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The Intersection of Caregiving and Financial Vulnerability: Empowerment Barriers for Women in Sex Work.

This study explores the factors that shape the savings behaviors of women engaged in sex work (WESW) in southwestern Uganda, with a particular focus on the intersection of caregiving responsibilities and economic vulnerability. Drawing on qualitative data from the Kyaterekera study-an intervention that combined economic empowerment strategies (savings, financial literacy, and mentorship) with HIV risk reduction-we examine how WESW navigate financial decision-making in the context of structural and social constraints. While participants demonstrated motivation and resilience in pursuing financial stability, they encountered significant and intersecting barriers, including fluctuating income, caregiving demands, gendered norms, and the absence of formal social support systems. Findings reveal that caregiving is not merely a personal role but a structurally marginalized identity that shapes economic behavior in profound ways as these caregiving responsibilities intersect with factors such as marital status, household composition, and urban-rural location to produce differentiated financial challenges. Despite these constraints, participants engaged in strategic saving to meet essential needs, respond to emergencies, and invest in long-term goals such as homeownership and their children's education. These insights underscore the importance of adopting an intersectional approach to economic empowerment-one that accounts for the diverse and overlapping realities of WESW. Tailored interventions that integrate financial literacy, peer mentoring, and potentially self-help groups can more effectively address both individual and structural barriers. By centering caregiving within economic empowerment strategies, programs can better support the long-term financial autonomy and well-being of WESW and their families.

Children and youth services review

Does digital health improve equity for Latine mental health after a disaster? Evidence from a randomized trial with 2017 and 2018 hurricane survivors.

Despite experiencing traumatic events at a higher rate, Latine populations receive mental health services at a lower rate than non-Latine Whites (Center for Behavioral Statistics & Quality, 2018). Digital mental health tools, including mobile applications ("apps") are frequently proposed as solutions for addressing care access disparities, but significant research gaps remain to identify if and how existing tools may be used to address disparities.

Psychological trauma : theory, research, practice and policy

Building capacity and equity in implementation science: evaluation of a national mentored training program.

As implementation science evolves, it is essential to expand training capacity to build intellectual capital continually. The demand for training in implementation science far outstrips the current supply. This paper presents the methods and findings from the Institute for Implementation Science Scholars (IS-2) national training program (2020-2024).

Implementation science : IS

Stigma measurement in health: a systematic review.

Stigma experienced by individuals with disease is a barrier to health-seeking behaviors and outcomes. Our aim was to systematically review how stigma has been defined and measured and identify gaps in approaches to measurement and intervention.

EClinicalMedicine

Improving policy-oriented agent-based modeling with history matching: A case study.

Advances in computing power and data availability have led to growing sophistication in mechanistic mathematical models of social dynamics. Increasingly these models are used to inform real-world policy decision-making, often with significant time sensitivity. One such modeling approach is agent-based modeling, which offers particular strengths for capturing spatial and behavioral realism, and for in-silico experiments (varying input parameters and assumptions to explore their downstream impact on key outcomes). To be useful in the real-world, these models must be able to qualitatively or quantitatively capture observed empirical phenomena, forming the starting point for subsequent experimentation. One recent example is the COVID-19 pandemic, where epidemiological agent-based models informed policy and response planning worldwide. Throughout, modeling teams often had to spend valuable time and effort aligning their models to data, also known as calibration. Since many agent-based models are computationally intensive, the calibration process constrains the questions and scenarios policymakers may explore in time-sensitive situations. In this paper, we combine history matching, heteroskedastic Gaussian process modeling, and approximate Bayesian computation to address this bottleneck, substantially increasing efficiency and thus widening the range of utility for policy models. We illustrate our approach with a case study using a previously published and widely used epidemiological model, the Covasim model.

Epidemics

Use of telehealth for measurement of anthropometrics in toddlers and their parents.

The use of telehealth (e.g., live video calling) to collect anthropometric data in toddlers and their parents to increase participation in lifestyle interventions holds promise. But, there is limited evidence to support reliability of telehealth for the collection of these measures. This study aimed to determine the reliability of use of telehealth with parents to collect anthropometric and blood pressure measures on themselves and anthropometric measures on their toddler and determine the acceptability of instruction.

Frontiers in digital health

Structural and social determinants of dementia risk among adults racialized as Black: Results from a community-based system dynamics approach.

Alzheimer's disease and related dementias (ADRD) disproportionately affect Black Americans compared to non-Hispanic White individuals. We examined perceived dementia risk factors among Black adults in St. Louis via a participatory approach.

Alzheimer's & dementia : the journal of the Alzheimer's Association

Designing for dissemination through community advisory board engagement in an implementation mapping process: A case study.

The purpose of this study was to document the development of a Community Advisory Board (CAB) to enhance equitable dissemination of research findings within an implementation mapping study to enhance equitable impact of Universal School Meals (USM) through the Designing for Dissemination and Sustainability (D4DS) process.

Journal of clinical and translational science

NutriConnect: Enhancing Health and Food Security through Sustainable Solutions and Partnerships: Design and Protocol of a Pragmatic Comparative Effectiveness Trial.

Food insecurity and poor dietary intake contribute to health disparities, particularly among socioeconomically disadvantaged populations. Produce prescription programs aim to improve access to fruits and vegetables (F&V) for those with diet-sensitive conditions, but comparative effectiveness data are limited.

medRxiv : the preprint server for health sciences

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