One-third of U. S. adults do not have adequate health literacy to manage their health care needs; and low health literacy is a major concern due to its association with poor health outcomes, high health care costs, and health communication problems. Low health literacy is a potential driver of health disparities, and its alleviation is central to…

Social work practice in health is shaped by underlying paradigms. To effectively target health inequities, practitioners need to consider appropriate paradigms. In this exploration of how six health paradigms shape theory and practice, the two health paradigms that most attended to health inequalities are social determinants of health and…

Although much attention has been paid to health disparities in the past decades, interventions to ameliorate disparities have been largely unsuccessful. One reason is that the interventions have not been culturally tailored to the disparity populations whose problems they are meant to address. Community-engaged research has been successful in…

Health-related quality of life (HRQOL) was explored in a sample of 119 custodial grandparents. A latent profile analysis identified three groups of grandparents along a continuum of good to poor HRQOL, with most custodial grandparents reporting Short Form-12 Health Survey (version 2) scores significantly below U.S. population means. Grandparent…

Social factors that affect women's attitudes toward menopause were examined in a sample of 1,037 baby boomer women who took part in two waves of the Midlife in the United States survey. Survey data were collected in 1996 and 2005 from a nationally representative sample of women born between 1946 and 1964 residing in the United States. Women's…

Determines the extent to which people with and without health care insurance use public health care facilities and various health care services. Analyzes 6,298 patients from 4 county-funded primary health care clinics. Patients were overwhelmingly poor regardless of insurance status. High cost-sharing requirements, coupled with larger families and…

Elderly Mexican Americans (n=25) participated in ethnographic interviews about folk healing and its influence on health care behaviors. Participants relied on modern medicine to treat serious injuries but still considered folk healing a viable alternative when modern health care was unsatisfactory or ineffective. (JBJ)

The effects of income, language, and citizenship on the use of health-care services by Chinese Americans is examined (N=1808). Focus groups, a telephone survey, and key informant interviews were conducted. Data analysis included an acculturation index, demographic profile, and logistical regression. Health insurance and social factors are…

AIDS-related knowledge, attitudes, and behaviors were assessed among female migrant laborers (N=32). Results are reported regarding knowledge and beliefs about AIDS transmission, knowledge and beliefs about condom use, and actual use of condoms. Needs for health education and services, sexual power, and other implications of findings are…

This paper describes the physical and mental health status of African American grandmothers (N=100) who are the primary caregivers for their grandchildren. Findings suggest that the physical functioning of grandmothers eventually gets to a point that can jeopardize the quality of life for their grandchildren. Suggestions for community practice are…

Reviews literature to support the contention that misconceptions about the aging process have a detrimental effect on healthy aging. Seeks to demonstrate how stereotyping can affect the shape and nature of programs for elderly people. Argues that for long-lasting change to occur, service providers need to target these negative attitudes in…

Assesses the social and environmental problems of 132 patients seen in a primary care clinic at a university-affiliated Veterans Affairs (VA) medical center. Prevalent social problems included financial difficulties, personal stress, family problems, legal concerns, and employment concerns. Findings suggest a clear need for social work…

Studied determinants of rehospitalization of elderly people with longitudinal sample of 264 older adults. Seventeen percent of subjects were readmitted within 30 days of discharge. Controlling for health and socioeconomic factors, main determinant of readmission was discharge placement; those placed back into community for home care were more…

This article explores the possible relationships between allostatic load (AL) and stress-related health issues in the low-income single-parent population, using both a population health perspective (PHP) and a biological framework. A PHP identifies associations among such factors as gender, income, employment, and social support and their…

Addresses the extent to which discharge plans for elderly patients with congestive heart failure were implemented as planned, tested the consequences of implementation problems, and identified factors associated with implementation problems. Implications for hospital discharge planners and home health care are discussed. (KW)