Publisher: Project MUSE   (Total: 305 journals)

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Showing 1 - 200 of 305 Journals sorted by number of followers
Library Trends     Full-text available via subscription   (Followers: 507, SJR: 0.3, CiteScore: 0)
Canadian J. of Information and Library Science     Full-text available via subscription   (Followers: 411, SJR: 0.247, CiteScore: 0)
portal: Libraries and the Academy     Full-text available via subscription   (Followers: 269, SJR: 1.182, CiteScore: 1)
J. of the History of Ideas     Full-text available via subscription   (Followers: 233, SJR: 0.239, CiteScore: 0)
Human Rights Quarterly     Full-text available via subscription   (Followers: 77, SJR: 0.625, CiteScore: 1)
Anthropological Quarterly     Full-text available via subscription   (Followers: 72, SJR: 0.461, CiteScore: 1)
J. of Democracy     Full-text available via subscription   (Followers: 59, SJR: 1.579, CiteScore: 3)
J. of the History of Philosophy     Full-text available via subscription   (Followers: 51, SJR: 0.74, CiteScore: 1)
J. of Higher Education, The     Full-text available via subscription   (Followers: 49, SJR: 1.213, CiteScore: 2)
New Literary History     Full-text available via subscription   (Followers: 46, SJR: 0.83, CiteScore: 2)
Film & History: An Interdisciplinary J. of Film and Television Studies     Full-text available via subscription   (Followers: 45, SJR: 0.1, CiteScore: 0)
Modernism/modernity     Full-text available via subscription   (Followers: 44, SJR: 0.188, CiteScore: 0)
MFS Modern Fiction Studies     Full-text available via subscription   (Followers: 35, SJR: 0.186, CiteScore: 0)
J. of Military History     Full-text available via subscription   (Followers: 35)
Language     Full-text available via subscription   (Followers: 34, SJR: 1.101, CiteScore: 1)
Narrative     Full-text available via subscription   (Followers: 34, SJR: 0.305, CiteScore: 1)
J. of World History     Full-text available via subscription   (Followers: 33, SJR: 0.187, CiteScore: 0)
German Studies Review     Full-text available via subscription   (Followers: 33, SJR: 0.118, CiteScore: 0)
Technology and Culture     Full-text available via subscription   (Followers: 31, SJR: 0.284, CiteScore: 0)
Cinema J.     Full-text available via subscription   (Followers: 30)
Information & Culture : A J. of History     Full-text available via subscription   (Followers: 30)
J. of Narrative Theory     Full-text available via subscription   (Followers: 30, SJR: 0.129, CiteScore: 0)
Studies in Eighteenth Century Culture     Full-text available via subscription   (Followers: 30, SJR: 0.101, CiteScore: 0)
Shakespeare Quarterly     Full-text available via subscription   (Followers: 29, SJR: 0.111, CiteScore: 0)
Philosophy and Literature     Full-text available via subscription   (Followers: 29, SJR: 0.13, CiteScore: 0)
Review of Higher Education     Full-text available via subscription   (Followers: 29, SJR: 1.601, CiteScore: 2)
J. of Colonialism and Colonial History     Full-text available via subscription   (Followers: 29)
J. of the History of Sexuality     Full-text available via subscription   (Followers: 28)
ELH     Full-text available via subscription   (Followers: 27, SJR: 0.64, CiteScore: 1)
Comitatus : A J. of Medieval and Renaissance Studies     Full-text available via subscription   (Followers: 26)
Biography     Full-text available via subscription   (Followers: 25, SJR: 0.13, CiteScore: 0)
Theatre J.     Full-text available via subscription   (Followers: 24, SJR: 0.156, CiteScore: 0)
Canadian J. of Philosophy     Full-text available via subscription   (Followers: 24, SJR: 0.758, CiteScore: 1)
Humanity : An Intl. J. of Human Rights, Humanitarianism, and Development     Full-text available via subscription   (Followers: 24)
Black Women, Gender & Families     Full-text available via subscription   (Followers: 23)
Framework : The J. of Cinema and Media     Full-text available via subscription   (Followers: 23)
J. of Women's History     Full-text available via subscription   (Followers: 23, SJR: 0.143, CiteScore: 0)
J. of Early Christian Studies     Full-text available via subscription   (Followers: 22, SJR: 0.226, CiteScore: 0)
Reviews in American History     Full-text available via subscription   (Followers: 22, SJR: 0.101, CiteScore: 0)
Arizona Quarterly: A J. of American Literature, Culture, and Theory     Full-text available via subscription   (Followers: 22, SJR: 0.101, CiteScore: 0)
China : An Intl. J.     Full-text available via subscription   (Followers: 22, SJR: 0.165, CiteScore: 0)
Catholic Historical Review     Full-text available via subscription   (Followers: 22, SJR: 0.1, CiteScore: 0)
Civil War History     Full-text available via subscription   (Followers: 21, SJR: 0.118, CiteScore: 0)
French Colonial History     Full-text available via subscription   (Followers: 21, SJR: 0.112, CiteScore: 0)
Contemporary Southeast Asia: A J. of Intl. and Strategic Affairs     Full-text available via subscription   (Followers: 21, SJR: 0.357, CiteScore: 1)
Harvard J. of Asiatic Studies     Full-text available via subscription   (Followers: 20)
African Economic History     Full-text available via subscription   (Followers: 19, SJR: 0.123, CiteScore: 0)
Kritika: Explorations in Russian and Eurasian History     Full-text available via subscription   (Followers: 19, SJR: 0.283, CiteScore: 1)
J. of Japanese Studies     Full-text available via subscription   (Followers: 19, SJR: 0.162, CiteScore: 0)
Essays in Medieval Studies     Full-text available via subscription   (Followers: 19)
Advertising & Society Review     Full-text available via subscription   (Followers: 17)
Shofar : An Interdisciplinary J. of Jewish Studies     Full-text available via subscription   (Followers: 17, SJR: 0.103, CiteScore: 0)
Yearbook of Comparative Literature     Full-text available via subscription   (Followers: 17)
J. of Policy History     Full-text available via subscription   (Followers: 16, SJR: 0.125, CiteScore: 0)
Notes     Full-text available via subscription   (Followers: 16, SJR: 0.136, CiteScore: 0)
American Annals of the Deaf     Full-text available via subscription   (Followers: 16, SJR: 0.29, CiteScore: 1)
Shakespeare Bulletin     Full-text available via subscription   (Followers: 16)
Buildings & Landscapes: J. of the Vernacular Architecture Forum     Full-text available via subscription   (Followers: 16, SJR: 0.101, CiteScore: 0)
Mouseion: J. of the Classical Association of Canada     Full-text available via subscription   (Followers: 16)
AUDEM : The Intl. J. of Higher Education and Democracy     Full-text available via subscription   (Followers: 15)
Ghana Studies     Full-text available via subscription   (Followers: 15)
Studies in the Novel     Full-text available via subscription   (Followers: 15, SJR: 0.101, CiteScore: 0)
Latin American Research Review     Full-text available via subscription   (Followers: 15, SJR: 0.312, CiteScore: 0)
Theory & Event     Full-text available via subscription   (Followers: 15)
Economía     Full-text available via subscription   (Followers: 14)
Late Imperial China     Full-text available via subscription   (Followers: 14, SJR: 0.173, CiteScore: 0)
The Lion and the Unicorn     Full-text available via subscription   (Followers: 14, SJR: 0.123, CiteScore: 0)
Victorian Periodicals Review     Full-text available via subscription   (Followers: 14, SJR: 0.338, CiteScore: 0)
WSQ: Women's Studies Quarterly     Full-text available via subscription   (Followers: 14)
Asian Music     Full-text available via subscription   (Followers: 13)
Christianity & Literature     Full-text available via subscription   (Followers: 13)
J. of Jewish Identities     Full-text available via subscription   (Followers: 13)
Diaspora: A J. of Transnational Studies     Full-text available via subscription   (Followers: 13)
J. of the Early Republic     Full-text available via subscription   (Followers: 13, SJR: 0.19, CiteScore: 0)
American Book Review     Full-text available via subscription   (Followers: 13, SJR: 0.101, CiteScore: 0)
American Periodicals : A J. of History, Criticism, and Bibliography     Full-text available via subscription   (Followers: 13, SJR: 0.145, CiteScore: 0)
SEL Studies in English Literature 1500-1900     Full-text available via subscription   (Followers: 13, SJR: 0.131, CiteScore: 0)
Philosophy East and West     Full-text available via subscription   (Followers: 13, SJR: 0.249, CiteScore: 0)
Demokratizatsiya: The J. of Post-Soviet Democratization     Full-text available via subscription   (Followers: 13, SJR: 0.447, CiteScore: 1)
Logos: A J. of Catholic Thought and Culture     Full-text available via subscription   (Followers: 13, SJR: 0.11, CiteScore: 0)
Theatre Topics     Full-text available via subscription   (Followers: 13)
Archives of Asian Art     Full-text available via subscription   (Followers: 12, SJR: 0.114, CiteScore: 0)
Region : Regional Studies of Russia, Eastern Europe, and Central Asia     Full-text available via subscription   (Followers: 12, SJR: 0.17, CiteScore: 0)
J. of Korean Studies     Full-text available via subscription   (Followers: 12, SJR: 0.175, CiteScore: 0)
Discourse     Full-text available via subscription   (Followers: 12)
J. of the Civil War Era     Full-text available via subscription   (Followers: 12)
Sojourn: J. of Social Issues in Southeast Asia     Full-text available via subscription   (Followers: 12, SJR: 0.294, CiteScore: 0)
Caribbean Studies     Full-text available via subscription   (Followers: 12)
Hispanic Review     Full-text available via subscription   (Followers: 12, SJR: 0.1, CiteScore: 0)
Victorian Poetry     Full-text available via subscription   (Followers: 12, SJR: 0.166, CiteScore: 0)
Postmodern Culture     Full-text available via subscription   (Followers: 12, SJR: 0.143, CiteScore: 0)
Criticism     Full-text available via subscription   (Followers: 12, SJR: 0.126, CiteScore: 0)
Mosaic : a journal for the interdisciplinary study of literature     Full-text available via subscription   (Followers: 11, SJR: 0.129, CiteScore: 0)
Studies in the Literary Imagination     Full-text available via subscription   (Followers: 11, SJR: 0.1, CiteScore: 0)
Digital Philology : A J. of Medieval Cultures     Full-text available via subscription   (Followers: 11)
Canadian Review of Comparative Literature / Revue Canadienne de Littérature Comparée     Full-text available via subscription   (Followers: 11, SJR: 0.102, CiteScore: 0)
Histoire sociale/Social history     Full-text available via subscription   (Followers: 11, SJR: 0.114, CiteScore: 0)
Rhetoric & Public Affairs     Full-text available via subscription   (Followers: 11, SJR: 0.556, CiteScore: 1)
Cultural Critique     Full-text available via subscription   (Followers: 11, SJR: 0.107, CiteScore: 0)
China Review Intl.     Full-text available via subscription   (Followers: 11)
Tolkien Studies     Full-text available via subscription   (Followers: 11)
Spiritus: A J. of Christian Spirituality     Full-text available via subscription   (Followers: 10, SJR: 0.125, CiteScore: 0)
Studies in Latin American Popular Culture     Full-text available via subscription   (Followers: 10, SJR: 0.102, CiteScore: 0)
Studies in Bibliography     Full-text available via subscription   (Followers: 10)
Éire-Ireland     Full-text available via subscription   (Followers: 10, SJR: 0.113, CiteScore: 0)
James Joyce Quarterly     Full-text available via subscription   (Followers: 10, SJR: 0.1, CiteScore: 0)
Philosophy, Psychiatry, & Psychology     Full-text available via subscription   (Followers: 10, SJR: 0.183, CiteScore: 0)
Restoration: Studies in English Literary Culture, 1660-1700     Full-text available via subscription   (Followers: 10)
MLN     Full-text available via subscription   (Followers: 10, SJR: 0.128, CiteScore: 0)
Korean Studies     Full-text available via subscription   (Followers: 10)
Asian Perspectives     Full-text available via subscription   (Followers: 10, SJR: 0.376, CiteScore: 0)
Human Biology     Full-text available via subscription   (Followers: 10, SJR: 0.356, CiteScore: 1)
Theatre History Studies     Full-text available via subscription   (Followers: 9, SJR: 0.101, CiteScore: 0)
Theatre Notebook     Full-text available via subscription   (Followers: 9)
J. of Song-Yuan Studies     Full-text available via subscription   (Followers: 9)
J. of Health Care for the Poor and Underserved     Full-text available via subscription   (Followers: 9, SJR: 0.649, CiteScore: 1)
Magic, Ritual, and Witchcraft     Full-text available via subscription   (Followers: 9, SJR: 0.111, CiteScore: 0)
Canadian J. of Linguistics / La revue canadienne de linguistique     Full-text available via subscription   (Followers: 9, SJR: 0.109, CiteScore: 0)
Kennedy Institute of Ethics J.     Full-text available via subscription   (Followers: 9, SJR: 0.368, CiteScore: 1)
Early American Literature     Full-text available via subscription   (Followers: 9, SJR: 0.157, CiteScore: 0)
J. for the Study of Radicalism     Full-text available via subscription   (Followers: 8, SJR: 0.102, CiteScore: 0)
Ab Imperio     Full-text available via subscription   (Followers: 8, SJR: 0.35, CiteScore: 0)
J. of Dramatic Theory and Criticism     Full-text available via subscription   (Followers: 8)
Race/Ethnicity : Multidisciplinary Global Perspectives     Full-text available via subscription   (Followers: 8)
J. of College Student Development     Full-text available via subscription   (Followers: 8, SJR: 0.806, CiteScore: 1)
Oceanic Linguistics     Full-text available via subscription   (Followers: 8, SJR: 0.232, CiteScore: 0)
Literature and Medicine     Full-text available via subscription   (Followers: 8, SJR: 0.143, CiteScore: 0)
Contemporary Pacific     Full-text available via subscription   (Followers: 8, SJR: 0.259, CiteScore: 0)
English Literature in Transition 1880-1920     Full-text available via subscription   (Followers: 8, SJR: 0.123, CiteScore: 0)
Brookings-Wharton Papers on Urban Affairs     Full-text available via subscription   (Followers: 8)
Hispania     Full-text available via subscription   (Followers: 7, SJR: 0.261, CiteScore: 0)
Southeast Asian Affairs     Full-text available via subscription   (Followers: 7)
Narrative Culture     Full-text available via subscription   (Followers: 7)
Social Research : An Intl. Quarterly     Full-text available via subscription   (Followers: 7, SJR: 0.19, CiteScore: 0)
J. of Individual Psychology     Full-text available via subscription   (Followers: 7)
Revista de Estudios Hispánicos     Full-text available via subscription   (Followers: 7)
Asia Policy     Full-text available via subscription   (Followers: 7, SJR: 0.299, CiteScore: 1)
Hebrew Studies     Full-text available via subscription   (Followers: 7, SJR: 0.113, CiteScore: 0)
J. of Late Antiquity     Full-text available via subscription   (Followers: 7)
Goethe Yearbook     Full-text available via subscription   (Followers: 7)
Contagion : J. of Violence, Mimesis, and Culture     Full-text available via subscription   (Followers: 7, SJR: 0.101, CiteScore: 0)
Tulsa Studies in Women's Literature     Full-text available via subscription   (Followers: 7, SJR: 0.101, CiteScore: 0)
ASEAN Economic Bulletin     Full-text available via subscription   (Followers: 7)
Monumenta Nipponica     Full-text available via subscription   (Followers: 7, SJR: 0.101, CiteScore: 0)
Future of Children     Full-text available via subscription   (Followers: 7, SJR: 0.897, CiteScore: 2)
J. of Latin American Geography     Full-text available via subscription   (Followers: 7)
The Velvet Light Trap     Full-text available via subscription   (Followers: 7)
Review of Japanese Culture and Society     Full-text available via subscription   (Followers: 6)
Jeunesse: Young People, Texts, Cultures     Full-text available via subscription   (Followers: 6)
Toronto J. of Theology     Full-text available via subscription   (Followers: 6, SJR: 0.105, CiteScore: 0)
Revista Hispánica Moderna     Full-text available via subscription   (Followers: 6)
J. of the Society of Christian Ethics     Full-text available via subscription   (Followers: 6, SJR: 0.14, CiteScore: 0)
Seoul J. of Korean Studies     Full-text available via subscription   (Followers: 6, SJR: 0.102, CiteScore: 0)
J19 : The J. of Nineteenth-Century Americanists     Full-text available via subscription   (Followers: 6)
Intertexts     Full-text available via subscription   (Followers: 6)
Buddhist-Christian Studies     Full-text available via subscription   (Followers: 6)
Arthuriana     Full-text available via subscription   (Followers: 6, SJR: 0.1, CiteScore: 0)
Arizona J. of Hispanic Cultural Studies     Full-text available via subscription   (Followers: 6)
Sign Language Studies     Full-text available via subscription   (Followers: 6, SJR: 0.554, CiteScore: 1)
Feminist Formations     Full-text available via subscription   (Followers: 6)
Latin American Music Review     Full-text available via subscription   (Followers: 6)
J. of American Folklore     Full-text available via subscription   (Followers: 6, SJR: 0.212, CiteScore: 0)
Asian Theatre J.     Full-text available via subscription   (Followers: 6, SJR: 0.11, CiteScore: 0)
Comparative Drama     Full-text available via subscription   (Followers: 6, SJR: 0.115, CiteScore: 0)
Partial Answers: J. of Literature and the History of Ideas     Full-text available via subscription   (Followers: 5, SJR: 0.166, CiteScore: 0)
Theatre Symposium     Full-text available via subscription   (Followers: 5)
J. of Shi'a Islamic Studies     Full-text available via subscription   (Followers: 5, SJR: 0.101, CiteScore: 0)
Conservative Judaism     Full-text available via subscription   (Followers: 5)
Histories of Anthropology Annual     Full-text available via subscription   (Followers: 5)
Quaker History     Full-text available via subscription   (Followers: 5)
Ohio History     Full-text available via subscription   (Followers: 5)
Franciscan Studies     Full-text available via subscription   (Followers: 5, SJR: 0.111, CiteScore: 0)
Southwestern Historical Quarterly     Full-text available via subscription   (Followers: 5, SJR: 0.116, CiteScore: 0)
High School J.     Full-text available via subscription   (Followers: 5)
Hemingway Review     Full-text available via subscription   (Followers: 5)
Henry James Review     Full-text available via subscription   (Followers: 5, SJR: 0.112, CiteScore: 0)
Transactions of the American Philological Association     Full-text available via subscription   (Followers: 5, SJR: 0.338, CiteScore: 0)
J. of Asian American Studies     Full-text available via subscription   (Followers: 5)
Comparative Technology Transfer and Society     Full-text available via subscription   (Followers: 5)
J. of Developing Areas     Full-text available via subscription   (Followers: 5)
Cuban Studies     Full-text available via subscription   (Followers: 5)
The Comparatist     Full-text available via subscription   (Followers: 4)
J. of the Malaysian Branch of the Royal Asiatic Society     Full-text available via subscription   (Followers: 4)
La corónica : A J. of Medieval Hispanic Languages, Literatures, and Cultures     Full-text available via subscription   (Followers: 4)
Historically Speaking     Full-text available via subscription   (Followers: 4)
Azalea: J. of Korean Literature & Culture     Full-text available via subscription   (Followers: 4)
Appalachian Heritage     Full-text available via subscription   (Followers: 4)
ESQ: A J. of the American Renaissance     Full-text available via subscription   (Followers: 4, SJR: 0.139, CiteScore: 0)
Education and Treatment of Children     Full-text available via subscription   (Followers: 4, SJR: 0.68, CiteScore: 1)
Southern Literary J.     Full-text available via subscription   (Followers: 4)
J. of Canadian Studies/Revue d'études canadiennes     Full-text available via subscription   (Followers: 4, SJR: 0.137, CiteScore: 0)
Studies in Philology     Full-text available via subscription   (Followers: 4, SJR: 0.101, CiteScore: 0)
The Moving Image     Full-text available via subscription   (Followers: 4, SJR: 0.1, CiteScore: 0)
Transformation: Critical Perspectives on Southern Africa     Full-text available via subscription   (Followers: 4)
Perspectives in Biology and Medicine     Full-text available via subscription   (Followers: 4, SJR: 0.258, CiteScore: 0)
CR : The New Centennial Review     Full-text available via subscription   (Followers: 4, SJR: 0.126, CiteScore: 0)
J. of Modern Greek Studies     Full-text available via subscription   (Followers: 4, SJR: 0.337, CiteScore: 1)
Emily Dickinson J.     Full-text available via subscription   (Followers: 4, SJR: 0.111, CiteScore: 0)
Brookings Trade Forum     Full-text available via subscription   (Followers: 4)
Asian Bioethics Review     Full-text available via subscription   (Followers: 4, SJR: 0.113, CiteScore: 0)

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Similar Journals
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Journal of Health Care for the Poor and Underserved
Journal Prestige (SJR): 0.649
Citation Impact (citeScore): 1
Number of Followers: 9  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 1049-2089 - ISSN (Online) 1548-6869
Published by Project MUSE Homepage  [305 journals]
  • Broad Strokes and Fine Details

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      Abstract: As JHCPU closes out its 32nd volume, it has achieved breadth in numerous senses. For example, we have the breadth to pivot to address pressing current issues, such as violence and COVID-19, the general topics of seven papers in this issue. We have also grown in our geographic breadth: the current issue, in addition to many general interest papers and papers on populations in North America, includes two concerning the whole region of sub-Saharan Africa. Readers will also find papers concerning Guatemala; Niger State, Nigeria; and Peru.Our breadth, however, remains centered on stubborn public health challenges and solutions among underserved populations, including racial and ethnic minority populations, sexual/gender ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Critical Expansion of Care—Albany Area Primary Health Care Opens
           Vision Care Centers

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      Abstract: According to a 2020 report entitled "Integrating Eye Health and Vision Care for Underserved Populations into Primary Care Settings" by the American Optometric Association and the Association of Clinicians for the Underserved, community health centers are uniquely positioned to improve access to eye health and vision care due to their reach in underserved communities and their emphasis on providing integrated, whole-person care to underserved populations. In a National Academies Health and Medicine Division report, Making Eye Health a Population Health Imperative: Vision for Tomorrow, the authors state that "for many underserved and low-income communities, federally funded community and rural health centers may be ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Health and Health Care of Sexual Minority Individuals in the Rural United
           States: A Systematic Review

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      Abstract: Over the past decades, a modest body of work has examined the health and health care access and use of lesbian, gay, and bisexual (LGB) individuals within the United States. Significant disparities based on sexual orientation have been identified: African American lesbian and bisexual women are more likely to have a history of diabetes and hypertension, and to report a greater body mass index than African American heterosexual women; gay and bisexual men experience some of the highest rates of sexually transmitted infections (STI) and human immunodeficiency virus (HIV; accounting for 67% of new cases in 2016) compared with heterosexual men; and LGB individuals are 2.5 times more likely than non-LGB individuals to ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Minding the Gaps: Health Care Access for Foreign-born People in the U.S.:
           An Integrative Review

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      Abstract: The foreign-born population accounted for more than 44 million or 13.7% of the United States (U.S.) population in 2018.1 Approximately 1.2 million new migrants enter the U.S. each year.2 About one-third of the foreign-born population falls into each of three main legal immigration status groups: naturalized citizens, lawful permanent residents or green card holders, and unauthorized or undocumented individuals.3 Foreign-born people either arrive in the U.S. with an immigrant-issued visa from their native country or as temporary residents and later adjust their status.4 Numerous studies have examined health care disparities in the U.S. over the last four decades within the U.S.-born population, but not health care ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Understanding Black Women's Perspectives and Experiences of Cervical
           Cancer Screening: A Systematic Review and Qualitative Meta-synthesis

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      Abstract: Cervical cancer is caused by the emergence of abnormal cell growth in the cervix and is associated with persistent infection with certain strains of human papillomavirus (HPV).1 It is the third most common gynecological cancer, constituting 6.6% of all cancers found in women.2,3 The American Cancer Society estimates that in 2021, there will be 14,480 new cases of cervical cancer diagnosed in the United States, and approximately 4,290 deaths from the disease.1Cervical cancer screening (CCS) is highly effective in detecting early forms of cervical cancer that are ameliorable to treatment.4,5 Because abnormal cells can be detected early, CCS has been shown to increase a women's chance of survival by over 85%.6 Despite ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Faith-based Health and Social Services for People Experiencing
           Homelessness in the United States: A Scoping Review of the Literature

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      Abstract: Every year, between 2.5 and 3.5 million people in the United States sleep in shelters, transitional housing, and public places not meant for human habitation—in other words, they experience homelessness.1 The majority of the homeless population is constituted of single individuals (67%) and the remainder (33%) are people in families with children.2 Homelessness is pervasive in the U.S., and many geographic regions and local communities struggle to ensure adequate, safe, and affordable housing for all residents. As communities across the country strive to meet the diverse needs of people experiencing homelessness (PEH), public, private, philanthropic, and local homeless providers often work in tandem to achieve ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Interprofessional Education in Medical-Legal Partnerships (MLPs) to
           Address Social Determinants of Health

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      Abstract: Social determinants of health (SDH) are conditions in which people are born, grow, live, work and age. These conditions are shaped by the distribution of societal money, power, and resources and are drivers of health inequities.1 Medical schools increasingly challenge physicians-in-training to understand and address nonmedical factors that influence patient outcomes.2 While SDH training has not been emphasized in medical education, schools are now integrating the topic into curricula given the impact of SDH on health.3–7One strategy to identify and address SDH is through medical-legal partnerships (MLPs). The first formalized MLP was introduced in 1992,8 and today approximately 450 health organizations have ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Cholera: Still a Major Public Health Issue in Sub-Saharan Africa

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      Abstract: Globally, diarrhea is the leading cause of malnutrition and the second leading cause of death in children under five years old.1 It is estimated that 88% of diarrheal deaths are due to a lack of access to sanitation facilities, together with inadequate availability of water for hygiene and unsafe drinking water.2Cholera is an acute intestinal infection caused by ingestion of food or water contaminated with the bacterium Vibrio cholerae. It causes a copious, painless, watery diarrhea that can quickly lead to severe dehydration and death without prompt treatment.3 In 2017, 34 countries reported a total of 1, 227, 391 cases of cholera and 5,564 deaths. Yemen experienced an acute, country-wide epidemic of cholera that ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Aftermath of COVID-19: Forestalling Irreparable Medical Brain Drain in
           Sub-Saharan Africa

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      Abstract: The World Health Organization (WHO) declared coronavirus disease 2019 (COVID-19) a pandemic on 11th March, 2020 and (as of 4th of October, 2020) there were 34,804,348 confirmed cases and 1,030,738 confirmed deaths from COVID-19.1 Presently, the greatest burden of the disease is in the most developed economies of the world such as the United States of America and Europe and some low-income and middle-income countries (i.e., India and Brazil).1 Health care workers are at the frontline of the COVID-19 response and so are exposed to hazards that put them at the risk of infection, which in some cases may lead to death. As the disease escalates across the globe, there is a very real risk of providers' shortages, both ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Optimizing Care for People Experiencing Homelessness and Serious Mental
           Illness amidst COVID-19: A Street Outreach Perspective

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      Abstract: While the COVID-19 pandemic has profoundly affected all of society, marginalized groups have been disproportionately affected, both by the pandemic itself as well as by public health policies enacted to reduce transmission.1,2 This negative impact is exacerbated in individuals experiencing multiple vulnerabilities, such as those experiencing a serious mental illness (SMI, such as schizophrenia, bipolar disorder, and major depressive disorder) and homelessness. Although widespread data on the prevalence of COVID-19 in the homeless population remain scarce, geographic variability must be considered. In a study of 16 homeless shelters across four cities in the United States, residents testing positive for COVID-19 ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Effects of Different Types of Childhood Victimization on Health Outcomes:
           A Study of African American Young Adults in Washington, D.C.

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      Abstract: Young adulthood, generally considered to be ages 18 to 25, is a critical period of development for emotional maturation, brain development, life transitions, and the establishment of trajectories that can have lifelong consequences, both positive and negative.1 Exposure to violence (ETV) and trauma before the age of 18 has been shown to increase the risks for adverse experiences and outcomes in adulthood. Shonkoff, Boyce, and McEwen,2 and Fang and colleagues3 noted that childhood ETV, crime, and abuse can negatively affect one's health and wellbeing well into adulthood. Child maltreatment, peer victimization, and ETV in the family and community have all been associated with developmental difficulties, problem ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Clinicians' Perspectives on the Impacts of Post-2016 Immigration
           Enforcement on Immigrant Health and Health Care Use

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      Abstract: The 2016 U.S. presidential election and its aftermath were marked by an increase in anti-immigration rhetoric, policies, and discrimination.1 These include thencandidate Trump referring to immigrants as "drug dealers, criminals and rapists" and, later President Trump referring to immigrants as "animals" and to their immigration as an "invasion," language associated with a subsequent rise in hate crimes against immigrants.2–4 A June 2020 Migration Policy Institute report catalogued more than 400 new executive orders pertaining to immigration during the Trump administration.5 Just a few examples of these include family separation at the U.S.-Mexico border; the travel ban (colloquially known as the Muslim Ban); ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • A One Health Approach to Compare Self-Prescribed Antibiotic Use across
           Rural and Semi-urban Populations in San Lucas Tolimán, Guatemala

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      Abstract: Bacterial resistance represents a constant and increasing public health threat. Conservative estimates suggest that up to 700,000 deaths per year occur due to antimicrobial resistant infections, and this is projected to increase to 10 million deaths by 2050 if current trends persist.1,2 In the United States (U.S.) alone, antibiotic resistant infections cause nearly 23,000 deaths annually.3 In addition to the human health burden of resistant infections, there is an associated economic burden. Resistant infections often prolong hospital stays and require treatment with more costly, last-resort antibiotics, also leading to decreased productivity due to absence from work.4 In 2050, up to 100 trillion U.S. dollars of ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • The Awareness of Cancer Risk and Healthy Lifestyle among Non-refugees
           Compared with Refugees Resettled in the United States

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      Abstract: Cancer is one of the leading causes of death and morbidity globally.1 There are a number of risk factors for developing cancer, including alcohol consumption and tobacco smoking.2 Keeping a healthy weight is also important to prevent cancer.3 Particularly among individuals with low levels of income and educational attainment, obesity is sometimes not seen as a risk factor for cancer.4 Previous studies on cancer risk awareness mostly focused on specific types of cancer such as skin cancer,5 colorectal cancer,6 and breast cancer.7Refugees resettled in a developed country are under-studied in terms of cancer risk awareness. The most common topic on refugees and cancer is cervical cancer. For example, Bhutanese ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Longitudinal Mixed Modelling of Emergency Department Use Among a Sample of
           Homeless Participants in a Housing First Demonstration Trial

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      Abstract: Emergency department (ED) use has been consistently found to be higher among populations of people who are homeless compared with the general population.1 Previous theory and research delineates reasons for this, with findings indicating that increased ED use among people who are homeless is predicted by lower physical and mental health,2 female gender, Canadian Indigenous ethnicity,3 lower food security,4 and past ED use patterns.2 Research has also been undertaken into the role of access to primary care. Some researchers have found that access to primary care has resulted in a reduction in ED utilization by people who are homeless;5 however, this finding has not been replicated in Canadian research3 and has been ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Using Participatory Methods to Engage Diverse Families in Research about
           Resilience in Middle Childhood

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      Abstract: Children exposed to significant social adversity such as families in which substance abuse, mental health issues, or violence is occurring have higher risks of behavioural, emotional, developmental, and physical health problems.1–4 However, many children exposed to adversity show resilient outcomes, experiencing health and behavioural outcomes similar to peers who have not experienced the same level or type of adversity.5–9 Despite some differences in how resilience is defined, two core features include the experience of adversity and the achievement of positive outcomes. Resilience is predominantly viewed as a dynamic process by which individuals draw on personal characteristics and resources in their environment ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • The Direct Clinic-Level Cost of the Implementation and Use of a Protocol
           to Assess and Address Social Needs in Diverse Community Health Center
           Primary Care Clinical Settings

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      Abstract: Social determinants of health (SDOH)—defined as the conditions in which people are born, live, learn, work, play, worship, and age—affect a wide range of health indicators, as well as quality of life and clinical risk for disease.1–3 Increasing evidence suggests that addressing the consequences of SDOH, including individual-level social needs, such as housing instability, social isolation, or food insecurity can improve health4–6 and reduce health care expenditures.7–9 Successful efforts to increase value and promote prevention will require health systems to assess and address social needs in routine outpatient clinical encounters. Recent federal and state efforts have focused on collecting social needs data useful ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Correlation of HIV-infection and HIV/HCV Co-infection with Oral Health
           Status of Inner-City Sub-population in Saskatchewan, Canada

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      Abstract: Oral care disparities and unmet dental treatment needs are widely reported in vulnerable populations, such as individuals living with HIV, Indigenous populations, and inner-city populations. Many of these disparities are associated with social demographic factors, which may include age, gender, educational status, financial unaffordability, lack of availability of dental services, lack of education, existing medical conditions, and others. These factors have a strong impact on accessibility to dental care services and oral disease patterns, such as dental decay and missing teeth.1,2People living with HIV have commonly reported higher values of decayed, missing, or filled teeth (DMFT) index values which are ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Integrating Cancer Screening and Mental Health Services in Primary Care:
           Protocol and Baseline Results of a Patient-Centered Outcomes Intervention
           Study

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      Abstract: Low-income individuals are significantly more likely to be diagnosed with preventable and late-stage cancers than the general population, a disparity that may be partially explained by lower rates of cancer screening and delayed follow-ups of abnormal results.1–6 In fact, socioeconomic status (SES) is consistently one of the greatest predictors of screening behaviors5,7,8 and the stage of cancer at the time of detection.5,9,10 Low-income women of all ethnicities have lower rates of breast, cervical, and colon cancer screening in the U.S.7,8,11–16 and in New York City.17 Despite improvements in cancer screening rates in the past 20 years, pervasive disparities persist, particularly for women of racial and ethnic ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Does a Medical Home Buffer the Association between Child Poverty and Poor
           Health'

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      Abstract: Approximately 12 million children in the United States live in poverty, defined in 2018 as an annual income of $25,465 or less for a family of four.1 Poverty is linked to poor health outcomes, and children living in poverty are more likely than others to be exposed to substance abuse, violence, and trauma.2–5 Children living in poverty are also more likely than others to have unmet health care needs.6 With emerging emphasis on providing effective primary care to address the needs of children living in poverty, it is important to understand how models of health care provision can disrupt the link between poverty and poor health.7 The medical home is a care delivery model supported by the American Association of ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Bridging Health and Temporary Housing Services for Medicaid Members
           Experiencing Homelessness: Program Impact on Health Care Utilization,
           Costs, and Well-being

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      Abstract: According to the 2019 Annual Homeless Assessment Report to Congress, the national average rate of homelessness is 17 people per 10,000.1 The concept of Housing First, which provides housing to people experiencing homelessness without imposing sobriety requirements on participants, has been embraced by the Federal Government as well as state governments, and Housing First programs have resulted in a 12.3% decline in total homelessness since 2007.1 These positive inroads towards ending homelessness have been effective among families and veterans, though the homelessness of single individuals has been on the rise during the same timeframe.1 Programs that provide housing and additional support services have been shown ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Insurance Churn and Inconsistent Access to Reproductive Health Care among
           Abortion Patients in Mississippi

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      Abstract: In the United States, many women experience changes or lapses in health insurance coverage, also referred to as churn .1,2 Previous studies have reported on shifts in coverage in the months preceding and following pregnancy, particularly among women with low incomes and those living in the Southeast.1,3 Women of color, including Black and Hispanic women, are disproportionately at risk of unstable insurance coverage and more likely to experience periods without insurance.2,4 This pattern has been attributed, in part, to the patchwork of programs that offer coverage for reproductive health care and variation in the programs' income eligibility criterion.1,2,5 Lack of and inconsistent insurance coverage can affect ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Pre-existing Economic Conditions and COVID-19 Infections and Mortality in
           New York City

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      Abstract: Socioeconomic determinants of health and health disparities have been extensively documented in the United States.1 The novel coronavirus (resulting in the disease COVID-19) has brought the issue to the forefront. The COVID-19 crisis has resulted in significant inequities in infection and death rates across various demographic and economic groups in the U.S., presenting an unusual perspective on U.S. health care access and outcomes.2 While the disease has been indiscriminate in affecting people across the entire range of socioeconomic class, from the homeless to heads of states, there are stark disparities in mortality and positivity rates across different groups.3 Given COVID-19's novelty, most of the assessments ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Enhancing the Awareness of Modifiable Risk Factors for Cancer Prevention
           in the Alabama Black Belt Region: A Follow-up Study

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      Abstract: Cancer is the second leading cause of death in the United States, where one in four deaths is due to cancer.1,2 Cancer deaths declined by 26% between 1991 and 2015 in the United States; this decline signifies an increase in cancer survivorship.3 In 2016, 21.8% of all deaths were due to cancer.1 Although cancer deaths have declined across all races, the importance of associations between certain types of cancer and aging, obesity, and other conditions is increasingly being recognized in the U.S.4 Despite the decline in cancer deaths from 1975 to 2016, cancer mortality rates have remained higher among African Americans than their White counterparts (at 178.18 and 156.71 deaths per 100,000 people, respectively, in ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Barriers and Facilitators to Adhering to the American Heart Association's
           Life's Simple 7 for African American Women Living in Public Housing

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      Abstract: Despite efforts to reduce the burden of cardiovascular disease (CVD) in the United States (U.S.), African American women (i.e., African-descent women generationally rooted in the U.S.; also referred to as Black American women) have disproportionately higher rates of CVD compared with non-Hispanic White American women.1 For example, more than half of African American women (57.1%) have some form of CVD (coronary heart disease, heart failure, stroke, and hypertension) compared with 43.4% of White women.1 Because of higher CVD rates, it is not surprising that African American women have higher rates of CVD risk factors such as type 2 diabetes, physical inactivity, and obesity compared with White women. African ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Medicaid Expansion and Emergency Medical Service Transports

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      Abstract: The impact of Medicaid expansion on emergency department (ED) volumes has been well-studied, demonstrating mixed results. Some studies indicate no sustained increases in ED utilization following Medicaid expansion,1 while others show changes in payer mix and increases in use of hospital ED services.2,3 While the impact of Medicaid expansion on EDs has been widely evaluated, there is a paucity of evidence on the impact on EMS utilization.Prior research demonstrates that Medicaid beneficiaries use EMS for transportation at higher rates than other insured and uninsured populations.4,5 There are some Medicaid benefits that can vary from state-to-state, but emergency transport is a federally required covered benefit ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • The Mini-Med School and Its Impact on Future Health Care Professionals'
           Attitudes toward Indigenous People

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      Abstract: Indigenous peoples in Canada suffer many health inequities and receive suboptimal care compared with non-Indigenous people.1–4 The Public Inquiry Commission on relations between Indigenous Peoples and certain public services in Québec recently published its report, which emphasized not only that "it is clear that prejudice toward Indigenous peoples remains widespread in the interaction between caregivers and patients,"5[p.66] but also that "these prejudices and discriminatory practices toward Indigenous patients can have dire consequences."5[p.66] Balsa and McGuire describe three processes by which prejudices can interfere with delivered health care: 1) avoidance of individuals belonging to a negatively perceived ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Not Speaking the Same Language—Lower Portal Use for Limited English
           Proficient Patients in the Los Angeles Safety Net

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      Abstract: Online patient health portals are Internet websites tethered to a patient's electronic health record (EHR).1 Patient portals allow patients to manage some of their health care from an Internet-connected device, and some research has shown beneficial associations between portal use and patient-centered outcomes and quality of care.2–4 Nearly two decades after the first portals were introduced, associated benefits include: improved glycemic and blood pressure control, higher rates of medication adherence, and increased use of evidence-based preventive health services.5–11 Following the passage of the Patient Protection and Affordable Care Act in 2010, patient portals rapidly expanded, motivated by the Health ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Predictive Risk Mapping for Schistosomiasis in Parts of Borgu Local
           Government Area (LGA) of Niger State, Nigeria

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      Abstract: Schistosomiasis is a waterborne parasitic disease most common in rural areas of developing countries. It is one of the most prevalent of the Neglected Tropical Diseases (NTDs)—a group of parasitic, bacterial, and viral infections collectively imposing a similar disease burden to that of malaria and HIV.1 Schistosomiasis continues to exert pressure on social and economic development, particularly in sub-Saharan Africa, which has the largest share of the global burden of the disease.1–4 It is a chronic and incapacitating disease caused by parasitic worms of the Schistosoma spp that negatively affects the health and well-being of mainly rural and peri-urban dwellers in tropical and subtropical countries especially ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Racial Disparity in Dental Care during Pregnancy: An Analysis of the
           Pregnancy Risk Assessment Monitoring System from 2012 to 2015

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      Abstract: Oral health affects overall health throughout the lifespan. Dental caries (tooth decay) may affect speech, nutrition, growth and function, and social development.1,2 It is also the most common chronic diseases of children and adolescents, four times more common than asthma.3 Another common oral health condition, periodontitis has been shown to be associated with multiple systemic diseases such as cardiovascular disease, respiratory disease, diabetes, and possibly adverse birth outcomes.4–10 Disease in the mouth may not be fatal in most cases, but it is one of the most costly and neglected conditions in the U.S. Oral disease is listed as one of the top 10 conditions on which the U.S. spends the most money. A recent ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Factors Associated with Home Remedy Use by Adults Who Do Not Attend Health
           Care Facilities: Evidence from Peruvian Population-based Survey, 2019

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      Abstract: Home remedy use (HRU) for the management of various diseases is a common practice around the world. The frequency of the use of home remedies varies according to each country.1–3 A German study found that 80% of the population uses home remedies.1 In Latin America, according to a Colombian study, 60% of the population who do not use health care facilities use medicinal herbs or home remedies.2 In Peru, a study found that 30% of the population not attending a health care facility, used HR.3However, the differences presented above reflect no standard definition about HRU, which is as yet undetermined. Some studies define HRU as simple interventions to manage minor health problems and exclude dietetic supplements and ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Understanding the Process, Context, and Characteristics of Extreme Risk
           Protection Orders: A Statewide Study

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      Abstract: Firearm injures are a major public health problem in the United States. Scholars and activists have worked to develop strategies for preventing firearm injuries. The use of extreme risk protection orders (ERPO) is one such strategy. Nineteen states and the District of Columbia have passed such risk-based firearm laws as a mechanism to decrease firearm injuries. While the legal process and terminology of the laws differ from state to state, they share common general structure and intent. Extreme risk protection orders are civil orders, intended to be a non-criminalizing way to limit firearm access by people (called "respondents") who have shown themselves to be at significant risk of causing harm to themselves or ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Assessment of Interpretation Modality and Patient Comprehension in
           Spanish-speaking Limited English Proficiency (LEP) Patients Presenting to
           the Emergency Department

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      Abstract: As diversity in the United States (U.S.) continues to expand, there have been increased efforts to improve the cultural competency and health care for limited English proficiency (LEP) patients. The term LEP applies to any person age five and older who reports speaking English less than "very well."1 According to the 2015 U.S. Census Bureau, over 350 languages are spoken in the U.S., and 153 are represented within the Chicago area.1 The Medical Center Community Benefit Report certified that patients at our study site speak 50 different languages and that 38% of the patient population is Hispanic.2 As stated in Title VI of the 1964 Civil Rights Act no individual shall "on the ground of race, color, or national ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Pilot Testing All Nations Snuff Out Smokeless (ANSOS): A Culturally
           Tailored Smokeless Tobacco Cessation Program for American Indians

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      Abstract: American Indians have the highest rates of smokeless tobacco use (e.g., chewing tobacco or snuff) of any racial or ethnic group in the United States. Prevalence varies by tribe and region, but overall, in 2016, 8.4% of American Indian adults were current users compared with 3.4% of non-American Indian adults. Prevalence was highest among younger individuals (10.1% for age 18–25, 9.1% for age 26–34 versus 5.7% and 4.6% among non-American Indians in the same age groups).1 Our own work shows an even higher prevalence of 19% among tribal college students,2 compared with approximately 7% among male college students of all races combined and less than 1% of female college students.3 Data from Monitoring the Future show ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Defining Rurality in Hospice Research: Evaluation of Common Measures

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      Abstract: The growing crisis in rural health care leaves many rural patients to die in pain because they do not have access to end-of-life hospice care.1,2 Hospices provide services that are crucial at the end of life, ranging from pain management to bereavement support of family members. A growing need for hospice care in rural areas is reflected in a two-fold increase of patients over the last 15 years; today hospices in the U.S. serve more than 1.55 million people. Despite the increase in demand for hospice services, the number of rural hospices in recent years has been declining by 3% per year, leaving rural patients severely underserved.3,4 The problem is complicated by the fact that most of the hospices provide only ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Is Parent Readiness to Change Predictive of Follow-through with Diet and
           Activity Modifications in Children'

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      Abstract: Routine counseling for nutrition and physical activity is recommended during wellchild checks regardless of a child's body mass index (BMI) in order to promote overall health and prevent obesity.1 Given the limited time during well-child appointments and the vast number of topics to cover,2 there is a need for efficient and effective methods to aid physician counseling. The Expert Committee for the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity (hereafter, Expert Committee) recommends several techniques for use by physicians, including the assessment of a family's readiness to change or stage of change.3 Stage of change is the dominant construct of the Transtheoretical Model ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Sociodemographic Differences in Asthma Self-Management Knowledge of
           Parents Seeking Asthma Care for their Children in Pediatric Emergency
           Departments

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      Abstract: Nearly 9% of U.S. children have asthma,1 5% of whom are hospitalized in a given year;2 care for this chronic disease is associated with direct health care costs upwards of $5 billion a year.3 The burden of pediatric asthma appears to fall most heavily on African American individuals, who have a higher prevalence of asthma,1,4 are more likely to suffer uncontrolled asthma,4 and have greater asthma-related mortality.5 Most of these outcomes are also worse for Latinx children compared with White children.1,4,5 Moreover, reliance on emergency departments (EDs) for medical care is higher among Latinx (5.6%) and African American (5.2%) children with asthma than among their White counterparts (1.8%).6A critical tool to ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Reliability of Low-Cost Thermometers for Monitoring Foot Temperature

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      Abstract: In the United States, the prevalence of diabetes in adults is estimated to be 34.1 million people with the highest rates found among minority populations.1 Worldwide, there are about 463 million people with diabetes between the ages of 20 and 79 years old.2 Furthermore, the burden of diabetes is especially high for those who are socioeconomically disadvantaged and medically underserved.3It is important to consider complications associated with diabetes in light of these statistics. A common complication of diabetes is peripheral neuropathy and subsequent foot ulceration. Research shows that both appropriate footwear (offloading) and monitoring the plantar temperature of the feet at home are effective in decreasing ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • A Community Resource Liaison Embedded in Pediatric Primary Care Mitigates
           Social Risks through Identification and Connection

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      Abstract: The social determinants of health (SDH) encompass the conditions in which we live, work, learn, grow, and play.1–3 Children living in poverty frequently experience health-related social needs linked to these SDH, placing them at greater risk for adverse outcomes across the lifecourse.4–7 The American Academy of Pediatrics recommends providers screen for and attempt to mitigate these social risks during well-child care.7,8Positive social screens often result in provision of targeted education and/or handouts with community resource information.8–11 Models include bringing "SDH experts" such as attorneys/paralegals into the clinical setting.9,12,13 Still, clinicians do not always effectively link patients to these or ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • The Association Between Financial Resources Strain and Self-Reported
           Antiretroviral Therapy (ART) Adherence among HIV-Positive Men Who Have Sex
           with Men

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      Abstract: Men who have sex with men (MSM) are disproportionately affected by HIV in the United States, accounting for more than two thirds (70%) of new HIV diagnoses annually.1 The use of antiretroviral therapy (ART) is critical to improve health and prolong life among people living with HIV (PLWH).2 Optimal adherence to ART (80–85%)3 is necessary for achieving viral suppression, reducing onward transmission, and subsequently decreasing HIV incidence;4 however, only 58% of HIV-positive MSM report being virally suppressed.5 In consequence, many studies have investigated several individual, medication-related, and environmental correlates of ART adherence.2 One such patient-related determinant inconsistently associated with ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Implementation of an Isolation Shelter for Individuals with COVID 19
           Experiencing Homelessness

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      Abstract: COVID-19 is an unprecedented crisis for the United States (U.S.) health care system and has exposed health inequities pervasive within the system. The disease has also presented opportunities to reimagine services to populations marginalized by the health care system, particularly people who are unstably housed or experiencing homelessness (hereafter referred to as experiencing homelessness). National agencies have long advocated for services to improve health for homeless individuals.1 However, the COVID-19 crisis demanded an immediate response for people experiencing homelessness who tested positive for the virus.As the COVID-19 crisis unfolded, the impact of the virus on people who were non-sheltered and ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Science Cafés and Local Dissemination: Fulfilling the Responsibilities of
           Community-Engaged Research

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      Abstract: Researchers involved with clinical and translational science are expected to engage communities in their research to convey more intentionally what we know and what we do.1 Community-academic research partnerships use proven approaches such as community-based participatory research or community-engaged research to develop and implement projects.2 While these engagement approaches increase opportunities for marginalized individuals and groups to participate in later-stage translational research, members of marginalized communities have not typically been invited to participate across the full complement of clinical research opportunities. Research outreach tools such as StudyFinder3 and ResearchMatch4 function ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Development of a Resource Guide to Help Patients Receive Appropriate Care

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      Abstract: Egregious wrongdoing by physicians causes direct physical, emotional, and financial harm to patients and undermines the public's trust in medicine.1–5 We define egregious wrongdoing as behavior that directly harms patients and could be prosecuted as a felony. In 2018, roughly 4.2 out of every 1,000 physicians in the U.S. were disciplined by a state medical board, with 40% of those resulting in severe disciplinary actions involving probation, revocation, or suspension of the physician's medical license.6 This rate of severe disciplinary actions is similar to the U.S. annual incidence of breast cancer (1.3 per 1,000), and much higher than the annual incidence of HIV cases (.14 per 1,000). Both are considered major ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Providing Food Assistance During the COVID-19 Pandemic: A Case Study of a
           Free Produce Market at a Health Care Center

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      Abstract: The COVID-19 pandemic has led to economic disruptions and historic levels of unemployment throughout the United States. The unprecedented rise in unemployment in 2020—from 3.5% in February to a peak of 14.7% in April—has substantially increased rates of food insecurity, defined by the United States Department of Agriculture as a household-level economic and social condition of limited or uncertain access to adequate food.1,2 Prior to the COVID-19 pandemic, nationwide, one in 11 people were living with food insecurity.3 Due to the impact of COVID-19, one in six people were expected to experience food insecurity in 2020.4,5Despite swift adaptations, charitable food assistance organizations have faced significant ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
  • Integrating a Social Determinants of Health Screener at an Outpatient
           Pediatric Clinic in East Harlem, New York City

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      Abstract: Addressing social determinants of health (SDH), the social and environmental factors that affect a person's health, is critical for effective health care.1,2 This is especially true in pediatric health care and in underserved settings.3–9 Routine primary care visits provide an opportunity to screen for social needs and connect families with appropriate resources.3,10 Various SDH screening tools and referral systems have already been integrated into practice protocols.11–15 However, which screening questions to ask, how to ask them, and how to integrate them into clinic flow remains complex and must be tailored to each community.In this report, we describe the preliminary stages of developing and implementing a ... Read More
      PubDate: 2021-11-21T00:00:00-05:00
       
 
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