Qualitatively understand the factors contributing to the decision of PEH to seek or accept STI testing.
Clear health and mortality disparities exist both in transgenderpopulations and for youth experiencing homelessness (YEH). Transgender youth are overrepresented within populations of YEH. 1 in 100 youth is transgender, but an estimated 1 in 11 youth experiencing homelessness is transgender. No peer-reviewed research has yet explored the structural factors that underlie health disparities experienced bytransgender YEH.
20 million people in the USA struggled with asubstance use disorder (SUD) in 2020. SUD affects both rural and urban areas, but rural areas have fewer treatment resources. ASAM CONTINUUM® is an intake assessment tool created by the American Society of Addiction Medicine (ASAM) that helps evaluate SUD and recommend the appropriate level of care.
El Dorado Community Health Center has aLevel 1 SUD treatment clinic in rural NorthernCalifornia that implemented ASAM CONTINUUM®.
Patients with CHF seen by an interdisciplinary palliative care team have shown improvements in patients' quality of life, sympton burden, and mood. The Supportive Medicine Clinic (SMC) at UC Davis Health (UCDH) is a Palliative Care Clinic that is embedded in an academic cardiology practice and sees patients one day per week for sixty minutes.
The impact of being unhoused on the likelihoodof being violently injured and reinjured (+financial burden) has become more significantas the unhoused population continues toincrease. Being unhoused is associated with an increased likelihood of being re-assaulted (recidivism) after an initial violent assault compared to the housed population.
During the COVID-19 outbreak, there was a surge in overdose-related deaths with the CDC estimating a 38.4% increase in opioid-related deaths and a 26.5% increase in cocaine-related deaths during June 2019-May 2020, when compared to the 12 months prior1. With subsequent surveillance data confirming this trend, it is evident that COVID-19 had a unique impact on people who use drugs (PWUD). However, the psychosocial, socioeconomic, and biopolitical effects of the pandemic on PWUD are poorly understood. The COVID-19 pandemic resulted in disruptions to illicit drug supplies in Canada, leading to increased use of contaminated and variably potent substances2. With social distancing guidelines in place, syringe service programs were deemed non-essential in many areas, effectively cutting off the supply of safe injection materials while contaminated drugs circulated. Given this background, it is necessary to better understand the ways COVID-19 has impacted the health and behaviors of PWUD. By engaging directly with PWUD in Sacramento County, this mixed-methods project aims to go to the source and address this important gap in knowledge.
UC Davis Health has a "Blackout Flag" policy (1190) that is used in trauma care settings to restrict visitors from the patient. The policy's intended goal is to protect patients from potential harmful visitors, especially in ongoing investigations. This policy may impair history taking and well-informed treatments because it restricts knowledge provided by visitors and loved ones. Often placed by police, this policy may be disproportionally applied to patients from marginalized backgrounds and may perpetuate medical distrust.
