Family & Community Health最新文献_第4页

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 1.5 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":1.5,"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 1.5 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

Effects of the COVID-19 Pandemic on Patient Navigation for Health-Related Social Needs: Reflections From the Accountable Health Communities Model. COVID-19 大流行对患者健康相关社会需求导航的影响：责任健康社区模式的反思》。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-07-01 Epub Date: 2024-05-13 DOI: 10.1097/FCH.0000000000000402

Julianne Payne, Kelli DePriest, Megan L Clayton, Olivia K G Berzin, Jeanette M Renaud

{"title":"Effects of the COVID-19 Pandemic on Patient Navigation for Health-Related Social Needs: Reflections From the Accountable Health Communities Model.","authors":"Julianne Payne, Kelli DePriest, Megan L Clayton, Olivia K G Berzin, Jeanette M Renaud","doi":"10.1097/FCH.0000000000000402","DOIUrl":"10.1097/FCH.0000000000000402","url":null,"abstract":"Background and objectives: This paper uses data from the Center for Medicare & Medicaid Innovation's Accountable Health Communities (AHC) Model to assess the effects of the COVID-19 pandemic on patient navigation (PN) for health-related social needs.Methods: We analyzed evaluation data from 28 organizations implementing the Center for Medicare & Medicaid Innovation's AHC Model. We first distilled themes from 81 stakeholder interviews conducted in 2021. We then analyzed quantitative beneficiary-level data on acceptance of navigation among 133,173 unique Medicare and Medicaid beneficiaries who were eligible for navigation between January 2019 and March 2021.Results: During the pandemic, interview participants described greater complexity of patients' cases and uncertainty regarding community service availability. Changes to navigation staffing and mode led to improvements in navigation quality and efficiency, but also challenges such as reduced rapport with patients. The pandemic increased navigator stress and burnout but also deepened appreciation for navigation among navigators and their patients. Beneficiaries were more likely to accept navigation during the pandemic than before the pandemic ( P < .05).Conclusions: Changes in PN during the pandemic were perceived as both good and bad. Future work is needed to assess the long-term implications of pandemic-related changes to navigation for patients and navigators.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"239-247"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913101","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

Police Contact, Non-Suicidal Self-Injury, and Suicidal Ideation: Findings From a National Sample of Canadian Adolescents and Young Adults. 接触警察、非自杀性自伤和自杀意念：加拿大青少年全国抽样调查结果。

IF 2.3 4区医学

Family & Community Health Pub Date : 2024-07-01 Epub Date: 2024-05-16 DOI: 10.1097/FCH.0000000000000408

Dylan B Jackson, Alexander Testa, Rebecca L Fix, Daniel C Semenza, Jason M Nagata, Kyle T Ganson

{"title":"Police Contact, Non-Suicidal Self-Injury, and Suicidal Ideation: Findings From a National Sample of Canadian Adolescents and Young Adults.","authors":"Dylan B Jackson, Alexander Testa, Rebecca L Fix, Daniel C Semenza, Jason M Nagata, Kyle T Ganson","doi":"10.1097/FCH.0000000000000408","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000408","url":null,"abstract":"Background and objectives: The purpose of this research is to investigate associations between police contact, non-suicidal self-injury (NSSI), and suicidal ideation (SI) among a national sample of Canadian adolescents and young adults (ages 16-30).Methods: Data used in this study were obtained from the Canadian Study of Adolescent Health Behaviors (N = 940), a national survey of Canadians ages 16-30.Results: Police contact was associated with higher odds of NSSI (OR = 1.98, 95% CI = 1.37, 2.86). Those who reported police contact with intrusion (OR = 2.39, 95% CI = 1.49, 3.38) and police contact with harassment (OR = 3.98, 95% CI = 2.30, 6.88) had higher odds of NSSI relative to respondents with no contact. Finally, any police contact was associated with higher odds of SI (OR = 1.56, 95% CI = 1.04, 2.34) and respondents experiencing police stops with harassment had higher odds of SI compared to those who had never been stopped (OR = 2.48, 95% CI = 1.45, 4.24).Conclusions: Distressing police contact heightens the risk of NSSI and SI among young people. Rigorous evaluation of trauma-informed, developmentally appropriate strategies for identifying and intervening on NSSI and SI following adverse police encounters should be prioritized.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"47 3","pages":"202-208"},"PeriodicalIF":2.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960114","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

Comparison of Cardiovascular Health Between Parents and Non-Parents in NHANES 2011-2018. 2011-2018 年 NHANES 中父母与非父母的心血管健康比较。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-07-01 Epub Date: 2024-05-07 DOI: 10.1097/FCH.0000000000000403

Emily F Gregory, Adya I Maddox, Alyssa Tindall, Jose L Ibarra, Senbagam Virudachalam

{"title":"Comparison of Cardiovascular Health Between Parents and Non-Parents in NHANES 2011-2018.","authors":"Emily F Gregory, Adya I Maddox, Alyssa Tindall, Jose L Ibarra, Senbagam Virudachalam","doi":"10.1097/FCH.0000000000000403","DOIUrl":"10.1097/FCH.0000000000000403","url":null,"abstract":"Background and objectives: We compared cardiovascular health for parents and non-parents using the American Heart Association's Life's Essential 8 (LE8).Methods: This cross-sectional cohort analyzed 2011-2018 NHANES participants aged 20 to 54. The exposure was parenting, defined as living with a child. Logistic regression assessed whether parenting was associated with odds of ideal LE8 total or sub-scores. Regression adjusted for age, sex, race and ethnicity, educational attainment, marital status, and income. Subgroups included female sex, male sex, income <150% federal poverty levels, and parents of younger children.Results: 6847 participants represented a weighted population of 79 120 285 (57% parents). Parenting was not associated with adjusted odds of ideal total LE8 (OR 0.91, 95% CI 0.76-1.09). Parenting was associated with decreased odds of ideal body mass index (BMI) (OR 0.81, 95% CI 0.72-0.91) and increased odds of smoking avoidance (OR 1.22, 95% CI 1.09-1.38). Associations varied by subgroup. Only the subgroup with lower incomes demonstrated reduced odds of ideal total LE8 for parents (OR 0.58, 95% CI 0.41-0.82).Conclusions: Parents and non-parents differed in smoking and BMI, though not in LE8 total. Families with low incomes may particularly benefit from dual generation cardiovascular risk reduction.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"231-238"},"PeriodicalIF":1.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877643","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

Project ECHO Brain Health: Assessing the Impact of a Pilot Program to Promote Self-Efficacy Among Community Health Workers. ECHO 脑健康项目：评估促进社区卫生工作者自我效能试点计划的影响。

IF 1.3 4区医学

Family & Community Health Pub Date : 2024-07-01 Epub Date: 2024-05-13 DOI: 10.1097/FCH.0000000000000404

Sara S Masoud, Juana T Escareño, Belinda Flores, Janna Lesser, Byeong Yeob Choi, Carole L White

{"title":"Project ECHO Brain Health: Assessing the Impact of a Pilot Program to Promote Self-Efficacy Among Community Health Workers.","authors":"Sara S Masoud, Juana T Escareño, Belinda Flores, Janna Lesser, Byeong Yeob Choi, Carole L White","doi":"10.1097/FCH.0000000000000404","DOIUrl":"10.1097/FCH.0000000000000404","url":null,"abstract":"This mixed-methods study sought to examine the impact of the Project ECHO Brain Health program on participating community health workers' (CHWs') self-efficacy to address dementia, promote brain health, and advocate for research among Latinx South Texas communities. Using an explanatory sequential design, quantitative data collected from pre- and post-program surveys were analyzed to inform the collection of qualitative data, followed by an interpretation of all findings to better understand the impact of the program on self-efficacy. Pre- and post-surveys were collected from 25 CHWs, 13 of whom later participated in individual interviews. There was a statistically significant increase in mean self-efficacy scores between the pre- and post-surveys among participants. Three categories reflecting the experiences of participants were identified from the qualitative data: addressing training needs; impact on CHWs and their practice; and community of learning. The findings suggest that Project ECHO Brain Health program is a timely intervention that may facilitate increased self-efficacy among CHWs as they navigate the impacts of dementia in their communities.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"191-201"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923032","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

Perceptions of African American Youth and Adults Regarding Tobacco Use-Related Factors in Their Community: A Mixed-Methods Approach in Richmond, Virginia. 非裔美国青年和成年人对其社区中与烟草使用相关因素的看法：弗吉尼亚州里士满的混合方法。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-04-01 DOI: 10.1097/FCH.0000000000000398

Cosima Hoetger, Augustus White, Rose S Bono, Calvin J Hall, Kristina B Hood, Robin S Everhart, Patrick Nana-Sinkam, Andrew J Barnes, Caroline O Cobb

{"title":"Perceptions of African American Youth and Adults Regarding Tobacco Use-Related Factors in Their Community: A Mixed-Methods Approach in Richmond, Virginia.","authors":"Cosima Hoetger, Augustus White, Rose S Bono, Calvin J Hall, Kristina B Hood, Robin S Everhart, Patrick Nana-Sinkam, Andrew J Barnes, Caroline O Cobb","doi":"10.1097/FCH.0000000000000398","DOIUrl":"10.1097/FCH.0000000000000398","url":null,"abstract":"Introduction: The US Food and Drug Administration is poised to restrict the availability of menthol cigarettes and flavored cigars, products disproportionately used by Black/African American (B/AA) individuals. We examined B/AA youth and adult perceptions regarding factors contributing to tobacco use, as well as prevention/cessation resources.Methods: In 2 mixed-methods studies in Richmond, Virginia, we conducted cross-sectional surveys among youth (n = 201) and adult (n = 212) individuals who were primarily B/AA and reported past 30-day cigar smoking or nontobacco use, followed by focus groups with a subset (youth: n = 30; adults: n = 24). Focus groups were analyzed using a thematic analysis framework, and descriptive survey data provided context to themes.Results: Among focus group participants, 20% of youth and 75% of adults reported current cigar smoking. Six themes emerged across the groups: advertising/brands, sensory experiences, costs, social factors, youth-related factors, and dependence/cessation. Youth and adults perceived cigars as popular; cigar use was attributed to targeted advertising, flavors, affordability, and accessibility. While adults expressed concern regarding youth tobacco use, youth did not perceive tobacco prevention programs as helpful. Adults and youth reported limited access to community tobacco prevention/cessation programs.Discussion: Expanded tobacco prevention and cessation resources for B/AA people who smoke could leverage federal regulatory actions to ban tobacco products targeted toward this group and decrease disparities in tobacco-related morbidity and mortality.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"47 2","pages":"176-190"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10878718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900639","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

Using the Plan-Do-Study-Act Evaluation Framework to Improve the Recruitment of Women Experiencing Homelessness: Lessons Learned. 利用 "计划-实施-研究-行动 "评估框架改善无家可归妇女的招募工作：经验教训。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-04-01 DOI: 10.1097/FCH.0000000000000395

Annalynn M Galvin, Scott T Walters, Melissa A Lewis, Erika L Thompson

{"title":"Using the Plan-Do-Study-Act Evaluation Framework to Improve the Recruitment of Women Experiencing Homelessness: Lessons Learned.","authors":"Annalynn M Galvin, Scott T Walters, Melissa A Lewis, Erika L Thompson","doi":"10.1097/FCH.0000000000000395","DOIUrl":"10.1097/FCH.0000000000000395","url":null,"abstract":"Background and objectives: Strategic recruitment is necessary to reach recruiting goals when conducting research with vulnerable and transient populations, such as postpartum women experiencing homelessness. The current study evaluated the recruitment process for a qualitative study using the Plan-Do-Study-Act (PDSA) method.Methods: In a study conducting semistructured interviews about reproductive interconception care barriers and facilitators for local women who were recently pregnant and homeless in 2022, PDSA cycles were used to improve community organizations' assistance with identifying participants, facilitate screening and interviewing processes, and ensure participants were safeguarded.Results: Iterative PDSA cycles were conducted across a 20-week period. Ultimately, 12 women were interviewed, with increasing participant location and organizational assistance over time. Following 4 key lessons were identified: provide in-person and remote options for conducting data collection; include fair compensation that balances time versus study coercion; weigh feasibility versus importance of sample size with eligibility criteria; and support partnerships with organization connections.Conclusions: The PDSA method served as a parsimonious framework for evaluation. The lessons learned will help facilitate future recruitment efforts for this difficult-to-recruit and vulnerable population.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"47 2","pages":"167-175"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900687","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

Lower Perceived Neighborhood Collective Efficacy Indirectly Influences the Association Between Perceived Maternal Exposure to Community Violence and Household Food Insecurity. 感知到的较低邻里集体效能间接影响了感知到的母亲遭受社区暴力与家庭粮食不安全之间的关联。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-04-01 DOI: 10.1097/FCH.0000000000000399

Sajeevika S Daundasekara, Allison N Marshall, Brittany R Schuler, Alexander Testa, Daphne C Hernandez

{"title":"Lower Perceived Neighborhood Collective Efficacy Indirectly Influences the Association Between Perceived Maternal Exposure to Community Violence and Household Food Insecurity.","authors":"Sajeevika S Daundasekara, Allison N Marshall, Brittany R Schuler, Alexander Testa, Daphne C Hernandez","doi":"10.1097/FCH.0000000000000399","DOIUrl":"10.1097/FCH.0000000000000399","url":null,"abstract":"Background and objectives: Individuals of color and of low socioeconomic status are at greater risk of experiencing community violence and food insecurity, which are both influenced by neighborhood conditions. We evaluated neighborhood collective efficacy as a linkage between community violence exposure and household food insecurity.Methods: Mothers from the Future of Families and Child Wellbeing Study who completed phone surveys when the child was 3 (time 1, T1) and 5 years old (time 2, T2) were included (n = 2068). A covariate-adjusted structural equation model estimated direct and indirect effects of community violence exposure on household food insecurity. A covariate-adjusted multiple mediator model estimated the indirect effects of the 2 neighborhood collective efficacy subscales (informal social control; social cohesion and trust).Results: At T1, 40% of mothers reported community violence exposure; 15% experienced food insecurity at T2. Mean neighborhood collective efficacy (range 1-5) at T1 was 2.44 (SD = 0.94). Neighborhood collective efficacy indirectly influenced the association between community violence exposure and food insecurity (indirect effect = 0.022, 95% CI = 0.007 to 0.040). Only social cohesion and trust contributed independent variance to the indirect effect model (indirect effect = 0.028, 95% CI = 0.001 to 0.056).Conclusions: Community-based efforts to reduce household food insecurity should emphasize building social cohesion and trust in communities experiencing violence.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"47 2","pages":"117-129"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10878717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900638","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 State Characteristics and Latinx People's Treated Hypertension in Established and New Latinx Destination States: A Multilevel Analysis. 既定和新的拉美裔目的地州的州特征与拉美裔人接受治疗的高血压之间的关系：多层次分析

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-04-01 DOI: 10.1097/FCH.0000000000000393

Adriana Maldonado, Helena H Laroche, Daniel K Sewell, Rima Afifi, Richard M Hoffman, Barbara Baquero, Paul A Gilbert

{"title":"The Association Between State Characteristics and Latinx People's Treated Hypertension in Established and New Latinx Destination States: A Multilevel Analysis.","authors":"Adriana Maldonado, Helena H Laroche, Daniel K Sewell, Rima Afifi, Richard M Hoffman, Barbara Baquero, Paul A Gilbert","doi":"10.1097/FCH.0000000000000393","DOIUrl":"10.1097/FCH.0000000000000393","url":null,"abstract":"This study sought to quantify the contributions of state-level factors including income inequality, state's legislature political control, and Medicaid expansion in new and established Latinx destination states on Latinx individuals' treated hypertension. Mixed-effects logistic regression analyses were conducted to analyze 2017 Behavioral Risk Factor Surveillance System data from 7524 Latinx adults nested within 39 states. Overall, 70% reported being pharmacologically treated for hypertension, and 66% resided in established destination states. Compared with Latinx people in established destination states, Latinx people in new destinations had lower odds of having treated hypertension (odds ratio [OR] = 0.72, 95% CI = 0.54-0.95). Within established Latinx destinations, the odds of treated hypertension were lower in states where legislatures expanded Medicaid than in states that did not expand Medicaid (OR = 0.84, 95% CI = 0.79-0.89). However, after controlling for the effects of individual-level factors, this association was no longer statistically significant. In new Latinx destination states, Medicaid expansion, legislatures' political control, and income inequality were not associated with treated hypertension. The study results highlight the importance of considering both individual- and state-level factors, as the interplay of such factors could hinder the successful implementation of cardiovascular risk reduction interventions.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"47 2","pages":"151-166"},"PeriodicalIF":1.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900685","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