Abstract Objective To understand the frequency of social determinants health (SDOH) diagnosis codes (Z‐codes) within electronic record (EHR) for patients with prediabetes and diabetes examine factors influencing adoption SDOH documentation in clinical care. Data Sources EHR data qualitative interviews care providers stakeholders. Study Design An explanatory sequential mixed methods design first examined use Z‐codes qualitatively barriers to documenting SDOH. were integrated interpreted using...

Objectives: To identify factors associated with persistent hip pain in elderly fracture patients physical frailty. Design: Cohort study. Setting: Community‐based study conducted at academic medical center. Participants: Eighty‐eight men and women (mean age±standard deviation 80±7 years) a recent 14.5±4.8 weeks after repair) frailty, defined as modified Physical Performance Test Score between 12 28, enrolled an exercise intervention trial. Measurements: Dependent variable was self‐report of...

Background Bicalutamide is a potential anti-androgen for transgender individuals with feminizing embodiment goals, but use limited because of hepatotoxicity in cisgender men prostate cancer. This study compared transaminase changes transfeminine adolescents and young adults (AYA) using low dose bicalutamide another androgen blockade.

The objective of this study was to examine workplace determinants obesity and participation in employer-sponsored wellness programs among low-wage workers.We conducted key informant interviews focus groups with 2 partner organizations: a health care employer union representing retail workers. Interviews discussed worksite factors that support or constrain healthy eating physical activity barriers reduce programs. Focus group discussions were transcribed coded identify main themes related...

Health care organizations are increasingly assessing patients' social needs (eg, food, utilities, transportation) using various measures and methods. Prior studies have assessed at the point of many focused on correlates 1 specific need food). This comprehensive study examined multiple medical pharmacy claims data. Medicaid beneficiaries in Louisiana (n = 10,275) completed a self-report assessment 10 during July 2018 to June 2019. Chronic health conditions, unique medications, utilization...

Background Youth overweight and obesity is a public health crisis increases the risk of poor cardiovascular (CVH) chronic disease. Health care providers play key role in weight management, yet few tools exist to support delivering tailored evidence-based behavior change interventions patients. Objective The goal this pilot randomized feasibility study was determine implementing Patient-Centered Real-Time Intervention (PREVENT) tool clinical settings, generate implementation data inform...

Diabetes is a growing public health problem, and the environment in which people live work may affect diabetes risk. The goal of present study was to examine association between multiple aspects risk an employee population.This retrospective cross-sectional analysis. Home variables were derived using employees' zip code. Descriptive statistics run on all individual- zip-code-level variables, stratified by worksite. A multivariable logistic regression analysis then conducted determine...

Gestational diabetes increases risk for type 2 seven-fold, creating a large public health burden in young population. In the US, there are no registries tracking postpartum screening among women under-resourced communities who face challenges with access to care after pregnancy. Existing data from Medicaid claims is limited as often lose this coverage within months of delivery. study, we aim leverage electronic records and administrative better assess rates low income women.A retrospective...

<h3>Introduction:</h3> Among individuals with low income, cost is a well-established barrier to medication adherence. Spending less on basic needs pay for particularly concerning cost-coping strategy and may be associated worse health outcomes. The aims of this study were (1) describe the demographic status characteristics those who report spending medication, (2) understand psychosocial financial challenges these individuals. <h3>Methods:</h3> We administered survey primarily low-income...

Objective Gestational diabetes mellitus (GDM) is increasing in the United States, with higher rates among minoritized racial and ethnic populations lower income populations. GDM increases risk for type 2 (T2DM), postpartum screening prevention are imperative. This qualitative study examines barriers facilitators to T2DM non-privately insured individuals a history of state prior Medicaid expansion. Methods Thirty-six women completed semi-structured interviews. Four focus groups seven...

Background: The impact of neighborhood level factors on glycemic control and pregnancy outcomes is understudied. primary objective was to determine whether there an association between during deprivation, defined by area deprivation index (ADI). Materials Methods: We conducted a retrospective cohort study women with type 2 diabetes who received care at tertiary referral center from 2007 2017. Patients living in more deprived neighborhoods (ADI >85th national percentile) were compared those...

The purpose of this study was to better understand the number and types social needs experienced by Medicaid beneficiaries with type 2 diabetes, how their are associated key health indicators. Also examined were factors that influence patients' interest in navigation services for inform future interventions service delivery. expands upon prior research, much which has focused on only one need (e.g., food insecurity) or outcome. hypothesis among individuals those a greater would report more...

Diabetes, characterized by elevated blood glucose levels, affects 13% of US adults, 95% whom have type 2 diabetes (T2D). Social determinants health (SDoH), such as food insecurity, are integral to glycemic control. The Supplemental Nutrition Assistance Program (SNAP) aims reduce but it is not clear how this control in T2D. This study investigated the associations between insecurity and other SDoH role SNAP participation a national socioeconomically disadvantaged sample. Adults with likely...

Gestational diabetes mellitus (GDM) increases type 2 risk; however, postpartum screening rates are low. Using semi-structured interviews and focus groups, this study investigates the understanding of GDM its relationship to future risk prevention among patients with public or no insurance (n = 36), health care providers 21), clinic staff 9) from Federally Qualified Health Centers. Five main themes emerged: 1) general diagnosis on neonatal complications; 2) variable recall diet, exercise,...

Adverse pregnancy outcomes (APOs) collectively represent the leading causes of maternal and neonatal morbidity mortality. Beyond potentially devastating impact APOs during puerperium, women diagnosed with have a 2-fold to 4-fold increased risk future cardiovascular disease. Fortunately, occur at an opportune time, in early-adulthood mid-adulthood, when primary secondary prevention strategies can alter disease trajectory improve long-term health outcomes. This chapter takes life-course...