Family & Community Health最新文献_第6页

Social Distancing in the COVID-19 Pandemic: Associated Factors, Health Outcomes, and Implications. COVID-19大流行中的社交距离:相关因素、健康结果和影响

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-01-01 Epub Date: 2023-09-11 DOI: 10.1097/FCH.0000000000000367

Jianghong Liu, Na Ouyang, Alina Mizrahi, Melanie L Kornides

引用次数: 0

Commentary: Disparities and Racial Barriers Among African American Women Despite Breastfeeding Workplace Policies. 评论：尽管工作场所实行母乳喂养政策，但非裔美国妇女之间的差异和种族障碍。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-01-01 Epub Date: 2023-10-13 DOI: 10.1097/FCH.0000000000000389

Anusha Sajja, Samuel Tundealao

引用次数: 0

Is It Time to Say Goodbye to BMI? A Commentary. 是时候和BMI说再见了吗？评论。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-01-01 Epub Date: 2023-10-26 DOI: 10.1097/FCH.0000000000000391

Holly Ann Russell

引用次数: 0

Commentary: Accounting for Migrant Family Separations: When Numerical Chaos Exacerbates Health Inequity. 评论：移民家庭分离的原因：当数字混乱加剧健康不平等时。

IF 1.5 4区医学

Family & Community Health Pub Date : 2024-01-01 Epub Date: 2023-10-26 DOI: 10.1097/FCH.0000000000000390

Diana Madden, Elizabeth Barnert, Maria Veronica Svetaz, Sara Huston

引用次数: 0

Applications of Participatory System Dynamics Methods to Public Health: A Systematic Review. 参与系统动力学方法在公共卫生中的应用：系统综述。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000369

Hallie Decker, Monica Wendel

{"title":"Applications of Participatory System Dynamics Methods to Public Health: A Systematic Review.","authors":"Hallie Decker, Monica Wendel","doi":"10.1097/FCH.0000000000000369","DOIUrl":"10.1097/FCH.0000000000000369","url":null,"abstract":"System dynamics, and specifically qualitative participatory applications of system dynamics, have potential to benefit public health research, scholarship, and practice. A systematic review was conducted to examine the existing applications of participatory system dynamics (PSD) to public health research. Three databases were searched using unique search terms related to PSD and methodological applications in public health research. A total of 57 unique articles met inclusion criteria and were included for review. The studies included for review were conducted globally and represent a wide breadth of public health issues. The review identified several advantages to adopting PSD methods in public health scholarship and practice. The PSD methods provide innovative frameworks for conceptualizing complex and nuanced public health problems. The participatory nature of PSD allows for increased community engagement and empowerment to address public health problems, as well as to mitigate existing power dynamics between research institutions and marginalized communities that are disproportionately impacted by social and health inequities. Finally, causal loop diagrams developed using PSD methods have unique potential to convey complex concepts to policy makers and interventionists. This systematic review reports evidence for PSD's potential to advance equity in public health research and practice.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 Suppl 1","pages":"S6-S21"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10267288","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

Community-Dwelling Older Adults Attending a Fire and Falls Health Promotion Program and the Experience of Social Isolation and Loneliness. 参加火灾和瀑布健康促进计划的社区居住老年人以及社会孤立和孤独的经历。

IF 1.5 4区医学

Family & Community Health Pub Date : 2023-10-01 Epub Date: 2023-08-07 DOI: 10.1097/FCH.0000000000000378

Yeona Leo, Roslyn M Compton, Natasha Hubbard Murdoch, Dori Krahn

{"title":"Community-Dwelling Older Adults Attending a Fire and Falls Health Promotion Program and the Experience of Social Isolation and Loneliness.","authors":"Yeona Leo, Roslyn M Compton, Natasha Hubbard Murdoch, Dori Krahn","doi":"10.1097/FCH.0000000000000378","DOIUrl":"10.1097/FCH.0000000000000378","url":null,"abstract":"Many health promotion programs are designed for older adults who live in the community. This research describes a health promotion program called \"Remembering When\" (a fire and fall prevention program). In 2020, a quality improvement project was developed to examine the effectiveness and impact of Remembering When among community-dwelling older adults. After analyzing the qualitative data collected for the project, an interesting observation of why older adults attended Remembering When emerged. Older adults might attend Remembering When because they experience social isolation and/or loneliness. The concepts of objective and subjective social isolation and loneliness were defined, and the implications of Remembering When around social isolation and loneliness were discussed. Secondary data analysis followed Braun and Clarke's (2006) thematic analysis steps. Four themes were generated: It is about me having choices, Joining the program as an old friend, We all need referrals , and I am housebound . Overall, 2 significant observations were made: (1) some older adults valued the opportunity to interact with Remembering When's team, which might help older adults decrease social isolation and loneliness, and (2) older adults needed more individualized programs to address their emotional and mental health and well-being needs.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 4","pages":"220-228"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10219559","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

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 1.5 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":1.5,"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

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

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