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Publisher: Project MUSE   (Total: 295 journals)

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Showing 1 - 200 of 295 Journals sorted alphabetically
Ab Imperio     Full-text available via subscription   (Followers: 5, SJR: 0.35, CiteScore: 0)
Advertising & Society Review     Full-text available via subscription   (Followers: 14)
African Economic History     Full-text available via subscription   (Followers: 14, SJR: 0.123, CiteScore: 0)
Alabama Review     Full-text available via subscription  
American Annals of the Deaf     Full-text available via subscription   (Followers: 13, SJR: 0.29, CiteScore: 1)
American Book Review     Full-text available via subscription   (Followers: 10, SJR: 0.101, CiteScore: 0)
American Catholic Studies     Full-text available via subscription  
American Periodicals : A J. of History, Criticism, and Bibliography     Full-text available via subscription   (Followers: 8, SJR: 0.145, CiteScore: 0)
American Studies     Full-text available via subscription   (Followers: 22)
Anales Galdosianos     Full-text available via subscription  
Anthropological Quarterly     Full-text available via subscription   (Followers: 73, SJR: 0.461, CiteScore: 1)
Appalachian Heritage     Full-text available via subscription   (Followers: 4)
Archives of Asian Art     Full-text available via subscription   (Followers: 9, SJR: 0.114, CiteScore: 0)
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: 17, SJR: 0.101, CiteScore: 0)
Arthuriana     Full-text available via subscription   (Followers: 6, SJR: 0.1, CiteScore: 0)
ASEAN Economic Bulletin     Full-text available via subscription   (Followers: 7)
Asia Policy     Full-text available via subscription   (Followers: 8, SJR: 0.299, CiteScore: 1)
Asian Bioethics Review     Full-text available via subscription   (Followers: 3, SJR: 0.113, CiteScore: 0)
Asian Music     Full-text available via subscription   (Followers: 12)
Asian Perspectives     Full-text available via subscription   (Followers: 10, SJR: 0.376, CiteScore: 0)
Asian Theatre J.     Full-text available via subscription   (Followers: 4, SJR: 0.11, CiteScore: 0)
AUDEM : The Intl. J. of Higher Education and Democracy     Full-text available via subscription   (Followers: 13)
Azalea: J. of Korean Literature & Culture     Full-text available via subscription   (Followers: 4)
Biography     Full-text available via subscription   (Followers: 18, SJR: 0.13, CiteScore: 0)
Black Women, Gender & Families     Full-text available via subscription   (Followers: 15)
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: 7)
Buddhist-Christian Studies     Full-text available via subscription   (Followers: 6)
Buildings & Landscapes: J. of the Vernacular Architecture Forum     Full-text available via subscription   (Followers: 15, SJR: 0.101, CiteScore: 0)
Bulletin of Medieval Canon Law     Full-text available via subscription   (Followers: 3)
Bulletin of the Comediantes     Full-text available via subscription   (Followers: 2, SJR: 0.1, CiteScore: 0)
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: 2)
Canadian J. of Information and Library Science     Full-text available via subscription   (Followers: 336, SJR: 0.247, CiteScore: 0)
Canadian J. of Linguistics / La revue canadienne de linguistique     Full-text available via subscription   (Followers: 10, SJR: 0.109, CiteScore: 0)
Canadian J. of Philosophy     Full-text available via subscription   (Followers: 20, SJR: 0.758, CiteScore: 1)
Canadian Review of Comparative Literature / Revue Canadienne de Littérature Comparée     Full-text available via subscription   (Followers: 11, SJR: 0.102, CiteScore: 0)
Canadian Theatre Review     Full-text available via subscription   (Followers: 2, SJR: 0.124, CiteScore: 0)
Caribbean Studies     Full-text available via subscription   (Followers: 11)
Catholic Historical Review     Full-text available via subscription   (Followers: 16, SJR: 0.1, CiteScore: 0)
Cervantes : Bulletin of the Cervantes Society of America     Full-text available via subscription   (Followers: 2)
China : An Intl. J.     Full-text available via subscription   (Followers: 20, SJR: 0.165, CiteScore: 0)
China Review Intl.     Full-text available via subscription   (Followers: 9)
Cinema J.     Full-text available via subscription   (Followers: 27)
Civil War History     Full-text available via subscription   (Followers: 19, SJR: 0.118, CiteScore: 0)
Colorado Review     Full-text available via subscription   (Followers: 1)
Comitatus : A J. of Medieval and Renaissance Studies     Full-text available via subscription   (Followers: 18)
Comparative Drama     Full-text available via subscription   (Followers: 4, SJR: 0.115, CiteScore: 0)
Comparative Technology Transfer and Society     Full-text available via subscription   (Followers: 3)
Conradiana     Full-text available via subscription   (Followers: 1)
Conservative Judaism     Full-text available via subscription   (Followers: 4)
Contagion : J. of Violence, Mimesis, and Culture     Full-text available via subscription   (Followers: 7, SJR: 0.101, CiteScore: 0)
Contemporary Pacific     Full-text available via subscription   (Followers: 10, SJR: 0.259, CiteScore: 0)
Contemporary Southeast Asia: A J. of Intl. and Strategic Affairs     Full-text available via subscription   (Followers: 23, SJR: 0.357, CiteScore: 1)
CR : The New Centennial Review     Full-text available via subscription   (Followers: 4, SJR: 0.126, CiteScore: 0)
Criticism     Full-text available via subscription   (Followers: 11, SJR: 0.126, CiteScore: 0)
Cross-Currents : East Asian History and Culture Review     Full-text available via subscription   (Followers: 3, SJR: 0.101, CiteScore: 0)
Cuban Studies     Full-text available via subscription   (Followers: 5)
Cultural Critique     Full-text available via subscription   (Followers: 10, SJR: 0.107, CiteScore: 0)
Demokratizatsiya: The J. of Post-Soviet Democratization     Full-text available via subscription   (Followers: 10, SJR: 0.447, CiteScore: 1)
Diaspora: A J. of Transnational Studies     Full-text available via subscription   (Followers: 10)
Dickens Quarterly     Full-text available via subscription   (Followers: 2)
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: 8)
Discourse     Full-text available via subscription   (Followers: 10)
Dublin James Joyce J.     Full-text available via subscription   (Followers: 1)
Early American Literature     Full-text available via subscription   (Followers: 6, SJR: 0.157, CiteScore: 0)
Economía     Full-text available via subscription   (Followers: 13)
Ecotone     Full-text available via subscription  
Education and Treatment of Children     Full-text available via subscription   (Followers: 2, SJR: 0.68, CiteScore: 1)
Éire-Ireland     Full-text available via subscription   (Followers: 7, SJR: 0.113, CiteScore: 0)
ELH     Full-text available via subscription   (Followers: 23, SJR: 0.64, CiteScore: 1)
Emily Dickinson J.     Full-text available via subscription   (Followers: 2, SJR: 0.111, CiteScore: 0)
English Literature in Transition 1880-1920     Full-text available via subscription   (Followers: 7, SJR: 0.123, CiteScore: 0)
ESC: English Studies in Canada     Full-text available via subscription   (Followers: 3, SJR: 0.107, CiteScore: 0)
ESQ: A J. of the American Renaissance     Full-text available via subscription   (Followers: 1, SJR: 0.139, CiteScore: 0)
Essays in Medieval Studies     Full-text available via subscription   (Followers: 17)
Eudora Welty Review     Full-text available via subscription  
Feminist Formations     Full-text available via subscription   (Followers: 5)
Film & History: An Interdisciplinary J. of Film and Television Studies     Full-text available via subscription   (Followers: 39, SJR: 0.1, CiteScore: 0)
Forum J.     Full-text available via subscription   (Followers: 1)
Fourth Genre: Explorations in Nonfiction     Full-text available via subscription   (Followers: 2, SJR: 0.1, CiteScore: 0)
Framework : The J. of Cinema and Media     Full-text available via subscription   (Followers: 22)
Franciscan Studies     Full-text available via subscription   (Followers: 4, SJR: 0.111, CiteScore: 0)
French Colonial History     Full-text available via subscription   (Followers: 20, SJR: 0.112, CiteScore: 0)
Future Anterior     Full-text available via subscription   (SJR: 0.107, CiteScore: 0)
Future of Children     Full-text available via subscription   (Followers: 5, SJR: 0.897, CiteScore: 2)
George Herbert J.     Full-text available via subscription   (Followers: 1)
German Studies Review     Full-text available via subscription   (Followers: 28, SJR: 0.118, CiteScore: 0)
Ghana Studies     Full-text available via subscription   (Followers: 15)
Goethe Yearbook     Full-text available via subscription   (Followers: 7)
Harvard J. of Asiatic Studies     Full-text available via subscription   (Followers: 13)
Hebrew Studies     Full-text available via subscription   (Followers: 6, SJR: 0.113, CiteScore: 0)
Helios     Full-text available via subscription   (Followers: 3, SJR: 0.101, CiteScore: 0)
Hemingway Review     Full-text available via subscription   (Followers: 4)
Henry James Review     Full-text available via subscription   (Followers: 4, SJR: 0.112, CiteScore: 0)
High School J.     Full-text available via subscription   (Followers: 3)
Hispania     Full-text available via subscription   (Followers: 7, SJR: 0.261, CiteScore: 0)
Hispanic Review     Full-text available via subscription   (Followers: 10, SJR: 0.1, CiteScore: 0)
Hispanófila     Full-text available via subscription   (Followers: 3, SJR: 0.113, CiteScore: 0)
Histoire sociale/Social history     Full-text available via subscription   (Followers: 9, SJR: 0.114, CiteScore: 0)
Historically Speaking     Full-text available via subscription   (Followers: 4)
Histories of Anthropology Annual     Full-text available via subscription   (Followers: 4)
Hopscotch: A Cultural Review     Full-text available via subscription   (Followers: 1)
Human Biology     Full-text available via subscription   (Followers: 10, SJR: 0.356, CiteScore: 1)
Human Rights Quarterly     Full-text available via subscription   (Followers: 69, SJR: 0.625, CiteScore: 1)
Humanity : An Intl. J. of Human Rights, Humanitarianism, and Development     Full-text available via subscription   (Followers: 18)
Information & Culture : A J. of History     Full-text available via subscription   (Followers: 31)
Intertexts     Full-text available via subscription   (Followers: 7)
Islamic Africa     Full-text available via subscription   (Followers: 4, SJR: 0.257, CiteScore: 0)
J. for the Study of Radicalism     Full-text available via subscription   (Followers: 7, SJR: 0.102, CiteScore: 0)
J. of American Folklore     Full-text available via subscription   (Followers: 3, SJR: 0.212, CiteScore: 0)
J. of Asian American Studies     Full-text available via subscription   (Followers: 5)
J. of Burma Studies     Full-text available via subscription   (Followers: 4, SJR: 0.157, CiteScore: 0)
J. of Canadian Studies/Revue d'études canadiennes     Full-text available via subscription   (Followers: 3, SJR: 0.137, CiteScore: 0)
J. of College Student Development     Full-text available via subscription   (Followers: 7, SJR: 0.806, CiteScore: 1)
J. of Colonialism and Colonial History     Full-text available via subscription   (Followers: 24)
J. of Democracy     Full-text available via subscription   (Followers: 54, SJR: 1.579, CiteScore: 3)
J. of Developing Areas     Full-text available via subscription   (Followers: 5)
J. of Dramatic Theory and Criticism     Full-text available via subscription   (Followers: 5)
J. of Early Christian Studies     Full-text available via subscription   (Followers: 17, SJR: 0.226, CiteScore: 0)
J. of Health Care for the Poor and Underserved     Full-text available via subscription   (Followers: 7, SJR: 0.649, CiteScore: 1)
J. of Higher Education, The     Full-text available via subscription   (Followers: 38, SJR: 1.213, CiteScore: 2)
J. of Individual Psychology     Full-text available via subscription   (Followers: 6)
J. of Japanese Studies     Full-text available via subscription   (Followers: 16, SJR: 0.162, CiteScore: 0)
J. of Jewish Identities     Full-text available via subscription   (Followers: 11)
J. of Korean Religions     Full-text available via subscription   (Followers: 3, SJR: 0.114, CiteScore: 0)
J. of Korean Studies     Full-text available via subscription   (Followers: 12, SJR: 0.175, CiteScore: 0)
J. of Late Antiquity     Full-text available via subscription   (Followers: 6)
J. of Latin American Geography     Full-text available via subscription   (Followers: 4)
J. of Military History     Full-text available via subscription   (Followers: 26)
J. of Modern Greek Studies     Full-text available via subscription   (Followers: 4, SJR: 0.337, CiteScore: 1)
J. of Narrative Theory     Full-text available via subscription   (Followers: 24, SJR: 0.129, CiteScore: 0)
J. of Policy History     Full-text available via subscription   (Followers: 13, SJR: 0.125, CiteScore: 0)
J. of Shi'a Islamic Studies     Full-text available via subscription   (Followers: 5, SJR: 0.101, CiteScore: 0)
J. of Slavic Linguistics     Full-text available via subscription   (Followers: 2)
J. of Song-Yuan Studies     Full-text available via subscription   (Followers: 8)
J. of the Civil War Era     Full-text available via subscription   (Followers: 10)
J. of the Early Republic     Full-text available via subscription   (Followers: 12, SJR: 0.19, CiteScore: 0)
J. of the History of Ideas     Full-text available via subscription   (Followers: 166, SJR: 0.239, CiteScore: 0)
J. of the History of Philosophy     Full-text available via subscription   (Followers: 47, SJR: 0.74, CiteScore: 1)
J. of the History of Sexuality     Full-text available via subscription   (Followers: 23)
J. of the Malaysian Branch of the Royal Asiatic Society     Full-text available via subscription   (Followers: 4)
J. of the Society of Christian Ethics     Full-text available via subscription   (Followers: 5, SJR: 0.14, CiteScore: 0)
J. of the Southwest     Full-text available via subscription   (SJR: 0.117, CiteScore: 0)
J. of Women's History     Full-text available via subscription   (Followers: 21, SJR: 0.143, CiteScore: 0)
J. of World History     Full-text available via subscription   (Followers: 26, SJR: 0.187, CiteScore: 0)
J19 : The J. of Nineteenth-Century Americanists     Full-text available via subscription   (Followers: 4)
James Joyce Quarterly     Full-text available via subscription   (Followers: 9, SJR: 0.1, CiteScore: 0)
Jeunesse: Young People, Texts, Cultures     Full-text available via subscription   (Followers: 4)
Joyce Studies Annual     Full-text available via subscription   (Followers: 3)
Kennedy Institute of Ethics J.     Full-text available via subscription   (Followers: 5, SJR: 0.368, CiteScore: 1)
Korean Studies     Full-text available via subscription   (Followers: 10)
Kritika: Explorations in Russian and Eurasian History     Full-text available via subscription   (Followers: 14, SJR: 0.283, CiteScore: 1)
L'Esprit Créateur     Full-text available via subscription   (Followers: 2, SJR: 0.117, CiteScore: 0)
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: 26, SJR: 1.101, CiteScore: 1)
Late Imperial China     Full-text available via subscription   (Followers: 10, SJR: 0.173, CiteScore: 0)
Latin American Music Review     Full-text available via subscription   (Followers: 4)
Latin American Research Review     Full-text available via subscription   (Followers: 14, SJR: 0.312, CiteScore: 0)
Latin American Theatre Review     Full-text available via subscription   (Followers: 1, SJR: 0.1, CiteScore: 0)
Le mouvement social     Full-text available via subscription   (Followers: 1, SJR: 0.119, CiteScore: 0)
Leviathan : A J. of Melville Studies     Full-text available via subscription   (Followers: 2, SJR: 0.12, CiteScore: 0)
Library Trends     Full-text available via subscription   (Followers: 445, SJR: 0.3, CiteScore: 0)
Literature and Medicine     Full-text available via subscription   (Followers: 8, SJR: 0.143, CiteScore: 0)
Logos: A J. of Catholic Thought and Culture     Full-text available via subscription   (Followers: 12, SJR: 0.11, CiteScore: 0)
Magic, Ritual, and Witchcraft     Full-text available via subscription   (Followers: 7, SJR: 0.111, CiteScore: 0)
Manoa     Full-text available via subscription  
Marvels & Tales     Full-text available via subscription   (Followers: 2, SJR: 0.114, CiteScore: 0)
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: 0.677, CiteScore: 1)
MFS Modern Fiction Studies     Full-text available via subscription   (Followers: 29, SJR: 0.186, CiteScore: 0)
Milton Studies     Full-text available via subscription   (Followers: 3)
Missouri Review     Full-text available via subscription   (Followers: 1, SJR: 0.1, CiteScore: 0)
MLN     Full-text available via subscription   (Followers: 9, SJR: 0.128, CiteScore: 0)
Modernism/modernity     Full-text available via subscription   (Followers: 38, SJR: 0.188, CiteScore: 0)
Monumenta Nipponica     Full-text available via subscription   (Followers: 7, SJR: 0.101, CiteScore: 0)
Mosaic : a journal for the interdisciplinary study of literature     Full-text available via subscription   (Followers: 10, SJR: 0.129, CiteScore: 0)
Mouseion: J. of the Classical Association of Canada     Full-text available via subscription   (Followers: 15)
Nabokov Studies     Full-text available via subscription  
Narrative     Full-text available via subscription   (Followers: 27, SJR: 0.305, CiteScore: 1)
Narrative Inquiry in Bioethics     Full-text available via subscription   (Followers: 2, SJR: 0.171, CiteScore: 0)
New England Review     Full-text available via subscription   (SJR: 0.1, CiteScore: 0)
New Hibernia Review     Full-text available via subscription   (Followers: 1)
New Literary History     Full-text available via subscription   (Followers: 38, SJR: 0.83, CiteScore: 2)
Northeast African Studies     Full-text available via subscription   (Followers: 2, SJR: 0.118, CiteScore: 0)
Notes     Full-text available via subscription   (Followers: 14, SJR: 0.136, CiteScore: 0)
Nuevo Texto Crítico     Full-text available via subscription   (Followers: 1)
Oceanic Linguistics     Full-text available via subscription   (Followers: 5, SJR: 0.232, CiteScore: 0)
Ohio History     Full-text available via subscription   (Followers: 5)
Ohio Valley History     Full-text available via subscription  
Oral Tradition     Full-text available via subscription   (Followers: 2)
Palimpsest : A J. on Women, Gender, and the Black Intl.     Full-text available via subscription   (Followers: 1)
Parergon     Full-text available via subscription   (Followers: 1, SJR: 0.123, CiteScore: 0)
Partial Answers: J. of Literature and the History of Ideas     Full-text available via subscription   (Followers: 5, SJR: 0.166, CiteScore: 0)
Perspectives in Biology and Medicine     Full-text available via subscription   (Followers: 4, SJR: 0.258, CiteScore: 0)
Philip Roth Studies     Full-text available via subscription   (Followers: 2)

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Similar Journals
Journal Cover
Journal of Health Care for the Poor and Underserved
Journal Prestige (SJR): 0.649
Citation Impact (citeScore): 1
Number of Followers: 7  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 1049-2089 - ISSN (Online) 1548-6869
Published by Project MUSE Homepage  [295 journals]
  • Data Opportunities for Studying the Sexual and Reproductive Health of
           Immigrants in the United States
    • Abstract: Since the passing of the Immigration and Nationality Act of 1965, the share of the United States population that was not born in the country has grown from 9.6 million or 5% of the total population to a record estimated population of 43.7 million (or 14%) in 2016.1,2 The foreign-born population lives in every state in the country, with over half living in California, New York, Texas, and Florida.3 (In this paper, we refer to the foreign-born population as immigrants.) With the rapid growth of the immigrant population and the country's changing political climate, researchers and advocates alike have called for more research on the health behaviors, needs, and outcomes of immigrants.4–7 Literature suggests that ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Characteristics of Hispanic-Serving Mental Health Organizations in the
           U.S.
    • Abstract: Hispanics are less likely than other ethnic/racial groups in the United States (U.S.) to have access to quality mental health care, even after controlling for mental health needs.1,2 Lack of access to psychiatric care has been linked to adverse physical health outcomes. For instance, Hispanics with mental illnesses face greater odds of developing cardiovascular diseases than Hispanics without mental illness.3 Absence of mental health care can have detrimental effects on Hispanics' overall functioning. Consequently, individual barriers to care have received some attention.4 Less is known about the characteristics of the organizations in which Hispanics do actually receive psychiatric care. This gap motivates our ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Medicaid Expansion in Social Context: Examining Relationships Between
           Medicaid Enrollment and County-Level Food Insecurity
    • Abstract: Medicaid, the largest public health insurance program in the U.S., is designed to improve access to health care by eliminating or reducing out-of-pocket medical costs for its recipients. Medicaid's uneven expansion under the Affordable Care Act has been a focal point for political debate and partisan dispute. Typically, health services research examines measures of utilization and health outcomes when evaluating this public insurance program. For example, recent studies that have explored the effects of Medicaid expansions have primarily focused on access, utilization, and outcomes of health care services.1–3However, Medicaid enrollment provides potentially broader, indirect benefits to lower-income and financially ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Retrospective Analysis of Population Demographic Characteristics, Medical
           Interventions, and Resource Use at a Medical Student-Run Clinic on the
           Texas-Mexico Border
    • Abstract: With a population of over 800,000, El Paso County is the fourth largest city in Texas and is located at the intersection of Texas, New Mexico, and Chihuahua.1 Ciudad Juarez is located across the United States-Mexico border. Together the sister cities' population consists of roughly two million individuals.2 El Paso's population is over 80% Hispanic, and about 75% speak a language other than English at home.2In the U.S., the Hispanic population is two to three times more likely to be uninsured than the non-Hispanic White population.3 A 2001 Commonwealth Fund analysis described the Hispanic patients' double burden to include lack of health insurance as well as limited English language fluency.3 Individuals who carry ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • A Mobile Clinic Care Coordination Program: Enhancing Patient Care with
           Innovative Roles for Undergraduate Students
    • Abstract: Care coordination, increasingly recognized as an effective component of health care delivery, allows members of health care teams to work together to benefit the patient.1 In traditional care coordination models, the care coordinator (CC) role is assigned to the primary care physician or nurse.2–5 However, with increased pressure for providers to see more patients in less time, some clinics have trained volunteers to fulfill important clinic functions, providing both cost-savings and education.Current literature describes limited roles for undergraduate students in health clinics, including the University of California Berkeley Suitcase Clinic, the University of California Los Angeles Mobile Clinic, and the Albert ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • 70x2020: A Grassroots Effort to Increase Colorectal Cancer Screening and
           Prevention in a Rural Medically Underserved State
    • Abstract: After years of informally canvassing community advocates and health professionals about the need for intensified colorectal cancer (CRC) screening in Mississippi, researchers conducted a Geographic Information Systems-based analysis of CRC incidence, mortality, and screening resources in 2013, which was subsequently published.1 Based on data averages spanning the years 2006 through 2010, significant disparities between Black and White Mississippians were observed in the percentage of Mississippians age 50 and older who reported that they never had a sigmoidoscopy or colonoscopy (53.2 % in Blacks vs. 41.9 % in Whites; p < .0001), CRC incidence rates (64.9 per 100,000 in Blacks vs. 50.5 per 100,000 in Whites; p < ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Note from the Editor
    • Abstract: In this, the second issue of JHCPU's 30th anniversary volume, readers will find an array of articles, with special attention paid to American Indians and Alaska Natives, Latinos on the U.S.-Mexico border (including in El Paso) and in Puerto Rico post-Hurricane Maria, and the providers of health care themselves. As always, we also keep a close eye on health policy and on epidemiology (especially as it relates to disparities among sub-populations) and on innovative models of care. As history has demonstrated with the special force of consistency, only when the health and health care issues of underserved populations appear front and center through prominent publications does the wheel turn further towards health ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Lugenia Burns Hope
    • Abstract: The 2016 film, Hidden Figures, loosely based on the novel by Margot Lee Shetterly, introduced moviegoing audiences to three Black female mathematicians who worked for NASA: Katherine Johnson, Dorothy Vaughan, and Mary Jackson. The film not only entertained audiences, but also raised the question of whose story historians choose to center. Much like these women's stories, the story of Lugenia Burns Hope is not publicly well known, but her influence and her life's work in community activism laid the foundation for various programs that still exist today. Her commitment to improving the quality of life for Black people led her to join organizations that served this purpose and to become a founding member of her own ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Ambiguous Jurisdiction: Governmental Relationships that Affect American
           Indian Health Care Access
    • Abstract: There are 573 federally recognized American Indian and Alaska Native (AIAN) nations situated on over 300 reservations and other land areas across the United States.1 American Indians and Alaska Natives are the smallest population group with approximately 2.3 million individuals, or 1.7% of the total population, identifying as AIAN alone or in combination with one or more of another race.2 Despite the existence of reservations and other Indian land areas, approximately 75% of AIANs reside off reservations and other AIAN land areas.3 Although the total number of AIANs are relatively small, this population suffers many disparities in health relative to the general population. For example, 18.9% of AIANs under age 65 ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Physician Workforce Partnerships in Rural American Indian/Alaska Native
           Communities and the Potential of Post-Graduate Fellowships
    • Abstract: The American Indian and Alaska Native (AI/AN) population exceeds five million and has increased by nearly 30% since the 2000 U.S. Census Report.1 Rural AI/AN communities in the U.S. endure a disproportionate burden of disease, with mortality rates 50% higher than for non-Hispanic Whites and higher incidence of diabetes, cardio vascular disease, chronic liver disease, and serious mental illness.2,3 One systemic challenge that these communities face is the recruitment and retention of physicians. The Indian Health Service (IHS), which serves 2.2 million eligible AI/AN beneficiaries, reports a 25% vacancy rate for its physician and nurse practitioner positions.4 These vacancies have been attributed to factors ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Primary Care in Cuba: Considerations for the U.S.
    • Abstract: In the spring of 2017, as part of a university-run comparative health systems program, we traveled to Cuba to learn about the nation's approach to health care. Over the course of eight days, we traveled throughout urban Havana and the rural village of Viñales in Cuba's western region to observe the health care system. We visited and spoke informally with physicians, hospital administrators, researchers, and medical educators. To further understand the Cuban health system and the medical training of its physicians, we returned to the U.S. and conducted formal, semi-structured interviews with American physicians who were trained in Cuba and currently practice in the U.S. They were well-positioned to compare primary ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Hispanic Hospice Utilization: Integrative Review and Meta-analysis
    • Abstract: Hospice is a patient-centered approach to end-of-life (EOL) care that focuses on symptom control, comfort, and quality of life.1 Provided by an interdisciplinary team of health care workers, hospice care frequently results in optimal patient and family outcomes such as increased pain control,2 improved quality of life,3 and lengthened survival time for widows of hospice patients.4 Unlike intensive EOL treatments, hospice care does not aim to prolong patient life but may do so in the cases of some illnesses.5,6 Highlighting the importance of care quality, the Institute of Medicine (IOM) called for the use of patient-centered, family-oriented, and culturally appropriate approaches to care at EOL.7 Adopting IOM ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Disaster Care and Socioeconomic Vulnerability in Puerto Rico
    • Abstract: The U.S. island territory of Puerto Rico (PR) suffered two major hurricanes, Irma and Maria, with 100–150 mile per hour winds and unrelenting rains September 6 and 20, 2017.1 Years of economic decline in PR left limited resources for upgrading water and electric infrastructure, securing building structures, and strengthening social and health services, increasing vulnerability to the storms, especially among low-income residents.2 The two hurricanes knocked out electricity and safe water for almost the entire island of PR. More than one-third of homes were destroyed or severely damaged. In some towns, the hurricanes blew away roofs and walls of 90% of the homes.3 Communication systems failed.The immediate response ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Analyzing Hospital Choices of Colon Cancer Patients in Four States in
           Appalachia
    • Abstract: Research strongly suggests that hospitals with high patient volumes or accredited cancer programs have better patient outcomes following cancer surgery.1–8 At the same time, large or accredited cancer programs are geographically concentrated in metropolitan areas where there is sufficient demand to support investments in accreditation and to generate high patient volumes. Consequently, the willingness of patients in less populated areas to travel for cancer surgery is a factor in urban-rural disparities in cancer quality and outcomes.9–11Questions about patients' willingness to travel to higher-quality hospitals also arise in other contexts, such as public and private efforts to disseminate information comparing ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Pancreatic Adenocarcinoma in New Mexico Native Americans: Disparities in
           Treatment and Survival
    • Abstract: Over 2.1 million Native Americans currently live in the U.S., with a growth rate from 2000 to 2010 nearly double that of the total population.1 A large number of Native Americans reside in the Southwest region of the U.S and Native Americans account for over 10% of New Mexico's population. Many studies performed in this region have examined biliary tract cancer, which is considered endemic in Native American populations.2 Pancreatic adenocarcinoma is the 4th most deadly cancer in Native American females and 7th in males, compared with the 4th highest cause of cancer death in both male and female non-Hispanic Whites.3 According to a national study conducted from 1975–2004, as few as 7.2 cases of pancreatic cancer ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Adapting an Evidence-Based Cardiovascular Disease Risk Reduction
           Intervention to Urban American Indians
    • Abstract: National studies indicate the prevalence of coronary heart disease and related mortality is consistently increased in American Indians compared with Whites and all other races in the United States (U.S.).1,2 These rates are linked to a high prevalence of preventable cardiovascular disease (CVD) risk factors, including sedentary lifestyle, type 2 diabetes among younger American Indians, hypertension, and smoking.3 Smoking and high cholesterol are two common risk factors that increase the risk for CVD mortality in American Indian populations.4 American Indians have a significantly higher smoking prevalence than White and Black populations.5 Data also suggest that American Indians have a higher prevalence of ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Utilization of Child Psychiatry Consultation Embedded in Primary Care for
           an Urban, Latino Population
    • Abstract: Nearly 20% of children in the United States suffer from a mental illness, yet only one in five receive treatment.1 The median delay in obtaining psychiatric treatment across disorders is nearly a decade after symptom onset.2 Untreated, early-onset mental disorders are associated with increased morbidity and mortality. These disorders also include risks for school failure, teenage childbearing, unstable employment, early marriage, marital instability, violence,3 psychiatric and physical comorbidities, and substance use disorders.2 Yet, many barriers to accessing mental health care for children exist, including long wait times, high drop-out rates, high costs, stigma, poor communication between providers, and limited ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • The Role of Self-Efficacy in Women's Health-seeking Behaviors in
           Northwestern Botswana
    • Abstract: Asubstantial body of research supports the link between self-efficacy, defined by Bandura as "people's beliefs about their capabilities to exercise control over their own level of functioning and over events that affect their lives,"1[p.118] and health-promoting or health-impairing behaviors. High levels of perceived self-efficacy have been positively associated with smoking cessation, recovery from post-traumatic stress, HIV preventive behaviors, and treatment adherence for a variety of communicable and non-communicable diseases.2–8 The lower people's sense of confidence in their ability to exert control over their own lives, the less likely they are to change or avoid behaviors and practices that may be ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Prioritized Surveillance of Young At-risk South African Children: An
           Evaluation of the PEDS Tools Referral and Response Characteristics
    • Abstract: Currently 43% of children in low-and middle-income countries (LMICs) are not realizing their full developmental potential and are at risk of a developmental delay.1 This is due to risk factors such as poverty, high crime and unemployment rates, illiteracy, excessive alcohol consumption, and high prevalence of HIV/AIDS.2 Children who are at risk of a developmental delay should be given early interventions in an effort to prevent future delays or disorders. Health care services in LMICs are burdened with limited staff and resources.3 However, even in the midst of these challenges, detecting and managing developmental delays is imperative.4 Early identification of and intervention in cases of delays or disorders can ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Determinants of Abnormal Cervical Cancer Screening Follow-Up And Invasive
           Cervical Cancer Among Uninsured and Underinsured Women in New Jersey
    • Abstract: Approximately 13,240 new cases of and 4,170 deaths from cervical cancer will occur in the United States (U.S.) in 2018.1 Even with significant declines in incidence over the past several decades, primarily through routine Papanicolaou (Pap) testing,2 disproportionately higher rates of cervical cancer incidence and mortality persist among disadvantaged groups.3 In New Jersey, a state with wide-ranging racial/ethnic, geographic, and socioeconomic diversity, rates of cervical cancer incidence have been declining dramatically from 1990 (15.0 per 100,000) to 2014 (7.5 per 100,000).4 However, substantial variation exists in cervical cancer incidence within the state by geographic region and population subgroup. For ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Effects of a Behavioral Health and Chronic Illness Care Intervention on
           Patient Outcomes in Primary Care Practices in the Dakotas
    • Abstract: In the current era of health reform, the Centers for Medicare & Medicaid Services (CMS) and other health care payers are experimenting with different ways to improve primary care, with the goal of improving health outcomes and reducing (or at least not increasing) overall medical spending. Central to many of these efforts are two types of initiatives—those that integrate behavioral health into primary care and those that improve care for people with chronic illnesses. There are significant gaps nationwide in behavioral and chronic illness care.1,2 People with behavioral conditions are more likely to have comorbid physical conditions than those without behavioral conditions; they are also more likely to have greater ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Perceived Stress and Health among Home Care Aides: Caring for Older
           Clients in a Medicaid-Funded Home Care Program
    • Abstract: Older adults who have difficulties with daily activities such as walking and bathing receive help mostly from their families.1 However, an increasing number of older adults receive help from paid caregivers.2,3 This is especially true for frail, low-income older adults who are eligible for publicly-funded long-term care programs, since federal and state governments are seeking alternatives to costly nursing home services by providing home and community-based services.4,5 Home care aides (HCAs), also called personal care assistants and home makers, are non-medical paid caregivers who provide in-home services such as routine housekeeping (e.g., laundry, grocery shopping, preparing meals) and personal care services ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Training for In-Home Supportive Services Caregivers in an Underserved Area
    • Abstract: Despite the complexity of care associated with older adults who have been diagnosed with Alzheimer's disease and related dementias (ADRD), many in-home paid caregivers receive little to no training in competent and compassionate care for these older adults.1,2 The In-Home Supportive Services (IHSS) program in California provides care for elderly, blind, and disabled people with the goal of ensuring the care recipients may remain safely in their own homes. The services provided include assistance with activities of daily living, accompaniment to medical appointments, and protective supervision for recipients with a cognitive impairment. As of July 2010, 42% of California's IHSS recipients were older adults.3 ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Adverse Childhood Experiences and Health Care Utilization in a Low-Income
           Population
    • Abstract: Adverse childhood experiences (ACEs) are common, with several reports describing ACEs in over 50% of U.S. population groups.1–5 In the national Behavioral Risk Factor Surveillance Survey, 59% of respondents reported having at least one adverse childhood experience (ACE), and 9% reported five or more ACEs.6–7 In a population-based study from Canada, 72% reported at least one ACE, with 16% reporting three or more.8 Given the prevalence of ACE, a growing number of studies are assessing the effects of ACE exposure on health late into adulthood.Adverse childhood experiences (ACE) have subsequent impacts on adult health.1–5 The range of adverse health outcomes in adulthood linked to exposure to ACEs include substance ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Access to Physical Therapy in a Medically Underserved, Urban Community
    • Abstract: Key indicators of health show stark differences between non-Hispanic Black and non-Hispanic White people nationally, with mortality rates for non-Hispanic Blacks significantly higher for stroke (42.5%), cancer (22.5%), diabetes (121%), and heart disease (27.4%).1 In Chicago, a study by Orsi et al. found that these differences between Black and White individuals widened further over the 15-year period from 1990 to 2005.1 Data from 2015, reported in the Chicago Health Atlas, continued to show higher age-adjusted death rates (per 100,000) in non-Hispanic Blacks versus non-Hispanic Whites for diabetes, heart disease, cancer, and stroke.2Individuals experience progression of harmful conditions from a lack of screening ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Facilitators and Barriers to Successful Engagement in a Complex Care
           Management Program: Patient and Care Manager Perspectives
    • Abstract: A small percentage of patients with complex physical, mental, and social needs are responsible for a disproportionately high percentage of health care spending in the United States.1,2 Numerous complex care management (CCM) interventions have been developed in an attempt to improve the quality and efficiency of the health care these high-need, high-cost (HNHC) patients receive.3,4,5 In part due to the heterogeneous nature of CCM interventions, meta-analyses have not demonstrated strong evidence of their success.3,4,5 Isolated improvements have been demonstrated, including reduced hospital costs6 and acute care utilization,7 improved quality of care,7,8,9,10 reduced physician workload,11 and increased patient ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Four Years of CHEER: Cost and QALY Savings of a Free Nurse-run Walk-in
           Clinic Serving an Uninsured, Predominantly Spanish-speaking Immigrant
           Population in Providence
    • Abstract: Clínica Esperanza/Hope Clinic (CEHC) serves a low-income, predominantly Hispanic neighborhood of Providence, Rhode Island (Olneyville), providing free culturally-and linguistically-attuned healthcare services to the uninsured. Around the time that CEHC was established, the rate of uninsurance for non-elderly adults (ages 18–64) in Rhode Island was estimated to be 11.8%.1 Despite the net positive impact of the Patient Protection and Affordable Care Act (ACA), thanks to which an estimated 20 million non-elderly adults (ages 18–64) gained health insurance,2 nearly 50,000 Rhode Islanders3 and more than 27 million individuals in the U.S. remained uninsured after its enactment. A significant proportion (20%) of these ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Are the Undocumented Deserving' Health Workers' Views of Immigrants in
           Alabama
    • Abstract: Around the world, many currently debate who is and who is not deserving of health-related investment and care.1–7 These debates are especially important for the estimated 20–30 million undocumented, or unauthorized, migrants worldwide.8 In the United States, an estimated 11 million undocumented immigrants are not eligible for many federal public benefits, although exceptions are made for medical emergencies and certain public health programs (e.g., immunizations).9 Furthermore, the 2010 Patient Protection and Affordable Care Act (ACA), which began to change the U.S. insurance system from one based on exclusionary models towards one that ensured almost all Americans could obtain health insurance, explicitly excluded ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • Community-Based Implementation of a Paraprofessional-Delivered Cognitive
           Behavioral Therapy Program for Youth Involved with the Criminal Justice
           System
    • Abstract: An estimated 66% of young men in detention meet the criteria for at least one mental health or substance use disorder.1 The most common disorders among youth involved with the justice system are depressive disorders,2 attention-deficit hyperactivity disorder (ADHD),3 and posttraumatic stress disorder (PTSD),4 with prevalence estimates for these disorders as high as 30% each. Cognitive behavioral therapy (CBT) programs have been developed to address behavioral and emotional difficulties commonly experienced by young men at risk for (re)incarceration, and are among the most promising evidence-based treatments (EBTs) in the field.5–8 Yet, young men face significant challenges to accessing EBTs in the community due to ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
  • "No Estas Solo": Navigation Programs Support Engagement in HIV Care for
           Mexicans and Puerto Ricans Living in the Continental U.S.
    • Abstract: Despite overall improvements in HIV-related outcomes for Latinos living in the U.S, a range of social and structural barriers continue to impede timely diagnosis and consistent access to care for this population.1–9 In 2015, Latinos represented 18% of the U.S. population, but they accounted for 21% (263,900) of people living with HIV and an estimated 24% of persons newly diagnosed with HIV (approximately 9,798).10 Among those who linked to care, viral suppression fell well short of the national target of 80%, at an estimated 48%.10 Second only to African Americans, Latinos shouldered among the heaviest burdens of disease of all ethnic or racial sub-populations in the country.11 Latinos born outside of the ... Read More
      PubDate: 2019-05-21T00:00:00-05:00
       
 
 
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