Family & Community Health最新文献_第8页

Mitigating the Spread of COVID-19: Differential Perceptions of Midwestern University Students. 缓解COVID-19的传播:中西部大学学生的不同看法。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-07-01 DOI: 10.1097/FCH.0000000000000354

Tyler W Myroniuk, Kaleea R Lewis, Joan M Hermsen, Enid Schatz

引用次数: 1

The Social Process of Caregiving in Fathers: A Grounded Theory Study. 父亲照顾的社会过程:一个扎根的理论研究。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-07-01 DOI: 10.1097/FCH.0000000000000364

Ashley Rivera

{"title":"The Social Process of Caregiving in Fathers: A Grounded Theory Study.","authors":"Ashley Rivera","doi":"10.1097/FCH.0000000000000364","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000364","url":null,"abstract":"The United Nation's Agenda 2030 recognizes unpaid domestic caregiving in the home as the largest barrier to gender equality. However, little research has been conducted to understanding the social process through which fathers engage in caregiving. The purpose of this constructivist grounded theory study was to explore the social process of caregiving in fathers. Recruited from multiple community settings, 35 fathers participated in intensive interviews with the investigator. The initial interview guide was developed through Swanson's Theory of Caring and modified as themes emerged. Data analysis occurred using an iterative categorization matrix for organization and clarity. This study proposed the action-based Caregiving in Fathers Theory. The 3 main themes of the theory center on the following: (1) reconciling the past through \"Reinventing the Kitchen Table\"; (2) managing the present through \"Creating a Home\"; and (3) preparing for the future through \"Discovering Empowerment.\" For fathers, gender equality in society begins with accepting fathers as proficient, competent, and primary caregivers. This theory reveals the motivations of fathers in participating in unpaid domestic caregiving in the home.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 3","pages":"155-164"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10237755","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

Church Matters: Education About Advance Care Planning and End-of-Life Care in Black Churches. 教会事务:黑人教会关于预先护理计划和临终关怀的教育。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-07-01 DOI: 10.1097/FCH.0000000000000365

Cathy L Campbell, Ishan C Williams, Lisa C Campbell

{"title":"Church Matters: Education About Advance Care Planning and End-of-Life Care in Black Churches.","authors":"Cathy L Campbell, Ishan C Williams, Lisa C Campbell","doi":"10.1097/FCH.0000000000000365","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000365","url":null,"abstract":"For many African American adults, the church has the potential to be a place to receive education about advance care planning (ACP). The current study was conducted to (1) identify the frequency of ACP conversations and caregiving and (2) evaluate interest in church-placed end-of-life (EOL) care education. Data were collected from parishioners in 2 African American churches in an urban city in the mid-Atlantic region of the United States. Individuals older than 50 years reported a higher frequency of caregiving ( P < .001) and were more likely to have talked to someone about EOL care ( P < .001) than individuals younger than 50 years. Nearly all respondents considered EOL conversations \"important\" or \"very important\" (99.1%) and wanted more information about EOL conversations available via the church (95.8%). Our findings suggest EOL conversations are happening within families and with health care providers, but they are not documented in ways (eg, in writing) that research has focused on previously. Future EOL education will focus more on the importance of documenting and sharing EOL care wishes with family and health care professionals.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 3","pages":"176-180"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10239272","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

Medical Mistrust Among Food Insecure Individuals in Appalachia. 阿巴拉契亚地区粮食不安全人群对医疗的不信任。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-07-01 DOI: 10.1097/FCH.0000000000000362

Melissa K Thomas, Ciara Amstutz, Debra Orr-Roderick, Julia Horter, David H Holben

{"title":"Medical Mistrust Among Food Insecure Individuals in Appalachia.","authors":"Melissa K Thomas, Ciara Amstutz, Debra Orr-Roderick, Julia Horter, David H Holben","doi":"10.1097/FCH.0000000000000362","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000362","url":null,"abstract":"This study focused on the relationship between food insecurity and medical mistrust within Appalachia. Food insecurity has negative consequences on health, while medical mistrust can lead to a decrease in health care use, creating additive consequences to already vulnerable populations. Medical mistrust has been defined in various ways, with measures addressing health care organizations and individual health care providers. To determine whether food insecurity has an additive impact on medical mistrust, a cross-sectional survey was completed by 248 residents in Appalachia Ohio while attending community or mobile clinics, food banks, or the county health department. More than one-quarter of the respondents had high levels of mistrust toward health care organizations. Those with high food insecurity levels were more likely to have higher levels of medical mistrust than those with lower levels of food insecurity. Individuals with higher self-identified health issues and older participants had higher medical mistrust scores. Screening for food insecurity in primary care can reduce the impact of mistrust on patient adherence and health care access by increasing patient-centered communication. These findings present a unique perspective on how to identify and mitigate medical mistrust within Appalachia and call attention to the need for further research on the root causes among food insecure residents.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 3","pages":"192-202"},"PeriodicalIF":2.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fb/c2/fache-46-192.PMC10179979.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10237749","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

Commentary: Improving Primary Care Through an Innovative Academic-Practice Partnership Including Baccalaureate Nursing Student-Based Telehealth Competencies. 评论:通过创新的学术实践伙伴关系改善初级保健，包括护理学士学位学生为基础的远程医疗能力。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-04-01 DOI: 10.1097/FCH.0000000000000353

Linda Hook, Lorena Paul

引用次数: 0

Social Determinants of Health and Racial/Ethnic Disparities in COVID-19 Mortality at the County Level in the Commonwealth of Virginia. 健康的社会决定因素以及弗吉尼亚州县一级COVID-19死亡率的种族/族裔差异

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-04-01 DOI: 10.1097/FCH.0000000000000330

Priyadarshini Pattath

{"title":"Social Determinants of Health and Racial/Ethnic Disparities in COVID-19 Mortality at the County Level in the Commonwealth of Virginia.","authors":"Priyadarshini Pattath","doi":"10.1097/FCH.0000000000000330","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000330","url":null,"abstract":"Background: Mortality due to coronavirus disease-2019 (COVID-19) among Black and Hispanic populations is disproportionately high compared to white populations. This study aimed to explore the association between COVID-19 mortality and social determinants of health (SDOH) among Black and Hispanic populations in Virginia.Method: County-level publicly available COVID-19 mortality data from Virginia, covariates, and SDOH indicators were used. An independent t-test and hierarchical multiple regression analysis were performed to assess the association between SDOH and COVID-19 death rates, with a focus on racial/ethnic disparities.Results: Counties in the lowest quartile had a mean death rate of 44.72 (SD = 13.8), while those in the highest quartile had a mean death rate of 239.02 (SD = 123.9) per 100, 000 people ( P < .001). Counties with the highest death rates had significantly lower mean socioeconomic status. The regression analysis revealed that 32% of the variance in the COVID-19 mortality rate was associated with SDOH after controlling for the covariates ( P < .01). Identifying as Hispanic ethnicity accounted for 8.5% of the variance, while median household income, being uninsured, and education accounted for 32.7%, 12.9%, and 7.1%, respectively.Conclusions: The findings provide evidence that disparities in SDOH experienced by Hispanic populations play a significant role in increased COVID-19 mortality, thus highlighting the social needs of low-income, low-education, and Hispanic populations to advance equity in health outcomes.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 2","pages":"143-150"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10289389","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

Food Insecurity and COVID-19 Vaccination Status and Vaccination Hesitancy in the United States. 美国的粮食不安全与COVID-19疫苗接种状况和疫苗接种犹豫。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-04-01 DOI: 10.1097/FCH.0000000000000357

Alexander Testa, Bonita B Sharma

{"title":"Food Insecurity and COVID-19 Vaccination Status and Vaccination Hesitancy in the United States.","authors":"Alexander Testa, Bonita B Sharma","doi":"10.1097/FCH.0000000000000357","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000357","url":null,"abstract":"During the COVID-19 pandemic, vaccination hesitancy emerged as a factor that impacted vaccine uptake. In addition, during this period, there was a substantial increase in food insecurity in the United States (US). However, there is a lack of research on the potential connection between food insecurity and COVID-19 vaccine intentions. This study assesses whether experiencing food insecurity during the COVID-19 pandemic is associated with COVID-19 vaccination uptake and vaccination hesitancy. Data were from the 2021 Crime, Health, and Politics Survey, a national probability sample of community-dwelling adults 18 years and older living in the US (N = 1741) conducted from May 10, 2021, to June 1, 2021. Results from multinomial logistic regression analyses found that mild food insecurity and moderate-to-severe food insecurity were associated with an increased relative risk of not planning to get the COVID-19 vaccination compared with having been vaccinated or planning to get vaccinated. Moderate-to-severe food insecurity was associated with an increased risk of being unsure about getting the COVID-19 vaccine. The results suggest that efforts to expand vaccination and health literacy outreach to food-insecure populations are essential steps to promote greater health equity.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 2","pages":"136-142"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930687/pdf/fache-46-136.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10235323","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

Improving Relational Functioning in Mother-Daughter Dyads With Obesity. 改善肥胖症母女组合的关系功能。

IF 1.5 4区医学

Family & Community Health Pub Date : 2023-04-01 DOI: 10.1097/FCH.0000000000000359

Becky Marquez, Florencia Lebensohn-Chialvo, Xinyi Huang, Xinlian Zhang, Matthew Allison

{"title":"Improving Relational Functioning in Mother-Daughter Dyads With Obesity.","authors":"Becky Marquez, Florencia Lebensohn-Chialvo, Xinyi Huang, Xinlian Zhang, Matthew Allison","doi":"10.1097/FCH.0000000000000359","DOIUrl":"10.1097/FCH.0000000000000359","url":null,"abstract":"Family-level interventions have the potential to address intergenerational obesity among Mexican American women. Given that poor family functioning is associated with worse weight loss outcomes, this study tested a weight management program aimed at improving relational functioning in mothers and daughters with obesity. Mexican American mothers and their adult daughters were randomly assigned to participate in a 16-week group-based standard behavioral (SB) weight loss program without or with relationship skills training (SRT). Relational functioning was assessed via observational behavioral coding using the Global Structural Family Rating Scale. General relational functioning and specifically positive alliance patterns and conflict avoidance improved significantly more in the SRT group than in the SB group. Average weight changes included percent weight loss of -5.6% in the SRT group versus -3.9% in the SB group and body mass index reduction of -2.2 kg/m2 in the SRT group versus -1.2 kg/m2 in the SB group. More participants in the SRT group (75%) than in the SB group (40%) tended to achieve at least 3% weight loss. Greater changes in positive alliance patterns increased the likelihood of losing 3% of body weight. Improving relational functioning in mother-daughter dyads may promote favorable outcomes in a behavioral weight loss intervention.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 2","pages":"103-111"},"PeriodicalIF":1.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10959269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10235324","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

Perspectives of Primary Care Clinicians on the Diagnosis and Treatment of Pediatric Hypertension. 初级保健临床医生对诊断和治疗小儿高血压的看法。

IF 1.5 4区医学

Family & Community Health Pub Date : 2023-04-01 DOI: 10.1097/FCH.0000000000000358

Allison J Carroll, Nivedita Mohanty, Andrea S Wallace, Craig B Langman, Justin D Smith

引用次数: 0

Innovations and Opportunities in Care for Black Mothers and Birthing People. 黑人母亲和产妇护理的创新与机遇。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-04-01 DOI: 10.1097/FCH.0000000000000361

Gullnar Syed, Jacqueline Sims, Sherrell Hicklen House, Beverly Bruno, Angel Boulware, Kylie Tang, Stephanie M Curenton

引用次数: 0