Journal of Public Health Management and Practice最新文献

{"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":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systemic Moral Courage.","authors":"James C Thomas","doi":"10.1097/PHH.0000000000002126","DOIUrl":"10.1097/PHH.0000000000002126","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"505-506"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415833","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":"Call for Critical System Thinking in Addressing the 2024 Mpox Public Health Emergency.","authors":"Sanchita Chakraborty, Abhijit Poddar","doi":"10.1097/PHH.0000000000002133","DOIUrl":"10.1097/PHH.0000000000002133","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"511-514"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504837","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":"Knowledge, Awareness, Practices, and Perceptions of Risk and Responsibility Related to Extreme Heat:: An Exploratory Survey of Older Adults in Canada.","authors":"Emily J Tetzlaff, Robert D Meade, Fergus K O'Connor, Glen P Kenny","doi":"10.1097/PHH.0000000000002120","DOIUrl":"10.1097/PHH.0000000000002120","url":null,"abstract":"<p><strong>Objectives: </strong>Knowledge and risk perception are driving factors for initiating appropriate health-protective actions during extreme heat events (EHEs). We sought to examine the (1) current knowledge of heat as a health threat, (2) perception of personal vulnerability to heat, (3) role of heat warnings and heat alert and response systems in initiating heat mitigating practices, and (4) opinions of community preparedness among heat-vulnerable older adults, as well as explore factors that may influence these concepts.</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Setting: </strong>Canada.</p><p><strong>Participants: </strong>Individuals aged 50 years or older.</p><p><strong>Main outcome measures: </strong>The number of respondents and percentage of the total sample were calculated based on individual response rates to each question. To explore factors that may have influenced the respondents' understanding of heat health knowledge, awareness, and risk perception, a bootstrapped least absolute shrinkage and selection operator regression was conducted.</p><p><strong>Results: </strong>1027 respondents (69% female, median age: 68 years) from 10 provinces/territories. Most felt knowledgeable about heat stress (74%), but many indicated that greater effort is needed to increase public awareness of EHE (64%). Self-reported responsiveness to heat alerts was also high (88%) despite many respondents reporting a low level of self-perceived risk (66%) and characteristics of heat susceptibility (eg, age, comorbidities).</p><p><strong>Conclusions: </strong>In our sample of older Canadians, various factors influenced knowledge, perceived heat vulnerability, responsiveness to heat alerts, and perception of community preparedness. These findings can help inform public heat preparedness initiatives to ensure they align with the needs of older Canadians.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"663-674"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504847","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":"Connecting the Dots: Facilitating Resource Access for Health and Wellness in Chicago Public Schools (CPS) Through the Healthy CPS Network Specialist.","authors":"Elizabeth Jarpe-Ratner, Sabrina Arancibia, Maddie Offstein, Cassidy Malner, Julien Leider, Jamie F Chriqui","doi":"10.1097/PHH.0000000000002130","DOIUrl":"10.1097/PHH.0000000000002130","url":null,"abstract":"<p><strong>Context: </strong>To comply with local, state, and federal health and wellness policies, districts and schools must connect students with needed services and resources (eg, mobile medical units and community health educators). Yet, schools struggle to navigate fragmented service landscapes. In Chicago Public Schools (CPS), the Healthy CPS Network Specialist position was created to help connect schools to such resources and services.</p><p><strong>Objectives: </strong>This study explores how the Specialist connects schools to resources and services and describes the experiences of schools working with the Specialist.</p><p><strong>Design: </strong>This mixed-methods study includes key informant interviews and survey data.</p><p><strong>Setting: </strong>The study was conducted in one of CPS's geographic networks, serving roughly 2 dozen schools on the district's West side.</p><p><strong>Participants: </strong>Interviews with the Specialist and interviews and surveys with school-level staff served by the Specialist were conducted from 2021 through 2023.</p><p><strong>Main outcome measures: </strong>Interviews and surveys measured participants' reported experiences working with the Specialist to get connected to 12 needed health and wellness resources and services.</p><p><strong>Results: </strong>Over 50% of schools reported being connected to resources and services by working with the Specialist. The most common supports were connections to sexual health education supports (75%), nutrition education supports (71%), and supports for LGBTQ+ students (68%). Interviewees reported that the Specialist makes connections internally, between schools and district-level staff, as well as externally across the city. Connections are made both through planning conversations and in response to school requests. Interviewees saw value in these connections, noting the Specialist addresses gaps in schools' knowledge, helps them plan for resource use, eases burdens, builds trusting relationships, and ensures follow-through.</p><p><strong>Conclusions: </strong>The Specialist position serves as a model for how to help schools build capacity to achieve health and wellness policy compliance through the connections made in a fragmented service landscape, ensuring services meet students' needs.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"548-557"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736221","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 Impact of the COVID-19 Pandemic on Medical-Legal Partnership Services and Cases.","authors":"Athena K Ramos, Maria Jose Sanchez Roman, Priscila Soto Prado, Karen Schmeits, Kerry Rodabaugh","doi":"10.1097/PHH.0000000000002121","DOIUrl":"10.1097/PHH.0000000000002121","url":null,"abstract":"<p><strong>Context: </strong>Medical-legal partnerships (MLPs) are innovative, promising models that integrate legal service providers and medical professionals to prevent, detect, and address legal, social, and economic needs arising from social inequities that may negatively impact health. The COVID-19 pandemic impacted health care systems across the United States. MLP workflows and legal services were also interrupted by COVID-19 infection prevention and control measures such as no-visitor policies, social distancing, and the cancellation of non-emergent or routine health care services.</p><p><strong>Objective: </strong>We sought to describe the impact of COVID-19 on legal services provided by an MLP by exploring case types and services provided prior to the COVID-19 pandemic and during the pandemic.</p><p><strong>Design: </strong>This is an examination of MLP services provided at a Midwestern academic medical center comparing data from three years prior to the pandemic (2017-2019) to three years during the pandemic (2020-2022).</p><p><strong>Setting: </strong>The MLP is a collaboration between the University of Nebraska Medical Center/Nebraska Medicine (an academic medical center) and Legal Aid of Nebraska and Iowa Legal Aid (legal service providers).</p><p><strong>Participants: </strong>Case data was drawn from individuals who were MLP patient-clients between 2017 and 2022.</p><p><strong>Main outcome measures: </strong>The main outcome measures were the number of cases and categories and types of legal services provided by the MLP.</p><p><strong>Results: </strong>Consistent across time, we found that on average 494 cases were closed each year. Consumer/finance cases decreased significantly from pre-COVID-19 to during the pandemic, while family cases increased significantly during the pandemic. Cases related to income maintenance increased across time.</p><p><strong>Conclusions: </strong>Through the COVID-19 pandemic experience and understanding the case mix, MLPs and health care champions can be better prepared to understand some of the challenges that may occur and changes that may be necessary to better serve patient-clients during a public health emergency.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"654-662"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956849","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":"Flavored Tobacco Restriction Policy Support in New York and the United States, 2022.","authors":"Stephanie Craven Bunch, Ellen M Coats, Elizabeth M Brown, James M Nonnemaker, Jennifer Lee, OlaOluwa Fajobi","doi":"10.1097/PHH.0000000000002131","DOIUrl":"10.1097/PHH.0000000000002131","url":null,"abstract":"<p><strong>Context: </strong>Use of flavored commercial tobacco products, including menthol cigarettes, flavored vaping products, and flavored cigars, remains a serious public health concern with implications for health equity. Flavored tobacco use is more prevalent among some populations of adults, including among Black adults; young adults; and adults who identify as lesbian, gay, bisexual, transgender, or questioning or queer.</p><p><strong>Objective: </strong>This paper explores the prevalence of support for flavored tobacco sales restrictions among a representative sample of adults in New York (NY) and the United States (US).</p><p><strong>Design: </strong>We analyzed cross-sectional data from the New York Adult Tobacco Survey and United States Adult Tobacco Survey collected in 2022 to estimate prevalence of support for policies that ban the sale of menthol cigarettes and flavored tobacco products other than menthol cigarettes.</p><p><strong>Results: </strong>In 2022, support for banning the sale of menthol cigarettes and/or flavored tobacco was lower among adults who use tobacco, including flavored and/or menthol tobacco; non-Hispanic White adults; males; and those living outside of urban areas. In the same year, 47.1% of NY adults and 37.3% of adults nationally supported both policies banning the sale of menthol cigarettes and the sale of flavored tobacco products other than cigarettes. Support for one policy but not the other was uncommon in NY and nationally. Support for policies that ban the sale of menthol cigarettes was higher in NY than in the U.S. in 2022 among those who use tobacco (32.0% in NY vs 19.3% in the US) and those who use flavored tobacco products (25.8% in NY vs 16.3% in the US).</p><p><strong>Conclusions: </strong>Understanding population support for flavored tobacco restrictions provides opportunities for tobacco control programs to tailor education, communications, and surveillance planning at the local, state, and federal levels.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E233-E243"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415741","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":"Fostering Community-Led Climate Action.","authors":"Julian L Watkins","doi":"10.1097/PHH.0000000000002172","DOIUrl":"10.1097/PHH.0000000000002172","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":"31 4","pages":"675-676"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128981","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":"Leadership in Uncertain Times: Profiles in Inspiration and Influence.","authors":"Edward L Baker","doi":"10.1097/PHH.0000000000002166","DOIUrl":"10.1097/PHH.0000000000002166","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":"31 4","pages":"681-682"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128985","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":"Evaluating a User-centered Redesign of the NYC Environment and Health Data Portal Website.","authors":"Matthew Montesano, Chris Gettings, Emily Torem","doi":"10.1097/PHH.0000000000002136","DOIUrl":"10.1097/PHH.0000000000002136","url":null,"abstract":"<p><strong>Context: </strong>Public health agencies publish data so that data can influence public health policy and practice and improve the public health. But when these websites are difficult to use, they present barriers to this goal. Working to make data websites easier to use can add value to public health work.</p><p><strong>Program: </strong>In 2022, the NYC Department of Health and Mental Hygiene redesigned the Environment and Health Data Portal website to communicate data more effectively by improving usability. The redesigned website lets users browse datasets, visualize them, and includes companion explanatory material to communicate key public health findings.</p><p><strong>Implementation: </strong>We evaluated the usability as an outcome of the redesign and compared it to the usability of the prior website. Using a cross-over design, participants did simple tasks on both old and new websites, then filled out the Post-Study System Usability Questionnaire, a standard usability instrument.</p><p><strong>Evaluation: </strong>Participants scored the new site better than the old site, with statistically significant improvements in overall usability, system usefulness, and information. Additionally, web analytics show steadily increasing traffic to the new site, indicating that improved usability might have led to increased use.</p><p><strong>Discussion: </strong>This evaluation indicates a successful redesign: a measurable increase in usability and a substantial increase in web traffic. It suggests that designing data products for a wide range of users can be a successful strategy and demonstrate a viable method for evaluating public health data communication websites using a standard usability instrument.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"566-573"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441894","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}