In the past five years, there has been a surge in the attention shown to community and community-based health programs among Native Americans, particularly for chronic health problems such as diabetes. Community participation in health programming--from the efforts of community health workers (CHWs), to participatory research, to the impact of…

A needs assessment funded by the Center of Substance Abuse Prevention was conducted in 2005-2006 to determine the HIV/AIDS, substance abuse, and hepatitis prevention needs of Native Americans living in Baltimore, Maryland. We used a community-based participatory approach to gain an in-depth understanding of local Native American health service…

This report evaluates current health manpower shortage area (HMSA) designation criteria against defined standards and program objectives, assesses possible alternatives and improvements to those criteria, and examines possible approaches to, and feasibility, of measuring demand and predicting the likelihood that unmet demand in an area will be met…

This publication of the California Governor's Advisory Committee on Child Development Programs includes four issues papers dealing with employer sponsored child care. The first paper describes three approaches to employer support of child care, lists the elements of the system planners must consider when designing appropriate responses to…

Migrant and refugee communities must be considered as high-risk groups for poor general and oral health. Limited access to basic necessities, risky behavior, and a mismatch between services and health belief systems of migrants and refugees are contributing factors. (SLD)

Exploits a unique data set (EDRURAL) from three northeastern states of Brazil to investigate the complementarities of health with school attainment and cognitive achievement. The promotion models and value-added achievement models demonstrate the value of students' visual acuity. Achievement models highlight the role of good nutrition. Eye…

This study measured levels of self-reported social need in a sample of 684 veterans seen in four primary care clinics of a large Veterans Affairs health care system, using the Social Needs Checklist, and calculated levels of social work staffing to meet these needs. Data were obtained on the presence and severity of 15 areas of social needs,…

We model the dynamics associated with living-arrangement decisions of sick elderly individuals. Using the Panel Study of Income Dynamics? Parental Health Supplement, we construct the complete living-arrangement histories of elderly individuals in need of care. We use a simultaneous random-effects competing-risks model to analyze the impact of…

Nationally, minority population disparities in health and in the receipt of health services are well documented but are infrequently examined within rural populations. The purpose of this study is to provide a national picture of health insurance coverage and access to care among rural minorities. A cross-sectional analysis using the 1999-2000…

The policy agenda of the UK government has repositioned the voluntary sector as a key player in the delivery of locally responsive, "bottom up" services to address the complex problems of social exclusion, reaching out to sectors of the community which are beyond the grasp of traditional state or market providers. This has drawn many…

Staff in drug treatment programs are in an optimal position to support the hepatitis C related needs of their patients. To do so effectively, however, staff need to have accurate information about the hepatitis C virus (HCV). This article examines the HCV knowledge of staff (N = 104) in two drug-free and two methadone maintenance treatment…

Purpose: In response to rising prevalence of sexually transmitted infection (STI) among teenagers, this study was designed to examine teenage perceptions of sex education, access to services, and attitudes relevant to STI. Design/methodology/approach: A focus group study was conducted in three schools to discuss the sexual health needs of…

This second volume of the 1981 Report of the Select Panel for the Promotion of Child Health presents an examination of selected federal programs affecting maternal and child health and proposes detailed recommendations for federal legislative, regulatory, and other administrative improvements. Five federal programs, identified by the panel as…

Describes a project that simulated the impact of three scenarios on health care patterns and the health situation of elderly people in the Netherlands. The discussion covers the utilization of outcomes by policymakers and future applications of simulations by scenario projects. (41 notes with references) (CLB)

Discusses the issue of equal access to mental health and developmental disabilities services for Haitian immigrants in New York State. Demonstrates that Haitians' needs are not being met due to lack of program availability and poor quality care. Presents barriers to access that include cultural, political, legal, and institutional factors. (JS)