Journal of Community Health最新文献

{"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":"https://doi.org/10.1007/s10900-025-01476-4","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-17","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}

{"title":"Non-fatal Overdose and Associated Factors Among People Who Use Opioids: Findings From a Cross-sectional Study.","authors":"Md Safaet Hossain Sujan, Jeffrey A Wickersham, Antoine Khati, Kiran Paudel, Kamal Gautam, Dominique Liautaud, Haley P Crim, Anushka Thapa, Michael M Copenhaver, Roman Shrestha","doi":"10.1007/s10900-025-01480-8","DOIUrl":"https://doi.org/10.1007/s10900-025-01480-8","url":null,"abstract":"<p><p>People who use opioids (PWUO) face a higher risk of overdose, often resulting in significant morbidity and mortality within this population. Understanding the factors that contribute to non-fatal overdose among PWUO is essential for developing effective prevention strategies. Thus, the present study aimed to report on the history of and factors associated with non-fatal opioid overdose among PWUO. From April to June 2024, 199 adults with a recent history of opioid use were enrolled in a cross-sectional study to evaluate past experiences of non-fatal overdose. Participants self-reported their socio-demographic characteristics, experiences with overall overdose, history of opioid use, alcohol consumption, and mental health symptoms. Bivariate and multivariate logistic regression analyses were conducted to assess the correlations between the outcome variables. The mean age of participants was 44.2 years (SD = 10.2). Approximately 49.2% of participants had experienced an opioid overdose at some point. Opioid dependence, alcohol use disorder, and depressive symptoms were reported by 83.9%, 65.8%, and 58.3% of participants, respectively. Older participants were less likely to experience an overdose (aOR: 0.9, 95% CI: 0.9-0.9). On the other hand, participants who were opioid-dependent (aOR: 4.4, 95% CI: 1.7-11.7) and those experiencing suicidal ideation (aOR: 1.8, 95% CI: 1.0-3.5) were more likely to have ever experienced an opioid overdose. Our study demonstrated high rates of non-fatal opioid overdose among PWUO. This finding highlights the need for targeted harm reduction interventions and cross-sector collaboration to address opioid dependency and suicidal ideation, aiming to prevent overdoses in this population.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086221","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":"Association Between Disability and Social Support and Cultural Affiliation Among American Indian Older Adults in New York State.","authors":"Thoin F Begum, Gayle Morse, David O Carpenter, Samuel C Byrne, Dedra Buchwald","doi":"10.1007/s10900-025-01471-9","DOIUrl":"https://doi.org/10.1007/s10900-025-01471-9","url":null,"abstract":"<p><p>Although American Indian and Alaska Native people make up less than 2% of the US population, they are disproportionally affected by adverse health outcomes, including disabilities. The Indigenous community of the Mohawk Nation at Akwesasne has faced significant environmental contamination since the 1970s, resulting from operations of three aluminum foundries near the community. The aim of this study was to explore the potentially moderating effects of social support and cultural identity on disability, taking into account age, sex, and health comorbidities among 119 Akwesasne Mohawk adults. We used the World Health Organization Disability Assessment Schedule II (WHO-DAS II) to measure disability, the Duke University Social Support Scale with Likert-type responses to quantify social support, and the Orthogonal Ethnic Identification Scale to calculate cultural affiliation. We found that overall social support was significantly negatively associated with disability related to self-care (Relative Risk (RR) = 0.96, 95% Confidence Interval (CI): 0.93, 1.00). Both family support (RR = 0.97, 95% CI: 0.94, 0.99) and non-family support (RR = 0.97, 95% CI: 0.94, 1.00) were negatively associated with disabilities that prevent full participation in society. Cultural affiliation to either the white culture or the Mohawk culture was not significantly associated with disability. Although preliminary, our findings may help inform clinicians advising American Indians and Alaska Natives with disabilities on helpful interventions to provide greater social support. This may in turn improve the quality of life of indigenous communities facing a high prevalence of disability.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966945","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":"Feasibility of a Community-Based Youth Focused Opioid Overdose Education and Naloxone Distribution Program.","authors":"A Sarah Cohen, Audrey Lopez, Andrea Yatsco, Tiffany Champagne-Langabeer","doi":"10.1007/s10900-025-01473-7","DOIUrl":"https://doi.org/10.1007/s10900-025-01473-7","url":null,"abstract":"<p><p>In 2023, there were over 70,000 deaths due to synthetic opioids, which are increasingly being found in all types of illicit drugs, of which 14.7% of youth aged 12-17 years old reported using in the prior year. While several opioid overdose education and naloxone distribution (OEND) programs have emerged, few have focused on the needs of youth. Young HERO, a quality improvement initiative, was developed to provide OEND services specifically to youth and caregivers. The Young HERO initiative consisted of the formation of partnerships with community organizations and the delivery of OEND. Potential organizations were contacted, and if they were interested, a Young HERO event date was set. Partners advertised and hosted the typically one-hour event. After events, attendees were asked to complete a survey assessing their knowledge, confidence, and intervention acceptability. Descriptive statistics were computed. In the first six months, Young HERO events were held, with nine of the initial 13 organizations contacted and two additional events with secondary contacts. A total of 286 individuals received the intervention. The post-event survey was available for 177 individuals, and the overall survey response rate was 77.4% (137). 75% of respondents felt confident that they could administer an opioid overdose reversal medication, and just under 70% strongly recommended the event. In the first six months, Young HERO events were held, with nine of the initial 13 organizations contacted and two additional events with secondary contacts. A total of 286 individuals received the intervention. The post-event survey was available for 177 individuals, and the overall survey response rate was 77.4% (137). 75% of respondents felt confident that they could administer an opioid overdose reversal medication, and just under 70% strongly recommended the event. Young HERO was able to reach youth, young adults, and caregivers to provide both opioid overdose education and naloxone distribution. The initiative offers a model that can be expanded and replicated, supporting efforts to reduce opioid overdose fatalities.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027381","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":"A Latent Class Analysis of COVID-19 Vaccine Attitudes and Beliefs: Results from a Community Survey Conducted Via the Chicagoland Community Engagement Alliance (CEAL) Program.","authors":"Milkie Vu, Jimin Yeom, Duy Trinh, Jane Gou, Timothy Hong, Marym Zaheeruddin, Jessica Bishop-Royse, Madison Hartstein, Bonnie Spring, David Moskowitz, Anh Doan, Molly Martin","doi":"10.1007/s10900-025-01472-8","DOIUrl":"https://doi.org/10.1007/s10900-025-01472-8","url":null,"abstract":"<p><strong>Background: </strong>In the U.S., responses to the rollout of COVID-19 vaccine varied widely, with contrasting perceptions of the vaccine. We aimed to characterize distinct groups of respondents regarding COVID-19 vaccine perceptions.</p><p><strong>Methods: </strong>Data came from the 2021-2023 Common Survey (n = 852), collected in Chicago using a community-based participatory approach focusing on communities with low COVID-19 vaccination. Participants answered eight questions about vaccine-related perceptions. We conducted a latent class analysis in R.</p><p><strong>Results: </strong>The sample included 623 female participants (73.1%), 482 Black participants (56.6%), 259 Hispanic/Latino(a) participants (30.4%), 26 Asian participants (3.1%), and 261 participants with a college degree (30.6%). In a four-class model, Class 1 (skeptic) included 153 participants (18.0%) with low confidence in vaccine safety, effectiveness, and potential to get life back to normal. Class 2 (uncertain) included 163 participants (19.1%) who mostly indicated uncertainty. Class 3 (support with concerns) included 266 participants (31.2%) who recognized many vaccine benefits but also had concerns about its rapid development and \"not being studied in people like me.\" Class 4 (pro-vaccine) included 270 participants (31.7%) with high confidence in vaccine safety and effectiveness and social approval of vaccination. Interestingly, both the skeptic and pro-vaccine groups had somewhat similar agreement with the statement \"not enough information on COVID vaccine interaction.\" Class assignments varied by sociodemographic characteristics. Socioeconomic hardships were associated with a lower likelihood of being in the \"pro-vaccine\" group.</p><p><strong>Conclusions: </strong>Given the distinct classes of vaccine beliefs, tailored public health messaging is needed to enhance vaccine confidence and uptake.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028585","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":"Assessment of LGBT Needs and Health in Kentucky: Results of a Statewide Needs Assessment.","authors":"M Aaron Guest, Jane Hook","doi":"10.1007/s10900-025-01470-w","DOIUrl":"https://doi.org/10.1007/s10900-025-01470-w","url":null,"abstract":"<p><p>The health and social needs of LGBT older adults remain underrepresented in public health research, particularly in states where data collection on sexual and gender minorities has been limited. This study reports findings from the Kentucky LGBT Health Needs Assessment, a community-generated, statewide evaluation of adults aged 50 and older. Employing a cross-sectional, mixed methods design, the survey was developed in collaboration with LGBT community stakeholders. The assessment captured a broad range of demographic, health, psychosocial, and service access variables, with 672 individuals completing the study. Findings reveal a predominantly white, highly educated sample with a mean age of 59.5 years. Participants reported relatively positive perceptions of their general health, yet high rates of chronic conditions such as arthritis, hypertension, and obesity. While most found healthcare information accessible, 21% had unmet medical needs and 18% delayed care due to lack of affirming providers. Mental health and counseling services were especially difficult to access, particularly among rural respondents. Long-term care concerns were prominent, with strong preferences for LGBT-specific facilities and uncertainty about future caregiving arrangements and financing. Although participants largely expressed pride and comfort in their LGBT identity, experiences of discrimination, verbal abuse, and stereotyping were common. Despite high identity affirmation, community engagement was limited, often reflecting safety concerns and structural stigma. This needs assessment provides one of the first statewide snapshots of LGBT aging in Kentucky, highlighting both strengths and vulnerabilities in health and social well-being. Findings underscore the urgent need for inclusive policies, provider training, and tailored aging services.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028621","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":"Correction: Engaging with Social Media: Implications for COVID-19 Research Participation among Adults Living in the State of Florida.","authors":"Jennifer E Akpo, Caitlin Murphy, Jennifer Mull, Trudy Gaillard, Lori A Bilello, Fern J Webb","doi":"10.1007/s10900-025-01453-x","DOIUrl":"https://doi.org/10.1007/s10900-025-01453-x","url":null,"abstract":"","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021713","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":"Preliminary Outcomes from PrEP Well: A Community-led, Multicomponent HIV Prevention Strategy Implemented in a Transgender Community Health Center.","authors":"Erik D Storholm, Carrie L Nacht, Chloe Opalo, Risa Flynn, Kimberly Ling Murtaugh, Mariana Marroquin, Mika Baumgardner, Alex R Dopp","doi":"10.1007/s10900-025-01468-4","DOIUrl":"https://doi.org/10.1007/s10900-025-01468-4","url":null,"abstract":"<p><p>Transgender and nonbinary (TGNB) individuals are disproportionately impacted by HIV, particularly those who identify as racial/ethnic minorities and those who are socioeconomically disadvantaged. Pre-exposure prophylaxis (PrEP) is a highly effective medication to prevent HIV infection, but many TGNB individuals encounter barriers to PrEP uptake and adherence that limit fully realized preventive benefits. We developed PrEP Well, a multicomponent community-led program, to scale and sustain comprehensive PrEP services from a TGNB-led community organization that provides gender-affirming healthcare and social services. We used implementation science frameworks to evaluate initial program outcomes and contextual influences on program implementation. Preliminary data from August 2022 through January 2024 showed promising implementation and effectiveness outcomes. During that time, 113 primarily low-resourced TGNB clients were educated about PrEP and received an HIV test, of whom 60 (53%) attended a visit with a provider and received a PrEP prescription. At 30-day follow-up, urinalysis confirmed uptake of PrEP among 50 (83%) of the clients prescribed PrEP. At 90-day follow-up, 43 (72%) demonstrated continued use of PrEP and 40 (67%) showed protective levels of PrEP adherence. Qualitative interviews and surveys indicated that clients, staff, and leadership viewed the PrEP Well program as highly acceptable, feasible, and sustainable (including willingness to address persistent implementation barriers). Referral patterns and rates of PrEP uptake suggested increasing integration of PrEP Well into the TGNB community center over time. The PrEP Well program demonstrates the potential for TGNB communities to address HIV inequities by integrating community-led HIV prevention services with gender-affirming healthcare in TGNB-specific health centers.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006752","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":"Young Women's Perspectives About Vaping: A Cross Sectional Study from Jordan.","authors":"Ensaf Y Almomani, Mohammad Al-Slehat, Rula Al-Shimi, Zaid I Aldebei, Layth Al-Ramahi, Leen M Bani Aldomi","doi":"10.1007/s10900-025-01469-3","DOIUrl":"https://doi.org/10.1007/s10900-025-01469-3","url":null,"abstract":"<p><p>Vaping has become very popular among young generations in Jordan. However, less is known about women's awareness and intention to vape. The aim of this study is to assess women's knowledge and beliefs about vaping, with a focus on vaping women's attitudes and practices. This is an observational cross-sectional study. Data were collected from January through March 2024, by using a self-administrated survey inspired from the WHO GATS questionnaire. Among the 923 participating women, 12.4% were vaping. We observed significant variations in knowledge and beliefs among women. Vaping women have a substantially younger age than non-vaping. 57% of vaping women think that vape is safer to use than cigarettes compared to 14% of non-vaping. 61% of vaping women believed that vaping helps to quit cigarette smoking compared to 24% of non-vaping. Vaping women tended to underestimate the health risks associated with it compared to non-vaping women. They are also supporting legislations that allow vaping indoors and in public places. Women vape primarily for enjoyment, to cope with stress, to pass free time, and to hang out with friends. Luckily, many of them believed that smoking increases the risk of cardiovascular and respiratory ailments and limited life expectancy, which supports their future quitting plans. This study revealed misconceptions and knowledge gaps around vaping among women. Emotional demands and social interactions influenced women's vaping use in Jordan, highlighting the need for targeted public health education and legislative measures to promote women's health.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988114","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":"The Role of Family-Level Factors in Firearm Storage Practices.","authors":"Alexander J Rice, Christin M Ogle, Joscelyn E Fisher, Stephen J Cozza","doi":"10.1007/s10900-025-01459-5","DOIUrl":"https://doi.org/10.1007/s10900-025-01459-5","url":null,"abstract":"<p><p>Firearm-related injuries and fatalities among youth in the United States represent a critical public health crisis. Secure firearm storage (i.e., keeping guns unloaded, locked, and stored separately from ammunition) is a proven strategy to reduce these risks. However, many households do not consistently adopt these practices. This review examines four key family-level factors that influence firearm storage decisions: (a) early firearm socialization, (b) family decision-making dynamics, (c) other household safety practices, and (d) parent understanding of child development and motivations regarding storage. Findings indicate that interventions may benefit from empowering parents to reflect on their early firearm socialization experiences, improving their understanding of children's development, integrating firearm safety into broader household safety frameworks, and promoting collaborative decision-making in multi-adult households. Future research should further investigate how these factors intersect to shape firearm storage practices, including the long-term effects of early firearm exposure through longitudinal studies, and variations across diverse family structures and contexts, including multigenerational households.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027382","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}