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Healthcare Systems' Influence on Patient Outcomes

Cardiometabolic Monitoring and Sociodemographic and Clinical Characteristics of Youths Prescribed Antipsychotic Medications 

Clinical guidelines recommend that youth taking antipsychotic medications receive annual glycemic and lipid testing because antipsychotics increase the risk of cardiometabolic disturbances. Using electronic health records from youth starting antipsychotic medications between 2013-2017, we found that half of youth did not receive glycemic and lipid testing within 1-2 years of antipsychotic medication initiation, indicating the need for additional strategies to increase testing rates.

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Influence of Patient Immigrant Status on Physician Trainee Diabetes Treatment Decisions: A Virtual Patient Experimental Study 

Clinical guidelines recommend that youth taking antipsychotic medications receive annual glycemic and lipid testing because antipsychotics increase the risk of cardiometabolic disturbances. Using electronic health records from youth starting antipsychotic medications between 2013-2017, we found that half of youth did not receive glycemic and lipid testing within 1-2 years of antipsychotic medication initiation, indicating the need for additional strategies to increase testing rates.

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Linking Racism and Homonegativity to Healthcare System Distrust Among Young Men of Color Who Have Sex with Men

Black and Latino young men who have sex with men (YMSM) experience multiple forms of discrimination in daily life, which may in turn drive healthcare system distrust. Controlling for demographics and syndemic indicators, racism, but not homonegativity or internalized homonegativity, was associated with healthcare system distrust. It is possible that prior experiences with racial discrimination transfers over more heavily for Black and Latino YMSM’s perceptions of just treatment in the healthcare system.

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