Staying Well Connecteds

Staying Well. Connected.

New from HHS and CDC, Take the Lead: Working Together to Prepare Now

A new project, Take the Lead: Working Together to Prepare Now, from the Centers from Disease Control and the Department of Health and Human Services asks community leaders to start preparing for pandemic flu. The Take the Lead kit is designed to provide key information and tools to help your organization or practice understand the threat of a pandemic and prepare for it now. Materials are available in English, Spanish, Chinese and Vietnamese.

The kit contains:

  • Information about pandemic flu
  • Ready-to-use and ready-to-tailor prepared resources
  • Ideas and materials to encourage your organization to prepare

State of Texas Online Continuing Education

Texas now offers online continuing education through Texas Health Steps (THSteps). Health providers throughout Texas can take online courses on subjects ranging from adolescent health screening and case management to nutrition and mental-health screening. This is a free, self-paced, web-based training program and each module is about one hour long. More information is available at http://txhealthsteps.com/.

NPR feature call-in discussion of using the Web for health information

The NPR call-in radio show “Talk of the Nation,” focused today on the increasing use of the Web for “do-it-yourself” diagnosis. Guests included Dr. Scott Haig, author of the article “When the Patient is a Googler,” published in October on time.com; Susannah Fox, Associate Director of the Pew Internet & American Life Project; and Dr. Ted Eytan, Medical director of health informatics and web services for Group Health Cooperative. Ms. Fox noted that while many patients, families, and caregivers turn to the Web for medical information, the majority of users pay little or no attention to the source of the information or to its currency. Despite the National Library of Medicine’s emphasis on the importance of these details when evaluating health information on the Web, too few users consider these issues when using a Web site for important medical and health-related knowledge. The audio for this story is available on the NPR web site at http://www.npr.org/templates/story/story.php?storyId=17214066. Additional information on this topic is also available on the NPR site.

Feeling the Chill

A new report from the Pew Hispanic Center 2007 National Survey of Latinos: As Illegal Immigration Issue Heats Up, Hispanics Feel a Chill describes the effects of this year’s heightened attention to immigration on Hispanics around the country. Whether immigrants or native, legal or illegal, nearly two-thirds of Hispanic adults say that life has been made more difficult for all Hispanics because of Congress’s failure to pass a reform bill, and more than half worry that they or someone close to them could be deported.

NINDS site in Spanish

The National Institute of Neurological Disorders and Stroke (NINDS), part of the National Institutes of Health (NIH) now has free, accurate information about different neurological disorders in Spanish. The information can be found online at http://espanol.ninds.nih.gov/. The site includes information on stroke, Parkinson’s Disease, autism, and epilepsy.

Diabetes Hospitalization Along the US”Mexico Border

A study published earlier this year in Preventing Chronic Disease, conducted an analysis of discharge data from hospitals in Arizona, California and Texas. Compared to residents of non-border counties, residents of border counties had significantly higher diabetes discharge rates – corroborating findings from a recent PAHO-sponsored study, noted on this blog last month.

Latinas Contra El Cancer

Latinas Contra El Cancer will be hosting a National Latino Cancer Summit at the UCSF-Conference Center at Mission Bay July 30-Aug 1, 2008. The conference will convene clinical researchers, health policy experts, community activist and cancer survivors. Conference organizers seek to bring attention to the issue of cancer and cancer care disparities among the Latinos in the United States in this first of the kind conference. For more information and submitting abstracts go to http://www.latinascontracancer.org/

Valley Doula Program to support mother & baby health

Yesterday’s Valley Morning Star featured an article on doulas — trained childbirth educators/supporters — and a new Rio Grande Valley pilot program funded by an HHS grant that will offer free doula services to 100 women who are patients at the region’s community health centers, including Su Clinica Familiar in Harlingen and Nuestra Clinica del Valle in Pharr. The goal of the program is to measure the impact of doula involvement specifically on new mothers’ mental health and wellbeing; however, the article mentions some studies that have shown positive correlation between doula involvement (also called “continuous labor support” in the literature) and physical outcomes such as higher rates of breastfeeding intent and early introduction, reduced rates of c-sections in some first-time mothers, and reduced use of obstetric pain relief interventions. The two studies mentioned in the Valley Morning Star article are:

  • Mottl-Santiago J, Walker C, Ewan J, Vragovic O, Winder S, Stubblefield P. A Hospital-Based Doula Program and Childbirth Outcomes in an Urban, Multicultural Setting. Matern Child Health J [forthcoming]. doi:10.1007/s10995-007-0245-9. http://dx.doi.org/10.1007/s10995-007-0245-9
  • Leeman L, Fontaine P, King V, Klein MC, Ratcliffe S. The Nature and Management of Labor Pain: Part I. Nonpharmacologic Pain Relief. Am Fam Physician 2003 Sep 15;68(6):1109-12. http://www.aafp.org/afp/20030915/1109.html [Open Access]

Two additional citations from the second article above give further insight into the research on doula intervention:

Undocumented Hispanics Less Likely to Use US Health Care Services

This brief article from HealthDay (via MedlinePlus Health News) summarizes the findings of a recent study that analyzed four specific subsets of data from the 2003 California Health Interview Survey to identify patterns in the healthcare choices and experiences of California Hispanics — patterns which are very much worth our attention here in South Texas.

The study, entitled “Health Care Access, Use of Services, and Experiences Among Undocumented Mexicans and Other Latinos,” analyzed responses from four specific subsets of the 42,000+ respondents to the 2003 CHIS: 1,317 undocumented Mexicans, 2,851 US-born Mexicans, 271 undocumented Hispanics from countries other than Mexico, and 852 US-born Hispanics from non-Mexican heritage. Results found that…

undocumented Mexicans had 1.6 fewer physician visits compared with US-born Mexicans; other undocumented Latinos had 2.1 fewer visits compared with their US-born counterparts. Both undocumented groups were less likely to report difficulty obtaining necessary health care than US-born Mexicans and other US-born Latinos. Undocumented Mexicans were less likely to have a usual source of care and were more likely to report negative experiences than US-born Mexicans. Findings were similar for other undocumented Latinos, with the exception of having a usual source of care. Patterns of access to and use of health care services tended to improve with changing legal status.

Here’s the citation for the complete study:

Ortega AN, Fang H, Perez VH, Rizzo JA, Carter-Pokras O, Wallace SP, Gelberg, L. Health Care Access, Use of Services, and Experiences Among Undocumented Mexicans and Other Latinos. Arch Intern Med 2007;167(21):2354-2360. http://archinte.ama-assn.org/cgi/content/abstract/167/21/2354

Webcast: Legislative Efforts to Address Health Disparities

Logo for Kaiser Family Foundation webcast series on health disparities

On Friday, December 14, at 8am CT the Kaiser Family Foundation will broadcast a webcast covering legislative efforts related to health disparities. The UT Health Science Center Libraries will host a viewing of the webcast at the Briscoe Library in San Antonio, room 2C. Former Surgeon General Dr. David Satcher will be among the speakers. Join us – coffee will be served.