Podcasts about immigrant health

It's a rough time for people who worry about infectious diseases. A new study shows bird flu is more widespread in U.S. cows than previously thought. Around 250 Americans have been infected with measles, including two people who died. And globally, the Democratic Republic of the Congo is struggling to contain a Mpox outbreak, Uganda is battling Ebola, Tanzania is fighting Marburg, and Lassa fever is spreading in East Africa. In the face of all that, the Trump administration has gutted funding for programs that help protect Americans from these types of diseases. Anne Rimoin, an epidemiology professor at UCLA and director of the Center for Global and Immigrant Health, talks about what's worrying her.And in headlines: Senate Democrats said they'll vote against a House bill to keep the government open past Friday, new government data showed egg prices hit another record last month, and President Donald Trump hosted the Irish Prime at the White House amid a growing trade war with the European Union.Show Notes:Subscribe to the What A Day Newsletter – https://tinyurl.com/3kk4nyz8Support victims of the fire – votesaveamerica.com/reliefWhat A Day – YouTube – https://www.youtube.com/@whatadaypodcastFollow us on Instagram – https://www.instagram.com/crookedmedia/For a transcript of this episode, please visit crooked.com/whataday

Our guest today is Jacob Kendall, Jacob is a dedicated health advocate and a multifaceted expert. With a strong background in demographics, Jacob excels at analyzing health trends and identifying community needs. In this podcast he provides us with important insights about the roles and importance of immigrant health providers. His personal experiences as a patient within hospital and health systems as a patient, give him a unique perspective.Jacob is a speaker and educator and supports families who are in need of advocacy, you can contact him at:jacobevanskendall.com

We are back with season 7, chatting with Brian Tuohy, PhD, a sociologist of immigration and health, assistant professor of bioethics, and co-director of education at the Lewis Katz School of of Medicine at Temple University. We use the lens of immigrant health to delve into some deeper questions like "What does bioethics mean?" Dr. Tuohy generously shares his own personal and professional journey into the field, highlighting the interdisciplinary nature of bioethics. He discusses his own family's immigration story and research with Mexican immigrants to the United States to bring out contrasts and nuances in the experiences of different groups based on language, age at immigration and a multiplicity of immigration status categories. We touch on some issues in ethical conduct of research with immigrant communities and conclude with a deep reflection on the power that bioethicists have as insiders in the healthcare industry and the importance, joys and responsibility of teaching the next generation of physicians. Some of Dr. Tuohy's work can be found here:Brian Tuohy, Health Without Papers: Immigrants, Citizenship, and Health in the 21st Century, Social Forces, Volume 98, Issue 3, March 2020, Pages 1052–1073, https://doi.org/10.1093/sf/soz048Rocco, P., & Tuohy, B. (2021). A New Dawn of Bioethics: Advocacy and Social Justice. The American Journal of Bioethics, 22(1), 23–25. https://doi.org/10.1080/15265161.2021.2001105Tuohy B, Jatres J. Researching Those in the Shadows: Undocumented Immigrants, Vulnerability, and the Significance of Research. Am J Bioeth. 2023 Jun;23(6):106-109. doi: 10.1080/15265161.2023.2204053. PMID: 37220350.

In this episode of The Healthy Project Podcast's My City, My Health edition, host Brooklyn Lowry sits down with Maria Torres, the Health Equity Coordinator for Pottawattamie County Public Health. They discuss the importance of mental health advocacy, the challenges immigrant communities face, and Maria's personal journey and insights. Don't miss this inspiring conversation and learn how you can contribute to health equity in your community.Get tickets for this year's My City My Health event to see more panels like this! Visit www.mycity.health for tickets and event details.Chapter Markers:00:00 Introduction00:38 Guest Introduction: Maria Torres01:13 Defining Health Equity02:20 Personal Experiences with Mental Health05:01 Advocating for Mental Health in Underserved Communities07:21 Reducing Stigma in Immigrant Communities08:44 Shifting Perspectives on Mental Health10:28 Advice for Public Health Professionals13:03 Importance of Collaboration13:58 Closing RemarksConnect with Corey Dion Lewis:LinkedInTwitterInstagramFacebookThank you to our presenting sponsor UnityPoint Health. Learn more at www.unitypoint.org.  ★ Support this podcast ★

In this interview, we discuss immigrant health with Kheir Mugwaneza, the lead project manager of the Immigrant and Refugee Health Program at Allegheny Health Network.

AJPH's Vickie Mays and Alfredo Morabia had an in-person conversation with Maria Elena Trinidad Young, PhD (UC Merced) about her work comparing the health status of Latin and Asian immigrants in California. We discuss the results of the RIGHTS (Research on Immigrant Health and State Policy) Study that show the experiences of immigrants in the areas of health care, social services, employment, education, and law enforcement and how these experiences have had an impact on their health and access to health care.

We are joined by Rachel Fabi, PhD, Associate Professor of Bioethics and Humanities at SUNY Upstate Medical University. She is a Faculty Research Affiliate at the Syracuse University Lerner Center for Public Health Promotion. She received her Ph.D. in Health Policy and Management, in the Bioethics and Health Policy track, at the Johns Hopkins Bloomberg School of Public Health, and served as the 2019-2021 National Academy of Medicine Greenwall Fellow in Bioethics.Dr. Fabi shares her insights on policies that affect the health of immigrants and refugees in the United States, and discusses her research on a broad range of topics such as access to care, reproductive health and treatment in ICE detention. Listen to the end for her insights into the role of physician advocacy.

On Occupational Health Nursing Pulse, Jennylynn sits down with Athena Ramos, PhD, MBA, MS, CPM, Associate Professor, Center for Reducing Health Disparities, Department of Health Promotion, to discuss the behind-the-scenes of the workers who are responsible for the food that comes to our tables, and how we can keep them safe.

The Pritzker Administration is limiting enrollment as a way to hold down costs. But is there a political price?

Dr. Selwyn Vickers was named President and CEO of Memorial Sloan Kettering Cancer Center in September 2020. His vision of a future with equal access and better outcomes for all has inspired the faculty and staff at MSK. In this episode, Dr. Diane Reidy-Lagunes gets to know Dr. Vickers' philosophy on achieving health equity, from restoring trust in the system, to overcoming racial bias in the clinic, to improving people's access to top hospitals like MSK. Learn more about MSK's Office of Health Equity. Learn more about MSK's Immigrant Health and Cancer Disparities Service. Subscribe to Cancer Straight Talk from MSK to be notified of new episodes. See omnystudio.com/listener for privacy information.

As the COVID-19 pandemic abates, migration across the globe has increased. Health care professionals are likely to encounter immigrant populations who have unique needs. Join us in learning with Dr. Lorena Bonilla (Internal Medicine Hospitalist and Assistant Professor at Florida University/Herbert Wertheim College of Medicine) about factors that influence the health care of immigrants, how to approach patients with cultural sensitivity, and ways physicians can incorporate advocacy into their practice to help support migrants.Definition of Terms:In this podcast, we use the terms migrants, immigrants, refugees and asylum. Here we wanted to define these terms. A migrant is an individual who migrates from one location to another usually seeking employment or education. An immigrant is an individual who seeks to live in another country permanently. A refugee is an individual who is forced to flee their home because of violence or persecution. Additionally, someone who applies for asylum is seeking protection from dangers in their home country and is awaiting their claim for refugee status to be legally determined. For further reference, rescue.org has an article outlining these terms. https://www.rescue.org/article/migrants-asylum-seekers-refugees-and-immigrants-whats-difference.Learning objectives:1. Identify key social determinants of health that affect immigrant populations.2. Recognize factors that influence the health care of migrants and refugees.3. Summarize a situation from your own clinical experience in which understanding the culture of a patient enhanced your ability to care for them. Identify how you can be consistent in ensuring that you consider the role that culture plays in the lives of your patients. Credits:Guest: Dr. Lorena BonillaCo-hosts/Producers:  Dr. Brittäne Valles, Dr. Ricardo CorreaExecutive Producer: Dr. Tammy Lin Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany LeungSenior Producers: Dr. Maggie Kozman, Dr. DJ GainesEditor/Assistant Producer: Clara BaekProduction Assistants: Ann TruongWebsite/Art Design: Ann TruongMusic: Chris Dingman

Shannon Westin, Francesca Gany, and Theresa Hastert discuss the topic of food insecurity among patients with cancer. TRANSCRIPT Dr. Shannon Westin: The guest on this podcast episode has no disclosures to declare.   Hello friends and welcome to another episode of JCO After Hours, your podcast to get more in-depth on some of the amazing work that has been published in the Journal of Clinical Oncology.   I am thrilled to be here today with two fantastic investigators and researchers who are going to discuss a paper that is titled “Food to Overcome Outcomes Disparities – A Randomized Control Trial of Food Insecurity Interventions to Improve Cancer Outcomes.”   This was published online in the JCO on June 16, 2022. We're joined by the principal investigator Dr. Francesca Gany, who is the Chief of Immigrant Health and Cancer Disparities service at the Memorial Sloan Kettering Cancer Center in New York City.   In addition to Dr. Gany, we're also joined by Dr. Theresa Hastert, who's an associate professor in Population Science in the School of Medicine at Wayne State University in Detroit. And she published an editorial that went along with this article named “The Potential of Cancer Care Settings to Address Food Insecurity.” This was published in the JCO on July 1st, 2022.   Welcome, ladies. So excited to hear about this work.   Dr. Francesca Gany: Thank you! It's great to be here.   Dr. Theresa Hastert: Thanks so much for having me.   Dr. Shannon Westin: So, what we're seeing more and more of is oncologists getting into other areas of expertise. For a long time, we've all been involved with treatment trials, and we've started getting into survivorship and health services. But I think that we really are realizing there are other issues for our patients that affect their cancer care and outcomes.   So, first, I just wanted to level set and see if maybe Dr. Gany, you can kick us off, can you define food insecurity and just kind of briefly discuss the prevalence patterns in women and men that are diagnosed with cancer?   Dr. Francesca Gany: Sure! So, food insecurity is essentially not enough access to food to help you maintain your health. And that could come from a variety of reasons, including not having enough money to buy food, living in a food desert, where there's not availability of food and other factors that could make food inaccessible to you.   This potentially has a tremendous impact on health. We see that with folks with cancer and folks who don't have cancer. We know with cancer patients, it's a particularly difficult issue because of the increased nutritional demands that come with a cancer diagnosis, the need for special diets, and decreased absorption of nutrients for certain folks. So, it's especially important that our cancer patients have access to enough healthy food, so they can have the best cancer treatment outcomes possible.   Dr. Theresa Hastert: I can add a little bit about the prevalence of food insecurity more broadly. So, in the US population, about 4% of Americans have what's called very low food security. So, that's where people actually reduce the amount of food they eat because they have a lack of money for food.   And by contrast, in previous work among cancer survivors, that number is closer to about 15% in sort of population-based studies and much higher in certain select patient populations.   So, if you're in an under-resourced population, and as some of Dr. Gany's previous work has cited figures of more like 55 to 70% of cancer patients and survivors with low resources can be food insecure and not have enough money for food.   Dr. Francesca Gany: All of this has, of course, worsened with a COVID pandemic because just food insecurity rates have gone up overall and we have certainly seen an impact on our patients in the cancer centers in which we work.   Dr. Shannon Westin: And you can imagine with the high costs of drug pricing and all of the other issues around coverage of cancer care that people are having to make those types of decisions between food and shelter and basics and getting their treatment for their cancer, their treatment for their other related comorbidities. Am I on the right track?   Dr. Francesca Gany: Absolutely! In fact, we did a study that specifically asked patients whether they were not purchasing medications in order to be able to feed their families. And a very high percentage of them, up to a third of patients, said that they were foregoing some of their cancer meds in order to be able to feed their family.   We asked it the opposite way as well, whether purchasing their cancer meds meant that they were unable to feed their families and unfortunately, it was a similar percentage for those food insecure patients.   So, it has a tremendous impact on fully engaging in cancer treatment, and also being able to take care of one's family which of course is so important to our patients.   Dr. Theresa Hastert: So, in Detroit, we're in Michigan, which expanded Medicaid. So, in the work that we do predominantly among African-American cancer survivors, we find that most Americans are able to access care, like with the expansion of Medicaid, people are able to get treated for cancer. Paying for drugs is another thing but we still have a lot of food insecurity among this population. About 15% of our cancer survivors, African-American cancer survivors in Detroit are food insecure.   So, it's not an insurance issue in the sense. They have Medicaid coverage and they're able to get cancer care, it might not cover every out-of-pocket expense, they still have food insecurity. So, broadening insurance is not necessarily enough to help people avoid some of these follow-on impacts.   Dr. Francesca Gany: Yes! One very important issue is that looking at food insecurity at a moment in time with our patients is not enough because we know that as treatment progresses, financial hardship also progresses – financial toxicity of the cancer treatment.   So, it's really important not to do just an initial screen for food insecurity and for other social determinants of health because food insecurity is certainly a window into other essential needs that have to be met, but it's really important that we don't just ask once, but that we ask in an ongoing way because we know that as time goes on, it only gets worse.   Dr. Theresa Hastert: That's so important. I've talked to several providers who have these issues with patients, where it's the people who are sort of more middle class who are going into cancer and be like, ‘I'm fine, I'm fine, I'm fine” when first asked if they need assistance. And it's not for several weeks or months when they start racking up out-of-pocket costs, and then suddenly, they realize they're not fine. It can become very delicate also because people are used to being self-sustaining, and financially independent, and they're used to being able to maybe help other people who have financial needs to donate to charities and things like that. And there can be a shift for people when they realize, ‘'Oh, no, now I need assistance.' That can be difficult for people to grapple with. And it's so important to keep checking in with patients throughout their treatment experience to see how they're doing.   Dr. Shannon Westin: I think this is really a great segue into kind of getting into the nitty-gritty of the publication. I would love for you, Dr. Gany, to give our listeners a little bit of information around the trial, the patient population that you chose, and the intervention arms.   Dr. Francesca Gany: Sure, I'm happy to do that! So, we started when we first saw the high prevalence of food insecurity among the patients, we were working with that are partnering with safety net institutions, we knew that we needed to do something.   And so, we did a study and we looked at emergency food resources in the top 50 zip codes that our patients lived in and then we did site visits, etc, to these emergency food resources and saw how inadequate they were for our cancer patients. They were inadequate because they didn't have medically tailored foods. Often, they didn't have culturally tailored food choices. Their hours of operation were very short and with all of the appointments that our patients had to keep, it made it really hard for them to reach the pantries. They weren't that geographically accessible so that was a deterrent to patients.   So, we realized that we have to do something that was much more convenient for our patients that would address their medically tailored food needs. And also, the difficulties they might have traveling to another site to get food.   So, we started a medically tailored food pantry of one initially, in which we partnered with a local food bank for New York pantry site that was close by to the hospital and worked with them around food choices for our patients, etc. And would work with them to pack the bags at their site and then we would bring the bags over to the hospital.   We found with our patients that there was tremendous uptake of this service, and tremendous appreciation and they reported improved quality of life and improved ability to get on with their cancer care.   This grew to now 15 pantries in both safety net facilities and also Comprehensive Cancer Centers because there are a sizable number of people in Comprehensive Cancer Centers, as you know we've been discussing that are also food insecure.   So, we had 15 pantries, but pantries - they're a great piece of the solution - but we didn't feel that they were enough of the solution because even though they were medically tailored and patients had some choice, they didn't have total choice in what they were getting. And especially with cancer care, people's food preferences shift, etc. And what they need to be healthy shifts.   So, we explored two other options of home grocery delivery service where they would get to pick what groceries came to their home, and having the groceries come to their home eliminated the issues that come up certainly with having to carry heavy bags, etc.             It was some choice that this gave them but the windows of delivery were a little bit of a problem for the patients because sometimes the food delivery services would be coming at a time that didn't work for the patients.   And then, the third option was a voucher system, where people get basically a debit card, and they can buy whatever they want within, no alcoholic beverages, etc, but whenever they want to purchase with that voucher card. And we accompanied that with education around healthful food choices, nutrition during cancer, etc, which was translated into a number of different languages.   So, those ended up being three pieces of the arms of the study. The pantry had become pretty much the standard of care in all of the facilities we were working in. So, that was one arm. So usual, customary care. And then, we added to that because it was in the sites that we were at, we added a voucher arm as well.   And in the third arm, it was a home grocery delivery arm. Those were the three arms of this randomized control trial. All of the monetary amounts were the same for the three arms. So, the grocery bag cost the same as the amount they were given in the debit card, which costs the same as the home grocery delivery pretty much, or it was at least equivalent nutritional content and food content. So, those are the three arms of the study.   Dr. Shannon Westin: Great! Well, just cut to the chase and let the group know what did you find?   Dr. Francesca Gany: So, we found that after six months of participation, the voucher plus pantry arm had the greatest treatment completion rates, 94%, versus the home grocery delivery, 82.5%, versus the pantry alone, which was 77 and a half percent.   So, tremendous differences between these three arms. All three arms saw a significant improvement in food security status but those were the treatment completion rates across the arm.   We also looked at quality of life and depression symptoms across the arms at 6 months, and across all arms, patients had fewer depression symptoms in follow-up. And improved FACT-G quality of life scores. But the statistically significant differences were actually found in the pantry and the delivery plus pantry arm for both of those measures.   Dr. Shannon Westin: That is so interesting and so exciting to see this type of intervention making a difference for our patients. Was there anything that surprised you about your results?   Dr. Francesca Gany: So, the one that was a little surprising was why the quality-of-life results did not exactly mirror the treatment completion rates. And we are assuming that that has to do with the fact that with the pantry, there's a lot of in-person interaction with staff and with the home grocery delivery, actually, because many of the patients found it a little bit tricky to order the grocery deliveries online, they also had a fair amount of staff interaction. Whereas with the voucher, there was less of that.   So, perhaps that explains that we're not sure and we're doing a much larger randomized control trial now in which we're going to look at that. One really great finding was that around food choices and healthy food choices with the voucher because we wanted to look at that, we were controlling what we gave to patients with the pantry arm, and we were controlling that to some extent with the grocery delivery, especially because we were ordering with them.   But we were very interested for the voucher arm and across the board, people made very healthful choices with the voucher. Again, they all were accompanied by nutrition education, etc. And interestingly, limited English proficient patients and patients who were born abroad had the healthiest food choices.   So, this was a great way to intervene with all patients who were food insecure. And we saw that it had a tremendous impact equally regardless of country of birth, language, etc. And great extra finding that there were healthful food choices and that was especially true in immigrants and in folks who have limited English proficiency.   Dr. Shannon Westin: Great. It's so exciting. I think though, it brings up the obvious question that seems like a ton of work. So, how do we operationalize this in our clinic? How do we screen patients? How do we work with our cancer center directors or our clinic directors to be able to provide these types of interventions? Sorry, I know it sounds like it's a million-dollar question.   Dr. Francesca Gany: This screening is simple. For these studies, we use the 18-item USDA Food Security screener. That's a longer instrument but we wanted to make sure we use that for this study. But in actual clinical practice, the two item screener works. And we are working now on one question specifically for cancer patients that we're finding is also quite sensitive and quite specific, and that does not take a long time at all.   We should be screening everyone. We should be screening in an ongoing way. We should be tracking this as a very important patient outcome. What does take longer and which is a little bit daunting to folks is that once you find food insecurity, you need to treat it.   And so, we do a lot of work around how to treat food insecurity and how to treat it efficiently. In the end, I actually think that the food voucher is going to be the way to go because it requires less staff time. And people are used to paying for groceries with debit cards, and with cards, and that has not been an issue at all for our patients. And I do think from a clinical operations perspective, from a policy perspective, and from an insurer's perspective, this should be part of the workflow. The vouchers are a really easy way to do it. We'll of course have more data when the larger trial is done.   Dr. Shannon Westin: These points are so important around needing to be able to address food insecurity when you find it. The screening is very simple and providing food to somebody else is much less so. And it can actually be harmful to screen for something and then not do anything about it like that could actually increase patient's distress if you're making moves like you're going to help them and then don't, it can actually be harmful.   But I was wondering, Dr. Gany, if you could talk a little bit about how you got this off the ground, functionally speaking, at the beginning. Like, if somebody wanted to do something similar for their own cancer survivor, with their patient population, what kinds of steps can people be taking? Who did you work with? Did you get any pushback? Are there any lessons learned that you could share with people?   Dr. Francesca Gany: Yes, so I think there are more and more pantries actually now that are being implemented at cancer sites. So, I think that there is broader buy-in now on the systems part.   So, I think that's a little bit less of a heavy lift than it might have been a few years ago. We were in a very receptive place. They were really happy that we wanted to help the patients this way and were very facilitative.   And so, we partnered with a food bank for New York Food Pantry at our initial site, and we partnered at other sites, and then we became a food pantry site ourselves so that we could have access to as many varied products as possible, so that we could put together bags that were tailored, etc. And so, then patients could pick the items in the pantry that were tailored.   The couple of issues that arose was this one was a space issue, especially in New York City spaces at such a premium and the clinics were really worried about even giving over a closet. So, in one pantry, we have a few drawers in the conference room, and we pull everything out when we get there. We have a cart and we wheel it around, and we wheel to a spot, etc. So, we take care of it that way.   At another site, we keep everything in the basement. When we came to where there was more space, we wheel it up to the cancer clinic. Some sites had more space and that was great, we could set up the pantry to be permanently there and displayed.   The other issue that concerns sites was food safety, food management, vermin, etc. So, all of our folks are trained in food safety, food handling, and food storage, so that we store it in the safest way possible. And so, that there were no issues around that. So, that has really worked out.   One other thing is we've also introduced an intervention at some of the sites of food navigators. So, not only do they help patients with the pantries, etc., but they also work with folks around what are some of the other resources they can access that'll work for them in their communities near their home that have the right foods for them, etc. And that's helped. This was not in the study, but this is just in our clinical operation for this. That has helped as well.   Dr. Shannon Westin: It's so great. It's such a lot of work and it seems so essential. I think it's really going to be on us to take it back to our institutions and determine what works. I loved your line about it seems like the vouchers might be our best. I think we really need those kinds of real-world solutions that we can actually bring back to implement.   I guess my other question is, is there a role for policy change here? Is there something we can do kind of on a more national level to address these things rather than it being at the individual practice and institution levels?   Dr. Francesca Gany: Oh, my God, yes! That is our hope from these studies that at the healthcare system level, the insurer level, and then the broader policy level in New York. For instance, some of our patients are undocumented immigrants. So, they have less access to food programs that others might have access to such as SNAP.   By the way, we saw the same food insecurity rates in SNAP participants as we saw in non-SNAP participants because the benefits are not that hefty in SNAP, but that is an aside.   But for undocumented immigrants, let's say, when in New York when they are diagnosed with cancer, they are eligible for Medicaid for the treatment of emergency conditions. So, such an easy thing to do would be to do a food insecurity screener when you were doing the emergency Medicaid eligibility, and then help people right into a food program, a voucher program.   When we think of the costs of the vouchers, in this study, the costs were a little bit more than $200 a month. For the vouchers, the staff time does not cost that much. And when one thinks about the cost of cancer treatment, of cancer care, and what a teeny drop in the bucket this is compared to the cost of cancer treatment. This should be a no-brainer for policy folks because it is so little money compared to the bigger outlay with so much impact.   So, that's one example of how we see it rolling out in a policy arena. When you're screening for Medicaid, for the treatment of emergency eligibility, you ask a couple of food insecurity questions or the one we're hoping to roll out and if somebody's food insecure, it's just they automatically got the food voucher.   Dr. Theresa Hastert: I think, well, ultimately, being able to have people in with policy-level solutions for this would be amazing, it would be a huge step. In the meantime, I really think it is going to be a lot of individual people and individual cancer centers trying to connect the people in front of them with the resources that they need.   And in order to do that, I think we'll really make the biggest progress when we do get buy-in, we get champions higher up in the cancer centers. When cancer center leadership takes it up and helps smooth paths, and when funders put efforts behind it, and I think they're doing this increasingly, put efforts behind addressing social needs among cancer patients and survivors, and also our accrediting agencies in terms of tracking, ‘Are you not only screening people? Are you hooking people up with resources?'   And of course, there's a balance between cancer centers that are set up to diagnose and treat cancer but if our patients are dealing with all these other issues, we need to be doing what we can to help address those issues so people can recover from cancer, can go on to live healthy, happy lives, could have the best outcomes.   Dr. Francesca Gany: Definitely. And some natural allies, the cancer centers, our folks in nutrition services, because they totally know how important it is for people to have access to nutritious food during their treatment. So, they're great allies, social work depending navigators, and community helpers depending on how the institution is structured. But it has not been hard for us to find champions at any of the sites that we've been at despite the space issues, etc. But we're super flexible. We make it work however we have to so that the site feels that it's value-added and that it's not interrupting their clinical flow.   Dr. Shannon Westin: This was great. Ladies, thank you so much for your expertise and for giving us some really, I think, concrete things that we could potentially do back in our institutions. And thank you to all of our listeners.   Again, we were discussing  ‘Food to Overcome Outcomes Disparities – A Randomized Control Trial of Food Insecurity Interventions to Improve Cancer Outcomes.' published online in the Journal of Clinical Oncology on June 16th, 2022. We're so excited that you took the time to listen, please check out our other episodes and check back soon for a new episode of the podcast. Have a great one, y'all.   Dr. Francesca Gany: Thank you!   Dr. Theresa Hastert: Thank you.     The purpose of this podcast is to educate and inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions.   Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity or therapy should not be construed as an ASCO endorsement.    

In this episode, Dr. Darlene Xiomara Rodriguez and Dr. Paul McDaniel discuss their interdisciplinary partnership and longstanding work in immigrant health. They explain their micro/meso/macro approach that mirrors the social ecological model, as well as the importance of mentorship through research. They also mention developing the Georgia Immigration Research Network. This episode references the article titled "A Scoping Review of Literature About Mental Health and Well-Being Among Immigrant Communities in the United States" by Darlene Xiomara Rodriguez, PhD, MSW, MPA, Jessica Hill, MPH, and Paul N. McDaniel, PhD.

Many Bay Area residents are scrambling and traveling long distances to get a monkeypox vaccine. Public health officials are warning of the serious shortage of vaccines needed to combat the growing outbreaks of monkeypox across the country. Since it was detected in the U.S. in May, the CDC has reported over 1,800 cases of the painful, but very rarely fatal, viral disease. About a quarter of the cases are in California, which expected to receive 15,000 doses of the vaccine this week but logistical, bureaucratic and technical errors on a federal level have slowed the distribution of nearly 7 million doses nationwide. Although anyone can get the disease, U.S. monkeypox cases have disproportionately affected men who have sex with men. LGBTQ activists protested federal offices in San Francisco this week out of concern we're seeing a repeat of the public health failures of the early days of the HIV epidemic. We'll discuss concerns about monkeypox and what local public health officials are doing to respond. Guests: Anne Rimoin , professor, Center for Global and Immigrant Health, UCLA Fielding School of Public Health Susan Philip, director of Director of Population Health Division, San Francisco Department of Public Health Tyler TerMeer, CEO, San Francisco AIDS Foundation Fernando Gomez-Benitez , deputy director, Mission Neighborhood Health Center

Speaker: Dr. Maria Gabriela Fernandez Manrique, PGY-3 Internal Medicine Resident at UCONN and future Endocrinology Fellow at Brown University. Editor: Dr. Juan Chango, PGY-4 Chief Medical Resident at UCONN. In this podcast, we will discuss an important topic: Refugee and Immigrant Health. We will focus on relevant considerations and the approach to refugee and immigrant health in the outpatient setting. We hope you enjoy this episode! Thank you for listening.

Mila Knight was 38 when she was diagnosed with Stage II hormone-positive breast cancer.  In this episode Mila reads her piece “Crawling in My Skin” from Wildfire Magazine's 2021 “Body” issue.  Mila has always turned to music for solace in hard times, so it was no wonder that music also lifted her up while going through cancer treatment. Her journaling turned to song-writing, and then she took her passion and her pain and channeled it into a fundraising concert. April and Mila will discuss the burden of breaking ancestral and generational trauma cycles through sharing previously unspoken experiences, and becoming a patient advocate by shining the light on disparities in healthcare while following her dreams.  More about Mila: https://www.instagram.com/milaknightsings/ (https://www.instagram.com/milaknightsings/) More about Mila's podcast: https://ofsongmind.com/about/ (https://ofsongmind.com/about/) More about Susan G. Komen's Health Equity Initiative: https://www.komen.org/about-komen/our-impact/breast-cancer/health-equities-initiative/ (https://www.komen.org/about-komen/our-impact/breast-cancer/health-equities-initiative/) More about Memorial Sloan Kettering  Immigrant Health and Cancer Disparities (IHCD) Service: https://www.mskcc.org/departments/psychiatry-behavioral-sciences/immigrant-health (https://www.mskcc.org/departments/psychiatry-behavioral-sciences/immigrant-health) Get the free Wildfire email newsletter: https://www.wildfirecommunity.org/ (https://www.wildfirecommunity.org) Learn about Wildfire writing workshops: https://www.wildfirecommunity.org/workshops (https://www.wildfirecommunity.org/workshops) Shop Wildfire merch & more: https://www.wildfirecommunity.org/shop (https://www.wildfirecommunity.org/shop) More about this episode's sponsor Bright Spot Network: https://www.brightspotnetwork.org/ (https://www.brightspotnetwork.org/)

There's a common perception that if you wish to pursue academia and tenure, then you need to solely focus on institutional work. Today I'm speaking with Dr. Bukola Salami, an Associate Professor of Nursing and Director of the Intersections of Gender Program at the University of Alberta, who is living proof that that isn't the only way. Dr. Salami received her Ph.D. in nursing from the University of Toronto, where she studied the experiences of Filipino migrants, who work as caregivers in Canada. In her short career, Dr. Salami has established a robust program of research that intersects Immigrant Health and Workforce Mobility, Black Canadian Health and Well-being, Immigrant Mental Health, Nurse Mobility, and COVID vaccine hesitancy. In this episode, Dr. Salami first outlines her doctoral journey and its valuable work on the intersection of immigration experiences and workforce development, before imparting her top tips for graduate students and new faculty members when navigating the politics of an academic department. Hear her recommendations for collaborating with other scholars to increase publication, as well as how to develop a program of research to advance your career. This episode is overflowing with hard-won and discerning advice for those already in academia or wishing to begin with the right footing; we hope you join us today!Connect with Dr. Salami on Twitter and LinkedIn.  If you are a Black woman interested in joining the Cohort Sistas community or you're looking for more information on how to support or partner with Cohort Sistas, please visit our site at www.cohortsistas.com.Find us on Twitter and Instagram, and don't forget to follow the Cohort Sistas podcast, rate, and leave us a quick review wherever you're listening.

For this episode of the Poverty Research and Policy Podcast, we hear from Juan Pedroza about immigration in the United States, the COVID-19 Pandemic, and how place matters when it comes to thinking about immigrant health. Pedroza is an Assistant Professor of Demography, Migration and Inequality in the Sociology Department at the University of California Santa Cruz and was a fellow in IRP's Emerging Poverty Scholars Program. You can find more of Professor Pedroza's work at www.socialdemography.xyz/ and follow him on twitter at @ijuanathesaurus If you would like to connect with other resources from the Institute for Research on Poverty, sign up for our email lists.

We talk about obscure remedies that our parents brought over from their homeland, health products we can't live without, and how we were influenced by the traditional medicine our parents passed down to us. --- Support this podcast: https://podcasters.spotify.com/pod/show/growingupimmigrant/support

Join Health Affairs Insider.Two families' stories—a separation at the border and an assault in a migrant shelter—show the horrific dimensions of US migration policy. Read by co-author Alfonso Mercado from the University of Texas Rio Grande Valley.Order your copy of the July 2021 issue of Health Affairs.

Roughly 45 million immigrants live in the United States today, a fourfold increase since the 1960s. Immigrants face unique challenges obtaining health care services. Some of the challenges are caused by explicit policies designed to limit or exclude immigrants from programs and benefits available to people born in the US. Other barriers relate to household income or the greater likelihood of having limited English proficiency.The health of immigrants in the United States is the topic of today's A Health Podyssey. Arturo Vargas Bustamante is a professor at the UCLA Fielding School of Public Health and faculty director of research at the UCLA Latino Policy and Politics Initiative. For the July issue of Health Affairs - focused exclusively on borders, immigrants and health - Bustamante and coauthors published a paper describing a range of health policy issues raised by the shifting demography of US immigrants. They explored health insurance, health status, and access to care over the past two decades across the immigration and citizenship continuum. They found that inequities between immigrants and US-born residents increased after The Great Recession and began to decline after the implementation of the Affordable Care Act.Listen to Health Affairs Editor-in-Chief Alan Weil interview UCLA's Arturo Vargas Bustamante about the health of immigrants in the US today and how the shifting demographics of the US are affecting health policies.Order your copy of the July 2021 issue of Health Affairs.Subscribe: RSS | Apple Podcasts | Spotify | Stitcher | Google Podcasts

According to the American Academy of Pediatrics, 1 in 4 children in the United States are part of an immigrant family unit. By definition, immigrant children are those born outside the United States or who have at least one foreign-born parent. In the last decade, global conflicts have propelled the migration of these families, creating a more diverse migrant population and given rise to divisive sociopolitical policy in our country. Like all children, the experiences of this patient population are diverse and have direct impacts on their biopsychosocial development. Additionally, this patient population may face unique challenges of inequity that can threaten their health and wellbeing. In this episode, we will talk through considerations that pediatric medical providers can make that are uniquely supportive to the refugee and immigrant patient population. For this discussion we are pleased to be joined by a colleague from the broader pediatrics community in Denver, Janine Young, MD. Dr. Young is the Medical Director of the Denver Health Refugee Clinic; Co-Medical Director of the Denver Health Human Rights Clinic and Medical Advisor for the Colorado Refugee Services Program. She is also Associate Professor of Pediatrics at the University of Colorado School of Medicine. Do you have thoughts about today's episode or suggestion for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Dr. Anne Rimoin is Professor of Epidemiology at the UCLA Fielding School of Public Health and Infectious Disease Division of the Geffen School of Medicine. She is also the director of the Center for Global and Immigrant Health and the director of the UCLA-DRC Health Research and Training program. She is a regular guest on the KTLA 5 Morning News and is frequently quoted in national publications and appears on national news broadcasts as an expert on the Covid-19 pandemic.During this podcast, Dr. Rimoin discusses the very latest on the pandemic and answers questions about travel, holiday gatherings, and the explosion of coronavirus cases and how people can reduce their chances of becoming infected.

In today's episode, my guest and I discuss systemic racism in Canadian health care system and the impacts on the health of black immigrants. My guest is Dr. Bukola Salami, an associate professor at the Faculty of Nursing, University of Alberta in Canada. Our conversation identifies the core reasons for declining immigrant health after years of immigration into Canada, and the impacts of systemic racism on the health of immigrants. We also identify policy measures and key practical solutions for government institutions in Canada to utilize in addressing systemic racism in the health care system. Dr. Salami's research and expertise focuses on policies and practices shaping migrant health. She has led research in the areas of well-being of temporary foreign workers, mental health of immigrant adults, mental health of immigrant children, as well as mental health of African, Black, and Caribbean youths. Dr. Salami has been recognized for her community engagement work to improve immigrant health. She has received several awards for research excellence and community engagement including 100 Accomplished Black Women in Canada; Sigma Theta Tau International Honor Society of Nursing Emerging Nurse Researcher of the Year Award. If you enjoy today's episode, subscribe to the podcast and leave a rating in the podcast. Join the podcast community on Instagram and Facebook @UnfilteredRealTalkPodcast, and on Twitter @RealTalk_Ije. Don't forget to share, like, comment and let us know what you enjoyed about the episode. --- Send in a voice message: https://anchor.fm/unfilteredrealtalk/message

There's so much happening regarding COVID right now, so we figured we should check in with an expert and try to get facts on how to be smart and stay safe these days. Dr. Anne Rimoin is a leading epidemiologist and expert in pandemics, having worked in public health on ebola virus for years. She’s a Professor of Epidemiology at the UCLA Fielding School of Public Health and Infectious Disease Division of the Geffen School of Medicine. Anne is the Director of the Center for Global and Immigrant Health and is an expert on emerging infections, global health, surveillance systems, and vaccination. She's also currently leading several studies of COVID-19.Anne talked all things COVID. She told Hilaria and Daphne about when she thinks the vaccine will roll out, how/why masks work, and that they do help, and she gives context by discussing history. Anne gives us lots to think about, and was honest and open about the scientific community not doing a great job at communicating with the public, and that any and every question from the public is valid and should be answered. Plus a very welcomed dose of optimism, that we WILL get through this.Favorite Things:Daphne: Caraway Home cooking productsHilaria: Pure Enrichment productsAnne: Face ShieldsEmail us with your questions at mombrainpod@gmail.com and follow us on Instagram, just search for @MomBrain. We answer a lot of your questions on there! Check out videos of our episodes on our YouTube channel! We also invite you to become a member of Mom Brain's official Facebook Group.

In this episode we discuss the research of Dr. Bukola (Oladunni) Salami,  Sigma International Nurse Researcher Hall of Fame inductee (July 2020) and associate professor at the University of Alberta. 

On this episode of What is Black Podcast, we're joined by Drs. Lanre Falusi and Lisa Varghese-Kroll to discuss the unique health challenges experienced by immigrant families and children, their immigrant experience, impact of COVID-19 and a preview of their upcoming podcast, Health and Home with the Hippocratic Hosts.To learn more about our guests go to https://www.whatisblack.co/podcastWhat is Black Podcast: @whatisblk

On this episode of What is Black Podcast, we're joined by Drs. Lanre Falusi and Lisa Varghese-Kroll to discuss the unique health challenges experienced by immigrant families and children, their immigrant experience, impact of COVID-19 and a preview of their upcoming podcast, Health and Home with the Hippocratic Hosts.To learn more about our guests go to https://www.whatisblack.co/podcastWhat is Black Podcast: @whatisblk

This week, we're featuring two guests on this special Covid-19 coronavirus edition of the podcast. Our first guest is Carl Goldman, a Santa Clarita resident and owner of radio station KHTS, who was diagnosed with Covid-19 after being quarantined aboard the Diamond Princess cruise ship docked at Yokohama, Japan. He spent more than 40 days in quarantine aboard the cruise ship and then in Omaha, Nebraska. Our second guest is UCLA's Professor of Epidemiology Anne W. Rimoin, Ph.D, M.P.H., director of the Center for Global and Immigrant Health at the UCLA Fielding School of Public Health. She is one of the world's leading experts on emerging infectious diseases. During this podcast, Carl Goldman discusses his Covid-19 diagnosis, his quarantine, and his recovery from the disease. Professor Anne Rimoin answers our questions about why this novel virus has emerged now, what we can expect in the weeks and months ahead, how social distancing and other measures work to reduce and slow the spread of the virus, and why that could stop our hospitals and healthcare institutions from being overwhelmed as more people become infected.

The first case of Wuhan coronavirus that has plagued China and affected the global stock markets has been reported in the U.S., the Centers for Disease Control and Prevention. UCLA Center for Global and Immigrant Health director Dr. Anne Rimoin shares her expertise on this subject.

MPH student Ian Buchta and CPH assistant research scientist Nicole Novak discuss the connection between food production and rural and immigrant health.

Separating immigrant children from their parents is detrimental to child health.Children of immigrant parents have dominated the news. The images are heartbreaking. There are currently 2,300 children who have been separated from their parents for immigration issues. Children who are ripped away from their parents experience toxic stress. The "fight-or-flight" response is prolonged in their little bodies. Negative long-term effects can appear later in life. Suicide, depression, and chronic disease are greatly influenced by toxic stress. In the short-term, it’s simply child abuse. Children regress mentally and physically. This is unacceptable treatment of children.Fight colds and flu with Hydralyte. Rapid and complete hydration, suitable for all ages and doctor recommended. Use code “hydrakid” to save 30% - sponsor The promise of a better life in these United States holds appeal for refugees who flee horrible conditions. They seek basic needs and life, liberty, and the pursuit of happiness. Children are brought here in hopes of a better life. Listen as Dr. Janine Young joins Melanie Cole, MS, to discuss the effects of this separation on children’s health. Sponsors: Fight colds and flu with Hydralyte. Rapid and complete hydration, suitable for all ages and doctor recommended. Use code “hydrakid” to save 30%

Separating immigrant children from their parents is detrimental to child health.Children of immigrant parents have dominated the news. The images are heartbreaking. There are currently 2,300 children who have been separated from their parents for immigration issues.Care.com is the world’s largest digital marketplace for finding and managing family care. Click here get 30% off a care.com membership and use code healthychildren. - sponsor Children who are ripped away from their parents experience toxic stress. The "fight-or-flight" response is prolonged in their little bodies. Negative long-term effects can appear later in life. Suicide, depression, and chronic disease are greatly influenced by toxic stress. In the short-term, it’s simply child abuse. Children regress mentally and physically. This is unacceptable treatment of children.Fight colds and flu with Hydralyte. Rapid and complete hydration, suitable for all ages and doctor recommended. Use code “hydrakid” to save 30% - sponsor The promise of a better life in these United States holds appeal for refugees who flee horrible conditions. They seek basic needs and life, liberty, and the pursuit of happiness. Children are brought here in hopes of a better life. Listen as Dr. Janine Young joins Melanie Cole, MS, to discuss the effects of this separation on children’s health. Sponsors: Care.com is the world’s largest digital marketplace for finding and managing family care. Click here get 30% off a care.com membership and use code healthychildren. Fight colds and flu with Hydralyte. Rapid and complete hydration, suitable for all ages and doctor recommended. Use code “hydrakid” to save 30%

University of Calgary researcher, Turin Chowdhury, speaks about work being done with immigrant communities to help them deal with Alberta's health care system.

Immigrants and their children make up about 25% of the population of the United States. Dr. Margaret Wheeler explores the challenges and procedures for treating immigrant patients. She says that when treating immigrants doctors have to think globally and act locally. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 33275]

Immigrants and their children make up about 25% of the population of the United States. Dr. Margaret Wheeler explores the challenges and procedures for treating immigrant patients. She says that when treating immigrants doctors have to think globally and act locally. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 33275]

Immigrants and their children make up about 25% of the population of the United States. Dr. Margaret Wheeler explores the challenges and procedures for treating immigrant patients. She says that when treating immigrants doctors have to think globally and act locally. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 33275]

Immigrants and their children make up about 25% of the population of the United States. Dr. Margaret Wheeler explores the challenges and procedures for treating immigrant patients. She says that when treating immigrants doctors have to think globally and act locally. Series: "Mini Medical School for the Public" [Health and Medicine] [Show ID: 33275]

Dr Szczech provides a sobering view on what extreme actions uninsured immigrants are taking to push their symptom boundaries to near death every week in order to get emergent hemodialysis.

In this podcast for the November 2016 issue of the Journal of Transcultural Nursing, Editor-In-Chief Norma Cuellar and Eleanor Hall discuss their article "Immigrant Health in the United States: A Trajectory Toward Change." Click here to view the article.

Dr America gives Us real talk about Immigrant Health in America. No filler or scare mongering. Actual. Real. Talk. #CNNGoHome

Dr. Francesca Gany is the chief of the Immigrant Health and Cancer Disparities Service at Memorial Sloan-Kettering Cancer Center and director of the Center for Immigrant Health and Cancer Disparities, New York, NY. Stephen Morrissey, the interviewer, is the Managing Editor of the Journal. J.O. Breen. Lost in Translation - Como se dice, "Patient Protection and Affordable Care Act"? N Engl J Med 2012;366:2045-7.