Publications by authors named "D Borne"
Background: People experiencing homelessness (PEH) are underrepresented in public health and clinical research. Study methods that can improve participation by this group are needed.
Methods: In late 2022, the Centers for Disease Control and Prevention conducted an mpox serological survey using venipuncture among PEH in San Francisco, California.
People experiencing homelessness are disproportionately affected by infectious diseases and often face barriers to receiving appropriate medical treatment. Responding to the needs of people experiencing homelessness requires state and local health departments to integrate information sources and coordinate multisector efforts. From 2021 to 2023, the CDC Foundation, in cooperation with the Centers for Disease Control and Prevention, established pilot Centers of Excellence in Public Health and Homelessness in Seattle, Washington; San Francisco, California; and the state of Minnesota.
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- Mpox has impacted various communities in the U.S., particularly people experiencing homelessness (PEH), making vaccination crucial for disrupting transmission and protecting at-risk groups.
- A survey of 273 PEH in San Francisco showed that 59% of those previously offered the vaccine accepted it, while 52% of those who hadn't been offered it expressed willingness to get vaccinated.
- Vaccine acceptance was notably higher among transgender females and MSM (men who have sex with men), and efforts to improve vaccine education and address perceptions of personal risk could enhance vaccination rates among PEH.
Objectives: Many cisgender women affected by homelessness and substance use desire pregnancy and parenthood. Provider discomfort with patient-centered counseling about reproductive choices and supporting reproductive decisions of these women poses barriers to reproductive healthcare access.
Methods: We used participatory research methods to develop a half-day workshop for San Francisco-based medical and social service providers to improve reproductive counseling of women experiencing homelessness and/or who use substances.
Background: Women experiencing homelessness with substance use disorders face unique and intersecting barriers to realizing their reproductive goals.
Objective: This study explored the reproductive aspirations of this population, as well as the barriers to accessing reproductive services from the perspectives of affected individuals, and the healthcare providers who serve them.
Design: This mixed-methods study included surveys and interviews with women experiencing homelessness with substance use disorders and healthcare providers.