Qualitatively understand the factors contributing to the decision of PEH to seek or accept STI testing.
Clear health and mortality disparities exist both in transgenderpopulations and for youth experiencing homelessness (YEH). Transgender youth are overrepresented within populations of YEH. 1 in 100 youth is transgender, but an estimated 1 in 11 youth experiencing homelessness is transgender. No peer-reviewed research has yet explored the structural factors that underlie health disparities experienced bytransgender YEH.
20 million people in the USA struggled with asubstance use disorder (SUD) in 2020. SUD affects both rural and urban areas, but rural areas have fewer treatment resources. ASAM CONTINUUM® is an intake assessment tool created by the American Society of Addiction Medicine (ASAM) that helps evaluate SUD and recommend the appropriate level of care.
El Dorado Community Health Center has aLevel 1 SUD treatment clinic in rural NorthernCalifornia that implemented ASAM CONTINUUM®.
The impact of being unhoused on the likelihoodof being violently injured and reinjured (+financial burden) has become more significantas the unhoused population continues toincrease. Being unhoused is associated with an increased likelihood of being re-assaulted (recidivism) after an initial violent assault compared to the housed population.
Patients with CHF seen by an interdisciplinary palliative care team have shown improvements in patients' quality of life, sympton burden, and mood. The Supportive Medicine Clinic (SMC) at UC Davis Health (UCDH) is a Palliative Care Clinic that is embedded in an academic cardiology practice and sees patients one day per week for sixty minutes.
UC Davis Health has a "Blackout Flag" policy (1190) that is used in trauma care settings to restrict visitors from the patient. The policy's intended goal is to protect patients from potential harmful visitors, especially in ongoing investigations. This policy may impair history taking and well-informed treatments because it restricts knowledge provided by visitors and loved ones. Often placed by police, this policy may be disproportionally applied to patients from marginalized backgrounds and may perpetuate medical distrust.
During the COVID-19 outbreak, there was a surge in overdose-related deaths with the CDC estimating a 38.4% increase in opioid-related deaths and a 26.5% increase in cocaine-related deaths during June 2019-May 2020, when compared to the 12 months prior1. With subsequent surveillance data confirming this trend, it is evident that COVID-19 had a unique impact on people who use drugs (PWUD). However, the psychosocial, socioeconomic, and biopolitical effects of the pandemic on PWUD are poorly understood. The COVID-19 pandemic resulted in disruptions to illicit drug supplies in Canada, leading to increased use of contaminated and variably potent substances2. With social distancing guidelines in place, syringe service programs were deemed non-essential in many areas, effectively cutting off the supply of safe injection materials while contaminated drugs circulated. Given this background, it is necessary to better understand the ways COVID-19 has impacted the health and behaviors of PWUD. By engaging directly with PWUD in Sacramento County, this mixed-methods project aims to go to the source and address this important gap in knowledge.
COVID-19 highlighted the challenge of connecting patients with accurate information regarding the COVID-19 vaccine. Upon seeing large disparities in vaccination rates among different populations in Sacramento, we began incorporating behavioral nudges into our digital messages to deliver information on the vaccine. To evaluate if these nudges could reduce vaccine disparities in our community, we leveraged UCD EMR data from Epic to identify populations with low vaccination rates, developed tailored messaging trees to those populations, and deployed messaging campaigns that were constantly iterated with A/B testing.
REACH (Reimagining Education to Advance central California Health) was established in 2018 and is a continuation of the former SJV Prime program (established in 2011). This Prime program was created to matriculate students with ties to the Central Valley who will train and return to underserved and underrepresented communities in the Valley. Our cohort is made up of seven natives from the Central Valley, ranging from Stockton to Bakersfield. Although we share the same preclinical curriculum with our class, our clinical training will be based in the Central Valley. Of note, we spent 4 weeks in the Central Valley getting hands-on experience. After finishing our first year, our cohort embarked on clinical, outreach, research, and mentoring efforts in the Modesto and Visalia areas of the Central Valley. This was a student-led effort to create meaningful experiences for us and the communities we met. We want to share our experience in Visalia as we teamed with an Emergency Medicine doctor, Dr. Guzman, and Humana Inc. (a health insurance company) to provide Covid-19 vaccines to a community with a high unvaccinated rate. These efforts are especially noteworthy since we broke down the traveling and language barriers while we provided vaccinations in a Visalia flea market. Our understanding of the needs of the community and our bilingual Spanish skill allowed us to provide community-centered care.
Asian Americans make up 6% of the total United States population but account for up to 58% of individuals with Chronic Hepatitis B(CHB)1 . While guidelines are given for disease screening and management, there remains a gap between screening and linkage to care for those with limited resources or language barriers. The purpose of this study was to describe Paul Hom Asian Clinic’s protocol for Hepatitis B (HBV) screening and follow-up, characterize the population screened, and analyze clinical outcomes of the affected population.
