Journal of Community Health最新文献

{"title":"Confusion Arising from too many Messages in Health Awareness Campaigns in Rural Communities in Malawi.","authors":"Chiara Pittalis, Francesca Munthali, Josephine Muhasuwa, Mary Tembo, Zsofia Torok, Antonio Jaén Osuna, Chrissy Banda, Erik Schouten, Jakub Gajewski","doi":"10.1007/s10900-026-01617-3","DOIUrl":"10.1007/s10900-026-01617-3","url":null,"abstract":"<p><p>Health talks and community engagement are central to many public health programmes, yet their effectiveness is shaped by complex social, cultural, and informational contexts. Even well-designed interventions can be undermined when communities receive overlapping health messages, leading to confusion, competing interpretations, or message fatigue. Drawing on experiences from a breast health and breast cancer awareness campaign delivered through the Akazi Project in rural Malawi, this commentary reflects on lessons from community engagement and their implications for health communication. Between October and December 2025, breast health education was delivered across eight rural communities through participatory sessions involving more than 300 community leaders, including chiefs, religious leaders, youth volunteers, and women's groups. Discussions consistently revealed a strong demand for basic information on breast health, clarification of common misconceptions, and guidance on how breast cancer messages aligned with advice from HIV, cervical cancer, and vaccination programmes. These experiences highlighted the need for greater coordination across health programmes and for communication approaches that acknowledge how people interpret new information alongside existing public health messages. We argue that integrated messaging, stronger collaboration between programmes, and opportunities for community feedback should be central components of health communication strategies, particularly in rural settings where limited health literacy intersects with exposure to multiple health initiatives.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"723-729"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591837","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}

{"title":"Prevalence of Risk Factors and Awareness of University Students regarding Hypertension and Cardiovascular Diseases in Riyadh, Saudi Arabia.","authors":"Mona A Alfadeel, Rahma Marium, Noor Afif Alshakhs, Manal Khudhair, Nagham A El-Husseiny, Norah Alhammadi, Rawan Aldawaa, Yara M Alrajhi, Wasan Almutairi","doi":"10.1007/s10900-026-01616-4","DOIUrl":"10.1007/s10900-026-01616-4","url":null,"abstract":"<p><p>Hypertension is a major global health issue, posing the highest risk for CVD-related deaths. WHO reports that hypertension prevalence increased from 650 million in 1990 to 1.4 billion in 2024. Once rare in younger people, its prevalence has risen due to rise in several risk factors. The aim of this study was to assess the prevalence of hypertension risk factors among university students and evaluate their awareness of hypertension and cardiovascular disease risk factors. A cross-sectional study was conducted among 634 university students in Riyadh, Saudi Arabia. Data were collected via a Google form questionnaire used to assess sociodemographic data, hypertension knowledge, and CVD risk awareness. Data were analyzed with SPSS using chi-square and regression analyses at a significance level of p < 0.05. In this study, the participants were predominantly females (65.5%), aged 20-22, and Saudi nationals (61.2%). The reported risk factors among participants included family history of hypertension (50.5%) and being overweight or obese (31.7%). Overall, most participants exhibited high awareness regarding hypertension (92.3%) and CVD risk factors (89.4%). The academic major had a significant association with awareness, with medical students being more likely to have higher awareness regarding hypertension (OR: 3.744, p = 0.002) and CVD risk factors (OR: 4.594, p < 0.001). In conclusion, the findings reveal that participants exhibited some risk factors of hypertension such as BMI and family history of hypertension. While awareness was strong, there is still a need for targeted educational initiatives in academic settings to improve knowledge about hypertension and its risk factors, particularly among non-medical students.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"920-927"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578858","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}

{"title":"Trends in Selective Childhood Measles-Mumps-Rubella (MMR) Vaccine Nonreceipt Surrounding the MMR-Autism Controversy: National Immunization Survey Analyses, 1996-2019.","authors":"Talia Shapiro, Harry Kuperstein, Cora MacPherson","doi":"10.1007/s10900-026-01598-3","DOIUrl":"10.1007/s10900-026-01598-3","url":null,"abstract":"<p><p>While vaccination has been hailed as one of the most significant, life-saving public health achievements, vaccine hesitancy and resistance has consistently come from those concerned about risks associated with vaccinating children. The Wakefield et al. paper published in The Lancet in 1998 claiming that the measles, mumps, and rubella (MMR) vaccine caused autism was a pivotal moment in the modern anti-vaccine movement despite its retraction from the journal in 2010. The public-use files of the National Immunization Survey (NIS-Child) were used to evaluate temporal trends surrounding the publication and subsequent retraction of the Wakefield et al. paper at key points between the period 1996 to 2019. The primary outcome was MMR nonreceipt. Demographic factors associated with vaccination status were assessed using a logistic regression model. The odds of selective MMR nonreceipt increased from 1.3 in 2000 (CI: 1.296-1.303) to 2.1 (CI: 2.050-2.066) in 2019. Across all four NIS survey years analyzed, higher maternal education level correlated with higher odds of selective MMR nonreceipt. Other key demographic factors that demonstrated significantly higher odds of selective MMR nonreceipt included income bracket greater than $50,000 and attending a private medical practice. The odds of both overall and selective MMR nonreceipt increased over time with no reduction observed after the retraction of the Wakefield et al. paper. Key demographic factors outlined herein provide an opportunity for targeted outreach to encourage increased MMR vaccination uptake.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"838-843"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148455422","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}

{"title":"Housing is Health: A Longitudinal Study of Individual and Social Factors Predicting Long Term Retention and Health Outcomes in Permanent Supportive Housing.","authors":"Jamie Suki Chang, Micah R Lattanner, Prabhleen Kaur, Stella Palumbo, Carly Petersen, Cheryl Ho","doi":"10.1007/s10900-026-01602-w","DOIUrl":"10.1007/s10900-026-01602-w","url":null,"abstract":"<p><p>Permanent supportive housing (PSH) is a community-based housing model for people experiencing homelessness that provides stable housing with a range of voluntary supportive services, such as case management, healthcare, mental health, and substance use treatment services. Understanding (1) the impact of PSH on health outcomes and (2) factors that predict retention in PSH are essential for implementing support systems to address the needs of PSH residents. To address this need, 259 residents living in Santa Clara County, California were followed for two years to evaluate: (1) predictors of retention in PSH compared to transitioning to other stable non-PSH housing or returning to homelessness; (2) the longitudinal impact of PSH on mental, physical, and social health outcomes among residents remaining in PSH; and (3) moderators of these effects. Results indicate, first, that older age, being male, and lower mental health and PTSD symptoms increased the likelihood of remaining in PSH compared to moving to non-PSH stable housing. Lower mental health symptoms also predicted greater likelihood of PSH retention compared to returning to homelessness. Second, among residents who remained in PSH for 2 years, results indicated significant improvements in quality of life, health satisfaction, mental health symptoms, PTSD symptoms, substance use, and social isolation. Third, the effects of PSH on health outcomes were not significantly moderated by demographics. Study findings demonstrate the promise of PSH, in keeping people housed and significantly improving residents' health outcomes, but strategies are needed to improve mental health and substance use service delivery in PSH.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"877-884"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148562167","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}

{"title":"Community-Based Development of Tools to Assess Firearm-Related Attitudes and Beliefs: Associations with Firearm-Related Practices, Social Influences, and Violence Exposure.","authors":"Krista R Mehari, Albert D Farrell, Jasmine N Coleman, Lindiwe S Mayinja, Colleen S Walsh, Phillip N Smith","doi":"10.1007/s10900-026-01587-6","DOIUrl":"10.1007/s10900-026-01587-6","url":null,"abstract":"<p><p>The purpose of this study was to evaluate four novel measures of firearm-related attitudes and beliefs developed through participatory action research, and to determine their associations with firearm-related practices and violence exposure. Participants were a pilot sample of 550 U.S. adults (51% female; 65% White; 16% Latine; 13% Black; M_age = 48.3) and a nationally representative cross-validation sample of 1,674 U.S. adults (52% female; 61% White; 18% Latine; 12% Black; M_age = 47.4). Competing models of the structure of each measure were evaluated based on analyses of data from the pilot sample. This identified a single factor for General Attitudes Toward Firearms measure, three factors for a Beliefs About Defensive Firearm Use measure (Respect Enforcement; Defensive Escalation; and Compensatory Force); two factors for a Prescriptive Norms for Threat Response measure (Defense and Protection; Reputation and Respect); and two factors for an Attitudes Toward Firearm-Related Policy measure (Negative Attitudes Toward General Firearm Policies and Positive Attitudes Toward Specific Firearm Policies). Analyses of the cross-validation sample replicated this structure and provided support for strong measurement invariance across sex and ethnicity. The construct validity and utility of these measures was supported by their patterns of relations to firearm-related practices (ownership, carrying, and storage); involvement in firearm-related violence; and family and friend firearm-related influences (e.g., friends' firearm carrying; household presence of a firearm; close family members' and friends' injury or death due to violence or suicide). These new measures provide promising tools to advance firearm-related injury prevention research.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"730-745"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13480196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148176000","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}

{"title":"Awareness of Family Caregiver Resources and Alignment with Traditional Culture in a Midwest Tribal Nation in the United States.","authors":"Mary F Wyman, Danielle B Lennon, Jesse Montoure, Lauren W Y McLester-Davis, Colin Hammock, Nickolas Lambrou, Sacheen Lawrence, Debra A Miller, Florence Petri, Megan Zuelsdorff, Carey E Gleason","doi":"10.1007/s10900-026-01589-4","DOIUrl":"10.1007/s10900-026-01589-4","url":null,"abstract":"<p><p>Family caregivers helping adults with functional needs, including older adults, can benefit from training, support groups, and other services. However, these resources are often underutilized. Caregiving is particularly common in Indigenous communities, but little is known about how Indigenous caregivers consider utilization of supportive resources. To guide efforts to increase utilization, this study sought to describe awareness and attitudes regarding caregiver services within a Midwest Tribal Nation in the United States. Working within a tribally-led, community-based participatory research framework, an online survey was offered to all Tribal members and affiliates aged ≥ 18 years, covering caregiver status, resource awareness and source of information, and beliefs about service use alignment with traditional cultural values. We examined associations between selected factors and awareness. Participants (N = 481) had a mean age of 52.78 (16.6) years, were primarily female (75.5%), and resided both on and off reservation. Almost half (n = 203; 43%) were current caregivers, of whom the majority helped an older adult (n = 173; 83.6%) and/or someone with memory loss (n = 127; 61.4%). Current caregivers, older adults, and reservation residents reported the highest levels of awareness. A significant proportion of respondents (17%) indicated no awareness of any of the 7 resources queried. Primary sources of information for caregivers included independent research and social networks; for non-caregivers, Tribal communications were cited most frequently. Perceptions of alignment of resource use with traditional culture varied by service. Findings add to our understanding of Indigenous family caregiving and can inform public outreach and interventions to increase use of caregiver services.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"746-757"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13605749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257474","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}

{"title":"Prevalence of Civil Legal Needs and Assistance Among Low-Income US Veterans: Results from the National Veterans Homeless and Poverty Experiences Survey.","authors":"Melissa R Cruz, Jack Tsai","doi":"10.1007/s10900-026-01604-8","DOIUrl":"10.1007/s10900-026-01604-8","url":null,"abstract":"<p><p>Low-income US veterans may experience civil legal needs that intersect with financial, housing, and health-related challenges, yet national data describing these patterns remain limited. This study provides national estimates of civil legal needs and receipt of assistance among veterans with household incomes below 300% of the federal poverty level. Data were drawn from the fifth wave (2025) of the National Veterans Homeless and Other Poverty Experiences (NV-HOPE) study, a nationally representative survey of low-income US veterans (N = 1384). Civil legal needs were assessed across seven domains, and receipt of professional assistance was measured among those reporting at least one need. Weighted descriptive statistics and hierarchal logistic regression models examined associations between sociodemographic, clinical, and psychosocial characteristics by reporting a legal need and receiving assistance. Approximately 18% of veterans reported at least one civil legal need, most commonly debt and wills and inheritance. Veterans with legal needs were younger, less likely to be white or married, more likely to have PTSD, and reported higher debt. Among those with a civil legal need, 57% received professional assistance, with notable variation across issue types. Regression analysis showed that factors associated with reporting a legal need differed from those associated with receiving assistance including higher education attainment and naval service. Civil legal needs were reported by a modest proportion of low-income veterans, with distinct characteristics associated with reporting a need and receiving assistance. These findings provide descriptive evidence to inform future research and policy efforts addressing civil legal needs among veterans.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"854-860"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13615070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549317","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}

{"title":"Readability of Online Chronic Traumatic Encephalopathy (CTE) Information: Health Literacy Implications for Parents Navigating Youth Tackle Football Decisions.","authors":"Danna Ethan, Corey H Basch, Grace C Hillyer","doi":"10.1007/s10900-026-01594-7","DOIUrl":"10.1007/s10900-026-01594-7","url":null,"abstract":"<p><p>Tackle football is the most participated youth sport in the U.S. with leagues beginning as early as age 5. Exposure to cumulative repetitive head impacts (RHI) over years of play is increasingly viewed as a major contributor to chronic traumatic encephalopathy (CTE), a progressive neurodegenerative disease documented in contact sport athletes. Amid growing awareness of CTE, parents may turn to online information to guide decisions about youth tackle football participation. This cross‑sectional study examined the readability of online CTE information. Using the search term, 'CTE,' 68 URLs providing non‑technical information were identified after applying exclusion criteria. Online software was used to generate metrics from six widely-used readability formulas. Grade-level readability scores were categorized as ≤ Grade 8, 9-12, and ≥ 13 and summarized using descriptive statistics; distributions were compared by URL designation using chi-square tests (P < 0.05). Web page publication/revision date and presence of references were recorded. Median readability scores ranged from high school to early college with few pages meeting the recommended ≤ Grade 8 reading level for the general population. Levels were similarly high across non-commercial (.org,.gov,.edu) and commercial (.com) domains. Nearly 40% lacked clear publication or revision dates; fewer than half (47.1%) included references. Commonly accessed online CTE resources exceed recommended reading levels. This digital barrier impairs parents' functional health literacy and capacity for informed decision-making. As research on CTE and tackle football participation evolves, there is a need for plain‑language, clearly-sourced, updated online resources tailored to this decisional context.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"813-818"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148404963","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}

{"title":"COVID-19 Vaccination Refusal and Non-Uptake Among People Living with HIV in the United States.","authors":"Jagdish Khubchandani, Nia Prabhu, Karishma Craig, Michael Wiblishauser, Toheeb Mustapha, Refat R Srejon, Kavita Batra","doi":"10.1007/s10900-026-01596-5","DOIUrl":"10.1007/s10900-026-01596-5","url":null,"abstract":"<p><p>More than a million individuals in the United States are living with HIV and constitute a particularly vulnerable group for morbidity and mortality associated with COVID-19. Despite the early availability and prioritization of this group for COVID-19 vaccination, notable levels of vaccine refusal and non-uptake have been reported among this group. This scoping review aimed to investigate the nature and extent of COVID-19 vaccine refusal and non-uptake among people living with HIV (PLWH) in the USA. A comprehensive literature search was performed utilizing multiple scholarly databases for studies published between December 2020 and May 2026 that reported on COVID-19 vaccine refusal or non-uptake rates among PLWH in the USA. Data extraction focused on sample size, refusal/non-uptake rates, reasons for refusal, and vaccination enablers. A total of 27 studies were included, encompassing 185,430 PLWH from various settings across the U.S. and the COVID-19 vaccination refusal and non-uptake rates varied from 3.8% to 57.9% [average across all studies=21.0% (95% CI=16.2-26.2%)]. Major barriers identified included medical mistrust, apprehensions regarding vaccine safety and side effects, misinformation, structural issues such as poverty and housing instability, and sociodemographic factors (e.g., sexual/ethnic minority status, lower income or education). Conversely, enablers of vaccination included older age, male gender, White race, active engagement in HIV care, previous vaccination history, recommendations from trusted providers, and higher perceived infection risk or belief in vaccination. The refusal and non-uptake rates for COVID-19 vaccines among PLWH in the USA are considerable and influenced by multiple factors. Interventions should focus on addressing systemic mistrust and psychosocial or structural obstacles while utilizing the existing HIV care framework to increase vaccination rates in this population.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"896-904"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578915","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}

{"title":"Homelessness Among U.S. Veterans: National Trends, Correlates, and Mental Health Burden.","authors":"Elina A Stefanovics, Jack Tsai, Ian Fischer, Peter Na, Brandon Nichter, Marc N Potenza, Robert H Pietrzak","doi":"10.1007/s10900-026-01588-5","DOIUrl":"10.1007/s10900-026-01588-5","url":null,"abstract":"<p><p>Despite well-publicized initiatives to reduce veteran homelessness, current nationally representative data on its prevalence, correlates, and mental health burden are limited. To address this gap, data were analyzed from the 2025-2026 National Health and Resilience in Veterans Study (NHRVS), a nationally representative web-based survey of 2,636 U.S. military veterans. Two-proportion z tests compared lifetime homelessness prevalence across three nationally representative NHRVS cohorts conducted in 2015, 2019-2020, and 2025-2026. Multivariable logistic regression and relative importance analyses examine sociodemographic, military, psychiatric, trauma, and functional correlates of lifetime homelessness. Results revealed that the weighted lifetime homelessness prevalence was 11.4% (95% CI: 9.7-13.1%), which was significantly higher than in 2015 (8.5%; p = .003) but comparable to 2019-2020 (10.2%; p = .11). Most veterans with a homelessness history first experienced homelessness after military discharge (69.6%), with a median duration of 36 months. Relative importance analyses identified lifetime major depressive (11.8%), generalized anxiety (11.2%), and posttraumatic stress (10.7%) disorders, adverse childhood experiences (7.8%), and social anxiety disorder (7.7%) as the strongest correlates of lifetime homelessness. After full adjustment, lifetime homelessness history was associated with significantly elevated odds of current alcohol, drug, and nicotine use disorders (AORs: 1.76, 2.24, 2.84, respectively), at-risk/problem gambling (AOR = 2.13), suicidal ideation (AOR = 1.44), and lifetime suicide attempt (AOR = 1.75). Collectively, results of this study suggest that homelessness among U.S. veterans remains a significant public health concern, with psychiatric disorders and childhood adversity as its strongest correlates. Independent associations with current substance use disorders and suicidal thoughts and behaviors underscore the importance of integrated mental health strategies that concurrently address housing instability, addictive behaviors, and suicide risk in this population.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"758-769"},"PeriodicalIF":2.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257869","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}