Journal of Public Health Management and Practice最新文献

{"title":"Building Adaptive Leaders: A Formative Evaluation of the Region V Public Health Leadership Institute Using Ripple Effect Mapping and Focus Groups.","authors":"Harshada Karnik, Julieta Barbiero, Danielle J Zemmel, Nicole M Weiss, Phoebe K G Kulik, Laura E Power, Jonathon P Leider","doi":"10.1097/PHH.0000000000002150","DOIUrl":"10.1097/PHH.0000000000002150","url":null,"abstract":"<p><strong>Objectives: </strong>The Region V Public Health Training Center implemented an inaugural Leadership Institute (RVPHLI) from January to June 2023. This paper outlines a formative evaluation of the program to qualitatively assess its potential outcomes and influence on participants' leadership capacity.</p><p><strong>Design, setting, and participants: </strong>Thirty-eight public health and primary care professionals participated in 40 hours of online learning activities focused on adaptive leadership themes.</p><p><strong>Main outcome measure: </strong>We conducted ripple effect mapping (REM) exercises and focus group discussions with 32 participants.</p><p><strong>Results: </strong>REM analysis using the Community Capitals Framework suggested benefits to participants' cultural, social, and human capital. The following themes emerged as takeaways from the focus groups: leaders as collaborators, new approaches to work and leadership, better understanding of individual leadership qualities and skills, current challenges, and validated existing definitions of leadership.</p><p><strong>Conclusions: </strong>REM analysis showed participants gaining confidence and skills. They identified beneficiaries beyond themselves and shared challenges and resources. Findings will shape future RVPHLI iterations and potentially enhance development of other leadership programs in both the public health and primary care sectors.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"591-599"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765437","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}

{"title":"Advancing Pedagogy in Leadership Practice to Enhance Public Health Impact.","authors":"Marie Lina Excellent, Melissa Yu, Alexis Hartranft, W Oscar Fleming, Karar Zunaid Ahsan, Anna P Schenck, Rohit Ramaswamy","doi":"10.1097/PHH.0000000000002123","DOIUrl":"10.1097/PHH.0000000000002123","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic highlighted the critical need for competent leadership in public health to address emergent health challenges and restore trust in health institutions. Emphasizing leadership training in public health education programs is key to preparing leaders for these challenges. This study aimed to (1) explore how public health professionals practice leadership and (2) identify gaps between current training practices and emergent needs.</p><p><strong>Methods: </strong>A literature review spanning from 2012 to 2022 informed the development of an interview guide. 48 experienced public health leaders, including 35 alumni from a prominent public health school in the United States as well as 13 established leaders with degrees from other schools, were selected through snowball sampling and agreed to participate in interviews. Thematic analysis of interview transcripts using NVivo software revealed multifaceted aspects of public health leadership, emphasizing collaboration, communication, and experiential learning.</p><p><strong>Results: </strong>Participants described leadership in public health as the ability to influence change in population health while nurturing the development of future professionals. They highlighted the importance of self-reflection and personal experiences in shaping their leadership styles, illustrating how the principles of public health extend beyond professional realms into daily life. Key qualities of effective leadership included listening actively, valuing diverse perspectives, and providing mentorship. Participants emphasized the transformative role of mentorship and professional development experiences, particularly within master of public health (MPH) programs, in shaping their leadership practices. Looking forward, participants identified several areas for improvement in leadership training, including interdisciplinary collaboration, community-centered strategies, and proficiency in grant writing and financial management. They also stressed the importance of embracing technological advancements, such as artificial intelligence (AI), in public health practices.</p><p><strong>Conclusion: </strong>This study underscores the significance of leadership training in public health education. It highlights the value of leaders' reflective practice and the opportunity for leadership programs to enhance training related to interdisciplinary collaboration and communication. Experiential learning opportunities are crucial for nurturing this development and preparing leaders to navigate complex challenges in the field of public health.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"515-526"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024848","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}

{"title":"Disseminating for Equity and Justice: Findings From the LIGHT Global Crowdsourcing Open Contest to Reimagine Public Health.","authors":"Alexis Engelhart, Ucheoma Catherine Nwaozuru, Bryce P Takenaka, Christian Herrera, Tochukwu Patrick, Ebenezer Adeoti, Onyekachukwu Anikamadu, Chidi Okafor, Chisom Obiezu-Umeh, Ekenechukwu Kokelu, Carmen Dillman, Morenike Olusanya, Bianca Kipp, Patrick Murphy, Sheryl Monks, Madison Petaway, Kokeb Ansarizadeh, Stacey Mason, Mary Claire Pavlick, Nnenna Kalu Makanjuola, Temitope Ojo, Idia Thurston, Juliet Iwelunmor","doi":"10.1097/PHH.0000000000002146","DOIUrl":"10.1097/PHH.0000000000002146","url":null,"abstract":"<p><strong>Objectives: </strong>To describe how crowdsourcing contests soliciting art, letters, stories, and poetry were focused on promoting well-being and health information dissemination from the public to the public.</p><p><strong>Design: </strong>LIGHT (Leaders Igniting Generational Healing and Transformation) launched three online crowdsourcing open calls that were designed using the World Health Organization Tropical Diseases Research (WHO/TDR) practical guide on crowdsourcing in health and health research, which includes the following steps: convening a steering committee, promoting the open call, receiving and judging entries, recognizing finalists, and sharing solutions.</p><p><strong>Setting: </strong>The crowdsourcing open calls were held online via the Submittable platform.</p><p><strong>Participants: </strong>A total of 508 submissions by the public were evaluated with the majority of authors and artists identified as female (25.4%) followed by male (15.4%) and ages ranging from 11 to 82 years old.</p><p><strong>Intervention: </strong>This study utilized crowdsourcing open call contests to engage the public in generating art, letters, stories, and poetry as strategies to effectively promote well-being and disseminate health information to the public.</p><p><strong>Main outcome measured: </strong>Effectiveness and creativity of the crowdsourced submissions in proposing new strategies for promoting well-being and disseminating health information through art, letters, stories, and poetry.</p><p><strong>Results: </strong>The three crowdsourcing open calls received 508 eligible entries (Open call 1 = 155; Open call 2 = 191; Open call 3 = 162). Informed by the combined and modified design justice principles creativity, connections, and community, six unique dissemination strategies emerged for dissemination: (a) positive intersectionality, (b) destigmatization, (c) strength-based, (d) collective approach, (e) cultural identity, and (f) unity in healing. Collectively, there was consensus to innovate dissemination strategies to enhance the appeal of research findings and health communication.</p><p><strong>Conclusions: </strong>Rebuilding and building public-driven dissemination strategies will involve reimagining and innovating current dissemination approaches. LIGHT shows the feasibility of engaging a diverse broad audience to generate ideas and perspectives on promoting health information dissemination to the public.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"537-547"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504841","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}

{"title":"Project HCV Connect: Using a County Surveillance Registry to Link Hepatitis C Virus-Infected Residents to Cure-Los Angeles County, April 2023 to March 2024.","authors":"Chrysovalantis Stafylis, Cassidy Hernandez-Tamayo, Lokesh Bhardwaj, Riya Shah, Tatiana Becerra, Dara Bruce, Roopkamal Saini, Natalie Saremi, Immanuel Thomas, Krzel Manansala-Tan, Arjun P Vij, Alison Li, Nathan Sudeep, Jacob Gizamba, Bijan Hosseini, Sabrina Navarro, Sofia Ufret-Rivera, Mirna Ponce Jewell, Prabhu Gounder, Jeffrey D Klausner","doi":"10.1097/PHH.0000000000002139","DOIUrl":"10.1097/PHH.0000000000002139","url":null,"abstract":"<p><p>Los Angeles County has a high prevalence of chronic hepatitis C virus (HCV) infection, but resources and infrastructure to notify and increase treatment uptake among county residents are absent. Through an innovative academic-public partnership, we developed a linkage-to-cure program utilizing the Department of Public Health's HCV surveillance registry. Case workers contacted reported cases via phone, to offer education, and treatment referral. Three months after the initial communication, individuals that reported that they were untreated were recontacted to evaluate treatment status. Between April 2023 and March 2024, a total of 639 individuals with HCV were interviewed; 84% of them were aware of their infection status, and 70% were untreated. Among those interviewed three months after initial communication (n = 260), 22% started or completed treatment and 30% were under evaluation for treatment. Leveraging existing resources and new partnerships Public Health Departments could mobilize individuals to seek medical care and lead the effort towards elimination of HCV.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"610-613"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617622","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}

{"title":"Smoking and Risks Contributing to COVID-19 Hospitalization in Washoe County, Nevada, 2020-2021.","authors":"Danika M Williams, Minggen Lu, Ann M Weber, Daniel M Cook, Lingchen Wang, Wei Yang","doi":"10.1097/PHH.0000000000002119","DOIUrl":"10.1097/PHH.0000000000002119","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the association between smoking behavior and COVID-19 hospitalization, integrating individual and regional factors such as community resilience and social determinants of health (SDOH), addressing gaps in existing research.</p><p><strong>Design: </strong>Retrospective cohort study utilizing multilevel analytical methods to evaluate the effects of individual smoking status and regional SDOH on COVID-19 hospitalization.</p><p><strong>Setting: </strong>Washoe County, Nevada, during the first year of the COVID-19 pandemic (March 5, 2020, to April 30, 2021).</p><p><strong>Participants: </strong>All reported laboratory-positive COVID-19-infected adult residents of Washoe County collected by the Washoe County Health District through mandated disease surveillance for which smoking status was recorded, totaling 10,215 cases after data cleaning.</p><p><strong>Main outcome measure: </strong>Hospitalization among those with COVID-19 was the primary outcome measure, analyzed in relation to individual smoking status and zip code tabulation area (ZCTA)-level SDOH variables.</p><p><strong>Results: </strong>The analysis found that individuals infected with COVID-19 who currently and formerly smoked had significantly higher odds of hospitalization compared to those who never had smoked, with odds ratios adjusted for demographics and comorbidities. An increased odds of hospitalization among those with COVID-19 were associated with higher local unemployment, a significant ZCTA-level factor.</p><p><strong>Conclusions: </strong>Smoking may have increased the odds of hospitalization among those infected with COVID-19, as well as the socioeconomic factor of unemployment. The integration of SDOH into the assessment of health outcomes underscores the need for targeted public health interventions that address both individual behaviors and community-level factors. Future research should continue to explore these factors to inform more effective public health strategies and policy decisions.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E205-E213"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013969","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}

{"title":"Predictors of Adherence to a COVID-19 Serial Testing Program Among University Affiliates in the Deep South.","authors":"Aneeka Ratnayake, Susan Hassig, Hua He, Alyssa Lederer, Patricia J Kissinger","doi":"10.1097/PHH.0000000000002124","DOIUrl":"10.1097/PHH.0000000000002124","url":null,"abstract":"<p><strong>Objective: </strong>Serial testing programs were used at many US universities during the earlier stages of the COVID-19 pandemic to minimize the risk of SARS-CoV-2 transmission among affiliates, though the effectiveness of such programs was contingent on adherence. In this study, researchers sought to determine factors associated with testing adherence.</p><p><strong>Design: </strong>Cross-sectional analyses were done in spring and fall of 2021.</p><p><strong>Setting: </strong>This study took place at a medium size, private university in the Deep South.</p><p><strong>Participants: </strong>Participants included university affiliates, including faculty/staff and students.</p><p><strong>Main outcome measures: </strong>Adherence to a mandated but unenforced serial testing program was assessed. All variables were ascertained through university records. Logistic regression models were used to determine factors associated with testing during both semesters.</p><p><strong>Results: </strong>In the spring 2021 semester, staff and faculty had 23% greater odds of being tested compared to students. Paradoxically, the odds of adherence to testing decreased by 4% per year of age. In the fall 2021 semester, the odds of being tested was 82% greater for staff and faculty compared to students and 27% higher for those who had a previous positive test compared to those who did not. Men had a 13% lower odds of testing than women. In both semesters, those who were unvaccinated had a significantly lower odds of testing compared to those who were vaccinated (86% and 92%, respectively), P < .001.</p><p><strong>Conclusions: </strong>Testing adherence was associated with vaccination status, suggesting that offering serial testing for those who are not vaccinated may not be an effective strategy in mitigating infection, in the absence of any enforcement. Additional factors such as age, sex, and affiliation status and testing adherence changed over the course of the pandemic suggesting the complexity of testing behaviors.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"585-590"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442039","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}

{"title":"Comparing Harm Reduction Vending Machines and In-Person Overdose Prevention Services in Practice: A Case Study From Rhode Island.","authors":"Leah C Shaw, Erin A Brown, Emma Creegan, Thomas E Bertrand, Sarah Ogundare, Carolyn J Park, Justin Berk, Philip A Chan, Brandon D L Marshall","doi":"10.1097/PHH.0000000000002128","DOIUrl":"10.1097/PHH.0000000000002128","url":null,"abstract":"<p><strong>Objective: </strong>Improved harm reduction approaches are needed to address the ongoing opioid epidemic in the United States. The study aimed to evaluate the statewide implementation of harm reduction vending machines (HRVMs) and existing in-person harm reduction services.</p><p><strong>Design: </strong>We analyzed 2 years of data from in-person harm reduction encounters and an HRVM pilot program between January 1, 2022, and December 31, 2023.</p><p><strong>Setting: </strong>Rhode Island.</p><p><strong>Participants: </strong>This analysis compared unique persons served, total encounters, types of products dispensed, and time and day of transaction (weekday vs weekend) for in-person services provided by state-funded community organizations and the HRVMs in operation during the pilot program.</p><p><strong>Main outcome measures: </strong>At each encounter, the date, location, sociodemographic information, and product(s) dispensed were recorded, among other information for both in-person and HRVM services.</p><p><strong>Results: </strong>Over 15 000 people accessed in-person and HRVM services during the 2-year study period (N = 15 267 in-person; N = 485 HRVM or both). Overall, 38% were female, and 64% were white and non-Hispanic. People who frequented the HRVMs tended to be an average of 5 years younger ( P < .001). Twenty-eight percent of HRVM encounters happened over the weekend, while only 2% of in-person encounters occurred during this time. Notably, 29% of HRVM encounters occurred overnight or during the early morning hours. Safer injection kits, safer smoking kits, and naloxone kits were the 3 most common products dispensed during in-person encounters, with 68% of encounters also supplying basic needs like water, snacks, and clothing. Safer injection kits represented 89% of products dispensed by the HRVMs.</p><p><strong>Conclusions: </strong>HRVMs are a feasible method of distributing harm reduction supplies as a complement to in-person services. HRVMs could complement other services already offered in many communities. Around-the-clock access is a key component of effective HRVMs.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"574-584"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12097925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441845","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}

{"title":"How Boards of Health Can Advance Public Health 3.0.","authors":"Karl Johnson","doi":"10.1097/PHH.0000000000002110","DOIUrl":"10.1097/PHH.0000000000002110","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"507-510"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014022","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}

{"title":"The Silent Public Health Crisis of Cancer Pain Management.","authors":"Sai S Kurapati, Antonio Yaghy","doi":"10.1097/PHH.0000000000002112","DOIUrl":"10.1097/PHH.0000000000002112","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E200-E201"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504877","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}

{"title":"Composition of the Public Health Workforce: Distribution, Training, and Tenure.","authors":"Casey P Balio, Haleigh Leslie, Michael B Meit","doi":"10.1097/PHH.0000000000002115","DOIUrl":"10.1097/PHH.0000000000002115","url":null,"abstract":"<p><strong>Objective: </strong>Describe the public health and job experience of the local public health workforce at the agency level and based on the characteristics of the jurisdictions they serve.</p><p><strong>Design: </strong>Cross-sectional design of US public health workforce at the agency level using 2019 National Association of County and City Health Officials (NACCHO) Profile and 2021 Public Health Workforce Interests and Needs Survey (PH WINS) data.</p><p><strong>Setting: </strong>Local health departments across the United States.</p><p><strong>Participants: </strong>The sample comprised 248 Local Health Departments (LHDs).</p><p><strong>Main outcome measures: </strong>The percent of the workforce with formal training in public health, percent of the workforce that identifies as women, percent of the workforce with 6 or more years of experience in public health practice, and percent of the workforce with 6 or more years of experience in their current agency.</p><p><strong>Results: </strong>Rural-serving LHDs had a greater staffing proportion of women, less formal public health training, and a smaller proportion of staff with 6 or more years of public health practice experience. Gender identity and formal public health training of the top executive of the LHD are correlated with staffing proportions on these measures.</p><p><strong>Conclusions: </strong>The local public health workforce composition varies by geography, agency characteristics, and characteristics of the jurisdiction served. Rurality and characteristics of the top executive of the LHD are correlated with the composition of the public health workforce.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":"31 4","pages":"E214-E221"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12316158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121246","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}