A5037935184- Health disparities and outcomes
- Cultural Competency in Health Care
- Homelessness and Social Issues
- Geriatric Care and Nursing Homes
- Community Health and Development
- Food Security and Health in Diverse Populations
- Primary Care and Health Outcomes
- Mental Health and Patient Involvement
- Dementia and Cognitive Impairment Research
- Urban, Neighborhood, and Segregation Studies
- Health, psychology, and well-being
- LGBTQ Health, Identity, and Policy
- Migration, Aging, and Tourism Studies
- Chronic Disease Management Strategies
- Housing, Finance, and Neoliberalism
- Emergency and Acute Care Studies
- Urban Transport and Accessibility
- Optimism, Hope, and Well-being
- Urbanization and City Planning
- Empathy and Medical Education
- Patient-Provider Communication in Healthcare
- HIV, Drug Use, Sexual Risk
- Climate Change and Health Impacts
- Racial and Ethnic Identity Research
- Health Literacy and Information Accessibility
University of California, San Francisco
2015-2024
University of California, San Diego
2020
Robert Wood Johnson Foundation
2018
Abstract Diverse aspects of life and lifestyles, including stigmatised attributes behaviors are revealed as providers patients discuss health. In this article, we examine how the stigma associated with substance use issues shapes clinical interactions. We theoretical framework cultural health capital ( CHC ) to explain is created, reinforced sometimes negotiated engage in present two main findings using examples. First, concepts – habitus field set social position expectations ways that...
Housing is a key social determinant of health and care utilization. Although stigmatized due to poor quality, public housing may provide stability affordability needed for individuals engage in utilization behaviors. For low-income women reproductive age (15–44 y), this has implications long-term trajectories. In sample 5,075 women, we used electronic records (EHR) data from 2006 2011 assess outpatient emergency department (ED) visits across six sites San Francisco, CA. Non-publicly housed...
Loneliness is one of the most pressing and rapidly growing contemporary social challenges around world. Yet we still lack a good understanding how loneliness constituted experienced by those affected. We conducted semi-structured interviews with 40 people chronic illness who were experiencing to explore what means them it impacts in their daily lives. Drawing on ideas liquidity performativity, identify relational, temporal layers loneliness. Our analysis reveals interconnectedness...
Abstract Background Comparative optimism, the belief that negative events are more likely to happen others rather than oneself, is well established in health risk research. It unknown, however, whether comparative optimism also permeates people’s expectations and potentially behaviour during COVID‐19 pandemic. Objectives Data were collected through an international survey (N = 6485) exploring thoughts psychosocial behaviours relating COVID‐19. This paper reports UK data on optimism. In...
Friendship, a key element of social networks, has been under-studied in the sciences. Chronic conditions can disrupt many aspects life including identity, anticipated trajectories and relationships. Friendship relationships are important sources support for chronic condition management. However, individuals with conditions, developing maintaining close friendships may be particularly difficult. Despite significant scholarship on health we know less about ways which impact maintenance...
How African American men and women respond to manage living with coronary heart disease (CHD) is not well understood despite the well-documented disproportionate burden of CHD its complications among Americans in United States. Through a critical interactionist perspective, we explore illness experiences describe broad range micro-, meso-, macro-contextual factors that influence their experiences. For participants this study, has become “Black disease” wherein certain bodies have...
Little is known about how permanent, inclusive, affordable, and supportive long-term housing may affect the health of low-income lesbian, gay, bisexual, transgender, queer, intersex, asexual and/or another identity (LGBTQIA+) older adults. Focus group interviews were conducted with 21 adults to explore lived experiences potential benefits living in a new LGBTQIA+-welcoming senior housing. Participants reported that moving into was associated for well-being, especially psychological health....
Housing is one of the top four most needed services for LGBTQ+ older adults, and this study focuses on intersection depression social antecedents among adults eligible low-income housing. To explore (i.e., demographics, early events, later integration, stressors) associated with screening positive from two cities in Western United States. A cross-sectional was conducted (n = 241). two-item version Patient Health Questionnaire (PHQ-2) used to screen depression. Hierarchical logistic...
Low-income communities of color experience significant political, economic, and health inequities and, not unrelatedly, are disproportionately exposed to violent crime than residents higher income communities. In an effort mitigate concentrations poverty crime, governmental agencies have partnered with affordable housing developers redevelop public projects into mixed-income do so within a trauma-informed framework. The current study analyzes how historically contemporaneously negotiated,...
Introduction Low-income, chronically ill adults disproportionately experience poor health outcomes despite increased care use and costs. Complex management (CCM) programs are an innovative approach to improving for these patients, but little is known about the patients' experiences in CCM safety net primary settings. Method The authors conducted semistructured interviews with 13 participants a clinic explore their perceptions of CCM. Interviews were recorded, transcribed, independently...
Health care systems in the United States are experimenting with a form of surveillance and intervention known as "hot spotting," which targets high-cost patients-the so-called "super-utilizers" emergency departments-with intensive health social services. Through calculative deployment resources to costliest patients, hot spotting promises simultaneously improve population decrease financial expenditures on for impoverished people. an ethnographic investigation spotting's modes distribution...
In this article, we share our mixed-methods community-engaged approach to study the association between public housing renovation funded through Rental Assistance Demonstration (RAD) program and health status outcomes of residents living in RAD developments. addresses nationwide backlog deferred maintenance at properties. Using address-based queries electronic records from 2006–2019, will measure healthcare utilization clinical sites pre post compare them with nonpublic proximity...
Chronic illness can disrupt many aspects of life, including identity, social relationships, and anticipated life trajectories. Despite significant scholarship on chronic illness, we know less about the ways in which impacts feelings loneliness how people with deal loneliness. Drawing concepts biographical disruption liminality data from walking photo-elicitation interviews 14 people, aimed to explore experience their everyday lives. Tracing past present experiences are implicated lived...
In this article, we explore the experiences of older adults living in public housing undergoing renovations and its associated impacts on their perceived sense well-being. We also consider ways which affordable developers contemplate residents' health wellness into renovation plans processes. Following conventions hermeneutic analysis, conducted open-ended in-depth interviews with (n = 21) representatives a variety 12). Our analysis demonstrates that residents had strong attachments to...
We share findings from a larger ethnographic study of two urban complex care management programs in the Western United States. The data presented stem in-depth interviews conducted with 17 RNs and participant observations home visits. advance concept social literacy as nursing attribute that comprises an RN’s recognition responses to varied types hinderances self-management which patients must contend their lived environment. It is through reconceptualize understand health be product born...