Identifying pre-diabetes ‘hotspots’ in Northern California using geospatial analysis: opportunities to target diabetes prevention strategies and improve health equity by Tannaz Moin, Luis A Rodriguez, Obidiugwu Kenrik Duru, Julie Schmittdiel, Tainayah W Thomas, Maher Yassin, Yelba Castellon-Lopez

“…Census tracts within hotspots had lower levels of household income (HL estimate: −3651.00, 95% CI –7256.00 to –25.00), per cent of adults with bachelor’s degrees or higher (HL estimate: −9.08, 95% CI –10.94 to –7.24) and median home values (HL estimate: −113 200.00, 95% CI –140 600.00 to –85 700.00) and higher rates of household poverty (HL estimate: 0.96, 95% CI 0.55 to 1.37), unemployment (HL estimate: 0.39, 95% CI 0.24 to 0.54), household public assistance (HL estimate: 0.97, 95% CI 0.76 to 1.18) and per cent receiving Medicaid (HL estimate: 4.56, 95% CI 3.40 to 5.76) (p<0.05 for all).Conclusions We found that individual-level and census tract-level socioeconomic status, obesity prevalence and race and ethnicity categories of patients living in pre-diabetes hotspots differed from those not identified as a hotspot. …”
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Contextual Vulnerability Should Guide Fair Subject Selection in Xenotransplantation Clinical Trials by Gianna Strand

“…[xix] Variability in compliance assessments and psychosocial support criteria allows medical biases to persist and disproportionately impedes waitlist access to patients from underserved populations.[xx] Low-income Medicaid patients are 2.6 times more likely to be labelled non-compliant as privately insured patients.…”
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Protecting the Autonomy of Patients with Severe Mental Illness Through Psychiatric Advance Directive Peer-Facilitation by Nicholas Karasik

“…INTRODUCTION Since the mid-twentieth century, scholars have increasingly rejected a strong paternalistic relationship between physician and patient, emphasizing the right of patients to accept or decline medical treatment.[1] With this greater emphasis on patient autonomy, a healthcare model of shared decision-making ascended in the 1980s.[2] Considering limitations in a patient’s capacity to make informed decisions in their treatment, the US Congress passed the Patient Self-Determination Act in 1990.[3] The act legally obliged hospitals and other care facilities that participate in Medicare and Medicaid to ask patients if they have an advance directive. …”
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