Journal of Health Care for the Poor and Underserved This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

"Shelter is Stressing Me Out": Challenges Meeting Health Care Needs of Older Adults in Congregate Shelters
J Health Care Poor Underserved. 2023;34(3):1003-1020.ABSTRACTOlder adults experiencing homelessness are a growing population with high rates of medical, psychiatric, and substance use-related health conditions. This mixed-methods study sampled older adults experiencing homelessness admitted to an academic safety-net hospital. We analyzed chart review data on the cohorts' medical and psychiatric conditions and their health care utilization. Qualitative interviews examined the impact of the congregate shelter environment on health. The sixteen participants with experiences living in a shelter had high rates of depression (56...
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Kaila A Rudolph Madeline Stewart Christina P C Borba Source Type: research

Implementing the Better Starts For All Pilot Mobile and Telehealth Intervention in Ohio Appalachia: Improving Access to Maternal Healthcare
DISCUSSION: Maternal care providers must provide equitable care to patients, with particular attention to those who face substantial challenges accessing obstetric services. The BSFA program offers one promising solution to help women overcome barriers to accessing care.PMID:38015135 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Seuli Bose Brill Lisa A Juckett Erin Chandler Jordyn Brown Nikki Thomas Chasmine Flax Laura Miles Mequeil Howard Stephen Thung Kathryn Mishkin Source Type: research

Social Connectivity and Coping Among Vulnerable Veterans During the COVID-19 Pandemic
J Health Care Poor Underserved. 2023;34(3):1051-1059.ABSTRACTThe coronavirus disease 2019 (COVID-19) pandemic dramatically changed how people socialized. However, little is known about the extent to which the pandemic changed the social connections of people with tenuous interpersonal relationships at baseline, including homeless-experienced people and people with psychotic disorders. We sought to understand how these populations experienced changes in their social connectivity and to identify coping strategies employed. We conducted 43 semi-structured interviews with 27 vulnerable participants (11 homeless-experienced peo...
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Elizabeth M Moore Sonya Gabrielian Michael F Zito Suzanne D Kozikowski James R Lopez Michael Lesgart Michael F Green Source Type: research

Improvement in Post-traumatic Stress Symptoms Following an Internet-based Cognitive-Behavioral Intervention for Insomnia: An Open Trial among Rural Appalachian Women
In this study, 37 trauma-exposed adult women aged 45 and older from rural Appalachian Kentucky completed a six-session online self-administered cognitive behavioral therapy for insomnia (CBT-I) intervention and completed measures of PTSD symptoms, insomnia, and depression at pre- and post-treatment. Participants reported a significant reduction in PTSD symptoms from pre- to post-intervention, and this remained significant after adjusting for severity of insomnia and depression pre-treatment. Pending replication in a randomized controlled trial, web-based CBT-I may offer an adjunctive mental health treatment option that cir...
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Christal L Badour Ashley I Martinez Caitlyn O Hood Daniela C Moga Mairead E Moloney Source Type: research

Mental and Emotional Health of Caregivers of Youth with Sickle Cell Disease: A Systematic Review
J Health Care Poor Underserved. 2023;34(3):1070-1104.ABSTRACTPeople of African descent and those identifying as Black and/or Latino experience a disproportionate burden of sickle cell disease (SCD), a chronic, serious blood condition. Caregivers of children with chronic medical conditions report worse mental health than others. Disease-associated stressors can affect caregivers of children with SCD. We conducted a systematic review to summarize the prevalence of mental health symptoms in caregivers of children with SCD and to see if symptoms were associated with the child's SCD. This review is reported according to the Pre...
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Jean-Marie Bruzzese John Usseglio Lisa Iannacci-Manasia Kayla A Diggs Arlene M Smaldone Nancy S Green Source Type: research

Legal Needs and Health Outcomes for People with Cancer in Medical-Legal Partnership Programs: A Systematic Review
J Health Care Poor Underserved. 2023;34(3):1105-1120.ABSTRACTMedical-legal partnerships (MLPs) integrate lawyers into medical teams to address patients' unmet legal needs that create barriers to good health and well-being (i.e., health-harming legal needs). This systematic review of the peer-reviewed literature focused on measuring 1) cancer patients' legal needs and 2) outcomes for cancer patients after receiving MLP services. Literature was searched according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) for the period 2006-2022. Four articles met the inclusion criteria for objective ...
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Allison B Dowling Caitlin Schille Jensen Abigail Sweeney C Scott Dorris Deborah F Perry Source Type: research

The 24-Hour Workday for New York State Home Health Care Workers: Institutional Racism in Health Care Delivery
J Health Care Poor Underserved. 2023;34(3):1121-1128.ABSTRACTRacism named as a public health issue largely focuses on those at the care-receiving end of health care. Home health care workers (HHCWs) are predominantly Black, immigrant, and women; in New York state it is illegal for HHCWs to work 24 consecutive hours, but homecare agencies assign HHCWs to 24-hour shifts and only pay for 13 hours of work. The demanding work of HHCWs increases their risk for and experiences of injury, depression, cardiovascular disease, and cerebrovascular events. This manifestation of exploitation illustrates that racism affects health care w...
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Doris W Chiu Sarah Ahn Anne Kochman Makini Chisolm-Straker Source Type: research

Incarceration, Inequality, and Hepatitis C Treatment: The Story of Two Southern States
J Health Care Poor Underserved. 2023;34(3):1129-1135.ABSTRACTHepatitis C virus (HCV) infection causes liver-related morbidity/mortality and disproportionately affects people who are incarcerated and non-Hispanic Black populations, largely due to social and policy issues that contribute to poor health. With the advent of highly efficacious treatment, HCV is now curable. However, most states' departments of corrections do not offer universal HCV testing or treatment. Two southern states-Tennessee and Louisiana-provide examples of divergent approaches to addressing HCV infection. While Tennessee has offered treatment on a lim...
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Ashley Wennerstrom Sean Manogue Hannah Hardeo William T Robinson David L Thomas Risha Irvin Source Type: research

Promoting Access to Dental Care in a Developing Caribbean Nation, Post-disaster
J Health Care Poor Underserved. 2023;34(3):1136-1148.ABSTRACTIn September 2017, Hurricane Irma struck several Caribbean islands, which suffered catastrophic damage. Anguilla, the most northerly of the Caribbean's Leeward Islands, a developing nation, experienced devastating damage to its social, physical, political, and economic infrastructures. Anguilla's longstanding Dental Unit, a public sector health care facility, was among the services that suffered irreparable destruction. Hurricane Irma's debilitating impact on a developing nation and its citizens' livelihoods exacerbated existing challenges in dental care, and cre...
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Bhaven Modha Source Type: research

Smart Meds: Using Pharmacists to Address Health Literacy Disparities Among Medically- and Socially-Vulnerable Populations
This report aims to describe the development of SMART MEDS, a pharmacy-led program implemented to address health literacy disparities among medically and socially vulnerable patients.PMID:38015143 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Chardae Whitner Adrienne DeBerry Brendia Tolliver Fern Webb Lori Bilello Ross Jones Source Type: research

Note from the Editor
J Health Care Poor Underserved. 2023;34(3):vii-x.NO ABSTRACTPMID:38015124 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Virginia M Brennan Source Type: research

Continuing Investment in the National Health Service Corps is Vital for Addressing Workforce Shortages and Improving Diversity Among Clinicians
J Health Care Poor Underserved. 2023;34(3):xi-xv.NO ABSTRACTPMID:38015125 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Jordan Marshall Amanda Pears Kelly Rick Brown Source Type: research

Understanding Health Care Utilization and Occupational Exposures of Labor-Trafficked People
CONCLUSIONS: This is the largest study to elucidate health concerns and care utilization patterns among labor-trafficked people. Concerted resources must be dedicated to understanding health needs and health systems intervention opportunities for labor-trafficked people.PMID:38015126 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Philip DeCicco Jaya Prakash Meredith Rapkin Kate Brown Hanni Stoklosa Source Type: research

Barriers to Using a Patient Portal Among Low-income Patient Populations: A Qualitative Descriptive Study
CONCLUSION: Federally-qualified health centers serving low-income populations should enhance patient portal use by increasing awareness of the benefits of portals and assisting patients with enrollment.PMID:38015127 (Source: Journal of Health Care for the Poor and Underserved)
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Alicia K Matthews Min Young Jung Jennifer Akufo Larissa Burke Darcy Dodd Geri Donenberg Source Type: research

Perceived Stress and Depressive Symptoms Among Recent Latino/a Immigrants: The Moderating Effects of Emotion Regulation and Dispositional Mindfulness
This study examines the association between perceived stress and depressive symptoms and the moderating effect of emotion regulation and dispositional mindfulness. Cross-sectional data from an ongoing longitudinal study of RLIs was used. Hierarchical multiple regression analyses were performed to examine simple main effects of the predictor variables on depressive symptoms. The study also tested the moderating effects of emotion regulation and dispositional mindfulness on the association between perceived stress and depressive symptoms. Greater perceived stress and cognitive reappraisal were associated with greater depress...
Source: Journal of Health Care for the Poor and Underserved - November 28, 2023 Category: International Medicine & Public Health Authors: Shaina A Johnson Miguel Ángel Cano Mario De La Rosa Patria Rojas Eduardo Romano Mariana Sanchez Source Type: research