The Urban Environment and Disparities in Sexual and Reproductive Health Outcomes in the Global South: a Scoping Review
AbstractBy 2050, the Global South will contain three-quarters of the world ’s urban inhabitants, yet no standardized categorizations of urban areas exist. This makes it challenging to compare sub-groups within cities. Sexual and reproductive health and rights (SRHR) are a critical component of ensuring that populations are healthy and productive, yet SRHR outcomes within and across urban settings vary significantly. A scoping review of the literature (2010–2022) was conducted to describe the current body of evidence on SRHR in urban settings in the Global South, understand disparities, and highlight promising approache...
Source: Journal of Urban Health - April 13, 2023 Category: Health Management Source Type: research
Impact of Guaranteed Income on Health, Finances, and Agency: Findings from the Stockton Randomized Controlled Trial
AbstractThe purpose of this experiment was to test the effects of a $500 per month guaranteed income for 2 years on health and financial outcomes. A mixed-methods randomized controlled trial in Stockton, CA, USA enrolled 131 individuals to the treatment condition and 200 to control to receive a guaranteed income from February 2019 to January 2021. Quantitative data collection began 3 months prior to a llocation at 6-month intervals concluding 6 months after withdrawal of the intervention. Qualitative data collection included 105 interviews across 3 stages. The primary outcomes were income volatility, physical and menta...
Source: Journal of Urban Health - April 10, 2023 Category: Health Management Source Type: research
The Nation ’s First Publicly Recognized Overdose Prevention Centers: Lessons Learned in New York City
AbstractIn November of 2021, multiple factors converged to create a window of opportunity to open overdose prevention centers (OPCs) at two existing syringe service programs (SSPs) in New York City (NYC). Political will exists in NYC, particularly toward the end of the de Blasio administration ’s term, and the NYC Health Department worked to garner additional support from local and state elected officials given the dire need to address the overdose crisis. This coincided with readiness on the part of one of the NYC SSP providers, OnPoint NYC, to open and operate OPC services. Legal risk s were assessed by both the city a...
Source: Journal of Urban Health - April 4, 2023 Category: Health Management Source Type: research
Care and Complexity in Emergency Housing: an Examination of the COVID-19 Shelter-in-Place (SIP) Hotel Program to House People Experiencing Homelessness in San Francisco
In this study, we consider the patient, provider, and public health repercussions of San Francisco ’s (SF) COVID-related response to homelessness using tourist hotels to house people experiencing homelessness (PEH). We describe the demographics, medical comorbidities, and healthcare utilization patterns of a subset of PEH who accessed the shelter-in-place (SIP) hotel sites during the 2020–202 1 pandemic. We focus on how SIP hotels impacted connection to outpatient care and higher-cost emergency utilization. Our mixed methods study integrates qualitative and quantitative data to consider the impact of this temporary hou...
Source: Journal of Urban Health - April 1, 2023 Category: Health Management Source Type: research
What We Need from the Two Businesses of Health and Medicine —a Commentary on Barondess
(Source: Journal of Urban Health)
Source: Journal of Urban Health - April 1, 2023 Category: Health Management Source Type: research
The Two Business Problem in Medicine
(Source: Journal of Urban Health)
Source: Journal of Urban Health - April 1, 2023 Category: Health Management Source Type: research
Telehealth as a Tool to Improve Access and Reduce No-Show Rates in a Large Safety-Net Population in the USA
AbstractLow-income populations are at higher risk of missing appointments, resulting in fragmented care and worsening disparities. Compared to face-to-face encounters, telehealth visits are more convenient and could improve access for low-income populations. All outpatient encounters at the Parkland Health between March 2020 and June 2022 were included. No-show rates were compared across encounter types (face-to-face vs telehealth). Generalized estimating equations were used to evaluate the association of encounter type and no-show encounters, clustering by individual patient and adjusting for demographics, comorbidities, ...
Source: Journal of Urban Health - March 8, 2023 Category: Health Management Source Type: research
Correction to: Trading-Off Transit and Non-Transit Physical Activity among Older People: Evidence from Longitudinal Accelerometer Data of a Natural Experiment Study
(Source: Journal of Urban Health)
Source: Journal of Urban Health - March 6, 2023 Category: Health Management Source Type: research
Association between Childhood Maltreatment and Depressive and Anxiety Symptoms among Men Who Have Sex with Men in Los Angeles
AbstractAdverse childhood experiences (ACEs) have been associated with poor mental health outcomes in adulthood. Childhood maltreatment is related to both depressive and anxiety symptoms. Our objective was to investigate these associations among low-income, mostly Black and Latino men who have sex with men (MSM), as these may be a particularly vulnerable population group. Data come from a longitudinal study of MSM with varied substance use behaviors (n = 321) collected between August 2014 and April 2022. Cumulative, childhood maltreatment ACEs, and the single ACE of childhood sexual abuse were investigated as potential pre...
Source: Journal of Urban Health - February 24, 2023 Category: Health Management Source Type: research
The Role of Functional Urban Areas in the Spread of COVID-19 Omicron (Northern Spain)
This study focuses on the space-time patterns of the COVID-19 Omicron wave at a regional scale, using municipal data. We analyze the Basque Country and Cantabria, two adjacent regions in the north of Spain, which between them numbered 491,816 confirmed cases in their 358 municipalities from 15th November 2021 to 31st March 2022. The study seeks to determine the role of functional urban areas (FUAs) in the spread of the Omicron variant of the virus, using ESRI Technology (ArcGIS Pro) and applying intelligence location methods such as 3D-bins and emerging hot spots. Those methods help identify trends and types of problem are...
Source: Journal of Urban Health - February 24, 2023 Category: Health Management Source Type: research
Association between Childhood Maltreatment and Depressive and Anxiety Symptoms among Men Who Have Sex with Men in Los Angeles
AbstractAdverse childhood experiences (ACEs) have been associated with poor mental health outcomes in adulthood. Childhood maltreatment is related to both depressive and anxiety symptoms. Our objective was to investigate these associations among low-income, mostly Black and Latino men who have sex with men (MSM), as these may be a particularly vulnerable population group. Data come from a longitudinal study of MSM with varied substance use behaviors (n = 321) collected between August 2014 and April 2022. Cumulative, childhood maltreatment ACEs, and the single ACE of childhood sexual abuse were investigated as potential pre...
Source: Journal of Urban Health - February 24, 2023 Category: Health Management Source Type: research
