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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results1 to 7 of 7 Research Studies Displayed
Rokicki S, Montana L, Fink G
Impact of migration on fertility and abortion: evidence from the household and welfare study of Accra.
The researchers used detailed pregnancy and migration histories collected as part of the Household and Welfare Study of Accra (HAWS) to examine the association between migration and pregnancy outcomes among women residing in the urban slums of Accra, Ghana. They found that the completed fertility patterns of lifetime Accra residents are remarkably similar to those of residents who migrated.
Citation: Rokicki S, Montana L, Fink G . Impact of migration on fertility and abortion: evidence from the household and welfare study of Accra. Demography 2014 Dec;51(6):2229-54. doi: 10.1007/s13524-014-0339-0..
Keywords: Pregnancy, Urban Health, Social Determinants of Health, Labor and Delivery
McIntosh S, Cirillo D, Wood N
Patient evaluation of an acute care pediatric telemedicine service in urban neighborhoods.
The authors characterized health problems prompting neighborhood telemedicine use and to assessed parent perceptions of its value. They found that family preferences and the high value placed on neighborhood telemedicine suggest such service is important, and that service provided by neighborhood telemedicine holds potential to meet a large demand for care of acute childhood illness.
Citation: McIntosh S, Cirillo D, Wood N . Patient evaluation of an acute care pediatric telemedicine service in urban neighborhoods. Telemed J E Health 2014 Dec;20(12):1121-6. doi: 10.1089/tmj.2014.0032.
Keywords: Children/Adolescents, Health Services Research (HSR), Patient Experience, Telehealth, Urban Health
Qato DM, Daviglus ML, Wilder J
'Pharmacy deserts' are prevalent in Chicago's predominantly minority communities, raising medication access concerns.
The authors examined whether trends in the availability of pharmacies varied across communities in Chicago with different racial or ethnic compositions and whether "pharmacy deserts," or low-access neighborhoods, were more common in segregated black and Hispanic communities than elsewhere. They found that in 2012 there were disproportionately more pharmacy deserts in segregated black communities, as well as in low-income communities and federally designated Medically Underserved Areas. These findings suggest that public policies aimed at improving access to prescription medications may need to address factors beyond insurance coverage and medication affordability.
Citation: Qato DM, Daviglus ML, Wilder J . 'Pharmacy deserts' are prevalent in Chicago's predominantly minority communities, raising medication access concerns. Health Aff 2014 Nov;33(11):1958-65. doi: 10.1377/hlthaff.2013.1397.
Keywords: Access to Care, Medication, Provider: Pharmacist, Racial / Ethnic Minorities, Urban Health
Haukoos JS, Lyons MS, White DA
Acute HIV infection and implications of fourth-generation HIV screening in emergency departments.
This editorial discusses a study in the same journal issue that contributes substantially to the understanding of HIV screening in EDs by reporting programmatic results of nontargeted opt-out screening in a high-volume, urban ED. This study is unique in that it reports, for the first time in an ED setting, the use of fourth-generation HIV testing which improves detection of acute HIV infection.
Citation: Haukoos JS, Lyons MS, White DA . Acute HIV infection and implications of fourth-generation HIV screening in emergency departments. Ann Emerg Med 2014 Nov;64(5):547-51. doi: 10.1016/j.annemergmed.2014.07.004..
Keywords: Human Immunodeficiency Virus (HIV), Screening, Emergency Department, Urban Health
Allgood KL, Rauscher GH, Whitman S
Validating self-reported mammography use in vulnerable communities: findings and recommendations.
The researchers examined the potential extent of overreporting of mammography use in low-income African-American and Latina women, and whether self-report inaccuracies might bias estimated associations between patient characteristics and mammography use. They found that although 73% of women self-reported a mammogram in the last 2 years, only 44% of self-reports were documented. Overreporting of mammography use was observed for all ethnic groups studied.
Citation: Allgood KL, Rauscher GH, Whitman S . Validating self-reported mammography use in vulnerable communities: findings and recommendations. Cancer Epidemiol Biomarkers Prev 2014 Aug;23(8):1649-58. doi: 10.1158/1055-9965.epi-13-1253.
Keywords: Healthcare Utilization, Mammogram, Racial / Ethnic Minorities, Vulnerable Populations, Low-Income, Urban Health, Women
Hsieh YH, Haukoos JS, Rothman RE
Validation of an abbreviated version of the Denver HIV Risk Score for prediction of HIV infection in an urban ED.
The researchers sought to evaluate the performance of a short version of the Denver HIV Risk Score in 2 urban emergency departments. They found that external validation resulted in good discrimination. The study cohort included 15,184 patients with newly diagnosed HIV infection.
Citation: Hsieh YH, Haukoos JS, Rothman RE . Validation of an abbreviated version of the Denver HIV Risk Score for prediction of HIV infection in an urban ED. Am J Emerg Med. 2014 Jul;32(7):775-9. doi: 10.1016/j.ajem.2014.02.043..
Keywords: Emergency Medical Services (EMS), Human Immunodeficiency Virus (HIV), Risk, Urban Health
Halbert CH, Briggs V, Bowman M
Acceptance of a community-based navigator program for cancer control among urban African Americans.
The researchers evaluated acceptance of a community-based navigator program for cancer control and identified factors having significant independent associations with navigation acceptance in an urban sample of African Americans. They found that age and perceived risk of developing cancer had a significant independent association with navigation acceptance. Participants who believed that they were at high risk for developing cancer had a lower likelihood of completing navigation.
Citation: Halbert CH, Briggs V, Bowman M . Acceptance of a community-based navigator program for cancer control among urban African Americans. Health Educ Res 2014 Feb;29(1):97-108. doi: 10.1093/her/cyt098..
Keywords: Cancer, Care Coordination, Care Management, Community-Based Practice, Racial / Ethnic Minorities, Urban Health