Abstract:
Objective:Depressed individuals may require help from different agencies to address health and social needs, but how such coordination occurs in under-resourced communities is poorly understood. This study sought to identify priorities of Latino and African American depressed clients, explore whether service providers understand client priorities, and describe how providers address them. Methods:Between October 2014 and February 2015, we interviewed 104 clients stratified by depression history and 50 representatives of different programs in health and social community agencies who participated in Community Partners in Care, a cluster-randomized trial of coalition-building approaches to delivering depression quality improvement programs. Clients were queried about their most pressing needs; program representatives identified their clients' needs and explained how they addressed them. Results:Physical and mental health were clients' top priorities, followed by housing, caring for and building relationships with others, and employment. While persistently depressed clients prioritized mental health, those with improved depression prioritized relationships with others. Program representatives identified housing, employment, mental health, and improving relationships with others as clients' top priorities. Needs assessment, client-centered services, and linkages to other agencies were main strategies used to address client needs. Conclusion:Depressed clients have multiple health and social needs, and program representatives in under-resourced communities understand the complexity of clients' needs. Agencies rely on needs assessment and referrals to meet their clients' needs, which enhances the importance of agency partnership in "whole person" initiatives. Our results illustrate agency capacity to adopt integrated care models that will address clients' multiple needs through multi-sector collaboration and describe potential strategies to help reach the goal of whole person care.
journal_name
Ethn Disjournal_title
Ethnicity & diseaseauthors
Khodyakov D,Sharif MZ,Jones F,Heller SM,Pulido E,Wells KB,Bromley Edoi
10.18865/ed.28.S2.371subject
Has Abstractpub_date
2018-09-06 00:00:00pages
371-380issue
Suppl 2eissn
1049-510Xissn
1945-0826pii
ed.28.S2.371journal_volume
28pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To determine the effects of baseline cognitive function on incidence of disability in activities of daily living (ADL) in initially non-disabled Mexican-American elderly over a 7-year period. DESIGN:A prospective cohort study. SETTING:Southwestern United States: Texas, California, Arizona, New Mexico, and C...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:This study aimed to define the ethnographic composition and assess the health-related quality of life (HRQoL) of a large population of undocumented patients with end-stage renal disease (ESRD) seeking emergent dialysis in the emergency department (ED) of a large public hospital in the United States. DESIGN:A...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.27.1.39
更新日期:2017-01-19 00:00:00
abstract:Objective:Immigrants, especially refugees, face unique barriers to accessing health care relative to native born Americans. In this study, we examined how immigration status, health, barriers to access, and knowledge of the health care system relate to the likelihood of having a regular health care provider. Methods:U...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.29.2.253
更新日期:2019-04-18 00:00:00
abstract::The JHS is the largest single-site prospective, epidemiological study of CVD among African Americans undertaken to date. It is focused on African-American health, yet comprehensive in its scientific scope. Its design will allow future refinements in scientific direction, the development of ancillary projects, and the ...
journal_title:Ethnicity & disease
pub_type: 评论,社论
doi:
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:To describe older African Americans' communication with pharmacists and their opinions, beliefs, perceptions, and attitudes about the role of the community pharmacist. DESIGN:We conducted six sex-specific focus groups for this qualitative study. SETTING:Community-based senior-serving agency located in a pre...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVE:Our study examined associations between serious psychological distress and blood glucose level (HbA1c) and body mass index (BMI) among American Indian and Alaska Native (AI/AN) participants in a cardiovascular disease prevention program. DESIGN:Using linear regression, we assessed the relationships between s...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:National surveillance for ectopic pregnancy (EP), the primary cause of maternal death in the first trimester, began in 1970. EP rates peeked during the late 1980s and have been highest for African Americans. However, limited reports on EP rates exist for other racial/ethnic groups. OBJECTIVES:To report stat...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:To determine arterial elasticity in normotensives and in treated and untreated hypertensive Black and White subjects. METHODS:A prospective multicenter, controlled clinical trial evaluated large (C-) and small (C2) artery elasticity indices among 3 groups: 1) normotensive subjects with or without a family h...
journal_title:Ethnicity & disease
pub_type: 临床试验,杂志文章,多中心研究
doi:
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVES:This cross-sectional study was designed to examine the association between adiponectin and cardiovascular disease (CVD) among an understudied ethnic group of Filipino American women. METHODS:We recruited 266 Filipino women aged 40-86 years from the University of California, San Diego Filipino Women's Health...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to determine the prevalence of hypertension and diabetes mellitus (DM) in the Adankwame community of Ghana. DESIGN:This was a cross-sectional, observational study. SETTING:This study took place in the rural Adankwame community of Ghana, approximately 12 km from Kumasi, Ghana. PAR...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2012-07-01 00:00:00
abstract::We sought to determine whether lipid levels in black patients with type II diabetes with and without hypertension differ from those in white patients. Lipid levels were screened in 207 blacks and 103 whites with type II diabetes visiting a weekly diabetes clinic in a southeastern US regional community hospital. Levels...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract:OBJECTIVES:To compare the percentage of diabetics admitted to the hospital due to hypoglycemia in 1990-1993 (period 1) to that in 1997-2000 (period 2). METHODS:We analyzed data from the California Hospital Discharge Data Program. Eligibility included diabetic (ICD code 250) subjects aged > or =25 years old who were ho...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:Data from cohort studies, predominantly in Caucasians, have identified obesity as a major risk factor for coronary artery disease (CAD), irrespective of sex. In contrast, reports examining the effects of obesity on mortality in African Americans suggest a weak relationship between body mass index (BMI) and m...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVES:To estimate the prevalence of disabilities among older American Indians and Alaska Natives (AIANs) and compare these estimates with those of other major racial/ ethnic groups. To estimate, within the population with disabilities, the health-risk behaviors, obesity, and chronic conditions of older AIANs and c...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2007-10-01 00:00:00
abstract::According to the third National Health and Nutrition Examination Survey, African Americans have a lower prevalence of metabolic syndrome than do Whites. Recent reports in Blacks in other regions have confirmed these observations, but the rates vary. This lower rate of metabolic syndrome in Blacks can be partly ascribe...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2009-04-01 00:00:00
abstract::In order to gain a better understanding of diabetes-related health disparities, Nashville REACH 2010 conducted a community baseline survey on health status. A total of 3204 randomly selected African-American (AA) and Caucasian (C) residents of North Nashville, and a comparison sample of residents living in Nashville/D...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2004-07-01 00:00:00
abstract::A population-based sample of Seventh-Day Adventists was studied to determine the relationship between vegetarian status, body mass index (BMI), obesity, diabetes mellitus (DM), and hypertension, in order to gain a better understanding of factors influencing chronic diseases in Barbados. A systematic sampling from a ra...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract::The purpose of this investigation was to determine the prevalence and correlates of abnormal urinary albumin excretion and to examine the possible additive effects of cardiovascular risk factors on urinary albumin excretion in African Americans with type 2 diabetes mellitus. One hundred fifty-one African-American subj...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVE:To identify the prevalence of hypertension among adults in Bo, Sierra Leone. DESIGN:Hypertension data were extracted from outpatient clinic records. SETTING:Mercy Hospital in urban Bo, Sierra Leone. PATIENTS:All nonpregnant outpatients aged -15 years seen at the outpatient clinic in 2009. MAIN OUTCOME MEA...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVE:To assess risk factors for cardiovascular disease, barriers to health care, and desired health care education topics for Hispanics in the coastal region of South Carolina known as the Lowcountry. METHODS:174 Hispanic adults were surveyed at visits at the Mexican consulate using a novel interview instrument. ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2014-04-01 00:00:00
abstract:Objective:To describe the rationale and design of a prospective study of ambulatory blood pressure measurement (ABPM) combined with measurement of contextual factors to identify hypertensive phenotypes in a Caribbean population with high rates of HTN and cardiovascular disease. Design:Prospective, multi-center sub-stu...
journal_title:Ethnicity & disease
pub_type: 杂志文章,多中心研究
doi:10.18865/ed.29.4.535
更新日期:2019-10-17 00:00:00
abstract::An assessment of the risk or diagnosis of diabetes in a random sample of 386 adult border residents found 46% obese, 12% at risk for diabetes, and 18% diagnosed with diabetes. While obesity was associated with greater diabetes risk, > 50% of obese adults reported not being told of their diabetes risk. Independent of o...
journal_title:Ethnicity & disease
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND:Bystander CPR (BCPR) has been demonstrated to improve rates of return of spontaneous circulation, survival to hospital admission, and quality of life in survivors. While previous studies have shown that African Americans are less likely to receive BCPR than Caucasians even after adjusting for variables such ...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2009-10-01 00:00:00
abstract:Background:Home remedies (HRs) are described as foods, herbs, and other household products used to manage chronic conditions. The objective of this study was to examine home remedy (HR) use among Blacks with hypertension and to determine if home remedy use is correlated with blood pressure and medication adherence. Me...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:10.18865/ed.30.3.451
更新日期:2020-07-09 00:00:00
abstract::This paper focuses on understanding the perilous effects of interpersonal and institutional racism on the psychological and physiological well-being of Blacks. Interpersonal racism refers to prejudice and discriminatory behaviors directed toward individuals because of their race or ethnicity, and institutional racism ...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2001-10-01 00:00:00
abstract::The purpose of this literature review is to explore the potential relationship between ethnicity and obesity, and obesity-related risks, with a particular emphasis on disparities between Asian and Pacific Islander populations. We conducted a comprehensive search of available medical literature related to the rise of o...
journal_title:Ethnicity & disease
pub_type: 杂志文章,评审
doi:
更新日期:2004-01-01 00:00:00
abstract::In the United States, tobacco use is a leading contributor to inequities in cancer health among individuals for many ethnic, racial, sexual minority, and other minority groups as well as individuals in lower socioeconomic groups and other underserved populations. Despite remarkable decreases in tobacco use prevalence ...
journal_title:Ethnicity & disease
pub_type: 社论
doi:10.18865/ed.28.3.187
更新日期:2018-07-12 00:00:00
abstract::In spite of all the technical advances and resources dedicated to the treatment of endstage renal disease (ESRD), it is still a growing problem all over the world. To address this issue adequately, it is crucial to detect chronic kidney disease patients early and optimize their care. However, a lack of awareness and a...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:To describe the strategies and costs associated with recruiting both African American and White postmenopausal women into a randomized controlled trial. DESIGN:The Beneficial Effects of Soy Trial (BEST) was a randomized, controlled trial designed to determine the effects of a dietary soy supplement on lipopr...
journal_title:Ethnicity & disease
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2006-10-01 00:00:00
abstract::Much of the work for a community-partnered participatory research (CPPR) initiative is done in committees that operate under the principles of CPPR and the vision of the partnership, while implementing the action plans of the initiative. Action plans are developed in work group meetings and sponsored events that engag...
journal_title:Ethnicity & disease
pub_type: 杂志文章
doi:
更新日期:2009-10-01 00:00:00