The purpose of this article is to describe the development of a theory-based, culturally and gender-relevant Community Health Worker (CWH)-led tobacco cessation intervention for low-income Brazilian women who augments the tobacco cessation program offered through the public health system using Intervention Mapping (IM). We began with the…

Local community organizations with data and statistical needs provide beneficial authenticity and context in the classroom. Students can provide creative, broad perspectives to problems and issues relevant to those organizations. This paper describes characteristics of mutually beneficial relationships between classes and community partners.…

Lay health advisers (LHAs) are increasingly used to deliver tobacco dependence treatment, especially with low-socioeconomic status (SES) populations. More information is needed about treatment adherence to help interpret mixed evidence of LHA intervention effectiveness. This study examined adherence to behavioral counseling and nicotine patches in…

Child well-being is important for community and economic development in the city. Young children with strong mental health are prepared to develop crucial skills that help build the basis of a prosperous and sustainable society. When DC ensures the healthy development of members of the next generation, they will pay that back through productivity…

Purpose: To quantify the monetary value of medications provided to rural Alabamians through provision of pharmaceutical manufacturer-sponsored prescription assistance programs (PAPs) provided by a clinical pharmacist in a private Black Belt family medicine clinic during 2007 and 2008. Methods: Patients struggling to afford prescription medications…

The authors developed and delivered a brief patient activation intervention (PAI) that sought to facilitate physician-patient communication. The intervention was designed to assist low-income, racial/ethnic minority users of community health centers in building skills and confidence asking questions. The PAI takes 8 to 10 minutes to deliver and…

Context: Rates of preterm birth (PTB) and low birth weight (LBW) vary by region, with disparities particularly evident in the Appalachian region of the South. Community conditions related to rurality likely contribute to adverse birth outcomes in this region. Purpose: This study examined associations between rurality and related community…

The Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 gave states additional resources and tools aimed at improving participation in Medicaid and the Children's Health Insurance Program (CHIP). In 2007, five million uninsured children were eligible for Medicaid or CHIP, constituting 64 percent of all uninsured children.…

Background: Previous research on psychiatric and health disparities according to level of cognitive functioning has focused on adults within an American healthcare context. The current study compares children with and without cognitive and developmental delays in Quebec, Canada, using physician billing data from a longitudinal study of low-income,…

Discusses the unsatisfactory access to health services among the poor and the minorities who make up a disproportionate number of the poor. States that until minority groups possess decision making power in the political and economic spheres, the cycle of poverty and illness will continue. (Author/GC)

A practicum was conducted to address the problem of medical exclusion of kindergarteners in a Chicago elementary school serving black, low income children. In order to comply with the state health law, all students entering school for the first time must show evidence of a current physical examination and up-to-date immunizations. Students not in…

Traces academic medicine's historical opposition to community medicine and its emphasis on traditional hospital-cased curricula subspecialties, to the neglect of primary and preventive care, community-oriented medicine, and public health. Calls for reducing barriers to basic medical services for all, and for training physicians equipped to respond…

Evaluated the impact of Accessing Community Care through Eastside Social Services (ACCESS), a program that provided indigent patients with free primary care, on inpatient admissions, emergency room (ER) visits, and subsequent charges. Data on 19 people before and after program enrollment showed significant decreases in ER visits following…

A HEALTH, EDUCATION, AND WELFARE STUDY OF SCHOOL HEALTH PROGRAMS, THIS REPORT PRESENTS STATISTICS ON (1) THE NATION'S CHILD POPULATION, (2) CHILDREN IN LOW-INCOME FAMILIES, (3) ILLNESSES OF CHILDHOOD, (4) SCHOOL HEALTH SERVICES, AND (5) TRENDS IN THE PROVISION OF HEALTH CARE FOR CHILDREN. THE REPORT EMPHASIZES THE GAPS IN CHILD HEALTH SUPERVISION…