Family & Community Health最新文献

Meaning of Healthy Living Among Bhutanese Refugees Resettled in the United States: Photovoice Embedded in Community-Based Participatory Research. 在美国定居的不丹难民中健康生活的意义：基于社区的参与性研究中的影像声音。

IF 1.4 4区医学

Family & Community Health Pub Date : 2026-10-01 Epub Date: 2026-07-22 DOI: 10.1097/FCH.0000000000000467

Hyojin Im, Nicole Campbell, Reem Shawkat, Ann Malluwa Wadu

{"title":"Meaning of Healthy Living Among Bhutanese Refugees Resettled in the United States: Photovoice Embedded in Community-Based Participatory Research.","authors":"Hyojin Im, Nicole Campbell, Reem Shawkat, Ann Malluwa Wadu","doi":"10.1097/FCH.0000000000000467","DOIUrl":"10.1097/FCH.0000000000000467","url":null,"abstract":"Background and objective: Bhutanese refugees in the United States face intersecting health disparities shaped by trauma, cultural disruption, and systemic barriers. Despite growing attention to refugee health, little is known about how this community defines and practices healthy living post-resettlement. This study explores Bhutanese refugees' lived experiences of health using participatory, culturally grounded methods.Methods: Using photovoice within a community-based participatory research framework, 24 Bhutanese participants and 6 peer facilitators engaged in photodocumentation and community wellness workshops. Participants captured images related to healthy living and discussed their meanings in collective sessions. Thematic analysis of photonarratives was codeveloped with community members.Results: Four themes emerged: (1) Land as memory and identity, where loss of agrarian life symbolized disconnection from health and culture; (2) Food as cultural survival, as traditional eating practices supported well-being and adaptation; (3) Health navigation in a system not built for us, showing how chronic illness and healthcare inaccessibility were mitigated by community-led support; and (4) Spiritual continuity as healing, where faith, ritual, and language sustained emotional and cultural resilience.Conclusion: Health among Bhutanese refugees is relational, culturally embedded, and shaped by collective resilience. Effective interventions must integrate cultural continuity, peer leadership, and place-based strategies.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"226-233"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Empowering Individuals With Lived Experience of Food Insecurity: The Feeding Michigan Families Community Food Advocacy Fellowship. 赋予个人与粮食不安全的生活经验：喂养密歇根家庭社区食品倡导奖学金。

IF 1.4 4区医学

Family & Community Health Pub Date : 2026-10-01 Epub Date: 2026-07-28 DOI: 10.1097/FCH.0000000000000465

Katherine W Bauer, Gabrielle Young, Jeneen Ali

引用次数: 0

Parental Racism-Related Stress and Child Depression: Disparities Across Income and Race/Ethnicity in a National Sample of Racial/Ethnic Minority Families. 父母种族主义相关的压力和儿童抑郁：在种族/少数民族家庭的全国样本中收入和种族/民族的差异。

IF 1.4 4区医学

Family & Community Health Pub Date : 2026-10-01 Epub Date: 2026-08-03 DOI: 10.1097/FCH.0000000000000463

Elizabeth Jelsma, Nema Kebbeh, Rosenda Murillo

{"title":"Parental Racism-Related Stress and Child Depression: Disparities Across Income and Race/Ethnicity in a National Sample of Racial/Ethnic Minority Families.","authors":"Elizabeth Jelsma, Nema Kebbeh, Rosenda Murillo","doi":"10.1097/FCH.0000000000000463","DOIUrl":"10.1097/FCH.0000000000000463","url":null,"abstract":"Background: Vicariously experienced racism-related stress is a key social determinant of child depression, yet national data on racial/ethnic and income disparities in this relationship are limited.Objectives: This study tested whether non-Hispanic Black (NHB) children and children from lower income households experience more frequent depression linked to parent-experienced racism-related stress than other groups.Methods: In the 2023 National Health Interview Survey (NHIS), 1712 parents of children from minoritized racial/ethnic groups aged 5-17 years (weighted N = 37.7 million) reported their own experiences of racism-related stress and their child's depression. Multivariable ordinal weighted least squares regression assessed associations between parent-experienced racism-related stress and child depression, with moderation by income and race/ethnicity.Results: Parent-experienced racism-related stress was significantly associated with more frequent child depression. This relationship was stronger among children from middle- and lowest-income households and among NHB children compared with Hispanic children.Conclusions: Children from lower income families and NHB children are more vulnerable to depression associated with parental racism-related stress. These findings highlight the need to consider both direct and vicarious racism-related stressors in child mental health research and interventions.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"201-208"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13480319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148670886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Evaluation of a Pathways Community Hub in Texas for Pregnant Mothers and Their Infants. 德克萨斯州孕妇及其婴儿路径社区中心的评估。

IF 1.4 4区医学

Family & Community Health Pub Date : 2026-10-01 Epub Date: 2026-07-23 DOI: 10.1097/FCH.0000000000000468

Jack Tsai, Chau N Truong, Elizabeth Lutz, Cecilia Ganduglia-Cazaban

{"title":"Evaluation of a Pathways Community Hub in Texas for Pregnant Mothers and Their Infants.","authors":"Jack Tsai, Chau N Truong, Elizabeth Lutz, Cecilia Ganduglia-Cazaban","doi":"10.1097/FCH.0000000000000468","DOIUrl":"10.1097/FCH.0000000000000468","url":null,"abstract":"Pathways Community Hub (PCH) is a model of care for pregnant mothers and infants designed to improve maternal and infant outcomes. This study examined the characteristics, service use, costs, and newborn outcomes of pregnant mothers who participated in a PCH in Texas from 2019 to 2022. PCH program data were linked to Medicaid claims data for mothers and their infants for analysis. Medicaid data were available for 90 mothers who completed the PCH program and 68 mothers who participated but did not complete the PCH program. The results found that compared with matched control groups, pregnant mothers who participated in the PCH incurred higher prenatal costs and delivery costs. Mothers who completed the PCH program had a significantly higher number of postpartum visits. However, mothers who completed the PCH were significantly more likely to have newborns with preterm births, low birth weight, and neonatal intensive care admissions than matched controls. Sensitivity analyses also found no significant differences in birth outcomes between PCH participants and matched controls. These findings suggest a limited impact of PCH on modifying maternal and newborn outcomes, but replication is needed.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"252-257"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Improving Behavioral Nutrition Interventions: A Structural Equation Modeling Study to Model Pathways Among Consumer Food Characteristics and Health. 改善行为营养干预：消费者食物特征与健康的结构方程模型研究

IF 1.4 4区医学

Family & Community Health Pub Date : 2026-10-01 Epub Date: 2026-07-27 DOI: 10.1097/FCH.0000000000000464

Adrian Ortega, Zheng Zhou, Siva K Balasubramanian, Mark Fishbein

{"title":"Improving Behavioral Nutrition Interventions: A Structural Equation Modeling Study to Model Pathways Among Consumer Food Characteristics and Health.","authors":"Adrian Ortega, Zheng Zhou, Siva K Balasubramanian, Mark Fishbein","doi":"10.1097/FCH.0000000000000464","DOIUrl":"10.1097/FCH.0000000000000464","url":null,"abstract":"Background: Consumer food characteristics have been correlated with dietary behaviors. However, the pathways in which these factors relate to one another and impact health outcomes have yet to be elucidated.Objective: We used structural equation modeling to identify pathways between consumer food characteristics and self-reported health outcomes. We constructed a conceptual model and hypothesized 10 pathways in the model based on previous literature.Methods: Eight-hundred and eighty adults completed a series of measures for different food consumer characteristics and their health. We used Mplus to estimate and validate our hypothesized model of pathways between food consumer characteristics. We then applied multiple group analyses to determine the magnitude of associations found in the final structural model across demographic and food consumer characteristics by conducting measurement invariance testing.Results: Our final structural model yielded excellent fit (comparative fit index = 0.960, Tucker-Lewis index = 0.954, root mean square error of approximation = 0.047, standardized root mean square residual = 0.050) with all hypothesized paths being statistically significant. Results also revealed differences in the strength of some of the pathway relations based on age, education, income, grocery spending, snack spending, and active control of eating.Conclusions: Findings have implications for how to improve consumer food characteristics to enhance health and well-being, with particular attention to nutrition self-efficacy.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"234-240"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Mobility Experiences of Latino/a Migrant Farmworker Youth: An Understanding of the Toll, Opportunities, and Meaning of Home. 拉丁裔/移民农民工青年的流动经验：对家的代价、机会和意义的理解。

IF 1.4 4区医学

Family & Community Health Pub Date : 2026-10-01 Epub Date: 2026-07-01 DOI: 10.1097/FCH.0000000000000462

Yumary Ruiz, Carlyn Kimiecik, Zoe E Taylor

引用次数: 0

Barriers and Facilitators to Obstetric Care in Rural Wisconsin Communities. 威斯康星州农村社区产科护理的障碍和促进因素。

IF 1.4 4区医学

Family & Community Health Pub Date : 2026-10-01 Epub Date: 2026-08-07 DOI: 10.1097/FCH.0000000000000460

Madeline Edgerly, Leslie Ruffalo, Marin Burkle

{"title":"Barriers and Facilitators to Obstetric Care in Rural Wisconsin Communities.","authors":"Madeline Edgerly, Leslie Ruffalo, Marin Burkle","doi":"10.1097/FCH.0000000000000460","DOIUrl":"10.1097/FCH.0000000000000460","url":null,"abstract":"Background and objectives: As many rural hospitals continue to close their labor and delivery units and the gap between the demand for and supply of physicians practicing obstetrics continues to grow, this study seeks to understand the barriers and facilitators to delivering obstetric care in rural Wisconsin communities.Methods: We conducted interviews with rural-based family medicine and OB-GYN physicians to glean their perspectives on challenges and opportunities that they face in the provision of high-quality obstetrical care and used thematic analysis techniques to generate results.Results: We interviewed 21 physicians that currently practice or have practiced obstetrics in rural Wisconsin hospitals, consisting of 11 family medicine physicians and 10 OB-GYN physicians. Key themes emphasized 1) Patient Safety Programs and Training, 2) Staffing, and 3) Physician Involvement in Hospital Changes.Conclusions: Future considerations in rural obstetric care will involve hands-on education for obstetric teams, agreements with larger hospitals, and retention of a strong obstetric team committed to the community. Implementing training programs to supplement lower annual deliveries and creating a network of support among colleagues and health systems are imperative to sustain and build rural obstetric care.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"244-251"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

From Clinical Practice to Community Action: Addressing Diaper Insecurity Through Pediatric Primary Care. 从临床实践到社区行动：通过儿科初级保健解决尿布不安全问题。

IF 1.4 4区医学

Family & Community Health Pub Date : 2026-10-01 Epub Date: 2026-06-11 DOI: 10.1097/FCH.0000000000000461

Caitlin Koob, Xiaofang Lai, Emily Denman, Taneiya Dawkins, Melinda Lavallee-Turner, J Blakely Amati

{"title":"From Clinical Practice to Community Action: Addressing Diaper Insecurity Through Pediatric Primary Care.","authors":"Caitlin Koob, Xiaofang Lai, Emily Denman, Taneiya Dawkins, Melinda Lavallee-Turner, J Blakely Amati","doi":"10.1097/FCH.0000000000000461","DOIUrl":"10.1097/FCH.0000000000000461","url":null,"abstract":"Background and objectives: Diaper access affects child health and well-being; however, accessibility concerns have exponentially increased with 46% of families reporting diaper insecurity in 2023. This report examines the 1) reach of community-based diaper distribution events and 2) role of social drivers of health (SDOH) screening and implications in integrated primary care.Methods: Diaper distribution event(s)' registration data (N = 6) were analyzed from July 2023 to July 2024. Mapping and statistical analyses were conducted, using ArcGIS Pro 3.2.1 and R.Results: A total of 2793 children received diapers across 42 zip codes, and each child received 50 to 100 diapers per event. Most families spoke Spanish (54.5%), were enrolled in Women, Infants, and Children (71.28%) and Medicaid (53.46%), and identified as Hispanic (63.6%). Approximately one-third (33.6%) lived in areas with \"low\" educational opportunity.Conclusions: Findings suggest that broader SDOH screening is needed in primary care, as many families face unmet needs despite living in zip codes considered to have \"moderate\" socio-economic opportunity.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"258-262"},"PeriodicalIF":1.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Youth Gangs, Gang Involvement, and Health: A Scoping Review and Directions for Research. 青少年帮派、帮派卷入与健康：范围回顾与研究方向。

IF 1.4 4区医学

Family & Community Health Pub Date : 2026-07-01 Epub Date: 2026-05-06 DOI: 10.1097/FCH.0000000000000456

Asia S Bishop, Ashley N Rousson, Paula S Nurius, Sarah C Walker, Nicholas T Weiss

{"title":"Youth Gangs, Gang Involvement, and Health: A Scoping Review and Directions for Research.","authors":"Asia S Bishop, Ashley N Rousson, Paula S Nurius, Sarah C Walker, Nicholas T Weiss","doi":"10.1097/FCH.0000000000000456","DOIUrl":"10.1097/FCH.0000000000000456","url":null,"abstract":"Youth gangs and gang involvement are commonly associated with delinquency and legal system contact, but relations to health have received less attention despite known population disparities. Clarifying how and why gang-involved youth are at greater risk for adverse health will help inform the development of a research and practice agenda to address population-level inequities. A scoping review of US-based studies was conducted to assess what is currently known about the relationship between youth gangs, gang involvement, and health. A descriptive summary and reflexive thematic analysis of 69 studies illustrated important features of the current research literature on this topic, including the theoretical importance of gangs as social and cultural contexts for health; the utility of ecological and developmental theories for understanding the gang-health link; and the importance of gender, family, and neighborhoods for shaping health experiences and outcomes of gang-involved youth. Our analysis also revealed key gaps in the current literature that should be addressed to ensure this area of research holds practical utility for reducing health inequities in the youth gang population. Directions for research to address identified gaps are discussed.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"143-164"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Building Bridges: Using Data to Improve Service-Learning Experiences With a Chippewa Cree Community. 搭建桥梁：利用数据改善奇佩瓦族社区的服务学习体验。

IF 1.4 4区医学

Family & Community Health Pub Date : 2026-07-01 Epub Date: 2026-05-06 DOI: 10.1097/FCH.0000000000000458

J Havah E Michaels, Anne Derouin, Mary Big Bow, Jamison Lord

{"title":"Building Bridges: Using Data to Improve Service-Learning Experiences With a Chippewa Cree Community.","authors":"J Havah E Michaels, Anne Derouin, Mary Big Bow, Jamison Lord","doi":"10.1097/FCH.0000000000000458","DOIUrl":"10.1097/FCH.0000000000000458","url":null,"abstract":"Background and objectives: Cultural competency and awareness are imperative to building trust and relationships between tribal members and non-native health care providers. The Chippewa Cree leaders in Northern Montana and Duke University School of Nursing (DUSON) collaborated to establish a service-learning opportunity focused on providing a children's summer day-camp, Camp Mi-yo-mah-chi-wi-n (\"to be well \"). The purpose of this project was to assess cultural competency among graduate nursing students, identify evidence-based curriculums for future academic-community activities, and demonstrate a mutually agreed on mental health model for future camps.Methods: Eleven graduate nursing students and Chippewa Cree volunteers participated in a two-group, post-camp experience survey and key informant session at the conclusion of the initial youth camp.Results: The results indicated a positive and meaningful camp experience among all participants, indicating that the academic-community partnership should be cultivated and sustained. Graduate nursing student participants reported the need for enhanced cultural knowledge and understanding and a desire to ensure culturally competent care in collaboration with tribal volunteers.Conclusion: Service learning is an effective way to fortify academic-clinical partnerships that are mutually beneficial with inclusion of student preparation emphasizing knowledge, beliefs and cultural competency.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"197-200"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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