Abstract：
:Disparities in outcomes for vulnerable women is an ongoing problem. Homelessness and breast cancer treatment outcomes is understudied. This is a descriptive study exploring types of homelessness and treatment delays at an urban safety net hospital providing care to a vulnerable patient population.This study is a retrospective chart review of homeless female patients diagnosed with breast cancer between January 1, 2000 and December 31, 2014. Data for this study were acquired from the hospital cancer registry and electronic medical record. All demographic characteristics, time to treatment and factors related to delays to treatment were analyzed descriptively, reporting frequencies and proportions. The total number of individuals analyzed was 24. All except two subjects were delayed to treatment (≥ 30 days from diagnosis to treatment). Most women in this cohort were categorized as chronically homeless (46%) with the rest categorized as transitionally (29%) or episodically (12%) homeless. The majority of subjects (70%) were Black, non-Hispanic. All except one subject were publicly insured (71% Medicaid; 12% Medicare) or uninsured (8%). Regardless of type of homelessness, most subjects were either 30-60 or 60-90 days delayed. Those who were chronically homeless experienced significantly more delays to first treatment (56% of those who were delayed 30-60 days and 57% of those who were delayed 60-90 days; p value 0.006) than those who were episodically or transitionally homeless. Significant delays and barriers to breast cancer treatment exist among women experiencing homelessness. Further studies to improve breast cancer care for homeless women are warranted.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
Festa K,Hirsch AE,Cassidy MR,Oshry L,Quinn K,Sullivan MM,Ko NYdoi
10.1007/s10900-019-00759-xsubject
Has Abstractpub_date
2020-06-01 00:00:00pages
452-457issue
3eissn
0094-5145issn
1573-3610pii
10.1007/s10900-019-00759-xjournal_volume
45pub_type
杂志文章abstract：:South Asians are the third largest Asian group in the US and among the fastest growing racial groups in New Jersey. Tobacco consumption among South Asians is characterized by several smoked and smokeless tobacco products indigenous to the Indian subcontinent. However, there is a paucity of research on tobacco use beha...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-016-0208-4
更新日期：2016-12-01 00:00:00
abstract：:According to hope theory, hope is defined as goal-directed thinking in which people perceive that they can find routes to desired goals and the motivation to use those routes. The purpose of this study was to explore relationships between hope and body mass index and hope and self-rated health among women completing a...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9390-6
更新日期：2011-12-01 00:00:00
abstract：:Asthma 1-2-3 is a newly-developed low-literacy multimedia education tool designed to promote asthma self-care concepts among African American adults. An expert panel (n = 10) informed content development for the tool. The video script and storyboard imagery were shown to 30 African Americans recruited from the America...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-009-9153-9
更新日期：2009-08-01 00:00:00
abstract：:Southeast Asian immigrants have lower levels of Pap testing than any other racial/ethnic group in the US, and are particularly unfamiliar with western culture and biomedical concepts of prevention. We completed an ethnographic study (N = 42) focusing on cervical cancer screening among Cambodian American women. We also...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1023/a:1005123700284
更新日期：2000-10-01 00:00:00
abstract：:Mexicans are the largest immigrant group in the US. Little is known about their urban occupational health status. We assess occupational illness, injury, and safety training among New York City Mexican immigrants. This study is a consecutive sample of the Mexican immigrant population utilizing Mexican Consulate servic...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9295-9
更新日期：2011-04-01 00:00:00
abstract：:Obesity is a national public health concern linked to numerous chronic health conditions among Americans of all age groups. Evidence suggests that discretionary calories from sugary drink consumption have been a significant contributor to excess caloric intake among both children and adults. Research has established s...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-013-9765-y
更新日期：2014-04-01 00:00:00
abstract：:Lifestyle-related chronic diseases such as cancer and cardiovascular disease are the greatest public health concerns. Evidence shows Japanese immigrants to a westernized environment have higher incidence of lifestyle-related diseases. However, little is known about lifestyle characteristics related to chronic diseases...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9467-2
更新日期：2012-04-01 00:00:00
abstract：:This study aims to describe the prevalence of preventive dental care among New York City (NYC) children, including disparities by race/ethnicity or poverty and to identify health care utilization factors associated with these outcomes. Data were obtained from the 2009 NYC Child Community Health Survey. Descriptive sta...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-013-9662-4
更新日期：2013-08-01 00:00:00
abstract：:The purpose of this study was to compare the self-reported quality of life of racial/ethnic minorities and Caucasians living in a rural, northern New York county, where 94% of the population is Caucasian. Participants completed a 79-item survey online and in-person assessing health status, health-related quality of li...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9422-2
更新日期：2012-02-01 00:00:00
abstract：:We assessed the role of promotoras--briefly trained community health workers--in depression care at community health centers. The intervention focused on four contextual sources of depression in underserved, low-income communities: underemployment, inadequate housing, food insecurity, and violence. A multi-method desi...
journal_title：Journal of community health
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10900-010-9313-y
更新日期：2011-04-01 00:00:00
abstract：:Most people living with HIV/AIDS (PLWHA) disclose their serostatus to their sexual partners and take steps to protect their partners from HIV. Prior research indicates that some PLWHA portray themselves to their sexual partners as HIV-negative or otherwise misrepresent their HIV status. The aim of this study was to do...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9529-5
更新日期：2012-10-01 00:00:00
abstract：:Health disparities in access to antiretroviral therapy (ART) as well as the demands of long-term medication adherence have meant the full benefits of HIV treatment are often not realized. In particular, food insecurity has emerged as a robust predictor of ART non-adherence. However, research is limited in determining ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-014-9868-0
更新日期：2014-12-01 00:00:00
abstract：:The objective of this study was to compare urban and suburban preschool and school age activities. A prospective survey using a convenience sample was conducted at one urban and one suburban primary care pediatric office. Questionnaires were completed for 66 urban preschool children, 70 suburban preschool children, 57...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1023/a:1015254007582
更新日期：2002-06-01 00:00:00
abstract：:HPV-related cancers can be prevented through HPV vaccination, however uptake and completion of the vaccination in the state of Georgia remains suboptimal. The research team conducted two online focus groups with members of the Georgia Cancer Control Consortium HPV Work Group in efforts to better understand the role th...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-018-00598-2
更新日期：2019-06-01 00:00:00
abstract：:We conducted a 2-year pilot randomized controlled trial (N = 105) in a high HIV-prevalence area in rural western Kenya to test whether providing young orphan adolescents with uniforms, school fees, and community visitors improves school retention and reduces HIV risk factors. The trial was a community intervention, li...
journal_title：Journal of community health
pub_type： 杂志文章,随机对照试验
doi：10.1007/s10900-012-9548-x
更新日期：2012-10-01 00:00:00
abstract：:In 2003, Seattle implemented an all-ages bicycle helmet law; King County outside of Seattle had implemented a similar law since 1994. For the period 2000-2010, the effect of the helmet legislation on helmet use, helmet-preventable injuries, and bicycle-related fatalities was examined, comparing Seattle to the rest of ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-016-0197-3
更新日期：2016-12-01 00:00:00
abstract：:While first-wave Vietnamese immigrants adapted well to life in the United States, subsequent immigrants have had greater adjustment difficulties, including more evidence of psychological distress. This study aimed to analyze psychosocial adaptation differences among three generations of recent Vietnamese immigrants, a...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1023/a:1018702323648
更新日期：1999-04-01 00:00:00
abstract：:The results of a four year demonstration project of preventive services for Medicare managed care enrollees suggest that health promotion programs can impact health behaviors and outcomes. The study provided selected preventive services to 1,800 Medicare enrollees in a managed care environment. Participants were rando...
journal_title：Journal of community health
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1023/a:1025176531596
更新日期：1997-12-01 00:00:00
abstract：:To identify significant predictors of the adoption of more than one tick-exposure and tick-borne disease risk reduction behavior among a cross-section of Indiana residents. Study participants were recruited through quota sampling, before completing an online self-administered questionnaire in Qualtrics. The most adopt...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-020-00803-1
更新日期：2020-08-01 00:00:00
abstract：:Food insecurity (FI) affects more than one in five American children and is increasingly addressed during pediatric primary care. Its relevance during subspecialty care, including in the treatment of chronic conditions like epilepsy, is largely unknown. This study sought to determine the FI prevalence among children w...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-017-0372-1
更新日期：2017-12-01 00:00:00
abstract：:Women of reproductive age are at higher risk for depression than men; and depressive behaviors and endocrine imbalances could lead to adverse birth outcomes. The purpose of this study was to investigate whether maternal depression during pregnancy affected adverse birth outcomes, specifically preterm birth and small f...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0022-4
更新日期：2015-10-01 00:00:00
abstract：:Asian/Pacific Islanders (A/PIs) in the United States are disproportionately affected by the hepatitis B virus (HBV), which can cause a lifelong liver infection that may result in cirrhosis, liver failure, liver cancer, or death. Although previous studies have measured knowledge of hepatitis B transmission and preventi...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-011-9430-2
更新日期：2012-02-01 00:00:00
abstract：:We examine whether workplace climate-quality of staff relationships (QSR) and manageable clinic workload (MCW) are related to better patient care experiences and diabetes care in community health centers (CHCs) catering to Latino and Chinese patients. Patient experience surveys of adult patients with type 2 diabetes a...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-016-0280-9
更新日期：2017-06-01 00:00:00
abstract：:During the past 20 years, suicide rates in the United States have risen consistently. The upward trend has been particularly pronounced for adolescents and males. The availability of a complete data set on all suicides that occurred between 1925 and 1979 in Sacramento County, California, allowed us to compare trends i...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/BF01318930
更新日期：1983-10-01 00:00:00
abstract：:Regular physical activity produces various health benefits; however, relatively few adults in the United States (US) get enough physical activity. Little is known about physical activity behaviors, and barriers and facilitators to physical activity among Cambodian-Americans. Cambodian Americans were recruited from com...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9319-5
更新日期：2011-06-01 00:00:00
abstract：:Congenital toxoplasmosis (CT) is a zoonosis resulting from the fetal transmission of the obligate intracellular parasite, T. gondii, transplacentally in pregnant women usually in the first trimester of pregnancy. This research consisted in the review of indexed articles made in the Ecuador in the period between the ye...
journal_title：Journal of community health
pub_type： 杂志文章,评审
doi：10.1007/s10900-019-00729-3
更新日期：2020-02-01 00:00:00
abstract：:Childhood obesity remains a significant public health concern. Children from lower income households have a greater risk of being obese. Low-income families generally have less access to healthy, affordable food choices and turn to federal food assistance programs. Few studies have examined the impact of food assistan...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-015-0138-6
更新日期：2016-06-01 00:00:00
abstract：:Hepatitis C (HCV) care cascades have been described in diverse clinical settings, patient populations and countries, highlighting the steps in HCV care where improvements can be made and resources allocated. However, more research is needed to examine barriers to HCV treatment in rural, underserved populations and in ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-019-00736-4
更新日期：2020-04-01 00:00:00
abstract：:More than 58 million nonsmokers in the U.S. encounter secondhand smoke that leads to tobacco-related diseases and deaths every year, making voluntary household smoking bans an important public health goal. American Indians/Alaska Natives are rarely included in research related to household smoking bans. Further, most ...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-018-0479-z
更新日期：2018-08-01 00:00:00
abstract：:Accurate knowledge about human Papillomavirus (HPV) and its link to cervical cancer is essential for women to understand and make use of cervical cancer prevention and detection opportunities. This study was the first to survey awareness and knowledge of HPV in a population of Canadian Inuit. The objectives of this st...
journal_title：Journal of community health
pub_type： 杂志文章
doi：10.1007/s10900-010-9278-x
更新日期：2011-02-01 00:00:00
