A5000501854- Diabetes Management and Education
- Food Security and Health in Diverse Populations
- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Public Health Policies and Education
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Diabetes Management and Research
- Chronic Disease Management Strategies
- Cardiovascular Health and Risk Factors
- Health disparities and outcomes
- Obesity, Physical Activity, Diet
- Global Public Health Policies and Epidemiology
- Obesity and Health Practices
- Diabetes Treatment and Management
- Mobile Health and mHealth Applications
- Healthcare Policy and Management
- Cultural Competency in Health Care
- Nutritional Studies and Diet
- Eating Disorders and Behaviors
- Health Promotion and Cardiovascular Prevention
- Consumer Attitudes and Food Labeling
- Indigenous Health, Education, and Rights
- Disaster Response and Management
- Hepatitis C virus research
- Tea Polyphenols and Effects
University of California, San Francisco
2021-2024
America's Health Insurance Plans
2023-2024
San Diego State University
2022-2024
American Academy of Family Physicians
2024
Oregon Health & Science University
2024
The University of Texas Health Science Center at San Antonio
2024
National Association of Community Health Centers
2023
University of California, Davis
2023
University of California, Berkeley
2023
Training Programs in Epidemiology and Public Health Interventions Network
2021-2023
<h3>Purpose:</h3> Though a growing crop of health care reforms aims to encourage care-based social screening, no literature has synthesized existing screening implementation research inform practice and policymaking. <h3>Methods:</h3> Systematic scoping review peer-reviewed on published 1/1/2011–2/17/2022. We applied 2-concept search (health screening; risk factors) PubMed Embase. Studies had explore the multi-domain describe 1+ outcome related reach, adoption, implementation, and/or...
Importance Recent research highlights the association of social determinants health with outcomes patients type 2 diabetes (T2D). Objective To examine associations between health-related needs (HRSNs) and care quality utilization in a Medicare Advantage population T2D. Design, Setting, Participants This cross-sectional study used medical pharmacy claims data from 2019. An HRSN survey was given October 16, 2019, February 29, 2020, to beneficiaries. Inclusion criteria were diagnosis T2D, age...
Little has previously been reported about the implementation of social risk screening across racial/ethnic/language groups. To address this knowledge gap, associations between race/ethnicity/language, screening, and patient-reported risks were examined among adult patients at community health centers.Patient- encounter-level data from 2016 to 2020 651 centers in 21 U.S. states used; extracted a shared Epic electronic record analyzed December February 2022. In adjusted logistic regression...
Background. Hispanic males have the highest rates of overweight and obesity compared with men all other racial/ethnic groups. While weight loss can significantly reduce obesity-related health risks, there is limited research examining effective gender- culturally tailored behavioral programs for men. Objective. To assess feasibility preliminary efficacy a 12-week sensitive intervention (GCSWLI) as waist-list control (WLC) in sedentary, overweight/obesity. Method. Fifty (age: 43 years [ SD =...
US Latinos disproportionately face diabetes-related disparities compared to non-Latino Whites. A number of barriers, including linguistic and cultural discordance, have been consistently linked these disparities. Glycated hemoglobin (HbA1c) testing is used assess glycemic control among individuals living with diabetes. This study aimed compare HbA1c levels corresponding rates Whites both English Spanish preference from a national cohort primary care patients within community health centers....
<h3>Background:</h3> Many community health centers (CHC) are scaling social risk screening in response to growing awareness of the influence adversity on outcomes and concurrent incentives for data collection. We studied implementation Texas CHCs inform best practices understand equity implications. <h3>Methods:</h3> Convergent mixed methods 3 sources. Using interviews surveys with CHC providers staff, we explored identify barriers facilitators; used electronic record (EHR) assess reach...
Latinos are currently the largest and fastest growing racial/ethnic group in United States have lowest rates nationally of regular sources primary care. The changing demographics Latino populations significant implications for future health nation, particularly with respect to chronic disease. Community-based agencies clinics alike a long history engaging community workers (CHWs) provide broad range tangible emotional support strategies diseases. In this paper, we present protocol...
Background: Within health promotion research, there is a need to assess strategies for integration and scale up in primary care settings. Hybrid interventions that combine clinical effectiveness trials with implementation studies can elicit important contextual information on facilitators barriers within system. This article describes lessons learned developing implementing qualitative study of cluster-randomized controlled trial (RCT) reduce cardiovascular disease (CVD) among people...
A growing number of clinics are adopting standardized "social risk" screening and referral programs with the goal mitigating adversities that negatively influence patients' health. We examined efforts to integrate social risk into community health centers (CHCs) providing primary care services in Oregon. CHCs participated either one or both two large initiatives aiming embed procedures. conducted 42 semi-structured interviews clinicians, managers staff at 12 affiliated five understand...
Healthy lifestyle interventions offered at points of care, including support groups, may improve chronic disease management, especially in low-resource populations. We assessed the effectiveness an educational intervention type 2 diabetes (T2D) groups to reduce cardiovascular (CVD) risk.We recruited 518 participants a parallel, two-arm, cluster-randomized, behavioural clinical trial across 22 clinics Sonora, Mexico, between August 2016 and October 2018. delivered 13-week secondary prevention...
Hispanic men have disproportionate rates of overweight and obesity compared with other racial ethnic subpopulations. However, few weight loss interventions been developed specifically for this high-risk group. Furthermore, the use mobile health (mHealth) technologies to support lifestyle behavior changes in is largely untested.This single-arm pilot study examined feasibility acceptability integrating mHealth technology into a 12-week gender- culturally sensitive intervention (GCSWLI)...
Abstract Background Evidence on the health impacts of social conditions has led US healthcare systems to consider identifying and addressing adversity—e.g. food, housing, transportation insecurity—in care delivery settings. Social screening is one strategy being used gather patient information about circumstances at point care. While several recent studies describe rapid proliferation activities, little work explored either why or how implement in clinical Our study objectives were assess...
Abstract Background People living with diabetes have an increased risk of developing mental health issues. Mexico has observed a high prevalence people suffering from issues, such as anxiety and depression. Self-management programs demonstrated promise in helping participants address prevent not only physiological complications but issues well. This qualitative study aimed to understand the benefits self-management intervention for centers Northern opportunities improvement through assessing...
Background: Type 2 diabetes mellitus (T2DM) has become a major issue in Mexico, reporting almost 100,000 attributable deaths 2016. Low-income Mexican citizens who face various issues associated with T2DM, including the lack of access to self-management services, are particularly affected by condition. Health centers have been designated serve T2DM patients providing resources on chronic disease prevention. Meta Salud Diabetes (MSD) is intervention developed address cardiovascular...
The purpose of the study is to examine diabetes screening and monitoring among Latino individuals as compared with non-Latino White better understand how we can use neighborhood data address care inequities.This a retrospective observational linked neighborhood-level subgroup obtained from American Community Survey. We used generalized estimating equation negative binomial logistic regression models adjusted for patient-level covariates compare annual rates glycated hemoglobin (HbA1c) those...
In the U.S., Hispanics have among highest rates of overweight and obesity when compared to other racial/ethnic groups placing them at a greater risk for obesity-related disease. Identifying intervention strategies reduce caloric intake and/or improve cardiometabolic health in is critical reducing morbidity mortality this large growing population. Evidence exists support diet-specific behavioral interventions, including beverage modifications, risks. However, acceptability feasibility obese...
Background: Metformin treatment is a recommended first-line medication for patients with Type 2 diabetes. Latino may be subject to several factors that modify their level of diabetes care, including prescription. We evaluated the odds and times metformin prescription among non-Latino white, English-preferring Latinos, Spanish-preferring Latinos diabetes.Methods: constructed retrospective cohort 157,393 adult from 835 clinics across 20 states who were diagnosed during study. Patients Latino,...
Social risk data collection is expanding in community health centers (CHCs). We explored clinicians' practices of adjusting medical care based on their awareness patients' social factors-that is, changes they make to plans mitigate the potential impacts factors and outcomes-in a set Texas CHCs.
Latinos represent almost 20% of the US population and face significant health care inequities. When compared with socioeconomically similar comparators, they demonstrate better all-cause mortality, a long-observed epidemiologic phenomenon known as "Latino paradox." In May 2023, we convened inaugural Latino Primary Care Summit, focused on theme, "Immigrant Paradox: Roles, Implications Future," goal helping to define research agenda recommendations for primary equity within context paradox....
The Latino population is the largest ethnic group in United States and has a higher prevalence of diabetes mellitus than non-Latino Whites. objective this article to assess if glycohemoglobin (HbA1c) monitoring rates vary across patients by subgroup nativity compared with their White counterparts. Our sample included 43,593 adults (18 79 years) Type-2 extracted from electronic health record (EHR) data Community Health Centers (CHCs) 16 US states, linked neighborhood-level within study period...