Journal of Public Health Management and Practice最新文献

{"title":"HPV Vaccination and Awareness Programs at Maryland Colleges and Universities.","authors":"Mehrnoosh Soori, Gypsyamber D'Souza, Brian Mattingly, Norma Kanarek","doi":"10.1097/PHH.0000000000002093","DOIUrl":"10.1097/PHH.0000000000002093","url":null,"abstract":"<p><strong>Context: </strong>About half of adolescents aged 13 to 17 in United States are not fully vaccinated against human papillomavirus (HPV). As they age into young adulthood, colleges may be an excellent target population nexus for implementing interventions to improve HPV vaccination uptake.</p><p><strong>Objectives: </strong>Our study goal was to generate knowledge about HPV vaccine offerings and awareness programs at colleges to ascertain the extent of campus-facilitated access to HPV immunization and education in 1 state.</p><p><strong>Design: </strong>An electronic survey was designed and emailed to 32 of 47 Maryland colleges for which relevant campus contacts could be identified.</p><p><strong>Settings: </strong>The study took place at Johns Hopkins Bloomberg School of Public Health in consultation with the Maryland Cancer Collaborative and the Maryland Department of Health.</p><p><strong>Participants: </strong>Maryland colleges and universities.</p><p><strong>Main outcome measures: </strong>HPV vaccine and awareness program offerings on college and university campuses.</p><p><strong>Results: </strong>Twenty Maryland colleges responded. Two colleges offer awareness programs only. Ten colleges offer HPV vaccine, covering about 39% of Maryland college students. Of these, 4 colleges schedule \"periodic\" campus health clinics or provide an immunization prescription, which is filled at nearby pharmacies. In all colleges, which offer HPV vaccine, immunization is offered to everyone (both men and women) at no out-of-pocket cost.</p><p><strong>Conclusions: </strong>In cooperation with the Maryland Cancer Collaborative, the implementation arm for the Maryland Cancer Control Plan, we showed that college campuses are an excellent target site for implementation of interventions to improve access of college age students to HPV vaccine and awareness programs. We lay the groundwork for recommendations, programs and policies that can improve HPV vaccine offerings among college students thus raising the HPV vaccination rate in young adults. Simple inexpensive alternatives to offering vaccine at college health centers may be periodic campus health clinics and arrangements with nearby pharmacies.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E144-E153"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883275","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":"Impacts, Adaptations, and Preparedness Among SNAP-Ed Implementers During the COVID-19 Pandemic: A Multistate Study.","authors":"Carrie L Draper, Nicholas Younginer, Kira Rodriguez, Pamela Bruno, Kate Balestracci, Sharraf Samin","doi":"10.1097/PHH.0000000000002088","DOIUrl":"10.1097/PHH.0000000000002088","url":null,"abstract":"<p><strong>Objective: </strong>The study examines: 1) impacts of COVID-19 on the work of Supplemental Nutrition Assistance Program - Education (SNAP-Ed) implementers, 2) facilitators and barriers experienced in making adaptations, and 3) factors that would have helped with preparedness to adapt.</p><p><strong>Design, setting, and participants: </strong>A purposive sample of 181 SNAP-Ed program implementers from across five states completed a survey or interview based on the study aims. Quantitative data was summarized with descriptive statistics and qualitative data was analyzed thematically.</p><p><strong>Results: </strong>Direct education activities were found to be most impacted during COVID-19 while working to change policies, systems, and environments and indirect education were less impacted. Both positive and negative impacts surfaced. Respondents were most likely to say they were moderately or slightly prepared to make adaptations. Elements of internal organizations, technology, and partners both helped and hindered adapting. Pre-established virtual capacity, formal preparation and planning protocols and procedures, and better and more frequent communication with partners and program leadership would have helped with preparedness.</p><p><strong>Conclusion: </strong>SNAP-Ed needs assessment and implementation processes should integrate and expand upon the lessons learned in the study to enhance future emergency preparedness among program implementers. Program policy should be updated to allow for implementation flexibility during future emergencies.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"414-422"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985177","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":"Public Health Practice in a Land of Confusion.","authors":"Justin B Moore","doi":"10.1097/PHH.0000000000002149","DOIUrl":"10.1097/PHH.0000000000002149","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"339"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143528131","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 NEW Soul Study: Implementation and Evaluation Impact From the Secular Trend of the COVID-19 Pandemic.","authors":"John A Bernhart, Gabrielle M Turner-McGrievy, Marty Davey, Nkechi Okpara, E Grace Harrell, Shiba Bailey, Sara Wilcox","doi":"10.1097/PHH.0000000000002071","DOIUrl":"10.1097/PHH.0000000000002071","url":null,"abstract":"<p><strong>Context: </strong>In process evaluation research, secular trends refer to external factors unrelated to an intervention that impact implementation. The COVID-19 pandemic was a secular trend that affected the implementation of the Nutritious Eating with Soul (NEW Soul) study.</p><p><strong>Objective: </strong>This paper describes steps taken in modifying intervention delivery due to the secular trend of the pandemic. This paper also addresses process evaluation measures of dose delivered, dose received, and satisfaction.</p><p><strong>Design: </strong>This study is a longitudinal study.</p><p><strong>Setting: </strong>The study took place in Columbia, SC, from 2018 to 2021.</p><p><strong>Participants: </strong>African American adults between 18 and 65 years old.</p><p><strong>Intervention: </strong>The NEW Soul study, a dietary lifestyle intervention, lasted 24 months.</p><p><strong>Main outcome measures: </strong>Process evaluation variables of dose delivered, dose received, and satisfaction.</p><p><strong>Results: </strong>The study team shifted intervention delivery and maintained the timeline of classes for participants and intervention activities. Dose delivered was higher in-person (7.0 out of 8) compared to online (6.4 out of 8; t = -3.92, P = .002). Attendance was higher in-person compared to online ( t = 2.80, P = .006). Overall, satisfaction of the intervention was favorable in-person and online. Helpfulness of nutrition information in the class was rated lower online compared to in-person ( t = 2.05, P = .04).</p><p><strong>Conclusions: </strong>Even though the study team successfully shifted intervention delivery online, dose delivered was higher in-person. Evaluations of classes remained high across cohorts and for in-person and online classes. Future lifestyle interventions working with African American adults requires consistent flexibility in intervention delivery.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"406-413"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510454","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 Public Health Interventions: A Novel Surveillance System for Hazardous Consumer Products.","authors":"Yoon-Sung Nam, Kolapo Alex-Oni, Maia Fitzstevens, Kari Patel, Paromita Hore","doi":"10.1097/PHH.0000000000002092","DOIUrl":"10.1097/PHH.0000000000002092","url":null,"abstract":"<p><p>Lead poisoning remains a significant public health concern with preventable exposure from different sources, including certain traditional consumer products. To address the concern of product-related lead exposures, the New York City Department of Health and Mental Hygiene has developed the Non-Paint Sample Database (NPSD). NPSD systematically tracks information about hazardous consumer products collected during New York City case investigations and store surveys. NPSD has enabled identification of new products-related lead sources and populations at risk of lead exposure and has guided risk communication, regulatory activities, and policy initiatives. Since 2007, approximately 8000 consumer products have been tracked by NPSD. NPSD demonstrates the potential for consumer product surveillance to enable source identification, monitor lead exposure trends, and facilitate effective educational and enforcement activities, which advances lead exposure prevention strategies.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"372-376"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840030","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":"The Association of County-Level Presidential Election Outcome and COVID-19 Mortality in Colorado, 2020-2022.","authors":"Kelly A DeBie, Margaret J Gutilla, Kayleigh P Keller, Jennifer L Peel, David Rojas-Rueda, Andreas M Neophytou","doi":"10.1097/PHH.0000000000002098","DOIUrl":"10.1097/PHH.0000000000002098","url":null,"abstract":"<p><strong>Context: </strong>The Coronavirus disease 2019 (COVID-19) pandemic occurred during a time of political tension in the United States. County-level political environment may have been influential in COVID-19 outcomes.</p><p><strong>Objective: </strong>This study examined the association between county-level political environment and age-adjusted COVID-19 mortality rates from 2020 to 2022.</p><p><strong>Design setting: </strong>Political environment was measured by the 2020 Presidential election results and compared with age-adjusted COVID-19 mortality rates by county in Colorado.</p><p><strong>Main outcome measures: </strong>Rate ratios (RR) and 95% confidence intervals (CI) were estimated using negative binomial regression incorporating a population offset term. Models adjusted for populational differences using the demographics percentile from Colorado's EnviroScreen Environmental Justice Tool.</p><p><strong>Results: </strong>Age-adjusted county mortality rates ranged from 14.3 to 446.8.0 per 100 000. 2021 COVID-19 mortality rates were nearly twice as high in counties voting for Donald Trump compared to those voting for Joseph Biden (adjusted RR = 1.98, 95% CI: 1.59, 2.47). Results for 2020 and 2022 mortality models were also in the positive direction, though the confidence intervals crossed null values.</p><p><strong>Conclusion: </strong>These results build on a growing body of evidence that political environment may have been influential for COVID-19 mortality, helping to understand the drivers of health outcomes. Implications for the public health system as we shift into the endemic period of COVID-19 include motivation for collaborative work to restore and rebuild trust among and between stakeholders and the community, as well as increase health education given its' influence on both individual and community behaviors.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E179-E186"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899445","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":"A Systems Perspective of How Community-Engaged Public Health Addresses Social Determinants of Health: A Case Study of a Population-Based COVID-19 Testing Program.","authors":"Leah Frerichs, Ann-Marie Akiwumi, Lia Kaz, Doyoung Kim, Laura Florick, Valerie Lucas, Marcus Layer, Brandy Farrar, Gaurav Dave, Kristen Hassmiller Lich","doi":"10.1097/PHH.0000000000002089","DOIUrl":"10.1097/PHH.0000000000002089","url":null,"abstract":"<p><strong>Context: </strong>Despite the recognition that social determinants of health (SDOH) are key to improving the health of all communities, the causality and specific mechanisms through which SDOH impacts health behaviors and outcomes are often ambiguous.</p><p><strong>Objective: </strong>The aim of this study was to use systems thinking to document pathways through which SDOH affected health-seeking behaviors and identify how community engagement strategies intervened to address SDOH barriers.</p><p><strong>Design: </strong>We leveraged the case context of a large federal initiative (Rapid Acceleration of Diagnostics-Underserved Populations [RADx-UP]) designed to improve COVID-19 testing for underserved populations through community-engaged and participatory approaches. First, we used structured sessions with RADx-UP partners to create causal maps that documented relationships between factors relevant to SDOH, a health-seeking behavior (COVID-19 testing), and community engagement strategies. Second, we searched, reviewed, and tied evidence from RADx-UP peer-reviewed literature to contextualize the causal maps.</p><p><strong>Results: </strong>We identified 17 unique pathways that linked SDOH to COVID-19 testing. The map also highlighted 3 mechanisms through which the community engagement addressed SDOH: (1) improving access to testing, (2) addressing health and digital literacy, and (3) conducting social needs screening and assistance.</p><p><strong>Conclusions: </strong>Our findings highlighted the complexity of public health issues such as COVID-19 and how community engagement is critical to addressing SDOH and health equity. Importantly, dedicating resources to community engagement created positive reinforcing dynamics to improve the health of communities; however, as COVID-19 became better managed, funding also diminished and decreased the capacity for community-engaged efforts. Research in public health needs to focus on understanding and reshaping systems that better support community-engaged efforts.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E169-E178"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256963","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":"Association and Variation Between the COVID-19 Pandemic and Health Care Quality in the Medicare Shared Savings Program: Insights From a Seven-Year Natural Experiment.","authors":"Xiyuan Hu, Mariétou H Ouayogodé","doi":"10.1097/PHH.0000000000002102","DOIUrl":"10.1097/PHH.0000000000002102","url":null,"abstract":"<p><p>Potential changes in health care quality resulting from variation in pandemic severity since 2020 have received less attention. This study aims to assess the relationship between the pandemic and health care quality in Medicare Shared Savings Program (MSSP) accountable care organizations and identify possible heterogeneity in the relationship. The year-by-year difference-in-difference event study of MSSPs between 2016 and 2022 (N = 3390) indicated that 1 standard deviation increase in standardized cumulative COVID-19 incidence in 2020 was associated with a decrease in total quality score of 0.83 percentage points (95% CI: -0.21 to 1.44) after controlling for confounders. The reduction in quality score was mostly driven by ACOs with the highest COVID-19 incidence and in the Midwest. We found no evidence for a persisting decline in quality scores in 2021 to 2022. Public health efforts may need to carefully monitor quality performance and mitigate negative effects during future health crises. Continued investment in strengthening health care resilience remains crucial.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"423-427"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856151","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":"Applying an Evaluation Framework of Hospital CHA/CHIP Quality and Heterogeneity to Accredited Local Health Departments in Kentucky, 2015-2022.","authors":"Bradley A Firchow, Katie E Boroughs","doi":"10.1097/PHH.0000000000002075","DOIUrl":"10.1097/PHH.0000000000002075","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the quality of community health assessments (CHA) and community health improvement plans conducted by Public Health Accreditation Board (PHAB)-accredited local health departments (LHDs) in Kentucky.</p><p><strong>Design: </strong>Quality assessment of CHAs and community health improvement plan documents using criteria adapted from Pennel et al (2015).</p><p><strong>Setting: </strong>PHAB-accredited LHDs in Kentucky.</p><p><strong>Participants: </strong>Seventeen CHAs and community health improvement plan documents from PHAB-accredited LHD.</p><p><strong>Main outcome measures: </strong>Quality scores based on 17 evaluation criteria, including stakeholder involvement, data examination, plan feasibility, and LHD-hospital collaboration.</p><p><strong>Results: </strong>The study found significant variation in the quality of CHAs and community health improvement plan documents. The highest scores were for partner involvement, data examination, and plan feasibility. The lowest scores were for LHD-hospital collaboration, use of evidence-based strategies, and plan evaluation. No community variables significantly predicted overall report scores.</p><p><strong>Conclusions: </strong>The quality of CHAs and community health improvement plan documents varies among Kentucky LHDs, highlighting the need for more robust guidance and standardized criteria. Strengthening hospital-LHD collaboration and focusing on evidence-based strategies can improve public health outcomes.</p><p><strong>Implications for policy and practice: </strong>Enhancing CHAs and community health improvement plan processes through legislative changes, better guidance, and improved collaboration between hospitals and LHDs can lead to more effective public health interventions and outcomes.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"377-383"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477795","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":"A Mixed Method Evaluation of Practitioners' Perspectives on Implementation Strategies for Healthy Eating and Active Living Policy, Systems, and Environmental Changes.","authors":"Bailey Houghtaling, Nila Pradhananga, Denise Holston, Melissa Cater, Laura Balis","doi":"10.1097/PHH.0000000000002103","DOIUrl":"10.1097/PHH.0000000000002103","url":null,"abstract":"<p><strong>Context: </strong>The National Cooperative Extension System is a leader in delivering healthy eating and active living (HEAL) policy, systems, and environmental (PSE) changes; however, these interventions are challenging, and technical assistance efforts often misalign with implementation science concepts.</p><p><strong>Objective: </strong>The study objective was to understand the importance of implementation strategies and tailoring needs to support Louisiana Nutrition and Community Health (NCH) practitioners' delivery of rural HEAL PSE changes.</p><p><strong>Design: </strong>An explanatory sequential mixed method study design was used, including a survey to rank the importance of implementation strategies for HEAL PSE changes and a follow-up interview. A review of available implementation strategies (practice activities/resources) for Louisiana HEAL PSE changes was also conducted.</p><p><strong>Setting: </strong>This study occurred within Louisiana and focused on NCH practitioners' ongoing HEAL PSE change efforts throughout the state, with emphasis on rural community settings.</p><p><strong>Participants: </strong>All NCH practitioners were eligible to participate. \"Practitioners\" included Extension NCH administrators and agents/educators directly delivering HEAL PSE changes.</p><p><strong>Main outcomes: </strong>The main quantitative outcome was the ranked importance of implementation strategies to support NCH practitioners' delivery of HEAL PSE changes. For explanatory interviews, perceptions of higher and lower ranked implementation strategies and tailoring opportunities were of interest. The alignment of available activities/resources with possible implementation strategies was also assessed.</p><p><strong>Results: </strong>Highly ranked implementation strategies focused on engaging dedicated community partners and community members and starting small to ensure success, generate buy-in, and demonstrate feasibility. Opportunities for capacity building in these areas were identified. A lower ranked implementation strategy, changing organizational structures, was considered less likely to occur but possibly necessary to improve job satisfaction, retention, and return on investment. Available activities/resources overlapped with a few available implementation strategies.</p><p><strong>Conclusions: </strong>This study identified opportunities to use implementation science concepts to improve program support for NCH practitioners delivering complex HEAL PSE changes.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"447-458"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014013","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}