Vicious and Virtuous Cycles in Health

JAMA Health Forum, Journal Year: 2023, Volume and Issue: 4(2), P. e230505 - e230505

Published: Feb. 23, 2023

This JAMA Forum discusses how physicians and health professionals can help patients by intervening when they observe harmful cycles in encouraging virtuous or health-promoting cycles.

Language: Английский

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Lower Perceived Neighborhood Collective Efficacy Indirectly Influences the Association Between Perceived Maternal Exposure to Community Violence and Household Food Insecurity

Family & Community Health, Journal Year: 2024, Volume and Issue: 47(2), P. 117 - 129

Published: Feb. 19, 2024

Individuals of color and low socioeconomic status are at greater risk experiencing community violence food insecurity, which both influenced by neighborhood conditions. We evaluated collective efficacy as a linkage between exposure household insecurity.

Language: Английский

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Social Determinants of Health Correlations and Resource Usefulness at a Milwaukee Free Clinic for Uninsured Individuals: A Cross-Sectional Study

Journal of Clinical and Translational Science, Journal Year: 2024, Volume and Issue: 8(1)

Published: Jan. 1, 2024

Abstract Introduction: Addressing social determinants of health (SDOH) is fundamental to improving outcomes. At a student-run free clinic, we developed screening process understand the SDOH needs and resource utilization Milwaukee’s uninsured population. Methods: In this cross-sectional study, screened adult patients without insurance ( N = 238) for nine traditional as well their access dental mental care between October 2021 2022. Patients were surveyed at intervals greater than or equal 30 days. We assessed correlations trends in patient-reported usefulness. Results: Access (64.7%) (51.3%) most frequently endorsed needs. found significant P ≤ 0.05) various Notably, significantly correlated with r 0.41; 95% CI 0.19, 0.63), medications 0.51; 0.30, 0.72), utilities 0.39; 0.17, 0.61), food insecurity 0.42; 0.64). Food-housing 0.55; 0.32, 0.78), housing-medications 0.58; 0.35, 0.81), medications-food 0.53; 0.74) each other. Longitudinal assessment usefulness informed changes resources offered. Conclusions: Understanding prominent can inform offerings interventions, addressing root causes that burden under-resourced patients. data about prompted curation new volunteer roles. This proof-of-concept study shows how longitudinally tracking low-resource clinics psychosocial resources.

Language: Английский

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The evolution of household forgone essential care and its determinants during the COVID-19 pandemic in Nigeria: A longitudinal analysis

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(4), P. e0296301 - e0296301

Published: April 2, 2024

Apart from the morbidity and mortality, Coronavirus disease 2019 (COVID-19) pandemic has increased predisposition of households in Nigeria to forgone care, thereby increasing their vulnerability adverse health consequences. Since there is no previous study on evolution pandemic-related care its drivers, our assess problem using descriptive nationally representative panel data analyses. We found about a 30% prevalence during lockdown, which declined progressively afterwards, dropping by 69.50 percentage points between April 2020 2022. This decline produced surge needing 35.00% early greater than 50%, beginning 2021. The was primarily due financial hindrances, movement restrictions, supply-side disruptions. Household socioeconomic factors such as income loss had 2.74 [95%CI: 1.45–5.17] times higher odds job loss, food insecurity, poverty were 87% (OR: 1.87 1.25–2.79]), 60% 1.60 1.12–2.31]) 76% 1.76 1.12–2.75]) more likely predispose respectively. Also, geographical location, South-South zone, induced 1.98 1.09–3.58] North-Central. A married female household head 6.07 1.72–21.47] compared with an unmarried head. However, having head, social assistance, North-East or North-West zone North-Central chance accessing 69% (OR 0.31 0.16–0.59]), 59%,(OR 0.41 0.21–0.77]), 72% 0.28 0.15–0.53]) 64% 0.36 0.20–0.65]), Non-communicable diseases, disability, old age, large size rural-urban location did not affect care. Our highlights need strengthen Nigeria’s system, create policies promote healthcare accessibility prepare country for future challenges.

Language: Английский

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Enhancing immigrant families’ mental health through the promotion of structural and community-based support

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: May 1, 2024

Immigrant communities in the United States are diverse and have many assets. Yet, they often experience stressors that can undermine mental health of residents. To fully promote well-being among immigrant communities, it is important to emphasize population-level policies practices may serve mitigate stress prevent disorders. In this paper, we describe experienced by families, using Sunset Park, Brooklyn as an example. We discuss ways build structures support equitable environments at population level enable families their children thrive.

Language: Английский

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The Influence of the COVID 19 Pandemic on Food Insecurity Among Cancer Survivors Across New York State

Journal of Community Health, Journal Year: 2024, Volume and Issue: 49(6), P. 1033 - 1043

Published: April 29, 2024

People surviving cancer represent a particularly vulnerable population who are at higher risk for food insecurity (FI) due to the adverse short- and long-term effects of treatment. This analysis examines influence COVID-19 pandemic on prevalence FI among survivors across New York State (NYS). Data from 2019 2021 NYS Behavioral Risk Factor Surveillance System (BRFSS) were used estimate FI. Multivariable logistic regression was explore socioeconomic determinants Among survivors, varied geographically with in City compared rest state (ROS) prior (25.3% vs. 13.8%; p = .0025) during (27.35% 18.52%; 0.0206). In adjusted model, pre-pandemic associated non-White race (OR 2.30 [CI 1.16-4.56]), household income <$15,000 22.67 6.39-80.43]) or $15,000 less than <$25,000 22.99 6.85-77.12]), more co-morbidities 1.39 1.09-1.77]). During pandemic, association 1.76 0.98-3.16]) attenuated but remained significant low co-morbidities. newly being out work one year 6.36 1.80-22.54] having 4.42 1.77-11.07]) two children 4.54 1.78-11.63]). Our findings highlight geographic inequities key that amendable correction by public health social policies, which several momentarily implemented pandemic.

Language: Английский

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Policies Aimed at Enhancing Financial Inclusion During a Pandemic: a Literature Review

Economy and sociology, Journal Year: 2024, Volume and Issue: 2

Published: Feb. 1, 2024

This study examines the financial inclusion policies during pandemics, particularly focusing on their efficacy within emerging economies and areas dominated by informal sectors. The urgency relevance of topic are underscored heightened economic vulnerabilities these regions face global health crises, such as COVID-19 pandemic, which starkly amplify necessity for robust to uphold resilience. primary objectives this paper twofold: firstly, critically assess array deployed secondly, pinpoint potential policy enhancements informed contemporary research alongside successful international implementations. Employing a mixed-methods approach, synthesizes quantitative data outcomes with qualitative insights from analyses stakeholder interviews. methodology allows nuanced understanding multifaceted impacts initiatives adaptability crisis conditions. Key findings highlight pivotal role digital services, effective public-private collaborations, establishment adaptive social support mechanisms in promoting inclusivity amidst pandemic-induced disruptions. These strategies emerge crucial levers advancing inclusion, providing valuable lessons crafting that resilient, targeted, capable fostering sustainable growth stability ongoing future challenges. study's offer critical guidance policymakers institutions seeking enhance frameworks, thereby contributing development more inclusive, equitable, resilient ecosystems worldwide.

Language: Английский

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A longitudinal study on impact of emergency cash transfer payments during the COVID pandemic on coping among Australian young adults

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Aug. 12, 2024

The coronavirus (COVID-19) pandemic has caused financial hardship and psychological distress among young Australians. This study investigates whether the Australian Government's emergency cash transfer payments—specifically welfare expansion for those unemployed prior to (known in Australia as Coronavirus Supplement) JobKeeper (cash support with reduced or stopped employment due pandemic)—were associated individual's level of coping during without mental disorders (including anxiety, depression, ADHD autism). sample included 902 adults who participated all last three waves (8, 9C1, 9C2) Longitudinal Study Children (LSAC), a nationally representative cohort study. Modified Poisson regression models were used assess impact payments on 18–22-year-old's self-rated level, stratifying analysis by disorders. All adjusted gender, employment, location, family cohesion, history smoking, alcohol intake, COVID-19 test result. Of 902-person analysed, 41.5% (n = 374) reported high levels coping, 18.9% 171) disorders, 40.3% 364) received Supplement 16.4% 148) payments. Analysing total demonstrated that participants payment more likely have higher compared did not receive payment. Stratified analyses pre-existing disorder obtained significant benefit from their JobKeeper. In contrast, receipt was significantly coping. Among no health disorder, neither nor had statistically These findings suggest positive impacts transfers limited

Language: Английский

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Impact of an Inpatient Social Needs Screening Program: Did Our Referral Resolve Your Need?

Hospital Pediatrics, Journal Year: 2024, Volume and Issue: 14(12), P. 1009 - 1016

Published: Nov. 12, 2024

OBJECTIVE To evaluate the effectiveness of social resource referrals after needs screening among caregivers pediatric inpatients by assessing (1) rates connection, (2) caregiver perception helpfulness, (3) barriers to and (4) resolution needs. METHODS We conducted a cross-sectional survey families discharged from our inpatient floor between October 2021 June 2022 who had screened positive for unmet received referral at least 1 community during their hospitalization. surveyed telephone month year post-intervention, inquiring about experience with referrals. compared responses across groups using χ2 tests. Multivariable logistic regression was used predict likelihood connection based on race, ethnicity, language, insurance type. RESULTS Of 361 that referral, 219 (61%) completed surveys. A total 50.2% (110/219) connected resource, 30.6% (67/219) all 515 referrals, 315 (61.2%) did not result in connection. The most frequent barrier recalling receiving (44.8%, 141/315). 200 resulted 152 (76%) were helpful 120 (60%) resolved need. Non-Hispanic or Latino ethnicity predicted resources. CONCLUSIONS Screening hospitalized children can meaningful connections. In population, impact However, two-thirds

Language: Английский

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Comparing the impact of emergency cash transfer payments during the COVID pandemic on coping among Australian young adults with and without pre-existing mental disorders: A Longitudinal Study

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: Aug. 8, 2023

Background The coronavirus (COVID-19) pandemic has caused financial hardship and psychological distress among young Australians. This study investigates whether the Australian Government’s emergency cash transfer payments – specifically welfare expansion for those unemployed prior to (known in Australia as JobSeeker Coronavirus Supplement) JobKeeper (cash support with reduced or stopped employment due pandemic) had a positive impact on individual’s level of coping during without mental neurodevelopmental disorders (including anxiety, depression, autism, attention deficit hyperactivity disorder). Methods sample included 902 adults from last three waves (8, 9C1, 9C2) Longitudinal Study Children (LSAC), nationally representative cohort study. Random-effects models were used assess 18-22-year-old’s self-rated coping, stratifying analysis by disorders. All adjusted gender, employment, location, family cohesion, history smoking, alcohol intake, COVID-19 test result. Results Of 902-sample analysed, 85% reported fair-to-high levels 19% disorders, 40% received Supplement 16% JobKeeper. Analysing total demonstrated that participants who payment more likely have higher compared did not receive payment. Stratified analyses pre-existing disorder obtained significant benefit their In contrast, receipt was significantly associated coping. Among no health disorder, neither nor statistically Conclusion These findings suggest impacts transfers limited

Language: Английский

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