A Pediatric Profile of a Homeless Patient in San Jose, California.

Abstract:

:The causes of homelessness are complex and poorly understood. This paper describes the homeless population in Santa Clara County, California in terms of Adverse Childhood Events, Traumatic Brain Injuries (TBIs), and family breakdown. Respondents reported severely traumatic childhoods; 78.7% grew up in a household with a person with drug or alcohol dependence and 64.6% endured psychological abuse as a child. Seventy-six percent of subjects recalled at least one TBI, 58.4% with loss of consciousness. Nineteen percent were in foster care as children and 40.2% reported having someone other than a parent as a primary caregiver. Fifty-three percent felt they had moved too much as children, and 37.5% had experienced homelessness as children. Santa Clara County has both the highest median income and the highest rate of unsheltered homelessness in the nation. Leaders and community members should work together to improve the lives of the home-less and to prevent another generation of homeless people.

authors

Bymaster A,Chung J,Banke A,Choi HJ,Laird C

doi

10.1353/hpu.2017.0041

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

582-595

issue

1

eissn

1049-2089

issn

1548-6869

pii

S1548686917100410

journal_volume

28

pub_type

杂志文章
  • Exploring the financial impact of breast cancer for African American medically underserved women: a qualitative study.

    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

    authors: Darby K,Davis C,Likes W,Bell J

    更新日期:2009-08-01 00:00:00

  • Self-reported health among Cambodians in Lowell, Massachusetts.

    abstract::National health data reported for Asians in the aggregate present a picture of good health, but significant health disparities exist between Southeast Asian refugees, and Cambodians in particular, and the overall population of the U.S. To effectively address health disparities, ethnically specific data is needed. Data...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2006.0089

    authors: Koch-Weser S,Liang SL,Grigg-Saito DC

    更新日期:2006-05-01 00:00:00

  • Tobacco Point-of-Sale Influence on U.S. Adult Smokers.

    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

    authors: Groom AL,Cruz-Cano R,Mead EL,Giachello AL,Hart JL,Walker KL,Oncken C,Robertson RM

    更新日期:2020-01-01 00:00:00

  • Relation of domestic violence to health status among Hispanic women.

    abstract::Little research has addressed the association of domestic violence (DV) with physical and mental health in Hispanic women. We conducted a cross-sectional study with 146 Hispanic women patients in 2002 at an urban family medicine practice. Twenty-one percent of the women were identified as current victims of DV. Two-fi...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0145

    authors: Chen PH,Rovi S,Vega M,Jacobs A,Johnson MS

    更新日期:2009-05-01 00:00:00

  • The effect of class size in grades K-3 on adult earnings, employment, and disability status: evidence from a multi-center randomized controlled trial.

    abstract:BACKGROUND:Early education interventions have been forwarded as a means for reducing social disparities in income and health in adulthood. We explore whether a successful early education intervention, which occurred between 1985 and 1989, improved the employment rates, earnings and health of blacks relative to whites t...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1353/hpu.2011.0148

    authors: Wilde ET,Finn J,Johnson G,Muennig P

    更新日期:2011-11-01 00:00:00

  • Maintaining High Level of Care at Satellite Sickle Cell Clinics.

    abstract::Traveling to and from university-based clinics is a major health care barrier for children with sickle cell disease in Alabama. To reduce this barrier, the University of Alabama at Birmingham (UAB) developed satellite clinics. This study seeks to determine if these satellite clinics provide a similar level of comprehe...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0004

    authors: Hamm J,Hilliard L,Howard T,Lebensburger J

    更新日期:2016-01-01 00:00:00

  • Antiretroviral Therapy: Racial Disparities among Publicly Insured Californians with HIV.

    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

    authors: Landovitz RJ,Desmond KA,Leibowitz AA

    更新日期:2017-01-01 00:00:00

  • Cardiovascular risk in African American women attending historically Black colleges and universities: the role of dietary patterns and food preferences.

    abstract::There is a lack of data on the dietary patterns and food preferences of African American women attending historically Black colleges and universities (HBCUs). African American women have higher death rates from cardiovascular disease than White women, and the initiating events of cardiovascular disease often begin in ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0933

    authors: Brown SC,Geiselman PJ,Broussard T

    更新日期:2010-11-01 00:00:00

  • Diabetes disease management results in Hispanic Medicaid patients.

    abstract:OBJECTIVES:To investigate outcomes of a telephonic nursing disease management program for Medicaid patients with diabetes residing in Puerto Rico. STUDY DESIGN:A 12-month, matched-cohort study. STUDY POPULATION:Four hundred and ninety (490) intervention group members matched to 490 controls. INTERVENTION:Disease man...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0131

    authors: Berg GD,Wadhwa S

    更新日期:2009-05-01 00:00:00

  • Fostering resilience in children at risk through a cultural therapy intervention in Kingston, Jamaica.

    abstract::This report explores an initiative in Kingston, Jamaica to foster resilience in children in an inner-city community plagued by violence and other social problems. This initiative was undertaken by CARIMENSA, the Caribbean Institute for Mental Health and Substance Abuse. ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0208

    authors: Robertson-Hickling H,Paisley V,Guzder J,Hickling FW

    更新日期:2009-01-01 00:00:00

  • Barriers to health care access among refugee asylum seekers.

    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

    authors: Asgary R,Segar N

    更新日期:2011-05-01 00:00:00

  • Preventive health counseling reported by uninsured women with limited access to care.

    abstract::Low-income women in the childbearing years are at an increasing risk of becoming uninsured as welfare reforms are enacted and women enter minimum-wage jobs without insurance benefits. This study contrasts preventive counseling reported by low-income uninsured mothers and mothers insured through Medicaid. Low-income wo...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0143

    authors: Nickel JT,Salsberry PJ,Polivka BJ,Kuthy RA,Loebs SF,Slack C,Shapiro N

    更新日期:1998-08-01 00:00:00

  • Severity of illness, race, and choice of local versus distant hospitals among the elderly.

    abstract::This study examines travel patterns for hospitalization among elderly patients to address whether there are differences by age and race/ethnicity, and whether the differences persist even when a severe illness occurs. Using the Healthcare Cost and Utilization Project (HCUP) State Inpatient database (SID) of the Agency...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2005.0023

    authors: Basu J

    更新日期:2005-05-01 00:00:00

  • The Data Dilemma in Family Homelessness.

    abstract::Current estimates of homelessness in the U.S. are biased toward counts of sheltered or visibly unsheltered individuals. Those who remain out of sight during counts and/or live in places or circumstances that elude the United States Department of Housing and Urban Development's (HUD) definition of homelessness remain u...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0122

    authors: Brush BL,Gultekin LE,Grim EC

    更新日期:2016-01-01 00:00:00

  • The impact of new health insurance coverage on undocumented and other low-income children: lessons from three California counties.

    abstract::Three California counties (Los Angeles, San Mateo, and Santa Clara) expanded health insurance coverage for undocumented children and some higher income children not covered by Medi-Cal (Medicaid) or Healthy Families (SCHIP). This paper presents findings from evaluations of all three programs. Results consistently show...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0293

    authors: Howell E,Trenholm C,Dubay L,Hughes D,Hill I

    更新日期:2010-05-01 00:00:00

  • Influenza immunization disparities in primary care offices--a comparative case study.

    abstract::Without insight into the primary care environment, further improvements in influenza immunization rates are unlikely. We conducted a comparative case study of family medicine offices during the 2003 influenza immunization season. Practice 1 (P1) served an urban African American population, practice 2 (P2) served a sub...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0084

    authors: Roemheld-Hamm B,Isaacson N,Winston C,Scott J,Hudson S,Crabtree B

    更新日期:2008-11-01 00:00:00

  • Factorial Invariance and Convergent Validity of the Group-Based Medical Mistrust Scale across Gender and Ethnoracial Identity.

    abstract::The objective of this study was to assess the factorial invariance and convergent validity of the Group-Based Medical Mistrust Scale (GBMMS) across gender (male and female) and ethnoracial identity (Latino and Black). Minority students (N = 686) attending a southeastern university were surveyed in the fall of 2011. Ps...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2017.0011

    authors: Wheldon CW,Kolar SK,Hernandez ND,Daley EM

    更新日期:2017-01-01 00:00:00

  • Prioritization of inpatient hospital services to prisoners: a method for justifying care and costs.

    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

    authors: Schneider BC,Harzke AJ,Ivanitskaya L,Murray OJ

    更新日期:2014-05-01 00:00:00

  • Quality of Asthma Management in Children Attending Health Centres in Kingston & St. Andrew, Jamaica Compared with International Clinical Practice Guidelines.

    abstract:OBJECTIVES:To assess the quality of asthma care within the paediatric population who attended health centres in Kingston & St. Andrew (KSA) and compare this quality to Global Initiative for Asthma (GINA) guidelines. METHODS AND MATERIALS:Data were collected from 257 dockets of children aged 2-17 years old with asthma ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2019.0028

    authors: Ricketts-Roomes TF,Waldron NK,James K

    更新日期:2019-01-01 00:00:00

  • Prevalence of HCV risk behaviors among prison inmates: tattooing and injection drug use.

    abstract::Hepatitis C virus (HCV) is the most common blood-borne chronic viral infection in the United States and it is over represented in incarcerated populations. This study estimates if in prison tattooing is associated with self reported HCV infection in a probabilistic sample of 1,331 sentenced inmates in Puerto Rico pris...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2011.0084

    authors: Peña-Orellana M,Hernández-Viver A,Caraballo-Correa G,Albizu-García CE

    更新日期:2011-08-01 00:00:00

  • Urban, low-income, African American light smokers: perceptions of cessation counseling.

    abstract::Nine focus groups (N = 57), which included a demographic survey, were conducted to evaluate urban, low-income, African American light smokers' experiences of cessation counseling. Chi-squared and independent t-tests were run to analyze survey data. Participants with a self-reported co-morbidity were more likely than p...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2013.0146

    authors: Warren JR,Catona D

    更新日期:2013-08-01 00:00:00

  • Measuring the Effect of Social Determinants on Patient Outcomes: A Systematic Literature Review.

    abstract::Given the movement towards value-based purchasing in the United States, health care leaders need methods to characterize and address the complex effect that social determinants have on health care outcomes. This systematic literature review was specifically designed to understand current research on the effect that pa...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2018.0009

    authors: Knighton AJ,Stephenson B,Savitz LA

    更新日期:2018-01-01 00:00:00

  • In our country tortilla doesn't make us fat: cultural factors influencing lifestyle goal-setting for overweight and obese Urban, Latina patients.

    abstract::Obesity disproportionately affects Latina adults, and goal-setting is a technique often used to promote lifestyle behavior change and weight loss. To explore the meanings and dimensions of goal-setting in immigrant Latinas, we conducted four focus groups arranged by language ability and country of origin in an urban, ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2014.0165

    authors: Jay M,Gutnick D,Squires A,Tagliaferro B,Gerchow L,Savarimuthu S,Chintapalli S,Shedlin MG,Kalet A

    更新日期:2014-11-01 00:00:00

  • A community-based pilot study of a diabetes pharmacist intervention in Latinos: impact on weight and hemoglobin A1c.

    abstract::Type 2 diabetes disproportionately affects Latinos increasing their risk of diabetes-related complications. This study used a randomized controlled design with a community-based approach to evaluate the impact of a culturally tailored pharmacist intervention on clinical outcomes in Latino diabetics. The intervention i...

    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.2014.0003

    authors: Castejón AM,Calderón JL,Perez A,Millar C,McLaughlin-Middlekauff J,Sangasubana N,Alvarez G,Arce L,Hardigan P,Rabionet SE

    更新日期:2013-11-01 00:00:00

  • Homeless women's gynecological symptoms and use of medical care.

    abstract::Information is lacking on homeless women's gynecological symptoms and use of medical care for symptoms. This paper documents and explains gynecological symptoms and conditions and use of medical care in a probability sample of 974 reproductive-age (15-44) homeless women. Two-thirds of women reported symptoms during th...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2010.0797

    authors: Wenzel SL,Andersen RM,Gifford DS,Gelberg L

    更新日期:2001-08-01 00:00:00

  • The African-American cancer crisis, Part II: A prescription.

    abstract::To appreciate the causes of the African-American cancer crisis, contemporary myths and perceptual gaps regarding cancer in blacks must be analyzed and placed in historical context. Since ancient times, racism has permeated western scientific, medical, and social cultures. Yet contemporary analysts typically frame a 37...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 历史文章,杂志文章,评审

    doi:10.1353/hpu.2010.0373

    authors: Byrd WM,Clayton LA

    更新日期:1993-01-01 00:00:00

  • Dental caries in underprivileged children of Los Angeles.

    abstract:OBJECTIVES:The purpose of this study is to investigate the disease of dental caries among a population of poor, migrant, minority children in Los Angeles County. METHODS:The study team developed an instrument to be completed by parents about their children's determinants of oral health, and adapted the Association of ...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2011.0063

    authors: Mulligan R,Seirawan H,Faust S,Barzaga C

    更新日期:2011-05-01 00:00:00

  • The Promise Clinic: a service learning approach to increasing access to health care.

    abstract::The goal of the Promise Clinic (a project of an academic medical center and a local social services group) is to increase access to primary care for an underserved population while addressing deficiencies in medical education. Students manage common primary care problems, creating access for this mostly uninsured popu...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.0.0046

    authors: Jimenez M,Tan-Billet J,Babineau J,Jimenez JE,Billet T,Flash C,Levin S,West B,Tallia A

    更新日期:2008-08-01 00:00:00

  • The Patient Safety and Clinical Pharmacy Collaborative: improving medication use systems for the underserved.

    abstract::The Patient Safety and Clinical Pharmacy Services Collaborative (PSPC) is demonstrating improvements in the quality of care delivered by safety-net organizations through integration of clinical pharmacy services. This article describes how the PSPC is leading meaningful change in the arena of medication use in managem...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2012.0143

    authors: Wallack MC,Loafman M,Sorensen TD

    更新日期:2012-08-01 00:00:00

  • Nganampa Health Council Dental Program: Remote Dentistry in the Australian Desert--Partnership or Perish.

    abstract::The Nganampa Health Council (literally "Our Health Council") is an Aboriginal community-controlled Primary Health Care service established in 1983. It was born out of the political struggle for Aboriginal Land Rights in South Australia which culminated in The Anangu Pitjantjatjara Yankunytjatjara (APY) Land Rights Act...

    journal_title:Journal of health care for the poor and underserved

    pub_type: 杂志文章

    doi:10.1353/hpu.2016.0037

    authors: Wooley S

    更新日期:2016-02-01 00:00:00