Note from the Editor.
PMID: 31130526 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Brennan VM Tags: J Health Care Poor Underserved Source Type: research

Lugenia Burns Hope.
PMID: 31130527 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Frierson JC Tags: J Health Care Poor Underserved Source Type: research

Ambiguous Jurisdiction: Governmental Relationships that Affect American Indian Health Care Access.
Abstract The United States has an obligation to provide health care to American Indians. Services are generally provided through the Indian Health Service, tribal, or urban Indian health programs. Despite the availability of government-sponsored health services, health care access remains a concern for American Indians. PMID: 31130528 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Marley TL Tags: J Health Care Poor Underserved Source Type: research

Physician Workforce Partnerships in Rural American Indian/Alaska Native Communities and the Potential of Post-Graduate Fellowships.
Abstract Rural American Indian and Alaska Native (AI/AN) communities face physician vacancy rates over 25%. A variety of programs aim to address those gaps, from early-life STEM initiatives for AI/ANs to physician loan repayment programs. However, unfilled clinical positions and underrepresentation of AI/AN physicians persist. We review existing workforce initiatives, then demonstrate that three recently developed clinical fellowship programs fill an important gap. The fellowships, led by faculty at large academic health centers, place fellows in clinical positions in rural AI/AN communities in partnership with tr...
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Tobey M, Amir O, Beste J, Jung P, Shamasunder S, Tutt M, Shah S, Le P Tags: J Health Care Poor Underserved Source Type: research

Primary Care in Cuba: Considerations for the U.S.
Abstract In 2017, we traveled to Cuba to learn about the nation's approach to health care. Despite being a developing nation, Cuba boasts health care indicators that are comparable to those of the United States and other developed nations. Emphasizing prevention and proactive care, the Cuban health care system provides lessons to inform future U.S. health care reform efforts in order to contain medical costs while providing quality care. Visiting with Cuban health care professionals over the course of eight days, and interviewing American physicians who were trained in Cuba but practice in the U.S., this paper pro...
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Bhardwaj N, Skinner D Tags: J Health Care Poor Underserved Source Type: research

Hispanic Hospice Utilization: Integrative Review and Meta-analysis.
Abstract Hospice is patient-centered end-of-life care. Hispanics are underrepresented among hospice patients (7.1%) relative to the U.S. population (17%). We conducted a systematic review of the literature and meta-analysis to understand this underrepresentation further. In palliative care, Hispanic hospice enrollment is comparable to that of non-Hispanic Whites (NHWs) (RR 1.02, 95% CI: 0.93-1.12; z=0.49; p = .627). However, in cases of heart failure (OR 0.49, 95% CI 0.37-0.66) and stroke (OR 0.77, 95% CI 0.63-0.94), Hispanics are much less likely to use hospice than NHWs. Cancer studies are mixed, but in meta-ana...
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Rising ML, Hassouneh DS, Lutz KF, Berry P, Lee CS Tags: J Health Care Poor Underserved Source Type: research

Disaster Care and Socioeconomic Vulnerability in Puerto Rico.
Abstract Health care for victims of Puerto Rico's hurricanes in three settings highlights the impact of social determinants of health, social vulnerability, and chronic disease in disaster management. Addressing such conditions before disasters as well as food needs and health care access after disasters could mitigate disaster impact and facilitate recovery. PMID: 31130532 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Rudner N Tags: J Health Care Poor Underserved Source Type: research

70x2020: A Grassroots Effort to Increase Colorectal Cancer Screening and Prevention in a Rural Medically Underserved State.
This report describes the ongoing efforts of a voluntary statewide grassroots initiative to increase colorectal cancer (CRC) screening rates in a poor rural state with no established CRC screening programs for the poor and underserved. This report focuses on the tactics to increase stool-based CRC screenings through primary care providers. PMID: 31130533 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Fuqua SR, Chanay C, Duhé RJ Tags: J Health Care Poor Underserved Source Type: research

A Mobile Clinic Care Coordination Program: Enhancing Patient Care with Innovative Roles for Undergraduate Students.
Abstract The University of Florida Mobile Outreach Clinic's Care Coordination Program uses trained undergraduate volunteers to provide vital services; these include patient intake, recording vital signs, scribing first drafts of clinic notes, and making follow-up phone calls. The program and its benefits are replicable as demonstrated by our systematic implementation plan. PMID: 31130534 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Nguyen T, Ng Y, Lehenaff R, McCoy D, Laughrey M, Grigg J, Stein GH, Hardt NS Tags: J Health Care Poor Underserved Source Type: research

Retrospective Analysis of Population Demographic Characteristics, Medical Interventions, and Resource Use at a Medical Student-Run Clinic on the Texas-Mexico Border.
CONCLUSIONS: This study shows that diabetes, hypertension, obesity, anxiety, and depression represent avenues for future patient-centered interventions and provide insight into challenges patients face along the border. PMID: 31130535 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Mootz A, Price A, Elahi C, Steffen K, de Santiago AB, Gutierrez J, Krimbill J, Sidhu N, Swinney I, Francis M Tags: J Health Care Poor Underserved Source Type: research

Medicaid Expansion in Social Context: Examining Relationships Between Medicaid Enrollment and County-Level Food Insecurity.
CONCLUSIONS: Medicaid expansion was associated with reduced food insecurity, the most pronounced associations evident in counties with the largest Medicaid expansions. Cross-county variation may reflect both social learning and social norms, though evidence for the latter is inconsistent. PMID: 31130536 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Londhe S, Ritter G, Schlesinger M Tags: J Health Care Poor Underserved Source Type: research

Characteristics of Hispanic-Serving Mental Health Organizations in the U.S.
Abstract Little is known about Hispanics' barriers to quality psychiatric care. Less is known about the characteristics of the organizations in which Hispanics do actually receive care. Using the 2014 National Mental Health Services Survey, this study explored the characteristics of mental health organizations that catered to Hispanic populations in the U.S. Latent class analysis showed that Hispanics were most likely to receive psychiatric care in organizations embedded in non-profit hospitals and community health centers specializing in providing mental health care. Although in September 2017 Congress extended t...
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Rosales R, Calvo R Tags: J Health Care Poor Underserved Source Type: research

Data Opportunities for Studying the Sexual and Reproductive Health of Immigrants in the United States.
Abstract This paper aims to identify, review, and evaluate publicly available national- and local-level data sources that collect information on the sexual and reproductive health (SRH) of immigrants in the United States. We review public-use sources from the last 30 years that include information on immigration, SRH, health service utilization, and race/ethnicity. For each source, we evaluated the strengths and challenges of the study design and content as they relate to studying immigrant SRH. We identified and reviewed 22 national and seven local sources. At the national level, the National Longitudinal Study o...
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Tapales A, Desai S, Leong E Tags: J Health Care Poor Underserved Source Type: research

Analyzing Hospital Choices of Colon Cancer Patients in Four States in Appalachia.
Abstract While geographic disparities in cancer treatment are documented, little research has investigated patients' willingness to travel longer distances for treatment at higher-quality hospitals. Even fewer studies have compared metropolitan and non-metropolitan patients on this dimension. Using population-based data from the Appalachian counties of four states, we identified all hospitals within a plausible driving distance of each newly diagnosed colon cancer patient and estimated conditional logit models of hospital choices for cancer surgery. Two sets of important findings emerged. First, both metropolitan ...
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Verevkina NI, Short PF, Yang TC, Matthews SA, Camacho F, Anderson R Tags: J Health Care Poor Underserved Source Type: research

Pancreatic Adenocarcinoma in New Mexico Native Americans: Disparities in Treatment and Survival.
CONCLUSION: Significant disparities exist in the treatment and outcomes of pancreatic adenocarcinoma in New Mexico NA populations. PMID: 31130540 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Greenbaum A, Alkhalili E, Rodriguez R, Caldwell K, O'Neill J, Munoz OE, Qeadan F, Myers O, Nir I, Morris KT Tags: J Health Care Poor Underserved Source Type: research

Adapting an Evidence-Based Cardiovascular Disease Risk Reduction Intervention to Urban American Indians.
CONCLUSION: With cultural adaptations, the COACH program can be pilot-tested in urban AI-serving primary care settings to address health concerns and behaviors that affect cardiovascular health outcomes. PMID: 31130541 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Johansson P, Schober DJ, Leon MA, Brueggemann G, Tutsch SF, Lyden E, Wilson FA, Schulz PS, Zimmerman L, Estabrooks P Tags: J Health Care Poor Underserved Source Type: research

Utilization of Child Psychiatry Consultation Embedded in Primary Care for an Urban, Latino Population.
CONCLUSIONS: Our findings support early referral to improve engagement, and provide initial evidence that embedded child psychiatry consultation is feasible and may increase access to care. PMID: 31130542 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Spencer AE, Chiang C, Plasencia N, Biederman J, Sun Y, Gebara C, MGH Chelsea HealthCare Center, Jellinek M, Murphy JM, Zima BT Tags: J Health Care Poor Underserved Source Type: research

The Role of Self-Efficacy in Women's Health-seeking Behaviors in Northwestern Botswana.
This study used cross-sectional data from 479 women collected in 2012 in Botswana to test the psychometric properties of the Generalized Self-Efficacy Scale (GSE) in Setswana, the local language, as a measure of self-efficacy. Findings confirm the GSE's validity as a unidimensional measure of self-efficacy in this population. Regression analyses suggest that each additional point increase on the Setswana GSE reduces by one third the odds that a woman would forego a clinic visit. Frequency of clinic visits and experiences of sexual violence were also significant predictors. Interventions that enhance self-efficacy may contr...
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Barchi F, Winter SC, Ramaphane P, Dougherty D Tags: J Health Care Poor Underserved Source Type: research

Prioritized Surveillance of Young At-risk South African Children: An Evaluation of the PEDS Tools Referral and Response Characteristics.
CONCLUSION: The PEDS tools must be evaluated for applicability in low-and-middle-income countries. Referral criteria must be sensitive to the demands on under-resourced health care systems. PMID: 31130544 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Maleka BK, Van Der Linde J, Swanepoel W, Glascoe FP Tags: J Health Care Poor Underserved Source Type: research

Determinants of Abnormal Cervical Cancer Screening Follow-Up And Invasive Cervical Cancer Among Uninsured and Underinsured Women in New Jersey.
CONCLUSIONS: Improved outreach efforts and multilevel strategies are needed to address the persistent barriers to appropriate follow-up care for underserved women. PMID: 31130545 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Tsui J, Llanos AA, Doose M, Rotter D, Stroup A Tags: J Health Care Poor Underserved Source Type: research

Effects of a Behavioral Health and Chronic Illness Care Intervention on Patient Outcomes in Primary Care Practices in the Dakotas.
Abstract From 2012 to 2015, Sanford Health, a large health care system, integrated behavioral health services and chronic condition care management in some of its primary care practices in the Dakotas and rural Minnesota. Using difference-in-differences analyses for fee-for-service Medicare beneficiaries attributed to 22 participating practices and 91 matched comparison practices, we found that the program increased the receipt of four recommended diabetes care processes by 8.6% (p=.048) and, by slowing the increase in emergency department (ED) visits, reduced them by 4.9% (p=.07) relative to the comparison group....
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Zurovac J, Peterson GG, Stewart KA, Kranker K, Wells K, Gilman B, Blue L, Day T, Hoag S, Moreno L Tags: J Health Care Poor Underserved Source Type: research

Perceived Stress and Health among Home Care Aides: Caring for Older Clients in a Medicaid-Funded Home Care Program.
Abstract Home care aides (HCAs) provide housekeeping and personal care services to help older clients remain in the community. However, little is known about the health of HCAs, who themselves constitute an underserved population. The goal of this study was to investigate how HCAs' work and life contexts manifest themselves in HCAs' health as perceived by HCAs. Six focus groups were conducted with HCAs (N=45). Analysis revealed how HCAs' work-and life-related stress accumulated over time and affected HCAs' health and interaction with their older clients. Home care aides were interested in personal health promotion...
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Muramatsu N, Sokas RK, Lukyanova VV, Zanoni J Tags: J Health Care Poor Underserved Source Type: research

Training for In-Home Supportive Services Caregivers in an Underserved Area.
Abstract Despite the complexity of care associated with older adults who have been diagnosed with Alzheimer's disease and related dementias, many in-home paid caregivers receive little to no training in competent care for these older adults. The In-Home Supportive Services program in California provides care for elderly, blind, and disabled people with the goal of ensuring the care recipients may remain safely in their own homes. Yet, these caregivers are not required to receive training in any specific disease or condition prior to providing caregiving services. A Geriatrics Workforce Enhancement Program and the ...
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Guerrero LR, Shim A, Gans D, Schickedanz HB, Tan ZS Tags: J Health Care Poor Underserved Source Type: research

Adverse Childhood Experiences and Health Care Utilization in a Low-Income Population.
CONCLUSIONS: High ACE levels were associated with greater chronic disease burden and greater health care utilization in adulthood. Long-lasting effects from ACE on the health care of underserved populations are indicated. There is an urgent need to train health care providers, patients, and their families on ACE effects and treatments for better health care outcomes. PMID: 31130549 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Hargreaves MK, Mouton CP, Liu J, Zhou YE, Blot WJ Tags: J Health Care Poor Underserved Source Type: research

Access to Physical Therapy in a Medically Underserved, Urban Community.
CONCLUSIONS: Three barriers were identified by community residents and HCPs, all are modifiable factors. Future research should focus on increasing awareness about the benefits of PT and developing low-cost PT options. The PT desert identified in this study highlights the needs of underserved communities. PMID: 31130550 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Huber GM, Bitzer G, Corazzi C, Fitzsimmons S, Melissa H, Shelley J, Hollowell A, Healey WE Tags: J Health Care Poor Underserved Source Type: research

Facilitators and Barriers to Successful Engagement in a Complex Care Management Program: Patient and Care Manager Perspectives.
This article presents CCM patient and care manager perspectives on facilitators and barriers to success in such a program in a safety-net hospital. Our findings suggest that motivated patients, team-based care, and the ability to form trusting, supportive relationships are important contributors to success in a CCM program while patients' own mental health and socioeconomic challenges impede success. Given the relatively short-term nature of most CCM programs and the complicated challenges faced by many CCM patients, this work poses larger questions to consider around the general alignment of the program model to the patie...
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Dryden EM, King K, Touw S Tags: J Health Care Poor Underserved Source Type: research

Four Years of CHEER: Cost and QALY Savings of a Free Nurse-run Walk-in Clinic Serving an Uninsured, Predominantly Spanish-speaking Immigrant Population in Providence.
Abstract Non-emergent visits to emergency departments by uninsured patients impose unnecessary costs on both patients and safety-net institutions. We evaluated the health and economic impacts of providing free, walk-in care to low-income, uninsured adults-most of them Hispanic-at a free clinic between January 2013 and December 2016. Providing access to health care services for uninsured patients at Clínica Esperanza/Hope Clinic reduced emergency department expenditures in Rhode Island by approximately $448,876 (range: $410,377-$487,375) annually and may have also reduced future healthcare costs for this pop...
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Barry K, McCarthy M, Buckley J, Jacques S, Johnson H, Almeida-Monroe V, De Groot AS Tags: J Health Care Poor Underserved Source Type: research

Are the Undocumented Deserving? Health Workers' Views of Immigrants in Alabama.
Abstract Undocumented immigrants are ineligible for many public benefits and often rely on safety-net clinics, such as community health centers, for health care. Using in-depth interviews, we explored attitudes about undocumented immigrants' deservingness of health care among staff and professional health workers (n=31) at two safety-net clinics in Alabama, which passed a restrictive immigration law in 2011. We used content analysis to examine frequently used frames to describe health deservingness. Overall, a total of 27 frames were used by health workers. They most frequently justified their views using frames o...
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Bianchi A, Oths KS, White K Tags: J Health Care Poor Underserved Source Type: research

Community-Based Implementation of a Paraprofessional-Delivered Cognitive Behavioral Therapy Program for Youth Involved with the Criminal Justice System.
This study reports on implementation process and outcomes across phases. Main findings indicate the preliminary feasibility and acceptability of the youth worker-delivered CBT curriculum. We discuss strengths and limitations of our approach and provide suggestions for future studies that aim to implement paraprofessional-delivered CBT programs within community-based organizations. PMID: 31130554 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Valentine SE, Ahles EM, Dixon De Silva LE, Patrick KA, Baldwin M, Chablani-Medley A, Shtasel DL, Marques L Tags: J Health Care Poor Underserved Source Type: research

"No Estas Solo": Navigation Programs Support Engagement in HIV Care for Mexicans and Puerto Ricans Living in the Continental U.S.
"No Estas Solo": Navigation Programs Support Engagement in HIV Care for Mexicans and Puerto Ricans Living in the Continental U.S. J Health Care Poor Underserved. 2019;30(2):866-887 Authors: Zamudio-Haas S, Maiorana A, Gomez LG, Myers J Abstract A range of social and structural barriers continue to impede timely diagnosis and consistent access to care for Latinos living with HIV in the U.S. Navigation programs have helped other populations overcome comparable barriers to care. This qualitative paper examined nine navigation programs that were culturally tailored for Mexicans or Puerto Ricans,...
Source: Journal of Health Care for the Poor and Underserved - May 30, 2019 Category: International Medicine & Public Health Authors: Zamudio-Haas S, Maiorana A, Gomez LG, Myers J Tags: J Health Care Poor Underserved Source Type: research

Erratum.
Authors: PMID: 30827962 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Tags: J Health Care Poor Underserved Source Type: research

Black History Month 2019 and 30 Years of < i > JHCPU < /i > .
Black History Month 2019 and 30 Years of JHCPU. J Health Care Poor Underserved. 2019;30(1):ix-x Authors: Brennan VM PMID: 30827963 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Brennan VM Tags: J Health Care Poor Underserved Source Type: research

Liberation Medicine, U.S. Child-Family Border Separation, Hurricane Maria and Life Worthy of Life.
Abstract Liberation Medicine is the conscious, conscientious use of health to promote social justice and human dignity. The new United States of America government policy of separating children from their families at the border has galvanized action on the part of health professionals and their professional organizations. The impact of Hurricane Maria's devastation on 16 September 2017 in Puerto Rico has reverberated throughout the entire United States, and-like other examples globally-reminds us of our responsibility as clinicians to understand and influence social well-being in our patients' lives. Liberation Me...
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Smith CL Tags: J Health Care Poor Underserved Source Type: research

Access to Vision Services by Vulnerable Populations in Canada: A Scoping Review.
The objective of this scoping review is to determine gaps in the understanding of barriers to accessing vision care for vulnerable populations in Canada. The Arksey and O'Malley methodological framework was adopted. Studies published in English between 2005 and September 2017 on access to primary vision care by vulnerable populations in Canada were reviewed. Electronic databases used included Ovid MEDLINE, Ovid EMBASE, SCOPUS, ProQuest, and CINAHL. The Behavioural Model of Health Services Use was used to elucidate gaps in the literature. To develop relevant policies around vision care, efforts should be made to assess all ...
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Asare AO, Wong AM, Maurer D, Nishimura M Tags: J Health Care Poor Underserved Source Type: research

Implementation of an EConsult System with Patient Navigation.
Abstract Community and academic partners in New Haven, Connecticut designed and implemented a system whereby patients with Medicaid insurance at a community health center received electronic specialty consultation from academic medical center physicians as well as navigation to follow-up tests and face-to-face appointments. Specialty access was improved, but some patients reported being burdened by a lack of coordination for their overall care. PMID: 30827966 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Dhruva SS Tags: J Health Care Poor Underserved Source Type: research

From Clinic to Classroom: A Community Health Center-Based Program to Assist Families in Accessing Pre-K in New York City.
This report summarizes a newly implemented, unique, and replicable community health center-based outreach program designed to help families apply to and enroll in Pre-K programs in the South Bronx region of New York City. PMID: 30827967 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Hoffman A, Stange M, Hackley B, Kavanaugh M, Machuca H, Shapiro A Tags: J Health Care Poor Underserved Source Type: research

Community Women and Reproductive Autonomy: Building an Infrastructure for Long-Acting Reversible Contraception (LARC) Services in a Mobile Health Clinic.
This article describes implementation of a long-acting reversible contraception (LARC) program in a free primary care clinic in central Florida. A background of LARC is presented, along with a description of the infrastructure built by the University of Florida Mobile Outreach Clinic, in an effort to share a framework for the provision of LARC services with other resource-limited settings. PMID: 30827968 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Nall M, O'Connor S, Hopper T, Peterson H, Mahajan B Tags: J Health Care Poor Underserved Source Type: research

Feasibility, Acceptability, and Short-term Behavioral Impact of the MySmileBuddy Intervention for Early Childhood Caries.
CONCLUSIONS: Findings suggest that MySmileBuddy was feasibly implemented in a busy clinic, acceptable to this high-risk population, and effectively promoted preliminary ECC-related behavior changes. Larger, long-term studies are warranted to further investigate the impact of the MySmileBuddy program. PMID: 30827969 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Lumsden C, Wolf R, Contento I, Basch C, Zybert P, Koch P, Edelstein B Tags: J Health Care Poor Underserved Source Type: research

Rurality and Health in the United States: Do Our Measures and Methods Capture Our Intent?
Abstract Rural status in the United States can be objectively measured using multiple designations within different geographic extents, often considering both population density and proximity to urban areas. However, these measurements are often incomplete for assessing the relationship between rural status and health and are often inadequately considered in analysis. To address these limitations, we posit four recommendations: two recommendations to improve current measures by including additional factors and making measures continuous and two recommendations to improve regression analysis by considering rural st...
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Zahnd WE, Mueller-Luckey GS, Fogleman AJ, Jenkins WD Tags: J Health Care Poor Underserved Source Type: research

A Culturally Sensitive Church-Based Health-Smart Intervention for Increasing Health Literacy and Health-Promoting Behaviors among Black Adult Churchgoers.
Abstract The purpose of the paper is to examine the effectiveness of a six-week, culturally sensitive, church-based health-promotion intervention in increasing nutrition label health literacy and health-promoting behaviors (i.e., healthy eating, healthy drinking, and physical activity) and improving weight and blood pressure among Black adults. Study participants are a sample of 321 Black adult churchgoers (N = 321) who were divided between an intervention group (N = 172) and a wait-list control group (N = 149). The health-promotion intervention program is informed by Health Self-Empowerment Theory. At post-test, ...
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Tucker CM, Kang S, Ukonu NA, Linn GS, DiSangro CS, Arthur TM, Ralston PA Tags: J Health Care Poor Underserved Source Type: research

Individual Perspectives of Majority/Minority Partnerships: Who Really Benefits and How?
This study ascertained historically Black colleges and universities (HBCU) academic leaders' perceptions of equity between HBCU and predominantly White institutions (PWI) health professions school partnerships related to resource capacity, sustainability and scholarship. A focus group was conducted with seven HBCU health professions schools. A survey was sent to their PWI (n=14) partners. Four themes including positive and negative experiences, challenges, and recommendations to continue relationships with the PWIs were identified. Dissemination of the survey to PWIs resulted in no responses. Benefits of the partnerships i...
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Warren RC, Behar-Horenstein LS, Heard TV Tags: J Health Care Poor Underserved Source Type: research

Racial/Ethnic Disparities in Health Insurance and Differences in Visit Type for a Population of Patients with Diabetes after Medicaid Expansion.
Abstract This quasi-experimental study evaluated racial/ethnic disparities in health insurance and differences in visits post-versus pre-Affordable Care Act (ACA) Medicaid expansion. We utilized electronic health record data from a population of patients with diabetes aged 19-64 seen in community health centers (CHCs). We used generalized estimating equation Poisson models to estimate incidence rates of insurance type and visits post-(1/1/2014-12/31/2015) versus pre-(1/1/13-12/31/13) ACA, stratified by racial/ethnic group. We assessed difference-in-differences (DD) and difference-in-difference-in-differences (DDD)...
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Angier H, Ezekiel-Herrera D, Marino M, Hoopes M, Jacobs EA, DeVoe JE, Huguet N Tags: J Health Care Poor Underserved Source Type: research

Depression and the Likelihood of Hospital Admission from the Emergency Department among Older Patients with HIV.
CONCLUSIONS: Depression was associated with hospital admission among adults aged 50 and over. PMID: 30827974 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Laurence B, Mncube-Barnes FM, Laurence SS, Woods D, Eiland D Tags: J Health Care Poor Underserved Source Type: research

Association of Ethnic Identity with Oral Health Knowledge, Attitudes, Behavior, and Outcomes on the Navajo Nation.
Abstract American Indians and Alaska Natives (AI/ANs) experience poor oral health. Children and adults living on the Navajo Nation have a particularly high rate of dental decay. The literature suggests that health outcomes are often associated with the strength of one's ethnic identity. We investigated the association of ethnic identity among Native parents with oral health knowledge, attitudes, behavior, and outcomes. Analyses used baseline data from a randomized controlled trial designed to reduce dental decay among AI/AN preschoolers enrolled in the Navajo Nation Head Start Program. Greater perceived importance...
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Brega AG, Henderson WG, Harper MM, Thomas JF, Manson SM, Batliner TS, Braun PA, Quissell DO, Wilson A, Tiwari T, Albino J Tags: J Health Care Poor Underserved Source Type: research

Organizational Factors Associated with Disparities in Cervical and Colorectal Cancer Screening Rates in Community Health Centers.
CONCLUSION: Efforts to improve cancer screening among underserved populations should address organizational factors that may contribute to disparities in screening uptake. PMID: 30827976 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Chuang E, Pourat N, Chen X, Lee C, Zhou W, Daniel M, Hoang H, Sripipatana A Tags: J Health Care Poor Underserved Source Type: research

"It's my Room and my Life": Housing's Influence on Medication Adherence for HIV-positive Women Released from Incarceration.
"It's my Room and my Life": Housing's Influence on Medication Adherence for HIV-positive Women Released from Incarceration. J Health Care Poor Underserved. 2019;30(1):182-201 Authors: Ghose T, Ali S, Shubert V, Stanton M, Walker L, Chaudhuri S Abstract A high prevalence of homelessness among women with HIV released from incarceration (WHRI) poses significant challenges to antiretroviral therapy. This research examines the pathways through which housing shapes adherence for previously homeless WHRI. In-depth semi-structured interviews were conducted with 43 WHRI in a supportive transitional h...
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Ghose T, Ali S, Shubert V, Stanton M, Walker L, Chaudhuri S Tags: J Health Care Poor Underserved Source Type: research

Money, Managed Care, and Medicaid Initiatives Matter: Patient-centered Medical Home Capacity in School-based Health Centers.
Abstract School-based health centers (SBHCs) have been suggested as potential medical homes, but may experience challenges implementing the patient-centered medical home (PCMH) model. It is currently unknown if there are PCMH variations among different types of SBHCs. The purpose of this study was to examine the associations between SBHC characteristics and PCMH capacity. Using 2013-2014 National Census of School-Based Health Centers data, SBHC PCMH Index scores were calculated and used as outcomes in linear regression models examining associations between PCMH capacity and SBHC characteristics. The mean PCMH capa...
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Gregg A, Kim J, Tak HJ, Wang H, Tibbits M, Webhi N Tags: J Health Care Poor Underserved Source Type: research

Community Based Participatory Research (CBPR): A Dynamic Process of Health care, Provider Perceptions and American Indian Patients' Resilience.
Abstract American Indians are disproportionately affected by factors that lead to health disparities, however many Native people demonstrate resilience when faced with health risks. Study objectives were to use a resilience framework to identify wellness strategies among American Indian people and to assess health care provider perceptions of American Indian wellness. Participants included 39 American Indian adults who self-reported resilient change and 22 health care providers who served American Indian patients. Thematic categories across American Indian and health care provider data were identified: 1) relation...
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Hulen E, Hardy LJ, Teufel-Shone N, Sanderson PR, Schwartz AL, Begay RC Tags: J Health Care Poor Underserved Source Type: research

Adverse Childhood Experiences and Trust in the Medical Profession among Young Adults.
Abstract Attachment theory suggests that adverse childhood experiences (ACEs) should predict lower trust in the medical profession. To test this theory, a cross-sectional survey was administered to young adults self-identifying as homeless. The purpose of the survey was to examine the relationship of ACEs, attachment style, and trust in the medical profession. Hierarchical linear regression was used to determine if ACEs predict variance in trust in the medical profession after controlling for participants' attachment style and demographics. Results indicated ACEs were a robust predictor of lower trust in the medic...
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Munoz RT, Hanks H, Brahm NC, Miller CR, McLeod D, Fox MD Tags: J Health Care Poor Underserved Source Type: research

The Usage and Associated Factors of Alternative Tobacco Products among School-going Youth in Central Appalachia.
CONCLUSION: More than one in 10 of participants have ever used at least one ATP, and association with desirable objects and situations may promote ATP use. Interventions should seek to reduce these positive images and make all tobacco products unappealing. PMID: 30827981 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - March 5, 2019 Category: International Medicine & Public Health Authors: Owusu D, Mamudu HM, Collins C, Robertson C, Wang L, Rafie B, Littleton MA Tags: J Health Care Poor Underserved Source Type: research