Family & Community Health最新文献_第3页

Place Matters: Investigating the Social and Environmental Drivers of Hypertension in Nashville. 地点问题：调查纳什维尔高血压的社会和环境驱动因素。

IF 1.4 4区医学

Family & Community Health Pub Date : 2026-04-01 Epub Date: 2026-02-16 DOI: 10.1097/FCH.0000000000000448

Marquinta Harvey, Michael D Oliver, Tatum Brown, Deya Rassul, Thomas Strickler, Jarod Parrish, Catherine Bass

{"title":"Place Matters: Investigating the Social and Environmental Drivers of Hypertension in Nashville.","authors":"Marquinta Harvey, Michael D Oliver, Tatum Brown, Deya Rassul, Thomas Strickler, Jarod Parrish, Catherine Bass","doi":"10.1097/FCH.0000000000000448","DOIUrl":"10.1097/FCH.0000000000000448","url":null,"abstract":"Background: Hypertension disparities persist across communities, driven by interactions between social determinants of health (SDOH) and behavioral factors. This study examines geographic and demographic patterns of hypertension in Nashville, Tennessee, to assess how socioeconomic, environmental, and behavioral factors contribute to inequities in prevalence, treatment, and control. Granular ZIP code-level analyses highlight community-specific drivers and the need for policy reforms to advance health equity.Methods and results: Using 2022 data from the U.S. Census Bureau's American Community Survey and CDC PLACES, we analyzed 199 Nashville ZIP codes. K-means clustering identified five population clusters. Lower-income clusters (e.g., Hardship Heartland: 37.2% hypertension prevalence; Urban Renters: 33.7%) exhibited elevated physical inactivity (30.9%), insufficient sleep (38.9%), smoking (22.6%), alongside limited healthcare access. Affluent clusters (Elite Enclaves: 30.8%) demonstrated better cardiovascular health. Non-Hispanic Black residents in urban cores faced disproportionately higher hypertension rates (35.4%) compared to non-Hispanic white residents in the same clusters (e.g., 43.8% white residents in Urban Renters).Conclusions: Structural inequities-poverty, housing instability, and unequal healthcare access-drive hypertension disparities. Multi-sector interventions targeting upstream SDOH (e.g., affordable housing, equitable healthcare, and community wellness programs) are critical to reduce cardiovascular risk. Policy reforms prioritizing place based strategies in high-burden communities could mitigate disparities and improve population health.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"49 2","pages":"64-74"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12908637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146207962","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

Social Networks Influence Vaccine Confidence in Rural Black Americans. 社会网络影响美国农村黑人对疫苗的信心

IF 1.4 4区医学

Family & Community Health Pub Date : 2026-04-01 Epub Date: 2026-02-02 DOI: 10.1097/FCH.0000000000000449

Miranda Jones, Anna Hooks, Kathryn A Stofer, Catucha Morand, Helen Yates, Kimberly Davis, Dreamal L Worthen, LaToya J O'Neal

{"title":"Social Networks Influence Vaccine Confidence in Rural Black Americans.","authors":"Miranda Jones, Anna Hooks, Kathryn A Stofer, Catucha Morand, Helen Yates, Kimberly Davis, Dreamal L Worthen, LaToya J O'Neal","doi":"10.1097/FCH.0000000000000449","DOIUrl":"10.1097/FCH.0000000000000449","url":null,"abstract":"Background: Despite vaccination being one of the most effective ways to mitigate the impact of vaccine-preventable diseases, immunization coverage is low among rural and minoritized populations. Vaccine hesitancy, which increased during the COVID-19 pandemic, contributes to low immunization coverage despite higher prevalence of and increased risk for severe illness due to vaccine-preventable diseases among rural minoritized adults.Objective: Public health efforts to reduce vaccine hesitancy among rural Black Americans require understanding the factors that contribute to vaccine confidence and vaccine uptake. This study identifies how multilevel factors influence vaccine confidence and uptake among rural Black American adults in 3 Northeast Florida counties.Methods: Four focus groups (N = 34) were conducted, audio-recorded, transcribed, and open-coded in MAXQDA 2022. The social ecological model was used to guide analysis and provide insight into contextual factors influencing vaccine knowledge and confidence, and trust in vaccines.Results: Results show that multilevel variables influence vaccine confidence among rural Black Americans. Social factors, specifically social networks, shape an individual's perception of vaccines at all levels of the social ecological model.Conclusion: Public health interventions to increase vaccine uptake among rural Black adults should focus on social networks to enhance the credibility of the information provided by experts.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"90-100"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100778","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 Community-Engaged Approach to Develop and Implement a Behavioral Infant Obesity Prevention Program for Marginalized Families in Home Visiting. 社区参与的方法：在家访中为边缘家庭制定和实施行为婴儿肥胖预防计划。

IF 1.3 4区医学

Family & Community Health Pub Date : 2026-01-01 Epub Date: 2025-11-26 DOI: 10.1097/FCH.0000000000000443

Cathleen Odar Stough, Katlyn Garr, Julia Rabin, Taylor Gates, Francesca A St Pe, Angela Combs, Harrison Powers, Isabella K Pallotto, Suzanne Summer, Robert T Ammerman, Alonzo T Folger, Jennifer R Frey, Margaret J Clark, Jennifer Berndsen, Lisa M Vaughn, Jessica G Woo

{"title":"A Community-Engaged Approach to Develop and Implement a Behavioral Infant Obesity Prevention Program for Marginalized Families in Home Visiting.","authors":"Cathleen Odar Stough, Katlyn Garr, Julia Rabin, Taylor Gates, Francesca A St Pe, Angela Combs, Harrison Powers, Isabella K Pallotto, Suzanne Summer, Robert T Ammerman, Alonzo T Folger, Jennifer R Frey, Margaret J Clark, Jennifer Berndsen, Lisa M Vaughn, Jessica G Woo","doi":"10.1097/FCH.0000000000000443","DOIUrl":"10.1097/FCH.0000000000000443","url":null,"abstract":"Background: Community-engaged approaches to health interventions can improve program feasibility and suitability, reduce attrition, and improve health outcomes. The current paper (1) describes the community-engaged development and delivery of an infant obesity prevention program, and (2) presents program feasibility and acceptability data.Methods: Healthy Eating for My Infant (HEMI) was developed using a multiphase approach with community stakeholders, including a qualitative needs assessment, action planning, and feedback from community stakeholders. Healthy Eating for My Infant addressed nutrition/feeding education, behavior-change techniques, and mental health/stress as related to infant feeding through 6 home visits with health behavior coaches and family support peers and text messaging support with other program mothers. Fifteen mother-infant dyads enrolled in a home visiting program serving primarily families from marginalized backgrounds were randomized to receive HEMI in a small feasibility trial.Results: Delivery of HEMI was feasible with high retention (86.7%) and session completion (84.0%). Families reported high acceptability of the program; health behavior coaches and family support peers delivering the program perceived that HEMI was helpful for families and that families felt heard and supported.Conclusion: Healthy Eating for My Infant serves as an example of a multiphase community-engaged approach to develop future programs targeting health behavior change among children and families from marginalized backgrounds.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"49 1","pages":"26-39"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641047","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

Examining the Association Between Parental Perceptions and Social Support and Their Child's Physical Activity Levels. 研究父母认知、社会支持和孩子身体活动水平之间的关系。

IF 1.3 4区医学

Family & Community Health Pub Date : 2026-01-01 Epub Date: 2025-11-26 DOI: 10.1097/FCH.0000000000000444

Layla A Haidar, Natalia I Heredia, Andrew Springer, Deanna Hoelscher

{"title":"Examining the Association Between Parental Perceptions and Social Support and Their Child's Physical Activity Levels.","authors":"Layla A Haidar, Natalia I Heredia, Andrew Springer, Deanna Hoelscher","doi":"10.1097/FCH.0000000000000444","DOIUrl":"10.1097/FCH.0000000000000444","url":null,"abstract":"Background: Parents are the agent of change in their child's lifestyle choices; therefore, actively involving them in promoting healthy lifestyle behaviors is essential. Our study concurrently analyzed 3 forms of parent-reported parental social support (modeling, instrumental support, and encouragement) to determine which factor has a greater impact, if any, is associated with their child's physical activity (PA) levels. Additionally, this paper investigated parent-reported accuracy of parental perceptions of child's PA levels and examined whether these perceptions influence their social support toward PA.Methods: This is a secondary analysis of cross-sectional data from the 2019-2020 Texas SPAN survey of second-grade children and their parents.Results: Parents who were physically active with their second-grade child most or all of the time had over 2 times the odds or over 3 times the odds, respectively, of their children meeting adequate PA levels. Latinx/Hispanic parents had 33% lower odds of their children participating in adequate PA levels compared to white parents. We found no significant associations for the other types of social support.Conclusion: This study underscores the significance of involving parents in promoting PA among children, particularly through the provision of instrumental and direct support mechanisms. Culturally sensitive interventions that address parental perceptions and promote support may improve PA among Latinx/Hispanic children. The results emphasize the importance of prioritizing instrumental support over mere encouragement and underscore the necessity of addressing parental misperceptions through educational materials and programs.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"49 1","pages":"1-13"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641007","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

Identifying Determinants of Caregiver Responses to Health Messages About Optimal Child Nutrition During the First 1000 Days. 确定照顾者对前1000天最佳儿童营养健康信息反应的决定因素。

IF 1.3 4区医学

Family & Community Health Pub Date : 2026-01-01 Epub Date: 2025-11-26 DOI: 10.1097/FCH.0000000000000445

Janice L Liebhart, Aaron Metzger, Francis Diaz Kennedy, Sara Isaac, Mala Thapar, Jeanne Lindros

{"title":"Identifying Determinants of Caregiver Responses to Health Messages About Optimal Child Nutrition During the First 1000 Days.","authors":"Janice L Liebhart, Aaron Metzger, Francis Diaz Kennedy, Sara Isaac, Mala Thapar, Jeanne Lindros","doi":"10.1097/FCH.0000000000000445","DOIUrl":"10.1097/FCH.0000000000000445","url":null,"abstract":"Key nutritional behaviors during the first 1000 days of development (pregnancy to age 2) can affect a child's risks for obesity and related negative health conditions. Because social disadvantage can pose substantial barriers to engaging in healthy lifestyle behaviors and increase obesity risk, it's particularly important to help families facing such circumstances support optimal early nutrition. Although some studies have found relevant health messaging to be effective, little previous research has focused on the mechanisms underlying successful messaging. The current study involved semi-structured interviews with pregnant women (n = 8) and mothers of children aged 0-24 months (n = 27) who were members of minoritized socio-economic or racial or ethnic groups with relatively high rates of childhood obesity. Study goals included developing an enhanced understanding of caregiver decision-making and potential obstacles to engaging in recommended behaviors to support optimal early nutrition, as well as identifying likely mechanisms underlying caregiver responses. Thematic analysis identified multiple determinants of caregiver responses related to internal or psychological factors, environmental obstacles, and individual needs. Findings may have implications for future health-focused messaging campaigns aimed at pregnant women and caregivers of young children, particularly for groups at greatest risk for childhood obesity.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"49 1","pages":"14-25"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641022","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

Vasectomy Services in Title X Family Planning Clinics: Understanding Barriers and Facilitators to Improve Access. 在标题X计划生育诊所输精管切除术服务：了解障碍和促进改善访问。

IF 1.3 4区医学

Family & Community Health Pub Date : 2026-01-01 Epub Date: 2025-11-26 DOI: 10.1097/FCH.0000000000000446

Shelby Webb, Catherine Denise Raybon, Michelle Teti, Stephanie Spitz, Kristin Metcalf-Wilson, Jacki Witt

{"title":"Vasectomy Services in Title X Family Planning Clinics: Understanding Barriers and Facilitators to Improve Access.","authors":"Shelby Webb, Catherine Denise Raybon, Michelle Teti, Stephanie Spitz, Kristin Metcalf-Wilson, Jacki Witt","doi":"10.1097/FCH.0000000000000446","DOIUrl":"10.1097/FCH.0000000000000446","url":null,"abstract":"Background and objectives: Vasectomy is a highly effective outpatient procedure for permanent contraception that is allowable as a contraceptive method with Title X funds. However, there is limited published knowledge on vasectomies in publicly funded agencies. We sought to understand and document vasectomy services in Title X-funded health centers, including barriers and facilitators to providing those services.Study design: The study team held qualitative interviews with 22 organizations who received Title X funding. Through an iterative thematic analysis, our team coded the data to produce findings illustrating the landscape of vasectomy service provision in Title X family planning health centers.Results: Our analysis revealed barriers and facilitators to providing vasectomy services in Title X settings centered on 5 areas: provision of care, finance, supplies, training, and marketing.Conclusions: These findings highlight some common barriers experienced by clinics and organizations funded by Title X, as well as the facilitators and ways in which barriers are mitigated. By adopting successful strategies to facilitate vasectomy services and mitigate barriers, Title X-funded clinics can meet potential increases in demand for vasectomy services and ensure equitable access to uninsured and underinsured individuals.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"49 1","pages":"40-47"},"PeriodicalIF":1.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641083","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

Increased Household Responsibility During COVID-19 Is Associated With Higher Current Parenting Responsibility Among Fathers, but Not Mothers. COVID-19期间家庭责任的增加与父亲当前育儿责任的增加有关，但与母亲无关。

IF 1.4 4区医学

Family & Community Health Pub Date : 2026-01-01 Epub Date: 2025-11-26 DOI: 10.1097/FCH.0000000000000442

Cristina M Gago, Natalie Grafft, Jess Haines, Kirsten K Davison

{"title":"Increased Household Responsibility During COVID-19 Is Associated With Higher Current Parenting Responsibility Among Fathers, but Not Mothers.","authors":"Cristina M Gago, Natalie Grafft, Jess Haines, Kirsten K Davison","doi":"10.1097/FCH.0000000000000442","DOIUrl":"10.1097/FCH.0000000000000442","url":null,"abstract":"Background and objectives: While several studies have described short-term increases in fathers' reports of household labor during the pandemic, few have reported on longer-term trends. We estimated the association between recalled changes in household responsibilities due to the COVID-19 pandemic and current health-related parental responsibility.Methods: Father-mother dyads with young children (n = 253) completed surveys. We used Actor-Partner Interdependence Models to estimate the association between recalled household responsibility change during the pandemic and current health-related parental responsibility.Results: Recalled increases in household responsibility during the pandemic were associated with higher current health-related parental responsibility among fathers (β= 0.05, SE = 0.03), though not mothers.Conclusions: The pandemic may have catalyzed increases in father responsibility and facilitated a shift towards more egalitarian household labor divisions. Findings pose design implications for parenting interventions; for example, programs may shift from mother-focused to family-systems approaches, include content that reflect more egalitarian care, and incorporate curricula that address fathers' increasing responsibilities.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"49 1","pages":"48-54"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12989211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641017","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

Exploring Physical Activity Among Community Residents: Combining the Integrated Behavioral Model and Social Network Analysis. 社区居民体育活动研究：结合综合行为模型和社会网络分析。

IF 1.3 4区医学

Family & Community Health Pub Date : 2025-10-01 Epub Date: 2025-08-12 DOI: 10.1097/FCH.0000000000000440

Megan S Patterson, Tyler Prochnow, Allison N Francis, Christina Amo

{"title":"Exploring Physical Activity Among Community Residents: Combining the Integrated Behavioral Model and Social Network Analysis.","authors":"Megan S Patterson, Tyler Prochnow, Allison N Francis, Christina Amo","doi":"10.1097/FCH.0000000000000440","DOIUrl":"10.1097/FCH.0000000000000440","url":null,"abstract":"Purpose: Combining the Integrated Behavioral Model (IBM) and Social Network Analysis (SNA), this study explored individual and interpersonal-level factors related to adults meeting physical activity (PA) recommendations.Methods: 250 adults (66.8% women, 70.1% non-Hispanic white, age = 38.65 ± 12.93) recruited through local events and social media completed online surveys. Logistic regression analysis assessed factors related to meeting PA recommendations, including demographic characteristics, barriers to PA, injunctive norms, perceived behavioral control, intention, and descriptive norms measured via SNA.Results: 40.6% (n = 99) of participants met minimum PA recommendations. Higher perceived behavioral control (OR = 1.47, P < .001), intention (OR = 1.16, P = .01), having more female network members (OR = 1.02, P = .04) and more network members who were active with the participant (OR = 1.03, P < .001) were associated with increased odds of meeting PA recommendations. Network density scores (OR = .04, P < .01), decreased the odds of meeting PA recommendations.Conclusions: Our findings highlight the importance of a person's immediate social context, more so than global social norms, on their PA behavior. In addition to increasing individual-level perceived behavioral control and intentions, efforts aimed at promoting PA should focus on leveraging aspects of social networks that translate to direct social influence on individual behavior. This study affirms SNA as a useful way to assess descriptive norms defined in the IBM.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"310-318"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709403","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

Explaining Health-Related Internet Use for Three Patient Engagement Activities in Rural Pacific Northwest. 解释太平洋西北农村地区三个患者参与活动中与健康相关的互联网使用情况。

IF 1.3 4区医学

Family & Community Health Pub Date : 2025-10-01 Epub Date: 2025-08-12 DOI: 10.1097/FCH.0000000000000437

Wei Peng, Jocelyn McKinnon-Crowley, Jihae Han, Jazmyne Bryant

{"title":"Explaining Health-Related Internet Use for Three Patient Engagement Activities in Rural Pacific Northwest.","authors":"Wei Peng, Jocelyn McKinnon-Crowley, Jihae Han, Jazmyne Bryant","doi":"10.1097/FCH.0000000000000437","DOIUrl":"10.1097/FCH.0000000000000437","url":null,"abstract":"Background and objective: Internet-based patient engagement (PE) can empower rural individuals in essential health services. This study investigated predisposing, need, and enabling factors associated with major online PE activities in the rural populations of the United States Pacific Northwest region.Method: A cross-sectional survey of 250 adults aged 45 to 75 residing in rural parts of Alaska, Idaho, Oregon, and Washington was conducted. Three domains of predictors (predisposing, need, and enabling factors) were assessed. The outcomes were 3 major online PE activities (online access to care, information seeking and sharing, and self-management support).Result: Online health engagement was associated with multiple chronic diseases, perceived need for colorectal cancer screening, difficulty finding providers, and lower mistrust. Younger age, higher awareness of colorectal cancer risk, better health status, difficulty finding providers, frequent internet use, and misunderstanding between patients and providers were associated with increased online information seeking and sharing. Female gender, more cancer knowledge, lower income, and higher information search difficulty were associated with increased online self-management support. Health information literacy was associated with all PE activities.Conclusion: Different factors influence online PE activities among rural populations. Optimizing diverse PE activities should assess different predisposing, need, and enabling factors in rural health care.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"278-289"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121124","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

Self-Reported Health Care Disparities and Barriers Among LGBTQIA+ Individuals: Implications for Equitable Health Care Delivery. LGBTQIA+个体自我报告的卫生保健差异和障碍：对公平卫生保健服务的影响

IF 1.3 4区医学

Family & Community Health Pub Date : 2025-10-01 Epub Date: 2025-08-12 DOI: 10.1097/FCH.0000000000000436

Jill Del Pozzo, Carrie Esopenko, Jason D Flatt, Kristen Dams-O'Connor

{"title":"Self-Reported Health Care Disparities and Barriers Among LGBTQIA+ Individuals: Implications for Equitable Health Care Delivery.","authors":"Jill Del Pozzo, Carrie Esopenko, Jason D Flatt, Kristen Dams-O'Connor","doi":"10.1097/FCH.0000000000000436","DOIUrl":"10.1097/FCH.0000000000000436","url":null,"abstract":"Background and objectives: Nearly 24 million adults in the United States identify as LGBTQIA+, facing significant health disparities due to discrimination, structural barriers, and lack of culturally competent health care. This study explores health care disparities, barriers, facilitators, and the association of perceived discrimination on LGBTQIA+ health care.Methods: Participants were recruited from June 2023 to January 2024 using convenience sampling methods via LGBTQIA+ organizations and social media platforms. A total of 501 participants completed a REDCap survey, with 255 providing complete data. The survey queried demographics, physical and mental health, and health care utilization. Data analysis included descriptive statistics and CHERRIES guidelines.Results: Participants reported significant barriers to care, including being uninsured (22%), geographic distance (33%), fear of negative reactions (26%), and past trauma (23%). Discrimination in health care settings was reported by 83%, impacting access. High rates of homelessness (26%), food insecurity (73%), and chronic medical conditions (92%) were reported. Approximately 55% reported head trauma, 26% experienced intimate partner violence-related head injuries, and only 44% sought care for head injuries. Moderate depressive and anxiety symptoms were common, and 49% screened positive for possible PTSD.Conclusions: This study highlights barriers to care reported by LGBTQIA+ individuals, emphasizing the need for culturally informed services. Addressing these disparities requires education, cultural humility, and systemic reforms to reduce disparities in health care for LGBTQIA+ individuals.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"290-309"},"PeriodicalIF":1.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121127","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