Journal of Community Health最新文献_第8页

A Community Grounded Approach to Addressing COVID-19 Health Disparities and Misinformation in Latinx and Indigenous Mexican Immigrant Communities. 以社区为基础的方法解决拉丁裔和墨西哥土著移民社区的COVID-19健康差异和错误信息。

IF 2.1 3区医学

Journal of Community Health Pub Date : 2026-07-25 DOI: 10.1007/s10900-026-01615-5

Noah Baltrushes, Ashley Trinidad, Evelyn Vázquez, Elena Kozlova, María Pozar, Ann Marie Cheney

{"title":"A Community Grounded Approach to Addressing COVID-19 Health Disparities and Misinformation in Latinx and Indigenous Mexican Immigrant Communities.","authors":"Noah Baltrushes, Ashley Trinidad, Evelyn Vázquez, Elena Kozlova, María Pozar, Ann Marie Cheney","doi":"10.1007/s10900-026-01615-5","DOIUrl":"https://doi.org/10.1007/s10900-026-01615-5","url":null,"abstract":"The COVID-19 pandemic disproportionately impacted historically marginalized populations, especially low-income Latinx and Indigenous Mexican immigrant communities in the United States. These groups face persistent structural and social obstacles to health, such as limited healthcare access, language barriers, and concern regarding immigration status, that contribute to institutional mistrust, health misinformation, and reduced COVID-19 vaccine uptake, deepening existing public health disparities. This mixed-methods study utilized a community-based participatory research (CBPR) approach to address vaccine hesitancy among Latinx and Indigenous Mexican farmworkers in the Eastern Coachella Valley, a rural desert region in Inland Southern California. A toolkit, featuring a mural, mini-documentary, and community talks, was developed and implemented to promote COVID-19 vaccination. Pretest and posttest surveys were conducted with 94 community members and three focus groups with 39 total participants provided qualitative feedback on the intervention. The intervention reduced belief in COVID-19 misinformation and increased trust in institutions (p < 0.001, p < 0.001). However, no significant improvements were found in reducing fear and insecurity surrounding vaccination or English-language confidence (p = 0.557, p = 0.292). Focus group feedback highlighted structural inequalities as contributors to mistrust in healthcare and vaccine hesitancy. Community-based interventions tailored to cultural and linguistic contexts show promise in reducing misinformation and improving institutional trust in marginalized communities. However, deeper structural inequities, such as racism and economic instability, must be addressed to reduce vaccine hesitancy in vulnerable and marginalized communities.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591925","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

Food Neophobia and Orthorexia Nervosa Tendency in Medical Students: Cross-Sectional Analysis of Associations with Perceived Stress. 医学生的新食物恐惧症和正食症倾向：与感知压力相关的横断面分析。

IF 2.1 3区医学

Journal of Community Health Pub Date : 2026-07-25 DOI: 10.1007/s10900-026-01608-4

Mubashir Zafar, Alshaymaa Sayedalameen, Reham Alshammari, Goot Bandar Almuaddi, Nadeen Alnassar, Haifa Ateyah Alenezi, Abdulaziz Yousef Abdulrahman Alshammari, Aqeel Fhaid Al Shammari, Ali Hussain G Alshammari, Nawaf Tariq AlQufaydi

{"title":"Food Neophobia and Orthorexia Nervosa Tendency in Medical Students: Cross-Sectional Analysis of Associations with Perceived Stress.","authors":"Mubashir Zafar, Alshaymaa Sayedalameen, Reham Alshammari, Goot Bandar Almuaddi, Nadeen Alnassar, Haifa Ateyah Alenezi, Abdulaziz Yousef Abdulrahman Alshammari, Aqeel Fhaid Al Shammari, Ali Hussain G Alshammari, Nawaf Tariq AlQufaydi","doi":"10.1007/s10900-026-01608-4","DOIUrl":"https://doi.org/10.1007/s10900-026-01608-4","url":null,"abstract":"Medical students are at elevated risk for disordered eating behaviours due to heightened health consciousness and academic-related psychological stress. This study examined the prevalence and correlates of food neophobia and orthorexia nervosa (ON) tendency among Saudi medical students. A cross-sectional study was conducted among 273 medical students at the University of Hail College of Medicine. Food neophobia was assessed using the Food Neophobia Scale (FNS), and ON tendency was measured using the ORTO-15 questionnaire. Bivariate associations were examined using Spearman's correlation, the Mann-Whitney U test, and chi-square test. Binary logistic regression identified independent predictors of ON tendency. The mean FNS score was 36.3 ± 10.4, with 59.7% of students classified as moderately neophobic. Using the ORTO-15 screening threshold (< 40), ON tendency was identified in 68.9% of participants (mean ORTO-15 score: 37.0 ± 4.4); these findings represent screening-level results and should not be interpreted as confirmed ON prevalence. Female students demonstrated significantly higher FNS scores than males (37.4 vs. 34.8; p = 0.034). Perceived stress was inversely correlated with ORTO-15 scores (rs = - 0.186; p = 0.002). FNS and ORTO-15 scores were not significantly correlated (rs = - 0.063; p = 0.300). Binary logistic regression identified perceived stress as the sole independent predictor of ON tendency (OR = 1.493; 95% CI: 1.003-2.223; p = 0.048). A high proportion of students screened positive for ON tendency, independently associated with perceived psychological stress. Food neophobia showed no significant association with ON tendency. Integrating psychological stress screening and dietary behaviour assessment into student health programmes may support medical student wellbeing.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591900","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

Quality and Reliability of YouTube Videos on Earthquake Preparedness: A Cross-Sectional Analysis. YouTube地震防备视频的质量和可靠性：一项横断面分析。

IF 2.1 3区医学

Journal of Community Health Pub Date : 2026-07-25 DOI: 10.1007/s10900-026-01603-9

Mehtap Kılıç Yıldız, Cüneyt Çalışkan

{"title":"Quality and Reliability of YouTube Videos on Earthquake Preparedness: A Cross-Sectional Analysis.","authors":"Mehtap Kılıç Yıldız, Cüneyt Çalışkan","doi":"10.1007/s10900-026-01603-9","DOIUrl":"https://doi.org/10.1007/s10900-026-01603-9","url":null,"abstract":"Earthquakes have caused devastating impacts throughout history, highlighting the growing importance of pre-disaster risk management. With the increasing use of digital technologies, social media platforms such as YouTube have become widely used sources of information on earthquake preparedness. However, the quality and reliability of such content remain questionable. This study aimed to evaluate the quality, reliability, and content of YouTube videos related to earthquake preparedness. In this cross-sectional study, the top 100 most-viewed videos for the keywords \"earthquake preparedness\" and \"earthquake safety information\" were analyzed on January 19, 2026. After applying eligibility criteria, 72 videos were included. Video quality and reliability were assessed using the Global Quality Scale (GQS) and modified DISCERN (mDISCERN), while popularity was measured through view rate and the Video Power Index (VPI). Content analysis and non-parametric statistical tests were performed. The findings showed that the overall quality and reliability of videos were low to moderate. Longer videos tended to have higher quality and reliability scores, whereas engagement metrics did not reflect content quality. These results indicate a need to improve the availability of accurate, evidence-based, and practical earthquake preparedness information on digital platforms.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148592000","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

Evaluating the Sociocultural Barriers Impacting Cervical and Breast Cancer Screening Among Nepali and Bhutanese Women in the Dallas-Fort Worth Metroplex. 评价影响达拉斯-沃斯堡大都会区尼泊尔和不丹妇女宫颈癌和乳腺癌筛查的社会文化障碍。

IF 2.1 3区医学

Journal of Community Health Pub Date : 2026-07-25 DOI: 10.1007/s10900-026-01611-9

Madeline Neff, Allison Powell, Kristina Kafle, Catalina Beltran, Sara Al-Sammarie, Melody Nguyen, Rafael do Valle, Kristen Miguel, Amany K Hassan

{"title":"Evaluating the Sociocultural Barriers Impacting Cervical and Breast Cancer Screening Among Nepali and Bhutanese Women in the Dallas-Fort Worth Metroplex.","authors":"Madeline Neff, Allison Powell, Kristina Kafle, Catalina Beltran, Sara Al-Sammarie, Melody Nguyen, Rafael do Valle, Kristen Miguel, Amany K Hassan","doi":"10.1007/s10900-026-01611-9","DOIUrl":"https://doi.org/10.1007/s10900-026-01611-9","url":null,"abstract":"Despite widely accessible screening, cervical and breast cancer remain prevalent diseases, especially amongst Nepali women. The Dallas-Fort Worth Metroplex in Texas is home to one of the largest Nepali immigrant communities in the United States. This study seeks to understand barriers preventing this population from accessing preventative reproductive healthcare. A mixed-methods survey assessing health beliefs and reproductive cancer screening utilization was completed in English by 58 women and in Nepali by 4 women. Despite most participants reporting knowledge of the importance of reproductive cancer screening (94% breast cancer, 87% cervical cancer, 74% HPV), the rates of receiving obstetric and gynecologic care in the past year (57%), receiving a cervical exam (42%), breast exam (29%), and history of HPV vaccination (47%) were low in comparison. One-way ANOVA showed a significant difference in reproductive health knowledge and having ever seen an OBGYN (p = .018). Education did not correlate with cancer screening behavior as measured by the Health Belief Model (Susceptibility: p = 0.091, Severity: p = 0.141, Barriers: p = 0.38, Benefits: p = 0.22). Free-response results yielded comments about modesty, cultural competency, and praise for the American healthcare system as it compares to foreign medical systems. There is a discrepancy between the DFW Nepali immigrant community's reproductive knowledge and their reproductive healthcare utilization. Healthcare providers in DFW should consider exam modification and community outreach to encourage Nepali women to receive cancer screenings and ultimately reduce morbidity and mortality of reproductive cancers in this population.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148591904","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

Effectiveness of a Community Health Worker-Delivered Depression Intervention for Uninsured Latine Immigrants. 社区卫生工作者对无保险拉丁移民抑郁干预的有效性。

IF 2.1 3区医学

Journal of Community Health Pub Date : 2026-06-01 Epub Date: 2025-12-22 DOI: 10.1007/s10900-025-01542-x

Mayra L Sánchez González, Monica Guerrero Vazquez, Marzena Maksym, Manuela Dorado Novoa, Sarah Polk

{"title":"Effectiveness of a Community Health Worker-Delivered Depression Intervention for Uninsured Latine Immigrants.","authors":"Mayra L Sánchez González, Monica Guerrero Vazquez, Marzena Maksym, Manuela Dorado Novoa, Sarah Polk","doi":"10.1007/s10900-025-01542-x","DOIUrl":"10.1007/s10900-025-01542-x","url":null,"abstract":"Access to evidence-based mental health care remains limited for Latine immigrants. We tested the effectiveness of an evidence-based intervention, Strong Minds, delivered by community-health workers (CHWs) for improving depression symptoms. We used a single-arm pretest-posttest design to evaluate the effectiveness of Strong Minds in a sample of uninsured, Spanish-speaking, Latine immigrant adults recruited between October 7, 2020, and December 6, 2024. The intervention, adapted from cognitive behavioral therapy, includes 10 individual sessions. We performed a longitudinal analysis using linear mixed-effects models to estimate the trajectories of depression symptoms across five time points: baseline and sessions 1, 3, 6, and 9. Effectiveness was determined by changes in depression symptoms (PROMIS Depression 8a), and as a secondary outcome, changes in anxiety symptoms (PROMIS Anxiety 7a). We also analyzed potential selection bias by evaluating differences in baseline scores between participants who completed and discontinued participation. Of the 129 participants enrolled in the intervention (mean age, 39 years), 73 (56.6%) completed it (defined as attending at least 8 of 10 sessions). Completing the intervention was associated with improved symptoms of depression and anxiety. Participants with greater symptoms of depression at baseline were more likely than those with less severe symptoms to complete the intervention. These results add to the growing body of evidence in the United States that CHW-delivered mental health interventions are effective. Nonetheless, research is needed to rigorously demonstrate that CHW-delivered interventions are an equitable, clinically effective, sustainable, and scalable alternative to traditional models of mental health care.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"367-374"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145810086","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

Greater Patient Adherence with Point-of-Care Services in Medical Student-Run Multispecialty Free Clinics. 在医学生经营的多专科免费诊所中，患者对护理点服务的依从性更高。

IF 2.1 3区医学

Journal of Community Health Pub Date : 2026-06-01 Epub Date: 2026-03-27 DOI: 10.1007/s10900-026-01572-z

Samuel Hochberger, Jonathan Harrison, Camille Marangi, Felisa Michael, Timothy Jeng, Morgan Leonard, Ana-Lucia Garcia-Guarniz, Tina M Burton

{"title":"Greater Patient Adherence with Point-of-Care Services in Medical Student-Run Multispecialty Free Clinics.","authors":"Samuel Hochberger, Jonathan Harrison, Camille Marangi, Felisa Michael, Timothy Jeng, Morgan Leonard, Ana-Lucia Garcia-Guarniz, Tina M Burton","doi":"10.1007/s10900-026-01572-z","DOIUrl":"10.1007/s10900-026-01572-z","url":null,"abstract":"We conducted a retrospective chart review of 210 patients seen at the multispecialty medical student run free clinics (MSRFCs) at Clínica Esperanza/Hope Clinic (CEHC) over a one-year period. Completion rates and latency to completion of internal and external laboratory testing and specialty referrals were compared. Internal laboratory completion rates were found to be significantly higher (94/107, 88.0%) compared to external laboratory testing (26/64, 41.0%; p < 0.05). The median latency time until laboratory completion was significantly faster using point-of-care (POC) testing (0.6 days) compared to external lab testing (19.4 days; p < 0.05). Internal referral completion rates were also found to be significantly higher (23/45, 51.0%; p < 0.05) compared to external referrals (17/61, 28.0%; p < 0.05). The mean latency time until internal referral completion was significantly faster compared to external referrals (45.1 days vs. 132 days; p < 0.05). Our study shows higher patient adherence to POC lab testing and internal referral services, suggesting they are more effective methods of healthcare delivery than external services for patients served by MSRFCs.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"526-533"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147529694","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

Human Papillomavirus Vaccine Uptake and its Determinants among Parents of Adolescent Girls in Tanga city, Tanzania. 坦桑尼亚坦噶市少女父母对人乳头瘤病毒疫苗的摄取及其决定因素

IF 2.1 3区医学

Journal of Community Health Pub Date : 2026-06-01 Epub Date: 2026-01-07 DOI: 10.1007/s10900-026-01550-5

Meshack Morice, Mangilo Aboubakar Cedric, Jackton Abesiga Mushendwa, Munira Aliraza Gulamhussein, Amina Killo Lussewa, Pokah Lugano Mwandenga, Noel Joseph Makinga

{"title":"Human Papillomavirus Vaccine Uptake and its Determinants among Parents of Adolescent Girls in Tanga city, Tanzania.","authors":"Meshack Morice, Mangilo Aboubakar Cedric, Jackton Abesiga Mushendwa, Munira Aliraza Gulamhussein, Amina Killo Lussewa, Pokah Lugano Mwandenga, Noel Joseph Makinga","doi":"10.1007/s10900-026-01550-5","DOIUrl":"10.1007/s10900-026-01550-5","url":null,"abstract":"Human papillomavirus (HPV) is the leading cause of cervical cancer, a major public health challenge in Tanzania. National and global efforts continue to prioritise HPV vaccination; however, coverage remains suboptimal. In Tanga City, no prior data exists on HPV vaccine uptake. This study assesses HPV vaccine uptake and factors influencing parental acceptance among girls aged 9-14 years. A community-based cross-sectional study was conducted among 409 parents or guardians selected through multistage cluster sampling. Data were collected using structured interviewer-administered questionnaires. Descriptive statistics determined uptake, while bivariate and multivariate logistic regression were used to identify predictors of HPV vaccine uptake, with significance set at p < 0.05. HPV vaccine uptake was 57.2%. Parental age < 30 years (AOR = 0.411; 95% CI: 0.221-0.765), secondary education (AOR = 0.340; 95% CI: 0.124-0.930) and living within 5 km of a vaccination point (AOR = 0.478; 95% CI: 0.246-0.929), were associated with lower uptake, while being married and school-based vaccination increased uptake (AOR = 2.898; 95% CI: 1.723-4.876; AOR = 10.275; 95% CI: 5.518-19.133). Knowledge, attitudes, and healthcare worker recommendation showed no significant association in the multivariate model. HPV vaccine uptake in Tanga remains below national and global targets (90%). Parental demographics, access-related factors, and school-based delivery play a central role in uptake. Strengthening school-based vaccination, enhancing parent engagement, particularly among younger and more educated parents, and addressing contextual barriers may improve coverage and contribute to cervical cancer prevention efforts in Tanzania.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"378-385"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911851","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

Correction: Assessing HPV Awareness and Knowledge in Future Health Professionals: A Survey of Health Science Students in Iran. 修正：评估未来卫生专业人员的HPV意识和知识：对伊朗卫生科学专业学生的调查。

IF 2.1 3区医学

Journal of Community Health Pub Date : 2026-06-01 DOI: 10.1007/s10900-025-01532-z

Arash Letafati, Shima Sadeghipour Marvi, Abuzar Nikzad, Mahdiyeh Soltani, Negar Zafarian, Zeynab Baghaei, Tahmine Mohammad Hosseini, Sheida Sarrafzadeh, Angila Ataei Pirkooh, Seyed Mohammad Jazayeri

引用次数: 0

Acceptability and Feasibility of Home-Based Human Papillomavirus Self-Testing as Primary Screening for Cervical Cancer Detection in the State of Alabama. 在阿拉巴马州，以家庭为基础的人乳头瘤病毒自我检测作为宫颈癌检测的初级筛查的可接受性和可行性。

IF 2.1 3区医学

Journal of Community Health Pub Date : 2026-06-01 Epub Date: 2026-03-06 DOI: 10.1007/s10900-026-01554-1

Van Thi Ha Nghiem, Shelita Smith, James Shi, Alexandra McBrayer, Claudia Hardy, Akila Subramaniam, Kevin Fontaine, Renee Heffron, Andrzej Kulczycki

{"title":"Acceptability and Feasibility of Home-Based Human Papillomavirus Self-Testing as Primary Screening for Cervical Cancer Detection in the State of Alabama.","authors":"Van Thi Ha Nghiem, Shelita Smith, James Shi, Alexandra McBrayer, Claudia Hardy, Akila Subramaniam, Kevin Fontaine, Renee Heffron, Andrzej Kulczycki","doi":"10.1007/s10900-026-01554-1","DOIUrl":"10.1007/s10900-026-01554-1","url":null,"abstract":"Alabama has the highest cervical cancer mortality and sixth highest incidence rates nationwide. We assessed the acceptability and feasibility of at-home HPV self-testing for cervical cancer screening in Alabama. Eligible women (ages 30-64y, no Pap last 3.5y, not being pregnant, no hysterectomy history, and satisfying either rural residency or being African American) were recruited by community health workers (CHW), foodbanks, churches, and trusted relationships in targeted communities. Participants received a mailed package including an Evalyn® HPV self-test kit (for analysis against high-risk (HR) HPV-16, -18, and -other HR-groups); and a questionnaire seeking information on health literacy, healthcare experience and attitudes about the HPV self-testing. CHWs recruited 86% of participants. Thirty-five (60%) out of 58 consented-to-participate women returned the completed questionnaires and test kits. Half reported having public insurance, a quarter were uninsured. Half had > 5 sex partners. About 40-77% had incorrect answers to HPV knowledge questions. Ten participants (29%) reported having little trust in doctors. Over 90% of the self-collected samples were analyzable. Three samples were positive with HR-16 and -18 (received referral information for follow-up) but either negative or invalid with other HR-groups, and 29 tests were negative for all HR-groups. Almost all participants (94%) were comfortable with receiving test-kits via mail, and most (83%) preferred home- to clinic-based screening. Overall, HPV self-testing was acceptable among women recruited in community setting. Health literacy, medical trust, and the CHW role can be emphasized in future work to promote HPV self-testing to eliminate cervical cancer.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"445-455"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13223600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147365293","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

Effectiveness of Home Hazard Assessment and Environmental Modification on Fall-Related Outcomes in Older Adults: A Systematic Review and Meta-analysis. 家庭危害评估和环境改造对老年人跌倒相关结果的有效性：系统回顾和荟萃分析。

IF 2.1 3区医学

Journal of Community Health Pub Date : 2026-06-01 Epub Date: 2026-03-24 DOI: 10.1007/s10900-026-01551-4

Rista Fauziningtyas, Inge Dhamanti, Sylvia Dwi Wahyuni, Trihaningsih Puji Astuti, Desi Novitasari, Mei-Chan Chong

{"title":"Effectiveness of Home Hazard Assessment and Environmental Modification on Fall-Related Outcomes in Older Adults: A Systematic Review and Meta-analysis.","authors":"Rista Fauziningtyas, Inge Dhamanti, Sylvia Dwi Wahyuni, Trihaningsih Puji Astuti, Desi Novitasari, Mei-Chan Chong","doi":"10.1007/s10900-026-01551-4","DOIUrl":"10.1007/s10900-026-01551-4","url":null,"abstract":"Falls are a major public and environmental health concern among older adults, frequently associated with hazardous home environments, thereby undermining the achievement of SDG 3 by increasing morbidity, injuries, and healthcare burden. Although home hazard assessment and environmental modification are widely recommended for fall prevention and creating age-friendly homes, evidence regarding their effectiveness remains inconsistent. This systematic review and meta-analysis aimed to evaluate the effects of home hazard assessment and environmental modification on fall-related outcomes among community-dwelling older adults. A systematic search was conducted in five databases (Cochrane Library, PubMed, Scopus, ProQuest, and Web of Science) from July to August 2025. Randomised controlled trials involving adults aged more than 60 years were included. Outcomes assessed were fall incidence, fall-related injury events, and medically attended falls. Risk of bias was evaluated using the RoB 2 tool. Pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using fixed- and random-effects models as appropriate. Ten randomized controlled trials involving 3,191 participants were included. Home hazard assessment and modification significantly reduced fall incidence (OR = 0.69; 95% CI: 0.59-0.79) and medically attended fall events (OR = 0.59; 95% CI: 0.37-0.93). However, a modest increase in reported fall-related injury events was observed (OR = 1.19; 95% CI: 1.01-1.41), likely reflecting improved surveillance and reporting. Home hazard assessment and environmental modification effectively reduce falls and fall-related healthcare utilization among community-dwelling older adults and should be integrated into community-based fall prevention strategies and age-friendly housing policies.","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"513-525"},"PeriodicalIF":2.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512505","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