2025
County Incarceration Rate and Stroke Death: A Cross‐Sectional Study of the Influence of Physical Environment, Health Care Access, and Community Mental Distress
Sonderlund A, Wang E, Williams N, Horowitz C, Schoenthaler A, Holaday L. County Incarceration Rate and Stroke Death: A Cross‐Sectional Study of the Influence of Physical Environment, Health Care Access, and Community Mental Distress. Journal Of The American Heart Association 2025, 14: e039065. PMID: 40357666, PMCID: PMC12184567, DOI: 10.1161/jaha.124.039065.Peer-Reviewed Original ResearchMeSH KeywordsAdultCross-Sectional StudiesFemaleHealth Services AccessibilityHealthcare DisparitiesHumansIncarcerationMaleMiddle AgedPrisonersRisk FactorsStress, PsychologicalStrokeUnited StatesConceptsPrimary care physiciansStroke deathsMental distressFood environmentImprisonment ratesRacial disparitiesPrimary care physician accessIncarceration ratesWhite populationHealth care accessMental health providersBlack populationCross-sectional designCross-sectional studyCare accessHealth providersCare physiciansPhysician accessAdjusted modelsTesting pathwayInfluence of physical environmentResults complement evidenceTest mediationDistressViolent crimeThe Shadow Price of Uncertainty: Consequences of Unpredictable Insurance Coverage for Access, Care, and Financial Security
SCHLESINGER M, BHAUMIK D. The Shadow Price of Uncertainty: Consequences of Unpredictable Insurance Coverage for Access, Care, and Financial Security. Milbank Quarterly 2025, 103: 440-479. PMID: 40292705, PMCID: PMC12185371, DOI: 10.1111/1468-0009.70006.Peer-Reviewed Original ResearchConceptsHealth insurance reformInsurance reformAmerican householdsInsurance coverageHealth care reform strategiesMedical expensesPrice of uncertaintyHealth insurance coverageReducing financial insecurityPatient Protection and Affordable Care ActAffordable Care ActReform strategiesAnd Affordable Care ActShadow pricesInsurance provisionEstimate regressionsStructural reformsCoverage shortfallsHealth insuranceHousehold characteristicsCare ActFinancial securityInsurancePolicy purchaseHouseholdsGeographic Region and Insurance Status Predict Access to Salvage Procedures for Diabetic Lower-Extremity Wounds in the United States
Kammien A, Evans B, Hu K, Colen D. Geographic Region and Insurance Status Predict Access to Salvage Procedures for Diabetic Lower-Extremity Wounds in the United States. Annals Of Plastic Surgery 2025, 94: s349-s352. PMID: 40167098, DOI: 10.1097/sap.0000000000004209.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAmputation, SurgicalDiabetic FootFemaleHealth Services AccessibilityHumansInsurance CoverageLimb SalvageLower ExtremityMaleMiddle AgedRetrospective StudiesUnited StatesConceptsLower-extremity woundsInsurance statusAssociated with limb salvageSalvage procedureLimb salvageNational administrative dataMultivariate logistic regressionUnited StatesTobacco useElixhauser Comorbidity IndexGeographic regionsLower-extremity infectionsAdministrative dataEnd-stage renal diseaseAverage follow-upLogistic regressionInsured patientsAmputationPeripheral vascular diseaseLimb salvage proceduresVascular testingComorbidity indexClinical factorsPatient ageMedicareUsing nominal group technique to identify and prioritize barriers to decentralizing HIV care to primary health centers in Lima, Peru
Oliveros D, Konda K, Madden L, Montenegro-Idrogo J, Tafur Quintanilla K, Sosa Barbarán K, Nikitin B, Ponticiello M, Benites C, Sánchez J, Altice F. Using nominal group technique to identify and prioritize barriers to decentralizing HIV care to primary health centers in Lima, Peru. BMC Health Services Research 2025, 25: 466. PMID: 40156011, PMCID: PMC11954239, DOI: 10.1186/s12913-025-12618-8.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleHealth Services AccessibilityHIV InfectionsHumansMaleMiddle AgedPeruPoliticsPrimary Health CareSocial StigmaConceptsPrimary health centersNominal group techniqueDecentralized HIV careHIV careHealth centersHIV servicesGroup of healthcare providersDecentralization of HIV careNominal group technique groupsPatient's continuity of careContinuity of carePeruvian Ministry of HealthGroup techniqueEvidence-based strategiesMinistry of HealthHIV stigmaLack of confidenceHealthcare accessPerceived barriersProvider groupsHealth outcomesHealthcare providersPatient continuityIdentified barriersEducational meetingsImpact of multi-level factors and partner characteristics on antiretroviral therapy adherence and access to HIV care during the COVID-19 pandemic
Neuenschwander P, Pala A, Altice F, Remien R, Mergenova G, Rozental E, Gulyayev V, Davis A. Impact of multi-level factors and partner characteristics on antiretroviral therapy adherence and access to HIV care during the COVID-19 pandemic. International Journal Of STD & AIDS 2025, 36: 568-576. PMID: 40155324, DOI: 10.1177/09564624251329626.Peer-Reviewed Original ResearchConceptsAntiretroviral therapy adherenceMental healthFactors associated with ART adherenceMethodsA cross-sectional surveyMultilevel generalized linear mixed modelsPoor mental healthAssociated with lower adherenceBackgroundAdherence to antiretroviral therapyAntiretroviral therapyMedication adherence ratesCross-sectional surveyCOVID-19 pandemicHIV treatment programsMulti-level factorsNegative emotional impactHIV carePublic health crisisSocial supportART adherenceSupportive partnersLinear mixed modelsAdherence ratesAssessed associationsLow adherenceAdherence levelsMultilevel Intervention to Increase Patient Portal Use in Adults With Type 2 Diabetes Who Access Health Care at Community Health Centers: Single Arm, Pre-Post Pilot Study
Whittemore R, Jeon S, Akyirem S, Chen H, Lipson J, Minchala M, Wagner J. Multilevel Intervention to Increase Patient Portal Use in Adults With Type 2 Diabetes Who Access Health Care at Community Health Centers: Single Arm, Pre-Post Pilot Study. JMIR Formative Research 2025, 9: e67293. PMID: 40131327, PMCID: PMC11979536, DOI: 10.2196/67293.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedCommunity Health CentersDiabetes Mellitus, Type 2FemaleHealth Services AccessibilityHumansMaleMiddle AgedPatient PortalsPilot ProjectsSelf-ManagementConceptsCommunity health centersPatient portal useDigital health literacyPortal useHealth literacyMultilevel interventionsType 2 diabetesSocial determinants of healthDiabetes self-management educationCommunity health workersImprove health equityDeterminants of healthSelf-management educationDiabetes self-efficacyHealth-related outcomesBarriers to clinical integrationPre-post designHemoglobin A<sub>1c</sub> levelDiabetes distressHealth equityPatient portalsSocial determinantsDeliver carePortal accountHealth appsExploring barriers and potential solutions before implementing a scale-up strategy to expand methadone coverage among people who inject drugs in Tajikistan
O'Hara G, Madden L, Burkhonov A, Alaei A, Mohsinzoda G, Bromberg D, Abdullozoda J, Yusufi S, Altice F. Exploring barriers and potential solutions before implementing a scale-up strategy to expand methadone coverage among people who inject drugs in Tajikistan. Journal Of Substance Use And Addiction Treatment 2025, 172: 209682. PMID: 40139416, DOI: 10.1016/j.josat.2025.209682.Peer-Reviewed Original ResearchMeSH KeywordsAdultFemaleFocus GroupsHealth Services AccessibilityHIV InfectionsHumansMaleMethadoneOpiate Substitution TreatmentOpioid-Related DisordersSubstance Abuse, IntravenousTajikistanConceptsOpioid agonist therapyNominal group techniquePre-implementationImplementation strategiesSecondary HIV prevention strategyHIV prevention strategiesPre-implementation studyAgonist therapyOpioid agonist therapy scale-upHIV epidemicPre-implementation activitiesMethadoneFocus groupsPrevention strategiesCentral Asian regionOpioidGroup techniquePWIDOrganizational factorsNIATxSocietal factorsRecipientsScale-up strategyDrug“Can I afford to live today?” The emotional toll of navigating the healthcare system with type 1 diabetes
Harel S, Lukasik J, Wilcox A, Lipska K, Weinzimer S, Suttiratana S, Nally L. “Can I afford to live today?” The emotional toll of navigating the healthcare system with type 1 diabetes. Frontiers In Endocrinology 2025, 16: 1555265. PMID: 40196455, PMCID: PMC11973976, DOI: 10.3389/fendo.2025.1555265.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnxietyCaregiversDelivery of Health CareDiabetes Mellitus, Type 1EmotionsFemaleHealth Services AccessibilityHumansMaleMiddle AgedSocial MediaStress, PsychologicalYoung AdultConceptsHealthcare systemDiabetes managementBurden of managing diabetesType 1 diabetesSelf-reported useTranscripts of semi-structuredFeelings of powerlessnessQuality of lifeFear of health problemsDaily diabetes managementDefinition of themesDiabetes supportStudy of individualsChild healthDiabetes suppliesTelephone interviewsDiabetes medicationsEmotional tollSemi-structuredHealth problemsFinancial burdenHealthcarePWDParticipantsDiabetesExamining Experiences of Gender Identities, Roles, and Relations among Men with Same-Gender Sexual Histories: Implications of Gender Nonconformity on Access to Quality Healthcare in Urban Ghana
Apreku A, Abu-Ba’are G, Dada D, Foster M, Stockton M, Aidoo-Frimpong G, Kuffour O, Adjei G, Manu A, Torpey K, Nyblade L, Nelson L, Logie C. Examining Experiences of Gender Identities, Roles, and Relations among Men with Same-Gender Sexual Histories: Implications of Gender Nonconformity on Access to Quality Healthcare in Urban Ghana. Journal Of Urban Health 2025, 102: 413-422. PMID: 40113725, PMCID: PMC12031717, DOI: 10.1007/s11524-025-00964-1.Peer-Reviewed Original ResearchConceptsExperiences of gender identityGender nonconformityGender identityGender rolesDaily urban lifeDay-to-day interactionsGhanaian MSMGender expectationsUrban GhanaSevere health disparitiesIntersectional stigmaUrban lifeAdult MSMGhanaUrban centersHealth disparitiesRisk of HIV acquisitionQuality health careIncreased risk of HIV acquisitionInfluence of genderCommunity responsesQualitative content analysisSecondary dataWell-beingGenderAbsence of care among community-dwelling older adults with dementia and functional limitations
Lin Z, Qian Y, Gill T, Hou X, Allore H, Chen S, Chen X. Absence of care among community-dwelling older adults with dementia and functional limitations. Nature Aging 2025, 5: 548-557. PMID: 40097773, PMCID: PMC12003173, DOI: 10.1038/s43587-025-00836-y.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedAged, 80 and overChinaDementiaEnglandEuropeFemaleHealth Services AccessibilityHumansIndependent LivingIsraelLongitudinal StudiesMaleUnited StatesConceptsActivities of daily livingFormal careDaily livingFunctional limitationsInstrumental activitiesInstrumental activities of daily living limitationsActivities of daily living limitationsInstrumental activities of daily livingLongitudinal survey dataCommunity-dwelling older adultsDaily living limitationsRegional development levelAbsence of careCare availabilityCare gapsSurvey dataCare servicesOlder adultsAdequate careEuropean countriesCareVulnerable populationsDevelopment levelInformation supportDementiaVulnerability Index Approach to Identify Pharmacy Deserts and Keystone Pharmacies
Mathis W, Berenbrok L, Kahn P, Appolon G, Tang S, Hernandez I. Vulnerability Index Approach to Identify Pharmacy Deserts and Keystone Pharmacies. JAMA Network Open 2025, 8: e250715. PMID: 40080019, PMCID: PMC11907307, DOI: 10.1001/jamanetworkopen.2025.0715.Peer-Reviewed Original ResearchMeSH KeywordsCommunity Pharmacy ServicesCross-Sectional StudiesHealth Services AccessibilityHumansPharmaciesUnited StatesVulnerable PopulationsConceptsNational Council for Prescription Drug ProgramsPharmacy desertsSmall rural areasCross-sectional studyPharmacy accessCensus tractsPopulation-based cross-sectional studyRural areasLow-income areasHealth equityPrescription drug programPharmacy servicesMedication dispensingCommunity pharmaciesMain OutcomesTargeted policy interventionsPharmacy dataPrimary exposureSignificant disparitiesNearest pharmacyReimbursement ratesAt-riskPharmacyPublic healthPoint-of-care testingExperiencing Housing Instability in Rural North America and Access to Health Care and Supportive Services: A Scoping Review.
Roncarati J, Cusack M, True G, Browne J, Harris T, deRussy A, Tsai J, Elwy A, Byrne T, Montgomery A. Experiencing Housing Instability in Rural North America and Access to Health Care and Supportive Services: A Scoping Review. Journal Of Health Care For The Poor And Underserved 2025, 36: 21-55. PMID: 39957636, DOI: 10.1353/hpu.2025.a951583.Peer-Reviewed Original ResearchMeSH KeywordsHealth Services AccessibilityHousingHumansIll-Housed PersonsNorth AmericaRural PopulationConceptsHousing instabilityPromote better health outcomesRural North AmericaMeta-Analyses ExtensionBetter health outcomesFull-text reviewPreferred Reporting ItemsExperience housing instabilityPeer-reviewed articlesHealth disparitiesHealth outcomesScoping reviewBehavioral healthHealth careRural settingsOlder personsReporting ItemsSupport servicesSystematic reviewInclusion criteriaMeta-analysesHealthService provisionRural areasRural contextTrends in Psychiatrist-Led Care for Medicare Part B Enrollees
Havlik J, Wahid S, Priest K, Ososanya L, Igunbor M, Humphreys K. Trends in Psychiatrist-Led Care for Medicare Part B Enrollees. JAMA Network Open 2025, 8: e2458160. PMID: 39913135, PMCID: PMC11803478, DOI: 10.1001/jamanetworkopen.2024.58160.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesFemaleHealth Services AccessibilityHumansMaleMedicare Part BMental DisordersPsychiatristsPsychiatryUnited StatesConceptsMedicare Part B enrolleesMedicare Part BPsychiatric careCenters for Medicare & Medicaid ServicesIncidence of mental illnessProfessional servicesPart BCross-sectional studyDistrict of ColumbiaKaiser Family FoundationMental illnessMedicaid ServicesMain OutcomesOlder adultsPhysical disabilityWorkforce growthVulnerable populationsMedicareTraditional MedicareEquitable accessPrimary outcomeCareStudy populationEnrolleesPsychiatristsTuberculosis and people who use drugs: why focus on this overlooked population is important and why adapted interventions are necessary
D'Ottavi M, Godfrey-Faussett P, Merle C, Sofonea M, Laureillard D, Vickerman P, Molès J, Altice F, Van de Perre P, Stone J, Nagot N. Tuberculosis and people who use drugs: why focus on this overlooked population is important and why adapted interventions are necessary. The Lancet Global Health 2025, 13: e593-e598. PMID: 39862874, DOI: 10.1016/s2214-109x(24)00481-9.Peer-Reviewed Original ResearchMeSH KeywordsDrug UsersGlobal HealthHealth Services AccessibilityHumansSubstance-Related DisordersTuberculosisConceptsReduce health inequalitiesCommunity-based approachActive case findingNational Tuberculosis ProgrammeHealth inequalitiesTargeted interventionsTuberculosis interventionsCase findingTreatment adherenceGeneral populationTuberculosis ProgrammeMarginalised populationsHIV fieldInterventionPrevalence of tuberculosisTuberculosis burdenPopulation levelTuberculosis transmissionHigher incidencePeoplePopulationAdherenceHIVPrevalenceLinkageFactors associated with the delay in diagnosis of extrapulmonary tuberculosis at the patient and health system level: A study from a rural setting in India
Hassan S, Yaesoubi R, Magnus O, Kanthali M, Purohit M, Mustafa T. Factors associated with the delay in diagnosis of extrapulmonary tuberculosis at the patient and health system level: A study from a rural setting in India. PLOS ONE 2025, 20: e0316273. PMID: 39775521, PMCID: PMC11706485, DOI: 10.1371/journal.pone.0316273.Peer-Reviewed Original ResearchConceptsHealth facilitiesTime to diagnosisProlonged time to diagnosisHealthcare accessHealth system levelExtrapulmonary tuberculosisMultiple health facilitiesPrivate health facilitiesShorter time to diagnosisEPTB patientsReferral pathwaysLower middle income groupRural settingsSelf-referredSocio-demographicLong travel timesRegional hospitalNon-TBDiagnosis of extrapulmonary tuberculosisProportion of tuberculosis casesCohort studyStructural barriersStructured questionnaireExtrapulmonary tuberculosis patientsIncome groups
2024
Difficult to Treat Depression: Focus on Approach, Algorithms, and Access.
Karp J, Brinton R, Fournier J, Harding L, Jha M, Lenze E, Mathew S, Meltzer-Brody S, Mohr D, Riva-Posse P, Wiechers I, Williams N. Difficult to Treat Depression: Focus on Approach, Algorithms, and Access. The Journal Of Clinical Psychiatry 2024, 85 PMID: 39630090, DOI: 10.4088/jcp.psprmdd2408ah.Peer-Reviewed Original ResearchMeSH KeywordsAlgorithmsAntidepressive AgentsDepressive Disorder, Treatment-ResistantHealth Services AccessibilityHumansConceptsTreating depressionSpectrum of clinical severityTreatment of depressionEvolving treatment landscapeDepartment of PsychiatryBurden of depressionOral pharmacotherapyTreatment landscapeAdult patientsClinical severityCommunity health agenciesDepressionIncreased prevalenceHealth care systemPatientsDepression carePsychiatric workforcePsychiatryPatient advocatesCare systemTherapeutic engineeringHealth agenciesTelemedicine platformDo IRemissionImpact of the COVID-19 pandemic on participants in pragmatic clinical trials for chronic pain: implications for trial outcomes and beyond
Sellinger J, Gilstad-Hayden K, Lazar C, Seal K, Purcell N, Burgess D, Martino S, Heapy A, Higgins D, Rosen M. Impact of the COVID-19 pandemic on participants in pragmatic clinical trials for chronic pain: implications for trial outcomes and beyond. Pain Medicine 2024, 25: s17-s27. PMID: 39514885, PMCID: PMC11548862, DOI: 10.1093/pm/pnae060.Peer-Reviewed Original ResearchConceptsPragmatic clinical trialsHealth careSocial supportChronic painEmotional healthHigher levels of painPain Management CollaboratoryEffective pain managementClinical trialsLevel of painEffectiveness of treatment outcomesPandemic impactAlcohol use disorder screeningCOVID-19-related impactsCOVID-19 pandemicChronic pain treatmentMental healthPain managementDisorder screeningNonpharmacological treatmentsPain treatmentStudy enrollmentCOVID-19HealthCareEstimating the lives that could be saved by expanded access to weight-loss drugs
Pandey A, Ye Y, Wells C, Singer B, Galvani A. Estimating the lives that could be saved by expanded access to weight-loss drugs. Proceedings Of The National Academy Of Sciences Of The United States Of America 2024, 121: e2412872121. PMID: 39405358, PMCID: PMC11513960, DOI: 10.1073/pnas.2412872121.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnti-Obesity AgentsFemaleGlucagon-Like Peptide-1 ReceptorHealth Services AccessibilityHumansMaleMiddle AgedObesityUnited StatesWeight LossConceptsGlucagon-like peptide-1Body mass index categoriesObesity prevalence dataGlucagon-like peptide-1 receptor agonistsHazard ratio of mortalityRatio of mortalityPublic health impactWeight loss drugsInsurance coverage issuesGastric inhibitory polypeptideHealthcare accessType 2 diabetesUnited StatesPublic health crisisObesity epidemicReceptor agonistsIndex categoriesHazard ratioPrevalence dataInhibitory polypeptidePeptide-1Health impactsNovel treatmentObesityHealth crisisResearch Priorities in Pediatric Asthma Morbidity: Addressing the Impacts of Systemic Racism on Children with Asthma in the United States. An Official American Thoracic Society Workshop Report
Lovinsky-Desir S, Riley I, Bryant-Stephens T, De Keyser H, Forno E, Kozik A, Louisias M, Matsui E, Sheares B, Thakur N, Apter A, Beck A, Bentley-Edwards K, Berkowitz C, Braxton C, Dean J, Jones C, Koinis-Mitchell D, Okelo S, Taylor-Cousar J, Teach S, Wechsler M, Gaffin J, Federico M. Research Priorities in Pediatric Asthma Morbidity: Addressing the Impacts of Systemic Racism on Children with Asthma in the United States. An Official American Thoracic Society Workshop Report. Annals Of The American Thoracic Society 2024, 21: 1349-1364. PMID: 39352175, PMCID: PMC11451894, DOI: 10.1513/annalsats.202407-767st.Peer-Reviewed Original ResearchMeSH KeywordsAsthmaBiomedical ResearchChildHealth Services AccessibilityHealth Status DisparitiesHealthcare DisparitiesHumansSocial Determinants of HealthSocieties, MedicalSystemic RacismUnited StatesConceptsImpact of systemic racismAsthma morbidityChildhood asthmaSocial determinants of healthAsthma health outcomesPediatric asthma morbidityDeterminants of healthSystemic racismCommunity engagementDrivers of disparitiesEmergency department visitsResearch teamChildhood asthma outcomesImpact of interventionsMultidisciplinary research teamEffects of systemic racismInnovative study designsImpact of racismAsthma disparitiesSocial determinantsHealthcare accessAsthma outcomesHealth outcomesDepartment visitsEvaluate interventionsImproving access to first‐line treatment for pediatric obesity: Lessons from the dissemination of SmartMoves
Finn E, Keller C, Gowey M, Savoye M, Samuels S, Fleisch A, Rogers V, Grey M, Damschroder L, Beck A, Sharifi M. Improving access to first‐line treatment for pediatric obesity: Lessons from the dissemination of SmartMoves. Obesity 2024, 32: 1745-1756. PMID: 39192771, PMCID: PMC11875074, DOI: 10.1002/oby.24107.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildCOVID-19Health BehaviorHealth Services AccessibilityHumansLife StylePediatric ObesitySurveys and QuestionnairesUnited StatesConceptsConstant comparative methodInterviewed key informantsHealth behaviorsObesity programsSufficient staffingInsufficient staffingPediatric obesityFunding insecurityLifestyle treatmentImprove accessOrganizational prioritiesProgram componentsProgram fitPromote fidelityKey informantsUS sitesIncreased prevalenceAdequate fundingSurvey findingsStaffingParticipantsInterviewsCOVID-19 pandemicDominant barriersObesity
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