Family & Community Health最新文献_第10页

Food Insecurity and Health: Marital Status and Gender Variations. 粮食不安全与健康：婚姻状况和性别差异。

IF 1.5 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000377

Lei Chai

{"title":"Food Insecurity and Health: Marital Status and Gender Variations.","authors":"Lei Chai","doi":"10.1097/FCH.0000000000000377","DOIUrl":"10.1097/FCH.0000000000000377","url":null,"abstract":"Existing research has established the detrimental effects of food insecurity on health. However, understanding of the social conditions that may moderate this relationship remains limited. To address this gap, the study investigates two questions: First, does marital status moderate the association between food insecurity and self-rated health? Second, if such moderation exists, does its impact vary based on gender? Data from the 2017-2018 Canadian Community Health Survey, a nationally representative survey conducted by Statistics Canada (n =101 647), were utilized for this investigation. The findings demonstrated that individuals living in food-insecure households reported poorer self-rated mental and general health. However, the negative impact of food insecurity on both health outcomes was less pronounced among married individuals than among their unmarried counterparts. Furthermore, the stress-buffering role of marriage was found to be more substantial among men than among women. In light of the significant stress-buffering role of marriage revealed in this study, it is crucial for policies to aim at providing comparable coping resources to unmarried individuals, particularly women.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 4","pages":"242-249"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10597270","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

Advancing the Systems Science Paradigm in Public Health Through Intervention and Evaluation. 通过干预和评估推进公共卫生领域的系统科学范式。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000382

Whitney R Garney, Monica L Wendel, Hallie R Decker, Sara A Flores

引用次数: 0

Longitudinal Policy and Systems Change as a Component of Community Power. 作为社区力量组成部分的纵向政策和制度变革。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000371

Claire Devine, Ritu Ghosal, Maggie Weller, Taylor Doren, Chia Hua Yu, Roxanne Marsillo, Natalie Kenton

{"title":"Longitudinal Policy and Systems Change as a Component of Community Power.","authors":"Claire Devine, Ritu Ghosal, Maggie Weller, Taylor Doren, Chia Hua Yu, Roxanne Marsillo, Natalie Kenton","doi":"10.1097/FCH.0000000000000371","DOIUrl":"10.1097/FCH.0000000000000371","url":null,"abstract":"Community power represents the ability of communities to develop, sustain, and grow the capacity to participate in and advance systems change that addresses health inequities but is difficult to assess because of its multifaceted, longitudinal nature. Using California's school-based Local Control Funding Formula (LCFF) as an example, this article examines the interconnectedness of longitudinal policy and systems changes as one approach to understanding and visualizing evolving community power. Data on policy and systems changes were collected during the 10-year, place-based Building Healthy Communities initiative and coded using thematic analysis. Related changes within sites and between community and state levels were linked to show how changes built and overlapped over time. Around 45% of changes were interconnected and cascaded to build momentum within sites; in addition, a substantial proportion of statewide changes (68%) overlapped with community ones. The state-level LCFF policy led to multiple community-based changes over time, involving ongoing engagement from various community groups across communities. Local implementation of the LCFF policy change was used to illustrate the usefulness of connecting community-driven policy and systems changes over time to explore the dynamics of community power and address some of the limitations of that approach.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 Suppl 1","pages":"S41-S51"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10267290","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: 1

Innovative Strategies to Address Systemic Inequities in Youth Sexual Health Programs: A Preliminary Program Evaluation. 解决青少年性健康项目中系统性不平等问题的创新策略：项目初步评估。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000381

Victoria P Sattler, Kristin E Courtney, Celena J McCray, Bonnie S Burlingham, Nicole L Casanova, Bradley J Klos, Rabeeha Ghaffar

{"title":"Innovative Strategies to Address Systemic Inequities in Youth Sexual Health Programs: A Preliminary Program Evaluation.","authors":"Victoria P Sattler, Kristin E Courtney, Celena J McCray, Bonnie S Burlingham, Nicole L Casanova, Bradley J Klos, Rabeeha Ghaffar","doi":"10.1097/FCH.0000000000000381","DOIUrl":"10.1097/FCH.0000000000000381","url":null,"abstract":"Disparities in sexual health outcomes between racial and ethnic groups throughout the state of Washington suggest the presence of systemic inequities impeding young people's experience with and access to sexual health care and education. Emerging innovations in sexual health look to center young people, particularly those who have been historically excluded, in the design and implementation of programs that aim to serve them. The Washington Youth Sexual Health Innovation and Impact Network (WYSHIIN) and 11 grant-funded partners engaged communities of youth across the state of Washington, including Two Spirit, lesbian, gay, bisexual, transgender, queer, questioning, intersex, and/or asexual (2SLGBTQIA+) and Black, Indigenous, and People of Color (BIPOC) youth, with the goal of equitably engaging participants and stakeholders to broaden services in schools and community settings. Evaluation staff from the Washington State Department of Health conducted virtual interviews with community partners for preliminary program evaluation purposes and identified 6 strategies for engaging youth. WYSHIIN partners highlighted strategies for centering youth voice and needs at all levels of program development and implementation, embracing holistic and culturally relevant approaches, and 2SLGBTQIA+ inclusion. These themes, reflective of wisdom across multiple Washington communities, offer strategies to address systemic issues that negatively impact youth access to and experience with sexual health care.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 Suppl 1","pages":"S74-S79"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10212868","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: 1

Alaska Native Parents' Decision-Making About Food, Beverages, and Screen Time for Young Children: Formative Insights From the "Got Neqpiaq?" Project. 阿拉斯加土著父母对幼儿食物、饮料和屏幕时间的决策：来自“得到奈奎克？”项目的形成性见解。

IF 1.5 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000370

Kathryn A Ohle, Kathryn R Koller, Amanda K Walch, Flora R Lee, Lea Palmer, Jennifer Nu, Timothy K Thomas

{"title":"Alaska Native Parents' Decision-Making About Food, Beverages, and Screen Time for Young Children: Formative Insights From the \"Got Neqpiaq?\" Project.","authors":"Kathryn A Ohle, Kathryn R Koller, Amanda K Walch, Flora R Lee, Lea Palmer, Jennifer Nu, Timothy K Thomas","doi":"10.1097/FCH.0000000000000370","DOIUrl":"10.1097/FCH.0000000000000370","url":null,"abstract":"With rising childhood obesity rates, ensuring children adopt healthy habits early is imperative. Given the unique context for Alaska Native families living in rural remote communities, who are concurrently experiencing changes in traditional practices, we investigated what impacts parents' decisions as they relate to daily living before revising a preschool curriculum focused on healthy habits. The objective of this study was to explore factors influencing parents' decisions about their children's foods, beverages, and activities. In focus group discussions with AN parents of young children across 12 communities, we asked about meals, traditional foods, beverages, physical activity, and screen time. All sessions were recorded, transcribed, and analyzed using open and selective coding to allow the most important themes to emerge. As parents discussed how they make decisions, several trends emerged related to adults' and children's food and beverage preferences; the impact of adult modeling on children; and how convenience, seasonality, access, and a reluctance to engage in conflict all impact decision-making. Parents and other community members shared important perspectives on exposing children to traditional subsistence foods and activities and passing important traditional knowledge to them at an early age. These perspectives will form the basis for preschool curricula in these communities.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 4","pages":"250-258"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10502956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10315896","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

Youth Sport Participation Experiences From the Perspective of Hispanic/Latinx Parents and Their Children. 从西班牙/拉丁裔父母及其子女的角度看青少年体育参与经验。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-07-01 DOI: 10.1097/FCH.0000000000000366

Mayrena Isamar Hernandez, Elena Catherine Miller, Laura Andrea Prieto, Madison Nicole Sehmer, Daniel Allan Schaefer, Kevin Mark Biese, Luis A Columna, Susan Andreae, Timothy A McGuine, Traci R Snedden, Lindsey E Eberman, David Robert Bell

{"title":"Youth Sport Participation Experiences From the Perspective of Hispanic/Latinx Parents and Their Children.","authors":"Mayrena Isamar Hernandez, Elena Catherine Miller, Laura Andrea Prieto, Madison Nicole Sehmer, Daniel Allan Schaefer, Kevin Mark Biese, Luis A Columna, Susan Andreae, Timothy A McGuine, Traci R Snedden, Lindsey E Eberman, David Robert Bell","doi":"10.1097/FCH.0000000000000366","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000366","url":null,"abstract":"Hispanic/Latinx communities remain an underserved population in terms of health and physical activity opportunities. The rise of sport specialization can jeopardize these opportunities. Understanding the appeal and welcomeness that minoritized populations feel toward sport and sport specialization culture can play an important role in health promotion and breaking down barriers that widen the gap on physical activity levels in Hispanic/Latinx communities. To date, these studies have not qualitatively investigated Hispanic/Latinx youth sport dyads (parent and child) and how sport specialization perceptions have affected their sport participation experiences. We used a qualitative interpretative phenomenological analysis to explore experiences of Hispanic/Latinx high school athletes. We engaged in semistructured interviews with 12 parent-child dyads. The following 3 interrelated themes emerged: (a) expectations of youth sport participation, (b) meeting expectations of youth sport participation, (c) and (mis)alignment of cultures. Dyads describe a negative youth sport experience when both cultures do not align because of the rise in sport specialization and pay-to-play culture. Findings indicate that dyads understand what is necessary to participate in organized sport and do this by methods that are rooted in their Hispanic/Latinx culture.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 3","pages":"165-175"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10237786","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: 1

Spatial Analysis of Greenspace and Mental Health in North Carolina: Consideration of Rural and Urban Communities. 北卡罗来纳州绿地与心理健康的空间分析：考虑农村和城市社区。

IF 1.5 4区医学

Family & Community Health Pub Date : 2023-07-01 Epub Date: 2023-04-20 DOI: 10.1097/FCH.0000000000000363

Sophia C Ryan, Margaret M Sugg, Jennifer D Runkle, Jessica L Matthews

{"title":"Spatial Analysis of Greenspace and Mental Health in North Carolina: Consideration of Rural and Urban Communities.","authors":"Sophia C Ryan, Margaret M Sugg, Jennifer D Runkle, Jessica L Matthews","doi":"10.1097/FCH.0000000000000363","DOIUrl":"10.1097/FCH.0000000000000363","url":null,"abstract":"Greenspace positively impacts mental health. Previous research has focused on the greenspace-mental health relationship in urban areas. Yet, little work has looked at rural areas despite rural communities reporting similar rates of poor mental health outcomes and higher rates of suicide mortality compared with urban areas. This ecological research study examined the following research questions: (1) Do public and/or private greenspaces affect the spatial distribution of mental health outcomes in North Carolina? (2) Does this relationship change with rurality? Emergency department data for 6 mental health conditions and suicide mortality data from 2009 to 2018 were included in this analysis. Spatial error and ordinary least squares regressions were used to examine the influence of public and private greenspace quantity on mental health in rural and urban communities. Results suggest greenspace benefits mental health in rural and urban communities. The strength of this relationship varies with urbanity and between public and private greenspaces, suggesting a more complex causal relationship. Given the high case counts and often lower density of mental health care facilities in rural areas, focusing attention on low-cost mental health interventions, such as greenspace, is important when considering rural mental health care.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 3","pages":"181-191"},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10806433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10239271","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

Mitigating the Spread of COVID-19: Differential Perceptions of Midwestern University Students. 缓解COVID-19的传播:中西部大学学生的不同看法。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-07-01 DOI: 10.1097/FCH.0000000000000354

Tyler W Myroniuk, Kaleea R Lewis, Joan M Hermsen, Enid Schatz

引用次数: 1

The Social Process of Caregiving in Fathers: A Grounded Theory Study. 父亲照顾的社会过程:一个扎根的理论研究。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-07-01 DOI: 10.1097/FCH.0000000000000364

Ashley Rivera

{"title":"The Social Process of Caregiving in Fathers: A Grounded Theory Study.","authors":"Ashley Rivera","doi":"10.1097/FCH.0000000000000364","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000364","url":null,"abstract":"The United Nation's Agenda 2030 recognizes unpaid domestic caregiving in the home as the largest barrier to gender equality. However, little research has been conducted to understanding the social process through which fathers engage in caregiving. The purpose of this constructivist grounded theory study was to explore the social process of caregiving in fathers. Recruited from multiple community settings, 35 fathers participated in intensive interviews with the investigator. The initial interview guide was developed through Swanson's Theory of Caring and modified as themes emerged. Data analysis occurred using an iterative categorization matrix for organization and clarity. This study proposed the action-based Caregiving in Fathers Theory. The 3 main themes of the theory center on the following: (1) reconciling the past through \"Reinventing the Kitchen Table\"; (2) managing the present through \"Creating a Home\"; and (3) preparing for the future through \"Discovering Empowerment.\" For fathers, gender equality in society begins with accepting fathers as proficient, competent, and primary caregivers. This theory reveals the motivations of fathers in participating in unpaid domestic caregiving in the home.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 3","pages":"155-164"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10237755","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

Church Matters: Education About Advance Care Planning and End-of-Life Care in Black Churches. 教会事务:黑人教会关于预先护理计划和临终关怀的教育。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-07-01 DOI: 10.1097/FCH.0000000000000365

Cathy L Campbell, Ishan C Williams, Lisa C Campbell

{"title":"Church Matters: Education About Advance Care Planning and End-of-Life Care in Black Churches.","authors":"Cathy L Campbell, Ishan C Williams, Lisa C Campbell","doi":"10.1097/FCH.0000000000000365","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000365","url":null,"abstract":"For many African American adults, the church has the potential to be a place to receive education about advance care planning (ACP). The current study was conducted to (1) identify the frequency of ACP conversations and caregiving and (2) evaluate interest in church-placed end-of-life (EOL) care education. Data were collected from parishioners in 2 African American churches in an urban city in the mid-Atlantic region of the United States. Individuals older than 50 years reported a higher frequency of caregiving ( P < .001) and were more likely to have talked to someone about EOL care ( P < .001) than individuals younger than 50 years. Nearly all respondents considered EOL conversations \"important\" or \"very important\" (99.1%) and wanted more information about EOL conversations available via the church (95.8%). Our findings suggest EOL conversations are happening within families and with health care providers, but they are not documented in ways (eg, in writing) that research has focused on previously. Future EOL education will focus more on the importance of documenting and sharing EOL care wishes with family and health care professionals.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 3","pages":"176-180"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10239272","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: 1