Family & Community Health最新文献_第9页

The Effect of Neighborhood Disorganization on Care Engagement Among Children With Chronic Conditions Living in a Large Urban City. 居住在大城市的慢性病患儿邻里关系混乱对参与护理的影响

IF 1.5 4区医学

Family & Community Health Pub Date : 2023-04-01 DOI: 10.1097/FCH.0000000000000356

Sage J Kim, Molly Martin, Rachel Caskey, Amanda Weiler, Benjamin Van Voorhees, Anne Elizabeth Glassgow

{"title":"The Effect of Neighborhood Disorganization on Care Engagement Among Children With Chronic Conditions Living in a Large Urban City.","authors":"Sage J Kim, Molly Martin, Rachel Caskey, Amanda Weiler, Benjamin Van Voorhees, Anne Elizabeth Glassgow","doi":"10.1097/FCH.0000000000000356","DOIUrl":"10.1097/FCH.0000000000000356","url":null,"abstract":"Neighborhood context plays an important role in producing and reproducing current patterns of health disparity. In particular, neighborhood disorganization affects how people engage in health care. We examined the effect of living in highly disorganized neighborhoods on care engagement, using data from the Coordinated Healthcare for Complex Kids (CHECK) program, which is a care delivery model for children with chronic conditions on Medicaid in Chicago. We retrieved demographic data from the US Census Bureau and crime data from the Chicago Police Department to estimate neighborhood-level social disorganization for the CHECK enrollees. A total of 6458 children enrolled in the CHECK between 2014 and 2017 were included in the analysis. Families living in the most disorganized neighborhoods, compared with areas with lower levels of disorganization, were less likely to engage in CHECK. Black families were less likely than Hispanic families to be engaged in the CHECK program. We discuss potential mechanisms through which disorganization affects care engagement. Understanding neighborhood context, including social disorganization, is key to developing more effective comprehensive care models.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 2","pages":"112-122"},"PeriodicalIF":1.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/12/2f/fache-46-112.PMC9930887.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10226643","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

Food Insecurity, the Food Environment, and COVID-19 in Rural South Carolina. 南卡罗来纳州农村地区的粮食不安全、粮食环境和COVID-19。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-04-01 DOI: 10.1097/FCH.0000000000000355

Samuel L K Baxter, Caitlin E Koob, Cassius M L Hossfeld, Sarah F Griffin, Catherine Mobley, Leslie H Hossfeld

{"title":"Food Insecurity, the Food Environment, and COVID-19 in Rural South Carolina.","authors":"Samuel L K Baxter, Caitlin E Koob, Cassius M L Hossfeld, Sarah F Griffin, Catherine Mobley, Leslie H Hossfeld","doi":"10.1097/FCH.0000000000000355","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000355","url":null,"abstract":"In this study, we explored the relationship between the food environment and food security among rural adults during the COVID-19 pandemic. Researchers, with assistance from community partners, conducted a cross-sectional survey assessing the impact of COVID-19 on food access, food security, and physical activity in 9 rural South Carolina (SC) counties. This survey was administered to a purposive sample (N = 587) from August 2020 to March 2021. The dependent variable was a binary indicator of food insecurity (past 3 months), in accordance with the USDA Household Food Security Survey Module. Independent variables were sociodemographic characteristics, food environment factors (eg, shopping at grocery stores, partial markets, and farmers' markets), and shopping behaviors during the pandemic. Overall, 31% of respondents were food insecure. Food security status differed by income and household composition. Results indicate that the odds of food insecurity were higher for respondents who shopped frequently at partial markets (adjusted odds ratio [AOR] = 1.61, 95% confidence interval [CI]: 1.01-2.56) and shopped more for food before the pandemic than during the pandemic (AOR = 1.68, 95% CI: 1.07-2.64). Findings underscore the importance of examining the relationship between the food environment and food insecurity during COVID-19 in rural settings.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 2","pages":"128-135"},"PeriodicalIF":2.3,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9930688/pdf/fache-46-128.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10235325","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

Parental Sexuality Disclosure, Discrimination, and Depression Among Black Sexual Minority Men and Black Transgender Women. 黑人少数性取向男性和黑人变性女性的父母性取向披露、歧视和抑郁》（Parental Sexuality Disclosure, Discrimination, and Depression Among Black Sexual Minority Men and Black Transgender Women.

IF 1.5 4区医学

Family & Community Health Pub Date : 2023-04-01 DOI: 10.1097/FCH.0000000000000360

Rodman E Turpin, Derek T Dangerfield, Temitope Oke, DeMarc A Hickson

{"title":"Parental Sexuality Disclosure, Discrimination, and Depression Among Black Sexual Minority Men and Black Transgender Women.","authors":"Rodman E Turpin, Derek T Dangerfield, Temitope Oke, DeMarc A Hickson","doi":"10.1097/FCH.0000000000000360","DOIUrl":"10.1097/FCH.0000000000000360","url":null,"abstract":"Racial and sexuality-based discrimination can induce depressive symptoms among Black sexual minority men and transgender women (BSMM/BTW). BSMM and BTW who disclose their sexuality to parents may be better prepared to cope with discrimination. We explored the relationship between discrimination and depression among BSMM and BTW and whether parental disclosure modified this relationship. Secondary analysis of The MARI Study was used to test the relationship between discrimination and depression modified by level of disclosure of sexuality to parents among 580 BSMM and BTW in Jackson, Mississippi, and Atlanta, Georgia. Bivariate tests and linear regression models were stratified by sexuality disclosure to parents. Discrimination was associated with greater depression, with significant dose-response modification across levels of disclosure. After adjustment, maximum discrimination scores were associated with depression scores 10.7 units higher among participants with very open disclosure (95% CI, 10.4-11.8), 15.3 units higher among participants with somewhat open disclosure (95% CI, 3.7-26.9), and 19.5 units higher among participants with no disclosure (95% CI, 10.2-26.8). Disclosure of sexuality to supportive parents can substantially benefit the mental health of BSMM and BTW. Future studies should explore intervention approaches to providing social support for BSMM and BTW in unsupportive families.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 2","pages":"95-102"},"PeriodicalIF":1.5,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9119460","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

Contrasts of Initial and Gain Scores in Obesity Treatment-Targeted Psychosocial Variables by Women Participants' Weight Change Patterns Over 2 Years. 2年来女性受试者体重变化模式对肥胖治疗目标社会心理变量的初始和增加得分的对比

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-01-01 DOI: 10.1097/FCH.0000000000000348

James J Annesi, Francine A Stewart

{"title":"Contrasts of Initial and Gain Scores in Obesity Treatment-Targeted Psychosocial Variables by Women Participants' Weight Change Patterns Over 2 Years.","authors":"James J Annesi, Francine A Stewart","doi":"10.1097/FCH.0000000000000348","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000348","url":null,"abstract":"The typical pattern of weight change associated with behavioral obesity treatments has been some loss in weight through approximately 6 months, followed by near complete regain. However, patterns vary widely across individuals. The objectives are to determine whether recent prediction model-based indications of relations among changes in psychosocial correlates of the weight loss behaviors of physical activity and controlled eating vary by patterns of weight change. Women with obesity enrolled in a community-based behavioral obesity treatment who failed to lose at least 5% of their baseline weight (Minimal Effect group, n = 44), lost 5% or greater and then regained most during months 6 to 24 (Loss/Regain group, n = 42), or lost 5% or greater and then maintained/continued loss (Loss/Loss group n = 42) were evaluated. Improvements in physical activity- and eating-related self-regulation and self-efficacy, mood, and emotional eating over 6 months were significant overall and generally most favorable in the Loss/Loss group and least favorable in the Minimal Effect group. Expected model-based relationships between 6-month changes in the aforementioned psychosocial variables were significant and generally not significantly affected by weight change group. However, group substantially affected the prediction of self-regulation of eating at month 24-a key correlate of long-term weight loss. Findings suggested community-based obesity treatment targets and emphases.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 1","pages":"39-50"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10600734","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

Materials and Methods for Recruiting Systematically Marginalized Youth and Families for Weight-Management Intervention Trials: Community Stakeholders' Perspectives. 招募系统边缘化青少年和家庭参与体重管理干预试验的材料和方法：社区利益相关者的观点。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-01-01 DOI: 10.1097/FCH.0000000000000352

Heather K Hardin, Anna E Bender, Cheryl M Killion, Shirley M Moore

{"title":"Materials and Methods for Recruiting Systematically Marginalized Youth and Families for Weight-Management Intervention Trials: Community Stakeholders' Perspectives.","authors":"Heather K Hardin, Anna E Bender, Cheryl M Killion, Shirley M Moore","doi":"10.1097/FCH.0000000000000352","DOIUrl":"10.1097/FCH.0000000000000352","url":null,"abstract":"Rates of overweight and obesity are problematic among systematically marginalized youth; however, these youth and their families are a hard-to-reach research population. The purpose of our study was to identify facilitators and barriers for recruiting systematically marginalized families in youth weight-management intervention research. This study built upon existing evidence through involvement of youth, parents, community agency workers, and school nurses, and an exploration of both recruitment materials and processes. Seven focus groups were conducted with 48 participants from 4 stakeholder groups (youth, parents, school nurses, and community agency workers). A codebook approach to thematic analysis was used to identify key facilitator and barrier themes related to recruitment materials and processes across the stakeholder groups. Ecological systems theory was applied to contextualize the facilitators and barriers identified. Participants reported the need to actively recruit youth in the study through engaging, fun recruitment materials and processes. Participants reported greater interest in recruitment at community-based events, as compared to recruitment through health care providers, underscoring the depth of distrust that this sample group has for the health care system. Recommendations for recruitment materials and processes for weight-management intervention research with systematically marginalized families are proposed.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 1","pages":"13-27"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9680002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10233163","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

Barriers to and Systems Solutions for Increasing Early Childhood Home Visiting Referrals by Health Care Providers Serving Urban and Rural Communities. 城市和农村社区卫生保健提供者增加儿童早期家访转诊的障碍和系统解决方案。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-01-01 DOI: 10.1097/FCH.0000000000000343

Theresa H Cruz, Leona Woelk, Ivy C Vitanzos Cervantes, Alexis Kaminsky

{"title":"Barriers to and Systems Solutions for Increasing Early Childhood Home Visiting Referrals by Health Care Providers Serving Urban and Rural Communities.","authors":"Theresa H Cruz, Leona Woelk, Ivy C Vitanzos Cervantes, Alexis Kaminsky","doi":"10.1097/FCH.0000000000000343","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000343","url":null,"abstract":"Early childhood home visiting (ECHV) is an evidence-based prevention strategy that directly impacts maternal and child health by mitigating the poor outcomes associated with socioeconomic disadvantage and adverse childhood experiences that disproportionately affect marginalized populations. Despite its promise, health care providers in many communities do not routinely refer patients to these services. This qualitative study examined barriers to health care providers' referrals to ECHV services and identified systems-level strategies to overcome those barriers through semistructured interviews with 37 health care providers in New Mexico. Most participants were pediatricians or family practice physicians working in hospitals or community-based primary care settings, and the majority served rural communities. Barriers included insufficient knowledge about ECHV programs; lack of trust of program providers; time constraints; concerns about available funding; lack of a standardized referral process; and concerns about stigma and messaging. Five systems-level recommendations were developed to improve practice: (1) educating health care providers; (2) developing messaging prompts for providers to use when talking with patients about ECHV; (3) increasing engagement among providers and ECHV programs; (4) standardizing referral systems within practices; and (5) promoting universal referrals. Additional research is ongoing to determine the degree to which these health promotion strategies increase referrals and participation in ECHV.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 1","pages":"69-78"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10583008","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: 2

Statewide Physician Survey Regarding Pediatric Muslim Fasting. 关于儿童穆斯林斋戒的全州医师调查。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-01-01 DOI: 10.1097/FCH.0000000000000351

Emman Dabaja, Muhammad Haidous, Hadeel Shihan, Sara Haidar-El-Atrache

{"title":"Statewide Physician Survey Regarding Pediatric Muslim Fasting.","authors":"Emman Dabaja, Muhammad Haidous, Hadeel Shihan, Sara Haidar-El-Atrache","doi":"10.1097/FCH.0000000000000351","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000351","url":null,"abstract":"During Ramadan, Muslims fast from dawn to dusk for the duration of the month. The current literature focuses on adults who fast, with little attention to pediatric practices. An anonymous, digital survey was conducted using Qualtrics software and distributed to residents, fellows, or attendings in Michigan in 2019. Overall, 278 participants were included in the analysis, with 87% (242/278) identifying as pediatric trained physicians. In all, 82% (228/278) of physicians identified as non-Muslim and 76% (211/278) had never partaken in the Muslim fast. About 52% (141/273) of participants had at least a moderate amount of exposure to Muslim pediatric patients in their clinical practice. Most physicians (66%; 175/265) reported they never asked their pediatric patients or their families about fasting. About 61% (167/273) of participants rated their understanding of fasting as minimal to none. Another 52% (142/273) of participants reported feeling somewhat or extremely uncomfortable discussing fasting recommendations with their pediatric patients and their families. Our study is the first of its kind in assessing current knowledge and practice regarding pediatric Muslim fasting among physicians in the United States. In addition, it highlights a gap in physicians' understanding and comfort in providing anticipatory guidance for their Muslim patients.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 1","pages":"51-57"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10238708","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

Perceived Role of Asian Indian Fathers in Florida During Mealtimes: Factors to Consider for Their Involvement in Childhood Obesity Prevention. 佛罗里达亚裔印度父亲在用餐时间的感知角色:考虑他们参与儿童肥胖预防的因素。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-01-01 DOI: 10.1097/FCH.0000000000000342

Priya Krishnakumar, Catherine Coccia

{"title":"Perceived Role of Asian Indian Fathers in Florida During Mealtimes: Factors to Consider for Their Involvement in Childhood Obesity Prevention.","authors":"Priya Krishnakumar, Catherine Coccia","doi":"10.1097/FCH.0000000000000342","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000342","url":null,"abstract":"Research has shown that fathers play an important role in children's mealtimes and dietary habits; yet, little is known about the factors that affect how fathers perceive this role, especially among Asian Indians. This study aimed to examine how Asian Indian fathers perceive their role during child mealtimes and the factors that are associated with fathers' mealtime perceptions. Eighty Asian Indian fathers of 6- to 11-year-old children completed an online survey including measures of demographics, acculturation, gender roles, nutrition knowledge, parental self-efficacy, perceived child weight, and the role of father at mealtime (ROFM). Data were analyzed using descriptive statistics and linear regression. Participants perceived a moderately high level of responsibility during child mealtimes. Regression analysis showed that fathers who had higher income, perceived child weight as being higher, and had higher self-efficacy in feeding children healthy food had higher ROFM. Higher father nutrition knowledge was correlated with lower perceived ROFM, indicating a lack of confidence in utilizing their nutrition knowledge during child mealtimes. The results indicate potential targets to improve Asian Indian fathers' involvement during child mealtimes. These results could be utilized to enhance their engagement in child mealtime healthy eating practices and for childhood obesity prevention.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 1","pages":"28-38"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10288890","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

Differences in Health Care Access, Utilization, and Experiences Among LGBTQ+ Subgroups in the Southern United States. 美国南部LGBTQ+亚群体在医疗保健获取、利用和经验方面的差异

IF 1.5 4区医学

Family & Community Health Pub Date : 2023-01-01 Epub Date: 2022-08-08 DOI: 10.1097/FCH.0000000000000340

Natalie R Holt, Elizabeth D Eldridge-Smith, James A Griffin, Lara M Stepleman, Christopher F Drescher, Tracy Casanova

{"title":"Differences in Health Care Access, Utilization, and Experiences Among LGBTQ+ Subgroups in the Southern United States.","authors":"Natalie R Holt, Elizabeth D Eldridge-Smith, James A Griffin, Lara M Stepleman, Christopher F Drescher, Tracy Casanova","doi":"10.1097/FCH.0000000000000340","DOIUrl":"10.1097/FCH.0000000000000340","url":null,"abstract":"Lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) individuals experience health inequities and barriers to accessing appropriate, affirming care. Little is known about differing health care experiences within the LGBTQ+ population, particularly among individuals living in underserved areas. This study explored health care experiences and utilization among LGBTQ+ subgroups: lesbian and gay cisgender individuals (n = 258), bisexual+ cisgender individuals (n = 71), and transgender and gender-diverse individuals (n = 80). Participants were recruited from a geographic region in South Carolina and Georgia and completed an online survey regarding negative health care experiences, barriers to care, and utilization of different health care venues and services. Results revealed significant differences between LGBTQ+ subgroups, with transgender and gender-diverse participants reporting more discriminatory experiences and greater barriers to care. Bisexual+ cisgender individuals also experienced some disparities compared with lesbian and gay cisgender individuals. Most participants endorsed a need for more competent providers. Findings and recommendations are considered within the context of the Southeastern United States for addressing access and utilization disparities among LGBTQ+ communities.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 1","pages":"58-68"},"PeriodicalIF":1.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10225617","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

Socioeconomic and Health-Related Factors Affecting Congestive Heart Failure Readmissions. 影响充血性心力衰竭再入院的社会经济和健康相关因素。

IF 2.3 4区医学

Family & Community Health Pub Date : 2023-01-01 DOI: 10.1097/FCH.0000000000000350

Jollibyrd M Gusto, Angela W Prehn

{"title":"Socioeconomic and Health-Related Factors Affecting Congestive Heart Failure Readmissions.","authors":"Jollibyrd M Gusto, Angela W Prehn","doi":"10.1097/FCH.0000000000000350","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000350","url":null,"abstract":"Congestive heart failure (CHF) readmissions are frequent and costly but preventable. The purpose of this study was to analyze socioeconomic and health-related factors of CHF readmissions by examining the relationship between 30-day readmissions of individuals with CHF and their payer status, race, ethnicity, primary language spoken, living arrangement, and comorbidities. This retrospective case-control study used secondary data from 450 CHF patients admitted to a not-for-profit Northern Virginia hospital from July 2014 to December 2017. Data were analyzed using χ 2 and logistic regression. Living arrangements and comorbid chronic renal failure (CRF) were statistically significant predictors of CHF readmissions; all other factors were nonsignificant. Patients who lived with family and those in assisted living facilities were less likely to be readmitted than those who lived alone (odds ratio [OR] = 0.2 and 0.5, respectively). Patients without CRF were less likely to be readmitted than those who had CRF (OR = 0.6). This study contributes data to inform community-based health programs tailored toward frequently readmitted individuals due to CHF exacerbation.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"46 1","pages":"79-86"},"PeriodicalIF":2.3,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10583481","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