Abstract:
:Age-related hearing loss is highly prevalent and only 20% of adults with hearing loss report using hearing aids. A major barrier to increased hearing aid use is the high out-of-pocket costs associated with hearing aids. The objective of this brief report is to estimate the numbers of millions of Americans 60 years or older with untreated hearing loss stratified by income level. Using multiple cycles from the National Health and Nutrition Examination Survey (NHANES; 1999-2006 and 2009-2010), the prevalence of untreated hearing loss is reported based on audiometric hearing tests and self-reported hearing aid use from a cross-sectional, nationally representative sample. Overall, approximately 20 million Americans 60 years or older have an untreated clinically significant hearing loss. Importantly for the nearly six million low-income older adults with untreated hearing loss, the high cost of hearing aids makes hearing treatment particularly inaccessible for this vulnerable population.
journal_name
J Health Care Poor Underservedjournal_title
Journal of health care for the poor and underservedauthors
Mamo SK,Nieman CL,Lin FRdoi
10.1353/hpu.2016.0164subject
Has Abstractpub_date
2016-01-01 00:00:00pages
1812-1818issue
4eissn
1049-2089issn
1548-6869pii
S154868691640015Xjournal_volume
27pub_type
杂志文章abstract:BACKGROUND:In spite of cost-saving tobacco-dependence treatments, many state Medicaid programs offer only limited coverage for these treatments. This report builds a case for state-level financial benefits from funding smoking cessation treatment for Medicaid-eligible populations. METHODS:Applying published cost estim...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2014.0171
更新日期:2014-11-01 00:00:00
abstract::Lack of health insurance and a regular source of care (RSOC) are associated with suboptimal health care. This study examined the impact of a statewide program called the Community Healthcare Access Program (CHAP), which provided a RSOC for uninsured persons in Delaware. This cohort study used survey data to compare he...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2005.0050
更新日期:2005-08-01 00:00:00
abstract::In the present study we use the 2007 National Survey of Child Health to examine whether parental social support is associated with children's overweight/obesity and if this relationship is moderated by race/ethnicity, acculturation, and/or parent's sex. Results reveal that Hispanics (English and Spanish-speaking) and ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2012.0147
更新日期:2012-11-01 00:00:00
abstract::Only 43% of Americans with HIV are virally suppressed; the rate is lower for African Americans, even among insured populations. This study uses 2010 Medicare and Medicaid data for HIV-positive Californians to examine how antiretroviral treatment (ART) relates to patient and provider characteristics. Logistic regressio...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2017.0031
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To examine the association of perceived discrimination and health-related quality of life using cross- sectional survey. METHODS:We measured perceived discrimination using a nine-item discrimination scale and measured health-related quality of life with the mental component summary (MCS) and physical compone...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2013.0183
更新日期:2013-11-01 00:00:00
abstract::The Jail Inreach Project was initiated in 2007 as a pilot program by Healthcare for the Homeless-Houston, an FQHC serving homeless individuals in Harris County, Texas, as a collaborative effort with the Harris County Sheriff's Office and the Mental Health Mental Retardation Authority of Harris County. It addresses the...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2013.0063
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVES:To test whether foreign-born status confers a protective effect against low birth weight (LBW) outcomes among Mexican-origin women in Colorado. METHODS:Retrospective cohort study utilizing Colorado birth records from 1989-2004 for multivariate logistic regression analysis. The study population was 66,422 U....
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2012.0065
更新日期:2012-05-01 00:00:00
abstract::In addition to the physical suffering experienced by cancer survivors, there are considerable financial hardships and access barriers to quality health care. The current study explored the financial burden of breast cancer on African American medically underserved women. Four focus groups were conducted in three major...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.0.0176
更新日期:2009-08-01 00:00:00
abstract::Many studies document racial variation, gender differences, and socioeconomic status (SES) patterning in cardiovascular disease (CVD) risk factors but few studies have investigated heterogeneity in SES differences by race/ethnicity or gender. Using data from the Multi-Ethnic Study of Atherosclerosis (N=6,814) and stra...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2011.0001
更新日期:2011-02-01 00:00:00
abstract:INTRODUCTION:Cancer is among the leading causes of death in American Indians and Alaska Natives (AI/ANs), with rates increasing over the last two decades. Barriers in accessing cancer screening and treatment likely contribute to this situation. METHODS:We administered structured clinical interviews and conducted descr...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2016.0003
更新日期:2016-01-01 00:00:00
abstract::The burden of non-communicable disease (NCD) is increasing in the U.S. Associated Pacific Islands (USAPI). We describe the implementation and evaluation of a NCD Collaborative pilot, using local trainers, as an evidence-based strategy to systematically strengthen NCD health care quality and outcomes, focusing on diabe...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2016.0187
更新日期:2016-01-01 00:00:00
abstract::Health care reform presents both challenges and opportunities for African Americans. On the one hand, reform could result in the closure of black medical institutions and fewer black physicians. On the other hand, reform gives African Americans an opportunity to bargain for available resources to gain equality in heal...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0522
更新日期:1997-08-01 00:00:00
abstract::As a response to rising health care costs and substantial cuts in state funding for correctional health care in Texas, we developed and applied a process framework for systematically prioritizing the provision of inpatient hospital services to prisoners. Specifically, all inpatient services provided from September 200...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2014.0077
更新日期:2014-05-01 00:00:00
abstract:INTRODUCTION:Prior research has shown that tobacco companies target point-of-sale (POS) marketing to low-income communities. This research assessed the association between demographic characteristics and venue type with purchasing tobacco products in response to marketing. METHODS:Using Population Assessment of Tobacc...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2020.0021
更新日期:2020-01-01 00:00:00
abstract::Large and increasing numbers of Americans lack health insurance. While children have recently fared better than adults, millions still lack coverage, and thus experience difficulty obtaining acute and preventive care during a critical period of growth and development. This situation has both short and long-term social...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.0.0114
更新日期:2009-02-01 00:00:00
abstract::Until recently, few children with chronic illnesses such as sickle cell disease (SCD) lived past late adolescence. Substantial reductions in mortality mean a growing number of adolescents with SCD reach adulthood. Consensus among researchers and health care providers (HCP) from multiple disciplines is that critical at...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2004.0049
更新日期:2004-08-01 00:00:00
abstract::African Americans have higher than average rates of morbidity and mortality for numerous health conditions despite the improvements in overall health in the United States over the past century. Despite the proliferation of material on health promotion and health disparities concerns related to diet and health care for...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2005.0123
更新日期:2005-11-01 00:00:00
abstract::Booster seats protect child occupants between 4 and 8 years of age. The objective of this study was to determine barriers and facilitators for booster seat use among Latino families. We conducted one-to-one elicitation interviews with 56 mothers and 35 fathers of booster-eligible Latino children in an urban county and...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2006.0058
更新日期:2006-05-01 00:00:00
abstract::Familias Sanas (Healthy Families) is an educational intervention implemented and tested with low-income, immigrant Latina mothers. The program was designed to reduce existing health disadvantages of Latinas by empowering them to take active part in the management of their health and by encouraging them to advocate for...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章,随机对照试验
doi:10.1353/hpu.0.0355
更新日期:2010-08-01 00:00:00
abstract::Despite substantial asthma prevalence and morbidity, children from Spanish-speaking families are at high risk of inadequate maintenance therapy. The reasons for this remain unclear. The objective of this study was to compare patterns of asthma morbidity and access to care of children with asthma from Spanish-speaking ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2005.0005
更新日期:2005-02-01 00:00:00
abstract::Rising malpractice insurance rates have led to a decrease in the number of physicians who provide rural obstetrical care. North Carolina has responded with the Rural Obstetrical Care Incentive (ROCI) Program, which provides up to $6,500 per year to physicians who provide obstetrical care to the rural poor in conjuncti...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0107
更新日期:1993-01-01 00:00:00
abstract::Specific features of ambulatory care, such as accessibility, may influence hospital use for patients with HIV infection. To identify clinic features associated with a lower risk of hospitalization, 6,280 New York state Medicaid enrollees diagnosed with AIDS in 1987-1992 and managed by one of 157 surveyed clinics were ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0633
更新日期:1999-08-01 00:00:00
abstract::Homeless individuals are often uninsured and are more likely than the housed to utilize acute health care services and experience longer hospitalizations. Currently in the United States, there are fragmented services available for the aftercare of these patients to ensure continuum of care, promote healing, and avoid ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2005.0033
更新日期:2005-05-01 00:00:00
abstract:BACKGROUND:Vision problems in homeless children can decrease educational achievement and quality of life. PURPOSE:To estimate the prevalence and specific diagnoses of vision problems in children in an urban homeless shelter. METHODS:A prospective series of 107 homeless children and teenagers who underwent screening w...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2015.0072
更新日期:2015-08-01 00:00:00
abstract::We investigated the impact of the 2006 Massachusetts health care reform on insurance coverage and stability among minority and underserved women. We examined 36 months of insurance claims among 1,946 women who had abnormal cancer screening at six community health centers pre-(2004-2005) and post-(2007-2008) insurance ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2014.0061
更新日期:2014-02-01 00:00:00
abstract::A survey was administered to adults attending a health fair in south Los Angeles County, approximately 140 miles from the U.S.-Mexico border. The survey revealed that 14 percent of respondents had crossed the border to seek medical care during the past year. Nearly 80 percent of respondents crossing the border for med...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0643
更新日期:2001-02-01 00:00:00
abstract::In this pilot study for evaluating equity in services at a hospital in rural Haiti, we investigated whether topography, walking time to dispensary, and presence of a mobile clinic were related to disparities in prenatal care utilization, using quantitative hospital record data on 100 women pregnant in 2002. We also as...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2008.0015
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVE:Asylum seekers have poor access to health care. Qualitative data portraying their experience is lacking. METHODS:We conducted focus groups and comprehensive interviews with 35 asylum seekers and 15 expert providers/advocacy organization representatives. Purposive sampling was used to recruit subgroups. Inter...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2011.0047
更新日期:2011-05-01 00:00:00
abstract::One of the factors thought to be causing hospital emergency room (ER) crowding is excessive use of the ER by the uninsured, who may lack access to other sources of care. This is a particular concern in Texas. We completed a survey in Houston/Harris County, Texas, addressing whether the uninsured are high users of the ...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.0.0312
更新日期:2010-05-01 00:00:00
abstract::Abstract:U.S. health disparities are real, pervasive, and persistent, despite dramatic improvements in civil rights and economic opportunity for racial and ethnic minority and lower socioeconomic groups in the United States. Change is possible, however. Disparities vary widely from one community to ano...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2012.0084
更新日期:2012-05-01 00:00:00