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19. Food insecurity among New York City taxi and for-hire vehicle drivers.

Author

Gany, Francesca M., Meraji, Nujbat Nasim, Narang, Bharat, Wu, Minlun, and Leng, Jennifer

Subjects
WORK environment, FOOD security, PRIMARY health care, AUTOMOBILE driving, DESCRIPTIVE statistics, MENTAL depression, SCALE analysis (Psychology), CHI-squared test, AT-risk people, RESEARCH funding, DEMOGRAPHIC characteristics, POLICY sciences, SENSITIVITY & specificity (Statistics), DATA analysis software, ODDS ratio, PSYCHOLOGICAL distress
Abstract

BACKGROUND: New York City's (NYC's) taxi/for-hire vehicle (FHV) drivers have occupational and demographic characteristics associated with food insecurity (low income, comorbidities, minority race/ethnicity). OBJECTIVE: To analyze food insecurity rates in a sample of NYC drivers and to identify associated factors. METHODS: At health fairs, we recruited a cross-sectional sample of licensed taxi/FHV drivers willing to receive study text messages. Most lacked a primary care provider. Food insecurity prevalence and associations with health and economic indicators were analyzed. RESULTS: Of 503 participants who completed a 2-item food security screener, 39.2% were food insecure. Significantly fewer food insecure than food secure drivers reported a doctor visit within the past year (48% vs 25%; P <.001). Food insecure drivers had greater weekly traffic ticket expenditure ($34 vs $24; P =.02) and were more likely to report insufficient household income (61% vs 39%; P <.001) and history of depression (14% vs 7%; P =.02), to have elevated (>200) measured total cholesterol (50% vs 37%; P =.02), and to have Perceived Stress Scale scores indicating greater stress than food secure drivers (14 vs 11; P =.002). In a binary logistic regression analysis, drivers who reported that their total household income was enough to meet their basic needs had significantly lower odds of being food insecure (0.695 odds ratio; P =.016). CONCLUSION: Food insecurity was high in this group of taxi/FHV drivers. Food insecurity interventions are needed and could be occupationally based, with worksite screening and resource navigation. Policies should address improving wages and healthcare access. [ABSTRACT FROM AUTHOR]

Published
2023
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36. Practice of psycho‐oncology with Latino patients: An international study.

Author

Costas‐Muñiz, Rosario, Castro‐Figueroa, Eida, Torres, Normarie, Claros, Maria, Galindo‐Vazquez, Oscar, Narang, Bharat, and Gany, Francesca M.

Subjects
PSYCHO-oncology, MENTAL health counseling, MENTAL health services, MENTAL health counselors, HISPANIC Americans, MEDICAL personnel, COMMUNICATIVE disorders
Abstract

Keywords: cancer; culturally competent care; evidence-based practice; Hispanic Americans; Latin America; mental health; oncology; psycho-oncology; psychotherapy; survivorship EN cancer culturally competent care evidence-based practice Hispanic Americans Latin America mental health oncology psycho-oncology psychotherapy survivorship 127 133 7 01/28/21 20210101 NES 210101 BACKGROUND Cancer is the second leading cause of death globally, approximately 70% of deaths from cancer occur in low- and middle-income countries.1 About 1.3 million new cancer cases and 666,000 cancer deaths were estimated to have occurred in 2018 in Latin America and the Caribbean. A survey of 59 mental health professionals treating Latino cancer patients from Latin America and the United States was conducted to shed light on the practice of psycho-oncology with Latino patients. It is important to study the practice of psycho-oncology with underserved populations and in low-resource settings to address disparities in access to psychosocial oncology services and support the use of evidence-based practice. Cancer, culturally competent care, evidence-based practice, Hispanic Americans, Latin America, mental health, oncology, psycho-oncology, psychotherapy, survivorship. [Extracted from the article]

Published
2021
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38. An Academic Dental Center Grapples with Oral Cancer Disparities: Current Collaboration and Future Opportunities

Author

Kerr, A. Ross, Changrani, Jyotsna G., Gany, Francesca M., and Cruz, Gustavo D.

Subjects
Male, Interprofessional Relations, New York, Medical Oncology, Article, Health Services Accessibility, United States, stomatognathic diseases, Humans, Schools, Dental, Female, Mouth Neoplasms, Education, Dental, Program Evaluation
Abstract

This article reviews the epidemiology of oral cancer in the United States, explores the complex reasons for its disproportionate burden in minority groups, and describes the efforts of New York University's College of Dentistry to address these oral cancer disparities. These efforts include the development of state and regional consortia and networks, public education and community screening efforts, undergraduate dental curriculum development, professional education, intensive research efforts, and significant dental-medical collaborations. Future directions include the need to develop and assess oral cancer education/awareness programs, specifically customized to the various dental-medical professionals/trainees and to populations at risk. Improving the quality of life of patients during and following treatment for oral cancer is another important area that has great opportunity for dental-medical collaboration.

Published
2004

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