This webinar is the second in a series of seven in our Clinician Orientation to Migration Health.
DATE RECORDED: Wednesday, March 13, 2013
PRESENTED BY: Jennie McLaurin, MD, MPH, Specialist in Child and Migrant Health, Migrant Clinicians Network
To view the recorded version of this webinar, click here.
Good article on cultural humility--basically the groundbreaking one used to propose the term
Journal of Health Care for the Poor and Underserved; May 1998; 9, 2; Research Library
Melanie Tervalon; Jann Murray-Garcia
Objectives. We assessed implicit and explicit bias against both Latinos and
This article from the American Journal of Public Health is on implicit bias.
Authors: Irene V. Blair, PhD, Edward P. Havranek, MD, David W. Price, MD, Rebecca Hanratty, MD, Diane L. Fairclough, DrPH, Tillman Farley, MD, Holen K. Hirsh, PhD, and John F. Steiner, MD, MPH
Objectives. We assessed implicit and explicit bias against both Latinos and African Americans among experienced primary care providers (PCPs) and community members (CMs) in the same geographic area.
Methods. Two hundred ten PCPs and 190 CMs from 3 health care organizationsin the Denver, Colorado, metropolitan area completed Implicit Association Tests and self-report measures of implicit and explicit bias, respectively.
Results. With a 60% participation rate, the PCPs demonstrated substantial implicit bias against both Latinos and African Americans, but this was no different from CMs. Explicit bias was largely absent in both groups. Adjustment for background characteristics showed the PCPs had slightly weaker ethnic/racial bias than CMs.
Conclusions. This research provided the first evidence of implicit bias against Latinos in health care, as well as confirming previous findings of implicit bias against African Americans. Lack of substantive differences in bias between the experienced PCPs and CMs suggested a wider societal problem. At the same time, the wide range of implicit bias suggested that bias in health care is neither uniform nor inevitable, and important lessons might be learned from providers who do not exhibit bias.
(Am J Public Health. 2013;103:92–98. doi:10.2105/AJPH.2012.300812)
This webinar is the first in a series of seven in our Clinician Orienatation to Migration Health.
DATE RECORDED: Wednesday, February 13, 2013
PRESENTED BY: Deliana Garcia, MA, International Research and Development, Migrant Clinicians Network
To view the recorded version of this webinar, click here.
This website contains information on the 156 health centers that get federal funds to provide primary care to migrant and seasonal farmworkers regardless of immigration status. Most are part of community health centers that also receive additional federal funding to serve all low-income people. They offer services on a sliding fee scale.
A preliminary total of fatal work injuries recorded in the United States. According to results from the
Census of Fatal Occupational Injuries (CFOI) program conducted by the U.S. Bureau of Labor
Statistics.Children encounter pesticides daily and have unique susceptibilities to their potential toxicity. Acute poisoning risks are clear, and understanding of chronic health implications from both acute and chronic exposure are emerging. Epidemiologic evidence demonstrates associations between early life exposure to pesticides and pediatric cancers, decreased cognitive function, and behavioral problems.
In this policy statement, the American Association of Pediatrics outlines the symptoms and suggested course of treatment for acute exposure pesticides belonging to the eight most predominant classes of pesticides. The policy statement also makes recommendations for both pediatricians and government to take measures to improve pesticide safety.
© AAP - 2012; This document is copyrighted and is property of the American Academy of Pediatrics and its Board of Directors.
The California Healthcare News regularly posts jobs around the state. Check back frequently for updated information.
Barbara C. Lee PhD, Susan S. Gallagher MPH, Amy K. Liebman MPA, MA, Mary E. Miller RN, MN & Barbara Marlenga PhD (2012)Journal of Agromedicine, 17:2, 88-93ABSTRACT. In 1996 the US launched a National Childhood Agricultural Injury Prevention Initiative, guided by an action plan generated by a 42-member multidisciplinary committee. A major update to the plan was released following the 2001 Summit on Childhood Agricultural Injury Prevention. From the year 2010 through 2011 a comprehensive assessment of progress to date was conducted followed by the drafting, review and finalizing of a new action plan—“The 2012 Blueprint for Protecting Children in Agriculture.” This paper briefly describes the purpose and process for generating the new action plan then provides a listing of the 7 goals and 26 strategies within the plan. These goals and strategies account for trends in childhood agricultural injuries, changes in agricultural production and the demographics of its workforce, effectiveness of interventions, and the increasing use of social media, marketing and social networking. Primary funding for this project was provided by the National Institute for Occupational Safety and Health (NIOSH), which continues to serve as the lead federal agency for the national initiative.
American Journal of Public Health. October 2012, Vol 102, No. 10
Werner E. Bischoff, MD, PhD, Maria Weir, MAA, MPH, Phillip Summers, MPH, Haiying Chen, MD, PhD, Sara A. Quandt, PhD,
Amy K. Liebman, MPA, MA, and Thomas A. Arcury, PhD
Objectives. The purpose of this study was to assess water quality in migrant farmworker camps in North Carolina and determine associations of water quality with migrant farmworker housing characteristics. Methods. We collected data from 181 farmworker camps in eastern North Carolina during the 2010 agricultural season. Water samples were tested using the Total Coliform Rule (TCR) and housing characteristics were assessed using North Carolina Department of Labor standards. Results. A total of 61 (34%) of 181 camps failed the TCR. Total coliform bacteria were found in all 61 camps, with Escherichia coli also being detected in 2. Water quality was not associated with farmworker housing characteristics or with access to registered public water supplies. Multiple official violations of water quality standards had been reported for the registered public water supplies. Conclusions. Water supplied to farmworker camps often does not comply with current standards and poses a great risk to the physical health of farmworkers and surrounding communities. Expansion of water monitoring to more camps and changes to the regulations such as testing during occupancy and stronger enforcement are needed to secure water safety. (Am J Public Health. 2012;102: e49–e54. doi:10.2105/AJPH.2012.300738)
Article first published online: 17 SEP 2012
Abstract
Hispanics/Latinos are the largest and fastest growing major demographic group in the United States, accounting for 16.3% (50.5 million/310 million) of the US population in 2010. In this article, the American Cancer Society updates a previous report on cancer statistics for Hispanics using incidence data from the National Cancer Institute, the Centers for Disease Control and Prevention, and the North American Association of Central Cancer Registries and mortality data from the National Center for Health Statistics. In 2012, an estimated 112,800 new cases of cancer will be diagnosed and 33,200 cancer deaths will occur among Hispanics. In 2009, the most recent year for which actual data are available, cancer surpassed heart disease as the leading cause of death among Hispanics. Among US Hispanics during the past 10 years of available data (2000-2009), cancer incidence rates declined by 1.7% per year among men and 0.3% per year among women, while cancer death rates declined by 2.3% per year in men and 1.4% per year in women. Hispanics have lower incidence and death rates than non-Hispanic whites for all cancers combined and for the 4 most common cancers (breast, prostate, lung and bronchus, and colorectum). However, Hispanics have higher incidence and mortality rates for cancers of the stomach, liver, uterine cervix, and gallbladder, reflecting greater exposure to cancer-causing infectious agents, lower rates of screening for cervical cancer, differences in lifestyle and dietary patterns, and possibly genetic factors. Strategies for reducing cancer risk among Hispanics include increasing utilization of screening and available vaccines, as well as implementing effective interventions to reduce obesity, alcohol consumption, and tobacco use. CA Cancer J Clin 2012;. © 2012 American Cancer Society.
New research out of Cornell University's College of Human Ecology found that low-income children of immigrants have much poorer health than low-income children of citizens, as reported in a special section of the journal Child Development.
Robert Wood Johnson Foundation
This blog post from the North Carolina Medical Board discusses issues around physician burnout. The blog states: "Burnout among physicians has reached epidemic proportions since it was first described among human services workers in the 1970s. When physicians experience overload, loss of control (autonomy) and a lack of reward (perceived or real) for their contributions, their risk for emotional exhaustion, otherwise known as the burnout syndrome, is astronomical. When physicians begin the downward spiral into burnout, they no longer contribute with their leadership and motivational energy. Instead, they become needy and unintentionally sap energy away from the group. Worse, this syndrome is highly contagious and can systematically infect a whole practice or clinic by reducing meaningful contact among its individual members."
Program pays tuition, required fees, other reasonable costs and a monthly stipend. Preference is given to qualified applicants with the greatest financial need who are enrolled full-time in an undergraduate nursing program.
This article describes an excellent integrated behavioral health program at a Federally Funded Health Center. The full abstract from the article is as follows: In a progressively complex and fragmented health care system and in response to the need to provide whole-person, quality care to greater numbers of patients than ever before, primary care practices throughout the United States have turned their attention and efforts to integrating behavioral health into their standard service-delivery models. With few resources and little guidance, systems struggle to gather the support required to establish effective integrated programs. Based on first-hand experience, we describe a working integrated primary care model, currently utilized in a large community health center system in Colorado, that encompasses universal screening, consultation, psychotherapy, and psychological testing. With appreciation for the way an organization’s unique circumstances inform the best approach for that particular organization, we highlight the clinical level and system-level variables that we consider necessary for successful practice development and address how our behavioral health program operates despite funding limitations. We conclude that organizations that aim for integrated primary care must mobilize leadership to implement systemic changes while making difficult decisions about program development, financing, staffing, and interagency relationships.
The 2012 Blueprint for Protecting Children in Agriculture. Awarded 2013 Paper of the year by the International Society for Agricultural Safety and Health (ISASH), this National Action Plan takes an updated look at preventing childhood agricultural injury and death.
This research study was conducted on 8 dates of an annual flu shot clinic at the San Francisco General Hospital. Patients were offered flu shots as usual (control group) and on 9 other dates, patients were offered both flu shots and FOBT kits (intervention group). Researchers wanted to determine whether providing home fecal occult blood test (FOBT) kits to eligible patients during influenza inoculation (flu shot) clinics can contribute to higher colorectal cancer screening (CRCS) rates. The study concluded that offering FOBT kits during flu shot clinics dramatically increased the CRCS rate for flu shot clinic attendees. Pairing home FOBT kits with annual flu shots may be a useful strategy to improve CRCS rates in other primary care or public health settings.
An estimated 1.1 million people in the USA are living with HIV/AIDS. Nearly 200,000 of these individuals do not know that they are infected. In 2006, the CDC recommended that all healthcare providers routinely offer HIV screening to adolescent and adult patients. Nurse-dentist collaborations present unique opportunities to provide rapid oral HIV screening to patients in dental clinic settings and reach the many adults who lack primary medical providers. However, little is known about the feasibility and acceptability of this type of innovative practice. Thus, elicitation research was undertaken with dental providers, students, and patients. This paper reports the results of qualitative interviews with 19 adults attending a university-based dental clinic in New York City. Overall, patients held very positive attitudes and beliefs toward HIV screening in dental sites and identified important factors that should be incorporated into the design of nurse-dentist collaborative HIV screening programs.
The National Institutes of Health (NIH) Undergraduate Scholarship Program (UGSP) offers competitive scholarships to students from disadvantaged backgrounds who are committed to careers in biomedical, behavioral, and social science health-related research. The program offers:
SCHOLARSHIP REQUIREMENTS
The NIH Undergraduate Scholarships are awarded on a competitive basis to students who show a commitment to pursuing careers in biomedical, behavioral, and social science health-related research. The following are the basic requirements:
Scholarship Support
The NIH UGSP will pay up to $20,000 per academic year in tuition, educational expenses, and reasonable living expenses to scholarship recipients. Scholarships are awarded for 1 year, and can be renewed up to 4 years.
Published by HRSA's MCHB in September 2011, the chartbook is based on data from the 2007 National Survey of Children's Health (NSCH). This is the second round of the survey; however, some questions were revised since the 2003 survey, and not all findings are comparable to those from the 2003 survey.
Indicators report on the health and well-being of children in rural areas, presenting information on the health status and risk and protective factors experienced by children on a National level.
The Place, Migration, and Health (PMH) network, a diverse group of researchers committed to understanding the links between migration processes and the health of migrants, their families.
The PMH website aims to generate and improve knowledge on the links between migration processes and the health of (im)migrants, their families, and their sending and receiving communities using across-national lens for research and policy.
The work of the researchers in the PMH network seeks to address knowledge gaps in areas critical for understanding the determinants of immigrant health and to inform intervention and policy opportunities to promote the the health of first-generation immigrants and their offspring.
The Applied Research Center released this report offering the first national data available on the perilous intersection of immigration enforcement and the child welfare system. ARC's Investigative Research package includes a poignant video and Colorlines.com articles which bring to life the story of one family trying desperately to stay together.
Issue Brief Co-Authored by Health Outreach Partners and the Kaiser Family Foundation
Information provided by the Kaiser Commission on Medicaid and the Uninsured
Publication Number: 8249
Publish Date: 2011-10-27
This brief examines how the Affordable Care Act (ACA) may impact immigrant families based on data collected from Outreach/Eligibility Workers in four regions of the country and supported by needs data from several health outreach programs around the country. You will note that the pivotal role of Community Health Centers (CHCs) to connect immigrant families to coverage and care is highlighted. Migrant Health Centers and Homeless Health Centers are specifically cited because of their history of pioneering and strengthening many of the models and strategies that will be needed to connect immigrant families to health coverage and care come 2014.
Download report here.
This issue of Forced Migration Review, features an article about the Strengthening What Works initiative called "Preventing partner violence in refugee and immigrant communities." The article provides an overview of the Robert Wood Johnson Foundation initiative for readers in the humanitarian and public health sectors and features information about MCN's program Hombres Unidos.
Matthew Keifer, MD, MPH, a board certified occupational medicine specialist and internationally renowned researcher regarding pesticides and worker health, overviews the importance of recognizing and managing pesticide exposure. To obtain free CME* credit, please complete this evaluation at the end of the webinar http://www.migrantclinician.org/national_webinar_eval. Sponsored by AgriSafe Network, Migrant Clinicians Network and the National Farm Medicine Center.
*Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.
This EPA report contains the latest estimates of agricultural and nonagricultural pesticide use in the United States.
The Alliance of Nurses for Healthy Environments (ANHE) is a network of nurses from around the country (and world) who are acting on the notion that our environment and health are inextricably connected. We are a group of nurses from all walks of our profession – hospital-based, public health, school-based, academics, and advanced practice, to name a few.
We are helping to integrate environmental health into nursing education, greening our many workplaces, incorporating environmental exposure questions into our patient histories, providing anticipatory guidance to pregnant women and parents about environmental risks to children, implementing research that addresses environmental health questions, and advocating for environmental health in our workplaces and governmental institutions.
Three newsletters the NHSC has developed for each of its primary member segments -- Clinicians in Service, Scholars in School, and NHSC sites.