Family & Community Health最新文献_第5页

Primary Care Providers' Knowledge, Perceptions, and Practice of Trauma-Informed Care in a Public Health Care Setting. 初级保健提供者在公共卫生保健环境中创伤知情护理的知识、认知和实践。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000376

Emma C Lathan, Tamara Haynes, Ryan Langhinrichsen-Rohling, Stan C Sonu, Abigail Powers

{"title":"Primary Care Providers' Knowledge, Perceptions, and Practice of Trauma-Informed Care in a Public Health Care Setting.","authors":"Emma C Lathan, Tamara Haynes, Ryan Langhinrichsen-Rohling, Stan C Sonu, Abigail Powers","doi":"10.1097/FCH.0000000000000376","DOIUrl":"10.1097/FCH.0000000000000376","url":null,"abstract":"Despite serving patients with especially high rates of trauma exposure and related sequelae, many primary care providers do not receive specialized training in the provision of trauma-informed care (TIC). This study sought to document primary care providers' baseline rates of TIC training and their knowledge, perceptions, and practice of TIC at a large, urban public hospital in the Southeastern United States. Participants (n = 67; 68.7% women; 44.8% white; Mage = 36.7 years, standard deviation [SD]age = 9.8 years) completed an online self-report survey on their TIC training status, trauma-related knowledge, perceptions, and practices, as well as burnout and secondary traumatic stress. Less than half of participants (43.3%) endorsed TIC training exposure. Participants generally had adequate levels of trauma-related knowledge (76.5% of items correct) and favorable perceptions of TIC (endorsed 89.7% of TIC-supportive statements). Most participants (86.6%) endorsed recently using trauma-informed practices, but only 47.8% reported routinely screening for trauma-related disorders. Participants who reported receiving prior TIC training scored better on knowledge items and endorsed recently using more trauma-informed practices than those who did not have training exposure. TIC training status' associations with current screening practices and perceptions of TIC were trending toward significance. TIC training status was not related to burnout, and trained participants reported greater secondary traumatic stress than those without training exposure. Results point to system-wide TIC training as a well-received, translational strategy that can enhance the trauma-informed nature of primary care provision.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 4","pages":"209-219"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10579272","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

Systems-Level Evaluation of Safe Routes to School Policies in El Paso, Texas: A Modeling Study on Health and Economic Outcomes. 德克萨斯州埃尔帕索市学校安全路线政策的系统级评估：健康和经济结果的建模研究。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000374

Whitney Garney, Sonya Panjwani, Laurel Curran, Joan Enderle, Laura King, Dara O'Neil, Yan Li

{"title":"Systems-Level Evaluation of Safe Routes to School Policies in El Paso, Texas: A Modeling Study on Health and Economic Outcomes.","authors":"Whitney Garney, Sonya Panjwani, Laurel Curran, Joan Enderle, Laura King, Dara O'Neil, Yan Li","doi":"10.1097/FCH.0000000000000374","DOIUrl":"10.1097/FCH.0000000000000374","url":null,"abstract":"Safe Routes to School (SRTS) policies are linked to physical health benefits for school-age children; however, few studies have assessed long-term impacts on cardiovascular disease (CVD). This study used systems science methods to predict long-term health and economic impact of SRTS among school-age children in El Paso County, Texas. We developed an agent-based model containing 2 modules: the pedestrian injury module and the CVD module. We simulated 10 000 school-age children under 2 scenarios-SRTS policies implemented and no SRTS policies implemented-and then calculated pedestrian injuries, pedestrian injury-related deaths, coronary heart disease (CHD) and stroke events, and health care costs. When SRTS policies were implemented, the model estimated 157 fewer CHD cases and 217 fewer stroke cases per 10 000 people and reduced CVD-related health care costs ($13 788 per person). The model also predicted 129 fewer pedestrian injuries and 1.3 injury-related deaths per 10 000 people and $2417 savings in injury-related health care costs. SRTS could save an estimated $16 205 per person in health care costs. This simulation shows SRTS in El Paso County could prevent pedestrian injuries among school-age children and protect cardiovascular health in the long term. Our findings provide evidence for practitioners and policy makers to advocate for SRTS policies at the local level.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 Suppl 1","pages":"S22-S29"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10503661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10634116","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 Development of a Systems-Level Approach to Address Adolescent Access to Health Care: A Novel Confidentiality Policy Intervention. 制定一种系统层面的方法来解决青少年获得医疗保健的问题：一种新的保密政策干预。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000380

Kelly L Wilson, Whitney R Garney, Kristen M Garcia, Christi H Esquivel, Kobi V Ajayi, Sara A Flores, Laurel Curran

{"title":"The Development of a Systems-Level Approach to Address Adolescent Access to Health Care: A Novel Confidentiality Policy Intervention.","authors":"Kelly L Wilson, Whitney R Garney, Kristen M Garcia, Christi H Esquivel, Kobi V Ajayi, Sara A Flores, Laurel Curran","doi":"10.1097/FCH.0000000000000380","DOIUrl":"10.1097/FCH.0000000000000380","url":null,"abstract":"Most evidence-based interventions in adolescent sexual and reproductive health and mental health remain largely aimed at individual-level outcomes and do not conceptualize adolescent health within a social-ecological model. Interventions to affect policy, systems, and environmental change offer potential for sustained population impact. The current initiative used an innovation framework to develop a novel systems-level approach to address adolescent access to health care. The Framework for Public Health Innovation provided an approach to develop a novel intervention. Confident Teen is a systems-level intervention that creates the opportunity, through organizational policy change, to increase adolescents' access to confidential sexual and reproductive health services through organizational policies. Gaps in adolescents' access to health care services allowed for a systems-level approach to be designed through an adolescent pregnancy prevention innovation initiative. Confidentiality is a right and critical component to their health care; therefore, a policy and conversation between provider and patient is a prioritized component of the novel intervention.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 Suppl 1","pages":"S66-S73"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10212869","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

Cultivating an Active Living Plan Through a Social-Ecological Evaluation. 通过社会生态评估培养积极的生活计划。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000368

Tyler Prochnow, Megan S Patterson, Christina Amo, Laurel Curran, Allison N Francis, Emily Green

{"title":"Cultivating an Active Living Plan Through a Social-Ecological Evaluation.","authors":"Tyler Prochnow, Megan S Patterson, Christina Amo, Laurel Curran, Allison N Francis, Emily Green","doi":"10.1097/FCH.0000000000000368","DOIUrl":"10.1097/FCH.0000000000000368","url":null,"abstract":"Physical activity (PA) social-ecological model (SEM) posits the importance of several levels of influence critical for PA promotion within communities. The purpose of this study was to examine an SEM evaluation informing a county-wide active living plan in McLennan County, Texas in the United States. Mixed-methods evaluation occurred in 4 stages: (1) county policies (n = 15) were evaluated for PA promoting strategies; (2) PA resource assessments (PARAs) were conducted via Google Maps (n = 171); (3) surveys (n = 244) included the International Physical Activity Questionnaire and interpersonal and intrapersonal factors related to PA; and (4) focus groups (n = 5) were conducted with residents (n = 30), discussing barriers and facilitators to being active. Logistic regression determined significant associations between SEM factors and meeting PA recommendations. Policy scans and PARAs identified strengths and areas of improvement (eg, equitable project selection and disparities in resource quality). Residents reporting fewer barriers (OR = 0.89, P =.01), more perceived behavioral control (odds ratio [OR] = 1.38, P = .01), more social co-participation in PA (OR = 1.20, P = .03), and living in zip codes with higher mean PARA score (OR = 1.22, P = .04) were significantly more likely to meet PA recommendations (Nagelkerke R2 = 0.32). Focus groups also discussed safety and disparities in access and quality. This study suggests the utility of the SEM when evaluating and promoting community PA.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 4","pages":"229-241"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10597271","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

Interpersonal Discrimination, Neighborhood Inequities, and Children's Body Mass Index: A Descriptive, Cross-Sectional Analysis. 人际歧视、邻里不平等和儿童体重指数：描述性横断面分析。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000372

Alicia Kunin-Batson, Christopher Carr, Allan Tate, Amanda Trofholz, Michael F Troy, Rachel Hardeman, Jerica M Berge

{"title":"Interpersonal Discrimination, Neighborhood Inequities, and Children's Body Mass Index: A Descriptive, Cross-Sectional Analysis.","authors":"Alicia Kunin-Batson, Christopher Carr, Allan Tate, Amanda Trofholz, Michael F Troy, Rachel Hardeman, Jerica M Berge","doi":"10.1097/FCH.0000000000000372","DOIUrl":"10.1097/FCH.0000000000000372","url":null,"abstract":"Psychosocial stressors have been implicated in childhood obesity, but the role of racism-related stressors is less clear. This study explored associations between neighborhood inequities, discrimination/harassment, and child body mass index (BMI). Parents of children aged 5-9 years from diverse racial/ethnic backgrounds (n = 1307), completed surveys of their child's exposure to discrimination/harassment. Census tract data derived from addresses were used to construct an index of concentration at the extremes, a measure of neighborhood social polarization. Child's height and weight were obtained from medical records. Multiple regression and hierarchical models examined child's BMI and racism at the individual and census tract levels. Children residing in the most Black-homogenous census tracts had 8.2 percentage units higher BMI percentile (95% confidence interval, 1.5-14.9) compared with white-homogenous tracts (P = .03). Household income and home values were lower, poverty rates higher, and single parent households more common among Black-homogeneous census tracts. Almost 30% of children experienced discrimination/harassment in the past year, which was associated with a 5.28-unit higher BMI percentile (95% confidence interval, 1.72-8.84; P = .004). Discrimination and racial/economic segregation were correlated with higher child BMI. Longitudinal studies are needed to understand whether these factors may be related to weight gain trajectories and future health.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 Suppl 1","pages":"S30-S40"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10503111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10259470","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

Assessment of Feasibility and Acceptability of the Pathways for Parents After Incarceration Program. 父母监禁后路径的可行性和可接受性评估。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000375

Pajarita Charles, Luke Muentner, Gene Grade, J Mark Eddy

{"title":"Assessment of Feasibility and Acceptability of the Pathways for Parents After Incarceration Program.","authors":"Pajarita Charles, Luke Muentner, Gene Grade, J Mark Eddy","doi":"10.1097/FCH.0000000000000375","DOIUrl":"10.1097/FCH.0000000000000375","url":null,"abstract":"Most incarcerated fathers have connections to their families, and the quality of their family relationships is important not only to their reentry success but also to shaping positive child and family outcomes. However, there is a lack of rigorous evidence about interventions designed to strengthen parent-child and other family relationships among formerly incarcerated parents. The purpose of this study was to develop and assess for feasibility and acceptability an intervention for formerly incarcerated fathers, co-parents, and their children. We created and implemented the Pathways for Parents after Incarceration Program (P4P), a multilevel intervention that focuses on strengthening positive parenting skills, building constructive co-parenting strategies, providing social support, and connecting families to needed specialized services. We delivered P4P virtually to 3 groups of participants, collecting data at several points. Results suggest that while the program was well liked and appreciated by participants and parent coaches and had a positive effect on parenting skills and attitudes, recruitment and retention were challenging. Findings suggest that P4P has the potential to support child and family well-being when fathers reenter by bolstering protective factors, and supporting access to necessary supports associated with improved reentry outcomes. Additional research is needed to address feasibility concerns and establish program efficacy.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 Suppl 1","pages":"S52-S65"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10267287","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

Commentary: How Lay Health Workers in a Federally Qualified Community Health Center Filled a Critical Void in a Public Health Crisis. 评论：联邦合格社区卫生中心的非专业卫生工作者如何填补公共卫生危机中的关键空白。

IF 1.5 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000379

Kate Guastaferro, R Chris Sheldrick, Rocio Nunez-Pepen, Maria Ortiz, Margaret Much-Hichos, Duyen Trieu, Sarabeth Broder-Fingert, Emily Feinberg

引用次数: 0

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 2.3 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":2.3,"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: 7

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

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