Journal of Community Health最新文献

{"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":"<p><p>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.</p>","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}

{"title":"Facilitators and Barriers to Health Research Knowledge and Participation Among Arab/Middle Eastern and North African (MENA) Patients in the US.","authors":"Siwaar Abouhala, Aber Abdulle, Noor Zanial, Ghada Aziz, Asma Hussein, Matthew Jaber Stiffler, Roula Hawa, Madiha Tariq, Ghadeer Ady, Itedal Shalabi, Germine H Awad, Nadia N Abuelezam","doi":"10.1007/s10900-024-01423-9","DOIUrl":"10.1007/s10900-024-01423-9","url":null,"abstract":"<p><p>Research examining Arab and Middle Eastern and North African (MENA) health disparities faces several research limitations. These obstacles include unrepresentative national data due to the absence of a MENA identifier on the US Census, and a lack of Arab/MENA American participant trust in surveying bodies. This research hesitancy prompts the need for targeted investigation of the barriers preventing Arab/MENA Americans from participating in health research. Using community- and patient-centered methods, we created and disseminated a patient-facing survey to identify barriers to Arab/MENA American research participation. Through regular meetings and collaboration with stakeholders on research instrument development and participant recruitment, a novel quantitative survey was created (April-May 2023) to identify barriers affecting Arab/MENA American participation in health research and to explore their experiences and opportunities for improvement in the healthcare sector. The survey instruments assessed interest in research, as well as the motivators and barriers to clinical research participation. The data were analyzed quantitatively using descriptive statistics and logistic regression models. A total of 149 respondents had non-missing values on both outcomes. The study sample was largely college educated and foreign-born. Over three quarters of respondents (77.5%) felt they knew what health research was while slightly less than three quarter of respondents (72.5%) would accept to participate in a health research study in the future. Those who were foreign-born, in lower income levels (< $65 k), or had low English proficiency or acculturation were less likely to report knowing what health research was. Facilitators to participating in research included a belief that participation would improve health, the idea of contributing to science, if monetary compensation was available, and if participation could be withdrawn at any time. These data further enhance our knowledge of Arab/MENA American comfortability with health research participation and can help inform future interventions. Immigration and sociodemographic factors are related to knowledge and willingness to participate as are several ideals including a desire to improve community health.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"358-368"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142837154","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 to: Health Behaviors and Experiences of LGBTQ + Individuals during 2022 Mpox Outbreak: Findings from the QVax Study.","authors":"Kristen D Krause, Kendra Lewis, Stephan Scrofani, Tiffany Y Guo, Davin Goulbourne, Perry N Halkitis","doi":"10.1007/s10900-024-01420-y","DOIUrl":"10.1007/s10900-024-01420-y","url":null,"abstract":"","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"381"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686730","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":"Traffic as an Urban Health Determinant: Coverage of the New York City Congestion Pricing Plan on TikTok.","authors":"Corey H Basch, Helen Yousaf, Joseph Fera, Rafael Gonzalez Castillo","doi":"10.1007/s10900-024-01415-9","DOIUrl":"10.1007/s10900-024-01415-9","url":null,"abstract":"<p><p>Social listening can provide deeper insight into public sentiment regarding policy proposals, as seen with the congestion pricing initiative in New York City (NYC). The purpose of this study was to assess the content of a sample of TikTok videos related to congestion pricing in NYC. A total of 100 unique videos were extracted from the hashtag #nyccongestionpricing on TikTok and coded for the presence of the following information based on four different areas of focus: video metrics, details about pricing plan, effects of pricing plan, and user-related issues. In total, the 100-video sample received 17,375,818 views, 1,285,610 likes, 89,883 favorites, and 100,634 comments. Only 3 of the 25 content characteristics were present in a majority (> 50) of the videos. These were mentions location (below 60th street of Manhattan) (N = 65), mentions cost (N = 61), and mentions cons of pricing (N = 56). Mentioning location had a significant effect on the views (p = 0.0163) and likes (p = 0.0225) a video received. Mentioning cost had a statistical impact on the views (p = 0.0098), likes (p = 0.0128), favorites (p = 0.0128), and comments (p = 0.0030) that the video received. Mentioning the MTA and benefits of the congestion plan significantly lowered metrics of engagement. Themes that emerged were personal, often negative and tended to focus more on cost to citizens and location, despite the evidence of negative public health impacts. This research can be used as a springboard for future research that examines social listening at the intersection of public health and policy.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"280-286"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142501590","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":"Vaccine Beliefs Among Uninsured People Receiving Care at Free Clinics.","authors":"Caroline C Liu, Julio A Siliezar, Omar Alzayat, Carly A Robinson, Timothy Do, Adrianna I J Carter, Christine N Pons, Om Patel, Michael S Wilkes","doi":"10.1007/s10900-024-01416-8","DOIUrl":"10.1007/s10900-024-01416-8","url":null,"abstract":"<p><strong>Background: </strong>Misinformation and vaccination hesitancy contribute to disparities in vaccination rates, particularly in under-resourced communities. This study aims to investigate perceptions and factors influencing vaccination decisions at free clinics serving diverse, under-resourced communities.</p><p><strong>Methods: </strong>Surveys were conducted across eight free clinics in the Greater Sacramento area, targeting uninsured or underinsured individuals. Information on demographics, sources of vaccine information, access to vaccines, vaccine perceptions, and vaccination decisions as pertaining to influenza and COVID-19 were collected on Qualtrics software. Chi-square and t-tests were used to analyze associations between demographics and vaccination rates.</p><p><strong>Results: </strong>Among 109 participants (24-82 years old), vaccination rates were found to be higher than the county average, with notable demographic variations. Contrary to initial hypotheses, men had higher vaccination rates than women, and recent immigrants exhibited higher vaccination rates than more long-term U.S. residents. A higher number of participants regarded the COVID-19 vaccine as effective than as safe, while the reverse was true for the influenza vaccine. Healthcare providers were the most trusted and influential sources for vaccine information, followed by government agencies, and then family and friends. Answers to hypothetical vaccine scenarios elicited assessments on risks and benefits.</p><p><strong>Conclusion: </strong>The study provides insight into the dynamics of vaccine hesitancy and factors that play into the decision-making process in under-resourced communities, underscoring the role of trust in healthcare providers. These findings are vital for tailoring community outreach strategies to create trust, address barriers, and enhance vaccine uptake within free community clinics.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"270-279"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142501604","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":"A Qualitative Scoping Review of Community Firearm Violence in Low-Income Settings.","authors":"Colleen S Walsh, Terri N Sullivan, Wendy Kliewer, Katherine M Ross","doi":"10.1007/s10900-024-01419-5","DOIUrl":"10.1007/s10900-024-01419-5","url":null,"abstract":"<p><p>Firearm violence is a public health crisis in the United States that disproportionately impacts community members in low-income areas who witness and experience violence and violent victimization at elevated rates compared to other socioeconomic groups, often as result of community disinvestment and systemic racism (Smith et al., Soc Sci Med 246:112587, 2020). While quantitative reviews of firearm violence and related factors exist, a review of qualitative methods and findings regarding exposure to firearm violence has not yet been conducted. This scoping review sought to address a gap in the literature by summarizing the findings of qualitative studies on community firearm violence in low-income settings in the U.S. EBSCO databases, Criminal Justice Abstracts, National Criminal Justice Reference Service Abstracts, ProQuest, and PsycINFO were searched for studies that described the firearm related experiences of individuals and families in low-income communities. Thirty studies met the criteria for review. Findings were situated within the Centers for Disease Control and Prevention's (CDC) Social-Ecological Model as a framework for prevention (CDC, The social-ecological model: a framework for prevention, https://www.cdc.gov/violenceprevention/about/social-ecologicalmodel.html , 2018; Dahlberg and Krug, World Report on violence and health, World Health Organization, Geneva, 2002). A critique of the literature, as well as implications and future directions of findings, are discussed. This study may inform future research questions and programs that center the voices of those most impacted by firearm violence.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"287-305"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521967","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":"Physician Attitudes Towards Pharmacist-Prescribed HIV Post-Exposure Prophylaxis (PEP): A Survey of a State Medical Association.","authors":"Kaylee Scarnati, Katherine L Esser, Julianna M Sim, Varun Vaidya, Eric Sahloff, Joan Duggan","doi":"10.1007/s10900-024-01421-x","DOIUrl":"10.1007/s10900-024-01421-x","url":null,"abstract":"<p><p>Timely initiation of antiretroviral therapy (ART) for non-occupational post-exposure prophylaxis (nPEP) is crucial in preventing HIV infection and advancing efforts to end the HIV epidemic (EHE). nPEP must be administered within 72 h of high-risk exposure, ideally within 24 h. Pharmacies may play a role in increasing access to nPEP and facilitating referrals for additional care, such as PrEP. Recent legislation permits pharmacist-prescribed nPEP (PDP), though provider attitudes toward this change have not been studied. A survey querying physicians and medical trainees (students and residents) was conducted in 2024 during an annual state medical association conference. The survey included 24 questions on nPEP knowledge and attitudes towards pharmacist-prescribed nPEP (PDP). The survey was administered in person using electronic tablets, with voluntary participation incentivized by a monetary reward. Statistical analysis was conducted using SAS (9.4 version) software, with differences in responses between physicians and trainees evaluated. P values < 0.05 were considered statistically significant. Of 89 respondents (56% of attendees), 61 were physicians and 28 were trainees. Notably, 28% of licensed providers indicated that pharmacist-directed prescribing (PDP) should not be allowed in the State of Ohio, while no trainees expressed this same opposition (p = 0.001). Trainees were more likely to view pharmacist prescribing as safe and appropriate ((p = 0.0135, p = 0.013). Urban-based providers were more supportive of pharmacist prescribing than their rural counterparts (p = 0.0195). Trainees showed little opposition to PDP, whereas physicians expressed concerns about safety and appropriateness. Addressing these concerns is essential for integrating pharmacists into the EHE strategy.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"335-343"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780267","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":"Assessing Factors that Influence the Satisfaction of Community-Based Faculty with Precepting Health Professions Students in the State of Georgia.","authors":"Nadine Odo, Alyssa Ruffa, Ralph A Gillies, Darra Ballance, Denise Kornegay, Vahé Heboyan","doi":"10.1007/s10900-025-01464-8","DOIUrl":"https://doi.org/10.1007/s10900-025-01464-8","url":null,"abstract":"<p><p>Community-based preceptors provide the clinical training necessary to prepare health professions students for clinical practice. The number of students in need of clinical placement is growing as the number of preceptors declines. The mission of the Georgia Area Health Education Centers is to increase access to primary care services in underserved rural and urban areas by recruiting, training, and retaining health professionals. A survey of preceptors in the State of Georgia was conducted in 2023 to gain insight into motivations for, satisfaction with, and barriers to precepting. Of 11,174 clinicians who had precepted within the past 5 years, 1,270 completed the survey (11% response rate). The survey revealed that, while preceptors reported satisfaction with the precepting experience and impact of students on their practice, they were less satisfied with the incentives provided. Current preceptors were younger, male, and precepted for a longer period of time and for more rotations per year. A regression analysis revealed that satisfaction with precepting was somewhat higher among preceptors who were 60 years old or older, a physician or PA, and practicing in a nonrural clinical site. Satisfaction was also somewhat higher among those who precepted for 2 or fewer years, for 10 or more rotations per year, and intended to continue teaching over the next 5 years. An analysis 114 free-text comments revealed themes that reinforce the concepts of teaching as an enjoyable and rewarding endeavor, the effect of teaching on clinical productivity, and a desire for better compensation for their efforts.</p>","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":"143752979","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":"Firearm-Related Unintentional Childhood Injury in Israel.","authors":"Elad Calif, Yigal Godler, Sofia Godler-Prat, Aviad Agam","doi":"10.1007/s10900-024-01413-x","DOIUrl":"10.1007/s10900-024-01413-x","url":null,"abstract":"<p><p>The rise in demand for firearm licenses in Israel due to the ongoing 2023-2024 Israel-Gaza War, coupled with the easing of regulations for issuing weapons, is expected to lead to a significant increase in the incidence of firearms among civilians. This situation calls for a special awareness of civilian populations of the dangers posed to children by the high prevalence of firearms. We therefore present trends in firearm-related incidents resulting in unintentional mortality and morbidity of children ages 0-17 between the years 2008-2023 in Israel. In total, 202 accidents involving firearms were reported, with an average age of 12.2 (median: 13), and with the youngest child being 2 years old. Of these, 24 cases resulted in fatalities18 of which of children of Arab descent. We provide several recommendations concerning changes and additions to current bylaws concerning firearms licensing and storage in Israel, in order to decrease the risk of child injury due to irresponsible firearm handling.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"252-258"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467044","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 Fragmentation of Specialty Care. The Role of Referral Location, Type of Referral, and Demographic Factors in Determining Completion Rates for Uninsured Patients in a Student-Run Free Clinic.","authors":"Jessica L Prom, Christine C Rogers, Amber Brandolino, Rebecca C Lundh, Andrew Labott, Anjna Nair, Mary E Schroeder","doi":"10.1007/s10900-024-01405-x","DOIUrl":"10.1007/s10900-024-01405-x","url":null,"abstract":"<p><p>Little is known about how location of specialty care affects accessibility for uninsured patients at free clinics. To address this gap, the specialty referral completion rate by location and role of demographic and referral-specific factors were analyzed at an urban-based free clinic. A retrospective review was performed at a single site, student-run free clinic exclusively serving uninsured patients. Referral completion rate and predictors of referral completion were examined including age, race, ethnicity, sex, referral type, and location of referral. Significant predictors (p < 0.05) were included in the adjusted model if the associated odds ratio (OR) was meaningful. A total of 351 referrals met criteria. Completion rate was 53.6%. Co-location of specialty services was associated with a higher completion rate (64.7%, p < 0.001) and counseling referral type had a lower completion rate (11.5%, p < 0.001). Significant predictors of referral completion included sex, ethnicity, location of referral, and referral type (p < 0.001). Hispanic patients had higher rates of completion (68.4%, p < 0.001). On multivariable analysis, non-co-located fee-for-service hospital referrals had lower odds of completion when compared to co-located referrals at the free clinic (OR = 0.25, CI 95% [0.12-0.54], p < 0.001). Also, when compared to other types of referrals, counseling referrals had a 25 times lower odds of referral completion (p < 0.001). There was a higher completion rate of co-located referrals suggesting that multiple locations and health systems may deter patients from seeking necessary care. The lower rate of counseling referral completion indicates that additional efforts are needed to make these services more accessible to uninsured patients.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"211-217"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467060","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}