Public Health in Practice最新文献

{"title":"Creating a family health history interview protocol for use with undergraduate health professional students: A scoping review","authors":"Ronica N. Rooks ,&nbsp;Cassandra D. Ford ,&nbsp;Jenna Bennett ,&nbsp;Tyrone Braxton","doi":"10.1016/j.puhip.2024.100568","DOIUrl":"10.1016/j.puhip.2024.100568","url":null,"abstract":"<div><h3>Background</h3><div>Family health history can be used as a health promotion tool to assess health risk, improve data collection and disease prevention, initiate interventions, and motivate behavioral change, but its utility as a public health tool has not been fully explored. Collecting information for a family health history can be a challenging task. However, it is an important skill for undergraduate students to learn, particularly those in pre-health majors. Our aim was to create a family interview protocol for students' successful family health history collection using findings from students' research papers and a scoping review.</div></div><div><h3>Study design</h3><div>We summarized and listed suggestions from students' papers. Our scoping review followed Arksey and O’Malley’s (2005) review process and the PRISMA Extension for Scoping Review checklist (2018).</div></div><div><h3>Methods</h3><div>We used Medline, CINAHL (EBSCO), ERIC (ProQuest), Web of Science, and Academic Search Premiere databases and Google. Using Covidence, we included peer-reviewed, English, journal articles and grey literature, narrowing our key term combinations to terms like family health history, interview or protocol, and undergraduate or health professional student.</div></div><div><h3>Results</h3><div>Protocol suggestions included having appropriate settings and preparation to conduct interviews with questions on socio-demographics, cultural and family relationship dynamics, health behaviors, and acute and chronic condition questions for family members. Students' papers addressed preparation for conducting interviews and obtaining better data from existing family trees and extended relatives to maximize learning about risk assessment. The scoping review revealed two themes associated with family health history, including creating genograms and interview methods used with history taking.</div></div><div><h3>Conclusions</h3><div>Implementing the protocol for future assignments will provide students with a training opportunity to identify their own disease risks, improve their family health history knowledge, and collect family health history data relevant to prevention and interventions focused on understanding chronic conditions and their management.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100568"},"PeriodicalIF":2.2,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060754","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":"Analysis of orthopaedic private healthcare patterns in England: A potential emerging two-tier system","authors":"Lucy McCann ,&nbsp;Ian Holdroyd ,&nbsp;Rowan Emberson ,&nbsp;Helena Painter ,&nbsp;John Ford","doi":"10.1016/j.puhip.2024.100578","DOIUrl":"10.1016/j.puhip.2024.100578","url":null,"abstract":"<div><h3>Objectives</h3><div>Private healthcare is a rapidly growing industry in the UK, particularly for surgical procedures, due to extensive waiting times in publicly funded health care. The NHS also commissions private healthcare to provide procedures for NHS patients to alleviate waiting times. We aimed to explore the trends and geographical variations between the North and South of England in privately funded and NHS-funded privately delivered orthopaedic procedures compared to NHS waiting times.</div></div><div><h3>Study design</h3><div>A longitudinal study using quarterly national data between 2019 and 2023 in England.</div></div><div><h3>Methods</h3><div>We analysed orthopaedic surgical volumes per 10,000 people using Private Healthcare Information Network data in England from 2019 to 2023 and compared them with waiting times in publicly funded health care provided by the NHS. We stratified by geographical location and time period to compare the North-South divide in England.</div></div><div><h3>Results</h3><div>The south of England performed almost double the number of privately funded procedures (23 vs 12/10,000), but there were fewer NHS-funded private procedures (40 vs 45/10,000). The north of England has consistently shorter waiting times than the South, with considerable variation across regions. London had fewer NHS-funded procedures compared to other regions.</div></div><div><h3>Conclusions</h3><div>The time-trend patterns indicate considerable geographical inequalities of access to orthopaedic private healthcare between regions within England, with a potential emergence of a two-tier healthcare system. Relying on the private sector to reduce waiting lists, without oversight, may exacerbate regional and socioeconomic differences. Policymakers should consider how the unequal distribution of funding and NHS-funded procedures could perpetuate inequalities.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100578"},"PeriodicalIF":2.2,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029667","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":"The application of One Health concept in China and its practice and innovation in cross-sector cooperation","authors":"Yang Gao ,&nbsp;Chengyue Li ,&nbsp;Qingyu Zhou ,&nbsp;Mo Hao","doi":"10.1016/j.puhip.2024.100574","DOIUrl":"10.1016/j.puhip.2024.100574","url":null,"abstract":"<div><h3>Background</h3><div>This study explores the opportunities and challenges associated with the One Health concept in China. Taking the practice of multi-sector health collaboration in China as an example, this study analyses the possible obstacles and opportunities.</div></div><div><h3>Methods</h3><div>From June to August 2023, 30 semi-structured interviews were conducted with experts from the Health Commission, Centre for Disease Control and Prevention, Department of Ecology and Environment, Ministry of Agriculture and Rural Affairs, Department of Transportation, Administration for Market Regulation, and other departments. Qualitative analysis of the interview data was performed using NVivo12.</div></div><div><h3>Results</h3><div>The One Health concept has universal appeal and application potential, but there are many challenges in practice. First of all, cross-departmental cooperation requires clear departmental responsibilities and coordination strategies, but in reality, it is often due to the overlapping of functions between departments or the lack of effective communication mechanism, resulting in insufficient cooperation. Secondly, the low two-way interaction and the lack of effective information exchange and data sharing mechanisms also limit the full implementation of the One Health concept. In addition, the shortage of professional human resources further exacerbates the problem, and finally, the degree of awareness and emphasis of society on public Health is also a key factor affecting the implementation of the One Health concept.</div></div><div><h3>Conclusion</h3><div>The concept of One Health has shown great potential and necessity in the collaborative work of multiple departments in China, but there are still significant obstacles in the implementation process of One Health concept in multiple departments. However, to fully realize this concept, more efforts are still needed in the areas of cooperation mechanisms, professional talent training, information exchange and social awareness. Future work should focus on strengthening intersectoral communication and coordination, raising public health awareness, and optimizing relevant policies and strategies to better address global public health challenges.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100574"},"PeriodicalIF":2.2,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013049","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":"Managing pre and postpartum mental health issues of refugee women from fragile and conflict-affected countries: A systematic review","authors":"Saraban Tahura Ether ,&nbsp;Sadia Afrin ,&nbsp;Nawal Noshin Habib ,&nbsp;Fahmida Akter ,&nbsp;Anika Tasneem Chowdhury ,&nbsp;Abu Sayeed ,&nbsp;Sahar Raza ,&nbsp;Anisuddin Ahmed ,&nbsp;KM Saif-Ur-Rahman","doi":"10.1016/j.puhip.2024.100573","DOIUrl":"10.1016/j.puhip.2024.100573","url":null,"abstract":"<div><h3>Objective</h3><div>Refugee or immigrant women residing in conflict prone countries portray elevated mental health related vulnerabilities during their peripartum periods and require effective interventions for improved maternal and child well-being. The objective of this systematic review is to generate evidence on effective interventions for managing peripartum mental health issues among refugee women from conflicted settings.</div></div><div><h3>Study design</h3><div>Systematic review.</div></div><div><h3>Method</h3><div>Three databases MEDLINE/PubMed, Scopus, and Web of Science (core collection) were searched and Rayyan was used to perform screening. RoBANS tool was used to assess the risk of bias and narrative synthesis was conducted to narrate the result.</div></div><div><h3>Result</h3><div>5425 potential articles were identified and seven studies were included for data extraction after a rigorous screening process. Four (n = 4), out of seven studies discussed improved Edinburgh Postnatal Depression Scale (EPDS) scores, reduced perinatal distress and depression, increased self-esteem, and knowledge about pregnancy and child development, etc. due to home visits during the antepartum and postpartum period. Two studies asserted the importance of group sessions and social support and found social support was negatively correlated with postpartum depression (r = −0.49, p &lt; 0.0001). Formal/informal, public, private, or volunteered supports were explored to be important for increasing knowledge about maternal well-being, stress management, and childcare processes for refugee women.</div></div><div><h3>Conclusion</h3><div>The absence of limited experimental studies opens the opportunity for conducting further research on this topic. Besides, development partners can focus on this review to prioritise the intervention components during designing programmes on this related issue.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100573"},"PeriodicalIF":2.2,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013005","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":"Non-employment over the working life: Implications for cognitive function and decline in later life","authors":"A.J. Sizer ,&nbsp;A. Sacker ,&nbsp;R.E. Lacey ,&nbsp;M. Richards","doi":"10.1016/j.puhip.2024.100563","DOIUrl":"10.1016/j.puhip.2024.100563","url":null,"abstract":"<div><h3>Objectives</h3><div>Disuse theory predicts that cognitive function is vulnerable to transitions that remove factors that support cognitive skills. We sought to investigate whether non-employment over the working life was associated with cognitive function and decline in later life (≥60 years old), and possible gender differences in the association.</div></div><div><h3>Study design</h3><div>Longitudinal study.</div></div><div><h3>Method</h3><div>We used data from the MRC National Survey of Health and Development (NSHD). Cognitive function was measured by verbal memory and processing speed. Linear regression was used to test associations between non-employment duration and cognitive function at age 60–64, and conditional change models were used to examine associations between non-employment and cognitive decline from age 60–64 to 69. Gender specific models were adjusted for childhood factors and educational attainment, adult occupational features, and adult health and lifestyle indicators. Missing data was accounted for using multiple imputation by chained equations.</div></div><div><h3>Results</h3><div>In fully adjusted models &gt;15 years non-employment was associated with lower cognitive function at age 60–64 in men (verbal memory: −0.72, 95%CI −1.18, −0.26; processing speed: −0.61, 95%CI -1.00, −0.28), but not women. Fully adjusted models also indicated that long-term and intermediate lengths of non-employment were associated with faster decline in verbal memory (−0.38, 95%CI -0.75, −0.02) and processing speed (−0.28, 95%CI -0.52, −0.03) in men. There was no association between non-employment and cognitive decline among women.</div></div><div><h3>Conclusion</h3><div>Long-term non-employment in men, but not women, is associated with accelerated cognitive ageing.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100563"},"PeriodicalIF":2.2,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048056","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":"Efficacy of shared decision making in tobacco cessation among health facilities of Haryana, India – A double blinded, parallel group Randomized Controlled trial Protocol","authors":"Pranav Kshtriya ,&nbsp;Sonu Goel ,&nbsp;Abhishek Ghosh","doi":"10.1016/j.puhip.2024.100581","DOIUrl":"10.1016/j.puhip.2024.100581","url":null,"abstract":"<div><h3>Background</h3><div>Shared decision-making (SDM) incorporates evidence, patient values, and preferences into medical decision-making. SDM and decision aids might promote health professional engagement and patient knowledge of tobacco cessation therapy, improving usage and results. The SDM facilitates talks that lead to better-informed judgements that align with patients' priorities, unlike individual decision-making. Thus, the study will attempt to identify the efficacy of shared decision making in tobacco dependence treatment.</div></div><div><h3>Methods</h3><div>1) <strong>Design</strong>: a two-arm parallel group randomized controlled trial (RCT) 2) <strong>Setting:</strong> Three selected government health centers of Haryana, India. 3) <strong>Participants:</strong> 596 tobacco users aged ≥18 visiting the outpatient department/Tobacco cessation centers (TCC) of selected health centers. 4) <strong>Intervention and Comparator:</strong> The intervention group will receive shared decision process for prescribing pharmacotherapy (Nicotine replacement therapy, Bupropion) using specially designed decision aid based on three-talk model for tobacco cessation, while the control group will get standard care. 5) <strong>Measurements:</strong> Primary outcomes include urinary cotinine analysis for evaluating 7-day point prevalence abstinence. Secondary outcomes include patient satisfaction questionnaire PSQ-18 score, cumulative days of tobacco abstinence, self-reported number of quit attempts, and the rate of withdrawal. The outcomes such as change in behavior status i.e. tobacco cessation will be compared between the intervention and the comparator groups. When comparing the two groups, differences between proportions will be assessed by chi-square test, differences between means with <em>t</em>-test. An intention to treat analysis will be done when comparing outcomes in both arms.</div></div><div><h3>Discussion</h3><div>SDM in tobacco cessation therapies in healthcare settings is understudied, thereby this study looks at comparable interventions in different settings to add to the evidence. This suggests that this study on SDM in tobacco cessation therapy, which includes healthcare professionals, aims to assist patients in making evidence- and value-based medical decisions.</div></div><div><h3>Trial registration</h3><div>This protocol has been registered under the registration number CTRI/2022/10/046793 with the Clinical Trials Registry in India.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100581"},"PeriodicalIF":2.2,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012948","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":"Assessing the impact of HIV self-testing on diagnosis rates in vulnerable groups in belo horizonte, Brazil: A cross-sectional analysis","authors":"João Vitor Innecco Arêas,&nbsp;Gabriela Bragança Costa e Moreira,&nbsp;Gabriela Picchioni Baêta,&nbsp;João Vitor Levindo Coelho Novaes,&nbsp;Luísa Castro de Sousa Pires,&nbsp;Luara Isabela dos Santos","doi":"10.1016/j.puhip.2024.100567","DOIUrl":"10.1016/j.puhip.2024.100567","url":null,"abstract":"<div><h3>Background</h3><div>In recent years, HIV self-testing (HIVST) has emerged as a promising approach to enhance accessibility and uptake of HIV testing, particularly among populations at high risk for sexually transmitted infections (STIs). Despite its potential benefits, the effectiveness, and challenges of HIVST warrant careful examination to inform public health strategies effectively. This study investigates the effectiveness and challenges of HIV self-testing (HIVST) in populations at high risk for sexually transmitted infections (STIs). <strong>Study design</strong>: Cross-sectional study.</div></div><div><h3>Methods</h3><div>We employed questionnaires, HIVST, and standard tests for HIV, Hepatitis C, and Syphilis, in patients exhibiting STI risk behaviors in Belo Horizonte, Brazil, between August and November of 2019.</div></div><div><h3>Results</h3><div>We engaged 125 individuals, median age of 33.5 years, with most participants (61 %) deviating significantly during self-testing. Despite this, HIVST was generally perceived as user-friendly. From the perspective of health professionals, there was 100 % agreement between HIVST and the gold standard HIV testing results. Notably, among those seeking solely HIV testing, 19.2 % tested positive for Syphilis, and 4.8 % for Hepatitis C. Only a minority (4.8 %) were aware of the HIV window period.</div></div><div><h3>Conclusion</h3><div>While HIVST presents benefits, the evidence does not yet support its widespread adoption as a standalone public health policy. Moreover, exclusive reliance on HIVST might mask the prevalence of other STIs. We advocate for a holistic approach to HIV and STI testing, incorporating education, counseling, and comprehensive healthcare access in public health initiatives.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100567"},"PeriodicalIF":2.2,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11742301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013002","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":"“If children don't feel safe, they won't come back”: A qualitative exploration of parents' perceptions of health coordinators in a family-based programme in socially disadvantaged communities","authors":"Lisette Farias ,&nbsp;Mai-Lis Hellenius ,&nbsp;Gisela Nyberg ,&nbsp;Susanne Andermo","doi":"10.1016/j.puhip.2024.100575","DOIUrl":"10.1016/j.puhip.2024.100575","url":null,"abstract":"<div><h3>Background</h3><div>Families residing in disadvantaged communities encounter inequalities that restrict their engagement in physical activity. Family-based interventions and health coordinators have been proposed as promising approaches to encourage physical activity among parents and children. However, there is a paucity of knowledge regarding family experiences of such programmes and the ways health coordinators facilitate continued participation in programmes delivered in disadvantaged communities. The study aimed to explore parents’ perceptions of health coordinators in a family-based physical activity programme, Open Activities, delivered in disadvantaged communities in Sweden.</div></div><div><h3>Study design</h3><div>An exploratory design with a qualitative ethnographic approach.</div></div><div><h3>Methods</h3><div>Multiple methods, including 12 interviews, 15 observations and field notes, and prolonged researcher engagement between February 2022 and December 2023, were used to obtain complementary insights into parents’ perceptions and experiences in the Open Activities programme. Data was analysed using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>A main theme and three sub-themes emerged from the analysis. The sub-themes reflect participants’ perceptions of how health coordinators provide a sense of safety for parents and children, making them feel appreciated and motivated to continue participating in the programme. The sub-themes also reflect the struggles that families encounter with security and social disorders in their neighbourhoods and how these difficulties influence their participation in outdoor activities and trust in outside people, including health coordinators. This required health coordinators to demonstrate a deep commitment to their communities, cultivate trust and fairness, and take a more assertive role in enforcing rules and ensuring respect.</div></div><div><h3>Conclusion</h3><div>The involvement of health coordinators, aware of the issues facing disadvantaged communities, could represent a promising avenue for advancing health equity through physical activity. Failure to consider the potential of health coordinators to promote safety can compromise programmes’ sustainability and even exacerbate existing disparities.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100575"},"PeriodicalIF":2.2,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984927","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":"The persistence of very low correlations between NIH research funding and disease burdens","authors":"Ashley J.R. Carter,&nbsp;Milena Gevorkian","doi":"10.1016/j.puhip.2024.100580","DOIUrl":"10.1016/j.puhip.2024.100580","url":null,"abstract":"<div><h3>Objectives</h3><div>The degree to which the allocation of disease-specific research funding by the NIH is proportional to disease burden is an important question. This study examined the historical relationship between NIH funding allocation and disease burden for a variety of medical conditions.</div></div><div><h3>Study design</h3><div>Coefficients of relatedness for the linear relationships between funding and disease burden for 27 medical conditions over a period exceeding twenty years were calculated.</div></div><div><h3>Methods</h3><div>Publicly available data from 2009 to 2019, and previously published data from 1994 to 2004, was obtained to compare disease-specific research funding from the NIH to burden of disease values (mortality, prevalence, incidence, DALYs, and YLLs) for 27 diseases.</div></div><div><h3>Results</h3><div>We identified very weak and declining correlations (e.g., R² &lt; 0.03) between funding and the five measures of burden for the 27 diseases. The weak relationships persist even when HIV/AIDS is omitted (e.g., R² &lt; 0.1). A recent decline in the overall strengths of the funding burden relationships is attributable to novel investment in Alzheimer's disease research.</div></div><div><h3>Conclusions</h3><div>The weak correlations reveal long-standing inefficiencies in the NIH disease funding allocation process. The recent increased and focused funding for Alzheimer's disease may not be justified by an objective analysis which considers disease burdens. Increased efficiency of medical research may be realized by improving the poor match between disease burden and funding allocation.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100580"},"PeriodicalIF":2.2,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029674","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":"Protecting the American dream for socially vulnerable families: An evaluation of state-level policies to improve housing security and protect mobile home communities","authors":"Morgan Clennin ,&nbsp;Denise Hartsock ,&nbsp;Olivia Goodman ,&nbsp;Stacie Daugherty ,&nbsp;Cheryl Kelly","doi":"10.1016/j.puhip.2024.100571","DOIUrl":"10.1016/j.puhip.2024.100571","url":null,"abstract":"<div><h3>Background</h3><div>Manufactured and mobile homes are the largest source of unsubsidized affordable housing in the U.S. However, mobile home residents face unique challenges and are at greater risk of housing instability. State-level policies to enhance the regulation of mobile home parks and expand protections for residents are needed to address these challenges. The purpose of this study was to evaluate the implementation process and impact of newly enacted mobile home park policies on the housing security of Colorado residents and to identify policy implementation hurdles and successes. <u>Study Design</u>: Policy implementation evaluation using mixed methods.</div></div><div><h3>Methods</h3><div>Ten mobile home parks in three small-to-medium sized communities in Colorado were invited to participate in the evaluation conducted between 2020 and 2022. The mixed methods policy implementation evaluation included cross-sectional surveys of mobile home park residents (n = 356), qualitative interviews with community advisory groups (n = 24), and focus groups with community residents (n = 12). Data were triangulated to identify themes related to policy implementation successes and challenges.</div></div><div><h3>Results</h3><div>Evaluation findings elevate mobile home park residents' lived experiences and summarize challenges related to implementation of Colorado's mobile home park policies. A substantial lag in policy implementation was observed. Notably, the infrastructure necessary to implement and monitor adherence to the new policies had to be developed. Among mobile home park residents, fear of retaliation from property owners, park management, and oversight agencies remained a significant barrier to policy effectiveness despite the new protections offered by the state-level policies.</div></div><div><h3>Conclusions</h3><div>Translation of policies into practice takes time and resources. Recommendations to enhance policy implementation are to ensure adequate allocation of inputs and resources to support implementation across multiple levels, including the infrastructure essential to monitor and enforce policy adherence, and educational materials paired with a strong communication plan to improve residents’ awareness and capacity to navigate the new policies.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100571"},"PeriodicalIF":2.2,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143351385","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}