Journal of Community Health最新文献_第6页

Suicidal Thoughts and Behaviors in American Indian and Alaska Native Adolescents. 美国印第安人和阿拉斯加原住民青少年的自杀想法和行为。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-04-01 Epub Date: 2024-10-15 DOI: 10.1007/s10900-024-01411-z

James H Price, Jagdish Khubchandani

{"title":"Suicidal Thoughts and Behaviors in American Indian and Alaska Native Adolescents.","authors":"James H Price, Jagdish Khubchandani","doi":"10.1007/s10900-024-01411-z","DOIUrl":"10.1007/s10900-024-01411-z","url":null,"abstract":"American Indians and Alaska Natives (AI/AN) have consistently exhibited suicide rates that surpass all other racial and ethnic groups in the United States. However, not much has been published regarding the epidemiology of AI/AN youth suicides. The objectives of this study on AI/AN adolescents were to assess the prevalence of suicidal thoughts and behaviors by age and gender, assess the number of years of life lost to suicide before the age of 80, and assess the most common methods used to commit suicide by AI/AN adolescents. Data utilized for this study were from the national Youth Risk Behavior Surveys and the Web-Based Injury Statistics Query and Reporting System. We conducted a cross-sectional descriptive analysis of the suicide-related data from years 2015, 2017, 2019, and 2021. We found AI/AN adolescents averaged one in four contemplated suicides, one in five planned suicides, and one in six attempted suicides. A total of 257 adolescents committed suicide during the study period where the majority (62.5%) were observed in males and suicides were more common in older adolescents. AI/AN adolescents had the highest crude suicide death rate of any racial or ethnic group and the most common methods used to commit suicide were suffocation (57.5%) and firearms (35.5%). AI/ AN adolescents lost almost 16,000 years of potential life during the four years of the study and the majority were lost by males. Professionals and policymakers desiring to reduce suicidal thoughts and behaviors among AI/AN adolescents need to focus more of their efforts on providing youths with resilience factors to establish sufficient ego strength in them to deal with all types of stressors. Concurrently, federal, state, and tribal leaders need to work together to improve the social and economic circumstances faced by many AI/AN families and children.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"227-234"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467059","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

Prevalence of Chronic Disease and Cost Effectiveness of a Free Clinic. 慢性病患病率和免费诊所的成本效益。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-04-01 Epub Date: 2024-10-19 DOI: 10.1007/s10900-024-01417-7

Anna E Dion, James Roake, Kate Mayeda, Nicholas Elich, David Parro, Tom Nuckols, Marilyn Tseng, Suzanne Phelan

{"title":"Prevalence of Chronic Disease and Cost Effectiveness of a Free Clinic.","authors":"Anna E Dion, James Roake, Kate Mayeda, Nicholas Elich, David Parro, Tom Nuckols, Marilyn Tseng, Suzanne Phelan","doi":"10.1007/s10900-024-01417-7","DOIUrl":"10.1007/s10900-024-01417-7","url":null,"abstract":"Free clinics are a widespread, yet limited research has examined the health status of people served and the cost effectiveness of free clinics. The purpose of this study was to describe the sociodemographic characteristics and prevalence of chronic conditions in patients seen at a free clinic and estimate the clinic's cost-effectiveness. The study was a retrospective chart review of 350 randomly selected paper medical charts (2009-2020) and 1,676 electronic medical records (2020-2022) at the Noor free clinic in California supported by private donors, non-profits, and foundations. Cost-effectiveness was calculated from annual clinic operating costs, services provided, quality-adjusted life years (QALYs) saved, and projected savings from preventing emergency department visits. Of the 350 paper charts reviewed, 336 met inclusion criteria. Patients had an average age of 46.6 years, with most identifying as female (60%), Hispanic (69%), Spanish-speaking (62%), and employed (59%). About 64% had incomes below the federal poverty line. Chronic conditions included overweight/obesity (75%), chronic pain (46%), hypertension (28%), hyperlipidemia (24%), type 2 diabetes (24%), and mood disorders (23%). A quarter of patients had at least one chronic condition, and over half had multiple conditions. The clinic's services in 2022 resulted in an estimated 146 QALYs saved, $11.5 million in cost savings, and a return on investment of $13.18 per $1 invested. The free clinic provided medical care to low-income, Hispanic populations without insurance who historically have been disenfranchised from healthcare access. Cost-effectiveness analysis suggested that it provided significant health benefits and cost savings.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"259-269"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467046","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

Factors Associated with Parents' COVID-19 Vaccination Decisions for Their Children in an Economically Marginalized, Diverse Community. 在一个经济边缘化的多元化社区中，与家长为子女接种 COVID-19 疫苗决定相关的因素。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-04-01 Epub Date: 2024-10-05 DOI: 10.1007/s10900-024-01404-y

Ben Rudolph, Sumit Sharma, Leily Ayala, Jonna Thomas, Ebony Jackson-Shaheed, Anna E Price

{"title":"Factors Associated with Parents' COVID-19 Vaccination Decisions for Their Children in an Economically Marginalized, Diverse Community.","authors":"Ben Rudolph, Sumit Sharma, Leily Ayala, Jonna Thomas, Ebony Jackson-Shaheed, Anna E Price","doi":"10.1007/s10900-024-01404-y","DOIUrl":"10.1007/s10900-024-01404-y","url":null,"abstract":"COVID-19 vaccine hesitancy is a significant public health concern, particularly among parents who serve as gatekeepers for their child(ren)'s vaccination status. This study adds to the literature by examining COVID-19 vaccine decisions among parents living in a mid-size, lower-income, racially/ethnically diverse, community. Parents of children, < 18 years and enrolled in the public schools system, were invited to complete a questionnaire offered in English, Spanish, and Portuguese. The questionnaire included questions about their child(ren)'s vaccination status, as well as factors which, based on the literature, might impact parents' vaccination decisions. Parents (n = 277) were mostly Hispanic/Latinx, females, with a high school degree/GED as their highest level of education achieved, a mean age of 40 years, and an average of two children < 18 years. Four-fifths (78.6%) of parents reported being vaccinated against COVID-19, but only 40.8% reported having all of their children vaccinated; 14.8% had some of their children get the COVID-19 vaccine, and 44.4% had none of their children get the COVID-19 vaccine. In bivariate associations, parents' vaccination status, parents age, the CDC website as a COVID-19 information source, awareness of age eligibility for the COVID-19 vaccine, parents reporting knowing someone who does not want to vaccinate their child, and parents' perceived social norm score were associated with children's vaccination status. However, when multivariate analyses were conducted, only parents' age and perceived social norms increased parents' odds of choosing to vaccinate their child. These findings have implications for those promoting COVID-19 vaccination among parents in lower-income, diverse communities.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"201-210"},"PeriodicalIF":3.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142377895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Journal of Community Health Enters Its Fiftieth Year of Publication. 《社区卫生杂志》进入出版第五十周年。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-04-01 Epub Date: 2025-02-22 DOI: 10.1007/s10900-025-01450-0

Pascal James Imperato

引用次数: 0

A Review of Medical Mistrust Across the Cancer Continuum of Care and Current Interventions. 对癌症连续治疗和当前干预措施中医疗不信任的回顾。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-03-23 DOI: 10.1007/s10900-025-01462-w

Rovingaile Kriska M Ponce, Karina Verma, Katherine Gergen-Barnett, Kimberly Brimhall, Naomi Y Ko

{"title":"A Review of Medical Mistrust Across the Cancer Continuum of Care and Current Interventions.","authors":"Rovingaile Kriska M Ponce, Karina Verma, Katherine Gergen-Barnett, Kimberly Brimhall, Naomi Y Ko","doi":"10.1007/s10900-025-01462-w","DOIUrl":"https://doi.org/10.1007/s10900-025-01462-w","url":null,"abstract":"Cancer disparities among populations in the United States are a persistent and ongoing challenge. Medical mistrust (MM), or the tendency to distrust individuals and systems even at the cost of one's own well-being, has been implicated in contributing to worse health outcomes. Thus, understanding the relationship between MM and cancer care disparities may inform effective interventions to improve outcomes for all. We conducted a two-step review: (1) a standard review to examine the relationship between MM and the cancer continuum of care, and (2) a systematic review to assess interventions targeted to mitigate MM in cancer care. The standard review included eleven studies, which revealed that MM impacted cancer screening, treatment adherence, clinical trial participation, and access to social support. Key mediators of MM included patient-provider discordance, health-related and sociodemographic-related discrimination, perceptions of Western medicine, low quality care, and health insurance. Our systematic review yielded twelve interventions-67% tailored towards screening, 17% towards patient navigation services, and 17% towards clinical trial participation. Key methods included adapting patient-centered (e.g. gathering patient perspectives, increasing racial and ethnic representation) and community-based approaches (e.g. use of churches and training family members to disseminate patient education) to overall create culturally tailored interventions against MM across the cancer continuum of care.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692350","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

In-store Features and Healthy Food Availability Among Small Corner and Convenience Stores Serving Urban and Rural Maryland Communities. 在马里兰州城市和农村社区服务的小角落和便利店的店内特色和健康食品供应。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-03-22 DOI: 10.1007/s10900-025-01461-x

Yutong Xie, Emma C Lewis, Audrey Thomas, Mika Matsuzaki, Lisa Poirier, Stacey Williamson, Antonio J Trujillo, Joel Gittelsohn

{"title":"In-store Features and Healthy Food Availability Among Small Corner and Convenience Stores Serving Urban and Rural Maryland Communities.","authors":"Yutong Xie, Emma C Lewis, Audrey Thomas, Mika Matsuzaki, Lisa Poirier, Stacey Williamson, Antonio J Trujillo, Joel Gittelsohn","doi":"10.1007/s10900-025-01461-x","DOIUrl":"https://doi.org/10.1007/s10900-025-01461-x","url":null,"abstract":"Adequate access to healthy food is crucial for preventing and managing diet-related chronic diseases, especially for vulnerable populations. In neighborhoods lacking supermarkets, lower-income residents tend to source food in small independently-owned stores. To understand how retail food environments are associated with healthy food availability, we examined associations between in-store features and Healthy Food Availability Index (HFAI) scores in Baltimore and Charles County, Maryland stores. Cross-sectional data were collected from 2022 to 2024 across 18 stores. Observational Store Environmental Checklists assessed in-store features, food assistance program authorization, and targeted point-of-purchase promotions. An adapted HFAI scale was used to score each store from 0 to 27 with a higher score indicating greater healthy food availability. Linear regression models analyzed associations between in-store features and HFAI scores using R software. Across all urban and rural stores, the average HFAI score was low (M = 9.16, SD = 4.38). Unsurprisingly, rural stores were more likely to have a larger retail space (2.60 more aisles, on average) than urban stores. Urban vs. rural location and other store characteristics were not found to be significantly associated with HFAI scores. However, the presence of point-of-purchase promotions was associated with a 6.74-point higher HFAI score (CI: 2.40-11.08) after adjusting for number of aisles, food assistance program authorization, and location. Our sample of small Maryland stores generally had low healthy food availability regardless of urban or rural location. This suggests a need for further research to scale-up and evaluate retail food environment interventions that reach both urban and rural settings, nationwide.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692351","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

Naloxone Acceptance among Nightclub Attendees in New York City. 纽约市夜总会顾客对纳洛酮的接受程度。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-03-17 DOI: 10.1007/s10900-025-01460-y

Nina Abukahok, Patricia Acosta, Amanda M Bunting, Joseph J Palamar

{"title":"Naloxone Acceptance among Nightclub Attendees in New York City.","authors":"Nina Abukahok, Patricia Acosta, Amanda M Bunting, Joseph J Palamar","doi":"10.1007/s10900-025-01460-y","DOIUrl":"10.1007/s10900-025-01460-y","url":null,"abstract":"As the opioid crisis continues, now driven by use of fentanyl, naloxone is an increasingly important intervention to reverse overdoses. More research is needed on the willingness of populations at risk for unintentional fentanyl exposure (through adulterated drugs) to accept naloxone to reverse potential overdoses. Adults (n = 991) entering randomly selected nightclubs in New York City (NYC) were surveyed at the point-of-recruitment in 2024 and were asked about their willingness to accept a free naloxone kit. We examined the prevalence of reported willingness to accept naloxone and reasons for refusal, and we examined prevalence and correlates of participants accepting naloxone. During the survey, 65.2% of participants reported being familiar with naloxone, 62.1% agreed to accept naloxone, and 49.6% were recorded as accepting a kit. Those residing in NYC, compared to visitors, had a higher prevalence of recorded acceptance (aPR = 1.41, 95% CI: 1.11-1.79), as did those reporting familiarity with naloxone (aPR = 1.27, 95% CI: 1.02-1.58), and those with an average higher readiness to intervene in an opioid overdose (aPR = 1.18, 95% CI: 1.04-1.33). The majority who refused (56.1%) reported not being interested; 10.1% reported that they were not worried about overdoses, and 8.2% reported that they already had naloxone. Although 83.4% agreed that naloxone is used to reverse opioid overdoses, 35.4% reportedly thought that naloxone is used to reverse the effects of cocaine or any drug. While at least half of attendees were willing to accept a naloxone kit, lack of interest and lack of knowledge about naloxone were potential barriers to carrying naloxone.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143648224","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

Fecal Immunochemical Tests (FIT) and Focus Groups: Tailoring Bilingual Cancer Screening Education. 粪便免疫化学试验（FIT）和焦点小组：剪裁双语癌症筛查教育。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-03-13 DOI: 10.1007/s10900-025-01454-w

Arman Haveric, Fiyinfolu Balogun, Jaime Gilliland, Bharat Narang, Francesca Gany

{"title":"Fecal Immunochemical Tests (FIT) and Focus Groups: Tailoring Bilingual Cancer Screening Education.","authors":"Arman Haveric, Fiyinfolu Balogun, Jaime Gilliland, Bharat Narang, Francesca Gany","doi":"10.1007/s10900-025-01454-w","DOIUrl":"https://doi.org/10.1007/s10900-025-01454-w","url":null,"abstract":"Virtual focus groups were conducted in English and in French to gather community feedback on colorectal cancer screening education materials, designed for use among immigrant and non-immigrant Black/African-American men in New York City. Participants were recruited from community health fair events, religious and cultural organizations, and an existing Community Advisory Board. Six total focus groups were conducted, four in English and two in French, with a total of 25 participants, until data saturation. Focus groups were audio recorded, transcribed, two were translated from French into English, and analyzed in NVivo software to develop and consolidate themes in participant responses. Focus groups revealed key knowledge gaps about colorectal cancer screening protocols and cancer risk heritability. Discussing racial health disparities may cause offense to some readers. Participants were interested to see root causes for racial health disparities discussed in health promotion material. Virtual focus groups can be used to gather community member feedback on health promotion materials. Real-time simultaneous language interpreting can be used if facilitator and audience do not speak the same language. Health educators should be mindful that the recommended screening age of 45 years for colorectal cancer is not generally known, and that individuals may believe that cancer is contagious. Readers may be offended by references to health disparities. Health educators should test health promotion materials with target audiences to ensure appropriateness and cultural sensitivity.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624946","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

Prevalence and Factors Associated With Consistent Contraceptive Use among Female Sex Workers in the Greater Banjul Area, The Gambia. 冈比亚大班珠尔地区女性性工作者中持续使用避孕药具的流行率和相关因素。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-03-13 DOI: 10.1007/s10900-025-01455-9

Baderinwa Omolade Abatan, Tobiloba Oyejide Alex Omotosho, Paul Bass

{"title":"Prevalence and Factors Associated With Consistent Contraceptive Use among Female Sex Workers in the Greater Banjul Area, The Gambia.","authors":"Baderinwa Omolade Abatan, Tobiloba Oyejide Alex Omotosho, Paul Bass","doi":"10.1007/s10900-025-01455-9","DOIUrl":"https://doi.org/10.1007/s10900-025-01455-9","url":null,"abstract":"Consistent contraceptive use (CCU) is an important public health intervention for the prevention and spread of STIs, as well as unintended pregnancies and abortions, especially among female sex workers (FSWs). This study determines the prevalence and identifies factors influencing CCU among FSWs in The Gambia. Utilizing a cross-sectional study design with a snowball sampling technique, respondents were recruited from various locations within the Greater Banjul Area. Data was collected using a structured questionnaire with the Research Electronic Data Capture application. Descriptive and logistic regression analyses were used to determine the prevalence and examine factors associated with CCU among FSWs. In total 429 respondents were recruited. More than 23% of FSWs reported CCU with majority being male condoms (95.3%), followed by oral contraceptive pills (56.9%), and Intra-Uterine Contraceptive Devices (54%). Results of the multivariate logistic regression analysis showed that having a boyfriend (aOR = 12.44, 95%CI: 4.30 ~ 35.94), obtaining contraceptives from Worldview International Foundation (aOR = 6.34, 95%CI: 2.21 ~ 18.14) and local pharmacy (aOR = 4.83, 95%CI: 1.75 ~ 13.32), ever used OCP (aOR = 5.82, 95%CI: 2.91 ~ 11.67), ever used natural methods (aOR = 2.26, 95%CI: 1.06 ~ 4.84), negative attitude of boyfriend toward contraceptives (aOR = 0.06, 95%CI: 0.03 ~ 0.13), and having a negative HIV test result (aOR = 0.14, 95%CI: 0.02 ~ 0.80) were significantly associated with CCU among FSWs. The study revealed a low prevalence of CCU among female sex workers in GBA. Associated factors with CCU identified in this study as well as increasing access to and education on the importance of contraceptive use should be considered when planning targeted interventions for increase in CCU uptake.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624953","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

Colorado's Health Extension Response to the COVID-19 Pandemic: A Multi-method Evaluation. 科罗拉多州对COVID-19大流行的健康扩展响应：多方法评估。

IF 3.9 3区医学

Journal of Community Health Pub Date : 2025-03-13 DOI: 10.1007/s10900-025-01458-6

Ashley Sherrill, Kimberly Wiggins, Tristen L Hall, Douglas H Fernald, L Miriam Dickinson, Gillian Grant, Hannah M Groves, Sarah Lampe, W Perry Dickinson, Matthew J Simpson

{"title":"Colorado's Health Extension Response to the COVID-19 Pandemic: A Multi-method Evaluation.","authors":"Ashley Sherrill, Kimberly Wiggins, Tristen L Hall, Douglas H Fernald, L Miriam Dickinson, Gillian Grant, Hannah M Groves, Sarah Lampe, W Perry Dickinson, Matthew J Simpson","doi":"10.1007/s10900-025-01458-6","DOIUrl":"https://doi.org/10.1007/s10900-025-01458-6","url":null,"abstract":"The purpose of this study was to evaluate the activities and impact of Colorado's health extension agents' Regional Health Connectors (RHC) in response to the COVID-19 pandemic. Health extension is gaining momentum across the U.S. with a focus on primary care practice transformation, quality improvement, and broader community health. RHCs aim to increase clinical-community alliances, particularly related to the social determinants of health. During the COVID-19 pandemic, RHC roles drastically shifted, prompting quick responses to address community needs in a public health crisis. We conducted longitudinal, twice-monthly surveys with both quantitative and qualitative responses to better understand which needs RHCs were responding to and how they were responding in communities, primary care practices, and public health organizations. Nine electronic surveys were sent to RHCs from April to August 2020: eight standardized questionnaires administered every two weeks and one final retrospective questionnaire. Analyses using mixed effects logistic model and grounded theory approaches explored the nature of RHC-partner interactions and perceived impacts. Within each region, RHCs worked with primary care practices, local public health agencies, and community organizations to help coordinate the COVID-19 response. Broadly speaking, RHCs assisted with COVID-19 testing and contact tracing, communicated the latest information and recommendations to numerous partners, assisted practices and organizations in addressing social needs, and worked to enhance access to mental health and telehealth services. Partner needs were significantly related to the RHCs host organization. This highlights the roles that health extension programs may play during a public health emergency, such as the COVID-19 pandemic.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624942","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