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Social Determinants of Health Education in a Rural Primary Care Clinic
Background: Social Determinants of Health (SDH) are non-medical factors that significantly influence health outcomes and lead to health disparities. These determinants, such as inadequate housing, lack of transportation, food insecurity, and unsafe environments, limit individuals’ ability to access healthcare and manage chronic conditions effectively (Bechtel et al., 2022; Martinez-Alfonso et al., 2025). The Health-Related Social Needs (HRSN) screening tool, recommended by CMS, evaluates five domains: housing instability, food insecurity, transportation, utility needs, and safety (Centers for Medicare & Medicaid Services [CMS], n.d.-a). This quality improvement project was conducted at a rural primary care clinic in northern Arizona, serving a population of 66,021, with a median household income about half the state’s average and a poverty rate more than double the state average at 29.8% (United States Census Bureau, 2020). Before this project, the clinic did not routinely assess patients for adverse social determinants, presenting an opportunity to enhance patient care.Purpose: The project aimed to educate staff on the use of the HRSN screening tool and assess baseline knowledge, confidence, and awareness of local resources related to SDH.
Methods: Staff completed pre- and post-intervention surveys, using a Likert scale to rate their understanding of SDH, knowledge of local resources, and confidence in conducting SDH screening in the clinic. Results: Survey data indicated that SDH screening is feasible and appropriate for this setting. Staff recognized the importance of SDH on health outcomes and expressed growing confidence in implementing the screening. However, they requested more support and education on available community resources and how each clinic role can participate in connecting patients to these resources. Conclusions: SDH screening is suitable for implementation at the clinic. Ongoing education on community resources and broader staff involvement are needed to optimize screening and patient support. Future efforts should include multidisciplinary collaboration and continuous evaluation of resource awareness
Investigating Soil Health Changes After Irrigation Sanitizer Application in Desert Southwest Production Systems: A Guide to Soil Health
This is the first in a series of articles evaluating soil health in agricultural systems that utilize pre-harvest irrigation water treatments. The purpose of this first installation is to define soil health and how it is measured, prior to the following installations which will describe the soil health status of fields after treatmentThis work was supported by the Arizona Department of Agriculture through the Specialty Crop Block Grant number SCBGP 22-19 and SCBGP 23-21
Arizona Geology Newsletter v.47 no.1 - Winter 2026
The Winter 2026 Arizona Geology newsletter includes the following: a feature article about the Arizona Subsurface Viewer by Tawnya Wilson, Brian Gootee, and Lisa Thompson; an update on current research and investigations, as well as staffing changes, at the Arizona Geological Survey by Phil Pearthree; and details on recent AZGS publications and external publications by AZGS geologists.Documents in the AZGS Documents Repository collection are made available by the Arizona Geological Survey (AZGS) and the University Libraries at the University of Arizona. For more information about items in this collection, please contact [email protected]
Arizona Agricultural Enterprise Budgets: Yuma County’s 2026 Field Crops’ Production Budgets
This report estimates the typical economic costs and returns for growing major crops, including alfalfa, barley, cotton, sorghum grain, Sudan grass for seed, durum wheat, and winter wheat in Yuma County, Arizona. The Arizona Agricultural Enterprise Budgets are estimated based on a representative farm and its related cropping operations in a determined location; numbers are reported on a per-unit basis
45 - When we talk about dreaming
Danielle P. Williams reading poems from Chamorrita SongThese recordings are made available by the University of Arizona Press and University of Arizona Libraries. If you have questions about this title, please contact the UA Press at http://www.uapress.arizona.edu/
42 - All the Ocean
Danielle P. Williams reading poems from Chamorrita SongThese recordings are made available by the University of Arizona Press and University of Arizona Libraries. If you have questions about this title, please contact the UA Press at http://www.uapress.arizona.edu/
38 - for all the time that has gone by
Danielle P. Williams reading poems from Chamorrita SongThese recordings are made available by the University of Arizona Press and University of Arizona Libraries. If you have questions about this title, please contact the UA Press at http://www.uapress.arizona.edu/
40 - Black Music
Danielle P. Williams reading poems from Chamorrita SongThese recordings are made available by the University of Arizona Press and University of Arizona Libraries. If you have questions about this title, please contact the UA Press at http://www.uapress.arizona.edu/
33 - god
Danielle P. Williams reading poems from Chamorrita SongThese recordings are made available by the University of Arizona Press and University of Arizona Libraries. If you have questions about this title, please contact the UA Press at http://www.uapress.arizona.edu/
30 - for the children talking to us in heaven
Danielle P. Williams reading poems from Chamorrita SongThese recordings are made available by the University of Arizona Press and University of Arizona Libraries. If you have questions about this title, please contact the UA Press at http://www.uapress.arizona.edu/