Subjects -> HEALTH AND SAFETY (Total: 1464 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (87 journals)
    - HEALTH AND SAFETY (686 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (358 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (112 journals)
    - PHYSICAL FITNESS AND HYGIENE (117 journals)
    - WOMEN'S HEALTH (82 journals)

OCCUPATIONAL HEALTH AND SAFETY (112 journals)                     

Showing 1 - 111 of 111 Journals sorted alphabetically
AIDS and Behavior     Hybrid Journal   (Followers: 16)
American Journal of Industrial Medicine     Hybrid Journal   (Followers: 15)
American Journal of Occupational Therapy     Partially Free   (Followers: 236)
Annals of Rehabilitation Medicine     Open Access   (Followers: 2)
Annals of Work Exposures and Health     Hybrid Journal   (Followers: 10)
Applied Research in Quality of Life     Hybrid Journal   (Followers: 11)
Australian Occupational Therapy Journal     Hybrid Journal   (Followers: 177)
BMC Oral Health     Open Access   (Followers: 5)
BMJ Quality & Safety     Hybrid Journal   (Followers: 65)
British Journal of Occupational Therapy     Hybrid Journal   (Followers: 237)
Canadian Journal of Occupational Therapy     Hybrid Journal   (Followers: 186)
Ciencia & Trabajo     Open Access  
Cognition, Technology & Work     Hybrid Journal   (Followers: 13)
Conflict and Health     Open Access   (Followers: 8)
Counseling Outcome Research and Evaluation     Hybrid Journal   (Followers: 12)
Ergonomics     Hybrid Journal   (Followers: 25)
ergopraxis     Hybrid Journal   (Followers: 2)
Ethnicity & Health     Hybrid Journal   (Followers: 16)
European Journal of Social Work     Hybrid Journal   (Followers: 34)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 11)
Families, Systems, & Health     Full-text available via subscription   (Followers: 8)
Frontiers in Neuroergonomics     Open Access  
Globalization and Health     Open Access   (Followers: 7)
Health & Social Care In the Community     Hybrid Journal   (Followers: 49)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 19)
Health Care Analysis     Hybrid Journal   (Followers: 12)
Health Communication     Hybrid Journal   (Followers: 17)
Health Promotion International     Hybrid Journal   (Followers: 26)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Psychology     Full-text available via subscription   (Followers: 63)
Health Psychology Review     Hybrid Journal   (Followers: 47)
Health Research Policy and Systems     Open Access   (Followers: 15)
Health, Risk & Society     Hybrid Journal   (Followers: 11)
Hong Kong Journal of Occupational Therapy     Open Access   (Followers: 61)
Human Resources for Health     Open Access   (Followers: 9)
IISE Transactions on Occupational Ergonomics and Human Factors     Hybrid Journal  
Indian Journal of Occupational and Environmental Medicine     Open Access   (Followers: 1)
Indonesian Journal of Occupational Safety and Health     Open Access   (Followers: 2)
International Journal for Equity in Health     Open Access   (Followers: 11)
International Journal for Quality in Health Care     Hybrid Journal   (Followers: 39)
International Journal of Emergency Mental Health and Human Resilience     Open Access   (Followers: 2)
International Journal of Emergency Services     Hybrid Journal   (Followers: 22)
International Journal of Health Care Quality Assurance     Hybrid Journal   (Followers: 13)
International Journal of Human Factors Modelling and Simulation     Hybrid Journal   (Followers: 21)
International Journal of Industrial Ergonomics     Hybrid Journal   (Followers: 12)
International Journal of Nuclear Safety and Security     Hybrid Journal   (Followers: 1)
International Journal of Occupational and Environmental Health     Hybrid Journal   (Followers: 15)
International Journal of Occupational and Environmental Safety     Open Access   (Followers: 4)
International Journal of Occupational Health and Public Health Nursing     Open Access   (Followers: 5)
International Journal of Occupational Hygiene     Open Access   (Followers: 5)
International Journal of Occupational Medicine and Environmental Health     Hybrid Journal   (Followers: 19)
International Journal of Occupational Safety and Ergonomics     Hybrid Journal   (Followers: 14)
International Journal of Occupational Safety and Health     Open Access   (Followers: 35)
International Journal of Workplace Health Management     Hybrid Journal   (Followers: 7)
Joint Commission Journal on Quality and Patient Safety     Hybrid Journal   (Followers: 42)
Journal of Accessibility and Design for All     Open Access   (Followers: 12)
Journal of Community Health     Hybrid Journal   (Followers: 9)
Journal of Ecophysiology and Occupational Health     Open Access   (Followers: 1)
Journal of Environmental Science and Health, Part C : Toxicology and Carcinogenesis     Hybrid Journal   (Followers: 1)
Journal of Epidemiology & Community Health     Hybrid Journal   (Followers: 64)
Journal of Geriatric Physical Therapy     Hybrid Journal   (Followers: 15)
Journal of Global Responsibility     Hybrid Journal   (Followers: 3)
Journal of Health Care for the Poor and Underserved     Full-text available via subscription   (Followers: 9)
Journal of Health Psychology     Hybrid Journal   (Followers: 59)
Journal of Human Performance in Extreme Environments     Open Access   (Followers: 2)
Journal of Immigrant and Minority Health     Hybrid Journal   (Followers: 8)
Journal of Interprofessional Care     Hybrid Journal   (Followers: 14)
Journal of Mental Health Training, Education and Practice, The     Hybrid Journal   (Followers: 9)
Journal of Occupational & Environmental Medicine     Hybrid Journal   (Followers: 20)
Journal of Occupational Health Engineering     Open Access   (Followers: 4)
Journal of Occupational Health Psychology     Full-text available via subscription   (Followers: 40)
Journal of Occupational Medicine and Toxicology     Open Access   (Followers: 12)
Journal of Professional Counseling: Practice, Theory & Research     Hybrid Journal   (Followers: 1)
Journal of Religion and Health     Hybrid Journal   (Followers: 14)
Journal of Safety Studies     Open Access  
Journal of Social Work in Disability & Rehabilitation     Hybrid Journal   (Followers: 14)
Journal of Urban Health     Hybrid Journal   (Followers: 12)
Journal of Vocational Health Studies     Open Access   (Followers: 1)
Karaelmas İş Sağlığı ve Güvenliği Dergisi / Karaelmas Journal of Occupational Health and Safety     Open Access   (Followers: 2)
Learning in Health and Social Care     Hybrid Journal   (Followers: 11)
Musik- Tanz und Kunsttherapie     Hybrid Journal  
New Zealand Journal of Occupational Therapy     Full-text available via subscription   (Followers: 71)
Nordic Journal of Music Therapy     Hybrid Journal   (Followers: 8)
Nordic Journal of Working Life Studies     Open Access  
Occupational and Environmental Medicine     Hybrid Journal   (Followers: 18)
Occupational Medicine     Hybrid Journal   (Followers: 13)
Occupational Therapy in Health Care     Hybrid Journal   (Followers: 80)
Occupational Therapy International     Open Access   (Followers: 102)
Perspectives in Public Health     Hybrid Journal   (Followers: 13)
Perspectives interdisciplinaires sur le travail et la santé     Open Access   (Followers: 3)
Physical & Occupational Therapy in Geriatrics     Hybrid Journal   (Followers: 57)
PinC | Prevenzione in Corso     Open Access  
Population Health Metrics     Open Access   (Followers: 5)
Preventing Chronic Disease     Free   (Followers: 3)
Psychology & Health     Hybrid Journal   (Followers: 33)
QAI Journal for Healthcare Quality and Patient Safety     Open Access   (Followers: 5)
Qualitative Health Research     Hybrid Journal   (Followers: 33)
Reabilitacijos Mokslai : Slauga, Kineziterapija, Ergoterapija     Open Access   (Followers: 2)
Research in Social Stratification and Mobility     Hybrid Journal   (Followers: 13)
Revista Brasileira de Saúde Ocupacional     Open Access  
Revista Herediana de Rehabilitacion     Open Access   (Followers: 2)
Revista Inspirar     Open Access  
Revue Francophone de Recherche en Ergothérapie RFRE     Open Access   (Followers: 2)
Safety and Health at Work     Open Access   (Followers: 75)
Scandinavian Journal of Occupational Therapy     Hybrid Journal   (Followers: 80)
Sociology of Health & Illness     Hybrid Journal   (Followers: 29)
System Safety : Human - Technical Facility - Environment     Open Access   (Followers: 3)
The Journal of Rural Health     Hybrid Journal   (Followers: 7)
Work, Employment & Society     Hybrid Journal   (Followers: 53)
Workplace Health and Safety     Full-text available via subscription   (Followers: 8)
Zentralblatt für Arbeitsmedizin, Arbeitsschutz und Ergonomie. Mit Beiträgen aus Umweltmedizin und Sozialmedizin     Full-text available via subscription   (Followers: 1)

           

Similar Journals
Journal Cover
Journal of Immigrant and Minority Health
Journal Prestige (SJR): 0.735
Citation Impact (citeScore): 1
Number of Followers: 8  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1557-1920 - ISSN (Online) 1557-1912
Published by Springer-Verlag Homepage  [2467 journals]
  • Correction: Does the Integration of Migrants in the Host Society Raise
           COVID-19 Vaccine Acceptance' Evidence From a Nationwide Survey in
           Japan

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      PubDate: 2023-04-01
       
  • Correction: Dairy is Different: Latino Dairy Worker Stress in Vermont

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      PubDate: 2023-04-01
       
  • Attitudes and Experiences Surrounding Female Genital Mutilation/Cutting in
           the United States: A Scoping Review

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      Abstract: Abstract To identify research and gaps in literature about FGM/C–related attitudes and experiences among individuals from FGM/C–practicing countries living in the United States, we conducted a scoping review guided by Arksey and O’Malley’s framework. We searched Medline (OVID), Embase (OVID), PubMed, and SCOPUS and conducted a grey literature search for studies assessing attitudes or experiences related to FGM/C with data collected directly from individuals from FGM/C-practicing countries living in the United States. The search yielded 417 studies, and 40 met the inclusion criteria. Findings suggest that women and men from FGM/C-practicing countries living in the United States generally oppose FGM/C, and that women with FGM/C have significant physical and mental health needs and have found US healthcare providers to lack understanding of FGM/C. Future research can improve measurement of FGM/C by taking into account the sociocultural influences on FGM/C–related attitudes and experiences.
      PubDate: 2023-04-01
       
  • Determining Regional Differences in Barriers to Accessing Health Care
           Among Farmworkers Using the National Agricultural Workers Survey

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      Abstract: Abstract Farmworkers are an essential workforce in the U.S. We assessed the regions in the National Agricultural Workers Survey on the difficulty of accessing health care among farmworkers in the U.S. The study included 9577 farmworkers. Farmworkers in all regions were more likely to report having difficulty accessing health care because it was too expensive. The overall odds ratio for difficulty accessing health care was lower in the MW after adjusting. Farmworkers employed in the SE had greater difficulty accessing health care because of language barriers. Farmworkers employed in CA had difficulty accessing health care in the U.S. because it was too expensive or far away. Results follow previous studies on barriers to access health care among the farmworker population. Understanding regional disparities in the presence of barriers to accessing health care among farmworkers is an essential step to improving equitable health care access in the U.S.
      PubDate: 2023-04-01
       
  • Ethnic, Nativity and Country of Origin Inequities in Preterm Birth Among
           Hispanic and Non-Hispanic Whites in New York City: What’s Stress Got to
           Do With It'

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      Abstract: Abstract Hispanic populations experience good birth outcomes despite their socioeconomic disadvantage, a phenomenon referred to as the Hispanic paradox. This health advantage, however, deteriorates over time and understanding of this pattern is limited. Using data from the 2009–2013 New York City (NYC) PRAMS survey linked with birth certificate data, we tested whether stressful life events (SLEs) partially accounted for differences in preterm birth (PTB) between birthing parents across ethnicity, nativity and country of foreign birth (CFB). Experiencing 3+ SLEs in the prenatal period was associated with increased odds of PTB (OR = 1.49, 95% CI 1.13, 1.97). However, stressors were not associated with greater risk of PTB among US-born Hispanic participants, or differences across CFB. SLEs are associated with increased odds of PTB after a threshold of 3+, but do not explain greater PTB among US-born, or some Hispanic subgroups, despite differences in SLEs across ethnicity and CFB among Hispanic birthing parents.
      PubDate: 2023-04-01
       
  • Mental Health First Aid Training with the Nepalese Community in Australia:
           An Evaluation of Effects on Knowledge, Confidence, Intentions, Willingness
           to have Contact and Stigmatizing Attitudes

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      Abstract: Abstract The aim of this study was to evaluate the effectiveness of Mental Health First Aid (MHFA) training amongst the Nepalese community in Australia by exploring the impact on knowledge about mental health first aid, confidence and intentions to help, willingness to have contact and stigmatizing attitudes towards people with mental illness. We hypothesized that since MHFA has been extensively evaluated with other communities and has been found to be effective, it would therefore be effective with this community as well. MHFA training was conducted by an accredited Nepalese-Australian MHFA Instructor with 162 participants from the Nepalese community in four states of Australia. Participants completed an evaluation questionnaire prior to the training (pre-test) and at the end of the training (post-test). The evaluation questionnaire assessed participants' knowledge about what was taught in the course, ability to recognize depression as described in a vignette, confidence in providing help, intentions to provide help, and willingness to have contact and stigmatizing attitudes towards people with mental illness. There were large improvements from pre-test to post-test in knowledge, confidence and intentions to help, medium improvements in willingness to have contact, small-to-medium improvements in stigmatizing attitudes and small improvements in recognition of depression. Participants gave high ratings of the course and the instructor. MHFA training produced improvements in knowledge, confidence, intentions, willingness to have contact and stigmatizing attitudes. The training was also well received. Further research is needed to assess persistence of these effects following the course and any changes in mental health first aid provided to the community.
      PubDate: 2023-04-01
       
  • Depression Among Immigrant Nigerians in Canada

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      Abstract: Abstract Immigrant status, especially a few years post arrival, is a major risk factor for depression in populations that have been adequately studied. While information on depression among Asian migrants, including those from India, China and Philippines, in Canada have been reported in previous studies, there is inadequate information about depression among Nigerian immigrants who make up the largest percentage of African migrants and black population residing in Canada. A cross-sectional study was conducted among 187 Nigerian immigrants in Canada. Participants completed the Patient Health Questionnaire (PHQ-9). Descriptive and multivariate logistic regression analyses were carried out using IBM SPPS. About half (51.7%, n = 91) of the participants screened positive to the PHQ-9. Being female, unmarried, not being at all satisfied with the decision to migrate, and having stayed for more than 10 years in Canada significantly increased the risk of screening positive to depression. More than half of the participants screened positive for depression, suggesting an important mental health concern and the potential need for intervention. This population differed from other immigrant populations from previous studies because the absence of social support, satisfaction with employment status, and perceived discrimination did not significantly predict a positive screen for depression in this study.
      PubDate: 2023-04-01
       
  • The Presence and Profile of Neurological Conditions and Associated
           Psychiatric Comorbidities in U.S. Resettled Refugees: A Retrospective
           Single Center Study

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      Abstract: Abstract Refugees are a vulnerable, growing population who confront a myriad of traumas leading to their forced migration. Although psychiatric illnesses of resettled refugees are well-documented, there is a paucity of studies characterizing their neurological disease profiles. This study aimed to characterize the frequency and range of neurological disorders in a sample of resettled refugees receiving care at a community health center in Massachusetts, U.S.A. We performed a retrospective medical record review of adult (≥ 18 years) resettled refugees between May 2001 and December 2012 at a community health center in Northeast Massachusetts. Sociodemographic and clinical characteristics pertaining to neuropsychiatric health were collected from medical records using a standardized data extraction tool. Group comparisons between those with and without neurological illness and associated sociodemographic and psychiatric characteristics were evaluated using χ2 and independent samples two-tailed t-tests. In our sample (n = 779), 53.3% (n = 415) were male and 48.8% (n = 380) were from the African continent. The mean age was 33.2 ± 12.4 years (range 18–85). 36.8% were diagnosed with at least one neurological disorder and 18.1% with more than one neurological illness. The most common diagnoses were headaches (28.3%), sleep disorders (11.2%), cognitive impairment/ dementia (5.5%), and head trauma (5.5%). Exploratory analyses revealed that participants with neurological illness were more likely to be older (p < .001), female (p = .002), and diagnosed with co-morbid psychiatric diagnoses (p < .001) than those without neurological illness. Neurological disorders frequently co-occur with psychiatric comorbidities among U.S. resettled adult refugees. Standard refugee health assessments should incorporate screening and treatment for neurological illnesses.
      PubDate: 2023-04-01
       
  • Promoting Physical Activity Among Immigrant Asian Americans: Results from
           Four Community Health Worker Studies

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      Abstract: Abstract Racial/ethnic minorities have demonstrated lower rates of physical activity (PA) than non-Hispanic Whites. This study examined outcomes in PA measures after participation in a community health worker (CHW) intervention. We performed a secondary data analysis from four randomized controlled trials utilizing CHWs (n = 842) in New York City (Bangladeshi—diabetes management, Filipino—hypertension management, and Korean and Asian Indian—diabetes prevention). Outcomes included total weekly PA, PA self-efficacy, PA barriers, and PA social interaction. Each measure was examined at baseline and study endpoint. Generalized estimating equation models were fitted to assess the repeated measures over time, while accounting for study group and socio-demographic factors. Moderate PA, recommended PA, and self-efficacy increased significantly among treatment group participants. PA social interaction increased significantly among Filipinos and Asian Indians. In adjusted regression analysis, time x group interaction was significant for all PA outcomes except for PA barriers. Culturally-adapted lifestyle interventions may potentially improve PA-related outcomes in Asian immigrant communities. Trial registration at ClinicalTrials.gov includes: NCT03530579 (RICE Project), NCT02041598 (DREAM Project), and NCT03100812 (AsPIRE).
      PubDate: 2023-04-01
       
  • The Experience of Informal Newcomer Cancer Caregivers with Limited
           Language Proficiency: A Scoping Review

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      Abstract: This scoping review explored what is known about the experiences of informal cancer caregivers (CGs) who are newcomers with limited language proficiency. A literature search was performed in seven databases and the search yielded 11,289 articles. After duplicate removal and title and abstract screening, 216 articles underwent full text review and 57 articles and were synthesized. Most studies (n = 41, 72%) were qualitative and were published in North America (n = 35, 61%). Most CG participants were female (69%) and only 19 studies explicitly identified the CG country of origin. Of those that did, 26% originated from Asia, with most migrating from East Asia. Significant challenges were experienced by newcomer CGs and chief among these were related to communication challenges with HCPs that were exacerbated by a lack of availability of medical interpreters and the complexity of oncology health information. Efforts are needed to better integrate newcomer CGs into cancer care.
      PubDate: 2023-04-01
       
  • Does the Integration of Migrants in the Host Society Raise COVID-19
           Vaccine Acceptance' Evidence From a Nationwide Survey in Japan

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      Abstract: Abstract Research indicates that integration contributes to maintaining health among migrants, yet little is known about the association between integration and vaccination acceptance. This study aimed to explore COVID-19 vaccine intention and acceptance, and the association between integration and vaccine hesitancy among migrants in Japan. We conducted an internet survey among migrants in Japan from October 5 to October 14, 2021. Among 1,455 participants, 11.6% reported hesitancy toward COVID-19 vaccination. We found that the overall integration and social integration were associated with the vaccination intention. Some commonly identified barriers (e.g., financial difficulties, language) were not related to COVID-19 vaccination acceptance among migrants in Japan. Highly integrated migrants were less likely to report vaccine hesitancy against COVID-19. To promote COVID-19 acceptance among migrants, customized intervention policies should focus on the migrants with a lower level of integration, especially those with little social connection with the locals.
      PubDate: 2023-04-01
       
  • The Predictive Utility of Trauma Subtypes in the Assessment of Mental
           Health Outcomes for Persons Resettled as Refugees

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      Abstract: Abstract Pre-migration trauma, a psychological risk factor for refugees, is often measured using cumulative indices. However, recent research suggests that trauma subtypes, rather than cumulative trauma, may better predict psychological outcomes. This study investigated the predictive utility of trauma subtypes in the assessment of refugee mental health. Multiple regression was used to determine whether cumulative trauma or trauma subtypes explained more variance in depression, anxiety, and post-traumatic stress disorder (PTSD) symptom scores in 70 Syrian and Iraqi refugees. Subtype models performed better than cumulative trauma models for PTSD (cumulative R2 = 0.138; subtype R2 = 0.32), anxiety (cumulative R2 = 0.061; subtype R2 = 0.246), and depression (cumulative R2 = 0.041; subtype R2 = 0.184). Victimization was the only subtype significantly associated with PTSD (p < 0.001; r2 = 0.210), anxiety (p < 0.001; r2 = 0.162), and depression (p = 0.002; r2 = 0.140). Cumulative trauma was predictive of PTSD symptoms only (p = 0.003; r2 = 0.125). Trauma subtypes were more informative than cumulative trauma, indicating their utility for improving predictive efforts in research and clinical contexts.
      PubDate: 2023-04-01
       
  • Racial/Ethnic Differences in the Association Between Food Security and
           Depressive Symptoms Among Adult Foreign-Born Immigrants in the US: A
           Cross-Sectional Study

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      Abstract: Abstract Foreign-born immigrants are at greater risks of both food insecurity and depressive symptoms, while the association between the two has yet to be elucidated. Our sample includes 6,857 adults aged 20 years and older from the National Health and Nutrition Examination Survey (NHANES) from 2005 to 2016. Multivariable logistic regression was used to examine whether the association between food security and depressive symptoms varies across race/ethnicity among US foreign-born immigrants. The prevalence of depressive symptoms was 9.6% and 15.7% for low food security (LFS) and very low food security (VLFS). The adjust odds ratios (aORs) of depressive symptoms among Mexican American and Other Hispanic immigrants with VLFS were 2.66 (95% Confidence interval [CI]: 1.61, 4.38) and 2.05 (95% CI: 1.08, 3.86) as compared to those with full food security (FFS). Race/ethnicity may modify the association between food security and depressive symptoms among US foreign-born immigrants and a dose-response relationship was indicated among Hispanic and Other Race immigrants.
      PubDate: 2023-04-01
       
  • The Mental Health of Adult Irregular Migrants to Europe: A Systematic
           Review

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      Abstract: Abstract The aim of this systematic review is to summarise the existing evidence on the mental health outcomes of adult irregular immigrants (IMs) to Europe. Database (MEDLINE, EMBASE, CINAHL, PsychINFO) searches were conducted according to PRISMA. The risk of bias was assessed using the Appraisal tool for Cross-Sectional Studies. The database searches yielded 2982 results. Eight cross-sectional studies from Western Europe were included, with 1201 participants. The prevalence of mental disorders varied between studies: depression from 8 to 86%; anxiety from 3.1 to 81%; and post-traumatic stress disorder (PTSD) from 3.4 to 57.6%. The studies had methodological flaws; in particular a risk of unrepresentative samples. There was methodological heterogeneity, therefore pooling of data, and direct comparisons were not possible. The majority of studies found higher rates of depression, anxiety and PTSD than previous estimates for the general population, and higher rates of depression and anxiety than previous estimates for other migrant groups.
      PubDate: 2023-04-01
       
  • Viral Hepatitis Among African Immigrants with Hepatocellular Carcinoma in
           Minnesota: High Prevalence Yet Low Awareness

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      Abstract: Abstract We aimed to study the virologic profile of immigrants from Africa with viral hepatitis-related hepatocellular carcinoma (HCC) who received care at our institution. We conducted a descriptive study among African-born patients with HCC who received care at University of Minnesota Medical Center from 2011 to 2018. We analyzed the prevalence, virologic profiles and treatment of hepatitis B virus (HBV) and hepatitis C virus (HCV) infections prior to HCC diagnosis. 74 African-born patients with HCC were eligible for analysis. 54 had HCV and 20 had HBV infection. 80% of HBV patients were treated but remained with inadequate viral suppression at the time of HCC diagnosis while only 39% of HCV patients were treated prior to HCC diagnosis. Lost to follow up was common in both groups. Our findings suggest that there is a significant gap in appropriate viral hepatitis care in an African immigrant population in Minnesota. Culturally-appropriate strategies are needed to bridge this gap.
      PubDate: 2023-04-01
       
  • Video Consent for Upper Endoscopy and Colonoscopy Improves Patient
           Comprehension in a Safety-net, Multi-lingual Population

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      Abstract: Abstract The challenges of consenting for procedures are well documented and are compounded when patients have limited English proficiency (LEP). Standardized video consent has been studied, but research in gastroenterology is limited. We created educational videos in English and Spanish covering the elements of traditional consent for colonoscopy and upper endoscopy. All participants underwent traditional verbal consent and a subset viewed the language and procedure specific video. Participants from a multilingual, safety-net hospital patient population were then given a questionnaire to assess their comprehension and satisfaction. Participants who watched the video had higher comprehension scores than those who received traditional verbal consent alone. This difference persisted when data was stratified by language and procedure, and when controlled for educational level and prior procedure. Video consent improves comprehension and satisfaction for endoscopy and may mitigate some of the challenges encountered when consenting patients with LEP.
      PubDate: 2023-04-01
       
  • Online Grocery Shopping Behaviors and Attitudes Among Asian Americans

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      Abstract: Abstract How online grocery shopping behaviors differ among Asian American (AA) ethnic subgroups and acculturation level is unknown. From June 9–15, 2020, we administered an online survey to a nationally-derived nonprobability sample of 2,895 AA adults, including 1,737 East, 570 South, and 587 Southeast Asian adults, assessing online grocery shopping (yes/no, frequency, reasons). We used logistic regression to compare responses by subgroup and acculturation score, controlling for sociodemographics. Thirty-percent of participants reported shopping online for groceries in a typical month, with a higher percentage among South (45%) versus East Asian adults (23%). Participants with low (vs. high) acculturation scores were more likely to report a lack of special foods (OR = 0.7; 95% CI: 0.5–0.98) and poor food quality (OR = 0.6; 95% CI: 0.4–0.7) as preventing them from shopping online. Online grocery shopping has the capacity to address inequities in health, potentially via culturally-tailored programs designed for less-acculturated AA adults.
      PubDate: 2023-04-01
       
  • Community-Based Approach to Assess Obstructive Respiratory Diseases and
           Risk in Urban African American Churches

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      Abstract: Abstract Asthma, and chronic obstructive pulmonary disease (COPD) are significant health problems that have disparate effects on many Americans. Misdiagnosis and underdiagnosis are common and lead to ineffective treatment and management. This study assessed the feasibility of applying a two-step case-finding technique to identify both COPD and adult asthma cases in urban African American churches. We established a community-based partnership, administered a cross-sectional survey in step one of the case-finding technique and performed spirometry testing in step two. A total of 219 surveys were completed. Provider-diagnosed asthma and COPD were reported in 26% (50/193) and 9.6% (18/187) of the sample. Probable asthma (13.9%), probable COPD (23.1%), and COPD high-risk groups (31.9%) were reported. It is feasible to establish active case-finding within the African American church community using a two-step approach to successfully identify adult asthma and COPD probable cases for early detection and treatment to reduce disparate respiratory health outcomes.
      PubDate: 2023-04-01
       
  • Geographic Disparities in Availability of Spanish-Language PrEP Services
           Among Latino Sexual Minority Men in South Florida

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      Abstract: Abstract Latino sexual minority men (LSMM) experience barriers in accessing HIV pre-exposure prophylaxis (PrEP), such as lack of proximate culturally-appropriate PrEP navigation services. We examined associations between LSMM’s immigration status and Spanish-language PrEP service availability. LSMM clinically indicated for PrEP were recruited from October 2018 to August 2019 in South Florida and completed an interviewer-administered questionnaire. PrEP service navigators in South Florida were identified using the CDC PrEP Directory. We constructed network service areas of 1-, 2-, and 5-miles from Spanish-speaking PrEP navigators. We used multilevel logistic regression to examine associations of individual (i.e., age, income, immigration status, network density) and zip code-level (i.e., population density, poverty, HIV risk) measures with availability of Spanish-language PrEP navigation services. A total of 131 participants clustered into 60 zip codes in South Florida. Latin American-born LSMM reported higher immigration and discrimination stress, and were 91% less likely to have PrEP navigation service availability, relative to LSMM born in the US. Zip code-level HIV incidence was associated with higher service availability within a 1-mile network of Spanish-speaking PrEP navigators. Spanish-language PrEP navigation services were available in high-HIV incidence zip codes; however, Latin American-born LSMM experienced reduced availability. Immigration and discrimination stress may explain lack of availability.
      PubDate: 2023-04-01
       
  • Health Care Access and Health Indicators in Puerto Rico Pre- and Post-
           

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      Abstract: Abstract Hurricane Maria is regarded as one of the worst natural disasters in United States history as it devasted Puerto Rico (PR) in September 2017. This study compared population-based key health indicators among PR residents pre-and post-Hurricane Maria. We examined Behavioral Risk Factor Surveillance System (BRFSS) PR data from five survey years, including pre-and post-Hurricane Maria: 2015 (N = 4556), 2016 (N = 5765), 2017 (N = 4462), 2018 (N = 4814), and 2019 (N = 4958). The sample consisted of non-institutionalized adults aged ≥ 18 years with access to a landline or a cellular telephone. Using logistic regression we compared health care utilization, health behaviors, and outcomes pre-and post-Hurricane Maria. Models adjusted for age, sex, race, education, employment, income, and marital status (2017 = referent). Compared to 2017, post-hurricane participants were more likely to have a college degree or higher, be currently employed, and not married/partnered. Post-hurricane, participants were less likely to have health insurance coverage (2018 AOR, 95% CI: 0.75, 0.58–0.97) and had lower rates of diabetes (2018 AOR: 0.82, 0.70–0.96). The odds of being overweight/obese were lower pre-hurricane compared to 2017 (2015 AOR, 95% CI: 0.88, 0.79–0.97). There was no statistically significant difference in health behaviors across survey years. Results may suggest that PR residents with lower socioeconomic status and/or chronic illness were more likely to emigrate, resulting in a compositional change in the population post-hurricane. This analysis highlights the need for long-term follow-up of PR residents to better determine the impact of Hurricane Maria, and adequately design public health programs to address healthcare needs, access, and outcomes.
      PubDate: 2023-04-01
       
 
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