Family & Community Health最新文献_第2页

Music Across Generations: Exploring Intergenerational First Nations Musical Practices as Cultural Determinants of Health. 跨代音乐：探索作为健康文化决定因素的原住民代际音乐实践。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI: 10.1097/FCH.0000000000000413

Naomi Sunderland, Glenn Barry, Phil Graham, Darren Garvey, Brydie-Leigh Bartleet, Brigitta Scarfe, Kristy Apps, Rae Cooper, Clint Bracknell, Kerry Hall

{"title":"Music Across Generations: Exploring Intergenerational First Nations Musical Practices as Cultural Determinants of Health.","authors":"Naomi Sunderland, Glenn Barry, Phil Graham, Darren Garvey, Brydie-Leigh Bartleet, Brigitta Scarfe, Kristy Apps, Rae Cooper, Clint Bracknell, Kerry Hall","doi":"10.1097/FCH.0000000000000413","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000413","url":null,"abstract":"This article reports on promising pilot research which indicates that intergenerational musical practices in diverse First Nations families and communities in Vanuatu and Australia can shape cultural determinants of health (CDoH). We contend that such strength- and culture-based approaches to health promotion may help to disrupt colonial and deficit constructions of First Nations People and our health and wellbeing. The pilot study used Indigenist yarning which prioritized First Nations ideas, concepts, and knowledges during informal and relational semi-structured interviews with 9 diverse First Nations musicians in Australia and Vanuatu. The pilot study underpins an ongoing international 3-year research project examining First Nations music as a determinant of health led by Griffith University, The University of the Sunshine Coast, The University of Queensland, and Edith Cowan University. Yarning interviews were analyzed using collaborative thematic analysis and Indigenous visual art responses. Major themes emerging from the data related to intergenerational music activity and transmission. Themes include Music as an intergenerational medium of cultures; Music as a bond between older and younger generations; Intergenerational musical activism and advocacy; and Musical lineages and strengths. Intergenerational musical practices in diverse First Nations families may provide protective cultural, social, economic, educative, and professional determinants of health. The study indicates that more research and new theory may unlock the potential of First Nations musical activities as protective and agentic cultural practices in our families and communities.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"47 4","pages":"294-303"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001045","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 Cross-Sectional Analysis of Factors Promoting Intergenerational Resilience in Adolescent Youth With Refugee Status. 对促进有难民身份的青少年代际复原力的因素进行横断面分析。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI: 10.1097/FCH.0000000000000410

Sarah J Hoffman, Maria M Vukovich, Barbara L Peterson, Jayne A Fulkerson, Abigail H Gewirtz, Windy M Fredkove, Amanda Davis, Joseph E Gaugler

{"title":"A Cross-Sectional Analysis of Factors Promoting Intergenerational Resilience in Adolescent Youth With Refugee Status.","authors":"Sarah J Hoffman, Maria M Vukovich, Barbara L Peterson, Jayne A Fulkerson, Abigail H Gewirtz, Windy M Fredkove, Amanda Davis, Joseph E Gaugler","doi":"10.1097/FCH.0000000000000410","DOIUrl":"10.1097/FCH.0000000000000410","url":null,"abstract":"Background: Adolescent youth occupy a critical and complex position in refugee families who resettle in a third country.Objectives: We examined the potential impact of health- and family-related factors on the social and behavioral adjustment outcomes of refugee adolescent youth.Methods: Situated within an explanatory sequential mixed methods study, we used unadjusted and adjusted multinomial logistic regression to identify trauma, health, and socioecological characteristics of war-affected families associated with social and behavioral adjustment in 72 Karen adolescent youth resettled in the United States.Results: Factors related to the health and well-being of war-affected families, including parent mental and physical health, youth-reported family function, housing, and parent employment demonstrated important associations with youth adjustment.Conclusion: These findings, originating within the complex dynamics of resettled war-affected families, demonstrated the interconnectedness of adolescent and parent experiences and opportunities to advance resilience in youth navigating integration and supporting their families through those same processes.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"47 4","pages":"288-293"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11335304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001043","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

Health Needs Assessment of Unhoused Youth in Charleston, South Carolina. 南卡罗来纳州查尔斯顿无家可归青少年的健康需求评估。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI: 10.1097/FCH.0000000000000414

Cristin S Adams, Chelsea A Roach, Carole R Berini, Nicole A Cooper, Robert W Kahle, Marty S Player, Vanessa A Diaz

{"title":"Health Needs Assessment of Unhoused Youth in Charleston, South Carolina.","authors":"Cristin S Adams, Chelsea A Roach, Carole R Berini, Nicole A Cooper, Robert W Kahle, Marty S Player, Vanessa A Diaz","doi":"10.1097/FCH.0000000000000414","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000414","url":null,"abstract":"Background: Over 35 000 youth experience homelessness on any given night in the United States (US). Unhoused youth experience unique physical and mental health challenges and face barriers in every social determinant of health (SDoH), which may be amplified in the LGBTQ+ population.Objective: The objective of this study was to define characteristics of the unhoused youth population and their utilization of healthcare to inform programs to meet their needs.Methods: Secondary analysis of data from the College of Charleston's YOUth Count survey was conducted, focusing on health-related characteristics, challenges, healthcare utilization, and SDoH of youth aged 18 to 25 experiencing homelessness in Charleston, SC.Results: Almost three-quarters of respondents (74.6%) reported mental health challenges and 35% reported physical health challenges. A significantly higher proportion of those who engaged in survival sex were LGBTQ+ . More than half (68.4%) visited the emergency department (ED) and 29.3% were admitted to the hospital in the past 12 months. Housing status, safety, food insecurity, sexual orientation, prior foster care, and survival sex were all significantly associated with ED utilization. Housing status and survival sex were significantly associated with hospital admission.Conclusions: Addressing SDoH is essential to improving health outcomes and healthcare utilization among unhoused youth, particularly in the LGBTQ+ population.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"47 4","pages":"280-287"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001044","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

Nepali Translation, Validity and Reliability Study of the Cohen-Hoberman Inventory of Physical Symptoms for Utilization With Bhutanese Refugees. 不丹难民使用科恩-霍伯曼身体症状量表的尼泊尔语翻译、有效性和可靠性研究。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI: 10.1097/FCH.0000000000000407

Lori Maria Walton, Renee Hakim, Jennifer Schwartz, Veena Raigangar, Najah Zaaeed, Sarah Neff-Futrell

{"title":"Nepali Translation, Validity and Reliability Study of the Cohen-Hoberman Inventory of Physical Symptoms for Utilization With Bhutanese Refugees.","authors":"Lori Maria Walton, Renee Hakim, Jennifer Schwartz, Veena Raigangar, Najah Zaaeed, Sarah Neff-Futrell","doi":"10.1097/FCH.0000000000000407","DOIUrl":"10.1097/FCH.0000000000000407","url":null,"abstract":"Background and objectives: Language-appropriate outcome measurements help to improve health equity. The purpose of this study was to translate and validate the Cohen-Hoberman Inventory of Physical Symptoms (CHIPS) in Nepali for Bhutanese refugee utilization.Methods: English-Nepali forward and back translations of CHIPS were completed by an official translator and evaluated by three content experts. A scaled rubric measured the following constructs: neurogenic stress response (NSR), somatic stress response (SSR), and visceral stress response (VSR). Data were analyzed using SPSS 26.0.Results: The Nepali version of CHIPS reported good content validity, strong internal consistency (Cronbach's α = .94), and inter-rater reliability (ICC = 0.91). Kappa statistic reported 88% to 96% agreement. Constructs of NSR (0.91), SSR (0.94), and VSR (0.94) reported strong internal consistency.Conclusions: The Nepali translated version of CHIPS showed strong validity and reliability for utilization in the Bhutanese refugee population and improves health access to outcome measurements for a vulnerable population.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"314-317"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443550","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

Parent Experiences of Empowerment: Understanding the Role of Parent Empowerment in Child Health Promotion. 家长的赋权体验：了解家长赋权在促进儿童健康中的作用。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI: 10.1097/FCH.0000000000000412

Natalie Grafft, Cristina Gago, Evelin Garcia, Alyssa Aftosmes-Tobio, Janine M Jurkowski, Rachel E Blaine, Kirsten K Davison

{"title":"Parent Experiences of Empowerment: Understanding the Role of Parent Empowerment in Child Health Promotion.","authors":"Natalie Grafft, Cristina Gago, Evelin Garcia, Alyssa Aftosmes-Tobio, Janine M Jurkowski, Rachel E Blaine, Kirsten K Davison","doi":"10.1097/FCH.0000000000000412","DOIUrl":"10.1097/FCH.0000000000000412","url":null,"abstract":"Background: Establishing healthy behaviors during a child's first 5 years is essential for healthy growth. Parents are targeted as agents of change because they serve as primary models of behavior during this period. Although parent-focused interventions often target empowerment as a driver of change, our understanding of how parents experience the process of empowerment in the context of child health promotion remains limited.Objective: This qualitative study explored the process by which parents gain empowerment through participation in a health promotion intervention.Methods: Semi-structured interviews were conducted with 37 low-income parents who participated in Parents Connect for Healthy Living (PConnect), a 10-week empowerment-centered obesity prevention intervention. Data were analyzed using inductive-deductive thematic analysis and guided by empowerment theories.Results: Most parents were Hispanic/Latino (41%) and female (97%). Five themes emerged that correspond to the process by which parents gained empowerment: (1) friendships formed and relationships strengthened during PConnect, (2) parents strengthened relationships with their children and believed in their ability to parent successfully, (3) the experience of knowledge led to behavior change, (4) parents used new resources to improve family health, and (5) parents took action.Conclusion: Empowerment theory should be a component of health promotion programs.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"47 4","pages":"261-274"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11335312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001046","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

The Association Between Food Insecurity, Parental Stress, and Child Development. 粮食不安全、父母压力和儿童发展之间的关系。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI: 10.1097/FCH.0000000000000411

Rachel Belans, Joanne Odom, Paul Kolm, Janine A Rethy

{"title":"The Association Between Food Insecurity, Parental Stress, and Child Development.","authors":"Rachel Belans, Joanne Odom, Paul Kolm, Janine A Rethy","doi":"10.1097/FCH.0000000000000411","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000411","url":null,"abstract":"Background and objectives: It is recognized that development in the 0-to-5-year period is predictive of lifelong health and well-being and that early childhood development is influenced by parental mental health. Social stressors such as food insecurity can exacerbate parental mental health issues.Methods: To improve understanding of this complex interplay, a primary care pediatric practice designed an innovative meal and grocery delivery program for families experiencing food insecurity with at least one child aged 0-5 years. As part of the program, food insecurity, parental mental health, and child development were assessed.Results: Food insecurity was found to be correlated with increased stress in the parent-child system, and increased stress was found to be strongly correlated with delays in early childhood developmental progress.Conclusions: These findings suggest that changes in the parent-child relationship resulting from increased parental stress due to food insecurity can play a role in influencing early childhood development.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"47 4","pages":"275-279"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001047","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

"Breaking Bread" With Respondents: Strategies to Increase Response Rates and Create Long-Term Cooperation With Health Clinic Administrators. 与受访者 "掰面包"：提高回复率并与诊所管理人员建立长期合作关系的策略。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI: 10.1097/FCH.0000000000000409

Kelly N Foster, Candace Forbes Bright, Kate Beatty, Jordan de Jong, Kristen Surles, Liane Ventura, Morgan Jones Kidd

{"title":"\"Breaking Bread\" With Respondents: Strategies to Increase Response Rates and Create Long-Term Cooperation With Health Clinic Administrators.","authors":"Kelly N Foster, Candace Forbes Bright, Kate Beatty, Jordan de Jong, Kristen Surles, Liane Ventura, Morgan Jones Kidd","doi":"10.1097/FCH.0000000000000409","DOIUrl":"10.1097/FCH.0000000000000409","url":null,"abstract":"Background and objectives: To fully understand the impact of unintended pregnancy, as well as to evaluate the implementation and outcomes of programs targeted at reducing unintended pregnancy, it is critical that researchers be able to collect comprehensive data from health clinics that provide these services in vulnerable communities.Methods: Our paper details recruitment and incentive strategies, as well as the theories that guided them, which allowed us to achieve a high survey response rate among health clinic administrators in public health clinics in 2 Southeastern states-South Carolina and Alabama-both of which have high rates of unintended pregnancy.Results: Grounded in organizational theory, and utilizing the Tailored Design Method, we achieved a 68% response rate utilizing paper and web survey administration with multiple contact modes. Our incentive structure comprised both traditional cash-based and food-based incentives.Conclusions: Findings indicate high response rates are achievable despite high survey burden (ie, detailed information, length of survey). We found that sample screening was critical and that food-based incentives made an impression on respondents that positively impacted the researcher-respondent relationship. Providing detailed methodology and additional literature will assist researchers working with similar populations-a gap in the applied methodological literature that was problematic at the project's onset.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"304-313"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318600","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

Food Insecurity and Family Dynamics: A Systematic Review. 粮食不安全与家庭动态：系统回顾。

IF 2.3 4区医学

Family & Community Health Pub Date : 2024-07-01 Epub Date: 2024-05-16 DOI: 10.1097/FCH.0000000000000401

Sudarshan Krishnamurthy, Joshua S Chait, Menaka N Reddy, Lucas D Galli, Joseph A Skelton

{"title":"Food Insecurity and Family Dynamics: A Systematic Review.","authors":"Sudarshan Krishnamurthy, Joshua S Chait, Menaka N Reddy, Lucas D Galli, Joseph A Skelton","doi":"10.1097/FCH.0000000000000401","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000401","url":null,"abstract":"Background: Undernutrition is related to numerous childhood outcomes. However, little research has investigated the relationship between food insecurity and family dynamics. This systematic review seeks to validate the evidence for a relationship between these 2 factors.Methods: A systematic literature review was conducted in Embase, PubMed, and Scopus. Inclusion criteria include peer-reviewed research articles published during or after 1996 in English, using standardized measures of family function and food insecurity. Exclusion criteria include measurement of parent or child characteristics without assessing household or family characteristics or demographics. Two reviewers independently voted using Covidence, and Alpha agreement was determined at each phase.Results: A total of 15 studies were included for data extraction after the initial search being completed in April 2022. All included studies were found to be appropriate in numerous categories for quality assessment. Primary findings from these studies show a potential relationship exists between food insecurity and family dynamics.Discussion: The findings in this review suggest that effects of food insecurity expand to various aspects of healthy family functioning. Unhealthy family dynamics in childhood can also expose children to trauma and lead to increased physical and mental health disorders in the future.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"47 3","pages":"219-230"},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960111","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 Predefined Rule-Based Multi-Factor Risk Stratification Is Associated With Improved Outcomes at a Rural Primary Care Practice. 基于预定义规则的多因素风险分层与改善农村初级保健实践的结果有关。

IF 2.3 4区医学

Family & Community Health Pub Date : 2024-07-01 Epub Date: 2024-05-10 DOI: 10.1097/FCH.0000000000000405

Laith Abu Lekham, Ellen Hey, Jose Canario, Yissette Rivas, Amanda Felice, Tiffani Mantegna, Yong Wang, Mohammad T Khasawneh

{"title":"A Predefined Rule-Based Multi-Factor Risk Stratification Is Associated With Improved Outcomes at a Rural Primary Care Practice.","authors":"Laith Abu Lekham, Ellen Hey, Jose Canario, Yissette Rivas, Amanda Felice, Tiffani Mantegna, Yong Wang, Mohammad T Khasawneh","doi":"10.1097/FCH.0000000000000405","DOIUrl":"10.1097/FCH.0000000000000405","url":null,"abstract":"This study built a predefined rule-based risk stratification paradigm using 19 factors in a primary care setting that works with rural communities. The factors include medical and nonmedical variables. The nonmedical variables represent 3 demographic attributes and one other factor represents transportation availability. Medical variables represent major clinical variables such as blood pressure and BMI. Many risk stratification models are found in the literature but few integrate medical and nonmedical variables, and to our knowledge, no such model is designed specifically for rural communities. The data used in this study contain the associated variables of all medical visits in 2021. Data from 2022 were used to evaluate the model. After our risk stratification model and several interventions were adopted in 2022, the percentage of patients with high or medium risk of deteriorating health outcomes dropped from 34.9% to 24.4%, which is a reduction of 30%. The medium-complex patient population size, which had been 29% of all patients, decreased by about 4% to 5.7%. According to the analysis, the total risk score showed a strong correlation with 3 risk factors: dual diagnoses, the number of seen providers, and PHQ9 (0.63, 0.54, and 0.45 correlation coefficients, respectively).","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"248-260"},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904909","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

Adult Day Services for People With Intellectual and Developmental Disabilities: A Scoping Review. 为智力和发育障碍人士提供的成人日间服务：范围审查》。

IF 2.3 4区医学

Family & Community Health Pub Date : 2024-07-01 Epub Date: 2024-05-07 DOI: 10.1097/FCH.0000000000000406

Megan R Westmore, Keith A Anderson

引用次数: 0