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Publisher: Project MUSE   (Total: 294 journals)

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Showing 1 - 200 of 294 Journals sorted alphabetically
Ab Imperio     Full-text available via subscription   (Followers: 1, SJR: 0.405, h-index: 4)
Advertising & Society Review     Full-text available via subscription   (Followers: 12)
African Economic History     Full-text available via subscription   (Followers: 9)
Alabama Review     Full-text available via subscription  
American Annals of the Deaf     Full-text available via subscription   (Followers: 11, SJR: 0.404, h-index: 31)
American Book Review     Full-text available via subscription   (Followers: 5, SJR: 0.102, h-index: 1)
American Catholic Studies     Full-text available via subscription  
American Periodicals : A J. of History, Criticism, and Bibliography     Full-text available via subscription   (Followers: 7, SJR: 0.129, h-index: 2)
American Studies     Full-text available via subscription   (Followers: 21)
Anales Galdosianos     Full-text available via subscription  
Anthropologica     Full-text available via subscription   (Followers: 4, SJR: 0.172, h-index: 12)
Anthropological Quarterly     Full-text available via subscription   (Followers: 60, SJR: 0.995, h-index: 30)
Appalachian Heritage     Full-text available via subscription   (Followers: 5)
Archives of Asian Art     Full-text available via subscription   (Followers: 8, SJR: 0.101, h-index: 3)
Arizona J. of Hispanic Cultural Studies     Full-text available via subscription   (Followers: 3)
Arizona Quarterly: A J. of American Literature, Culture, and Theory     Full-text available via subscription   (Followers: 12)
Arthuriana     Full-text available via subscription   (Followers: 5, SJR: 0.172, h-index: 4)
ASEAN Economic Bulletin     Full-text available via subscription   (Followers: 5)
Asia Policy     Full-text available via subscription   (Followers: 6)
Asian Bioethics Review     Full-text available via subscription   (Followers: 1)
Asian Music     Full-text available via subscription   (Followers: 11)
Asian Perspectives     Full-text available via subscription   (Followers: 9, SJR: 0.165, h-index: 21)
Asian Theatre J.     Full-text available via subscription   (Followers: 4, SJR: 0.1, h-index: 6)
AUDEM : The Intl. J. of Higher Education and Democracy     Full-text available via subscription   (Followers: 9)
Azalea: J. of Korean Literature & Culture     Full-text available via subscription   (Followers: 4)
Biography     Full-text available via subscription   (Followers: 17, SJR: 0.23, h-index: 14)
Brookings Trade Forum     Full-text available via subscription   (Followers: 3)
Brookings-Wharton Papers on Financial Services     Full-text available via subscription   (Followers: 3)
Brookings-Wharton Papers on Urban Affairs     Full-text available via subscription   (Followers: 8)
Buddhist-Christian Studies     Full-text available via subscription   (Followers: 7)
Buildings & Landscapes: J. of the Vernacular Architecture Forum     Full-text available via subscription   (Followers: 13, SJR: 0.101, h-index: 2)
Bulletin of Medieval Canon Law     Full-text available via subscription   (Followers: 2)
Bulletin of the Comediantes     Full-text available via subscription   (Followers: 2, SJR: 0.1, h-index: 4)
Calíope : J. of the Society for Renaissance and Baroque Hispanic Poetry     Full-text available via subscription   (Followers: 1)
Canadian Ethnic Studies     Full-text available via subscription   (Followers: 3)
Canadian J. of Information and Library Science     Full-text available via subscription   (Followers: 248, SJR: 0.197, h-index: 12)
Canadian J. of Linguistics / La revue canadienne de linguistique     Full-text available via subscription   (Followers: 8, SJR: 0.139, h-index: 14)
Canadian J. of Philosophy     Full-text available via subscription   (Followers: 18, SJR: 0.265, h-index: 14)
Canadian Review of Comparative Literature / Revue Canadienne de Littérature Comparée     Full-text available via subscription   (Followers: 1, SJR: 0.1, h-index: 1)
Canadian Theatre Review     Full-text available via subscription   (Followers: 3, SJR: 0.101, h-index: 3)
Caribbean Studies     Full-text available via subscription   (Followers: 11)
Catholic Historical Review     Full-text available via subscription   (Followers: 15, SJR: 0.102, h-index: 8)
Cervantes : Bulletin of the Cervantes Society of America     Full-text available via subscription   (Followers: 1)
China : An Intl. J.     Full-text available via subscription   (Followers: 17, SJR: 0.181, h-index: 7)
China Review Intl.     Full-text available via subscription   (Followers: 8)
Cinema J.     Full-text available via subscription   (Followers: 21)
Civil War History     Full-text available via subscription   (Followers: 19, SJR: 0.176, h-index: 10)
Colorado Review     Full-text available via subscription   (Followers: 1)
Comitatus : A J. of Medieval and Renaissance Studies     Full-text available via subscription   (Followers: 16)
Comparative Drama     Full-text available via subscription   (Followers: 4, SJR: 0.114, h-index: 5)
Comparative Technology Transfer and Society     Full-text available via subscription   (Followers: 3)
Conradiana     Full-text available via subscription   (Followers: 1, SJR: 0.101, h-index: 3)
Conservative Judaism     Full-text available via subscription   (Followers: 5)
Contagion : J. of Violence, Mimesis, and Culture     Full-text available via subscription   (Followers: 8, SJR: 0.101, h-index: 2)
Contemporary Pacific     Full-text available via subscription   (Followers: 9, SJR: 0.345, h-index: 25)
Contemporary Southeast Asia: A J. of Intl. and Strategic Affairs     Full-text available via subscription   (Followers: 17, SJR: 0.277, h-index: 4)
CR : The New Centennial Review     Full-text available via subscription   (SJR: 0.15, h-index: 12)
Criticism     Full-text available via subscription   (Followers: 10, SJR: 0.1, h-index: 13)
Cross-Currents : East Asian History and Culture Review     Full-text available via subscription   (Followers: 3)
Cuban Studies     Full-text available via subscription   (Followers: 6)
Cultural Critique     Full-text available via subscription   (Followers: 8, SJR: 0.124, h-index: 16)
Demokratizatsiya: The J. of Post-Soviet Democratization     Full-text available via subscription   (Followers: 8, SJR: 0.414, h-index: 15)
Diaspora: A J. of Transnational Studies     Full-text available via subscription   (Followers: 10)
Dickens Quarterly     Full-text available via subscription   (Followers: 1, SJR: 0.1, h-index: 4)
Dictionaries : J. of the Dictionary Society of North America     Full-text available via subscription  
Digital Philology : A J. of Medieval Cultures     Full-text available via subscription   (Followers: 4)
Discourse     Full-text available via subscription   (Followers: 8)
Dublin James Joyce J.     Full-text available via subscription   (Followers: 1)
Early American Literature     Full-text available via subscription   (Followers: 7, SJR: 0.139, h-index: 10)
Economía     Full-text available via subscription   (Followers: 14)
Ecotone     Full-text available via subscription  
Education and Treatment of Children     Full-text available via subscription   (Followers: 4, SJR: 0.619, h-index: 25)
Éire-Ireland     Full-text available via subscription   (Followers: 8, SJR: 0.124, h-index: 8)
ELH     Full-text available via subscription   (Followers: 17, SJR: 0.168, h-index: 14)
Emily Dickinson J.     Full-text available via subscription   (Followers: 3, SJR: 0.111, h-index: 4)
English Literature in Transition 1880-1920     Full-text available via subscription   (Followers: 6, SJR: 0.131, h-index: 5)
ESC: English Studies in Canada     Full-text available via subscription   (Followers: 3, SJR: 0.101, h-index: 6)
ESQ: A J. of the American Renaissance     Full-text available via subscription   (Followers: 1, SJR: 0.157, h-index: 6)
Essays in Medieval Studies     Full-text available via subscription   (Followers: 19)
Eudora Welty Review     Full-text available via subscription  
Feminist Formations     Full-text available via subscription   (Followers: 3)
Film & History: An Interdisciplinary J. of Film and Television Studies     Full-text available via subscription   (Followers: 36, SJR: 0.1, h-index: 2)
Forum J.     Full-text available via subscription  
Fourth Genre: Explorations in Nonfiction     Full-text available via subscription   (Followers: 1, SJR: 0.1, h-index: 1)
Framework : The J. of Cinema and Media     Full-text available via subscription   (Followers: 19)
Franciscan Studies     Full-text available via subscription   (Followers: 6, SJR: 0.101, h-index: 1)
French Colonial History     Full-text available via subscription   (Followers: 20, SJR: 0.101, h-index: 3)
Future Anterior     Full-text available via subscription   (Followers: 1, SJR: 0.101, h-index: 2)
Future of Children     Full-text available via subscription   (Followers: 4, SJR: 1.68, h-index: 62)
George Herbert J.     Full-text available via subscription  
German Studies Review     Full-text available via subscription   (Followers: 25, SJR: 0.116, h-index: 9)
Ghana Studies     Full-text available via subscription   (Followers: 15)
Goethe Yearbook     Full-text available via subscription   (Followers: 6)
Harvard J. of Asiatic Studies     Full-text available via subscription   (Followers: 11)
Hebrew Studies     Full-text available via subscription   (Followers: 2, SJR: 0.13, h-index: 2)
Helios     Full-text available via subscription   (Followers: 1, SJR: 0.111, h-index: 8)
Hemingway Review     Full-text available via subscription   (Followers: 3)
Henry James Review     Full-text available via subscription   (Followers: 3, SJR: 0.178, h-index: 8)
High School J.     Full-text available via subscription   (Followers: 2)
Hispania     Full-text available via subscription   (Followers: 8, SJR: 0.258, h-index: 5)
Hispanic Review     Full-text available via subscription   (Followers: 12, SJR: 0.177, h-index: 5)
Hispanófila     Full-text available via subscription   (Followers: 3, SJR: 0.1, h-index: 3)
Histoire sociale/Social history     Full-text available via subscription   (Followers: 8, SJR: 0.115, h-index: 8)
Historically Speaking     Full-text available via subscription   (Followers: 3)
Hopscotch: A Cultural Review     Full-text available via subscription  
Human Biology     Full-text available via subscription   (Followers: 7, SJR: 0.562, h-index: 45)
Human Rights Quarterly     Full-text available via subscription   (Followers: 62, SJR: 0.428, h-index: 46)
Humanity : An Intl. J. of Human Rights, Humanitarianism, and Development     Full-text available via subscription   (Followers: 17)
Information & Culture : A J. of History     Full-text available via subscription   (Followers: 31)
Intertexts     Full-text available via subscription   (Followers: 8)
Islamic Africa     Full-text available via subscription   (Followers: 3)
J. for the Study of Radicalism     Full-text available via subscription   (Followers: 6, SJR: 0.137, h-index: 3)
J. of American Folklore     Full-text available via subscription   (Followers: 4, SJR: 0.198, h-index: 15)
J. of Asian American Studies     Full-text available via subscription   (Followers: 3)
J. of Burma Studies     Full-text available via subscription   (Followers: 4, SJR: 0.175, h-index: 3)
J. of Canadian Studies/Revue d'études canadiennes     Full-text available via subscription   (Followers: 4, SJR: 0.175, h-index: 10)
J. of College Student Development     Full-text available via subscription   (Followers: 8, SJR: 0.615, h-index: 47)
J. of Colonialism and Colonial History     Full-text available via subscription   (Followers: 22)
J. of Democracy     Full-text available via subscription   (Followers: 45, SJR: 1.815, h-index: 56)
J. of Developing Areas     Full-text available via subscription   (Followers: 6)
J. of Dramatic Theory and Criticism     Full-text available via subscription   (Followers: 4)
J. of Early Christian Studies     Full-text available via subscription   (Followers: 18, SJR: 0.252, h-index: 15)
J. of Health Care for the Poor and Underserved     Full-text available via subscription   (Followers: 6, SJR: 0.569, h-index: 42)
J. of Higher Education, The     Full-text available via subscription   (Followers: 32, SJR: 1.189, h-index: 57)
J. of Individual Psychology     Full-text available via subscription   (Followers: 4)
J. of Japanese Studies     Full-text available via subscription   (Followers: 12, SJR: 0.182, h-index: 13)
J. of Jewish Identities     Full-text available via subscription   (Followers: 10)
J. of Korean Religions     Full-text available via subscription   (Followers: 4, SJR: 0.101, h-index: 1)
J. of Korean Studies     Full-text available via subscription   (Followers: 10, SJR: 0.169, h-index: 3)
J. of Late Antiquity     Full-text available via subscription   (Followers: 4)
J. of Latin American Geography     Full-text available via subscription   (Followers: 3, SJR: 0.165, h-index: 15)
J. of Military History     Full-text available via subscription   (Followers: 27)
J. of Modern Greek Studies     Full-text available via subscription   (Followers: 4, SJR: 0.205, h-index: 11)
J. of Narrative Theory     Full-text available via subscription   (Followers: 24, SJR: 0.11, h-index: 7)
J. of Policy History     Full-text available via subscription   (Followers: 12, SJR: 0.116, h-index: 2)
J. of Shi'a Islamic Studies     Full-text available via subscription   (Followers: 4, SJR: 0.119, h-index: 2)
J. of Slavic Linguistics     Full-text available via subscription   (Followers: 2)
J. of Song-Yuan Studies     Full-text available via subscription   (Followers: 4, SJR: 0.102, h-index: 1)
J. of the Civil War Era     Full-text available via subscription   (Followers: 9)
J. of the Early Republic     Full-text available via subscription   (Followers: 10, SJR: 0.144, h-index: 11)
J. of the History of Childhood and Youth     Full-text available via subscription   (Followers: 2)
J. of the History of Ideas     Full-text available via subscription   (Followers: 120, SJR: 0.143, h-index: 24)
J. of the History of Philosophy     Full-text available via subscription   (Followers: 46, SJR: 0.482, h-index: 15)
J. of the History of Sexuality     Full-text available via subscription   (Followers: 24, SJR: 0.102, h-index: 21)
J. of the Malaysian Branch of the Royal Asiatic Society     Full-text available via subscription   (Followers: 5)
J. of the Society of Christian Ethics     Full-text available via subscription   (Followers: 5, SJR: 0.108, h-index: 6)
J. of the Southwest     Full-text available via subscription   (Followers: 1, SJR: 0.109, h-index: 6)
J. of Women's History     Full-text available via subscription   (Followers: 18, SJR: 0.119, h-index: 15)
J. of World History     Full-text available via subscription   (Followers: 27, SJR: 0.137, h-index: 25)
J19 : The J. of Nineteenth-Century Americanists     Full-text available via subscription   (Followers: 3)
James Joyce Quarterly     Full-text available via subscription   (Followers: 7, SJR: 0.1, h-index: 3)
Jeunesse: Young People, Texts, Cultures     Full-text available via subscription   (Followers: 2)
Joyce Studies Annual     Full-text available via subscription   (Followers: 2)
Kennedy Institute of Ethics J.     Full-text available via subscription   (Followers: 5, SJR: 0.473, h-index: 32)
Korean Studies     Full-text available via subscription   (Followers: 10)
Kritika: Explorations in Russian and Eurasian History     Full-text available via subscription   (Followers: 11, SJR: 0.432, h-index: 16)
L'Esprit Créateur     Full-text available via subscription   (Followers: 3, SJR: 0.103, h-index: 5)
La corónica : A J. of Medieval Hispanic Languages, Literatures, and Cultures     Full-text available via subscription   (Followers: 4)
Language     Full-text available via subscription   (Followers: 24, SJR: 1.678, h-index: 54)
Late Imperial China     Full-text available via subscription   (Followers: 8, SJR: 0.104, h-index: 8)
Latin American Music Review     Full-text available via subscription   (Followers: 4)
Latin American Theatre Review     Full-text available via subscription   (Followers: 1, SJR: 0.1, h-index: 2)
Le mouvement social     Full-text available via subscription   (Followers: 1, SJR: 0.125, h-index: 7)
Leviathan : A J. of Melville Studies     Full-text available via subscription   (Followers: 1, SJR: 0.1, h-index: 2)
Library Trends     Full-text available via subscription   (Followers: 362, SJR: 0.357, h-index: 34)
Literature and Medicine     Full-text available via subscription   (Followers: 7, SJR: 0.117, h-index: 12)
Logos: A J. of Catholic Thought and Culture     Full-text available via subscription   (Followers: 15, SJR: 0.102, h-index: 4)
Magic, Ritual, and Witchcraft     Full-text available via subscription   (Followers: 10)
Manoa     Full-text available via subscription  
Marvels & Tales     Full-text available via subscription   (Followers: 3)
Mechademia     Full-text available via subscription   (Followers: 2)
Mediaevalia     Full-text available via subscription   (Followers: 1)
Merrill-Palmer Quarterly     Full-text available via subscription   (Followers: 1, SJR: 0.79, h-index: 52)
MFS Modern Fiction Studies     Full-text available via subscription   (Followers: 23, SJR: 0.13, h-index: 15)
Milton Studies     Full-text available via subscription   (Followers: 2, SJR: 0.12, h-index: 7)
Missouri Review     Full-text available via subscription   (Followers: 1)
MLN     Full-text available via subscription   (Followers: 10, SJR: 0.139, h-index: 9)
Modernism/modernity     Full-text available via subscription   (Followers: 32, SJR: 0.129, h-index: 14)
Monumenta Nipponica     Full-text available via subscription   (Followers: 6, SJR: 0.101, h-index: 8)
Mosaic : a journal for the interdisciplinary study of literature     Full-text available via subscription   (Followers: 8, SJR: 0.126, h-index: 9)
Mouseion: J. of the Classical Association of Canada     Full-text available via subscription   (Followers: 11)
Nabokov Studies     Full-text available via subscription  
Narrative     Full-text available via subscription   (Followers: 25, SJR: 0.215, h-index: 17)
Narrative Inquiry in Bioethics     Full-text available via subscription   (Followers: 2)
New England Review     Full-text available via subscription   (SJR: 0.104, h-index: 2)
New Hibernia Review     Full-text available via subscription   (Followers: 2)
New Literary History     Full-text available via subscription   (Followers: 34, SJR: 0.84, h-index: 21)
Northeast African Studies     Full-text available via subscription   (Followers: 3, SJR: 0.148, h-index: 4)
Notes     Full-text available via subscription   (Followers: 11, SJR: 0.131, h-index: 6)
Nuevo Texto Crítico     Full-text available via subscription   (Followers: 1)
Oceanic Linguistics     Full-text available via subscription   (Followers: 6, SJR: 0.175, h-index: 13)
Ohio History     Full-text available via subscription   (Followers: 6)
Ohio Valley History     Full-text available via subscription  
Oral Tradition     Full-text available via subscription   (Followers: 1)
Palimpsest : A J. on Women, Gender, and the Black Intl.     Full-text available via subscription  
Parergon     Full-text available via subscription   (Followers: 2, SJR: 0.111, h-index: 6)
Partial Answers: J. of Literature and the History of Ideas     Full-text available via subscription   (Followers: 6, SJR: 0.111, h-index: 7)
Perspectives in Biology and Medicine     Full-text available via subscription   (Followers: 6, SJR: 0.295, h-index: 38)
Philip Roth Studies     Full-text available via subscription   (Followers: 3)
Philippine Studies     Full-text available via subscription   (Followers: 2, SJR: 0.216, h-index: 5)

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Journal Cover Journal of Health Care for the Poor and Underserved
  [SJR: 0.569]   [H-I: 42]   [6 followers]  Follow
    
   Full-text available via subscription Subscription journal  (Not entitled to full-text)
   ISSN (Print) 1049-2089 - ISSN (Online) 1548-6869
   Published by Project MUSE Homepage  [294 journals]
  • Note from the Editor: February 2017
    • Abstract: As society used to be, or as I used to understand it, equity shone brightly, a star that society reached for. The great machines of universal progress as seen during and after the Enlightenment—medicine, law, education—were to build ships capable of sailing us across the heavens towards universal well-being, justice, and knowledge.The recent U.S. federal elections, and the complex societal and economic tensions that underlay them, call into question whether equity remains an ideal in the United States today. They call into question whether the ship of state is guided by self-interest—sometimes rhetorically identified with another American ideal (liberty, or freedom, in the narrowest sense)—rather than the polestar ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Evidence-Based Care for the Elderly: Uses of “the Grandmother
           Principle”
    • Abstract: This Letter to the Editor regards “gestalt” as a clinical decision-making tool for improving medical outcomes in the treatment of elderly patients. Oxford Learner’s Dictionary Online defines gestalt as “a set of things, such as a person’s thoughts or experiences, that is considered as a single system which is different from the individual thoughts, experiences, etc. within it.”1 Using a gestalt in treating older patients involves viewing the patient as a whole and applying the biopsychosocial model to patient care. Applying the biopsychosocial model in this way is an adaptation of the sociological imagination by C. Wright Mills:“In 1959, sociologist C. Wright Mills defined sociological imagination as the ability to ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Academic-Community Partnership for Medical Missions: Lessons Learned and
           Practical Guidance for Global Health Service-Learning Experiences
    • Abstract: Global health “places a priority on improving health and achieving equity in health for all people worldwide.”1[p. 1995] Globalization in pharmacy practice and education enables pharmacists to expand patient-care services worldwide, including medical missions.2-4 Currently, global outreach initiatives are offered by 65.4% of pharmacy schools.5 Pharmacy students and faculty have been involved in medical missions through experiential rotations or extra-curricular activities. However, limited guidance and systematic processes for the development and implementation of academic-community missions exist. This article describes a 12-step process outlining an academic-community partnership, lessons learned, and practical ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Harnessing the Capacity of Head Start to Engage Mothers with Depression in
           Treatment
    • Abstract: Community-based organizations can play an important role in health promotion.1,2 Their strengths in the area of cultural competency, and accessibility to vulnerable populations, make them appropriate venues for rigorous intervention studies and for the dissemination and implementation of evidence-based programs.3 Head Start—a federally funded preschool program for children of low-income families—represents a national network of community-based organizations.4 Head Start classrooms exist in nearly every major US city; and each has a social service infrastructure designed for assessing families’ strengths and needs, providing on-site assistance, and linking families to other community programs.5 In Head Start ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Screening for Food Insecurity in Pediatric Primary Care: A Clinic’s
           Positive Implementation Experiences
    • Abstract: Food insecurity (FI), the limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire acceptable foods in socially acceptable ways,1 is a preventable problem in children’s health. In 2014, 14% of all U.S. households were food-insecure and households with children experienced FI at a level nearly twice that of households without children (19.2% vs. 11.7%).2 Food insecurity is one of many social determinants of health that influence well-being across the life course. A child’s growth, cognitive development, academic performance, and physical and psychological health are negatively affected by FI.3-6 Food insecurity not only adversely affects health through ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Race, Racism, and Access to Renal Transplantation among African Americans
    • Abstract: End stage renal disease (ESRD) has become increasingly prevalent in the United States. For example, the prevalence per million population of ESRD in 2012 (1968.2) is more than eight times that of 1980 (240.2).1 As a result, the number of patients in need of a renal transplant, which is the optimal therapy for many ESRD patients, also continues to increase.1 Transplantation offers numerous advantages over dialysis such as reduced risk of cardiovascular event, improved quality of life, and lower mortality.2 But access to renal transplant varies greatly among ESRD patients. There are clear and compelling disparities in access based on patient race.3-11There are eight key steps involved in obtaining a renal ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Lessons from a Broad-based ACA Outreach Effort: Promises and Pitfalls
    • Abstract: The Patient Protection and Affordable Care Act (ACA) provides several mechanisms by which uninsured individuals can obtain health insurance coverage. Many of these provisions, including health premium and cost-sharing subsidies and Medicaid expansion, took effect on January 1, 2014. The Health Care Foundation of Greater Kansas City (HCF), a philanthropic foundation charged with promoting quality health for uninsured and underserved individuals, capitalized on this policy reform by undertaking a sizable Marketplace Coverage Initiative (MCI) in 2013 and early 2014. The MCI sought to increase insurance coverage rates and access to health services for the estimated 200,000 uninsured in the Kansas City Metro area.The ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Symptomology of Elevated Blood Pressure in Black Women with Hypertension
    • Abstract: Hypertension affects more than 70 million people in the United States and is one of the most reliably preventable causes of cardiovascular disease morbidity and mortality worldwide.1 Understanding factors that influence blood pressure control is a major public health concern, especially among Blacks who are disproportionately affected by hypertension. From a medical standpoint, hypertension is considered a silent disease; however, many patients believe that hypertension is a symptomatic illness2-7 and these perceptions influence their health behavior including medication adherence. The purpose of this study was to understand Black women’s perceptions of symptoms that they associate with hypertension.This is a ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Identifying Factors for Worker Motivation in Zambia’s Rural Health
           Facilities
    • Abstract: While great strides have been made in the development of Zambia since it gained independence in 1964, the Zambian health sector continues to suffer from numerous troubles. A critical shortage of qualified health workers stands out as one of the most pressing issues. Public facilities in rural and remote areas suffer most from these worker shortages and typically retain fewer health workers than urban facilities.1Attempts have been made by the Zambian government to address these shortages. For example, in 2003 it initiated the Zambian Health Workers Retention Scheme (ZHWRS). The program aimed to attract and retain health workers in rural areas through monetary and non-monetary incentives. However, the effectiveness ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Open Defecation in Newly Created Kenyan Counties: A Situational Analysis
    • Abstract: In 2015, 946 million people or 13% of the world’s population was estimated to practice open defecation.1 Open defecation is defined as defecation in the fields, street gutters, bushes, bodies of water, and other open spaces. In 2015, the United Nations launched the Sustainable Development Goals. Goal number 6 aims to ensure availability and sustainable management of water and sanitation for all. A key target of this goal is to eradicate open defecation by the year 2030. In sub-Saharan Africa, an estimated 215 million people practice open defecation.2 In Kenya an estimated 5.6 million people defecate in the open.3 Kenya is situated on the eastern part of Africa. It borders Ethiopia to the north, Somalia to the ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Examining the Influence of Cost Concern and Awareness of Low-cost Health
           Care on Cancer Screening among the Medically Underserved
    • Abstract: Breast, cervical, and colorectal cancers (CRC) are highly prioritized in the fight against cancer-related health disparities due to the life-saving benefits of screening.1,2 Despite this increased priority, African Americans continue to bear disproportionately high burdens of these diseases.3 African Americans are more likely than non-Hispanic Whites to die of breast, cervical, and CRC.4 In spite of the promise of screening, many African Americans (especially low-income) underutilize cancer screening services and consequently are more likely to be diagnosed with later-stage disease compared with non-Hispanic Whites.5Individuals with low socioeconomic status (SES) are more likely than those with higher SES to report ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Factorial Invariance and Convergent Validity of the Group-Based Medical
           Mistrust Scale across Gender and Ethnoracial Identity
    • Abstract: Patient-reported mistrust of health care providers and systems has been associated with the use of health services by ethnoracial minorities. The Group-Based Medical Mistrust Scale (GBMMS) was developed to measure an individual’s beliefs regarding the unequal treatment of ethnoracial minorities by medical providers and institutions.1 The GBMMS assesses perceptions of mistrust that an individual attributes to discriminatory practices and attitudes toward a specific ethnoracial group. In previous research, the GBMMS was associated with colorectal and prostate cancer screening among African Americans,2,3 breast cancer screening among African American and Latina women,1 as well as genetic testing in Black and Latino ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Where the U.S. tobacco epidemic still rages: Most remaining smokers have
           lower socioeconomic status
    • Abstract: During the past half-century, U.S. smoking prevalence has steadily declined while socioeconomic disparities in smoking have steadily widened. From 1965 to 1991, the proportion of current smokers went from 42.4% of adults to 25.7% of adults—a 39.4% reduction—but among those without a high school diploma, the reduction was less than half as great as among those with at least four years of college (24.7% vs. 60.6% relative decline).1Smoking prevalence is now highly disparate across the social, economic, and occupational dimensions of socioeconomic status (SES).2,3,4 In 2012, current smokers numbered fewer than one in ten (9.1%) adults with a college degree, but one in four (24.7%) adults without a high school ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Characteristics of Effective Colorectal Cancer Screening Navigation
           Programs in Federally Qualified Health Centers: A Systematic Review
    • Abstract: Colorectal cancer (CRC) is the third-most commonly diagnosed cancer among men and women in the U.S., with an estimated 95,270 new cases of colon and 39,220 cases of rectum cancer in 2016. Colorectal cancer is the second-leading cause of cancer deaths among both men and women in the U.S., with an estimated 49,190 deaths due to colorectal cancer in 2016.1 In the U.S., the economic burden of colorectal cancer has been estimated between $5.3 and $6.5 billion.2 A recent study analyzing the linked Surveillance Epidemiology and End Results (SEER)-Medicare database estimated that the total CRC-related health care cost for insurers and patients was $28,626 more for Medicare recipients with CRC compared with similarly aged ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Perceived Barriers and Facilitators to Health Care Utilization in the
           United States for Transgender People: A Review of Recent Literature
    • Abstract: Transgender individuals experience high levels of health disparities within the United States when compared with the cisgender (non-transgender) population. Over 50% of transgender people, on average, delay needed medical care compared with about 20% of the cisgender population in the U.S.1,2 Transgender women in the United States are about six times more likely to experience significant depressive symptoms than the cisgender population.3 Prevalence and incidence rates of HIV among transgender women are also higher than most other populations in the United States.4 These transgender patients represent a vulnerable subgroup of health care consumers with individualized health care needs related to their transgender ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Can incentives reduce the barriers to use of antenatal care and delivery
           services in Kenya?: Results of a qualitative inquiry
    • Abstract: Kenya has high maternal and neonatal mortality rates, approximately 360 per 100,000 live births and 31 per 1,000 live births, respectively.1 Among 15-49 year-old women, maternal deaths represent about 15% of all deaths.1 The Kenyan Ministry of Health (MOH) recommends that expectant mothers attend a minimum of four antenatal care (ANC) visits before giving birth to ensure the health of mother and child. Among rural women who had a live birth in the five years preceding the Kenya Demographic and Health Survey 2008-09, 44% had four or more antenatal visits.1 Most women initiated care late in pregnancy with a median of six months gestation at the first visit.1 Four postnatal visits are also recommended for women who ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Assessment of Barriers to Essential Surgical Care in Two Communities in
           the Upper West Region, Ghana
    • Abstract: Conditions that benefit from timely, safe surgical care make up nearly 16% of the global disease burden.1 However, an estimated five billion people may not have access to essential surgical care, the majority of which are in low-and middle-income countries (LMICs).2 Thus, the prevalence of unmet surgical needs, even for common conditions like hernias, hydroceles, and skin and soft-tissue masses is high in LMICs.3-5To address this burden, barriers to essential surgical care must be removed. The greatest barrier to surgical care in LMICs is a lack of capacity (i.e., infrastructure, human, and physical resources).6 While urgently needed, it is unlikely that there will be a significant and rapid investment in surgical ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Housing and Health Outcomes of persons living with HIV/AIDS (PLWHAs) in
           the Lower Manya Krobo District, Ghana
    • Abstract: There is abundant scientific evidence on the links between housing and health.1-6 Housing conditions affect health in several ways, as inadequate and deficient housing have been found to be strongly correlated with respiratory, nervous system, and cardiovascular diseases.7,8,9 Based on such compelling evidence, the World Health Organization asked that housing be considered an important determinant of health, as addressing housing needs could help prevent a wide range of diseases among populations.9 Although emerging in most advanced countries such as the U.S and Canada, research on the links between housing and health of vulnerable populations, including PLWHAs has received little attention in sub-Saharan Africa ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • A Two-Year Retrospective Study on the Pattern of Dental Trauma and its
           Etiology, Northwest Ethiopia
    • Abstract: Traumatic dental injury (TDI) receives scant attention although it is an ever increasing challenge to health professionals and has serious health implications.1 Much of the literature on TDI underscores its increased incidence within the last 10-20 years and suggests that it will exceed dental caries and periodontal diseases soon.2,3 More specifically, maxillofacial and TDI are common occurrences that affect 20-30% of the permanent dentition worldwide, which in turn lead to compromised appearance and function.4Especially if untreated, TDI has a considerable negative impact on children’s and adults’ quality of life due to associated physical and emotional distress, and may also have a strongly negative influence on ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Factors Associated with Contraceptive Use among Women of Reproductive Age
           in Rural Districts of Burkina Faso
    • Abstract: Family planning is defined as a conscious effort by couples to space or limit the number of children they have.1,2 Although knowledge on contraception in most low and middle income countries (LMICs) has increased over the last few decades, access to contraception use is still problematic for many women who wish to space or limit child birth.1,2 As a result, most LMICs, particularly those in Asia, the Middle East, the Caribbean, and sub-Saharan Africa, are still characterized by low contraceptive prevalence and generally high fertility rates.3-6 Although in these settings reproductive health policies and family planning programs started already in the early 1960s, women often continue to have more children than they ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Race, Genomics and Chronic Disease: What Patients with African Ancestry
           Have to Say
    • Abstract: Chronic kidney disease affects 26 million U.S. adults. People of African ancestry (self-identifying as Black, African American, African, Afro-Caribbean, Afro-Latino) with hypertension have two to three-fold increased risk of developing chronic kidney disease and five-fold risk of progressing to end-stage renal disease than Whites.1-3 Hypertension and chronic kidney disease increase the risk for cardiovascular disease, and blood pressure control can reduce this risk. Multiple social determinants increase renal and cardiovascular risks, morbidity, and mortality in people with African ancestry, including lower-quality health care, lack of insurance, and residing in a poor neighborhood.4-12The discovery of genetic ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Race, Genomics and Chronic Diseases: What Patients Have to Say—A
           Commentary
    • Abstract: Evidence abounds that developments in genomics are gaining increased attention, as more and more biological discoveries drive efforts to elucidate the role of genetic variation and mutation in predisposing humans to disease. Multiple dimensions of genomic science have been the focus at many levels in both the public and private sectors. For instance, the National Human Genome Research Institute1 has called for more genomic research of Africans, and people of the African diaspora. Under the headline, Genomics is Failing on Diversity, Popejoy and Fullerton2 discuss how a complex web of historical, cultural, scientific, and logistical factors are sustaining an embarrassing bias in genomics. Their findings indicate ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • The Role of Historically Black College and University Medical Schools in
           Academic Medicine
    • Abstract: In this age of increased diversity in medical schools, it is troubling to note that there has been little change in the matriculation of students from Black, Latino or Native American backgrounds.1 Over the last decade new medical schools have opened across the U.S., and many of them include in their mission the service of minority and underserved populations.2 In spite of the increase in medical school positions available for applicants, there has been a lack of progress in the proportional representation of Black students and a proportional decrease in the representation of Black men.3 The raw numbers tell the story well. In 2003 there were 1,205 Black students in medical school and by 2010, that number had ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Racial Dynamics and Cultural Competence Training in Medical and Pharmacy
           Education
    • Abstract: Changes in the demographic characteristics of the U.S. population and the organization of health care services under the Patient Protection and Affordable Care Act (PPACA) require culturally competent health care providers who are capable of practicing in a multicultural society and working together in an integrated care delivery system to enhance coordination of care, improve safety and quality, address patient needs, increase patient satisfaction, and improve health outcomes.1 Culturally competent health care professionals must be aware of their own biases and stereotypes and also of different cultural, racial/ethnic, and linguistic factors that can form barriers to patients’ understanding of and adherence to ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Cardiovascular Risk Factors and Use of Health Care Services in Low-Income,
           Minority Preschool Children
    • Abstract: Cardiovascular disease (CVD) is the major cause of morbidity and mortality in both developed and developing countries.1 In 2013, 611,105 deaths in the United States were attributed to heart disease.2 Although the development of CVD does not occur until adulthood, the etiology of CVD and the accompanying atherosclerotic process begins in childhood.3 Two well-recognized risks for CVD include being overweight or obese and high blood pressure. Childhood obesity continues to be a significant public health concern in children. The prevalence of obesity among children 2 to 5 years old was most recently estimated at 8.4%.4 However, rates are higher for minority and low-income children4 with Black preschool children having ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Cancer Mortality in the Mississippi Delta Region: Descriptive Epidemiology
           and Needed Future Research and Interventions
    • Abstract: Cancer disparities in the United States are often most unfavorable for minority and low-income populations.1 While the connection between poverty and cancer morbidity and mortality is often studied, cancer links involving poor, rural populations are not as frequently studied. Whatever the racial, socioeconomic, or geographic context, cancer disparities often occur because of lack of access to care, individual health risk factors (e.g., smoking, obesity), and less frequent cancer screening.2-4 These disparities often manifest themselves in poorer outcomes, including shorter survival times and higher mortality rates.5The Delta Regional Authority (Delta Region) is a federally designated region of over 10 million ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Public Housing Relocations and Relationships of Changes in Neighborhood
           Disadvantage and Transportation Access to Unmet Need for Medical Care
    • Abstract: Access to health care is a critical component of achieving health equity in the United States (U.S.) and a major goal of Healthy People 2020 and of the Affordable Care Act.1,2 Unmet need for medical care (“unmet need”) results in increased morbidity, mortality, and long-term health care costs.1,3 Impoverished populations and racial/ethnic minorities bear a disproportionate burden of illness; these groups are also less likely to have adequate access to health care.2,4-6An emerging line of research suggests that neighborhood poverty and transportation access shape unmet need for medical care among U.S. adults. Neighborhood poverty is associated with unmet need for medical care.7,8 Disadvantaged areas may face ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Cancer Treatment Delays in American Indians and Alaska Natives Enrolled in
           Medicare
    • Abstract: American Indians and Alaska Natives (AI/ANs) have shorter cancer-specific survival following diagnosis despite lower cancer incidence compared with non-Hispanic Whites (NHWs).1,2,3 The reasons for the observed disparity in survival remain unclear, but may include barriers in access to cancer care facilities and providers, difficulty obtaining transportation to care, high out of pocket costs, and mistrust of the health care system.4-8 Each of these barriers could contribute to delays in starting curative treatment, potentially worsening prognosis. In particular, because AI/AN populations disproportionately live in rural, underserved communities, limited access to timely post-diagnosis care may play a role for cancer ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Inadequate Cancer Screening: Lack of Provider Continuity is a Greater
           Obstacle than Medical Mistrust
    • Abstract: Cancer mortality is disproportionately prevalent among racial minorities and low-income individuals.1,2 Compared with their White counterparts, Blacks experience higher mortality for all cancers combined, and for breast and colon cancer individually.3 Low-income individuals also experience higher mortality for breast cancer and colorectal cancer (CRC).4,5 One major factor fueling these disparities is late-stage diagnosis, which leads to worse initial prognosis.1Cancer screening reduces CRC and breast cancer mortality.6-11 Despite this, many individuals in the U.S. do not receive screening at recommended intervals, especially racial minorities and low-income individuals.2,12-14 For example, national survey data ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Health Ministry and Activities in African American Faith-Based
           Organizations: A Qualitative Examination of Facilitators, Barriers, and
           Use of Technology
    • Abstract: African Americans are disproportionately affected by health problems,1 often referred to as health disparities/inequities. In response to these inequities more faith-based organizations (FBOs), such as churches, are offering structured health promotion activities including health fairs, screenings, or education, sometimes termed health ministry. African American churches strive to attend to the spiritual, mental, and physical needs of their members.2 In working for the advancement of the community in all avenues of life, African American pastors have led the charge serving as teacher, politician, preacher, and as an agent of health-related change.2,3From the public health perspective, evidence-based interventions ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Life begins at 60: Identifying the social support needs of African
           American women aging with HIV
    • Abstract: Advances in HIV treatment regimens have changed HIV from a fatal condition into a chronic, yet manageable condition.1 These advances have led to what is known as HIV chronicity.2 HIV chronicity has resulted in increased life expectancy for many people who acquired the disease during the peak years of the epidemic and recent HIV statistics indicate that people aged 50 and older accounted for 21% (8,575) of an estimated 47,352 HIV diagnoses in the United States.3 In addition, in 2015 and beyond it is expected that 50% of HIV-infected individuals will be aged 50 and over.4 Based upon Centers for Disease Control and Prevention HIV/AIDS surveillance categories, people aged 50 and over who are infected with HIV are ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Antiretroviral Therapy: Racial Disparities among Publicly Insured
           Californians with HIV
    • Abstract: Antiretroviral therapy (ART) has revolutionized medical treatment for people living with HIV/AIDS (PLWHA) by suppressing HIV replication, which is not only optimal for individual health and survival, but also reduces the transmissibility of HIV to sexual partners.1 Despite these advantages and its wide availability, ART was prescribed to only 440,000 of the 1.2 million Americans (37%) living with HIV in 2011,2 in large part because 14% of PLWHA were undiagnosed and only 56% of those diagnosed were engaged in care.2 Overall, only 43% of all diagnosed PLWHA were virally suppressed, after accounting for individuals not retained in care or not prescribed ART.2The “Gardner cascade” describes the attrition at each ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • The Changing Face of Treatment: Mental Health Concerns and Integrated Care
           in an HIV Clinic
    • Abstract: HIV medical care has improved exponentially with the number of high-quality therapeutic interventions, which have far fewer side effects,1 that are now available. Prevention efforts that have decreased infection rates and identified people earlier in disease course,1,2 and a comprehensive, patient-centered approach to care have also contributed substantially to this improvement.3 Those most affected by HIV have been historically underserved, including African Americans, individuals of lower socioeconomic status, and men who have sex with men, and continue to face a variety of barriers to treatment such as stigma,4 a lack of culturally competent providers,5 insurance coverage,6 and substance abuse or other ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Neighborhood Trauma Due to Violence: A Multilevel Analysis
    • Abstract: This article presents a multilevel analysis of the social determinants and consequences of neighborhood trauma due to violence in Syracuse, New York. This community-based violence appears to be a risk factor for various adverse outcomes including severe emotional distress, disproportionate health and mental health problems, and school failure.1 Beginning in 2008 Syracuse University faculty and community members conducted joint research leading to the development of a model of the draw of street crime as a behavioral addiction, based on ethnographic interviews with former gang members.2 The publication describing this model advised that gang member treatment programs include addiction recovery services. In 2010 ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Recruitment and Baseline Characteristics of Participants in the Lifestyle
           Improvement Through Food and Exercise (LIFE) Study
    • Abstract: African Americans experience greater prevalence of type 2 diabetes mellitus (T2DM),1,2 higher rates of disease-related complications,3-7 and earlier death7,8 than non-Hispanic Whites. These disparities are due in part to poorer glycemic control among African Americans.9,10 Although T2DM can be effectively managed with medication, diet, and exercise,11,12 individuals of lower socioeconomic status who live in disadvantaged neighborhoods face significant challenges in adhering to recommended diabetes self-care practices.13 Failure to attain glycemic control increases the risk of heart disease, stroke, vision loss, renal failure, and neuropathy.14-16Diabetes self-management interventions have been successful at ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • “We as Black Men Have to Encourage Each other:” Facilitators and
           Barriers Associated with HIV Testing among Black/African American Men in
           Rural Florida
    • Abstract: In the United States (U.S.), Blacks/African Americans (African Americans) are disproportionately infected with HIV and disproportionately unaware of their HIV infection compared with all other races/ethnicities.1 In 2010, African Americans represented 13.6% of the total population,2 but constituted 44% of new HIV infections.3 In the southern U.S., HIV disproportionately affects African Americans and people in rural areas compared with all other races/ethnicities and people in urban areas.4 Heterosexual transmission of HIV is higher in the southern U.S. than the U.S. overall.4 In 2011, states that are considered to be a part of the “Deep South” (Alabama, Florida, Georgia, Louisiana, Mississippi, North Carolina ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Financial strain is associated with medication nonadherence and worse
           self-rated health among cardiovascular patients
    • Abstract: Cardiovascular disease (CVD) studies have identified disparities by age, gender, and race/ethnicity in disease prevalence, management, and outcomes.1-3 Socioeconomic status (SES) and medication adherence are particularly interesting factors that may underlie these disparities. For example, macro indicators of SES (e.g., education, income) and micro indicators of SES (e.g., owning a home, having a checking account) have predicted CVD outcomes and have explained racial/ethnic disparities in CVD outcomes.4 In addition, medication adherence, the primary self-care behavior for patients with CVD, has explained both disparities in blood pressure control5 and disparities in emergency room visits for heart failure ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Discrepancy between Actual and Perceived Weight Status in Rural Patients:
           Variations by Race and Gender
    • Abstract: Obesity is an entrenched health problem in the U.S. Over one-third of adults and nearly 17% of youth across the U.S. are considered obese (body mass index [BMI] >30) and obesity rates in general have not declined for the last decade.1 Sustained high rates of overweight and obesity are found not only in the U.S., but in many countries in Europe, Asia, and elsewhere in North America as well.2 While there is some hope that increases in prevalence rates may be beginning to slow, efforts to reduce the number of obese Americans have not been very successful,3 and obesity will continue to be a health concern in the U.S. for the foreseeable future.This is particularly true in rural areas, where obesity rates for adults are ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Reducing Risky Sex among Rural African American Cocaine Users: A
           Controlled Trial
    • Abstract: Human immunodeficiency virus (HIV) and sexually transmitted infection (STI) rates are disproportionately high among African Americans, particularly in the rural South, with 68% of all rural HIV infections in the United States occurring in Southern states, and African Americans representing 50% of rural AIDS cases.1,2 Poverty and limited economic opportunities; decreased access to social services and health care; close social and sexual networks; HIV-related stigma; and educational, historical, and structural challenges are all contextual forces that shape sexual risk among rural African Americans in the South.3-5Stimulant use confers additional HIV and STI risk as it leads to more risky sexual behavior such as ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Rural African Americans’ Perspectives on Mental Health: Comparing Focus
           Groups and Deliberative Democracy Forums
    • Abstract: When health services researchers seek input from community members regarding local health needs or development of interventions, focus groups with key stakeholders are a method often used. In contrast, when political scientists, other social scientists, and community-based organizations seek community input, they may issue broad invitations to ordinary citizens to meet and discuss issues or needs. At least 16 structured approaches to conducting community forums exist.1 Deliberative democracy forums, developed by the Kettering Foundation, is one of the most widely used.2-7 Relative to other community forums models, the deliberative democracy model is distinctive for preparatory work (i.e., framing the issue) to ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Specialty Care Access in the Safety Net—the Role of Public Hospitals
           and Health Systems
    • Abstract: The United States’ safety-net health care system is facing a major crisis in its ability to provide specialty care for patients. A December 2014 U.S. Department of Health and Human Services’ Office of Inspector General (OIG) report revealed that nearly half of specialist providers participating in Medicaid managed care plans did not offer appointments to enrollees; furthermore, of those who did offer appointments, wait times varied widely, with 34% having wait times of longer than one month.1 A sister report released in September 2014 showed that states commonly fail to identify when access standards are not being met.2 These challenges are not unique to the safety net. In February 2014, allegations that delays in ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • A Pediatric Profile of a Homeless Patient in San Jose, California
    • Abstract: Homelessness is a significant public health problem. Undomiciled people experience more infectious and chronic illnesses, mental health disorders, substance use disorders, and trauma due violent crime than the general population.1,2 They also die at a younger age; the mortality rate among the chronically homeless has been reported to be four to nine times that of the general population, and average life expectancy is 45 years.1 It is difficult to obtain accurate national and regional estimates of numbers of homeless individuals, but according to the Center for Disease Control, over 610,000 people are estimated to be homeless in the U.S.1 This study focuses on the San Jose/Santa Clara, California region, where over ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
  • Needs Assessment of HCV-Infected Individuals Experiencing Homelessness and
           Implications
    • Abstract: An unprecedented shift in care and treatment of hepatitis C virus (HCV) is occurring in United States and around the world. There is a now the ability to utilize highly tolerable and curative HCV treatments to affect the HCV disease burden in populations experiencing homelessness. Successful implementation, however, requires consideration of the complex concerns and preferences of this patient population. In order to inform the design and implementation of a community health center-based HCV treatment program, we aimed to elucidate the baseline knowledge, interest, and preferences of HCV-infected patients seen at Boston Health Care for the Homeless Program (BHCHP), a large, urban FQHC serving 11,000 homeless and ... Read More
      Keywords: Evidence-based medicine; Older people; Head Start programs; Mentally ill mothers; Pediatrics; Food security; Kidneys; African Americans; Discrimination in medical care; Health insurance exchanges; Hypertension in women; African American women; Employ
      PubDate: 2017-02-27T00:00:00-05:00
       
 
 
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