Mobile mammography units (MMUs) can enhance access to breast cancer screening by providing convenient, cost-effective service, particularly for uninsured and underinsured women. However, prior studies indicate that acceptability concerns about quality and privacy, among other issues, may prevent women from utilizing MMUs. The current study employs…

Racial disparities in infant health conditions have persisted for decades. However, there is surprisingly limited evidence regarding the long-term consequences of these disparities. Using novel linked administrative data from Texas and the shift to Medicaid Managed Care (MMC), I show that MMC-driven declines in infant health worsened cognitive and…

Following the recent proliferation of anti-discrimination protections supporting LGBTIQ+ youth internationally, backlash periods have ensued. Whilst liberal-progressive rights models theorise 'backlash' as an expected consequence of rights recognitions progress, some post-colonial and Queer scholars frame backlash within enduring authoritarian…

Over the past 4 years, the Region 14 Comprehensive Center (R14CC) has provided capacity-building support to the state education agencies (SEAs) in Arkansas, Louisiana, and Texas via technical assistance (TA), a process through which R14CC designs and implements projects that build SEA capacity to carry out evidence-based policies and programs. In…

Digital transformation--which goes well beyond adopting new technology--requires a comprehensive approach that addresses organizational change, strategic alignment, and employee engagement. The Region 14 Comprehensive Center (R14CC) and its partners are at the forefront of this transformation for state education agencies (SEAs). The goal is to…

On September 1, 2021, the Texas Legislature passed Senate Bill 8 (SB8), prohibiting abortions after six weeks gestation and allowing private citizens to file lawsuits against anyone who either performs or "aids and abets" an abortion after this point. To understand the broad impacts of SB8 on Texas medical students' experiences and…

Much attention has been focused on the importance of providing physical and mental health services to students in educational environments in recent years. Millions of students receive school-based health services, and for many students, schools are their first and only option to receive health care. State policymakers have a lot to consider in…

The purpose of this qualitative study was to identify and prioritize the mental health needs of rural communities in Texas Public Health Region 11 utilizing the Delphi method. Rural individuals face unique challenges when attempting to receive treatment for serious mental illness and mental health care. Stigma, a lack of privacy when seeking…

Objective: To investigate influenza vaccination rates and perceptions underlying vaccine noncompliance. Participants: Participants included undergraduate students (N = 365) at a rural, medium-sized university in Texas. Methods: Students were anonymously surveyed in the spring of 2018 on demographics, insurance status, perceived barriers of…

Autism spectrum disorder (ASD) is a neurodevelopmental disability affecting 1 in 44 children nationally. Timely referral to intervention and support services for ASD has consistently demonstrated significant long-term positive effects on symptoms and subsequent skills and family outcomes. This paper highlights a novel and innovative approach of…

The "IDRA Newsletter" serves as a vehicle for communication with educators, school board members, decision-makers, parents, and the general public concerning the educational needs of all children across the United States. The focus of this issue is "Students Are Speaking." Contents include: (1) Books Are for Learning, Not…

Background: Chronic care management (CCM) and community health worker (CHW) interventions hold promise for managing complex chronic conditions such as diabetes and related comorbidities. This qualitative study examines facilitators and barriers to the implementation of an expanded CCM intervention that explicitly incorporated program staff, clinic…

Disasters have severe implications for life and property, often requiring large-scale collective action to facilitate recovery. In the U.S., one key determinant of recovery is access to resources that mitigate damage losses and shorten disaster recovery trajectories. However, communities with the disabled present may be excluded from such services…

We compared sexual/reproductive health services and sexuality education topics provided in Texas alternative high schools (AHSs) with the prevalence of sexual risk behaviors among students in AHS. Using cross-sectional data from convenience samples of 14 principals, 14 lead health educators, and 515 students, we calculated descriptive statistics…

Community colleges and the broader U.S. higher education system are struggling to respond to rising rates of mental health problems among students. Without adequate mental health supports, students risk a wide variety of serious and lasting consequences. Confronted with these issues, federal, state, and college officials lack research guidance…