Background Community Health Workers (CHWs) are proven to be highly effective in low- and middle-income countries with many examples of successful large-scale programs. There is growing interest in deploying CHW programs in high-income countries to address inequity in healthcare access and outcomes amongst population groups facing disadvantage. This study is the first that examines the scope and...

International migrants are subjected to numerous influences that may alter their fertility. The act of migration is disruptive to reproduction while exposure to different societal norms in addition to the transfer of remittance income can generate ideas and opportunities for household family planning. Contemporary data for three Central American countries (Costa Rica, Guatemala, and Nicaragua) ...

OBJECTIVE The aim of this study was to determine whether physician offices located in high-minority and low-income neighborhoods have different levels of access to information technology than offices located in lower-minority and higher-income areas. DESIGN A cross-sectional survey was conducted of pediatrics, family medicine, and general practice offices in Orange County, California. Survey ...

In the United States, African Americans face a disproportionate amount of diet-related health problems. For example, African American adults are 1.6 times more likely to have diabetes than their Caucasian counterparts. Individuals in low-income communities may face a greater risk because they typically have less access to healthy foods. Due to the significant diet-related problems within the Af...

Over the past decade, housing costs have risen faster than incomes. The need for affordable rental housing has well outpaced the number of available units as well as funding allocations at the federal level. Local regulation and land use policies that increase the cost of subsidized, mixed-income housing construction and preservation have contributed to the affordability problem. To meet the af...

The purpose of this paper was to identify factors associated with breastfeeding among mothers of children born in 1994 in five of the low income communities participating in the longitudinal prevention initiative "Better Beginnings, Better Futures." Household income was < or = poverty line for 76%, 63% had completed high school or beyond, and 29% were born outside of Canada. The breastfeeding i...

We are architecting and deploying a multi-hop wireless network in one of Houston’s most economically disadvantaged neighborhoods. The objective of this network is to empower under-resourced communities with access to technology and educational and work-at-home tools. Here, we present the societal objectives of the network, describe the joint technical and economic objectives that drive its arch...

Lack of high-quality, affordable, and accessible child care is an often-cited impediment to a manageable balance between work and family. Researchers, however, have been restricted by a scarcity of data on the availability of child care across all U.S. communities. In this paper we describe and evaluate several indicators of child care availability that have been released by the U.S. Census Bur...