A5056093126- Migration, Health and Trauma
- Healthcare Policy and Management
- Child and Adolescent Health
- Global Health Workforce Issues
- Health and Conflict Studies
- Vaccine Coverage and Hesitancy
- Public Health Policies and Education
- Migration and Labor Dynamics
- Grief, Bereavement, and Mental Health
- Healthcare Systems and Challenges
- Global Maternal and Child Health
- Diversity and Career in Medicine
- Ethics in Clinical Research
- Science, Research, and Medicine
- Primary Care and Health Outcomes
- Food Security and Health in Diverse Populations
- Health Systems, Economic Evaluations, Quality of Life
- Education and experiences of immigrants and refugees
- COVID-19 Digital Contact Tracing
- Migration, Refugees, and Integration
- Biomedical Ethics and Regulation
- Blood donation and transfusion practices
- Global Security and Public Health
- American Constitutional Law and Politics
- Workplace Violence and Bullying
SUNY Upstate Medical University
2019-2025
Emory University
2025
State University of New York
2024
American Society of Law, Medicine and Ethics
2024
Brown University
2024
The University of Texas Rio Grande Valley
2022
Johns Hopkins Berman Institute of Bioethics
2016-2021
George Washington University
2021
Johns Hopkins University
2016-2020
ASM International
1994
Expanded health insurance coverage for pregnant immigrant women who are in the United States lawfully as well those country without documentation may address barriers access to pregnancy-related care. We present new evidence on impact of states' public expansions (both state-funded and under Children's Health Insurance Program) their prenatal care use, mode delivery, infant health. Our quasi-experimental design compared changes women's outcomes states expanding nonimmigrant same state...
If funding allocation is an indicator of a field's priorities, then the priorities field bioethics are misaligned because they perpetuate injustice. Social justice mandates priority for factors that drive systematic disadvantage, which tend not to be areas supported by within academic bioethics. Current violate social overemphasizing technologies aim enhance human condition without addressing underlying structural inequalities grounded in racism, and deemphasizing inquiry most frequently...
Professional medical organizations recommend that adults receive routine postpartum care. Yet, some states restrict public insurance coverage for undocumented immigrants and recently documented (those who received legal documentation status within the past 5 years). To examine association between care among low-income difference in receipt of relative to nonimmigrants. A pooled, cross-sectional analysis was conducted using data from Pregnancy Risk Assessment Monitoring System 19 New York...
A new Texas policy could deter immigrants, both documented and undocumented, from seeking help for serious medical concerns. Consequences of this measure may reverberate widely.
Photo ID 280792184 © Jj Gouin| Dreamstime.com Abstract Healthcare providers should advocate for human and civil rights. They ought to recognize injustices that unfairly disadvantage certain groups of people work improve broader conditions affect health. systems have historically undervalued even excluded voices from the creation an evidence base care, furthering health disparities members these groups. This is a form testimonial injustice. Trans experience particular injustice in healthcare...
Background: Informed consent requirements generally require a lengthy process and signed documentation for patients to participate in clinical research. With growing interest comparative effectiveness research (CER), whereby receive approved (nonexperimental) medicines their medical condition, questions have been raised whether the same should apply. Little input from has part of these debates. Methods: We conducted two "deliberative engagement sessions" with Johns Hopkins Community...
Interview with Rachel Fabi on recent legislative measures to extend insurance coverage for undocumented immigrants in California. (06:08)Download Insuring U.S. would be a key step toward achieving universal health care coverage. In hostile national political climate, moves the California legislature provide test cases laws that could replicated other states.
Refugees and other New Americans faced unique mental health barriers before during the COVID-19 pandemic. Reduced access to supports services in this population indicates a need for new community-based interventions. This paper explored refugee parents' young adults' perceptions of facilitators encountered by resettled refugees (ages 10-24) their parents. Using an interpretive phenomenology approach form participatory research (CBPR), we designed focus group guide with student community...
Importance Although 23% of births in the US are to non–US-born birthing parents and 6% undocumented immigrants, many immigrants have limited access insurance coverage for postpartum care or contraception, which contributes substantial health disparities. Understanding policy variation may lay groundwork assessing association different options with maternal child health. Objective To determine if how each state provides publicly funded during period immigrant parents. Design, Setting,...
This Viewpoint discusses the use of behavior contracts with patients in response to increasing workplace violence health care, and highlights importance building evidence base for approaches dealing violent behaviors that are effective just.
Through engagement with key informants and review of ethical theories applicable to refugee policy, this paper examines the policy considerations that policy-level stakeholders believe should factor into setting resettlement ceiling. We find ceiling traditionally has been influenced by goals, underlying values, practical considerations. These factors map onto several approaches resettlement. There is significant alignment between U.S. interests obligations toward refugees. argue be restored...
Nearly 7% of US citizens born each year have at least one undocumented parent, but many pregnant immigrants are ineligible for public insurance covering prenatal care due to their immigration status. This article reviews national-level and state-level policies affecting access members this population. also considers ethical challenges posed by some that create obstacles patients' accessing health is universally recommended professional guidelines.
This paper examines the practice implications of various state policies that provide publicly funded prenatal care to undocumented immigrants for health workers who see patients. Data were collected through in-depth interviews with purposively sampled at safety net clinics in California, Maryland, Nebraska, and New York. Health asked about process which patients receive their center ethical tensions frustrations they encounter when providing or facilitating this under policy restrictions....
Few communities in the United States have been more negatively affected by novel coronavirus disease-2019 (COVID-19) pandemic than immigrants with low incomes. For pregnant immigrants, who must navigate health disinformation and fear of immigration enforcement while attempting to access prenatal care for a healthy birth, this situation is particularly troubling. Any efforts curb COVID-19 take into account unique dangers crisis poses their families. Pregnancy should be provided at no cost,...
Précis Federally Qualified Health Centers (FQHCs) proved to be critical points of access for people color and other underserved populations during the COVID-19 pandemic, administering 61% their vaccinations color, compared 40% rate overall United States’ vaccination effort. To better understand approaches outcomes FQHCs in pandemic response, we conducted semi-structured interviews with FQHC health care providers outreach workers analyzed them using an inductive qualitative methodology.
Abstract Context: Despite major expansions in public health insurance under Medicaid and CHIP over the last 60 years, many immigrants remain ineligible for coverage. Methods: We discuss existing federal state policies that extend eligibility to low-income pregnant immigrants, children, nonelderly adults. also conduct a literature review summarize quasi-experimental evidence examining impact of on coverage, healthcare use, outcomes among immigrants. Findings: Public varies widely across...
The detention of immigrants inside US borders is not a new phenomenon. However, dramatic shift has occurred in both the number and treatment detention.We examine recent changes immigration policies that have systematized mistreatment children pregnant immigrants, including ban on abortion for unaccompanied minors detention, neglect separation prolonged parents unsafe facilities.We employ reproductive justice framework to demonstrate how these violate all 3 primary values justice: right...
In order to identify the role played by heterochromatic polymorphisms in miscarriage, an analysis was carried out on 257 couples, 137 of them with two or more abortions and 120 serving as a control. All couples were taken from Italian populations: 77 cases 70 controls came exogamic population whilst 60 50 almost endogamic one. Out cases, six five groups excluded because at least one partner had balanced chromosomal aberrations. Four group also for same reason. The remaining 126 analysed...
Equitable access to vaccination is crucial mitigating the disproportionate impact of Covid-19 on low-income communities and people color in United States. As primary care clinics for medically underserved patients, Federally Qualified Health Centers (FQHCs) emerged as a success story national effort vaccinate U.S. public against Covid-19. In February 2021, Federal Center Vaccine Program began allocating vaccine supply directly FQHCs an improve equity. This qualitative study documents how two...