scholarly journals Understanding health disparities affecting utilization of tobacco treatment in low-income patients in an urban health center in Southern California

2021 ◽  
pp. 101541
Author(s):  
Jie Liu ◽  
Elizabeth Brighton ◽  
Aaron Tam ◽  
Job Godino ◽  
Kimberly C. Brouwer ◽  
...  
Keyword(s):  
Health Disparities ◽  
Health Center ◽  
Urban Health ◽  
Low Income ◽  
Southern California ◽  
Tobacco Treatment

scholarly journals Strategies for Disseminating and Implementing the COVID-19 Vaccines in Rural Areas

2021 ◽  
Author(s):  
Beth Prusaczyk
Keyword(s):  
United States ◽  
Health Disparities ◽  
Urban Health ◽  
Rural Areas ◽  
The United States ◽  
Urban Residents ◽  
Rural Residents ◽  
Vaccination Programs ◽  
Vaccine Information ◽  
Roll Out

Abstract The United States has well-documented rural-urban health disparities and it is imperative that these are not exacerbated by an inefficient roll-out of the COVID-19 vaccines to rural areas. In addition to the pre-existing barriers to delivering and receiving healthcare in rural areas, such as high patient:provider ratios and long geographic distances between patients and providers, rural residents are significantly more likely to say they have no intention of receiving a COVID-19 vaccine, compared to urban residents. To overcome these barriers and ensure rural residents receive the vaccine, officials and communities should look to previous research on how to communicate vaccine information and implement successful vaccination programs in rural areas for guidance and concrete strategies to use in their local efforts.

A closer look at the rural-urban health disparities: Insights from four major diseases in the Commonwealth of Virginia

2015 ◽  
Vol 140 ◽  
pp. 62-68 ◽  
Author(s):  
Di Zeng ◽  
Wen You ◽  
Bradford Mills ◽  
Jeffrey Alwang ◽  
Michael Royster ◽  
...  
Keyword(s):  
Health Disparities ◽  
Urban Health

scholarly journals A study on infant and young child feeding practices among mothers attending an urban health center in East Delhi

2012 ◽  
Vol 56 (4) ◽  
pp. 301 ◽  
Author(s):  
AmirMaroof Khan ◽  
Priscilla Kayina ◽  
Paras Agrawal ◽  
Anita Gupta ◽  
AnjurTupil Kannan
Keyword(s):  
Young Child ◽  
Health Center ◽  
Urban Health ◽  
Feeding Practices ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Child Feeding Practices ◽  
Infant And Young Child

Abstract P316: Multiple Vulnerabilities to Health Disparities and Incident Coronary Heart Disease in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Monika M Safford ◽  
Laura Pinheiro ◽  
Madeline Sterling ◽  
Joshua Richman ◽  
Paul Muntner ◽  
...  
Keyword(s):  
Health Disparities ◽  
Racial Differences ◽  
Low Income ◽  
Proportional Hazards ◽  
Health Management ◽  
Cox Proportional Hazards ◽  
Southeastern Us ◽  
Cox Proportional Hazards Models ◽  
Increased Risk ◽  
Regards Study

Social determinants contribute to disparities in incident CHD but it is not known if they have an additive effect. We hypothesized that having more socially determined vulnerabilities to health disparities is associated with increased risk of incident CHD in the REGARDS study, a large biracial prospective cohort with physiological and survey measures. Experts adjudicated incident fatal and nonfatal CHD over 10 years of follow-up. Vulnerabilities included black race, low education, low income, and Southeastern US residence. The risks for CHD outcomes associated with 1, 2, and 3+ vs 0 vulnerabilities were calculated with Cox proportional hazards models adjusted for medical conditions, functional status, health behaviors, and physiologic variables. Of the 19,645 participants free of CHD at baseline (mean age 64 years, 57% women), 16% had 0 vulnerabilities, 36% had 1, 29% had 2, and 18% had 3+. Increasing numbers of vulnerabilities were associated with higher incidence (Figure) and risk of CHD that attenuated somewhat after multivariable adjustment (Table). These findings may provide a method of risk stratification useful for population health management.

scholarly journals Multiple chronic conditions at a major urban health system: a retrospective cross-sectional analysis of frequencies, costs and comorbidity patterns

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e029340 ◽  
Author(s):  
Usnish B Majumdar ◽  
Christophe Hunt ◽  
Patrick Doupe ◽  
Aaron J Baum ◽  
David J Heller ◽  
...  
Keyword(s):  
New York ◽  
Health System ◽  
Urban Health ◽  
Low Income ◽  
Chronic Conditions ◽  
Cross Sectional Study ◽  
Multiple Chronic Conditions ◽  
Cross Sectional ◽  
Study Population ◽  
Mount Sinai

ObjectiveTo (1) examine the burden of multiple chronic conditions (MCC) in an urban health system, and (2) propose a methodology to identify subpopulations of interest based on diagnosis groups and costs.DesignRetrospective cross-sectional study.SettingMount Sinai Health System, set in all five boroughs of New York City, USA.Participants192 085 adult (18+) plan members of capitated Medicaid contracts between the Healthfirst managed care organisation and the Mount Sinai Health System in the years 2012 to 2014.MethodsWe classified adults as having 0, 1, 2, 3, 4 or 5+ chronic conditions from a list of 69 chronic conditions. After summarising the demographics, geography and prevalence of MCC within this population, we then described groups of patients (segments) using a novel methodology: we combinatorially defined 18 768 potential segments of patients by a pair of chronic conditions, a sex and an age group, and then ranked segments by (1) frequency, (2) cost and (3) ratios of observed to expected frequencies of co-occurring chronic conditions. We then compiled pairs of conditions that occur more frequently together than otherwise expected.Results61.5% of the study population suffers from two or more chronic conditions. The most frequent dyad was hypertension and hyperlipidaemia (19%) and the most frequent triad was diabetes, hypertension and hyperlipidaemia (10%). Women aged 50 to 65 with hypertension and hyperlipidaemia were the leading cost segment in the study population. Costs and prevalence of MCC increase with number of conditions and age. The disease dyads associated with the largest observed/expected ratios were pulmonary disease and myocardial infarction. Inter-borough range MCC prevalence was 16%.ConclusionsIn this low-income, urban population, MCC is more prevalent (61%) than nationally (42%), motivating further research and intervention in this population. By identifying potential target populations in an interpretable manner, this segmenting methodology has utility for health services analysts.

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