Family & Community Health最新文献_第9页

Commentary: An Equitable Approach to Serving Structurally Marginalized Communities. 评论:服务结构边缘化社区的公平方法。

IF 2.3 4区医学

Family & Community Health Pub Date : 2022-10-01 DOI: 10.1097/FCH.0000000000000345

Kaydian S Reid, Anne O Odusanya, Wayne R Lawrence, Julia F Hastings

引用次数: 0

Behind Closed Doors: A Thematic Analysis of Diabetes Community Health Worker Home Visit Content. 闭门造车:糖尿病社区卫生工作者家访内容的专题分析。

IF 2.3 4区医学

Family & Community Health Pub Date : 2022-10-01 DOI: 10.1097/FCH.0000000000000341

Sean P McClellan, Tyler W Boyd, Jacqueline Hendrix, Kryztal Peña, Susan M Swider, Molly A Martin, Steven K Rothschild

{"title":"Behind Closed Doors: A Thematic Analysis of Diabetes Community Health Worker Home Visit Content.","authors":"Sean P McClellan, Tyler W Boyd, Jacqueline Hendrix, Kryztal Peña, Susan M Swider, Molly A Martin, Steven K Rothschild","doi":"10.1097/FCH.0000000000000341","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000341","url":null,"abstract":"The present work studies how community health workers (CHWs) perform the role of educator and how this relates to the implementation of other CHW roles, skills, and qualities. Prior studies on this topic have relied on interviews or focus groups rather than analysis of CHW interactions. We conducted a thematic analysis of 24 transcripts of conversations occurring between CHWs and participants during home visits as part of the Mexican American Trial of Community Health Workers, a randomized controlled trial that improved clinical outcomes among low-income Mexican American adults with type 2 diabetes. Three themes describing interactions related to diabetes self-management education accounted for about half of encounter content. The other half of encounter content was dedicated to interactions not explicitly related to diabetes described by 4 subthemes. In a successful CHW intervention, focused educational content was balanced with other interactions. Interactions not explicitly related to diabetes may have provided space for the implementation of core CHW roles, skills, and qualities other than educator, particularly those related to relationship building. It is important that interventions provide CHWs with sufficient time and flexibility to develop strong relationships with participants.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"45 4","pages":"299-307"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9394926/pdf/nihms-1810039.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9541535","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 Association Between Home or Community Garden Access and Adolescent Health. 家庭或社区花园与青少年健康之间的关系。

IF 2.3 4区医学

Family & Community Health Pub Date : 2022-10-01 DOI: 10.1097/FCH.0000000000000339

Kathryn A G Knoff, Noel Kulik, James Mallare, Rachael D Dombrowski

引用次数: 0

Barriers to Creating Healthier Home Food Environments: Process Evaluation Results From 2 Home Food Environment Intervention Studies. 创造更健康的家庭食品环境的障碍：两项家庭食品环境干预研究的过程评估结果。

IF 1.5 4区医学

Family & Community Health Pub Date : 2022-10-01 Epub Date: 2022-04-28 DOI: 10.1097/FCH.0000000000000335

Michelle C Kegler, Ilana G Raskind, Łucja T Bundy, Shadé Owolabi, J K Veluswamy, Clarisa Hernandez, Tarccara Hodge, Regine Haardörfer

{"title":"Barriers to Creating Healthier Home Food Environments: Process Evaluation Results From 2 Home Food Environment Intervention Studies.","authors":"Michelle C Kegler, Ilana G Raskind, Łucja T Bundy, Shadé Owolabi, J K Veluswamy, Clarisa Hernandez, Tarccara Hodge, Regine Haardörfer","doi":"10.1097/FCH.0000000000000335","DOIUrl":"10.1097/FCH.0000000000000335","url":null,"abstract":"Few studies have identified barriers to creating a home environment more supportive of healthy eating. We examined barriers faced by participants in a randomized controlled trial and an adaptation study of the Healthy Homes/Healthy Families intervention, which uses health coaches to support low-income families in creating healthier home food environments. Coaches maintained logs of participant interactions as part of a process evaluation. We thematically analyzed logs from interactions with participants, mostly lower-income African American women (n = 114), to identify barriers for each of 8 healthy actions that serve as core elements of the intervention. Difficulty of changing current habits was a barrier for 5 of the healthy actions. No time/convenience and limited family support each influenced 2 of the healthy actions, with interpersonal barriers also stemming from social situations and visitors, including grandchildren. Cost and economic challenges were barriers for 3 of the actions. Hunger, cravings, and limited access to resources (eg, transportation, fresh fruits and vegetables) were each noted as barriers for 1 healthy action. Overall, these findings provide insight for how to better support families who are trying to improve their home food environments and highlight the need for multilevel interventions.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"45 4","pages":"247-256"},"PeriodicalIF":1.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391264/pdf/nihms-1786698.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9358615","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

A Qualitative Exploration of Various Stigmas Impacting HIV Pre-Exposure Prophylaxis (PrEP) Uptake Among African American Young Adults. 影响非裔美国年轻人艾滋病毒暴露前预防(PrEP)摄取的各种耻辱的定性探索。

IF 2.3 4区医学

Family & Community Health Pub Date : 2022-10-01 DOI: 10.1097/FCH.0000000000000346

Jelani Kerr, Suur Ayangeakaa, Nana Ama Aya Bullock, Kelsey Burton, Ryan Combs, Lesley Harris, Emma Sterrett-Hong, Isabel Rozema, Janelle Sears, Toya Northington

{"title":"A Qualitative Exploration of Various Stigmas Impacting HIV Pre-Exposure Prophylaxis (PrEP) Uptake Among African American Young Adults.","authors":"Jelani Kerr, Suur Ayangeakaa, Nana Ama Aya Bullock, Kelsey Burton, Ryan Combs, Lesley Harris, Emma Sterrett-Hong, Isabel Rozema, Janelle Sears, Toya Northington","doi":"10.1097/FCH.0000000000000346","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000346","url":null,"abstract":"Pre-exposure prophylaxis (PrEP) has promise for reducing racial/ethnic HIV disparities; yet, acceptance among African Americans remains low. PrEP-related stigmas may impact uptake, but this is understudied. This study examines mechanisms by which stigma impacts PrEP acceptance among various priority African American populations. Focus group data from 63 African American young adults (aged 18-29 years) in Louisville, Kentucky, explore how various stigmas impact attitudes toward PrEP. Data were analyzed using grounded theory analytic techniques. PrEP stigma, HIV stigma, sexual behavior stigma, and homophobia/transphobia individually reduce PrEP uptake. These stigmas also interact synergistically to undermine PrEP acceptance. Key challenges resulting from various stigmas and their interactions include medical hesitancy, lack of perceived susceptibility based on gender and sexuality, the role of gender norms in HIV prevention, and deprioritizing HIV prevention due to social rejection. Interventions to increase awareness, destigmatize PrEP, remediate social marginalization related to identity, HIV status, and gendered perceptions of sexual risk, as well as more focus on diverse priority groups, are needed to present PrEP as a viable HIV prevention option for African American communities. More research is needed to optimize strategies that address stigma and increase acceptance of novel HIV prevention technologies.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"45 4","pages":"218-227"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10111377/pdf/nihms-1815369.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10582997","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: 3

Addressing Health Inequities: An Exploratory Assessment of Extension Educators' Perceptions of Program Demand for Diverse Communities. 解决卫生不公平:扩展教育工作者对不同社区项目需求的看法的探索性评估。

IF 2.3 4区医学

Family & Community Health Pub Date : 2022-10-01 DOI: 10.1097/FCH.0000000000000332

Lauren E Kennedy, Thomas E Strayer, Laura E Balis

{"title":"Addressing Health Inequities: An Exploratory Assessment of Extension Educators' Perceptions of Program Demand for Diverse Communities.","authors":"Lauren E Kennedy, Thomas E Strayer, Laura E Balis","doi":"10.1097/FCH.0000000000000332","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000332","url":null,"abstract":"Land grant universities are a key provider of community-based health promotion programs through the Cooperative Extension Service. However, Extension's current approach to addressing systemic social determinants of health is incomplete and inconsistent. The purpose of this study was to explore Extension health educators' perceptions of demand for health promotion programming targeting audiences most likely to experience health inequities. Health educators within 2 state Extension systems were invited to complete an online survey based on a capacity building model. Survey questions included rating perceptions of demand for programming for health disparate populations: low-income; Black and African American; Hispanic, Latino/a, Latinx; persons with disabilities; immigrants and refugees; and lesbian, gay, bisexual, and transgender. Analysis of variance and Bonferroni post hoc testing was used to determine differences in perceived demand between populations. Ninety-six educators completed the survey. Perceived demand for low-income population programming was significantly higher than for other populations. Perceived programming demand for immigrants and refugees and lesbian, gay, bisexual, and transgender people was significantly lower than for other populations. Individual and organizational-level factors, including racism and Extension's historical scope, likely contribute to the results. Engaging historically excluded Extension audiences requires time and resources to improve the Extension system and educator capacity for relationship building, trust building, and communication.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"45 4","pages":"228-237"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10477719","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: 4

Innovating Health Research Methods, Part II: Arts-Based Methods Improve Research Data, Trauma-Responsiveness, and Reciprocity. 创新健康研究方法，第二部分:基于艺术的方法改进研究数据、创伤反应和互惠。

IF 2.3 4区医学

Family & Community Health Pub Date : 2022-07-01 DOI: 10.1097/FCH.0000000000000337

Tasha L Golden

{"title":"Innovating Health Research Methods, Part II: Arts-Based Methods Improve Research Data, Trauma-Responsiveness, and Reciprocity.","authors":"Tasha L Golden","doi":"10.1097/FCH.0000000000000337","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000337","url":null,"abstract":"Accumulating US studies indicate gender inequities in youth violence research and responses. Improving youth health thus requires greater understanding of how girls and young women perceive and experience violence, and gathering such data demands research methods that are trauma-informed and assets-based. This mixed-methods study addresses these dual needs. To support gender equity in youth violence research, it incorporated 4 violence surveys and 3 arts-based methods to examine girls' and young women's experiences and perceptions of violence. Then, to advance trauma-informed, assets-based research, it used study findings to generate an assessment of all methods employed. Results are presented in a 2-part article, with Part I (published separately) conveying findings about the population's experiences, needs, and assets related to violence and safety. Part II (here) details the development of the arts-based methods, assesses them alongside the surveys, and compares the effectiveness of all methods. Despite overlap across methods, the arts-based strategies offered critical knowledge that was missed by surveys, including actionable data about the population's priorities, experiences, and recommendations. The arts-based methods were also trauma-informed and offered reciprocity via assets-based, community-centered programs and platforms. This study provides justification and a template for further integration of creative practices into research, and for continued innovation to advance access, data quality, and health equity.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"45 3","pages":"150-159"},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10563074","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: Electronic Nicotine Delivery Systems: Seeing Through the Clouds. 评论:电子尼古丁输送系统:透过云层看。

IF 2.3 4区医学

Family & Community Health Pub Date : 2022-07-01 DOI: 10.1097/FCH.0000000000000324

Tristan M Sissung, William D Figg

{"title":"Commentary: Electronic Nicotine Delivery Systems: Seeing Through the Clouds.","authors":"Tristan M Sissung, William D Figg","doi":"10.1097/FCH.0000000000000324","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000324","url":null,"abstract":"THE PUBLIC has become increasingly aware that tobacco use is the leading cause of preventable disease and death in the United States (US), and the tobacco industry has been highly successful at circumventing resulting antitobacco sentiment through well-funded marketing efforts. Despite scientific evidence, new and current tobacco users still perceive marketing terms such as “light,”“natural,” or “additive free” to indicate that these products are safer alternatives to conventional cigarettes.1 The tobacco industry has again spent hundreds of millions of US dollars advertising electronic nicotine delivery systems (ENDS; eg, e-cigarettes), which has resulted in the public impression that ENDS are a safe alternative to smoking.2 The result has been sea change in which new nicotine users, who tend to be young, prefer using ENDS over conventional cigarettes. Numerous current and former smokers are also transitioning to these products to reduce lifetime risk exposure or quit smoking.2 How did this happen? Is there a scientific basis for the safety of ENDS and the efficacy of using ENDS for smoking cessation? What are the potential risks and benefits?","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"45 3","pages":"202-205"},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9156525/pdf/nihms-1776757.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10191315","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

Innovating Health Research Methods, Part I: A Mixed-Methods Study of Experiences and Perceptions of Violence Among Girls and Young Women. 创新保健研究方法，第一部分:女童和青年妇女对暴力的经历和看法的混合方法研究。

IF 2.3 4区医学

Family & Community Health Pub Date : 2022-07-01 DOI: 10.1097/FCH.0000000000000336

Tasha L Golden

{"title":"Innovating Health Research Methods, Part I: A Mixed-Methods Study of Experiences and Perceptions of Violence Among Girls and Young Women.","authors":"Tasha L Golden","doi":"10.1097/FCH.0000000000000336","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000336","url":null,"abstract":"Accumulating US studies indicate gender inequities in youth violence research and responses. Improving youth health thus requires greater understanding of how girls and young women perceive and experience violence, and gathering such data demands research methods that are trauma-informed and assets-based. This mixed-methods study addresses these dual needs. To support gender equity in youth violence research, it incorporated 4 violence surveys and 3 arts-based methods to examine girls' and young women's experiences and perceptions of violence. Then, to advance trauma-informed, assets-based research, it used study findings to generate an assessment of all methods employed. Results are presented in a 2-part article, with Part II (published separately) detailing the arts-based strategies and assessing all methods. Part I (below) conveys findings from all data sources regarding population experiences, needs, and assets related to violence and safety. Girls and young women reported extensive experiences with violence, and mental health was a prominent challenge, likely exacerbated by persisting threats. Participants' priorities included domestic and intimate partner violence, social isolation, and the necessity of action and change. This study confirms the value of mixed-methods, gender-responsive youth violence research, and of providing processes by which youth can share their stories on and in their own terms. It also provides a template for further use of creative practices to improve data; apply trauma-informed, assets-based strategies; and advance health equity.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"45 3","pages":"137-149"},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10183157","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: Infant Mortality Among African Americans, Using Life Course Perspective to Encourage Transformation. 评论:非洲裔美国人的婴儿死亡率，用生命历程的观点鼓励转变。

IF 2.3 4区医学

Family & Community Health Pub Date : 2022-07-01 DOI: 10.1097/FCH.0000000000000325

Sheila Y Abebe, Elizabeth A Goldsby, Gabriel Hall

{"title":"Commentary: Infant Mortality Among African Americans, Using Life Course Perspective to Encourage Transformation.","authors":"Sheila Y Abebe, Elizabeth A Goldsby, Gabriel Hall","doi":"10.1097/FCH.0000000000000325","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000325","url":null,"abstract":"T HE DEATH of an infant is devastating on the family unit. Infant mortality (IM) is the death of an infant before his or her first birthday. Infant mortality rate (IMR) is the number of babies who die in the first year of life per 1000 live births. Lead-ing causes of death include birth defects, preterm birth, injuries, sudden infant death syndrome, and maternal pregnancy complications. The current IMR for the United States (US) in 2019 was 5.6 deaths per 1000 live births. 1 While the general regression is celebrated, a closer look shows that the benefits are not reaching African Americans to the extent it has for other races. It was reported that African Americans have 2.3 times the IMR as non-Hispanic whites. African American infants are 4 times as likely to die from complications related to low birth weight as compared with non-Hispanic white infants. African Americans have more than twice the sudden infant death syndrome mortality rate as non-Hispanic whites. Also, African American mothers are 2 times more likely than non-Hispanic white mothers to receive late or no prenatal care. 2","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":"45 3","pages":"160-162"},"PeriodicalIF":2.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10191320","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