Note from the Editor: Black History Month.
PMID: 32037309 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Brennan VM Tags: J Health Care Poor Underserved Source Type: research

Clinician Burnout and the Meaningful Connection of the ACU Community.
PMID: 32037310 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Olson D, Kennedy C, Nunez F Tags: J Health Care Poor Underserved Source Type: research

Ernest Everett Just (1883-1941): Hero in Cell Biology and Evolutionary Bioethics.
Abstract Ernest Everett Just is celebrated for his contributions to cell biology. Among other firsts, he was first to describe the "wave of negativity" spreading around an egg cell from the entrance point of the fertilizing spermatozoon. His accomplishments in biology are celebrated in Black Apollo of Science (1983) by Kenneth Manning, and by a 1996 Black Heritage postage stamp. What is not yet widely appreciated, however, is that Just connected evolutionary biology to ethical behavior (1933, 1939, 1940). He was probably the first cell biologist to argue that human ethical behavior evolved from our very ...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Walker T Tags: J Health Care Poor Underserved Source Type: research

Operational and Management Structure of the Jackson Heart Study Community Outreach Center.
This report provides an overview of the practice and infrastructure. PMID: 32037312 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Addison C, Jenkins BC, White M, Wilson G, Fortenberry M, Thigpen D, Young L, Woodberry C, McCoy P, Antoine-LaVigne D Tags: J Health Care Poor Underserved Source Type: research

Diversity and Inclusion: A Path to Greater Influence?
This article discusses the transition of the author to a more senior role in the medical school and how the new role provided additional resources and empowerment for diversity and inclusion. PMID: 32037313 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Campbell KM Tags: J Health Care Poor Underserved Source Type: research

Prevention Professional for Violence Intervention: A Newly Recognized Health Care Provider for Population Health Programs.
Abstract The National Uniform Claim Committee recognized a new type of health care provider for violence intervention: prevention professional. This creates a pathway for population health interventions to obtain reimbursement through traditional medical financing systems. In addition to violence, prevention professionals may specialize in other conditions of public health importance. PMID: 32037314 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Fischer KR, Cooper C, Marks A, Slutkin G Tags: J Health Care Poor Underserved Source Type: research

An Approach to Engaging Schools In Oral Health Initiatives: The Howard Meharry Adolescent Caries Study (HMACS).
Abstract Use of community-based participatory research (CBPR) principles can help identify strategies for development and implementation of studies that can address oral health disparities disfavoring African American youth. This paper summarizes approaches of the Howard Meharry Adolescent Caries Study (HMACS) to provide sustained oral health services beyond the life of a research study. PMID: 32037315 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Laurence B, Shara N, Gonzalez F, Harris D, Edmonds T, Grant-Mills D, Marshall T, Williams C, Farmer-Dixon CM, Southwell A Tags: J Health Care Poor Underserved Source Type: research

The Birth Sisters Program: A Model of Hospital-Based Doula Support to Promote Health Equity.
This article describes an innovative, hospital-based doula model serving a racially and ethnically diverse, low-income population. The program's history, program model, administration requirements, training, and evaluations are described. PMID: 32037316 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Mottl-Santiago J, Herr K, Rodrigues D, Walker C, Walker C, Feinberg E Tags: J Health Care Poor Underserved Source Type: research

Global Cash Flows for Sustainable Development: A Case Study of Accountability and Health Systems Strengthening in Lesotho.
Abstract Despite high health expenditures, Lesotho had some of the world's worst health indicators between 2000 and 2014. Official development assistance tripled from $37 to $107 million. PEPFAR funding rose from $3.8 to $32.4 million. Yet, deaths from TB, HIV, infant mortality, and maternal mortality remained unchanged. Lesotho had declining health outcomes amidst increased disease-focused financing and several large infrastructure projects. A World Bank loan financed the state-of-the-art Mamohato Hospital, and the U.S.-supported $362.5 million Millennium Challenge Corporation Project supported primary and second...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Mukherjee J, Lindeborg MM, Wijayaratne S, Mitnick C, Farmer PE, Satti H Tags: J Health Care Poor Underserved Source Type: research

The 2019 Partial Government Shutdown and Its Impact on Health Care for American Indians and Alaska Natives.
Abstract The 2018-9 partial government shutdown created a 35-day gap in federal appropriations for the Indian Health Service and tribal health programs. With ongoing challenges for American Indian and Alaska Native health systems, including clinician shortages and poor health outcomes, the funding gap engendered substantial health risks. Other federal health systems have been sheltered from this and past shutdowns through receiving their appropriations in advance. Several approaches exist to implementing advance appropriations, including instituting advance appropriations across Bureau of Indian Affairs and Indian...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Tobey M, Armstrong K, Warne D Tags: J Health Care Poor Underserved Source Type: research

Homelessness, Cancer and Health Literacy: A Scoping Review.
Abstract Within Canada, the homeless have four times the cancer rates of the general population, lower rates of screening, later stage diagnosis, and poorer outcomes. In the United States, disparities in cancer burden also exist between the homeless and the housed. For example, lung cancer deaths occur at double the rate for the homeless compared with the housed. Cancer care is complex and requires many high-order health literacy skills to obtain and understand the information needed to make informed decisions about cancer care. A scoping review was conducted to summarize what is known about, the homeless, cancer ...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Lawrie K, Charow R, Giuliani M, Papadakos J Tags: J Health Care Poor Underserved Source Type: research

Socioeconomic Status and Mock Interview Performance among Prospective Medical School Applicants.
Abstract We aim to evaluate the association between family income and mock multiple mini interview (MMI) performance for prospective medical school applicants. Each applicant participated in a three-station mock MMI and were scored on four items, each on a sevenpoint scale. Of the 48 prospective applicants participating, 29 (60% survey response rate) completed the survey. Hispanic applicants were significantly more likely to have a family income of less than or equal to $20,000 versus more than $20,000 (p<.05). The adjusted analysis suggested mock MMI total score was significantly lower for prospective medi...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Burton BN, Labastide AS, Muhoozi BN, Lopez-Ramos CG, Anders AT, Garcia K, Gabriel RA, Willies-Jacobo L Tags: J Health Care Poor Underserved Source Type: research

Sociodemographic Correlates of Medical Mistrust among African American Men Living in the East Bay.
This study examined correlates of medical mistrust among African American men living in the East Bay. We conducted a cross-sectional analysis using survey data from 207 adult African American males, recruited from barbershops. We used linear regression to assess associations between socioeconomic status (SES) and two medical mistrust outcomes (mistrust of health care organizations (HCOs) and physicians). There was a strong relationship between health insurance, income, education, and mistrust. Insured subjects were 8.5% (95% CI -0.154 to -0.016) less likely to mistrust HCOs and 8.5% less likely (95% CI -0.145 to -0.025) to...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Idan E, Xing A, Ivory J, Alsan M Tags: J Health Care Poor Underserved Source Type: research

Estimating the Prevalence of Advanced Fibrosis in Homeless Adults with Hepatitis C in Boston.
CONCLUSIONS: The prevalence of advanced fibrosis in this cohort of homeless adults with HCV appears similar to national estimates among housed individuals, but their psychosocial complexity is greater, especially among those who are older. PMID: 32037322 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Beiser ME, Cardoso L, Gaeta JM, Baggett TP Tags: J Health Care Poor Underserved Source Type: research

Intents of Women on Obstetric Danger Signs and its Associated Factors in Farta Woreda, Ethiopia, 2017.
Abstract Maternal mortality in sub-Saharan Africa remains high. Knowing about obstetric danger signs is the first step to responding immediately in emergency. To understand factors that affect knowledge of women of obstetric danger signs, we conducted a cross-sectional study on 735 women in Farta, Ethiopia. Two hundred and ten (210) (28.6%), 255 (34.7%) and 169 (23%) of respondents affirmed having experienced three or more obstetric danger signs during pregnancy, childbirth, and the postpartum period, respectively. Urban residency [a danger sign associated with pregnancy (AOR=4.01, 95% CI=1.85-8.69), childbirth (A...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Belay HG, Limenih MA Tags: J Health Care Poor Underserved Source Type: research

Disentangling Race, Poverty, and Place to Understand the Racial Disparity in Waist Circumference among Women.
Abstract In the U.S., 54.8% of non-Hispanic Black women are obese, a rate that is 1.4 times greater than in White women. The drivers of this racial disparity are not yet clearly understood. We sought to disentangle race, household poverty, neighborhood racial composition, and neighborhood poverty to better understand the racial disparity in obesity among women. We used data from the 1999-2004 National Health and Nutrition Examination Survey and the 2000 U.S. Census to examine the role of individual race, individual poverty, neighborhood racial composition, and neighborhood poverty on women's risk of obesity. We fo...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Bower K, Samuel L, Gleason K, Thorpe RJ, Gaskin D Tags: J Health Care Poor Underserved Source Type: research

Are We Meeting Their Needs? Well-child, Dental, and Mental Health Care for Youth in Juvenile Correctional Facilities in Minnesota.
Abstract Compared with the general population, justice-involved youth have substantially higher rates of several health conditions. Less is known about their use of health services to address these conditions. Using data from a statewide survey of 217 youth in juvenile correctional facilities and 164,832 youth in public schools, we examined selfreported health (health overall, weight status, disability, asthma, allergy, mental health) and receipt of care. Justice-involved youth reported a high number of physical health concerns; however, physical health conditions were not related to receipt of care. Youth who rep...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Brown C, Davis L, Shlafer RJ Tags: J Health Care Poor Underserved Source Type: research

US Medical School Applicant Experiences of Bias on the Interview Trail.
CONCLUSION: Further work exploring experiences of bias during medical school admissions and how to decrease their frequency is warranted. PMID: 32037326 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Chatterjee A, Greif C, Witzburg R, Henault L, Goodell K, Paasche-Orlow MK Tags: J Health Care Poor Underserved Source Type: research

Integrating Behavioral and Primary Health Care in Rural Clinics: What Does Culture Have to Do with It?
Abstract Successful integration of health care in rural and underserved communities requires attention to power structures, trust, and disciplinary boundaries that inhibit team-based integration of behavioral and primary health care. This paper reports on perceived successes and ongoing challenges of integrating primary and behavioral health care from the perspectives of providers, community leaders, and community members. Data collection consisted of semi-structured qualitative interviews and focus groups conducted as part of a regional health equity assessment in northern Arizona. The authors explore barriers an...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Eaves ER, Williamson HJ, Sanderson KC, Elwell K, Trotter RT, Baldwin JA Tags: J Health Care Poor Underserved Source Type: research

A Case Study of a Peer Respite's Integration into a Public Mental Health System.
Abstract Peer respites are short-term residential mental health programs staffed by peers with lived experience of mental distress. This case study examines qualitative data of peer staff and non-peer program directors' experiences working at the first peer respite in California. Throughout a five-year study (2010-2015), researchers conducted 20 semi-structured interviews and three focus groups with 25 peer staff and three program directors. The study found that peer staff reported differences in recovery-oriented service delivery between the county health system and their training in Intentional Peer Support. Pee...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Fletcher E, Barroso A, Croft B Tags: J Health Care Poor Underserved Source Type: research

Assessing the Health Care Experiences of Rural Men Who Have Sex with Men (MSM).
This study examines the health care experiences of MSM residing in rural Oklahoma. A total of 40 MSM (aged 21 through 66) living in rural areas were interviewed. Data were analyzed using a qualitative approach to identify emerging concepts. Three themes emerged from the data: First, participants cited cultural differences related to religious conservative ideologies as a central motif of health care experiences. Next, doctor-patient relationship quality was a contributing factor to health care experiences. Last, health care experiences were predicated on the idea of doctors' knowledge of lesbian, gay, bisexual and transgen...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Giano Z, Hubach RD, Meyers HJ, DeBoy KR, Currin JM, Wheeler DL, Croff JM Tags: J Health Care Poor Underserved Source Type: research

Tobacco Point-of-Sale Influence on U.S. Adult Smokers.
CONCLUSIONS: Point-of-sale marketing is effective in garnering the attention of low-income populations and influencing their tobacco purchases. Enforcing retailers' adherence to regulations is vital. PMID: 32037330 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Groom AL, Cruz-Cano R, Mead EL, Giachello AL, Hart JL, Walker KL, Oncken C, Robertson RM Tags: J Health Care Poor Underserved Source Type: research

African American Older Adults Living with HIV: Exploring Stress, Stigma, and Engagement in HIV Care.
Abstract Limited information is available about factors that affect care engagement among African American older people living with HIV (OPLWH), despite the fact that this is the racial/ethnic group most disproportionally living with HIV/AIDS in the United States. The present mixed methods study examined the experiences of stress, HIV-related stigma, and engagement in care in a sample of 35 African American OPLWH. Quantitative methods measured global stress, HIV-stigma, and engagement in care, while in-depth qualitative interviews captured the lived experiences of HIV care engagement. Engagement in care was modera...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Harris LM, Crawford TN, Kerr JC, Thomas TA, Schmidt V Tags: J Health Care Poor Underserved Source Type: research

Stress-Related Outcomes after a Period of Unrest in Two Low-Income African American Communities.
We examined the association of civil unrest with potentially stress-related outcomes among two low-income, African American communities in Baltimore following the death of Freddie Gray in police custody and whether neighborhood proximity to unrest moderated these associations. We leveraged data from a cross-sectional survey of randomly selected households in two public housing communities (n=342) collected before, during, and after the civil unrest (August 2014 to August 2015). We used multivariate regression to explore the association of unrest with depressive symptoms and elevated blood pressure adjusting for potential c...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Hines AL, Yeh HC, Gudzune KA Tags: J Health Care Poor Underserved Source Type: research

< i > Sisters Together < /i > : Lessons Learned from Implementing a Grocery Store Campaign in Michigan Communities at Risk for Neural Tube Defects.
CONCLUSIONS: Theory-driven, grocery store-centric interventions are effective strategies to address gaps in FA education, with the key behavior change mechanism appearing to be modeling "procedural knowledge." PMID: 32037333 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Kannan S, Ranjit N, Ganguri HB, Lasichak A, Sparks A, Scherer H, Schulz A Tags: J Health Care Poor Underserved Source Type: research

Rental Assistance and Adult Self-Rated Health.
Abstract Rental assistance, in the form of vouchers and project-based subsidized housing, is a primary source of affordable housing for low-income Americans, given a growing and severe shortage of private-market rental units. However, due to supply constraints, fewer than one in four eligible households receive this kind of assistance. In this paper, we examine associations between receipt of rental assistance and self-rated health among a sample of 400 low-income adults in one U.S. city. We find that individuals who currently receive rental assistance have lower odds of reporting poor or fair self-rated health th...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Keene DE, Niccolai L, Rosenberg A, Schlesinger P, Blankenship KM Tags: J Health Care Poor Underserved Source Type: research

Breast Cancer Screening in Puerto Rico and Other US Territories: Findings from the 2016 Behavioral Risk Factor Surveillance System Survey.
Abstract Initial studies suggest that women living in U.S. territories may experience barriers to appropriate breast cancer diagnosis and treatment. Our purpose was to evaluate mammography screening engagement in U.S. territories compared with U.S. states. Women aged 50-74 years in the 2016 Behavioral Risk Factor Surveillance System survey without personal history of breast cancer were included. Proportions of women reporting mammography use were calculated. Multivariable logistic regression models were used to compare self-reported mammography use in U.S. territories with all U.S. states. Our total study populati...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Lopez D, Miles RC, Flores EJ, Lehman CD, Narayan AK Tags: J Health Care Poor Underserved Source Type: research

Engaging Individuals with Sickle Cell Disease in Patient-Centered Outcomes Research: A Community Health Ambassador Training Model.
We describe the development and implementation of a training model to prepare Community Health Ambassadors (CHAs) to serve as liaisons to engage individuals with sickle cell disease (SCD) in patient-centered outcomes research. We trained CHAs on research guidelines, human subjects' protection, and SCD self-management. Community Health Ambassadors then employed community-level strategies to engage individuals with SCD and their families (N=432) residing in rural and urban communities throughout Tennessee. By engaging the SCD community, CHAs identified areas of burden for self-management and patientpreferred strategies to en...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Mayo-Gamble TL, Murry VM, Cunningham-Erves J, Cronin RM, Lari N, Gorden A, Scott L, DeBaun MR, Thompson T Tags: J Health Care Poor Underserved Source Type: research

A Community Health Worker Home Visit Program: Facilitators and Barriers of Program Implementation.
This study examined qualitative interviews with program managers and administrators to describe facilitators and barriers associated with this home visit program from a managerial perspective. Findings highlight the importance of initial and ongoing CHW training, appropriate caseloads, effective communication, and adequate funding, which can inform future CHW programs. PMID: 32037337 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Menser T, Swoboda C, Sieck C, Hefner J, Huerta T, McAlearney AS Tags: J Health Care Poor Underserved Source Type: research

Screening for Social Determinants of Health in Free and Charitable Clinics in North Carolina.
Abstract Free and charitable clinics care for patients at risk of unmet social needs, but limited research is available describing what these clinics do to address social determinants of health (SDH). We conducted a survey of free and charitable clinics in North Carolina to determine the proportion that screen for SDH. Clinics that were members of the North Carolina Association of Free and Charitable Clinics were eligible (n=67). Of the 55 clinics that completed the survey, 34 (61.8%) reported always screening for at least one SDH. The majority that were screening provided information about community resources. Tw...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Palakshappa D, Scheerer M, Semelka CT, Foley KL Tags: J Health Care Poor Underserved Source Type: research

Pediatric Hematologists Report Infrequent Prognosis Discussions in the Routine Care of Children with Sickle Cell Disease.
Discussions in the Routine Care of Children with Sickle Cell Disease. J Health Care Poor Underserved. 2020;31(1):398-423 Authors: Pecker LH, Silver EJ, Roth M, Manwani D Abstract A large proportion of the morbidity and almost all of the mortality of sickle cell disease (SCD) now occurs in adulthood. Children with SCD underuse disease-modifying and curative treatments, in part because of how patients/parents understand SCD morbidity and mortality. Whether practitioners provide prognostic information to families is unknown. We emailed a 31-item survey to 1,149 pediatric hematologist-oncologists and anal...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Pecker LH, Silver EJ, Roth M, Manwani D Tags: J Health Care Poor Underserved Source Type: research

Under the ACA Higher Deductibles and Medical Debt Cause Those Most Vulnerable to Defer Needed Care.
CONCLUSION: While medical debt and deferred care decreased for all privately insured, those HD-insured and vulnerable report higher medical debt rates markedly increasing deferred needed medical care. Highdeductible insurance risks adverse health and social consequences for those vulnerable. PMID: 32037340 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Rabin DL, Jetty A, Petterson S, Froehlich A Tags: J Health Care Poor Underserved Source Type: research

The Use of High-Risk Criteria to Assess Mortality Risk among Unsheltered Homeless Persons.
Abstract We assessed the ability of high-risk criteria developed by Boston Health Care for the Homeless Program to identify increased mortality during a 10-year cohort study (January 2000-December 2009) of 445 unsheltered adults. To qualify as high-risk for mortality, an individual slept unsheltered for six consecutive months or longer plus had one or more of the following characteristics: tri-morbidity, defined as co-occurring medical, psychiatric, and addiction diagnoses; one or more inpatient or respite admissions; three or more emergency department visits; 60 years old or older; HIV/AIDS; cirrhosis; renal fail...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Roncarati JS, O'Connell JJ, Hwang SW, Baggett TP, Cook EF, Krieger N, Sorensen G Tags: J Health Care Poor Underserved Source Type: research

Testing a Syndemic Index of Psychosocial and Structural Factors associated with HIV Testing among Black Men.
Abstract Black populations in the United States are disproportionately affected by HIV. This disparity may be affected by social and structural barriers to HIV testing, leading to undiagnosed infection and prolonged HIV transmissibility. Using data from a nationally representative sample of 1,727 Black men in the 2015 Behavioral Risk Factor Surveillance System we tested for differences in poverty, depression, and health care barriers between Black men who had been HIV tested in the past year and those who had not. We also tested a syndemic index of these factors. Number of syndemic factors was linearly associated ...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Turpin R, Slopen N, Boekeloo B, Dallal C, Chen S, Dyer T Tags: J Health Care Poor Underserved Source Type: research

Geospatial and Clinical Factors Associated with Frequent Emergency Department Use at a Washington DC Safety Net Hospital.
We examined clinical and geospatial factors associated with frequent emergency department (ED) use and identified neighborhood ED "hotspots" over a two-year period (2014-16). Emergency department patients were classified into three categories: (1) infrequent users (&lt;3 ED visits); (2) semi-frequent users (3 or more visits in a year); and (3) persistent users (3 or more visits in both years). Persistent users were more likely to be female, aged 45-64, and have insurance compared with infrequent and semi-frequent users. Thirty percent of persistent users had both a mental and chronic health condition. Persist...
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Authors: Pines JM, Zocchi MS, Larbi A, Ittickathra P, Elias NK Tags: J Health Care Poor Underserved Source Type: research

Errata.
Authors: PMID: 32037344 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - February 12, 2020 Category: International Medicine & Public Health Tags: J Health Care Poor Underserved Source Type: research

Introduction.
PMID: 31735711 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - November 20, 2019 Category: International Medicine & Public Health Authors: Sodeke SO Tags: J Health Care Poor Underserved Source Type: research

Paying Tribute to Henrietta Lacks at Tuskegee University and at The Virginia Henrietta Lacks Commission, Richmond, Virginia.
PMID: 31735712 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - November 20, 2019 Category: International Medicine & Public Health Authors: Sodeke SO, Powell LR Tags: J Health Care Poor Underserved Source Type: research

Community-Engaged Approaches to Address the Ethical Concerns of Maternal Mental Health Disparities Research.
We describe how a community-academic partnership used community-based participatory research principles and structure to develop a human subjects research protocol and to address the ethical concerns community stakeholders had regarding maternal mental health research with Black women. PMID: 31735713 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - November 20, 2019 Category: International Medicine & Public Health Authors: Hernandez ND, Dorsey J, Glass DM, Pope E, Worthy N, Blasingame E, Gooding J, Braxton P, Whitfield M, Dotson Y Tags: J Health Care Poor Underserved Source Type: research

Changing the Conversation about The Ethics of Genomics and Health Disparities Research with American Indian and Alaska Native Communities: A Report from the Field.
Abstract "Changing the conversation" around genomic research with U.S. tribal communities may lead to new pathways to address persistent health disparities. Restoring trustworthiness between researchers and communities entails a willingness to listen to Indigenous voices, being flexible, and refining existing policies and frameworks to adapt to communities' needs. PMID: 31735714 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - November 20, 2019 Category: International Medicine & Public Health Authors: Hull SC Tags: J Health Care Poor Underserved Source Type: research

Utilizing Community-based Participatory Research Principles in a Safety-Net Hospital to Develop a Research Partnership.
This report discusses application of the principles of community-based participatory research and bioethics to establish a research partnership with a safety-net hospital in the southern U.S. PMID: 31735715 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - November 20, 2019 Category: International Medicine & Public Health Authors: Rivers BM, Hernandez ND, Rivers D, Cooper DL, Enis SJ, Belizaire C, Matthews R Tags: J Health Care Poor Underserved Source Type: research

Envisioning Future Research and Clinical Practice with a Bioethics Lens: A Word for the Next Generation of Researchers ( < i > All of Us < /i > Research Program, Activism, and Policy Implications).
Envisioning Future Research and Clinical Practice with a Bioethics Lens: A Word for the Next Generation of Researchers (All of Us Research Program, Activism, and Policy Implications). J Health Care Poor Underserved. 2019;30(4S):36-42 Authors: Richardson-Heron D, Cantor K Abstract Precision medicine, a revolutionary approach to disease prevention and treatment, takes into account individual differences in lifestyle, environment, and biology. Organized by the National Institutes of Health, the All of Us Research Program seeks to engage one million or more volunteers living in the U.S. to contribute thei...
Source: Journal of Health Care for the Poor and Underserved - November 20, 2019 Category: International Medicine & Public Health Authors: Richardson-Heron D, Cantor K Tags: J Health Care Poor Underserved Source Type: research

Identifying and Overcoming Roadblocks that Limit the Translation of Research Findings to the Achievement of Health Equity.
Abstract Almost two decades ago, the Institute of Medicine's Clinical Research Roundtable commented on the major challenges of moving health related basic science discovery to the clinical setting. The roadblocks identified included challenges in evaluating a discovery's application to human disease, and, if justified, getting that application out to the general population. The obstacles to achieving this translation of discovery to improvements in human health remain today and are most evident in populations at highest risk for inequitably poor health. We address four potential roadblocks which, if solved, will h...
Source: Journal of Health Care for the Poor and Underserved - November 20, 2019 Category: International Medicine & Public Health Authors: Crook ED, Pierre K, Arrieta MA Tags: J Health Care Poor Underserved Source Type: research

Vulnerability in Law and Bioethics.
Abstract Understanding universal vulnerability as inherent in human beings raises questions about the use of differentiating and stigmatizing terms such as vulnerable populations, by which individuals are grouped together based on perceived dissimilarity, deviance, or victimhood. Understanding human vulnerability also calls into question concepts, such as individual responsibility and consent, currently relied upon to resolve ethical and legal dilemmas. When normalized, vulnerability provides a powerful and inclusive conceptual tool that can help us define individual, professional, and institutional responsibility...
Source: Journal of Health Care for the Poor and Underserved - November 20, 2019 Category: International Medicine & Public Health Authors: Fineman MA Tags: J Health Care Poor Underserved Source Type: research

An American Indian Patient Experience.
PMID: 31735719 [PubMed - in process] (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - November 20, 2019 Category: International Medicine & Public Health Authors: Gachupin FC, Garcia CA, Romero MD Tags: J Health Care Poor Underserved Source Type: research

Issues in the Use of Human Tissues to Support Precision Medicine.
Abstract Precision medicine is an approach in which the characteristics of patients as well as their diseases are used to identify optimal therapy; it links researchers, patients, health care providers, and clinical laboratories. In precision medicine, specific molecular characteristics of an untreatable cancer can be targeted by specific molecular-based therapy. Access to high-quality human tissues is necessary to determine many characteristics of patients and their diseases (such as targetable molecules). There are ethical issues in using human tissues in precision medicine, including informed consent and confid...
Source: Journal of Health Care for the Poor and Underserved - November 20, 2019 Category: International Medicine & Public Health Authors: Grizzle WE Tags: J Health Care Poor Underserved Source Type: research

Translational Research-For the Individual and the Community.
Abstract The potential for translational research to improve human health is unprecedented, as the integration of genetic health risks with other data influencing health provides substantial opportunities for improvement. However, how integrating these data sources in a fair, unbiased and appropriate way without reinforcing pre-existing assumptions requires thoughtful implementation. Furthermore, integration of new technologies requires assessment of needs and benefits for the individual balanced with community needs and goals. Thus, examination of values, goals and implicit assumptions through transparent, authen...
Source: Journal of Health Care for the Poor and Underserved - November 20, 2019 Category: International Medicine & Public Health Authors: Kimberly RP Tags: J Health Care Poor Underserved Source Type: research

Breaking the Cycle of Health Inequities: The Bioethics of Data.
Abstract Social epigenomics measures the mechanisms through which place and context change our biology. Big data science connects, analyzes, and allows inferences from previously disconnected data. Precision medicine promises individually-tailored treatments. Together, these emerging fields are changing the way we discover, decipher, and deliver new science to populations. However, differential participation in and uptake (by adopter type-from innovators to laggards) of the discovering, deciphering, and delivering of these new mechanisms may exacerbate health disparities. Innovators and early adopters are generall...
Source: Journal of Health Care for the Poor and Underserved - November 20, 2019 Category: International Medicine & Public Health Authors: Tossas-Milligan KY, Winn RA Tags: J Health Care Poor Underserved Source Type: research

Framework for Ethical Community Engagement (ECE) with Underserved Populations in the Rural South: A Help for Bioethics and Healthcare Promotion.
Abstract Mainstream bioethics has dealt inadequately with issues of race, gender, and class that intersect and shape the life experiences of vulnerable populations in the U.S., such as Black women in the rural South who have faced bioethical and public health challenges throughout U.S. history. They have suffered from health disparities, challenges to their autonomy, inadequate access to quality health care, biomedical violations, and a healthcare system that has implicit bias and discrimination. Thus, we propose a framework for biomedical and behavioral researchers and organizations who seek to engage, ethically,...
Source: Journal of Health Care for the Poor and Underserved - November 20, 2019 Category: International Medicine & Public Health Authors: Wilson WD, Jackson FH, Harrell JR Tags: J Health Care Poor Underserved Source Type: research

Racial Anxiety among Medical Residents: Institutional Implications of Social Accountability.
Abstract As the U.S. population becomes more racially diverse, physicians need to have cultural skills for optimal health outcomes; however, the literature is sparse for cultural skill application of medical trainees. This paper focuses on Family Medicine residents' perceptions of racial anxiety and their preparedness to manage cross-racial interactions. Of the 24 respondents, the majority were female. The ethnicities of respondents were 16 non-Hispanic White, five African American, and three Native American. Most participants demonstrated good general knowledge and/or self-efficacy on racial anxiety, but produced...
Source: Journal of Health Care for the Poor and Underserved - November 20, 2019 Category: International Medicine & Public Health Authors: Bradley LJ, Clem J, Godsil R, MacFarlane J, Foster PP Tags: J Health Care Poor Underserved Source Type: research