Abstract:
:This study was designed to identify determinants of breast and cervical cancer screening among rural, low-income Hispanic women using migrant health clinics in eastern Washington state. Five hundred and twelve foreign-born Hispanic women were interviewed. Odds ratios and 95 percent confidence intervals generated via logistic regression analysis were used to discern the influence of independent factors on use or nonuse of Papanicolaou (Pap) smear, breast self-examination (BSE), and mammography. Being married, having a higher income, more years of education, and longer U.S. residency predicted receipt of Pap smear. Women who performed BSE had higher incomes and were more likely to have been taught how to perform the procedure. Low concern for direct expenditure and increasing years of U.S. residency predicted receipt of mammogram. On the basis of these findings, implications for developing cancer-screening interventions using inreach and outreach strategies to target this high-risk subgroup are discussed.
journal_name
J Health Care Poor Underservedjournal_title
Journal of health care for the poor and underservedauthors
Skaer TL,Robison LM,Sclar DA,Harding GHdoi
10.1353/hpu.2010.0465subject
Has Abstractpub_date
1996-11-01 00:00:00pages
338-54issue
4eissn
1049-2089issn
1548-6869journal_volume
7pub_type
杂志文章,多中心研究abstract::A significant proportion of patients treated for schizophrenia respond poorly to medication. Few studies have systematically examined the impact of clinical characteristics of patients to antipsychotic response in our environment. The study aimed to identify clinical variables associated with response in patients with...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2017.0070
更新日期:2017-01-01 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::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
更新日期:2001-08-01 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::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::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
更新日期:2012-08-01 00:00:00
abstract::This report describes a clinic run by a federally-qualified health center and an academic medical center. The clinic expands the community's primary care capacity, combining advantages of big and small settings, and of its dual affiliation. Survey data suggest the clinic prevents health care delays and lowers emergenc...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2007.0069
更新日期:2007-08-01 00:00:00
abstract:OBJECTIVES:To examine the experiences of low-income Part D beneficiaries with mental illness and their use of community helpers to access prescription medicines. METHODS:Individual semi-structured interviews were conducted with 26 Medicare beneficiaries with mental illness in community settings. The transcripts were a...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2011.0019
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Studies evaluating response to treatment with Highly Active Antiretroviral Therapy (HAART) fail to examine Haitian patients living in the U.S. as a distinct group. METHODS:This study was designed to determine the effectiveness of HAART in Haitians compared with other minority groups. We conducted a retrospe...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2012.0004
更新日期:2012-02-01 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::This case study describes how we are translating a diabetes care quality improvement initiative from an insured (HMO) setting into federally qualified health centers (FQHCs). We outline the innovative collaborative processes whereby researchers and FQHC providers adapted this initiative, which includes health informat...
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.2012.0132
更新日期:2012-08-01 00:00:00
abstract::New York City (NYC) has one of the highest incidence and mortality rates of oral and pharyngeal cancer (OPC) for Hispanics of any major U.S. city. This qualitative assessment explores OPC awareness, attitudes, and screening practices among at-risk Hispanics, health care providers, and community leaders in a Hispanic n...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2007.0092
更新日期:2007-11-01 00:00:00
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
更新日期:2011-05-01 00:00:00
abstract::In 2017, we traveled to Cuba to learn about the nation's approach to health care. Despite being a developing nation, Cuba boasts health care indicators that are comparable to those of the United States and other developed nations. Emphasizing prevention and proactive care, the Cuban health care system provides lessons...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2019.0041
更新日期:2019-01-01 00:00:00
abstract::Using three years (2006, 2008, 2010) of nationally representative data from the Behavioral Risk Factor Surveillance System, I assessed the socioeconomic status (SES) gradient for odds of receiving a mammogram in the past two years and a Pap test in the past three years among White, Black, Hispanic, and Asian women liv...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2014.0050
更新日期:2014-02-01 00:00:00
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
更新日期:2009-01-01 00:00:00
abstract::Previous studies have shown that the uninsured receive a lower level of care and that their uninsured status is a risk factor for poorly controlled diabetes mellitus (DM). The Access To Care (ATC) program in Cook County, Illinois provides care to uninsured individuals who do not qualify for other public aid. The aim o...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2012.0014
更新日期:2012-02-01 00:00:00
abstract::African Americans have a higher rate of stroke than other U.S. population groups. As part of the 11-state "Stroke Belt" region, Tennessee has the fifth highest death rate from stroke in the country. In 1993, a two-year community-based project was initiated to reduce the incidence of stroke and its associated risk fact...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0598
更新日期:1997-08-01 00:00:00
abstract::In the NIMHD-funded Health Disparities Research Center of Excellence at Meharry, faculty and scholars are trained to better address environmental health issues by integrating longitudinal, multi-systemic, spatially, and temporally referenced analytical methods. These methods include computational, multilevel, and spat...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2013.0037
更新日期:2013-02-01 00:00:00
abstract::The Affordable Care Act expanded health insurance for low-income, uninsured individuals. Few longitudinal analyses have investigated how insurance expansion influences cost and utilization among adults with chronic conditions. This study conducted longitudinal analysis investigating time trends in utilization and cost...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2017.0119
更新日期:2017-01-01 00:00:00
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
更新日期:2016-01-01 00:00:00
abstract::Compared with youth of other races/ethnicities, Native American youth (ages 15-19 years) are more likely to have participated in sexual intercourse, thus placing them at greater risk for sexually transmitted diseases (STDs) and unintended pregnancies. This study's purpose was to investigate relationships among protect...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2006.0133
更新日期:2006-11-01 00:00:00
abstract::This study examines the relationship between socioeconomic advantage and the likelihood of receiving specialty care in a nationally representative sample of older Americans participating in fee-for-service Medicare. In 1992, 62.9 percent of Americans aged 65 and older visited a specialist physician at least once. Bein...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2010.0451
更新日期:1998-05-01 00:00:00
abstract::Mexican American women have the highest incidence of metabolic syndrome among all U.S. demographic groups. This paper details an innovative approach to reducing the risks for metabolic syndrome among Hispanic families in rural Idaho. Compañeros en Salud (CeS) is a promotora-led wellness program and community-based par...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2013.0106
更新日期:2013-01-01 00:00:00
abstract::Grassroots level health care workers provided insights into rural women's health concerns at a program development workshop held at Sundarban Islands in West Bengal, India. This report describes these narratives and identifies strategies for potential intervention plans. The narratives suggest layers of disenfranchise...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2013.0069
更新日期:2013-05-01 00:00:00
abstract::We examined ethnic identity in relation to hazardous alcohol use, illicit drug use, and risky sexual behavior in 266 college students recruited on the campus of a historically Black college/university (HBCU). Participants were primarily African American students participating in HIV education and prevention outreach e...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2017.0058
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::This is one of two papers in this volume to report on the result of the Care System Assessment Demonstration (CSAD) Project conducted in Orange County, California. Latino and African American residents of Orange County who were aware of being HIV positive but who were not in care were targeted for this assessment. The...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2007.0088
更新日期:2007-08-01 00:00:00
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
更新日期:2008-11-01 00:00:00
abstract::Prompt HIV diagnosis decreases the risk of HIV transmission and improves health outcomes. The study objective was to examine rates of delayed HIV diagnosis among non-Latino Black Caribbean immigrants in Florida. The sample included 39,008 Black HIV-positive individuals, aged 13 or older from the Caribbean and the main...
journal_title:Journal of health care for the poor and underserved
pub_type: 杂志文章
doi:10.1353/hpu.2018.0019
更新日期:2018-01-01 00:00:00