Overgaardburris8213

Monolingual Spanish-speaking families face linguistic barriers to care. Volunteer bilingual navigation (VBN) may increase appointment attendance and satisfaction.

Volunteer bilingual navigation was implemented in a children's multispecialty clinic and included way-finding, non-medical interpretation, and pre-visit phone calls. Outcome measures were 1) Appointment attendance, measured by no-show percentages; 2) Mean Press-Ganey® patient satisfaction ratings. No-show percentages were evaluated using segmented linear regression. Mean patient satisfaction ratings were compared during baseline, intervention, and follow-up phases using t-tests.

Trained VBNs provided navigation during the nine-month intervention. In-person navigation was associated with non-significantly decreased no-shows (-0.95%; [-2.43, 0.53]) from baseline (9.32%). Addition of pre-visit phone calls was associated with no-show decrease of -2.82% (-3.97, -1.66). Mean satisfaction ratings increased non-significantly (84.0 to 92.9; p=.18) and remained increased at two-year follow-up.

Bilingual navigation is an effective complement to formal medical interpretation, may improve Spanish-speaking families' appointment attendance and satisfaction, and can be implemented sustainably.

Bilingual navigation is an effective complement to formal medical interpretation, may improve Spanish-speaking families' appointment attendance and satisfaction, and can be implemented sustainably.

Latino day laborers face substantial injuries at work. We present a comprehensive assessment of their injury experience and explore the predictors of selfreported injuries.

Worker and injury characteristics were collected from 331 day laborers using an innnovative injury assessment tool. The odds of injury were estimated using a logistic regression.

Participants were foreign-born, Spanish monolingual, and employed in construction. Sixty-seven individuals reported 88 past-year injuries, mostly involving the upper or lower extremities. Injuries were caused by moving heavy objects, falling, or being struck an object. Of the documented injuries, 24% were not reported at work due to fear of being fired; 64.4% resulted in missed workdays, 54.0% in temporary incapacitation, and 34.5% in permanent incapacitation. Being married significantly reduced the odds of reporting an injury.

Better documentation can inform the development of better policy protections that ameliorate injuries experienced by Latino day laborers at the workplace.

Better documentation can inform the development of better policy protections that ameliorate injuries experienced by Latino day laborers at the workplace.Communication-based interventions have been linked to improved health and social outcomes among underserved populations. Migrant women in sex work face serious health and social inequities, including risks of HIV and other sexually transmitted infections (STIs) and violence. Given gaps in evidence about health communication among migrant sex workers and the potential for communication-based interventions to promote health and safety, this qualitative study investigates experiences with accessing and sharing information regarding HIV/STI prevention, sexual and reproductive health, and physical safety among migrant sex workers at the Mexico-Guatemala border. Findings suggest that participatory peer-based, workplace, and m-health communication interventions could facilitate access to HIV/STI prevention, and to sexual and reproductive health/safety resources for migrant women involved in sex work, while strengthening peer support networks and social cohesion. To have long-lasting results, such interventions must be complemented by broader structural changes, including sex work and migration law reforms, increased community mobilization, and improved working conditions.

The purpose of this study was to evaluate the poverty-related knowledge and attitudes of primary care providers and staff following an educational initiative focused on poverty and social determinants of health (SDoH).

A descriptive posttest-only design was used. All providers and staff in three outpatient primary care clinics (including one medical home and one women's health clinic) received education (two sessions, one hour in length) on poverty and SDoH. Picropodophyllin IGF-1R inhibitor The educational initiative's effectiveness was evaluated by measuring perceptions of (a) knowledge/understanding related to SDoH and low SES and (b) preparedness to serve patients of low SES.

Thirty-two of the 55 participants in the educational sessions completed the survey (58%). Average post-education ratings for perceptions of both preparedness and knowledge/understanding were significantly higher than for the corresponding pre-education items (p < .001), with large effect sizes. Study limitations and implications are presented.

Thirty-two of the 55 participants in the educational sessions completed the survey (58%). Average post-education ratings for perceptions of both preparedness and knowledge/understanding were significantly higher than for the corresponding pre-education items (p < .001), with large effect sizes. Study limitations and implications are presented.Early identification of children at risk for autism spectrum disorder (ASD) is critical to promote optimal outcomes. However disparities in early recognition of ASD based on race, ethnicity, income, and English proficiency persist. Little is known regarding how parents from these groups describe concerns. The study aim was to understand how parents of children from underserved backgrounds at developmental risk describe concerns about child development and behavior. To address this gap, developmental concerns of 204 parents of children at-risk for ASD from underserved communities were analyzed. In this sample, the number and type of parental concerns differed based on parent primary language but not the presence of ASD or ethnicity. Parents whose primary language was Spanish were less likely to express concerns about their child's development or to express ASD-specific concerns. These findings have implications for how clinicians elicit and interpret developmental concerns from underserved families.