategies show tremendous promise in supporting participation of underrepresented communities in genomic research.PMID:34421026 | DOI:10.1353/hpu.2021.0127 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Thomas May Sandra Bogar Ryan Spellecy William Kabasenche Jana Craig Danielle Dick Source Type: research

Psychiatry's Dark Secrets: Black Lives Don't Matter
J Health Care Poor Underserved. 2021;32(3):1225-1235. doi: 10.1353/hpu.2021.0128.ABSTRACTThere have been significant advances in the diagnosis and treatment of psychiatric disorders; however, racial disparities continue to create inequity in mental health care. In this commentary, we explore mental health disparities disfavoring African Americans in the psychiatric literature. We discuss how discrimination over time has resulted in a difference of perception, misdiagnoses, and conflicts in patient care. The literature reviewed reveals a pattern wherein African Americans are more likely to be misdiagnosed for all types of m...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Andrea Mata Saldana Adrienne Mata Saldana Mohayed Osman Mohayed Rahn Kennedy Bailey Source Type: research

A Comparative Study of the Health Care Delivery Systems in the Indian Ocean: What can Comoros Islands Learn from Mauritius and Seychelles?
This study's main purpose is to compare health systems and analyze the health status of the citizens of Comoros, Mauritius, and Seychelles, with the intention of providing policy recommendations for Comoros. Peer-reviewed studies and reports published by non-governmental organizations and international agencies were systematically collected through large database searches, filtered through methodological inclusion criteria, and organized into the World Health Organization (WHO) building blocks framework. The literature review demonstrates that health outcomes have dramatically improved over the past decades in Mauritius an...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Kassim Said Abasse Muhammad Abbas Kassim Said Mohamed Mirza Muhammad Baig Murad Habib Andre Cote Amar Ramudhin Source Type: research

Responding to the Needs of People with Disabilities in the COVID-19 Pandemic: Community Perspectives from Centers for Independent Living
J Health Care Poor Underserved. 2021;32(3):1265-1275. doi: 10.1353/hpu.2021.0130.ABSTRACTCenters for Independent Living (CILs) are federally funded, community-based organizations designed and operated by people with disabilities that provide individual and systems advocacy, peer support, information and referral, independent living skills training, and transition services throughout the U.S. and its territories. Centers for Independent Living therefore offer a rich and detailed perspective on the needs of people with disabilities during the COVID-19 pandemic. In this brief report, we summarize COVID-19-related issues raise...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Jae Kennedy Lex Frieden Jennifer Dick-Mosher Source Type: research

An Effective Model for Establishing a Collaborative for the Treatment of COVID-19 in the Rio Grande Valley
J Health Care Poor Underserved. 2021;32(3):1276-1287. doi: 10.1353/hpu.2021.0131.ABSTRACTThe DHR Health Institute for Research and Development spearheaded a region-wide initiative to establish a Rio Grande Valley (RGV) Collaborative for early diagnosis, prevention, and treatment of COVID-19. The Collaborative was established on March 23, 2020, to conserve resources and provide the best clinical care in the face of an imminent regional health crisis in an underserved community, predominantly of Hispanic heritage with some of the highest rates of chronic diseases in the United States. The use of plasma obtained from convales...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Monica M Betancourt-Garcia Alfredo R Arauco-Brown Ricardo Garcia Lizabeth Rosenbaum-Marinaro Taylor Stutz Sohail Rao Source Type: research

Primary Care-Based Case Conferences and Reductions in Health Care Utilization
J Health Care Poor Underserved. 2021;32(3):1288-1300. doi: 10.1353/hpu.2021.0132.ABSTRACTCase conferences are collaborative, interdisciplinary team meetings that facilitate consensus on individual patients' health management plans, coordinate services, and initiate referrals. This approach is well-suited to address the social needs and risks of complex patients. Evidence of this approach in primary care settings to change patient outcomes is limited. A panel of 976 patients from an urban, federally qualified health center were included in case conferences. Fixed-effects regression models estimated the effect of case confer...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Joshua R Vest Justin Blackburn Valerie A Yeager Dawn P Haut Paul K Halverson Source Type: research

Comprehensive Medication Review Completion in Medically Underserved Areas and Populations
CONCLUSION: The expansion of pharmacist-delivered CMRs occurred successfully in MUA/Ps. Further work is warranted to investigate the longitudinal effect on health markers.PMID:34421032 | DOI:10.1353/hpu.2021.0133 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Lisa D Le Isabel Rose Paulk David R Axon Jennifer M Bingham Source Type: research

Symptom Severity and Care Delay among Patients with Serious Mental Illness
CONCLUSION: Severity of specific psychiatric symptoms was associated with delays in seeking general medical care among people with serious mental illness. Increased focus on psychiatric symptom management may reduce medical care delay, thereby reducing the elevated morbidity and mortality among this population.PMID:34421033 | DOI:10.1353/hpu.2021.0134 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Nicholas O Daneshvari Ramin Mojtabai William W Eaton Bernadette A Cullen Katrina M Rodriguez Stanislav Spivak Source Type: research

COVID-19 epidemic in The World Health Organization African Region (WHOAR): Situation and forecast
J Health Care Poor Underserved. 2021;32(3):1320-1338. doi: 10.1353/hpu.2021.0135.ABSTRACTTo describe the dynamics and forecast the main parameters of the COVID-19 pandemic, the time series of daily cases in the World Health Organization African Region (WHOAR) from February 26th to December 29th, 2020 was analyzed. Estimates for expected values of parameters characterizing an epidemic (size of the epidemic, turning point, maximum value of daily cases, and basic reproductive number) were provided for both the first and the second wave, and for the entire ongoing pandemic in WHOAR. To this aim, the classical SIR (Susceptible-...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Jose Luis Caceres Graham Wright Berhanu Dibaba Kumma Frank Verbeke Yury Nechipurenko Source Type: research

Posttraumatic Stress, Depression, and Sleep Among Young Survivors of Violence
This study explored (1) the prevalence of Posttraumatic Stress Disorder (PTSD) symptoms, depression symptoms, and disordered sleep among young, violently injured, emergency department patients; and (2) how PTSD and depression symptoms are associated with sleep quality. Clinical scales for PTSD (PCL-5), depression (PHQ-8), and sleep (PROMIS®) were completed by 88 survivors of violent assault (gunshot, stabbing or assault) one month or less after presenting to an urban emergency department. High proportions of participants met criteria for prospective PTSD (59.1%), major depression (44.3%) or disordered sleep (34.1%), wi...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Theodore Corbin Loni Philip Tabb Daria Waite Jonathan Purtle Erica Harris James Gardner Nina Gentile Ali Rowhani-Rahbar John Rich Source Type: research

Achieving Diagnostic Resolution in Young Children with Social Communication Concerns in a Predominantly Low-Income Population
J Health Care Poor Underserved. 2021;32(3):1359-1371. doi: 10.1353/hpu.2021.0137.ABSTRACTChildren in low-income families are at risk for delayed diagnosis of autism spectrum disorder (ASD). The cascade-of-care model, which examines steps of care for quality and efficacy, can identify lesions in the process for evaluation and diagnosis for children at risk for ASD. Little is known about predictors that influence key steps in this process. We performed a retrospective chart review of 110 children under age five years from an academic medical center with social communication concerns. We assessed predictors of age of referral...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Hong-An T Nguyen Jessica Rosenberg Caroline J Kistin Emily Feinberg Sarabeth Broder-Fingert Source Type: research

Food Insecurity, Meal Behaviors, Beverage Intake, and Body Mass Index in Underserved Adolescents
CONCLUSIONS: This study extends our knowledge concerning food insecurity in urban African American adolescents and suggests public health initiatives designed to encourage meal structure, increase milk intake, and reduce sugar-sweetened beverage intake can improve diet quality of underserved youth.PMID:34421037 | DOI:10.1353/hpu.2021.0138 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Teresa Marshall Eshetu Tefera Brian Laurence Cherae M Farmer-Dixon Angela Southwell Tiffany Edmonds Dianne Harris George Taylor Nawar Shara Donna Grant-Mills Source Type: research

Adverse Childhood Experiences and Chronic Disease Risk in the Southern Community Cohort Study
J Health Care Poor Underserved. 2021;32(3):1384-1402. doi: 10.1353/hpu.2021.0139.ABSTRACTWe used the Southern Community Cohort Study of people residing in 12 states in the southeastern United States (n=38,200 participants) to examine associations between adverse childhood experiences (ACEs) and chronic disease risk. After adjustment for confounding, there were statistically significant positive associations for people reporting four or more ACEs relative to those reporting no ACEs, and this was true for all chronic diseases except hypertension. The most elevated risk was seen for depression when measured as a yes/no variab...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Maureen Sanderson Charles P Mouton Mekeila Cook Jianguo Liu William J Blot Margaret K Hargreaves Source Type: research

The Impact of Incarceration on Health and Health Care Utilization: a System Perspective
CONCLUSION: Incarceration's impact on quantity and type of health care utilization varies with socioeconomic status and gender. Future work should evaluate the impact of length or number of cycles of incarceration on health or health care utilization.PMID:34421039 | DOI:10.1353/hpu.2021.0140 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Sarah Reimer Noah Pearce Andrew Marek Kayla Heslin Ana Perez Moreno Source Type: research

Subsidized Housing and Health: An Exploratory Study Examining Resident Perspectives on Community Health and Access to Care
J Health Care Poor Underserved. 2021;32(3):1415-1432. doi: 10.1353/hpu.2021.0141.ABSTRACTAdequate, safe, and affordable housing is an important determinant of health, yet studies on subsidized housing and health are limited in number and scope. This exploratory survey assessed the health conditions, needs, accessibility of services, and health issues perceived as most important by federally-subsidized affordable housing participants in Virginia. Results for residents of public housing complexes, tenants with housing vouchers, and a nationally representative sample are compared. Findings highlight issues related to cost of ...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Mary Louise Pomeroy Elisa Johnson Ali A Weinstein Source Type: research

Improving Access to Hepatitis C Treatment Using Clinical Pharmacist Services in an Uninsured, At-Risk Population at a Community Health Center
J Health Care Poor Underserved. 2021;32(3):1433-1443. doi: 10.1353/hpu.2021.0142.ABSTRACTWhile published cure rates for new hepatitis C virus (HCV) treatments exceed 90%, barriers such as cost, medication access, housing or phone service instability, and substance use complicate medication adherence for uninsured, at-risk populations. Lincoln Community Health Center (LCHC) Pharmacy, in collaboration with primary care providers and care coordination professionals, implemented clinical pharmacist services to facilitate treatment of HCV infection in uninsured patients using manufacturers' patient assistance programs (PAP). Ei...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Lynn S Fitzgerald Barbara E Johnston Bina Patel Tracy Stillwell Source Type: research

Pilot Hearing Screening of School-age Children in Lagos, Nigeria
CONCLUSION: Given the high prevalence of hearing problems in this group of primary school students, there is a strong need to monitor the hearing status of children in this geographical area.PMID:34421042 | DOI:10.1353/hpu.2021.0143 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Piotr Henryk Skarzynski Weronika Swierniak Elzbieta Gos Katarzyna Bienkowska Paul Adeyinka Olawale Olubi Simeon Afolabi Magdalena Beata Skarzynska Stavros Hatzopoulos Source Type: research

Absence of Antenatal Care and Antiretroviral Therapy Associated with Preterm Delivery in Women with HIV: An 11-Year Retrospective Cohort in South Carolina
CONCLUSIONS: Maternal cART and race were not associated with PTD. Rather, absence of prenatal care and lack of ARV use during pregnancy increased the risk of PTD and perinatal HIV infection.PMID:34421043 | DOI:10.1353/hpu.2021.0144 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Ellery R Cohn Jeffrey E Korte Gweneth B Lazenby Source Type: research

Opportunities for Cancer Health Care Disparities and Care Delivery Research: An Analysis of the NCI Health Care Delivery Research Program Portfolio
J Health Care Poor Underserved. 2021;32(3):1475-1492. doi: 10.1353/hpu.2021.0145.ABSTRACTCancer health care disparities are complex, involve patient, clinician and health care system factors, and are defined as adverse differences in cancer outcomes. This analysis describes NCI's Healthcare Delivery Research Program's (HDRP) portfolio of disparities-focused research and identifies future research opportunities. Grants through HDRP (fiscal years 2012 to 2016) focused on detecting, understanding, and/or intervening on disparities in or among health disparity populations were reviewed by co-authors. Forty-eight funded grants ...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Brenda A Adjei Dolly P White Sharon McCarthy Lianne M Priede Melanie Baker Erin E Kent Sallie J Weaver Ann M Geiger Source Type: research

Identifying Nutrition Risk in a Charitable Pharmacy Population
This study aimed to implement a dual-purpose screening tool to identify nutrition risk in a community setting, to characterize nutrition risk in a charitable pharmacy population, and to identify patients who screen positive for nutrition risk and connect them to community nutrition resources. Of the 221 patients screened during their initial and annual qualification interview at the Charitable Pharmacy of Central Ohio, 140 (63%) screened positive for nutrition risk. There were 84 (38%) patients positive for food insecurity, 14 (6%) positive for malnutrition risk, and 42 (19%) positive for both. Patients at nutrition risk w...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Bethany E Collier Anna C Felmer Jay M Mirtallo Sarah M Jones Jennifer L Seifert Source Type: research

Mammography Screening Beliefs and Knowledge among a Multi-ethnic Sample of Low-income, Uninsured Women
J Health Care Poor Underserved. 2021;32(3):1514-1530. doi: 10.1353/hpu.2021.0147.ABSTRACTThe purpose of this study was to examine screening mammography prevalence and its associated beliefs among a multi-ethnic sample of low-income, uninsured women. Data pertaining to the sample's demographic characteristics, mammography screening history and beliefs, and knowledge on recommended screening age were analyzed (n=533). Overall, 22.1% of the participants had never been screened. Black women were more likely than others to have never been screened, White women were more likely to be overdue, and Hispanic women were more likely ...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Marvellous A Akinlotan Jane N Bolin Cynthia Weston Chinedum Ojinnaka Janet Helduser Anna Lichorad Source Type: research

Randomized Controlled Trial of Storytelling vs Didactic Education Effects on Dietary Colorectal Cancer Risk Behaviors among Latinxs
J Health Care Poor Underserved. 2021;32(3):1531-1553. doi: 10.1353/hpu.2021.0148.ABSTRACTDietary patterns associated with risk for colorectal cancer (CRC) may contribute to continuing health disparities in Latinx populations. Latinx from low-income communities, aged 25-65, were randomized to a 12-week storytelling-based intervention (ST) (n = 300) or didactic learning (DL)(n = 285) classes on cancer screening and dietary changes related to CRC risk facilitated by Latinx lay health workers (promotora/es de salud). Dietary intake was assessed pre-and post-intervention (24-hour dietary recall) with no significant differences ...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Linda K Larkey Lisa L Smith Wonsun S Kim Julie Gonzalez Cynthia A Thompson Source Type: research

Barriers to Prevention and Timely Presentation of Diabetic Foot Ulcers: Perspectives of Patients from a High-risk Urban Population in the United States
J Health Care Poor Underserved. 2021;32(3):1554-1565. doi: 10.1353/hpu.2021.0149.ABSTRACTDiabetic foot amputation is a preventable complication that is increasing in incidence in the United States, with disparities across geography, race, ethnicity, and income. This qualitative study explored the experiences of people in a low-income urban area in the United States in preventing and obtaining care for foot ulcers. Sixteen adults with foot ulcers were identified through purposive sampling based on records of hospital stays and primary care visits. Semi-structured interviews were transcribed and analyzed for key themes. Part...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Anna Flattau Molly L Tanenbaum Jeffrey S Gonzalez Cary Andrews Stephanie Twomey Loretta Vileikyte M Diane McKee Source Type: research

Does Spousal Engagement Improve Cervical Cancer Screening Discussions and Uptake? Lessons from a Before-After Study in a Rural Nigerian Community
CONCLUSION: Despite increased inter-spousal discussions on cervical cancer screening, uptake remained low. We recommend community-driven interventions on cervical cancer screening with a gender-transformative perspective.PMID:34421049 | DOI:10.1353/hpu.2021.0150 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Ijeoma Nkem Okedo-Alex Ifeyinwa Chizoba Akamike Chigozie Jesse Uneke Source Type: research

Characterizing Health Care Access among Cisgender Female Sex Workers with Substance Use Histories in Baltimore, Maryland
J Health Care Poor Underserved. 2021;32(3):1584-1603. doi: 10.1353/hpu.2021.0151.ABSTRACTCisgender female sex workers (FSW) have low rates of health care utilization and persistent health disparities. The study uses baseline data from a structural intervention to understand health care access with cisgender FSW with substance use histories (N=370) in Baltimore, Maryland. The four outcome categories measuring health care access in the past six months were: no health care use/barrier to care (16% of sample), no use/no barrier (24%), use/barrier (25%), use/no barrier (36%, most able to access care). Using multinomial logistic...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Catherine Tomko Jennifer L Glick Danielle Friedman Nestadt Rebecca Hamilton White Sean T Allen Ju Nyeong Park Noya Galai Susan G Sherman Source Type: research

Potential Resilience to Post-traumatic Stress Disorder and Common Mental Disorders among Lay Health Workers Working on the Friendship Bench Programme in Zimbabwe
CONCLUSION: Despite living and working in the same settings as their clients, the Friendship Bench LHWs show good mental health outcomes.PMID:34421051 | DOI:10.1353/hpu.2021.0152 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Ruth Verhey Jonathan Brakarsh Lorna Gibson Susan Shea Dixon Chibanda Soraya Seedat Source Type: research

Health Status and Chronic Disease Burden of the Homeless Population: An Analysis of Two Decades of Multi-Institutional Electronic Medical Records
J Health Care Poor Underserved. 2021;32(3):1619-1634. doi: 10.1353/hpu.2021.0153.ABSTRACTUsing a multi-institutional EMR registry, we extracted housing status and evaluated the presence of several important comorbidities in order to describe the demographics and comorbidity burden of persons experiencing homelessness in northeast Ohio and compare this to non-homeless individuals of varying socioeconomic position. Of 1,974,766 patients in the EMR registry, we identified 15,920 (0.8%) as homeless, 351,279 (17.8%) as non-homeless and in the top quintile of area deprivation index (ADI), and 1,607,567 (81.4%) as non-homeless an...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Wyatt P Bensken Nikolas I Krieger Kristen A Berg Douglas Einstadter Jarrod E Dalton Adam T Perzynski Source Type: research

Violence and COVID-19 across the Globe
J Health Care Poor Underserved. 2021;32(3):ix-x. doi: 10.1353/hpu.2021.0110.NO ABSTRACTPMID:34421009 | DOI:10.1353/hpu.2021.0110 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Virginia Brennan Source Type: research

Developing the FQHC Workforce Pipeline-A Look at How One Primary Care Association is Reaching Students in their State
J Health Care Poor Underserved. 2021;32(3):xi-xiii. doi: 10.1353/hpu.2021.0111.NO ABSTRACTPMID:34421010 | DOI:10.1353/hpu.2021.0111 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Ashley Colwell Emma Kelley Source Type: research

Supporting Medical Providers to Combat Vaccine Hesitancy
J Health Care Poor Underserved. 2021;32(3):xiv-xvi. doi: 10.1353/hpu.2021.0112.NO ABSTRACTPMID:34421011 | DOI:10.1353/hpu.2021.0112 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Magdi Awad Kenneth Furdich Dana Webb E Demond Scott Source Type: research

Dual Priorities: Maintaining Scientific Rigor and Staff Wellbeing in the Midst of a Pandemic
J Health Care Poor Underserved. 2021;32(3):1091-1095. doi: 10.1353/hpu.2021.0114.ABSTRACTIn response to the COVID-19 pandemic, our team adjusted study procedures to support research staff wellbeing. ATN CARES is a community-based, adolescent-focused HIV research program. Our participants and frontline staff alike are predominantly Black or Latinx sexual and gender minorities. Senior researchers and staff collaborated to refine our procedures, anticipating stay-at-home orders in March 2020. Transition to virtual space appeared seamless; however, we did not foresee that staff would have the additional role of providing COVID...
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Manuel A Ocasio M Isabel Fernandez Laniece Tarelle Thomas Ja'Lon Joseph Adriana Romero-Espinoza Source Type: research

Providing Psychotherapy in an Urban, Underserved Community during the COVID-19 Pandemic
J Health Care Poor Underserved. 2021;32(3):1096-1101. doi: 10.1353/hpu.2021.0115.ABSTRACTPsychologists housed in two family medicine residency clinics located in underserved communities quickly transitioned their mode of psychotherapy from in-person to completely virtual at the beginning of the COVID-19 pandemic. We share numerous successes and advantages of a telehealth model in serving our community and describe challenges we have encountered.PMID:34421014 | DOI:10.1353/hpu.2021.0115 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Michelle D Sherman Adam Sattler Dana Brandenberg Stephanie Hooker Source Type: research

Connecting Primary Care Providers in Free Clinics with Specialists Via Telehealth: A Pilot Program with Three Miami Clinics
J Health Care Poor Underserved. 2021;32(3):1102-1109. doi: 10.1353/hpu.2021.0116.ABSTRACTThe Medical Alumni Volunteer Expert Network (MAVEN) Project (MP) in Miami, Florida piloted primary care provider (PCP)-specialist telehealth consults in three clinics for the uninsured. Preliminary findings suggest telehealth consults may improve quality of care, provider knowledge, and confidence, and may represent innovative health care delivery for the uninsured.PMID:34421015 | DOI:10.1353/hpu.2021.0116 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Frederick Anderson Alan L Wells Lisa Bard Levine Sarah E Stumbar Michael Maurer Lisa Gwynn Source Type: research

Protocol for the Feasibility, Acceptability, and Preliminary Efficacy Trial of text4FATHER for Improving Underserved Fathers' Involvement in Infant Care
This study protocol describes the text4FATHER's feasibility, acceptability, and preliminary efficacy trial from mid-pregnancy through two months postnatal age.PMID:34421016 | DOI:10.1353/hpu.2021.0117 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - August 23, 2021 Category: International Medicine & Public Health Authors: Arik V Marcell Sara B Johnson Tim Nelson Alain B Labrique Kathryn Van Eck Sara Skelton Anushka Aqil Dustin Gibson Source Type: research