Journal of public health management and practice : JPHMP最新文献

{"title":"Retrospective Evaluation of the Short-Term Sustainability of the Locally Grown Produce Initiative of the Hunger Prevention and Nutrition Assistance Program in New York State.","authors":"Marie A K Allsopp,&nbsp;Akiko S Hosler","doi":"10.1097/PHH.0000000000000785","DOIUrl":"https://doi.org/10.1097/PHH.0000000000000785","url":null,"abstract":"<p><strong>Context: </strong>The Hunger Prevention and Nutrition Assistance Program (HPNAP) is a New York State Department of Health program. The HPNAP improves nutritional quality of food available at food banks, food pantries, soup kitchens, and emergency shelters through contractual relationships to fund the purchase, delivery, storage, and service of nutritious food.</p><p><strong>Objective: </strong>To determine whether a one-time fiscal stimulus of the Locally Grown Produce Initiative to HPNAP contractors in 2012-2013 would result in a short-term sustainable increase in the proportion of dollars spent on New York State Grown (NYSG) produce.</p><p><strong>Design: </strong>Quasi-experimental, nonequivalent control group design. We analyzed New York State Department of Health administrative data regarding expenditures on all produce and NYSG produce by HPNAP contractors.</p><p><strong>Setting: </strong>New York State.</p><p><strong>Outcome measures: </strong>The proportion of dollars spent on NYSG produce during 2011-2012 (preintervention) and 2013-2014 (postintervention) was compared between HPNAP food bank contractors (recipients of stimulus money, n = 8) and non-food bank contractors (nonrecipients, n = 34) using nonparametric methods.</p><p><strong>Results: </strong>The HPNAP Locally Grown Produce Initiative was associated with an increased proportion of NYSG produce spending by food bank contractors that received a fiscal stimulus 1 year later. Upstate food banks had the largest increase (median 31.6%) among all HPNAP contractors.</p><p><strong>Conclusion: </strong>The results of this study revealed that the Locally Grown Produce Initiative fiscal stimulus had a positive, year-long and statewide effect on the proportion of expenditure on NYSG produce by food banks. We hope that the initial success seen in New York State may encourage other states to adopt similar initiatives in future.</p>","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":" ","pages":"191-196"},"PeriodicalIF":3.3,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/PHH.0000000000000785","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35958096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combatting and Preventing Preemption: A Strategic Action Model.","authors":"Michael Bare,&nbsp;Leslie Zellers,&nbsp;Patricia A Sullivan,&nbsp;Jennifer L Pomeranz,&nbsp;Mark Pertschuk","doi":"10.1097/PHH.0000000000000956","DOIUrl":"https://doi.org/10.1097/PHH.0000000000000956","url":null,"abstract":"","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":" ","pages":"101-103"},"PeriodicalIF":3.3,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/PHH.0000000000000956","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36931516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Science and Practice of Applied Public Health.","authors":"Marcus Plescia","doi":"10.1097/PHH.0000000000000977","DOIUrl":"https://doi.org/10.1097/PHH.0000000000000977","url":null,"abstract":"Over the last 2 decades considerable progress has been made in developing the evidence base for public health practice and learning how to best disseminate these approaches. Evidencebased practice has been embraced in many healthrelated disciplines and much can be learned from the experience in clinical medicine. While significant challenges and undesired practices remain, a welldeveloped culture and norm of evidence-based medical practice has been developed over the last 2 decades that has helped balance traditional reliance on clinical experience with evidence from clinical research. Evidence-based practice is now the core of medical training both in the classroom and at the bedside. As a result, medical practices have ready access to the scientific literature, previously widespread physician detailing by industry has been discredited and curtailed, and information systems like electronic health records have been tailored and improved to prompt evidencebased action and access to practice guidelines. The practice of evidence-based public health faces challenges and opportunities relative to medical practice. Public health studies are inherently more difficult to design. They frequently rely on the interpretation of natural experiments and may involve multiple blended interventions within a community of diverse and often disparate groups. However, while they are challenging to study and evaluate, public health approaches also allow creativity that ultimately makes their application in community settings more relevant and productive. Few professionals would dispute the importance of evidence-based practice. Significant improvements in public health can be credited to the successful implementation of scientifically driven interventions that have had significant population impact. To achieve state and national objectives for improved population health, more widespread adoption of evidence-based","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":" ","pages":"201-204"},"PeriodicalIF":3.3,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/PHH.0000000000000977","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36931519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High Completion Rate for 12 Weekly Doses of Isoniazid and Rifapentine as Treatment for Latent Mycobacterium tuberculosis Infection in the Federal Bureau of Prisons.","authors":"Kristine M Schmit, Mark N Lobato, Simona G Lang, Sherri Wheeler, Newton E Kendig, Sarah Bur","doi":"10.1097/PHH.0000000000000822","DOIUrl":"10.1097/PHH.0000000000000822","url":null,"abstract":"<p><strong>Context: </strong>Correctional facilities provide unique opportunities to diagnose and treat persons with latent tuberculosis infection (LTBI). Studies have shown that 12 weekly doses of isoniazid and rifapentine (INH-RPT) to treat LTBI resulted in high completion rates with good tolerability.</p><p><strong>Objective: </strong>To evaluate completion rates and clinical signs or reported symptoms associated with discontinuation of 12 weekly doses of INH-RPT for LTBI treatment.</p><p><strong>Setting/participants: </strong>During July 2012 to February 2015, 7 Federal Bureau of Prisons facilities participated in an assessment of 12 weekly doses of INH-RPT for LTBI treatment among 463 inmates.</p><p><strong>Main outcome measures: </strong>Fisher exact test was used to assess the associations between patient sociodemographic characteristics and clinical signs or symptoms with discontinuation of treatment.</p><p><strong>Results: </strong>Of 463 inmates treated with INH-RPT, 424 (92%) completed treatment. Reasons for discontinuation of treatment for 39 (8%) inmates included the following: 17 (44%) signs/symptoms, 9 (23%) transfer or release, 8 (21%) treatment refusal, and 5 (13%) provider error. A total of 229 (49.5%) inmates reported experiencing at least 1 sign or symptom during treatment; most frequently reported were fatigue (16%), nausea (13%), and abdominal pain (7%). Among these 229 inmates, signs/symptoms significantly associated with discontinuation of treatment included abdominal pain (P < .001), appetite loss (P = .02), fever/chills (P = .01), nausea (P = .03), sore muscles (P = .002), and elevation of liver transaminases 5× upper limits of normal or greater (P = .03).</p><p><strong>Conclusions: </strong>The LTBI completion rates were high for the INH-RPT regimen, with few inmates discontinuing because of signs or symptoms related to treatment. This regimen also has practical advantages to aid in treatment completion in the correctional setting and can be considered a viable alternative to standard LTBI regimens.</p>","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":" ","pages":"E1-E6"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336524/pdf/nihms-993909.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36324609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Millennials as New Messengers for Public Health.","authors":"Colleen Healy Boufides,&nbsp;Elizabeth Corcoran,&nbsp;Gene W Matthews,&nbsp;Jeannine Herrick,&nbsp;Edward L Baker","doi":"10.1097/PHH.0000000000000964","DOIUrl":"https://doi.org/10.1097/PHH.0000000000000964","url":null,"abstract":"","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":" ","pages":"197-200"},"PeriodicalIF":3.3,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/PHH.0000000000000964","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36931517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Choosing Stones, Moving Mountains: Performance Excellence, Primary Prevention, and Culture Change in a State Health Department.","authors":"John J Dreyzehner,&nbsp;Bruce Behringer","doi":"10.1097/PHH.0000000000000890","DOIUrl":"https://doi.org/10.1097/PHH.0000000000000890","url":null,"abstract":"A new health official of any size jurisdiction, anywhere, will face a mountain or two. Some will be obvious, others much less so. “The People” rightly expect us to have an approach to moving them, particularly the more obvious ones that fortunately are often also the most pressing and important ones. The scenario of being a new state health commissioner, appointed by a new governor, amid 20 years of languishing state health rankings was ours. Yet, many face similar mountains. How to move them, what stones first, why, and then how? For me, even with years of populationand individual-level practice experience in military and civilian settings, including a decade as a multijurisdictional health department director, assessing organizational performance, embracing a broad mission, and leading public health systems change were daunting. The temptation to disassemble health indicators and attack current public health crises was attractive but lacking the broader scope of change that was required. Obvious stones, yes, and the challenge became choosing and giving deliberate attention to approaches that would result in sustainable internal performance and culture change that would create capacity to move more stones faster for a wide range of public health stakeholders.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":" ","pages":"104-106"},"PeriodicalIF":3.3,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/PHH.0000000000000890","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36570969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of Global Warming Among the Poorest Counties in the Southeastern United States.","authors":"Gregory D Kearney,&nbsp;Ronny A Bell","doi":"10.1097/PHH.0000000000000720","DOIUrl":"https://doi.org/10.1097/PHH.0000000000000720","url":null,"abstract":"<p><p>The geographic position and high level of poverty in the southeastern United States are significant risk factors that contribute to the region's high vulnerability to climate change. The goal of this study was to evaluate beliefs and perceptions of global warming among those living in poverty in the poorest counties in the southeastern United States. Results from this project may be used to support public health efforts to increase climate-related messaging to vulnerable and underserved communities. This was an ecological study that analyzed public opinion poll estimates from previously gathered national level survey data (2016). Responses to 5 questions related to beliefs, attitudes, and perceptions of global warming were evaluated. Counties below the national average poverty level (13.5%) were identified among 11 southeastern US states (Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Michigan, North Carolina, South Carolina, Tennessee, Virginia). Student t tests were used to compare public perceptions of global warming among the poorest urban and rural counties with national-level public opinion estimates. Overall, counties below the national poverty level in the southeastern US were significantly less likely to believe that global warming was happening compared with national-level estimates. The poorest rural counties were less likely to believe that global warming was happening than the poorest urban counties. Health care providers and public health leaders at regional and local levels are in ideal positions to raise awareness and advocate the health implications of climate change to decision makers for the benefit of helping underserved communities mitigate and adequately adapt to climate-related threats.</p>","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":" ","pages":"107-112"},"PeriodicalIF":3.3,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/PHH.0000000000000720","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35898071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthy People for the 21st Century: Understanding Use of Healthy People 2020 as a Web-Based Initiative.","authors":"Megan Heffernan,&nbsp;Catharine Q Fromknecht,&nbsp;Angela K McGowan,&nbsp;Carter Blakey,&nbsp;Caitlin Carroll Oppenheimer","doi":"10.1097/PHH.0000000000000784","DOIUrl":"https://doi.org/10.1097/PHH.0000000000000784","url":null,"abstract":"<p><strong>Objective: </strong>This study assesses how the nation's preeminent health promotion and disease prevention initiative, Healthy People, is utilized by key stakeholders.</p><p><strong>Methods: </strong>A Web-based survey was administered to assess awareness and use of Healthy People among state, local, tribal health organizations and other key stakeholder groups. Follow-up interviews were conducted with a subset of respondents.</p><p><strong>Results: </strong>Awareness and use of Healthy People have remained high among state, local, and tribal stakeholders. Healthy People 2020 is most frequently used as a data source. The Leading Health Indicators (LHIs) are an important element of the initiative, and nearly 90% of organizations that use the LHIs found them valuable. Awareness and use of other tools and resources are more limited.</p><p><strong>Conclusions: </strong>Healthy People continues to be a valued resource among public health stakeholders; however, continued outreach is needed to promote the use of tools and resources available on healthypeople.gov for this decade and beyond. Healthy People is a national initiative used most frequently as a data source by state and local health departments, tribal organizations, and other public health practitioners.</p>","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":" ","pages":"121-127"},"PeriodicalIF":3.3,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/PHH.0000000000000784","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35940535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Be First, Be Right, and Be Credible: Translating Lessons From Crisis Communications.","authors":"Karen Remley","doi":"10.1097/PHH.0000000000000974","DOIUrl":"https://doi.org/10.1097/PHH.0000000000000974","url":null,"abstract":"","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":" ","pages":"208-209"},"PeriodicalIF":3.3,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/PHH.0000000000000974","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36930983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minigrants to Local Health Departments: An Opportunity to Promote Climate Change Preparedness.","authors":"Elena Grossman,&nbsp;Michelle Hathaway,&nbsp;Kathleen F Bush,&nbsp;Matthew Cahillane,&nbsp;Dorette Q English,&nbsp;Tisha Holmes,&nbsp;Colleen E Moran,&nbsp;Christopher K Uejio,&nbsp;Emily A York,&nbsp;Samuel Dorevitch","doi":"10.1097/PHH.0000000000000826","DOIUrl":"https://doi.org/10.1097/PHH.0000000000000826","url":null,"abstract":"<p><strong>Context: </strong>Human health is threatened by climate change. While the public health workforce is concerned about climate change, local health department (LHD) administrators have reported insufficient knowledge and resources to address climate change. Minigrants from state to LHDs have been used to promote a variety of local public health initiatives.</p><p><strong>Objective: </strong>To describe the minigrant approach used by state health departments implementing the Centers for Disease Control and Prevention's (CDC's) Building Resilience Against Climate Effects (BRACE) framework, to highlight successes of this approach in promoting climate change preparedness at LHDs, and to describe challenges encountered.</p><p><strong>Design: </strong>Cross-sectional survey and discussion.</p><p><strong>Intervention: </strong>State-level recipients of CDC funding issued minigrants to local public health entities to promote climate change preparedness, adaptation, and resilience.</p><p><strong>Main outcome measures: </strong>The amount of funding, number of LHDs funded per state, goals, selection process, evaluation process, outcomes, successes, and challenges of the minigrant programs.</p><p><strong>Results: </strong>Six state-level recipients of CDC funding for BRACE framework implementation awarded minigrants ranging from $7700 to $28 500 per year to 44 unique local jurisdictions. Common goals of the minigrants included capacity building, forging partnerships with entities outside of health departments, incorporating climate change information into existing programs, and developing adaptation plans. Recipients of minigrants reported increases in knowledge, engagement with diverse stakeholders, and the incorporation of climate change content into existing programs. Challenges included addressing climate change in regions where the topic is politically sensitive, as well as the uncertainty about the long-term sustainability of local projects beyond the term of minigrant support.</p><p><strong>Conclusions: </strong>Minigrants can increase local public health capacity to address climate change. Jurisdictions that wish to utilize minigrant mechanisms to promote climate change adaptation and preparedness at the local level may benefit from the experience of the 6 states and 44 local health programs described.</p>","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":" ","pages":"113-120"},"PeriodicalIF":3.3,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/PHH.0000000000000826","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36245133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}