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Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Peer Review Study
A retrospective registry-based chart review examined the various demographic and clinical risk factors associated with COVID-19 severity among patients aged 18-29. The study was done within a metropolitan health care system in Houston, TX. In the cohort of 1,853 young adult patients diagnosed with COVID-19 infection at a hospital encounter, including 226 pregnant women, 1,438 (78%) scored 0 on the Charlson Comorbidity Index, and 833 (45%) were obese (≥30 kg/m2). Within 30 days of their diagnostic encounter, 316 (17%) patients were diagnosed with pneumonia, 148 (8%) received other severe disease diagnoses, and 268 (14%) returned to the hospital after being discharged home. In multivariate logistic regression analyses, increasing age, male gender, Hispanic ethnicity, obesity, asthma history, congestive heart failure, cerebrovascular disease, and diabetes were predictive of severe disease diagnoses within 30 days. Non-Hispanic Black race, obesity, asthma history, myocardial infarction history, and household exposure were predictive of 30-day readmission.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
RELEASE DATE:
Peer Review Study
Youth nationwide face new intensified stressors like illness, death, social isolation, economic stress, food insecurity, family hardship, and increase domestic violence risk. These stressors are associated with outcomes like depression, behavioral problems, anxiety disorders, and worsened existing mental health conditions. School-based health centers (SBHCs) are a cost-effective health care delivery model that increases mental and behavioral health access and use. SBHC patients live in underserved communities and are at a greater risk for mental health issues. The qualitative data from this study highlight increased demand for mental health services and a lack of resources to meet this demand, resources to ensure universal telehealth technology access are needed to improve health care access for youth, and parental buy-in and support are crucial component of sustained care.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
RELEASE DATE:
Peer Review Study
In the United States, mobile health clinics are an important method for delivering high quality care to medically underserved populations. To address declining vaccination coverage among young children in Boston during the pandemic, Mattapan Community Health Center (Mattapan) and Codman Square Health Center (Codman Square) partnered with the Kraft Center for Community Health at Massachusetts General Hospital and the Massachusetts League of Community Health Centers to deploy a pediatric mobile health clinic as an adjunct to their in-person clinical services.