Family & Community Health最新文献

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 1.3 4区医学

Family & Community Health Pub 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":""},"PeriodicalIF":1.3,"publicationDate":"2026-05-06","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 1.3 4区医学

Family & Community Health Pub 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":"https://doi.org/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":""},"PeriodicalIF":1.3,"publicationDate":"2026-05-06","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

Exploring Associations Between Well-Being, Mental Distress, and Five Dimensions of Social Capital in Rural Georgia. 乔治亚州乡村幸福感、心理困扰与社会资本五个维度之间的关系探讨。

IF 1.3 4区医学

Family & Community Health Pub Date : 2026-05-06 DOI: 10.1097/FCH.0000000000000459

Alexis Joanna Smith, Lauren M Bigger, Robin E McGee, April Hermstad, Regine Haardӧrfer, Michelle C Kegler

引用次数: 0

Premature Mortality and Accidental Death Among Young Adults in the United States: Association With the Social Determinants of Health. 美国年轻人的过早死亡和意外死亡：与健康的社会决定因素的关联。

IF 1.3 4区医学

Family & Community Health Pub Date : 2026-05-06 DOI: 10.1097/FCH.0000000000000455

Aliya Redd, Taeya Mayes, Molly M Jacobs

{"title":"Premature Mortality and Accidental Death Among Young Adults in the United States: Association With the Social Determinants of Health.","authors":"Aliya Redd, Taeya Mayes, Molly M Jacobs","doi":"10.1097/FCH.0000000000000455","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000455","url":null,"abstract":"Background and objectives: This study explored the association between the social determinants of health (SDOH) and the likelihood of premature mortality and premature accidental mortality.Methods: Data from the National Longitudinal Survey of Adolescent to Adult Health (ADD Health) linked with records from the National Death Index (NDI) were used to classify deceased respondents by their cause of death. First, logistic regression examined the association between accidental death/premature mortality, individual characteristics, and SDOH. Second, a 2-stage model then analyzed the likelihood of having an accidental cause of death conditional on premature mortality.Results: Premature mortality odds were lower for female individuals (OR = 0.89), Black individuals (OR = 0.94), those who identify as Hispanic (OR = 0.56), college graduates (OR = 0.27), and married individuals (OR = 0.45). However, living in the South (OR = 1.19) and lower income (OR = 2.22) increased the odds. Accidental death odds were lower for female individuals (OR = 0.29), Black individuals (OR = 0.32), those who identify as Hispanic (OR = 0.87), and multiracial groups (OR = 0.06). College education (OR = 3.61) and lack of medical care (OR = 1.13) raised accidental death odds while marriage (OR = 0.20), lower income (OR = 0.12), and residing in the West or Midwest (OR = 0.13) decreased them.Conclusion: There was a significant association between the likelihood of accidental death and adverse SDOH, suggesting that they may serve as risk factors of premature accidental death.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844411","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

A Structural Equation Modeling Approach to Exploring the Determinants of Regular Medical Checkups in a United States-Mexico Border Community: An Application of Andersen's Behavioral Model of Health Service Use. 探索美墨边境社区定期体检决定因素的结构方程建模方法：Andersen的卫生服务使用行为模型的应用。

IF 1.3 4区医学

Family & Community Health Pub Date : 2026-05-06 DOI: 10.1097/FCH.0000000000000454

Jeong-Hui Park, Christine C Blackburn, Arturo Rodriguez, Alek Roma, Vanessa Sanchez, Roberto Garcia, Yaziri Gonzales, Tyler Prochnow

{"title":"A Structural Equation Modeling Approach to Exploring the Determinants of Regular Medical Checkups in a United States-Mexico Border Community: An Application of Andersen's Behavioral Model of Health Service Use.","authors":"Jeong-Hui Park, Christine C Blackburn, Arturo Rodriguez, Alek Roma, Vanessa Sanchez, Roberto Garcia, Yaziri Gonzales, Tyler Prochnow","doi":"10.1097/FCH.0000000000000454","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000454","url":null,"abstract":"Background and objectives: Regular medical checkups are essential for preventing and managing chronic diseases. However, significant disparities in the utilization of these checkups exist, particularly in the US-Mexico border communities. This study applies to Andersen's Behavioral Model of Health Service Use to explore the factors influencing regular medical checkups utilization among residents in Brownsville, Texas.Methods: A total of 144 adult participants from Brownsville, Texas, completed a bilingual (English/Spanish) survey from March to September 2024. The survey assessed demographic characteristics, health status, enabling resources (eg, income, insurance), and need factors (eg, mental health status, chronic conditions). Structural Equation Modeling was used to analyze the relationships between these factors and the likelihood of receiving regular medical checkups.Results: The study found significant positive associations between predisposing characteristics and regular medical checkups (P < .001), and between enabling resources and regular checkups (P < .001). However, need factors did not show a significant relationship with regular checkups. In addition, there was a negative interrelationship between predisposing characteristics and enabling resources (P < .001), whereas there was a positive association between enabling resources and need factors (P = .001).Conclusions: The findings highlight the importance of predisposing characteristics and enabling resources in influencing the utilization of regular medical checkups.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844395","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

Family-Based Childcare in Chicago: Opportunities to Advance Environmental and Social Justice for Children. 芝加哥以家庭为基础的儿童保育：促进儿童环境和社会正义的机会。

IF 1.3 4区医学

Family & Community Health Pub Date : 2026-05-06 DOI: 10.1097/FCH.0000000000000453

Brenda D Koester, Chelsea R Singleton, Fikriyah Winata, Sheena E Martenies

{"title":"Family-Based Childcare in Chicago: Opportunities to Advance Environmental and Social Justice for Children.","authors":"Brenda D Koester, Chelsea R Singleton, Fikriyah Winata, Sheena E Martenies","doi":"10.1097/FCH.0000000000000453","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000453","url":null,"abstract":"Background: Achieving environmental justice for children requires that their spaces promote health and well-being. In this study, we characterized the broader environmental context for family-based childcare (FCC) homes in Chicago, Illinois, to identify gaps in knowledge and directions for future work.Methods: Data on childcare providers were obtained from a state agency. Using public data sets, we characterized the physical, chemical, and built (PCB); nutritional; and social environments at the census tract level. We then described differences in neighborhood quality for census tracts containing only center-based care and those containing only FCC homes.Results: Indicators of PCB environments were similar for all census tracts. Census tracts containing FCC homes only had higher median percentages of residents with low food access and households receiving nutrition assistance relative to census tracts with center-based care only. Indicators of the social environment, including educational attainment and violent crime, were also less favorable for census tracts with FCC homes only relative to those with center-based care only.Conclusions: Our analysis highlighted differences in neighborhood quality for FCC homes, which are an important resource for low-income and racially marginalized families. Our work highlights the need to examine how structural racism contributes to the broader environmental context and children's health.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844419","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

"There Are Healthier Ways": Perspectives of Emerging Adults on Weight Loss Medications. “有更健康的方法”：新成人对减肥药的看法。

IF 1.3 4区医学

Family & Community Health Pub Date : 2026-05-06 DOI: 10.1097/FCH.0000000000000457

Courtney B Rogers, Meghan Gangel, Marisa Schorr

{"title":"\"There Are Healthier Ways\": Perspectives of Emerging Adults on Weight Loss Medications.","authors":"Courtney B Rogers, Meghan Gangel, Marisa Schorr","doi":"10.1097/FCH.0000000000000457","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000457","url":null,"abstract":"Background and objectives: Weight loss medication use has grown in popularity for adolescents and young adults, raising concerns about the implications of increased medicalization of weight reinforcing stigma toward those in larger bodies. Weight stigma is particularly salient for young people given their heightened risk of body dissatisfaction and disordered eating. Despite this concern, the relationship between weight loss medication use and stigma remains unexplored.Methods: The present study used a hybrid qualitative analysis to explore awareness and opinions of weight loss medications in a sample of 47 emerging adults.Results and conclusion: Nearly half the sample (n = 23) endorsed awareness of medications for weight loss. Among those aware, opinions toward their use were generally negative, particularly for use by adolescents. Preference was expressed for traditional weight loss methods (i.e., diet and exercise) and concerns about long-term risks of medication raised. Individuals with personal knowledge of others taking weight loss medications were more likely to have ambivalent or positive opinions on their use, suggesting that personal exposure may affect perception and stigma. It is possible that medicalization of weight status increases stigma by reinforcing beliefs that an individual's weight is a result of behavior and personal responsibility.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844362","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

Trends in Financial Hardship by COVID-19 Infection History, Long COVID Status, and Day-to-Day Activity Limitations: A National Study of US Adults. 由COVID-19感染史、长期COVID状态和日常活动限制引起的经济困难趋势：一项针对美国成年人的全国性研究。

IF 1.3 4区医学

Family & Community Health Pub Date : 2026-04-01 Epub Date: 2026-02-16 DOI: 10.1097/FCH.0000000000000450

Vivekananda Das

引用次数: 0

Engagement of Parents in an Evidence-Based Teen Pregnancy Prevention Program for Native American Adolescents. 父母参与以证据为基础的美国土著青少年青少年怀孕预防计划。

IF 1.3 4区医学

Family & Community Health Pub Date : 2026-04-01 Epub Date: 2026-02-16 DOI: 10.1097/FCH.0000000000000394

Rachel A Chambers, Hima Patel, Yifan Zhang, Summer Rosenstock, Abagail Edwards, Angelita Lee, Laura Pinal, Shauntel Lee, Anna Beach, Lauren Tingey

{"title":"Engagement of Parents in an Evidence-Based Teen Pregnancy Prevention Program for Native American Adolescents.","authors":"Rachel A Chambers, Hima Patel, Yifan Zhang, Summer Rosenstock, Abagail Edwards, Angelita Lee, Laura Pinal, Shauntel Lee, Anna Beach, Lauren Tingey","doi":"10.1097/FCH.0000000000000394","DOIUrl":"10.1097/FCH.0000000000000394","url":null,"abstract":"Background and objectives: Research identifies parents as the largest influence of youth sexual activity. Sexual health promotion programs that engage youth and parents together are needed, especially for Native American youth who experience large sexual health disparities. This study assesses the feasibility and impact of engaging a parent or \"trusted adult\" in the parent-youth session of a teen pregnancy prevention program for Native adolescents.Methods: Participants include (N = 266) Native adolescents (mean age = 13.3 [SD: 1.82] years; 52.3% female) and (N = 255) trusted adults or caregiver (mean age = 41.2 (SD: 10.7) years; 90.9% female). Participants completed assessments at baseline, 3, 9, and 12 months postintervention. Logistic regression and mixed-effects models explored predictors of session completion and session impact.Results: Approximately 82.7% of trusted adults completed the session (N = 211). Predictors of session completion included having a female youth (P = .009) and speaking the Native language (P = .05). Trusted adults completing the session reported that they were more likely to state that they communicate about sexual health at 9 months postintervention (P = .007) than those who did not.Conclusions: Results suggest the following: (1) sexual health program designers should focus more on engaging male caregivers as well as adults with male youth in programming and (2) engaging parents in programs is a promising approach for cultivating and sustaining healthy behaviors among Native adolescents.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"49 2","pages":"101-115"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146208050","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

The Social Determinants of Health in Place: A Future Families and Child Well-Being Study. 健康的社会决定因素：未来家庭和儿童福祉研究。

IF 1.3 4区医学

Family & Community Health Pub Date : 2026-04-01 Epub Date: 2025-12-23 DOI: 10.1097/FCH.0000000000000447

A Sudduth Page, P Dobbs, M Niño, S Bhochhibhoya, B Hammig

{"title":"The Social Determinants of Health in Place: A Future Families and Child Well-Being Study.","authors":"A Sudduth Page, P Dobbs, M Niño, S Bhochhibhoya, B Hammig","doi":"10.1097/FCH.0000000000000447","DOIUrl":"10.1097/FCH.0000000000000447","url":null,"abstract":"Objective: Social Determinants of Health (SDH) are grouped into domains to explain collective impact on different outcomes. The purpose of this study is to examine if SDH items group together to create new domains.Methods: A retrospective, cross-sectional study was conducted utilizing data from the Future Families and Child Wellbeing Study (FFCWS) N=4,898. Nine SDH items were assessed: neighborhood safety, walkability, personal importance of race/ethnicity, sexual orientation/gender identity, religiosity, spirituality, personal satisfaction, poverty level, and people's willingness to help others.Analysis: Factor structure was explored and confirmed using an exploratory factor analysis (EFA; n = 2,449) and confirmatory factor analysis (CFA; n = 2,449), respectively.Results: The final EFA used eight items, in which three factors/domains were identified: Spirituality, Social Place, and Personal Characteristics. Four of the items, neighborhood safety, walkability, neighbors' willingness to help (p<.00), and participant's poverty level loaded onto the Social Place domain. Social Place was found to have strong model fit using the CFA, χ2(2) = 2.504, p = 0.29, SRMR = .01, RMSEA = .01 (90% CI: .0 to .04), CFI = 0.99, TLI = .99.Conclusions: Collectively, findings from this study provide evidence that can expand SDH research, identifying a four-item measure for place. (200/200).","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"55-63"},"PeriodicalIF":1.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145811191","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