Project MUSE®: Journal of Health Care for the Poor and Underserved - Latest Articles
https://muse.jhu.edu/journal/278
Project MUSE®: Latest articles in Journal of Health Care for the Poor and Underserved.daily12024-03-28T00:00:00-05:00text/htmlen-USVol. 1 (1990) through current issueLatest Articles: Journal of Health Care for the Poor and UnderservedTWOProject MUSE®Journal of Health Care for the Poor and Underserved1548-68691049-2089Latest articles in Journal of Health Care for the Poor and Underserved. Feed provided by Project MUSE®35th Anniversary and Black History Month
https://muse.jhu.edu/article/919800
<p></p>
The February 2024 issue of the Journal of Health Care for the Poor and Underserved marks the Journal's 35th anniversary as well as Black History Month. Dr. David Satcher, then President of Meharry Medical College, started the Journal in 1989 as the proceedings of a national conference held on October 2–3, 1989 at Meharry on "health care for the poor and underserved" (JHCPU 1.1 Fall 1990). The 1989 conference was the first in a series of conferences on health care for the poor and underserved at Meharry, and each one was recorded in a Journal issue devoted to the proceedings (the final proceedings issue was published in 1997). The conferences and the Journal, which was quarterly from its first year in 1990–91, began
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmall35th Anniversary and Black History Month2024-02-22text/htmlen-US35th Anniversary and Black History Month2024-02-222024TWOProject MUSE®75942024-03-28T00:00:00-05:002024-02-22The Diaspora Human Genomics Institute Launches the Together for Change Initiative: A Transformative, Historic Partnership to Ensure Health Equity in a Time of Unprecedented Technological Advancements
https://muse.jhu.edu/article/919801
<p></p>
The COVID-19 pandemic that resulted in more than six million deaths worldwide and more than a million deaths in the United States revealed the wide chasms between the health status of different human populations. Historically marginalized Black communities suffered and died to a much greater extent than the White population. As health care systems and schools converted to virtual modes of providing health care and teaching, respectively, underprivileged communities were disadvantaged by limited access to digital devices and the internet. This pointed to a "sixth degree of separation" (technology) between underprivileged marginalized communities and the non-Hispanic White population, in addition to the five
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallThe Diaspora Human Genomics Institute Launches the Together for Change Initiative: A Transformative, Historic Partnership to Ensure Health Equity in a Time of Unprecedented Technological Advancements2024-02-22text/htmlen-USThe Diaspora Human Genomics Institute Launches the Together for Change Initiative: A Transformative, Historic Partnership to Ensure Health Equity in a Time of Unprecedented Technological Advancements2024-02-222024TWOProject MUSE®270302024-03-28T00:00:00-05:002024-02-22Minority Health: Past, Present, and Future
https://muse.jhu.edu/article/919802
<p></p>
[T]here was a continuing disparity in the burden of death and illness experienced by African Americans and other minority Americans as compared with our nation as a whole. That disparity has existed ever since accurate Federal recordkeeping began more than a generation ago, and although our health charts do itemize steady gains in the health of minority Americans, the stubborn disparity remained … an affront to both our ideals and to the ongoing genius of American medicine.1[n.p.]Margret Heckler, Former Secretary U.S. Department of Health and Human ServicesThe quotation by then-Secretary of the U.S. Department of Health and Human Services, Margret Heckler, highlights the continual challenges that plague the health
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallMinority Health: Past, Present, and Future2024-02-22text/htmlen-USMinority Health: Past, Present, and Future2024-02-222024TWOProject MUSE®1048302024-03-28T00:00:00-05:002024-02-22HIV Viral Suppression Among Psychiatric Inpatients with Schizophrenia in San Francisco: A Retrospective Cohort Study
https://muse.jhu.edu/article/919803
<p></p>
HIV prevalence among people with schizophrenia is up to 10 times higher than that of the general population;1 this population faces multiple barriers to engagement and retention across the HIV care cascade.2 Despite this high risk, a systematic review found that HIV research for people with comorbid severe mental illness (SMI, e.g., schizophrenia, schizoaffective disorder, bipolar disorder) has received relatively little attention.3 Among the 20 studies reviewed, investigators found higher mortality rates for people living with HIV and comorbid SMI compared to those with either illness alone. The authors found little evidence that comorbid SMI was associated with lower levels of care; however, the heterogeneity in
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallHIV Viral Suppression Among Psychiatric Inpatients with Schizophrenia in San Francisco: A Retrospective Cohort Study2024-02-22text/htmlen-USHIV Viral Suppression Among Psychiatric Inpatients with Schizophrenia in San Francisco: A Retrospective Cohort Study2024-02-222024TWOProject MUSE®366752024-03-28T00:00:00-05:002024-02-22Advocating for Policy Change: Examples Emerging From a Medical-Legal Partnership in Primary Care
https://muse.jhu.edu/article/919804
<p></p>
Medical-legal partnerships (MLP) are a form of integrated care that bring legal services directly into clinical settings.1 Health professionals, lawyers, and other legal professionals work together to identify and address the legal concerns of patients.2 Addressing legal concerns can be a key way to address the social determinants of health of individuals and communities.3,4 For example, by helping patients deal with a threat of eviction or a challenging immigration hearing, obtain access to health insurance for necessary medications, or win wages that were unpaid by an employer, a legal team provides assistance that results in improved income, housing, work conditions, and food security, resulting in improved
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallAdvocating for Policy Change: Examples Emerging From a Medical-Legal Partnership in Primary Care2024-02-22text/htmlen-USAdvocating for Policy Change: Examples Emerging From a Medical-Legal Partnership in Primary Care2024-02-222024TWOProject MUSE®440492024-03-28T00:00:00-05:002024-02-22Social Isolation, Self-Rated Health, and Self-Rated Oral Health among African Americans
https://muse.jhu.edu/article/919805
<p></p>
Social isolation is a known risk to health and well-being and is associated with mortality and a multitude of negative physical and mental health outcomes.1 Social isolation is often operationalized as having two components: objective isolation and subjective isolation.2–4 Objective isolation is defined as an individual's absence of tangible relationships. Subjective isolation is defined as a lack of perceived closeness with members of one's social network. Previous studies further differentiated both objective and subjective isolation by examining these constructs from certain groups within an individual's social network, including family members and friends.2–4There are notable gaps in the research literature on
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallSocial Isolation, Self-Rated Health, and Self-Rated Oral Health among African Americans2024-02-22text/htmlen-USSocial Isolation, Self-Rated Health, and Self-Rated Oral Health among African Americans2024-02-222024TWOProject MUSE®1229992024-03-28T00:00:00-05:002024-02-22The Impact of the COVID-19 Pandemic on Food Access: Insights from First-Person Accounts in a Safety-Net Health Care System
https://muse.jhu.edu/article/919806
<p></p>
The COVID-19 pandemic disproportionately affected populations that were already facing socioeconomic disadvantages (e.g., food insecurity, unstable and crowded housing, and low wages) and limited access to health care services.1,2,3 When state and local governments enacted community mitigation strategies such as shelter-in-place orders, low-wage workers employed by essential businesses remained in contact with the general public, exposing themselves and members of their communities to the risk of infection.4 Strict COVID-19-related shelter-in-place measures also affected the livelihood of millions of members of minoritized groups overrepresented in non-essential jobs in the retail, leisure, and hospitality
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallThe Impact of the COVID-19 Pandemic on Food Access: Insights from First-Person Accounts in a Safety-Net Health Care System2024-02-22text/htmlen-USThe Impact of the COVID-19 Pandemic on Food Access: Insights from First-Person Accounts in a Safety-Net Health Care System2024-02-222024TWOProject MUSE®918892024-03-28T00:00:00-05:002024-02-22Obesity Medicine Intervention at an Academic Medical Center in a Resource-Limited Population Shows Promise
https://muse.jhu.edu/article/919807
<p></p>
Projections of obesity trends predict that the U.S. national prevalence of adult obesity and severe obesity will rise to 48.9% by 2030.1 Obesity is associated with numerous adiposity-related chronic diseases including type 2 diabetes, heart and vascular disease, non-alcoholic fatty liver disease, cancer, and infection.2 A pooled analysis of over 120,000 adults showed that compared with individuals with healthy weight, the risk of developing cardiometabolic multimorbidity is almost five times higher in class I obesity (BMI 30–35) and almost 15 times higher for individuals with classes II (BMI 35–40) and III (BMI >40) obesity compared with individuals with BMI 20–25.2 According to the NHANES 2017–2020 statistics
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallObesity Medicine Intervention at an Academic Medical Center in a Resource-Limited Population Shows Promise2024-02-22text/htmlen-USObesity Medicine Intervention at an Academic Medical Center in a Resource-Limited Population Shows Promise2024-02-222024TWOProject MUSE®510852024-03-28T00:00:00-05:002024-02-22"It Can Be Confusing": Family Perspectives on Food Insecurity Screening in Urban Pediatric Primary Care Clinics
https://muse.jhu.edu/article/919808
<p></p>
Food insecurity (FI) affected 12.5% of families with children in the United States in 2021.1 Occurring when a family's "access to food is limited by a lack of money and other resources,"1 FI has been associated with adverse health across the lifespan.
Box 1
THE HUNGER VITAL SIGNTM FOOD INSECURITY SCREENING BY HAGER ET AL., FREELY AVAILABLE [10]
1)Within the past 12 months, we worried whether our food would run out before we got money to buy more.
Often true
Sometimes true
Never true
2)Within the past 12 months, the food we bought just didn't last and we didn't have money to get more.
Often true
Sometimes true
Never true
A screening is positive for food insecurity if the respondent selects often
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmall"It Can Be Confusing": Family Perspectives on Food Insecurity Screening in Urban Pediatric Primary Care Clinics2024-02-22text/htmlen-US"It Can Be Confusing": Family Perspectives on Food Insecurity Screening in Urban Pediatric Primary Care Clinics2024-02-222024TWOProject MUSE®760182024-03-28T00:00:00-05:002024-02-22Factors Associated with Early and Periodic Screening, Diagnostic, and Treatment Services in a Medicaid Managed Care Pediatric Population
https://muse.jhu.edu/article/919809
<p></p>
The Early and Periodic Screening and Diagnostic Treatment (EPSDT) benefit was enacted more than 50 years ago as part of the 1967 Social Security Amendments that restructured Medicaid to include a child health program promoting an array of early disease diagnosis, prevention, and treatment services for infants, children, and adolescents under 21 years. The amendments were the result of two landmark studies.1,2 The first study was of early Head Start programs, which showed low-income preschool children exhibiting early signs of physical and mental health conditions that may have lifelong consequences if left unaddressed.1,3 The second study led by the U.S. Department of Health, Education and Welfare indicated that
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallFactors Associated with Early and Periodic Screening, Diagnostic, and Treatment Services in a Medicaid Managed Care Pediatric Population2024-02-22text/htmlen-USFactors Associated with Early and Periodic Screening, Diagnostic, and Treatment Services in a Medicaid Managed Care Pediatric Population2024-02-222024TWOProject MUSE®928122024-03-28T00:00:00-05:002024-02-22Experiences of Stigma and Discrimination Compounded by Intersecting Identities among Individuals Receiving Medication for Opioid Use Disorder
https://muse.jhu.edu/article/919810
<p></p>
Opioid use disorder (OUD) is a chronic and relapsing condition that involves the nonmedical use of prescribed opioid medications or the use of illicitly obtained semi-synthetic and synthetic opioids (e.g., heroin, fentanyl).1,2 Opioid use disorder affects over 2.7 million individuals in the United States.3,4 In 2021 alone, overdose deaths involving any opioid were estimated at 80,411.3,4 Although children and adolescents are experiencing an increase in opioid-related emergencies [related to opioid misuse and poisonings],5 OUD disproportionately affects adults aged 18 years or older. With the opioid epidemic worsening from year to year due to increased drug availability in communities and rising death trends, there
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallExperiences of Stigma and Discrimination Compounded by Intersecting Identities among Individuals Receiving Medication for Opioid Use Disorder2024-02-22text/htmlen-USExperiences of Stigma and Discrimination Compounded by Intersecting Identities among Individuals Receiving Medication for Opioid Use Disorder2024-02-222024TWOProject MUSE®1215302024-03-28T00:00:00-05:002024-02-22Using Linkage-enhancement Strategies to Bridge Treatment Gap among Inmates and Former Inmates in Correctional Settings with Inadequate Mental Health Care
https://muse.jhu.edu/article/919811
<p></p>
The magnitude of unmet mental health needs among prison populations in low- and middle-income countries (LMIC) constitutes a major public health issue.1–4 While as much as 70% of the world's prison population—estimated to be over 11 million people—is based in LMIC,5 mental health services are disproportionately inadequate;4,6,7 furthermore, the mental health treatment gap is generally wide in LMIC, approaching 90% in some least-resourced countries.6–8 The increasing mismatch between mental health needs and scalable mental health services in LMIC has resulted in a widened treatment gap in correctional settings.1–3,8A wide treatment gap in prison populations is a matter for concern because untreated psychiatric
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallUsing Linkage-enhancement Strategies to Bridge Treatment Gap among Inmates and Former Inmates in Correctional Settings with Inadequate Mental Health Care2024-02-22text/htmlen-USUsing Linkage-enhancement Strategies to Bridge Treatment Gap among Inmates and Former Inmates in Correctional Settings with Inadequate Mental Health Care2024-02-222024TWOProject MUSE®947482024-03-28T00:00:00-05:002024-02-22Prison Health Care Issues in Kansas and Ohio: The Perspective of Incarcerated Women
https://muse.jhu.edu/article/919812
<p></p>
According to the Sentencing Project (2022), the number of incarcerated women rose by more than 525% over 41 years from a total of 26,326 in 1980 to 168,449 in 2021.1 Even though the number of incarcerated women dramatically escalated between 1980–2021, there is insufficient attention paid to the unique health care service needs of women prisoners compared with men.2–7 This is surprising since female prisoners compared with male prisoners have higher prevalence rates of physical maladies such as sexually transmitted diseases, an increased need for mental health and substance misuse services, and the additional requirement of reproductive health care.7–10 Furthermore, Braithwaite4 pointed out that imprisoned women's
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallPrison Health Care Issues in Kansas and Ohio: The Perspective of Incarcerated Women2024-02-22text/htmlen-USPrison Health Care Issues in Kansas and Ohio: The Perspective of Incarcerated Women2024-02-222024TWOProject MUSE®1594242024-03-28T00:00:00-05:002024-02-22"You Need to Keep It Going, Mind, Body, and Spirit": Older Adults' Perspectives on Aging in Place in Subsidized Housing
https://muse.jhu.edu/article/919813
<p></p>
Aging in place is defined as the ability to live comfortably, safely, and independently in one's own home and community, rather than moving to a residential care setting such as a nursing home, and is a priority for many older persons.1–3 However, older persons with low incomes in the U.S. are at higher risk for nursing home admission compared to older adults in the general population, and thus experience disparities in their ability to age in place. These disparities are particularly pronounced in the large population of older people living in federally subsidized housing.4 Subsidized housing is defined as housing in which government programs reduce housing costs for persons with lower incomes.5 More than one
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmall"You Need to Keep It Going, Mind, Body, and Spirit": Older Adults' Perspectives on Aging in Place in Subsidized Housing2024-02-22text/htmlen-US"You Need to Keep It Going, Mind, Body, and Spirit": Older Adults' Perspectives on Aging in Place in Subsidized Housing2024-02-222024TWOProject MUSE®1657052024-03-28T00:00:00-05:002024-02-22Obesity-Preventive Behaviors and Improvements in Depression among Diverse Utah Women Receiving Coaching from Community Health Workers
https://muse.jhu.edu/article/919814
<p></p>
Depressive disorders are the 13th leading cause of disability worldwide and impose a 1.6 times greater disability burden among women than men.1,2 Overweight/obesity and depression are interrelated among women3–6 with relationships and shared risk factors that vary by race, ethnicity, age, income, and neighborhood factors.3,4–7 For example among Black and non-Hispanic White Americans, people who had a lower income, or were female, married, or young had an increased risk for obesity with depression.3 Furthermore, overweight/obese young women had increased risk for depressive mood, especially those who were Hispanic.4 To address these complex needs, community health workers (CHWS) and community organizations have
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallObesity-Preventive Behaviors and Improvements in Depression among Diverse Utah Women Receiving Coaching from Community Health Workers2024-02-22text/htmlen-USObesity-Preventive Behaviors and Improvements in Depression among Diverse Utah Women Receiving Coaching from Community Health Workers2024-02-222024TWOProject MUSE®1752852024-03-28T00:00:00-05:002024-02-22The Relationship Between Dental Provider Density and Receipt of Dental Care Among Medicaid-enrolled Adults
https://muse.jhu.edu/article/919815
<p></p>
Low-income adults are less likely to use dental care and more likely to have poor oral health than adults at higher income levels.1,2 Although there exists no federal mandate that requires states to provide Medicaid dental coverage for adults, 34 states have opted to offer dental benefits to low-income adults to increase access to dental care for this population.3 States offering comprehensive or extensive Medicaid dental coverage for adults observe greater dental care utilization, lower rates of untreated caries (dental decay), and fewer non-traumatic emergency department dental visits than other states.2,4,5 However, barriers to dental care remain, as even with coverage, Medicaid-enrolled adults visit the dentist
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallThe Relationship Between Dental Provider Density and Receipt of Dental Care Among Medicaid-enrolled Adults2024-02-22text/htmlen-USThe Relationship Between Dental Provider Density and Receipt of Dental Care Among Medicaid-enrolled Adults2024-02-222024TWOProject MUSE®1125672024-03-28T00:00:00-05:002024-02-22What Patients Want in a Transgender Center: Building a Patient-Centered Program
https://muse.jhu.edu/article/919816
<p></p>
Transgender individuals have a gender identity that differs from their sex assigned at birth. Many will seek gender-affirming medical or surgical interventions to align their physical appearance with their gender identity. Gender-affirming care is now considered to be the standard of care for gender dysphoria and is supported by all major medical associations, including the American Medical Association, the American Academy of Pediatrics, the American College of Physicians, and the American Psychiatric Association.1–4 Published clinical practice guidelines provide standards of care for the transgender population, and the most up-to-date clinical practice guidelines recommend access to gender-affirming medical and
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallWhat Patients Want in a Transgender Center: Building a Patient-Centered Program2024-02-22text/htmlen-USWhat Patients Want in a Transgender Center: Building a Patient-Centered Program2024-02-222024TWOProject MUSE®927702024-03-28T00:00:00-05:002024-02-22Trusted Communicators: The Role of Navigation Support in Improving Health and Health Care Access for American Indian Elders
https://muse.jhu.edu/article/919817
<p></p>
Navigating health care and health insurance systems in the United States (U.S.) is a complex endeavor. Understanding the technicalities of eligibility and coverage and the increasing necessity of engaging with digital technology to find, select, and use health care and insurance options can be especially challenging for older adults.1–3 Such challenges can be formidable for members of historically marginalized populations, such as American Indian (AI) Elders, whose interactions with health care and insurance systems may be affected by limited exposure to health care and insurance systems other than the Indian Health Service (IHS), and experiences of poor treatment and discrimination.4–7 These factors contribute to
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallTrusted Communicators: The Role of Navigation Support in Improving Health and Health Care Access for American Indian Elders2024-02-22text/htmlen-USTrusted Communicators: The Role of Navigation Support in Improving Health and Health Care Access for American Indian Elders2024-02-222024TWOProject MUSE®1070182024-03-28T00:00:00-05:002024-02-22"We're Trained to Survive.": Veterans' Experiences Seeking Food Assistance
https://muse.jhu.edu/article/919818
<p></p>
Food insecurity is a social determinant of health1 in which an individual is unable to access adequate, nutritious food for themselves or their household.2 It is a socioeconomic condition that affects up to 20% of U.S. veterans,3–5 compared with 10.2% of all U.S. households in 2021.6 Working-age veterans (i.e., 18–65 years) are more likely to experience very low food security, compared with working-age civilians who share similar sociodemographic characteristics.7,8 This difference is significant because very low food security is associated with reduced food intake or skipped meals, which could result in hunger.6 Veterans who are food-insecure are also more likely to experience mental health challenges such as
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmall"We're Trained to Survive.": Veterans' Experiences Seeking Food Assistance2024-02-22text/htmlen-US"We're Trained to Survive.": Veterans' Experiences Seeking Food Assistance2024-02-222024TWOProject MUSE®1427392024-03-28T00:00:00-05:002024-02-22Factors that Affect Patient Wait Times at a Free Clinic
https://muse.jhu.edu/article/919819
<p></p>
It is common for free clinics to have long wait times. The demand for services at free clinics can exceed a clinic's capacity.1 Free clinics and their wait times are understudied. However, some information on wait times is available as a general reference point. The most reported wait times are the lobby wait time, the time spent with the provider, and the total visit time. A few free clinics have reported an average total visit time between 82 to 100 minutes and median lobby wait times between 22 and 38 minutes.2–5 In non-free clinics (outpatient primary care), mean time spent with the provider was reported to be 15.7 minutes at an inner city solo practice, 13.4 minutes at a managed care group, 23.3 minutes at an
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallFactors that Affect Patient Wait Times at a Free Clinic2024-02-22text/htmlen-USFactors that Affect Patient Wait Times at a Free Clinic2024-02-222024TWOProject MUSE®597752024-03-28T00:00:00-05:002024-02-22Immigrant Mothers' Perspectives on Pediatric Primary Care: Challenges and Solutions to Improve Medical Home Use
https://muse.jhu.edu/article/919820
<p></p>
Children in immigrant families (CIF) are defined as children who are foreign born themselves or have at least one parent who is foreign born. Children in immigrant families often face significant barriers accessing and navigating health care systems, including poverty, fear, stigma, issues of mobility (frequent relocations and lack of transportation), limited English proficiency, lack of insurance, and misinformation or limited knowledge of how the U.S. health care system works.1 These disadvantages have disproportionately affected CIF compared with their non-CIF counterparts. Twenty-five percent of first-generation CIF and 22% of second-generation CIF live below the federal poverty level compared with 17% of
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallImmigrant Mothers' Perspectives on Pediatric Primary Care: Challenges and Solutions to Improve Medical Home Use2024-02-22text/htmlen-USImmigrant Mothers' Perspectives on Pediatric Primary Care: Challenges and Solutions to Improve Medical Home Use2024-02-222024TWOProject MUSE®833672024-03-28T00:00:00-05:002024-02-22Vaccine Attitudes and Uptake Among Latino Residents of a Former COVID-19 Hotspot
https://muse.jhu.edu/article/919821
<p></p>
Compared with their White non-Latino counterparts, Latinos have 1.5 times the rate of COVID-19 cases, 1.9 times the rate of hospitalizations, and 1.8 times the rate of deaths, according to November 2022 data.1 Early in the pandemic, 818 (26%) of the United States' 3,142 counties were classified as COVID-19 hotspots, defined by case rates of 212–234 cases per 100,000, which placed them in the nation's highest quartile.2 Prince William County (PWC) Virginia was in the top 1% in case rates.2In Prince William County, Latinos accounted for 55% of COVID-19 diagnoses despite constituting only 25% of its population.3 High COVID-19 rates among PWC Latinos were explained by difficulty following prevention guidelines due to:
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallVaccine Attitudes and Uptake Among Latino Residents of a Former COVID-19 Hotspot2024-02-22text/htmlen-USVaccine Attitudes and Uptake Among Latino Residents of a Former COVID-19 Hotspot2024-02-222024TWOProject MUSE®1340452024-03-28T00:00:00-05:002024-02-22Latinx Youth's Mental Health Needs and Socioeconomic Factors Associated with Service Utilization
https://muse.jhu.edu/article/919822
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Latinx youth, the fastest and largest growing group in the United States (U.S.), are experiencing pronounced mental health needs and disparities in access to care.1–3 By 2050, this group will make up 32% of the youth population in the U.S.4 Despite the pressing mental health needs and limited access to services among Latinx youth, this group has been widely understudied in school and community settings.5 In 2019, 40% of Latinx high schoolers reported feeling sad or hopeless almost every day for two or more weeks.6 Among Latinx youth who are immigrants, more than half (59%) reported a traumatic event in their country of origin, 30% during their migration experience, and 18% since their arrival in the U.S.7,8
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallLatinx Youth's Mental Health Needs and Socioeconomic Factors Associated with Service Utilization2024-02-22text/htmlen-USLatinx Youth's Mental Health Needs and Socioeconomic Factors Associated with Service Utilization2024-02-222024TWOProject MUSE®1173252024-03-28T00:00:00-05:002024-02-22A Review of Disparities in Outcomes of Hospitalized Patients with Limited English Proficiency: The Importance of Nursing Resources
https://muse.jhu.edu/article/919823
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Nearly 26 million individuals in the United States (U.S.) have limited English proficiency (LEP), defined as the ability to speak English "less than very well."1 In the U.S., individuals with LEP have a legal right to access health care in their preferred language. Title VI of the Civil Rights Act of 1964 prohibits discrimination based on race, color, or national origin and mandates the provision of interpreter services by agencies receiving federal financial assistance, which includes hospitals that receive Medicaid and Medicare reimbursement.2 Language barriers significantly affect communication between patients and health care staff and are associated with receipt of lower-quality care. Individuals with LEP
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallA Review of Disparities in Outcomes of Hospitalized Patients with Limited English Proficiency: The Importance of Nursing Resources2024-02-22text/htmlen-USA Review of Disparities in Outcomes of Hospitalized Patients with Limited English Proficiency: The Importance of Nursing Resources2024-02-222024TWOProject MUSE®1235712024-03-28T00:00:00-05:002024-02-22Why the Indian Health Care Improvement Act Has Failed to Effectively Fund Workforce Development for the Indian Health Service
https://muse.jhu.edu/article/919824
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Health systems in the United States face significant current and future shortages of health care professionals.1–4 Systems that operate in rural and remote settings are among the most challenged in recruiting a workforce capable of meeting the health needs of local communities, and merit national attention to policies aimed at capacity building.5–8 Among such health systems is the Indian Health Service (IHS), a United States federal agency formed in 1955. It is the primary system providing direct health care to members of 574 federally-recognized tribes and an estimated 2.6 million American Indian/Alaska Native (AI/AN) people.9In 2018, a report from the U.S. Government Accountability Office noted health care
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallWhy the Indian Health Care Improvement Act Has Failed to Effectively Fund Workforce Development for the Indian Health Service2024-02-22text/htmlen-USWhy the Indian Health Care Improvement Act Has Failed to Effectively Fund Workforce Development for the Indian Health Service2024-02-222024TWOProject MUSE®654052024-03-28T00:00:00-05:002024-02-22Implementing a Teaching Rural Mobile Health Clinic: Challenges and Adaptations
https://muse.jhu.edu/article/919825
<p></p>
The U.S. urban-rural mortality disparity has been growing since the 1980s.1–3 While urban life expectancy continues to increase, rural life expectancy has stagnated since 1999.4 Lack of access to health care due to hospital closures and primary care provider shortages is a major contributor to the rural health penalty.5–7 Mobile health clinics (MHCs) offer one potential solution to bolster health care access in places with limited infrastructure. They allow providers to physically bring their practices to communities, reducing patients' needs to travel long distances to brick-and-mortar clinics.8–10 While MHCs are promising, there are several challenges that health care organizations may face during implementation
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Project MUSE®https://muse.jhu.edu/2024-03-28T00:00:00-05:00https://muse.jhu.edu/journal/278/image/coversmallImplementing a Teaching Rural Mobile Health Clinic: Challenges and Adaptations2024-02-22text/htmlen-USImplementing a Teaching Rural Mobile Health Clinic: Challenges and Adaptations2024-02-222024TWOProject MUSE®288642024-03-28T00:00:00-05:002024-02-22