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| http://dx.doi.org/10.1001/jamanetworkopen.2024.2845 | DOI Listing |
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Effect of telemental health adoption on mental health services utilization in federally qualified health centers.
J Telemed Telecare
January 2025
Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, IA, USA.
Introduction: Mental health issues disproportionately affect rural and low-income populations, where access to prevention and treatment is limited. Implementing telemental health services (TMHS) in Federally Qualified Health Centers (FQHCs) could improve accessibility to mental healthcare. This study assessed the effect of TMHS on mental health services utilization in FQHCs, comparing centers with and without TMHS and examined differences in TMHS effect between FQHCs that adopted TMHS before and during the pandemic.
View Article and Find Full Text PDFStructural racism and racial disparities in stroke mortality in the United States, 2021.
Soc Sci Med
January 2025
Department of Epidemiology, Emory University Rollins School of Public Health, 1518 Clifton Road, Atlanta, GA, USA.
Objectives: To understand place-based drivers of racial disparities in stroke mortality in the United States by investigating the relationship between county-level measures of structural racism and racial disparities in stroke mortality.
Methods: We constructed an additive structural racism score from census-based indicators of racial disproportionality (income, poverty, unemployment, home ownership, education, health insurance) and residential segregation (evenness, isolation), as well as county-level jail incarceration data from the Vera Institute of Justice. We utilized age-standardized, spatially smoothed stroke death rates in 2021 for Black and White adults aged 35-64 years in the United States.
Geographic and Demographic Disparity in Firearm Injury: A 33-Year Retrospective Cohort Analysis of Florida Communities.
J Am Coll Surg
January 2025
Department of Surgery, University of South Florida Morsani College of Medicine, 2 Tampa General Circle 7 Floor, Tampa, FL.
Background: Firearm violence in America has been declared a public health crisis. This study investigates variation in firearm injuries by county-level characteristics and intent of firearm use.
Study Design: The open-access FLHealthCHARTS was searched for firearm injuries from 1989-2022.
Demographic disparities in access to COVID-19 clinical trial sites across the United States: a geospatial analysis.
Int J Equity Health
January 2025
Global Health Policy and Data Institute, San Diego, CA, USA.
Throughout the COVID-19 pandemic, underserved populations, such as racial and ethnic minority communities, were disproportionately impacted by illness and death. Ensuring people from diverse backgrounds have the ability to participate in clinical trials is key to advancing health equity. We sought to analyze the spatial variability in locations of COVID-19 trials sites and to test associations with demographic correlates.
View Article and Find Full Text PDFGeographic Variation in Racial Disparities in Age-Adjusted Mortality Rates in Mississippi.
J Racial Ethn Health Disparities
January 2025
Department of Medicine, Howard University College of Medicine, Washington, DC, USA.
Background: Racial disparities in mortality rates have been well-documented in the last century. Intersectionality theory has helped to identify the root causes of these health disparities. Few studies have examined disparities using the latest data for the state of Mississippi.
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