Health Education & Behavior最新文献_第5页

Articulando conocimientos y prácticas frente al Covid-19: Acciones de enfermeros técnicos indígenas en salud intercultural. 面对 Covid-19 阐明知识和做法：土著技术护士在跨文化保健方面的行动。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-10-03 DOI: 10.1177/10901981241232648

Cynthia Cárdenas Palacios, M Amalia Pesantes, Alfredo Sandi, Christopher Hewlett, Caroline Maake

{"title":"Articulando conocimientos y prácticas frente al Covid-19: Acciones de enfermeros técnicos indígenas en salud intercultural.","authors":"Cynthia Cárdenas Palacios, M Amalia Pesantes, Alfredo Sandi, Christopher Hewlett, Caroline Maake","doi":"10.1177/10901981241232648","DOIUrl":"10.1177/10901981241232648","url":null,"abstract":"A partir de entrevistas y conversaciones a profundidad con cinco enfermeros técnicos de los pueblos Yine y Shipibo-Konibo que laboran en establecimientos de salud en la Amazonía de Ucayali en Perú, este estudio muestra que las prácticas desplegadas para atender a los enfermos con síntomas de Covid-19 hicieron uso de terapias y nociones biomédicas e indígenas. Dichas prácticas reflejaron su formación en salud intercultural y su capacidad para adecuar las normas establecidas por el Ministerio de Salud. En función de los síntomas observados en los pacientes, los enfermeros indígenas usaron una variedad de prácticas: vaporaciones, masajes, baños, infusiones y remedios. Las nociones de salud y enfermedad que los enfermeros técnicos indígenas comparten con sus pacientes fueron la base para interpretar el Covid-19 y estuvieron presentes en las atenciones brindadas. Esto se nutrió de la existencia de un sistema de cuidado familiar bastante articulado que fue tejiéndose y siendo negociado en función de los síntomas y las terapias aplicadas. Sus prácticas demuestran la creatividad en los pueblos indígenas. En ese sentido, el sector salud necesita repensar su mirada sobre la medicina indígena, a la que denomina \"tradicional\" y nos muestra la necesidad de repensar las ideas sobre adecuación de los servicios para la población indígena para colocar en el centro del debate el significado de interculturalidad en salud desde la perspectiva indígena.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"818-825"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sufrimiento psicosocial en trabajadoras migrantes latinoamericanas en tareas de cuidados en España y Alemania, durante la pandemia de COVID-19. 在 COVID-19 大流行期间，西班牙和德国的拉丁美洲移民女护理工作者的心理社会困扰。

IF 4.6 3区医学

Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-10-03 DOI: 10.1177/10901981231212465

Ivette Alejandra Abanto Ramos, Ximena Pamela Claudia Díaz Bermúdez, Alejandro Goldberg

{"title":"Sufrimiento psicosocial en trabajadoras migrantes latinoamericanas en tareas de cuidados en España y Alemania, durante la pandemia de COVID-19.","authors":"Ivette Alejandra Abanto Ramos, Ximena Pamela Claudia Díaz Bermúdez, Alejandro Goldberg","doi":"10.1177/10901981231212465","DOIUrl":"10.1177/10901981231212465","url":null,"abstract":"In the context of international migration, many migrant women face an overload of care work for other people, corroborating a lack of adequate care and protection for them, which places them in vulnerable situations and at risk of suffering psychosocial harm. emotional and physical to your health. This is aggravated in the scenario of the COVID-19 pandemic, considering the structural social inequalities that have deepened to unsustainable limits for the subaltern sectors of societies, where Latin American migrant women who work in the field of domestic care of Spain and Germany. In this way, this work seeks to analyze the problem of psychosocial suffering related to care work in migrant Latin American women in Germany and Spain during the COVID-19 pandemic. For this, the integrative review was used as a qualitative synthesis procedure of previous related studies. The importance of this study lies in the fact that there are few studies on the psychosocial health of Latin American migrant women who perform domestic and care work. Some results show that, in this labor niche in Germany and Spain, the identity of women, migrants and Latin Americans, can contribute to unleash psychological and emotional suffering, due to the precarious working conditions to which many submit out of necessity and because of the field. of care to be the first \"option\", derived mainly from the limited perspectives of labor and social insertion in the country of destination, than from a freely and consciously chosen task.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"809-817"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Focus Issue: Epistemological Perspectives From the Latin American and Caribbean Global South. 焦点问题：来自拉丁美洲和加勒比全球南部的认识论观点。

IF 4.6 3区医学

Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-10-03 DOI: 10.1177/10901981241285427

Daniel Canavese, Ximena Pamela Claudia Diaz Bermudez, Mauricio Polidoro, Ariadne Ribeiro Ferreira, Jesus Ramirez-Valles

引用次数: 0

Health for Hearts United Longitudinal Trial: Improving Perceived Stress and Allostatic Load Outcomes of Mid-Life and Older African American Women. 心健康联合纵向试验：改善中老年非裔美国妇女的压力感知和代谢负荷结果。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-07-25 DOI: 10.1177/10901981241263027

Charissa N Obeng-Nyarko, Penny A Ralston, Kandauda K A S Wickrama, Jennifer L Lemacks, Jasminka Z Ilich

{"title":"Health for Hearts United Longitudinal Trial: Improving Perceived Stress and Allostatic Load Outcomes of Mid-Life and Older African American Women.","authors":"Charissa N Obeng-Nyarko, Penny A Ralston, Kandauda K A S Wickrama, Jennifer L Lemacks, Jasminka Z Ilich","doi":"10.1177/10901981241263027","DOIUrl":"10.1177/10901981241263027","url":null,"abstract":"Cardiovascular disease (CVD) continues to be the leading cause of death in the United States, with African Americans experiencing higher age-adjusted mortality compared to Whites. African American women in particular carry a high CVD burden due to more exposure to adverse personal and socioenvironmental challenges. Church-based interventions can improve health behaviors and health status of African Americans, yet few have addressed stress-related health. The purpose of this study was to determine the effectiveness of the 18-month Health for Hearts United intervention in relation to stress-related outcomes (perceived stress, allostatic load) of mid-life and older African American women (≥45 years of age; n = 152 overall sample, n = 65 clinical subsample). The results of the repeated measures analysis of variance (ANOVA) analyses showed overall significant decreases in perceived stress and allostatic load for both treatment and comparison groups over the measurement occasions (baseline and 18 months) with educational level remaining as a significant correlate over time. There was no significant interaction between treatment and time, yet there were trends in improvements for the treatment group compared to the comparison group. The findings demonstrate the potential of church-based interventions in reducing both self-reported stress and allostatic load in African American women, and highlight the need for further investigation of educational level and other possible factors influencing stress management in these settings.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"843-852"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dengue Treatment-Seeking Behavior: A Qualitative Study With Costa Rican Residents. 登革热求医行为：对哥斯达黎加居民的定性研究。

IF 4.6 3区医学

Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-05-23 DOI: 10.1177/10901981241254073

Alexander Le, Sara Ali, Christine C Blackburn, Leslie Ruyle, Jessica Hernandez, Farid Abarca, Araceli Arroniz, Sanny Rivera, Kaylee Jerman, Neha Kashyap, Edward Davila, Kathryn Ortega, Yesenia Zavala

{"title":"Dengue Treatment-Seeking Behavior: A Qualitative Study With Costa Rican Residents.","authors":"Alexander Le, Sara Ali, Christine C Blackburn, Leslie Ruyle, Jessica Hernandez, Farid Abarca, Araceli Arroniz, Sanny Rivera, Kaylee Jerman, Neha Kashyap, Edward Davila, Kathryn Ortega, Yesenia Zavala","doi":"10.1177/10901981241254073","DOIUrl":"10.1177/10901981241254073","url":null,"abstract":"Treatment-seeking behavior (TSB) in relation to dengue infection is a critical aspect of public health, and understanding the factors that influence it is crucial for effective disease management. This research delves into key determinants of dengue TSB by examining the perceptions and behaviors of individuals in Costa Rica, in relation to the Health Belief Model (HBM). This study utilized naturalistic inquiry and incorporated a qualitative research design involving nine students organized into four teams, with at least one student on each team with high Spanish fluency. In total, we initiated 102 semi-structured field interviews with Costa Rican residents in four communities. The interviews were recorded, transcribed verbatim, and coded in several cycles using MAXQDA 2022©. Thematic analysis was used to identify patterns and themes using an inductive approach. We found that several HBM themes influenced dengue TSB among participants. Self-treatment was the most common initial step in managing dengue. Perceived inaccessibility of health care services and perceived ineffective treatment options discouraged medical care-seeking. Ultimately, the prevalence of self-treatment practices suggests a need for interventions that emphasize the importance of timely professional medical attention, while addressing real barriers and perceptions of existing health care services as inaccessible and ineffective. These findings provide a key perspective on dengue TSB, guiding future public health strategies aimed at optimizing health-seeking behaviors and mitigating the negative impacts of dengue on population health.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"826-833"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racial and Ethnic Composition of Departments of Health Policy & Management and Health Education & Behavioral Sciences. 卫生政策、管理、教育和行为科学系的种族和民族构成。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-05-24 DOI: 10.1177/10901981241255611

Jemar R Bather, Debra Furr-Holden, Emily M Burke, Christine M Plepys, Keon L Gilbert, Melody S Goodman

{"title":"Racial and Ethnic Composition of Departments of Health Policy & Management and Health Education & Behavioral Sciences.","authors":"Jemar R Bather, Debra Furr-Holden, Emily M Burke, Christine M Plepys, Keon L Gilbert, Melody S Goodman","doi":"10.1177/10901981241255611","DOIUrl":"10.1177/10901981241255611","url":null,"abstract":"The diversity of racial/ethnic representation in the health services and policy research (HSPR) workforce plays a crucial role in addressing the health needs of underserved populations. We assessed changes (between 2012 and 2022) in the racial/ethnic composition of students and faculty from departments of Health Policy & Management (HPM) and Health Education & Behavioral Sciences (HEBS) among the Association of Schools and Programs of Public Health member institutions. We analyzed annual data from over 40 institutions that reported student and faculty data in 2012 and 2022 within each department. Racial/ethnic populations included American Indian/Alaska Native (AI/AN), Asian, Hispanic, Native Hawaiian/Pacific Islander (NH/PI), Black, White, Unknown, and Multiracial. We conducted analyses by department and examined racial/ethnic composition by student status, degree level, faculty rank, and tenure status. We found statistically significant increases in Black assistant professors (HPM and HEBS) and tenured faculty (HPM), Hispanic graduates and tenure-track faculty (HPM), Asian professors (HPM: full and tenured, HEBS: associate and tenured), and Multiracial students and graduates (HPM and HEBS). Statistically significant decreases were observed in White professors (HPM: assistant and full, HEBS: all ranks) and tenure-track faculty (HPM and HEBS), AI/AN associate professors and tenured faculty (HEBS), Hispanic associate professors (HPM), Asian assistant professors (HEBS), and NH/PI students (HPM and HEBS). Our findings highlight the importance of increasing racial/ethnic representation. Strategies to achieve this include facilitating workshops to raise awareness about the structural barriers encountered by Hispanic faculty, providing research support, evaluating promotion processes, establishing more pathway programs, and fostering interdisciplinary academic environments studying AI/AN or NH/PI populations.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"861-875"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141087511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Traditional Indigenous-Amazonian Therapy Involving Ceremonial Tobacco Drinking as Medicine: A Transdisciplinary Multi-Epistemic Observational Study. 亚马逊土著传统疗法中的 "饮烟 "仪式：跨学科多文化观察研究。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-12-01 Epub Date: 2024-10-03 DOI: 10.1177/10901981231213348

Ilana Berlowitz, Ernesto García Torres, Juan Celidonio Ruiz Macedo, Ursula Wolf, Caroline Maake, Chantal Martin-Soelch

{"title":"Traditional Indigenous-Amazonian Therapy Involving Ceremonial Tobacco Drinking as Medicine: A Transdisciplinary Multi-Epistemic Observational Study.","authors":"Ilana Berlowitz, Ernesto García Torres, Juan Celidonio Ruiz Macedo, Ursula Wolf, Caroline Maake, Chantal Martin-Soelch","doi":"10.1177/10901981231213348","DOIUrl":"10.1177/10901981231213348","url":null,"abstract":"Although the tobacco plant has been employed as a medicinal and sacred herb by Indigenous cultures across the Americas, its usage drastically changed after the 15th-century colonial arrival; its large-scale commodification and global marketing once brought to Europe lead to hedonic and addictive uses harmful to health. As a consequence, tobacco smoking is now one of the largest public health problems worldwide. However, in the Peruvian Amazon, a region of origin of tobacco species, Indigenous healers still know how to use the plant for therapeutic purposes. Due to a general disregard of Indigenous knowledge and stigma, these uses have however not so far been clinically investigated. We hence conducted for the first time a clinical field study assessing a sample of patients treated by a traditional healer specialized in tobacco in the Peruvian Amazon (observational design, pilot study, N = 27). The study was conducted within a transdisciplinary and multi-epistemic medical frame, in close partnership with an Amazonian healer. We used validated self-report scales to quantitatively assess mental health variables before and after the weeklong treatment, and mixed-methods to report experienced effects. Paired-samples t-tests comparing pre- and post-treatment scores revealed significant reductions in anxiety, depression, perceived stress, and general symptom indicators. Experienced effects included initial physical discomfort, followed by psychologically or existentially/spiritually significant insights. Our findings point to a sophisticated therapeutic approach based on Indigenous knowledge of tobacco applications, which should be further investigated. The study also contributes to the burgeoning scientific field on therapeutic uses of contentious psychoactive plants.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"796-808"},"PeriodicalIF":2.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Theory-Based Message Design for Recruitment of Underrepresented Racial/Ethnic Groups Into Alzheimer's-Focused Research Registries. 基于理论的信息设计，以招募代表性不足的种族/族裔群体加入以阿尔茨海默氏症为重点的研究登记处。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-11-19 DOI: 10.1177/10901981241296124

Amy Bleakley, Erin K Maloney, Michael Hennessy, Shawnika Hull, Kristin Harkins, Emily Largent, Miriam Ashford, Winnie Kwang, DeAnnah R Byrd, Rachel Nosheny, Jason Karlawish, Jessica B Langbaum

{"title":"Theory-Based Message Design for Recruitment of Underrepresented Racial/Ethnic Groups Into Alzheimer's-Focused Research Registries.","authors":"Amy Bleakley, Erin K Maloney, Michael Hennessy, Shawnika Hull, Kristin Harkins, Emily Largent, Miriam Ashford, Winnie Kwang, DeAnnah R Byrd, Rachel Nosheny, Jason Karlawish, Jessica B Langbaum","doi":"10.1177/10901981241296124","DOIUrl":"10.1177/10901981241296124","url":null,"abstract":"Alzheimer's disease (AD)-focused recruitment research registries can help identify eligible participants for AD studies, but registry participation is limited among racial and ethnic groups most at risk for AD. Using the Reasoned Action Approach (RAA), this study is part of a larger project to design theory-based persuasive recruitment messages that would encourage registry enrollment among underrepresented racial and ethnic groups. National survey data were collected in May/June 2021 from adults aged 50-80 years old living in the United States (n = 1,501) with oversamples of non-Hispanic Black (n = 334) and Hispanic (n = 309) adults for group comparisons. Regression analysis was used to estimate the relationship of the attitudes, norms, and perceived behavioral control on intention to sign up for an AD-focused research registry for each racial/ethnic and sex group (i.e., Black women, Black men, Hispanic female, Hispanic men, non-Hispanic White women, and non-Hispanic White men), followed by an audience segmentation analysis based on intender status. Across almost all target groups, attitudes were an important determinant of intention, and norms and capacity were secondary determinants for Black and Hispanic adults, respectively. There was considerable overlap in attitudinal beliefs most salient to the behavior which focused on benefits to society in some way, either generally (i.e., \"helping others in the future\"; \"advancing science\") or more specifically (i.e., \"helping others like you\"). Differences between groups were more apparent regarding norms and capacity. Targeted recruitment messages based on beliefs that were common across the groups could be an efficient way of recruiting people of color into AD research registries.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"10901981241296124"},"PeriodicalIF":2.7,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying Factors That Influence Physical Activity and Healthy Aging Among Older Latino Adults. 确定影响拉丁裔老年人体育活动和健康老龄化的因素。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-10-01 Epub Date: 2024-02-08 DOI: 10.1177/10901981241228221

Elena Luna, Andrew Springer, Denise Herrera, Maria Elena Garcia, Louis Brown, Steven H Kelder

{"title":"Identifying Factors That Influence Physical Activity and Healthy Aging Among Older Latino Adults.","authors":"Elena Luna, Andrew Springer, Denise Herrera, Maria Elena Garcia, Louis Brown, Steven H Kelder","doi":"10.1177/10901981241228221","DOIUrl":"10.1177/10901981241228221","url":null,"abstract":"Background: For older Latinos, some benefits of leisure-time physical activity (LTPA) include enhanced cognitive functioning, decreased loneliness, and reduced premature mortality. Despite LTPA benefits, adults ≥50 years are one of the most inactive age groups in the United States.Methods: This qualitative study aimed to add to the limited evidence of LTPA in older Latino adults by exploring the barriers and facilitators for fitness class uptake and park use. Guided by a Social-Ecological Model of Health and Social Determinants of Health theoretical and a phenomenological research design, qualitative research data were collected via 27 personal interviews with Latino adults using a semistructured interview guide. Participants were recruited using purposive sampling strategies in collaboration with community partners. Bicultural data collectors conducted the semistructured interviews over Zoom. Thematic analysis was performed using Dedoose, following an inductive and deductive approach.Results: The main barriers to fitness class attendance and park use were family and/or work commitments, perceived safety, and perceived discrimination. Conversely, the critical facilitators for participation were socialization into a group, social connectedness with group members, fitness instructor characteristics, and exercise history.Conclusions: Findings from this study hold important implications for the design of fitness programming and park-based recreation, including the need to increase the cultural diversity of recreation staff and culturally relevant programming. Future research is needed on time poverty related to family/work commitments and whether discriminatory practices at fitness centers, like ageism and race/ethnicity, influence physical activity behavior.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"700-709"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139702385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validating a Conceptual Model on Topical Fluoride Hesitancy With Latino Parents. 验证拉丁裔家长对局部氟化物犹豫不决的概念模型。

IF 2.7 3区医学

Health Education & Behavior Pub Date : 2024-10-01 Epub Date: 2024-02-19 DOI: 10.1177/10901981241231500

Stephanie Cruz, Haley Holland, Donald L Chi

{"title":"Validating a Conceptual Model on Topical Fluoride Hesitancy With Latino Parents.","authors":"Stephanie Cruz, Haley Holland, Donald L Chi","doi":"10.1177/10901981241231500","DOIUrl":"10.1177/10901981241231500","url":null,"abstract":"Fluoride hesitancy is a growing public health challenge and interventions to address it may need to be tailored for minoritized subgroups to address oral health inequities. The goals of this qualitative study were to investigate the extent to which an existing conceptual model on topical fluoride hesitancy is applicable to Latino parents and whether applicability differed between Spanish-speaking Latino (SL) and English-speaking Latino (EL) parents. We conducted semi-structured one-on-one interviews with non-Latino English-speaking parents (N = 50), SL parents (n = 8), and EL parents (n = 8). We coded the transcripts deductively and compared our findings both qualitatively and quantitatively to an existing model on topical fluoride hesitancy comprising 21 categories classified into six domains. We compared frequencies across model domains and categories for Latino versus non-Latino parents as well as for SL versus EL parents. Latino parents were represented across all six domains and 21 categories of the conceptual model. Comparing Latino and non-Latino parents, representation was similar across Domains 1 to 3 (necessity, chemicals, and harm); Latino parents were more highly represented in Domains 4 to 6 (uncertainty, pressure, and choice) compared with non-Latino parents. A larger proportion of EL parents thought a healthy diet was more important than fluoride (Category 1d) and a larger proportion of SL parents felt they did not know enough about fluoride (Category 4a). An existing conceptual model on topical fluoride hesitancy was generally a good fit for SL and EL parents. However, differential representation across model categories suggests that fluoride-related communication and intervention approaches may need to be tailored to Latino parents based on language preference.","PeriodicalId":12974,"journal":{"name":"Health Education & Behavior","volume":" ","pages":"719-732"},"PeriodicalIF":2.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139899709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0