Journal of Community Health最新文献

Perceived Risk and HPV Vaccination Awareness Among Women in Rural and Underserved Communities in the State of Louisiana. 路易斯安那州农村和服务不足社区妇女的风险认知和HPV疫苗接种意识

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-04-05 DOI: 10.1007/s10900-025-01465-7

Deborah Gurgel Smith, Emily M Dantes, Robbie Beyl, Yanna X A de Koter, Margaret Bourg, Corey D Smith, Gelinia Jackson, Justin Brown, Jerry W McLarty

{"title":"Perceived Risk and HPV Vaccination Awareness Among Women in Rural and Underserved Communities in the State of Louisiana.","authors":"Deborah Gurgel Smith, Emily M Dantes, Robbie Beyl, Yanna X A de Koter, Margaret Bourg, Corey D Smith, Gelinia Jackson, Justin Brown, Jerry W McLarty","doi":"10.1007/s10900-025-01465-7","DOIUrl":"https://doi.org/10.1007/s10900-025-01465-7","url":null,"abstract":"Despite the availability of effective preventive measures, women in rural and underserved communities of Louisiana face health disparities regarding human papillomavirus infections. This study explores how perceived risk and socioeconomic factors, such as income, influence HPV vaccine awareness and attitudes toward HPV risk. A cross-sectional study was conducted among women in rural and underserved areas of Louisiana from November 2022 to December 2023. Participants were eligible to be included in the study if they were adult females aged 25 to 64 with no history of hysterectomy and no history of cervical cancer. We used convenience sampling through a mobile health unit that travels to rural and underserved areas of north and central Louisiana, offering cervical cancer screening. A total of 141 women participated in the study. Findings revealed significant gaps in HPV awareness and vaccination knowledge. Only 10.6% of participants considered themselves at risk for HPV. Higher HPV knowledge scores were positively associated with perceived HPV risk, increasing by approximately 20% per correct response. Approximately 40% of the participants were unaware of the existence of the HPV vaccine, 96.5% had never received the HPV vaccine, and 91.4% had never been offered it. Only 42% indicated that they would consider vaccination if offered. Addressing health disparities in rural Louisiana requires targeted interventions to improve healthcare access, education, and community engagement. Efforts to enhance education and awareness and foster community engagement should be prioritized.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788372","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

Assessment of Waste Pickers' Livelihoods and Potential Health Challenges in Lagos State, Nigeria. 评估尼日利亚拉各斯州拾荒者的生计和潜在的健康挑战。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-04-05 DOI: 10.1007/s10900-025-01463-9

Esther Chibueyin Fagbo, Bilikiss Adebiyi-Abiola, Arese Lucia Onaghise, Omolayo Ayomikun Oyelakin, Adewale Matthew Taiwo

{"title":"Assessment of Waste Pickers' Livelihoods and Potential Health Challenges in Lagos State, Nigeria.","authors":"Esther Chibueyin Fagbo, Bilikiss Adebiyi-Abiola, Arese Lucia Onaghise, Omolayo Ayomikun Oyelakin, Adewale Matthew Taiwo","doi":"10.1007/s10900-025-01463-9","DOIUrl":"https://doi.org/10.1007/s10900-025-01463-9","url":null,"abstract":"This study assesses the livelihoods of waste pickers and the potential health challenges they face, with the primary goal of informing policy development and interventions in Lagos State, Nigeria. A total of 1,274 waste pickers across 20 local governments in Lagos State were interviewed using a structured questionnaire. The data collected were analyzed using descriptive and inferential statistics with SPSS for Windows. Results indicated that most waste pickers were male (69%) and aged between 18 and 40. Common hazards faced by waste pickers included harassment (19%), injuries (13%), accidents (11%), and burns (7%). Despite these hazards, 50% of waste pickers earned between ₦30,001 and ₦50,001 (approximately $23-38.5) per month, with only a few earning above ₦50,000. Additionally, 70% of respondents reported having savings. Respondents highlighted several measures to improve their livelihoods, including recognition, security, financial support, empowerment, and job opportunities. As a result, 71% of waste pickers expressed willingness to leave their jobs if empowered. The major hazards encountered by waste pickers include harassment (19%), injuries (13%), accidents (11%), and burns (7%).","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788357","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

The Prevention of Nicotine use in the State of Arkansas that has Geographic Tobacco use Disparities: the Perceived Prevention Needs and Realities of School Professionals. 预防尼古丁使用在阿肯色州的地理烟草使用差异：感知的预防需求和学校专业人员的现实。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-04-05 DOI: 10.1007/s10900-025-01466-6

Ashley H Clawson, Page D Dobbs, Kara Lasater, Victor Kwaku Akakpo, Victoria N Mugambi, Haley B Gilliam

{"title":"The Prevention of Nicotine use in the State of Arkansas that has Geographic Tobacco use Disparities: the Perceived Prevention Needs and Realities of School Professionals.","authors":"Ashley H Clawson, Page D Dobbs, Kara Lasater, Victor Kwaku Akakpo, Victoria N Mugambi, Haley B Gilliam","doi":"10.1007/s10900-025-01466-6","DOIUrl":"https://doi.org/10.1007/s10900-025-01466-6","url":null,"abstract":"The current study used a convergent mixed-methods design and identified Arkansas school professionals' perceptions about (1) their schools' tobacco use prevention needs and (2) the implementation of tobacco prevention programming at their schools. Differences in perceptions based on school-related factors and personal tobacco use history were examined. Surveys were collected from teachers, administrators, and school staff from K-12 schools in Arkansas (QUANT; N = 325) and in-depth interviews were conducted with a separate sample of school administrators (QUAL; N = 20). Logistic regressions identified the associations between dependent variables, school-related factors (school type, school position, years of education work experience, and school rurality), and school professionals' tobacco use histories. The tobacco prevention components perceived as most important were parent education, school tobacco-free policies, and up-to-date teacher training. Yet, parent education and up-to-date teacher training were perceived as being poorly integrated into schools. Quantitative and qualitative findings emphasized the importance of integrating parents into tobacco prevention. There were differences in school professionals' perceptions about important tobacco prevention components based on school level, personal tobacco use history, and work experience. There were also differences in perceptions about how well tobacco prevention was integrated into schools between teachers vs. administrators and related to school rurality, school level, and work experience. School professionals in Arkansas, a state with tobacco disparities, identified that: (1) student tobacco use is a top health priority; (2) key strategies include parent education, tobacco-free policies, and teacher training; and (3) barriers exist, particularly in implementing parent education and teacher training.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788393","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

The Built Environment, PTSD Symptoms, and Tobacco Use among Permanent Supportive Housing Residents. 建筑环境、创伤后应激障碍症状以及永久性支持性住房居民的烟草使用情况。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-04-01 Epub Date: 2024-12-16 DOI: 10.1007/s10900-024-01422-w

Mark R Hawes, Deepalika Chakravarty, Fan Xia, Wendy Max, Margot Kushel, Maya Vijayaraghavan

{"title":"The Built Environment, PTSD Symptoms, and Tobacco Use among Permanent Supportive Housing Residents.","authors":"Mark R Hawes, Deepalika Chakravarty, Fan Xia, Wendy Max, Margot Kushel, Maya Vijayaraghavan","doi":"10.1007/s10900-024-01422-w","DOIUrl":"10.1007/s10900-024-01422-w","url":null,"abstract":"Introduction: 50% of permanent supportive housing (PSH) residents in the U.S. smoke cigarettes, and tobacco-related mortality is their number one cause of death. Over 30% of PSH residents have post-traumatic stress disorder (PTSD), and many perceive their built environment (e.g., housing) as inadequate for mental and physical health recovery. It is unknown whether built environment factors moderate the relationship between PTSD and tobacco use among PSH residents.Methods: We used baseline data from 400 participants in a smoke-free home intervention in PSH sites in the San Francisco Bay Area between 2022 and 2024. We explored whether perceived housing quality and perceived neighborhood safety moderated the relationship between PTSD symptoms and cigarettes per day (CPD) using linear mixed models.Results: 62.8% of the participants were male, 41.8% were Black, 30.5% screened positive for PTSD, 54.3% rated their housing as average/poor, and the mean neighborhood safety score was 3.4 (SD 0.9). Mean CPD was significantly higher in participants with PTSD compared to those without PTSD among participants who rated their housing as good/excellent (5.1; 95% CI: 2.7, 7.5) or their neighborhood as safer (7.8; 95% CI: 2.8, 12.8). Mean CPD was not significantly different between those with and without PTSD among participants who rated their housing as average/poor or their neighborhood as less safe.Conclusions: Perceived housing quality and neighborhood safety moderated the association between PTSD symptoms and CPD. Findings have implications for developing trauma-informed, multi-level interventions for tobacco use that combine individually directed approaches with those that consider the built environment.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"369-376"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142837085","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

Exploring Betel Quid Chewing Among Orang Asli: A Qualitative Study. 探索嚼食槟榔的奥朗阿斯利人：定性研究。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-04-01 Epub Date: 2024-10-17 DOI: 10.1007/s10900-024-01418-6

Muhammad Adib Jamil, Budi Aslinie Md Sabri, Azri Aliah Mohd Yani

{"title":"Exploring Betel Quid Chewing Among Orang Asli: A Qualitative Study.","authors":"Muhammad Adib Jamil, Budi Aslinie Md Sabri, Azri Aliah Mohd Yani","doi":"10.1007/s10900-024-01418-6","DOIUrl":"10.1007/s10900-024-01418-6","url":null,"abstract":"Betel quid chewing is a culturally significant practice among the indigenous people (Orang Asli) in Malaysia, but it poses serious health risks, including oral cancer and systemic diseases. Studies on betel quid chewing are limited, making it difficult to develop effective public health interventions. This study aimed to explore the cultural significance, perceived health effects, and misconceptions surrounding betel quid chewing among the indigenous people, assess their awareness of health risks, and explore factors influencing their intentions to quit or reduce betel quid chewing. A qualitative phenomenological design was used, with five groups of Focus Group Discussions conducted with 15 participants from an Orang Asli village in Johor. The discussions revealed that betel quid chewing is deeply embedded in Orang Asli culture, often beginning in childhood and associated with social and ceremonial occasions. However, awareness of health risks, particularly oral cancer, was inconsistent. Social support and personal motivation were critical in influencing quitting behaviors. These findings highlight the need for culturally tailored cessation programs that address the unique social and environmental factors influencing betel quid use in this population.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"235-243"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467043","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

Risky Behaviours and Students' Academic Life in Higher Education Institutions in Tanzania. 坦桑尼亚高等教育机构的危险行为与学生学业生活

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-04-01 Epub Date: 2024-12-14 DOI: 10.1007/s10900-024-01389-8

Rose Ephraim Matete, Ombeni William Msuya

{"title":"Risky Behaviours and Students' Academic Life in Higher Education Institutions in Tanzania.","authors":"Rose Ephraim Matete, Ombeni William Msuya","doi":"10.1007/s10900-024-01389-8","DOIUrl":"10.1007/s10900-024-01389-8","url":null,"abstract":"Risky behaviours have been a global problem that affects both developed and developing countries. This study explored the risky behaviours and students' academic life in Higher Education Institutions (HEIs) in Tanzania. It was a qualitative study and data were collected through open-ended questionnaires, interviews, and documentary reviews. The study involved a sample of 94 undergraduate students and 3 hostel wardens making 97 participants from the selected university. The findings indicate that students involved in having more than one sexual partner, alcoholism, and unsafe sex, and were prone to be exposed to the Sexually Transmitted Diseases (STDs) that affected their academic life at university. The findings also indicate that having more than one sexual partner was the most alarming risky behaviour among students. The findings indicate further that female students were exposed to early pregnancies, carry-over cases, and poor academic performance in the University Examinations. It is argued in this study that if HEIs have to safeguard their students from risky behaviours, they need to strengthen the orientation programmes, guidance, and counselling services including gender-relation training programmes for students to cope with their studies and survive after their graduation. Nevertheless, enforcing the rules and regulations by dealing with those who violate them and provision of Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Syndrome (AIDS) and sexually transmitted infections (STIs) preventive programmes to safeguard the students also remain imperative.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"344-357"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824318","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

Examining the Association between Social Media Use and Dietary Habits among College Students in Riyadh, Saudi Arabia. 研究沙特阿拉伯利雅得大学生使用社交媒体与饮食习惯之间的关系。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-04-01 Epub Date: 2024-10-19 DOI: 10.1007/s10900-024-01414-w

Nahla M Bawazeer, Sara Almalki, Ruba Alanazi, Rimaz Alamri, Rana Alanzi, Raghad Alhanaya, Anwar Alhashem, Rehab Aldahash

{"title":"Examining the Association between Social Media Use and Dietary Habits among College Students in Riyadh, Saudi Arabia.","authors":"Nahla M Bawazeer, Sara Almalki, Ruba Alanazi, Rimaz Alamri, Rana Alanzi, Raghad Alhanaya, Anwar Alhashem, Rehab Aldahash","doi":"10.1007/s10900-024-01414-w","DOIUrl":"10.1007/s10900-024-01414-w","url":null,"abstract":"Food culture plays a vital role in societal dynamics, with various factors influencing dietary choices beyond hunger. Among these factors are external eating, triggered by environmental cues, and emotional eating, which are common stress-coping mechanisms among college students. Social media has a significant impact on nutrition by providing access to food-related content, which can lead to restrictive diets or unhealthy eating habits. High social media engagement is associated with an increased risk of chronic diet-related conditions such as metabolic syndrome. This study investigated the association between social media use and dietary habits among college students in Riyadh, Saudi Arabia. The cross-sectional study surveyed 401 participants online. The findings revealed that 74.6% of participants were women, with a mean age of 20.75 years. A significant portion (51.9%) reported spending over four hours daily on social media, with TikTok, Instagram, and YouTube being the primary sources of nutritional information. Statistical analysis indicated significant differences in dietary scores related to having children, medical conditions, and social media usage time. This study highlights the negative impact of extensive social media use on dietary habits and suggests the need for targeted public health interventions. Recommendations include promoting reliable nutrition-related content on social media, offering affordable healthy food options on campuses, and conducting further research to establish causality between social media use and dietary habits.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"244-251"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467042","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

High Adherence to COVID-19 Public Health Preventive Measures in Indigenous Communities in the Canadian Northwest Territories. 加拿大西北地区土著社区对 COVID-19 公共卫生预防措施的高度依从性。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-04-01 Epub Date: 2024-10-14 DOI: 10.1007/s10900-024-01366-1

Rachel Harris, Fariba Kolahdooz, Afsaneh Omidimorad, Adrian Wagg, Carolyn Gotay, Debbie DeLancey, Kami Kandola, André Corriveau, Sami Pirkola, Arja Rautio, Stephanie Irlbacher-Fox, Sangita Sharma

{"title":"High Adherence to COVID-19 Public Health Preventive Measures in Indigenous Communities in the Canadian Northwest Territories.","authors":"Rachel Harris, Fariba Kolahdooz, Afsaneh Omidimorad, Adrian Wagg, Carolyn Gotay, Debbie DeLancey, Kami Kandola, André Corriveau, Sami Pirkola, Arja Rautio, Stephanie Irlbacher-Fox, Sangita Sharma","doi":"10.1007/s10900-024-01366-1","DOIUrl":"10.1007/s10900-024-01366-1","url":null,"abstract":"The aim of this project is to explore perceptions towards and adherence to COVID-19 public health preventive measures in Indigenous communities within Northwest Territories, Canada. Utilizing a cross-sectional study design the project took place within ten Northwest Territories communities between 1st April and 30th November 2021. Convenience sampling methods were utilized and adhered to public health restrictions. Self-identifying Indigenous adults (≥ 18 years old) were invited to complete a semi-structured interviewer-administered questionnaire. Participants (n = 287; 33.1% men, 66.6% women) had a mean age of 41.6 years (SD ± 13.5). Preventive measures were practiced by 98.6% of participants. Most participants reported often or always practicing three measures: avoiding gatherings (67.2%), avoiding usual greetings (63.3%), and limiting contact with high-risk individuals (71.4%). Most participants reported rarely/never practicing self-isolation (67.5%) and self-quarantining (76.5%) measures. Significant associations existed between the August 2021 COVID-19 outbreak and self-quarantining (p = 0.0023), self-isolating (p = 0.0023), and going onto the land (p = 0.0001). Participants found masking and travel restrictions challenging. Sadness and loneliness resulted from limited access to Elders. Kinship and community safety were important to Indigenous community members and influenced COVID-19 preventive measure utilization. The findings can inform culturally specific COVID-19 public health policy development.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"218-226"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467045","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

A Study on How Libraries Operate as Health Spaces in the United States. 关于美国图书馆如何作为健康空间运作的研究。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-04-01 Epub Date: 2024-11-03 DOI: 10.1007/s10900-024-01403-z

Sasha A Fleary, Patrece L Joseph, Somya Rastogi, Tienna Fenton, Venya Srivastava

{"title":"A Study on How Libraries Operate as Health Spaces in the United States.","authors":"Sasha A Fleary, Patrece L Joseph, Somya Rastogi, Tienna Fenton, Venya Srivastava","doi":"10.1007/s10900-024-01403-z","DOIUrl":"10.1007/s10900-024-01403-z","url":null,"abstract":"A health space is any physical, social, or virtual space that supports building health literacy skills, promotes health behavior, preventive health, and wellbeing, or provides health care, health information, or health or social services. To move the needle on health, especially preventive health, a focus on non-traditional health spaces is critical. Libraries serve various community needs such as food distribution, health literacy, education, immunization, and health screenings. This study explores the extent to which libraries are equipped to function as a health space. A convergent mixed-methods approach was utilized; 234 library personnel were randomly recruited using data from the 2017 Public Libraries Survey to complete a survey and 24 semi-structured follow-up interviews were conducted. Our findings support that libraries function as a health space in multiple ways including providing important health and social programming and services to patrons. They help meet patron's health information needs by leveraging the expertise of community partners and incorporating valuable input from patrons in programming decisions. However, the capacity of libraries to carry out these health initiatives varies, in particular due to limited staff expertise in health-related topics and structural issues (e.g., funding). Our research emphasizes the need to integrate organizational health literacy attributes into library operations, specifically by (1) streamlining strategic partnerships with community experts in libraries in high-need areas to extend their limited resources, and (2) incorporating health literacy into missions and operations to draw necessary financial and personnel support to overcome salient challenges (i.e., funding and staff training).","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"317-334"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142568121","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

Association Between Use of Services To Address Adverse Social Determinants of Health and Documented Suicide Attempt Among Patients in the Veterans Health Administration. 退伍军人健康管理局中使用服务解决健康不良社会决定因素与记录自杀企图之间的关系

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-04-01 DOI: 10.1007/s10900-025-01467-5

John R Blosnich, Aerin DeRussy, Joshua S Richman, Melissa E Dichter, Gala True, Ann Elizabeth Montgomery

{"title":"Association Between Use of Services To Address Adverse Social Determinants of Health and Documented Suicide Attempt Among Patients in the Veterans Health Administration.","authors":"John R Blosnich, Aerin DeRussy, Joshua S Richman, Melissa E Dichter, Gala True, Ann Elizabeth Montgomery","doi":"10.1007/s10900-025-01467-5","DOIUrl":"https://doi.org/10.1007/s10900-025-01467-5","url":null,"abstract":"Suicide prevention is a top priority for the US Department of Veterans Affairs (VA), and suicide is often associated with adverse social factors (e.g., financial, legal, and housing problems). The VA provides social services integrated with healthcare services, which may increase the opportunities to detect and document suicide attempt in EHR records. Using VA administrative data, we examined three cohorts of all patients from 2014 to 2018 who had housing instability (n = 659,987), justice involvement (n = 200,487), and unemployment (n = 346,556). Administrative records were used to determine ordinal indicators of receipt of VA social services (no services, low, or high). The outcome was suicide attempt noted in the healthcare record (i.e., documented suicide attempt) in the 1-6 months following the incident adverse social factor. We conducted logistic regressions utilizing a discrete-time survival framework with person-month as the unit of analysis, which facilitated accounting for covariates while isolating the independent association of social service utilization. After adjusting for covariates, high receipt of housing services (vs. no services) was significantly associated with documented suicide attempt during the 6-month observation period (aOR = 1.14, 95%CI = 1.06-1.22). A similar association was observed for high vs. no use of justice programs (aOR 1.24; 95% CI:1.12-1.37). There was no significant association between employment services utilization and documented suicide attempt during the 6-month observation period. Our finding that utilization of social services as positively associated with documented suicide attempt likely reflects increased suicide attempt surveillance and documentation with social service involvement. Future research should explore operationalizing patient-level distress in administrative data.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753040","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