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Housing Instability Following Medical Debt Exposure Among US Adults, 2023 to 2025.

Medical debt may place patients at heightened risk of housing instability as a result of increased financial strain or extraordinary collection actions.

JAMA network open

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Barriers Individuals From Racial-Ethnic Minority Groups Face in Accessing Eating Disorder Treatment and Proposed Solutions.

Estimates indicate that one in five women and one in seven men in the United States will develop an eating disorder. Research suggests that individuals from racial-ethnic minority groups experience eating disorders at rates similar to or higher than their White counterparts. However, individuals from racial-ethnic minority groups are less likely to receive a diagnosis or treatment. As a result, these individuals continue to face substantial barriers to eating disorder treatment. The authors aimed to examine these barriers and explore potential solutions. Barriers to eating disorder treatment faced by individuals from racial-ethnic minority groups include cultural stigma, biased diagnostic criteria, unequal access to health care, and provider bias. The underrepresentation of racial-ethnic minority groups in eating disorder research perpetuates these inequities and limits a comprehensive understanding of how eating disorders affect individuals from these communities. Dismantling these barriers requires addressing cultural stigma and developing culturally relevant diagnostic tools. Expansion of insurance coverage and improved geographic accessibility of eating disorder treatment are essential. Equally important is increased cultural competence of health care providers. Finally, the inclusion of racial-ethnic minority populations in eating disorder research is critical to ensure that treatment is relevant, effective, and accessible. By addressing these barriers and implementing the proposed solutions, institutions can foster a more equitable approach to eating disorder treatment, providing all individuals with access to the support required for recovery. Although the policy landscape related to addressing racial-ethnic disparities has changed, institutions can still take steps to improve the inclusivity of eating disorder treatment and research.

Psychiatric services (Washington, D.C.)

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A nation of caregivers: past, present, and future expectations of caregiving.

Record numbers of Americans are living with serious illness and disability. Increasingly, older adults and persons with disability will be responsible for managing and financing their care needs into older age, putting more onus on individuals and their families to arrange care. Understanding the current and expected caregiving landscape can inform efforts to prepare for future population needs.

Health affairs scholar

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Perception of dementia risk among Black adults: an ecological analysis of causal loop diagrams with a structural and social determinant of health composite index.

To investigate drivers of dementia risk disparities among older Black Americans using a community-based system dynamics (CBSD) approach.

Alzheimer's & dementia (New York, N. Y.)

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A Three-Year Evaluation of COVID-19 Vaccination and Testing Patterns Among Homebound Older Adults: Implications for Future Preparedness.

COVID-19 self-test kits were distributed to low-income, homebound older adults with their home-delivered meals annually (2022-2024). A convenience sample of recipients completed follow-up surveys in 2022 (n = 271), 2023 (n = 295), and 2024 (n = 285). In 2023, 28% had ever used a COVID-19 self-test, which increased to 39% in 2024 and is comparable to a national study (27%). Through partnerships with trusted meal-delivery providers, homebound older adults can achieve rates of COVID-19 self-testing comparable to those of the broader population. (Am J Public Health. Published online ahead of print January 8, 2026:e1-e4. https://doi.org/10.2105/AJPH.2025.308349).

American journal of public health

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Social determinants of health influence maternal health behaviors and engagement in an obesity prevention intervention.

Mothers experience increased risk of obesity due to pregnancy and caregiving demands. Maternal obesity influences women's health, pregnancy outcomes, and children's obesity risk. Effective obesity prevention interventions rely on participant engagement. Research suggests that social determinants of health (SDOH) influence intervention engagement; however, research is limited on how SDOH influence engagement and ways interventions may help mothers navigate SDOH.

Translational behavioral medicine

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Beyond shelter: Exploring the potential impacts of rental assistance on self-reliance and well-being for Venezuelan migrants in Colombia.

Urban refugees in low- and middle-income countries (LMICs) often face housing insecurity, undermining their ability to achieve self-reliance and well-being. Few studies have evaluated the impact of housing interventions in these contexts. This study offers preliminary evidence on the effectiveness of a 9-month rental assistance program targeting female-headed Venezuelan migrant households in Colombia. Using pre-post data from 517 participants, we assessed changes over time in household-level self-reliance, domains of self-reliance, subjective well-being and perceived agency. We also employed ordinary least squares regression and fixed-effects models to estimate changes in self-reliance and the relationship between self-reliance, psychosocial and housing outcomes. Our analysis found significant improvements in overall self-reliance, well-being and agency after controlling for observed individual and household characteristics. Increases were observed across almost all domains of self-reliance. Fixed-effects models also found that subjective well-being, perceived agency and select housing conditions were positively associated with self-reliance. Rental support appears to promote both material and psychosocial recovery for displaced households by alleviating financial stress and enabling forward-looking behaviors. However, the impact of housing quality dimensions varies, and the sustainability of outcomes remains uncertain. Future evaluations should incorporate longitudinal designs and control groups to inform holistic refugee housing strategies.

Global mental health (Cambridge, England)

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Health diplomacy training, pedagogical approaches, and skills assessment: a scoping review.

Health diplomacy is gaining increasing importance as an approach in addressing domestic and global health challenges, yet educational programs that prepare future practitioners remain underdeveloped in addressing skills core to this domain of public health practice. Training in health diplomacy is critical for building interdisciplinary competencies needed to navigate increasingly complex negotiations, cross-cultural engagements, and policy influence. Competency based education in global health, widely accepted by the health professions education community, is a framework for training health professionals that focuses on observable, measurable skills and knowledge needed to meet specific health needs and improve global health outcomes.

Frontiers in public health

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Gender, mental health symptoms, loss to clinic, and viral non-suppression 6 months after HIV care initiation among a cohort of people with HIV in Cameroon.

People with HIV (PWH) experience high levels of mental health or substance use disorders (MSDs) which may compromise HIV treatment outcomes. Differences in the relationship between MSDs and HIV treatment outcomes by gender remain understudied.

BMC public health

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