Luke Manietta, Sarah McLaughlin, Matthew MacArthur, Jack Landmann, Chesmi Kumbalatara, Madeleine Love, Justin McDaniel
{"title":"Exploring Veteran Mental Health Disparities: A Comparative Analysis of Rural and Urban Communities in the Midwest of the United States.","authors":"Luke Manietta, Sarah McLaughlin, Matthew MacArthur, Jack Landmann, Chesmi Kumbalatara, Madeleine Love, Justin McDaniel","doi":"10.1007/s10900-024-01408-8","DOIUrl":"10.1007/s10900-024-01408-8","url":null,"abstract":"<p><p>Veterans face unique mental health challenges influenced by their service experiences and post-military transitions into civilian life. Geographic location also plays an integral role in impacting veterans' outcomes and access to proper care. The purpose of this case study is to examine disparities between rural and urban veterans in the Midwest using data collected from the 2022 Behavioral Risk Factor Surveillance System (BRFSS). Self-reported bad mental health days among veterans in rural and urban regions across twelve Midwestern states were analyzed through direct rate estimation and small area estimation techniques utilizing RStudio software. Higher rates of poor mental health days were ultimately observed among urban veterans in most states through both analyses. The results of the direct rate analysis revealed 13.5% of veterans reporting 14 + poor mental health days per month versus 9.5% in rural areas. Likewise, the results of the small area analysis demonstrated 12.2% of veterans reporting 14 + days of poor mental health days per month in urban areas versus 9.8% in rural areas. This highlights the significance of environmental stressors and social determinants of health in differentially impacting mental health outcomes. Thus, tailored interventions utilizing interdisciplinary teams are needed to meet the unique barriers for veterans in different geographic contexts. Despite the cross-sectional nature of the study and reliance on self-reported data, this case study provides valuable insights for mental health disparities among Midwest veterans. Creating a more equitable and accessible mental health landscape for veterans will require targeted and collaborative approaches.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"172-177"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142375518","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}
Shawnta L Lloyd, Kelvin Lamonte Williams, Goldie S Byrd
{"title":"Exploring Trust in Research Among Black American Men at a Health Promotion Symposium in Rural North Carolina.","authors":"Shawnta L Lloyd, Kelvin Lamonte Williams, Goldie S Byrd","doi":"10.1007/s10900-024-01399-6","DOIUrl":"10.1007/s10900-024-01399-6","url":null,"abstract":"<p><p>Despite efforts to diversify research and health programs, Black American men remain a \"hard-to-reach\" population while collectively suffering from some of the worst health outcomes in the United States. Faith- and community-based approaches have shown potential to engage Black Americans in health promotion and health research activities. The purpose of this article is to examine health research participation and trust in research among a sample of Black American men in rural North Carolina who attended a community-based health symposium, culturally tailored for Black American men (n = 112). A cross-sectional survey was administered among men to learn about health status, health concerns, and perception of health research. Among 106 men who completed the survey, most reported no prior participation in health research (68.87%), but almost a third of men reported interest in participating in health research. No significant differences in trust in research was found based on interest in research participation (interested in research participation, not interested in research participation, no response), presenting an opportunity to increase the trustworthiness of medical institutions and build relationships with this population. These findings will inform future research and health programming for Black American men in rural locations.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"120-129"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142145763","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}
Deborah B Marin, Vanshdeep Sharma, Zorina Costello, Vilma Prieto, Jonathan DePierro, Sydney Starkweather, Mimsie Robinson, Desna Goulbourne, Lina Jandorf
{"title":"Sustainability and Adaptability of a Community Health Advisor-Led Educational Program in Faith-Based Organizations in Underserved Communities during the COVID-19 Pandemic.","authors":"Deborah B Marin, Vanshdeep Sharma, Zorina Costello, Vilma Prieto, Jonathan DePierro, Sydney Starkweather, Mimsie Robinson, Desna Goulbourne, Lina Jandorf","doi":"10.1007/s10900-024-01397-8","DOIUrl":"10.1007/s10900-024-01397-8","url":null,"abstract":"<p><p>The COVID-19 pandemic caused unprecedented disruption in all activities, especially those related to group gatherings. During the lockdown period, faith-based organizations, which are resources for both religious and health promotion activities, had to develop alternative strategies to meet those goals. The purpose of this paper is to describe the sustainability of M.I.C.A.H. Project HEAL, a partnership between an academic medical center and faith-based organizations in underserved communities in New York City, during the initial pandemic lockdown period. The use of virtual platforms facilitated Community Health Advisors (CHAs) in 13 organizations to conduct 47 health education workshops, reaching over 800 participants. Reliance on virtual platforms continued after in person gatherings were permitted. These data further support the benefits of academic partnerships with faith-based organizations to provide timely health information during a public health crisis.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"81-86"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142132887","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 Systematic Review of Interventions to Promote Cervical Cancer Screening among Immigrant Vietnamese Women.","authors":"Jacqueline Hua, Kristopher Jackson","doi":"10.1007/s10900-024-01395-w","DOIUrl":"10.1007/s10900-024-01395-w","url":null,"abstract":"<p><p>Vietnamese women have a higher incidence rate of cervical cancer and are less likely to have ever been screened for cervical cancer than their White counterparts in the US. This review synthesizes findings from published interventions to promote cervical cancer screening in this vulnerable population. Articles were identified through a systematic search of PsycInfo, Embase, Pubmed, Web of Science, and the Cochrane Register of Controlled Trials in October 2022. Articles were included if they were published in a peer-reviewed journal, written in English, included one or more interventions promoting cervical cancer screening, assessed at least one outcome relevant to screening, and included a sample of ≥ 70% Vietnamese participants. Quality assessment scores were computed using the Downs and Black Checklist. Fifteen articles met review inclusion criteria. Studies were, on average, of good quality. Most studies were conducted in the US (n = 12), used a quasi-experimental design (n = 9), and employed multiple intervention strategies (n = 12). Intervention strategies included educational sessions, lay health worker (LHW) outreach, small media, mass media, patient navigation, and community or healthcare-based strategies. The most common study outcomes were screening intention and receipt. All but two studies reported improved cervical cancer screening outcomes following intervention. Findings support the effectiveness of multicomponent culturally tailored interventions to improve cervical cancer screening outcomes in immigrant Vietnamese women. Further research is needed to determine whether these interventions will be as successful in non-US countries and to address broader community- and healthcare-based factors in screening.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"187-198"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142072991","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":"Addressing Veterans' Mental Health in Community-Based Care.","authors":"Colleen Bloeser","doi":"10.1007/s10900-024-01410-0","DOIUrl":"10.1007/s10900-024-01410-0","url":null,"abstract":"<p><p>United States Veterans are at an elevated risk for suicide despite the expansion of public outreach initiatives. Department of Veterans Affairs (VA) health care centers may not be accessible to a large proportion of Veterans, but on the other hand, community-based physicians often do not feel they have tools to meet these patients' unique needs. This issue may be addressed via collaboration between VA and community-based providers to develop military cultural competence alongside increased education on the breadth of resources available to Veteran patients.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"1-2"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142347901","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":"Socioecological Predictors of Resilience in Sexual and Gender Minority Individuals.","authors":"Dana L Surwill, Jennifer R Pharr","doi":"10.1007/s10900-024-01398-7","DOIUrl":"10.1007/s10900-024-01398-7","url":null,"abstract":"<p><p>Many factors affect an individual's resilience. Low resilience has been attributed to increased stress, anxiety, depression, and suicidality within the LGBTQIA + population, which is heightened compared to different populations. This study identifies predictors of resilience in the LGBTQIA + population and aims to identify predicting factors at all levels of the socioecological model. This was a cross-sectional study of data from a web-based survey that was conducted from January to February 2022. A national sample of 1033 LGBTQIA + adults was utilized for hierarchical regression analysis. Hierarchical regression analyses were performed for total resilience, which had an average score of 143.66 (SD = 33.88) and accounted for 53.4% of resiliency variance. Factors that were found to decrease an individuals resiliency score were depression, stress, suicidality, and isolation discrimination distress. Factors found to increase an individuals resiliency scores are college graduate 4 years+, married, outness, personal comfortability with being SGM, gender expression discrimination distress, and vicarious discrimination distress. Understanding the factors that influence resilience is vital to improving the resilience of the LGBTQIA + communities. Interventions that focus on decreasing depression, stress, and suicidality may be particularly impactful for all types of resilience.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"87-97"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142132886","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}
Evelyn Tran, María Cabán, Alicia Meng, John Wetmore, Ruth Ottman, Karolynn Siegel
{"title":"Beliefs About the Causes of Alzheimer's Disease Among Latinos in New York City.","authors":"Evelyn Tran, María Cabán, Alicia Meng, John Wetmore, Ruth Ottman, Karolynn Siegel","doi":"10.1007/s10900-024-01386-x","DOIUrl":"10.1007/s10900-024-01386-x","url":null,"abstract":"<p><p>Latinos face health disparities in Alzheimer's disease (AD), with high disease prevalence relative to non-Latino whites and barriers to healthcare access. Several studies have found misconceptions about AD among Latinos that were linked to reduced preventative or help-seeking behavior. To improve understanding of illness perceptions among Latinos, we examined beliefs about the causes of AD, one of the five dimensions of illness representations from Leventhal's Self-Regulation Theory, among a sample of N = 216 Latinos. We conducted in-depth, semi-structured interviews with participants aged 40 to 64 (average age 53 years) living in northern Manhattan. Seven distinct causes of AD were identified, though participants demonstrated a general understanding of AD as a multifactorial disease. Genetics was found to be the most endorsed cause of AD, followed by unhealthy lifestyle factors. Most Latinos who believed psychosocial factors played a critical role in AD development were first-generation immigrants. No participants attributed AD to a normal process of aging, and few ascribed the disease to brain damage from stroke or head injuries. Several participants expressed the belief that environmental contaminants can cause AD, which has received little mention in prior studies. Though only a small number thought AD could occur by chance, most participants remained uncertain about the exact causes of the disease and used lay knowledge to explain their beliefs. Our findings help identify areas where educational interventions would be beneficial in improving community knowledge and offer perspectives that can foster cultural competency in healthcare.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"10-22"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142046691","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}
Noah Lenstra, Heather Franklin, Nathan F Dieckmann, Elena Andreyeva, Jay Maddock, Rebecca A Seguin-Fowler, Jim Winkle, Cynthia K Perry
{"title":"Assessing the Readiness of Rural Public Librarians to Implement Public Health Programs.","authors":"Noah Lenstra, Heather Franklin, Nathan F Dieckmann, Elena Andreyeva, Jay Maddock, Rebecca A Seguin-Fowler, Jim Winkle, Cynthia K Perry","doi":"10.1007/s10900-024-01402-0","DOIUrl":"10.1007/s10900-024-01402-0","url":null,"abstract":"<p><p>Although health promotion is not the primary function of public libraries, it is well documented that many libraries engage in health promotion activities, even when resources are constrained. Less understood is the readiness of the public library workforce, particularly in rural communities, to implement evidence-based health promotion programs. This study uses a modified version of the Competency Assessment for Tier 2 Public Health Professionals to assess the readiness of a small sample (n = 21) of Oregon rural library managers to implement evidence-based health initiatives. Results show that outside of communication skills, most rural library workers do not consider themselves to have proficiency in core health promotion competencies. Although some slight differences were found among librarians based on socio-demographic factors, those differences were not statistically significant. Implications include the need for strengthened support to build the capacity for rural public library workers who are interested in delivering evidence-based health promotion programs.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"152-158"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142145761","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":"Messaging Preferences about the COVID-19 Vaccine among Adults in Eastern North Carolina.","authors":"Abby J Schwartz, Alice R Richman, Essie Torres","doi":"10.1007/s10900-024-01396-9","DOIUrl":"10.1007/s10900-024-01396-9","url":null,"abstract":"<p><p>Racially and ethnically diverse populations and individuals residing in rural areas were disproportionally impacted by the coronavirus pandemic, and Eastern North Carolina (ENC) is one region where such impacts were apparent. To understand at-risk individuals' perceptions and hesitancy to COVID-19 vaccines and the preferred means of receiving vaccination-related messages, we conducted four qualitative focus groups (N = 40) with diverse rural ENC residents. The analysis of the focus group transcripts revealed five themes: (1) reasons people trusted the COVID-19 vaccines, (2) reasons people mistrusted the COVID-19 vaccines, (3) the best means to deliver messages regarding COVID-19 vaccination, (4) the individuals trusted most to deliver such messages, and (5) the decisions people made regarding whether to get vaccinated and how that was connected to God. By incorporating participant perspectives and preferences in receiving messaging into campaigns, there is a potential for greater vaccine uptake.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"71-80"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142132885","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}
Leandra Bitterfeld, Mustafa Ozkaynak, Andrea H Denton, Cornelius A Normeshie, Rupa S Valdez, Noor Sharif, Priscilla A Caldwell, Fern R Hauck
{"title":"Interventions to Improve Health Among Refugees in the United States: A Systematic Review.","authors":"Leandra Bitterfeld, Mustafa Ozkaynak, Andrea H Denton, Cornelius A Normeshie, Rupa S Valdez, Noor Sharif, Priscilla A Caldwell, Fern R Hauck","doi":"10.1007/s10900-024-01400-2","DOIUrl":"10.1007/s10900-024-01400-2","url":null,"abstract":"<p><p>Refugees arriving to the U.S. experience a high burden of both communicable and non-communicable diseases. There is a potential to improve health outcomes for refugees through well-developed, comprehensive interventions, but the effectiveness of such interventions is poorly understood. The purpose of this review is to identify, characterize and evaluate the effectiveness of patient-level healthcare interventions for U.S. refugee populations. We conducted a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Medline via PubMed, Web of Science, Embase, and CINAHL were searched for articles that included a population of refugees of any age, included an intervention aimed at improving health, included an evaluation of the intervention's outcomes, and were conducted in the U.S. from 2000 to 2022. Thirty-seven studies were included, and we identified three main intervention modalities: healthcare provision/management, resource provision, and education. Interventions targeted general health, infectious disease, women's health, diet/exercise, health literacy, oral health, diabetes, family health, and substance use. The outcomes measured included knowledge, satisfaction, behavioral outcomes, and physical health markers. This review demonstrates that a few health conditions, namely tuberculosis, have been addressed with large-scale, sustained interventions. Other conditions (general health and women's health) have been addressed through piecemeal, short-term interventions. The evaluation of interventions often focuses on knowledge or satisfaction rather than health or behavior change outcomes. Future work should focus on the best strategies for developing sustainable interventions that meet the needs of the diverse population of refugees in the U.S.</p>","PeriodicalId":15550,"journal":{"name":"Journal of Community Health","volume":" ","pages":"130-151"},"PeriodicalIF":3.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142145764","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}