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Background: Vitamin D (VD) deficiency is a risk factor for dementia and Alzheimer's Disease (AD). Previously, we described health disparities in VD status, depression, and Hispanic ethnicity (HE) in an aging West Texas population from Project FRONTIER (Facing Rural Obstacles to Health Care Now Through Intervention, Education, and Research). Using the same sample, we examined relationships between VD status, health care access, and General Health Rating (GHR) METHOD: Of 299 participants in which serum 25-hydroxyvitamin-D levels were available, we examined relationships between access to care, VD, HE, and GHR.

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Background: Latinx individuals bear a disproportionate burden of Alzheimer's disease and related dementias (ADRD), with higher risk, underdiagnosis, and limited access to quality care. Primary care providers (PCPs) are crucial for early detection and management, yet organizational and policy factors significantly impact their ability to provide culturally competent and equitable ADRD care for this community. This study explores PCP perspectives to inform the development of accessible models that improve early diagnosis, preventive care, and quality of life for Latinx individuals with ADRD.

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Association between type of health insurance and dental visits among Ecuadorian older population: evidence from a cross-sectional study.

BMC Public Health

January 2025

Facultad de Ciencias de la Salud Eugenio Espejo, Universidad UTE, Centro de Investigación en Salud Pública y Epidemiología Clínica (CISPEC), Quito, Ecuador.

Background: Dental services are often overlooked within healthcare systems, despite their critical role in overall health. Socioeconomic barriers and disparities in insurance coverage frequently limit access to oral care, particularly among vulnerable populations like older adults.

Objective: To examine the impact of different health insurance types on the frequency of dental consultations among Ecuadorian senior citizens, aiming to highlight gaps in access to care.

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Pediatric Scaphoid Nonunions: Does Insurance Status Play a Role?

J Pediatr Orthop

February 2025

Orthopaedic Surgery and Sports Medicine, Akron Children's Hospital, Columbus, OH.

Article Synopsis
  • The study aimed to assess how insurance status and socioeconomic factors influence treatment timelines and outcomes for scaphoid nonunions in children.
  • A review of patient charts from a pediatric hospital found no significant differences in treatment delays or postoperative outcomes between privately insured and underinsured patients.
  • Results indicated comparable recovery outcomes, including rates of fracture union and levels of pain or mobility issues, regardless of insurance status, suggesting equitable access to care across both groups.
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Emergency care knowledge, utilization, and barriers in Northern Tanzania: A community-based survey.

PLOS Glob Public Health

January 2025

Global Emergency Medicine Innovation and Implementation (GEMINI) Research Center, Duke University, Durham, North Carolina, United States of America.

Background: Emergency care systems are critical to improving care for time-sensitive emergency conditions. The growth and development of these systems in Sub-Saharan Africa is becoming a priority. Layperson knowledge and recognition of emergency symptoms and subsequent care-seeking behavior are key to achieving timely access to care and appropriate treatment.

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