Family & Community Health最新文献_第7页

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 1.5 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":1.5,"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

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 1.3 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":1.3,"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: 0

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 1.5 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":1.5,"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: 0

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

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

Innovative Strategies to Address Systemic Inequities in Youth Sexual Health Programs: A Preliminary Program Evaluation. 解决青少年性健康项目中系统性不平等问题的创新策略：项目初步评估。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000381

Victoria P Sattler, Kristin E Courtney, Celena J McCray, Bonnie S Burlingham, Nicole L Casanova, Bradley J Klos, Rabeeha Ghaffar

{"title":"Innovative Strategies to Address Systemic Inequities in Youth Sexual Health Programs: A Preliminary Program Evaluation.","authors":"Victoria P Sattler, Kristin E Courtney, Celena J McCray, Bonnie S Burlingham, Nicole L Casanova, Bradley J Klos, Rabeeha Ghaffar","doi":"10.1097/FCH.0000000000000381","DOIUrl":"10.1097/FCH.0000000000000381","url":null,"abstract":"Disparities in sexual health outcomes between racial and ethnic groups throughout the state of Washington suggest the presence of systemic inequities impeding young people's experience with and access to sexual health care and education. Emerging innovations in sexual health look to center young people, particularly those who have been historically excluded, in the design and implementation of programs that aim to serve them. The Washington Youth Sexual Health Innovation and Impact Network (WYSHIIN) and 11 grant-funded partners engaged communities of youth across the state of Washington, including Two Spirit, lesbian, gay, bisexual, transgender, queer, questioning, intersex, and/or asexual (2SLGBTQIA+) and Black, Indigenous, and People of Color (BIPOC) youth, with the goal of equitably engaging participants and stakeholders to broaden services in schools and community settings. Evaluation staff from the Washington State Department of Health conducted virtual interviews with community partners for preliminary program evaluation purposes and identified 6 strategies for engaging youth. WYSHIIN partners highlighted strategies for centering youth voice and needs at all levels of program development and implementation, embracing holistic and culturally relevant approaches, and 2SLGBTQIA+ inclusion. These themes, reflective of wisdom across multiple Washington communities, offer strategies to address systemic issues that negatively impact youth access to and experience with sexual health care.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 Suppl 1","pages":"S74-S79"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10212868","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

Alaska Native Parents' Decision-Making About Food, Beverages, and Screen Time for Young Children: Formative Insights From the "Got Neqpiaq?" Project. 阿拉斯加土著父母对幼儿食物、饮料和屏幕时间的决策：来自“得到奈奎克？”项目的形成性见解。

IF 1.5 4区医学

Family & Community Health Pub Date : 2023-10-01 DOI: 10.1097/FCH.0000000000000370

Kathryn A Ohle, Kathryn R Koller, Amanda K Walch, Flora R Lee, Lea Palmer, Jennifer Nu, Timothy K Thomas

{"title":"Alaska Native Parents' Decision-Making About Food, Beverages, and Screen Time for Young Children: Formative Insights From the \"Got Neqpiaq?\" Project.","authors":"Kathryn A Ohle, Kathryn R Koller, Amanda K Walch, Flora R Lee, Lea Palmer, Jennifer Nu, Timothy K Thomas","doi":"10.1097/FCH.0000000000000370","DOIUrl":"10.1097/FCH.0000000000000370","url":null,"abstract":"With rising childhood obesity rates, ensuring children adopt healthy habits early is imperative. Given the unique context for Alaska Native families living in rural remote communities, who are concurrently experiencing changes in traditional practices, we investigated what impacts parents' decisions as they relate to daily living before revising a preschool curriculum focused on healthy habits. The objective of this study was to explore factors influencing parents' decisions about their children's foods, beverages, and activities. In focus group discussions with AN parents of young children across 12 communities, we asked about meals, traditional foods, beverages, physical activity, and screen time. All sessions were recorded, transcribed, and analyzed using open and selective coding to allow the most important themes to emerge. As parents discussed how they make decisions, several trends emerged related to adults' and children's food and beverage preferences; the impact of adult modeling on children; and how convenience, seasonality, access, and a reluctance to engage in conflict all impact decision-making. Parents and other community members shared important perspectives on exposing children to traditional subsistence foods and activities and passing important traditional knowledge to them at an early age. These perspectives will form the basis for preschool curricula in these communities.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 4","pages":"250-258"},"PeriodicalIF":1.5,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10502956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10315896","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

Youth Sport Participation Experiences From the Perspective of Hispanic/Latinx Parents and Their Children. 从西班牙/拉丁裔父母及其子女的角度看青少年体育参与经验。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-07-01 DOI: 10.1097/FCH.0000000000000366

Mayrena Isamar Hernandez, Elena Catherine Miller, Laura Andrea Prieto, Madison Nicole Sehmer, Daniel Allan Schaefer, Kevin Mark Biese, Luis A Columna, Susan Andreae, Timothy A McGuine, Traci R Snedden, Lindsey E Eberman, David Robert Bell

{"title":"Youth Sport Participation Experiences From the Perspective of Hispanic/Latinx Parents and Their Children.","authors":"Mayrena Isamar Hernandez, Elena Catherine Miller, Laura Andrea Prieto, Madison Nicole Sehmer, Daniel Allan Schaefer, Kevin Mark Biese, Luis A Columna, Susan Andreae, Timothy A McGuine, Traci R Snedden, Lindsey E Eberman, David Robert Bell","doi":"10.1097/FCH.0000000000000366","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000366","url":null,"abstract":"Hispanic/Latinx communities remain an underserved population in terms of health and physical activity opportunities. The rise of sport specialization can jeopardize these opportunities. Understanding the appeal and welcomeness that minoritized populations feel toward sport and sport specialization culture can play an important role in health promotion and breaking down barriers that widen the gap on physical activity levels in Hispanic/Latinx communities. To date, these studies have not qualitatively investigated Hispanic/Latinx youth sport dyads (parent and child) and how sport specialization perceptions have affected their sport participation experiences. We used a qualitative interpretative phenomenological analysis to explore experiences of Hispanic/Latinx high school athletes. We engaged in semistructured interviews with 12 parent-child dyads. The following 3 interrelated themes emerged: (a) expectations of youth sport participation, (b) meeting expectations of youth sport participation, (c) and (mis)alignment of cultures. Dyads describe a negative youth sport experience when both cultures do not align because of the rise in sport specialization and pay-to-play culture. Findings indicate that dyads understand what is necessary to participate in organized sport and do this by methods that are rooted in their Hispanic/Latinx culture.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 3","pages":"165-175"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10237786","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

Spatial Analysis of Greenspace and Mental Health in North Carolina: Consideration of Rural and Urban Communities. 北卡罗来纳州绿地与心理健康的空间分析：考虑农村和城市社区。

IF 1.5 4区医学

Family & Community Health Pub Date : 2023-07-01 Epub Date: 2023-04-20 DOI: 10.1097/FCH.0000000000000363

Sophia C Ryan, Margaret M Sugg, Jennifer D Runkle, Jessica L Matthews

{"title":"Spatial Analysis of Greenspace and Mental Health in North Carolina: Consideration of Rural and Urban Communities.","authors":"Sophia C Ryan, Margaret M Sugg, Jennifer D Runkle, Jessica L Matthews","doi":"10.1097/FCH.0000000000000363","DOIUrl":"10.1097/FCH.0000000000000363","url":null,"abstract":"Greenspace positively impacts mental health. Previous research has focused on the greenspace-mental health relationship in urban areas. Yet, little work has looked at rural areas despite rural communities reporting similar rates of poor mental health outcomes and higher rates of suicide mortality compared with urban areas. This ecological research study examined the following research questions: (1) Do public and/or private greenspaces affect the spatial distribution of mental health outcomes in North Carolina? (2) Does this relationship change with rurality? Emergency department data for 6 mental health conditions and suicide mortality data from 2009 to 2018 were included in this analysis. Spatial error and ordinary least squares regressions were used to examine the influence of public and private greenspace quantity on mental health in rural and urban communities. Results suggest greenspace benefits mental health in rural and urban communities. The strength of this relationship varies with urbanity and between public and private greenspaces, suggesting a more complex causal relationship. Given the high case counts and often lower density of mental health care facilities in rural areas, focusing attention on low-cost mental health interventions, such as greenspace, is important when considering rural mental health care.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 3","pages":"181-191"},"PeriodicalIF":1.5,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10806433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10239271","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