Journal of Community Health最新文献

Correction to: Carbonated Beverage Consumption Among Saudi Adults Before and After Implementation of Soft Drink Tax. 修正：沙特成年人在实施软饮料税前后的碳酸饮料消费量。

IF 2.2 3区医学

Journal of Community Health Pub Date : 2025-10-23 DOI: 10.1007/s10900-025-01509-y

Abeer S Alzaben, Abeer A Aljahdali, Fatmah Almoayad, Nada Benajiba, Shahd Alabdulkader, Nahla Mohammed Bawazeer

引用次数: 0

The Relationship between Social Media Addiction, Social Appearance Anxiety, and Alexithymia in Adolescents. 青少年社交媒体成瘾、社交表象焦虑与述情障碍的关系

IF 2.2 3区医学

Journal of Community Health Pub Date : 2025-10-22 DOI: 10.1007/s10900-025-01527-w

Rabia Nur Polat, Ayşe Şener Taplak

{"title":"The Relationship between Social Media Addiction, Social Appearance Anxiety, and Alexithymia in Adolescents.","authors":"Rabia Nur Polat, Ayşe Şener Taplak","doi":"10.1007/s10900-025-01527-w","DOIUrl":"https://doi.org/10.1007/s10900-025-01527-w","url":null,"abstract":"The increasing use of social media today has raised the risk of social media addiction among adolescents. Although there are studies examining the level and effects of social media addiction in adolescents, research addressing its relationship with social appearance anxiety or alexithymia is limited. This cross-sectional and correlational study was conducted to determine the relationship between social media addiction, social appearance anxiety, and alexithymia in adolescents. The sample consisted of 756 adolescents aged 15-17. After obtaining institutional approval, ethical committee approval, and participant consent, data were collected by using the Adolescent Introductory Information Form, the Social Media Addiction Scale for Adolescents (SMASA), the Toronto Alexithymia Scale-20 (TAS-20), and the Social Appearance Anxiety Scale for Adolescents (SAAS-A). Descriptive statistical analyses, correlation, and regression analyses were used to evaluate the data. The average age of the adolescents included in the study was 16.04 ± 0.74 years, and 57.8% were female. The mean score on the Social Media Addiction Scale was 22.35 ± 7.68; on the Social Appearance Anxiety Scale, 39.63 ± 15.09; and on the Toronto Alexithymia Scale total score, 52.38 ± 8.78. A moderately positive correlation was found between the Social Media Addiction Scale and the Social Appearance Anxiety Scale scores (p< 0.05). The total score of the Toronto Alexithymia Scale showed a moderate positive correlation with both the Social Appearance Anxiety and Social Media Addiction scale scores (p< 0.05). It was also found that social media addiction and social appearance anxiety significantly predicted total alexithymia scores among adolescents (p< 0.05). Based on these findings, it is recommended that pediatric nurses conduct education, counseling, and intervention programs for adolescents.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145345493","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

Giving and Taking: Navigating the Complex Relationship with Student-run Clinics. 给予和接受：导航与学生经营诊所的复杂关系。

IF 2.2 3区医学

Journal of Community Health Pub Date : 2025-10-18 DOI: 10.1007/s10900-025-01518-x

David Lee, Allyson Tayag, Rana Amoush, Kurt Wharton, Jason Adam Wasserman

{"title":"Giving and Taking: Navigating the Complex Relationship with Student-run Clinics.","authors":"David Lee, Allyson Tayag, Rana Amoush, Kurt Wharton, Jason Adam Wasserman","doi":"10.1007/s10900-025-01518-x","DOIUrl":"https://doi.org/10.1007/s10900-025-01518-x","url":null,"abstract":"Student-run clinics (SRCs) serve dual roles of providing essential healthcare services for underserved patients and in facilitating critical learning opportunities for students. However, the goals of service can conflict with the goals of learning. In the context of SRCs, this raises numerous dilemmas whose unintended consequences can have far-reaching effects. Similarly, while systemic inequities fuel the impetus for SRCs, they also simultaneously expose the operational vulnerabilities of these organizations. These can generate difficulties navigating the fine line between providing for our society's vulnerable patients and subjecting these patients to an enterprise that prioritizes training in ways that burden patients. Without an emphasis on sustainable reforms and continued resource investment to support changes, SRCs risk not only failing to meaningfully impact their patient populations but also unintentionally reinforcing the very inequities they aim to address. While some of these challenges have been individually addressed in the literature, attempts to characterize the range of potential conflicts and approaches to formulating best practices for addressing them remain limited.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318398","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

Developing Integrated Healthcare Models for Indigenous People: Insights from a Relational Systematic Scoping Review. 为原住民开发综合医疗保健模式：来自关系系统范围审查的见解。

IF 2.2 3区医学

Journal of Community Health Pub Date : 2025-10-16 DOI: 10.1007/s10900-025-01522-1

Halina Clare, Edmund Wedam Kanmiki, Roxanne Bainbridge, Katrina Campbell, Clare Mangoyana, Stephanie Moriarty, Keighley-Tauariki Pascua, Carmel Nelson, Theresa Symes, Jenny Setchell

{"title":"Developing Integrated Healthcare Models for Indigenous People: Insights from a Relational Systematic Scoping Review.","authors":"Halina Clare, Edmund Wedam Kanmiki, Roxanne Bainbridge, Katrina Campbell, Clare Mangoyana, Stephanie Moriarty, Keighley-Tauariki Pascua, Carmel Nelson, Theresa Symes, Jenny Setchell","doi":"10.1007/s10900-025-01522-1","DOIUrl":"https://doi.org/10.1007/s10900-025-01522-1","url":null,"abstract":"Integrated healthcare models show great promise for addressing health disparities affecting Indigenous people, which are often rooted in the enduring effects of colonisation. These models align with Indigenous holistic views of health, recognizing the importance of community, cultural knowledge, and connection to land. To understand how these models are being developed and implemented, we conducted a systematic scoping review. Guided by Indigenous methodologies and community needs, we searched four databases (Web of Science, PubMed, Scopus and ProQuest) for peer-reviewed literature on integrated healthcare for Indigenous communities in Australia, Canada, the United States, and New Zealand. Included articles were appraised using the Indigenous quality appraisal tool and analysed from a relational perspective supported by the Joanna Briggs Institute's convergent integrated method. Nineteen publications met the inclusion criteria. Most studies were from Australia (53%) and Canada (26%), and most (74%) were published in the last five years, indicating a recent surge in interest. The review identified several key factors critical to the effective implementation of these models. These included strong community leadership and ownership, culturally and contextually relevant approaches, meaningful partnerships with stakeholders, and flexible service delivery. The review further highlights the importance of having motivated and well-trained health providers, as well as adequate funding. The wide variety of methods found in the studies reflects the complexity of integrated care and the influence of distinct cultural, disciplinary and contextual factors. The findings suggest that to improve healthcare and well-being for Indigenous populations, it is crucial to strategically address these key elements.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145308211","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

Snakebite First Aid Knowledge and Practices in the Northern Border Region, Saudi Arabia: Insights from the Health Belief Model and COM-B Framework. 沙特阿拉伯北部边境地区蛇咬伤急救知识与实践：来自健康信念模型和COM-B框架的见解

IF 2.2 3区医学

Journal of Community Health Pub Date : 2025-10-16 DOI: 10.1007/s10900-025-01525-y

Rehab Abdullah Alanazi, Ekramy M Elmorsy, Sultan A H Al-Rawili, Shamikh F B Alanzy, Abdulaziz S A Alanazi, Saud F S Almafadhilah

{"title":"Snakebite First Aid Knowledge and Practices in the Northern Border Region, Saudi Arabia: Insights from the Health Belief Model and COM-B Framework.","authors":"Rehab Abdullah Alanazi, Ekramy M Elmorsy, Sultan A H Al-Rawili, Shamikh F B Alanzy, Abdulaziz S A Alanazi, Saud F S Almafadhilah","doi":"10.1007/s10900-025-01525-y","DOIUrl":"https://doi.org/10.1007/s10900-025-01525-y","url":null,"abstract":"This study aimed to assess knowledge, attitudes, and practices (KAP) related to snakebite first aid among residents of the Northern Border regoin and identify gaps for targeted interventions. A cross-sectional survey was conducted among 1236 adults using a structured, self-administered questionnaire covering demographics, knowledge, attitudes, behaviors, and sources of information. Data were analyzed descriptively and interpreted through the Health Belief Model (HBM) and COM-B framework to identify behavioral determinants and inform public health recommendations. Participants demonstrated moderate knowledge, with 43.2% aware of correct first aid steps and 39.8% recognizing limb immobilization as the first action. Misconceptions such as venom suction, tourniquet application, and incision were endorsed by 41.7%. While 68.0% acknowledged the importance of first aid, only 43.7% felt confident in responding, and 25.2% had formal training. Social media (32.5%) and educational institutions (23.8%) were the main information sources. HBM analysis revealed moderate perceived severity, limited perceived susceptibility, low self-efficacy, and significant barriers due to misinformation and lack of training. COM-B analysis highlighted gaps in capability, opportunity, and motivation. To conclude, Despite moderate awareness, substantial misconceptions and low confidence persist among the Northern Border population population. Structured, culturally tailored interventions, including social media campaigns, practical workshops, school curricula integration, and system-level preparedness, are urgently needed to improve community readiness and reduce snakebite morbidity.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301304","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

Exposure, Environment, and Well Being. A Cross-Sectional Study of the Health Hazards, the Working Environment and the Quality of Life Among Cashew Workers in South Kerala, India. 暴露，环境和健康。印度南喀拉拉邦腰果工人健康危害、工作环境和生活质量的横断面研究

IF 2.2 3区医学

Journal of Community Health Pub Date : 2025-10-16 DOI: 10.1007/s10900-025-01524-z

Mary Dello Rebello, Betsy A Jose, Manjula Anil Kunder, Afraz Jahan, Felix Johns, Akshay Kumar

{"title":"Exposure, Environment, and Well Being. A Cross-Sectional Study of the Health Hazards, the Working Environment and the Quality of Life Among Cashew Workers in South Kerala, India.","authors":"Mary Dello Rebello, Betsy A Jose, Manjula Anil Kunder, Afraz Jahan, Felix Johns, Akshay Kumar","doi":"10.1007/s10900-025-01524-z","DOIUrl":"https://doi.org/10.1007/s10900-025-01524-z","url":null,"abstract":"Cashew processing is a labor-intensive work, which requires physical demand exposing workers to various occupational health problems. This study aims to identify the occupational health issues faced by cashew workers, evaluate their working environment and assess their quality of life. A cross-sectional study was conducted among 280 cashew factory workers in South Kerala. Data was collected using a semi structured questionnaire which includes sociodemographic characteristics, working environment, and system related health issues. The WHOQOL-BREF questionnaire was used to assess Quality of life among workers. The collected data was entered and coded into Microsoft Excel (Version 2016) and analyzed via SPSS Version16.0. Prevalence of musculoskeletal pain (96.8%) was high, followed by central nervous system-related symptoms (68.2%) and dermatological issues (58.5%).Of the ten factories surveyed, one-third (33.3%) did not have a proper system for fumes and dust extraction, provision of personal protective equipment, appointment of welfare officers and accessible washing facilities. Participants above 45 yrs of age were found to have 1.7 times higher odds of experiencing occupational health issues compared to those aged less than 45 years, as per multivariate analysis(p < 0.05). With respect to Quality of life, workers had higher social health mean score of 65.11 ± 15.02 and lower psychological health mean score of 46.93 ± 10.61. Musculoskeletal pain was the most prevalent health issue among cashew workers. The working environment among cashew workers is generally poor, which, along with occupational hazards, contributes to compromised quality of life in multiple domains.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145301299","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

Community Health Perspectives on Middle-aged Adults Living Alone: A Scoping Review. 独居中年人的社区健康展望：一项范围综述。

IF 2.2 3区医学

Journal of Community Health Pub Date : 2025-10-10 DOI: 10.1007/s10900-025-01521-2

Jaehee Yoon, Hyun-Ju Seo, Youjin Jung, Eun Jung Bae, Joohyun Chung, Sangsuk Kim, Heesook Son

{"title":"Community Health Perspectives on Middle-aged Adults Living Alone: A Scoping Review.","authors":"Jaehee Yoon, Hyun-Ju Seo, Youjin Jung, Eun Jung Bae, Joohyun Chung, Sangsuk Kim, Heesook Son","doi":"10.1007/s10900-025-01521-2","DOIUrl":"https://doi.org/10.1007/s10900-025-01521-2","url":null,"abstract":"This scoping review synthesizes evidence on the physical health, mental well-being, health behaviors, and overall quality of life of middle-aged adults living alone, highlighting its significance from a community health perspective. Recognizing the rapid growth of this demographic, this review evaluates the current research landscape, identifies critical gaps, and explores opportunities for targeted interventions. Following the JBI Scoping Review Guidelines, comprehensive searches were conducted in Ovid-Medline, Ovid-EMBASE, APA PsycInfo, and CINAHL Complete for studies published between 2000 and 2024 on middle-aged adults (45-64 years) living alone. Randomized and non-randomized trials and quantitative and qualitative studies were considered. Two reviewers independently screened titles and abstracts before performing full-text reviews of the articles. Data on study characteristics, participant profiles, and health-related outcomes were extracted. Of the 19,519 studies initially identified, 44 were included. The studies were categorized based on design, population characteristics, and health outcomes. The results indicate that middle-aged adults living alone experience poorer physical and mental health and engage in less favorable health behaviors than their counterparts in multi-person households. Key determinants, such as socioeconomic status, geographic location, and healthcare access, contribute to these disparities. These findings underscore the urgent need for community-based strategies to reduce social isolation, improve healthcare accessibility, and promote healthier lifestyles, thereby addressing the critical public health gaps faced by this vulnerable population.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274535","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

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 2.2 3区医学

Journal of Community Health Pub Date : 2025-10-01 Epub 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":"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":"826-832"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12474626/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiological Study on Bodyweight Problems' Prevalence and Associated Factors among Primary Schoolchildren in Constantine, Algeria. 阿尔及利亚康斯坦丁市小学生体重问题患病率及相关因素的流行病学研究

IF 2.2 3区医学

Journal of Community Health Pub Date : 2025-10-01 Epub Date: 2025-05-17 DOI: 10.1007/s10900-025-01476-4

Houssem Eddine Kehili, Besma Ameziane, Yousra Bengourache

{"title":"Epidemiological Study on Bodyweight Problems' Prevalence and Associated Factors among Primary Schoolchildren in Constantine, Algeria.","authors":"Houssem Eddine Kehili, Besma Ameziane, Yousra Bengourache","doi":"10.1007/s10900-025-01476-4","DOIUrl":"10.1007/s10900-025-01476-4","url":null,"abstract":"This study aimed to determine diet, physical activities, and the frequency and risk factors for body weight problems in children aged between 5 and 13 who attend public primary schools in Constantine, Algeria. A total of 811 children (403 girls and 408 boys) enrolled in three random primary schools in Constantine took anthropometric measurements to calculate body mass index (BMI = weight/size). A questionnaire was created to collect information about the children's lifestyles, which was completed online by their parents. Obesity and overweight were determined according to the standards of the World Health Organization (WHO). A statistical analysis was conducted to identify risk factors for overweight and obesity. The results showed that overweight affects 1.726% of children (57.15% boys and 42.85% girls). The results also showed a 0.616% prevalence of obesity (60% boys, 40% girls). In addition to that, the results of this study revealed that 72.133% of the children are underweight (51.96% boys, 48.04% girls), and 25.524% of them have normal weight (44.92% boys, 55.08% girls). In risk factor analysis, the results show that body weight problems are associated with different factors like sex, age group (8-10 years old), number and composition of meals, and lack of physical activity. Body weight problems are a severe condition that deserves significant healthcare expenses, and for that, urgent protective measures are required. The promotion of a healthy diet and regular physical activity is a top priority in body weight problem prevention, especially for children.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"922-930"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086216","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 2.2 3区医学

Journal of Community Health Pub Date : 2025-10-01 Epub 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":"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":"783-795"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12474729/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0