{"title":"Building Healthy, Equitable, and Resilient Communities: Lessons Learned From Multisector Community Partnerships Addressing the Social Determinants of Health.","authors":"Kelli DePriest, LaShawn Glasgow, Erin M Bayer, Stephanie Weiss, Karen Hacker","doi":"10.1097/PHH.0000000000001998","DOIUrl":"10.1097/PHH.0000000000001998","url":null,"abstract":"<p><strong>Context: </strong>Multisector community partnerships play a pivotal role in public health strategy for understanding and addressing social determinants of health (SDOH) and promoting health equity. The work of these partnerships is well aligned with building community resilience.</p><p><strong>Program: </strong>The Year 2 Improving Social Determinants of Health-Getting Further Faster (GFF) retrospective evaluation was designed to gather practice-based evidence that can inform future community-driven partnerships to improve chronic disease outcomes and advance health equity by addressing social determinants of health (SDOH).</p><p><strong>Implementation: </strong>This paper sought to determine how the efforts of multisector community partnerships could also support community resilience. Guided by CDC's Framework for Program Evaluation in Public Health and health equity principles, the GFF evaluation engaged 14 Multisector Community Partnerships to better understand how their SDOH interventions contribute to community changes that improve chronic diseases and advance health equity. Data collection included qualitative discussions along with additional quantitative analyses of SDOH outcomes, costs, and prevention impacts. This paper focuses on insights gathered from qualitative discussions (2 virtual 60-minute discussions with members of each of the 14 Partnerships) around community resilience.</p><p><strong>Evaluation: </strong>Results from qualitative discussions demonstrate how Partnerships' SDOH efforts created parallel opportunities for nurturing community resilience. For example, Partnerships engaged community members in the design and implementation of SDOH interventions in ways that nurtured a sense of belonging and empowerment to shape their community. To further build community resilience, Partnerships mentioned the importance of sustained and flexible funding, help building stronger partnerships, and a shared goal to build resilience and engage community members.</p><p><strong>Discussion: </strong>Findings indicate that community partnerships working to address SDOH can drive reciprocal improvements in community resilience-contributions that are critical for advancing health equity. Partnerships suggested that health departments may have opportunities to enhance community resilience through their role as funder, facilitator, and convener.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"83-89"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510453","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}
Bradley Ray, Douglas Huntsinger, Kaitlyn Christian, Logan Gillenwater, Abigail Rinderle, Allyson Dir, Matthew C Aalsma, Khairi Reda
{"title":"Real-Time Dashboard for Identifying Overdose Touchpoints in Indiana.","authors":"Bradley Ray, Douglas Huntsinger, Kaitlyn Christian, Logan Gillenwater, Abigail Rinderle, Allyson Dir, Matthew C Aalsma, Khairi Reda","doi":"10.1097/PHH.0000000000002000","DOIUrl":"10.1097/PHH.0000000000002000","url":null,"abstract":"<p><p>Indiana state government partnered with researchers to develop a real-time dashboard that brings together multiple data sources to provide state and county-level measures around overdose touchpoints, which are settings that people engaged with prior to fatal overdose. Exploration of the dashboard reveals multiple opportunities for overdose prevention and highlights its use as a tool to monitor strategies in reducing overdose deaths.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"29-33"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584740","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}
Amelia M Jamison, Janesse Brewer, Ana Stevens, Robin Mowson, Victoria Ryan, Matthew Bobo, Daniel A Salmon
{"title":"What Is Old Is New Again: Reimagining \"The Salon\" to Address Public Health Challenges.","authors":"Amelia M Jamison, Janesse Brewer, Ana Stevens, Robin Mowson, Victoria Ryan, Matthew Bobo, Daniel A Salmon","doi":"10.1097/PHH.0000000000002086","DOIUrl":"https://doi.org/10.1097/PHH.0000000000002086","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":"31 1","pages":"145-148"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985187","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}
Francesca Holme, Ryan Kellogg, Semone Andu, Jessica Knaster Wasse, Keith Seinfeld, Richard Gelb
{"title":"Improving Access to Hygiene, Sanitation, and Drinking Water in King County and Beyond: Success Factors and Costs.","authors":"Francesca Holme, Ryan Kellogg, Semone Andu, Jessica Knaster Wasse, Keith Seinfeld, Richard Gelb","doi":"10.1097/PHH.0000000000002028","DOIUrl":"10.1097/PHH.0000000000002028","url":null,"abstract":"<p><strong>Context: </strong>Most major urban areas in the US, including Seattle and King County, have a long-standing lack of public restrooms, handwashing stations, and drinking water, presenting public health risks.</p><p><strong>Objective: </strong>To aid decision-makers in expanding access, we review available information regarding successful hygiene programs in urban settings to identify shared characteristics and costs.</p><p><strong>Design: </strong>We reviewed 10 journal articles, 49 news articles, and 54 pieces of gray literature including reports, white papers, and online resources describing real-world hygiene, sanitation, and drinking water programs in US and global urban settings. We selected programs in 8 cities and applied a thematic analysis to identify shared success factors. We also summarized costs where available.</p><p><strong>Settings: </strong>Calgary (Canada), Denver (Colorado), London (United Kingdom), Los Angeles (California), Portland (Oregon), San Francisco (California), Seattle (Washington), and Vancouver (Canada).</p><p><strong>Results: </strong>Successful programs usually provide frequent cleaning and maintenance, are designed and operated to discourage crime and misuse, leverage existing infrastructure, and include mobile solutions. Cities can expect an initial cost of at least $133 000 per toilet and annual operating costs of at least $100 000 per toilet.</p><p><strong>Conclusions: </strong>By employing proven solutions and bringing them to scale over time, cities can promote health while improving quality of life and facilitating movement through public spaces for all. Costs should be understood in the context of expenses such as sidewalk cleaning and human waste removal that are necessitated by a lack of restrooms.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E34-E39"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899389","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}
Angela M Tagtow, Christina R Welter, Steven Seweryn, Marie L Spiker, Jill Lange, Jeneane McDonald, Yuka Asada
{"title":"Enhancing Adaptability: Exploring Structural Empowerment and Systems Thinking Among State Governmental Public Health Nutritionists.","authors":"Angela M Tagtow, Christina R Welter, Steven Seweryn, Marie L Spiker, Jill Lange, Jeneane McDonald, Yuka Asada","doi":"10.1097/PHH.0000000000002026","DOIUrl":"10.1097/PHH.0000000000002026","url":null,"abstract":"<p><p>This study explored how structural empowerment and systems thinking enabled public health nutritionists to adapt to complex environments. Interviews with 14 dietitian-prepared nutritionists from state governmental public health agencies elucidated 3 key themes: leveraging relationships was essential to exercising structural empowerment and systems thinking; accessing resources and support were priorities in supporting public health nutrition initiatives; and addressing gaps in formal training, specific to systems thinking, enabled adaptability to work in public health settings. The findings highlight the need for broader examinations into strengthening access to organizational power structures; integrating systems thinking into public health operations; and sustaining professional development for the public health workforce, especially with limited resources. Enhancing access to organizational power structures and applying systems thinking can empower the public health workforce to better adapt to challenges by building relationships, accessing resources and support, and making informed decisions that positively impact population health.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E20-E25"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903214","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}
Aditi Pathak, Laina Serrer, Meera Bhalla, Raymond King, Lisa B Mirel, Arunkumar Srinivasan, Patrick Baier, Daniela Zapata, Corinne David-Ferdon, Steven Luxenberg, Adi V Gundlapalli
{"title":"Proposed Framework for Adopting Privacy-Preserving Record Linkage for Public Health Action.","authors":"Aditi Pathak, Laina Serrer, Meera Bhalla, Raymond King, Lisa B Mirel, Arunkumar Srinivasan, Patrick Baier, Daniela Zapata, Corinne David-Ferdon, Steven Luxenberg, Adi V Gundlapalli","doi":"10.1097/PHH.0000000000002027","DOIUrl":"10.1097/PHH.0000000000002027","url":null,"abstract":"<p><strong>Objectives: </strong>To propose a framework for adoption of privacy-preserving record linkage (PPRL) for public health applications.</p><p><strong>Methods: </strong>Twelve interviews with subject matter experts (SMEs) were conducted virtually and coded using an inductive approach. A collaborative session was conducted with SMEs to identify key steps in the PPRL project lifecycle which informed development of a PPRL implementation checklist.</p><p><strong>Results: </strong>This framework has 2 decision-making levels: the organization level and the project or program level. Organization-level considerations include PPRL governance, the optimal choice among approved PPRL solutions, the need for longitudinal linkages, the potential issue of vendor lock-in, and costs. Program-level considerations include characteristics of the PPRL use case, linkage quality and accuracy, data privacy and use, security thresholds, compatibility with data owners' data architecture, and trade-offs between open-source and commercial PPRL solutions. A PPRL implementation checklist was developed to guide public health practitioners considering PPRL for data linkage.</p><p><strong>Conclusions: </strong>The framework may be considered by public health entities to guide adoption and implementation of PPRL in public health research and surveillance. Public health experts may refer to this framework and the PPRL implementation checklist when determining the appropriateness of PPRL for specific use cases and implementation planning.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E26-E33"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477799","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":"Physician and Physician Trainee Barriers to Sexually Transmitted Infection Testing in Adolescents and Young Adults Aged 15-24 in the United States: A Narrative Review.","authors":"Alexandra Filipkowski, Carol Kunzel","doi":"10.1097/PHH.0000000000002025","DOIUrl":"10.1097/PHH.0000000000002025","url":null,"abstract":"","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E6-E19"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903216","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}
Catherine K Ettman, C Ross Hatton, Brian C Castrucci, Sandro Galea
{"title":"Mental Health and Mental Health Care Utilization Across Political Affiliation in US Adults.","authors":"Catherine K Ettman, C Ross Hatton, Brian C Castrucci, Sandro Galea","doi":"10.1097/PHH.0000000000002050","DOIUrl":"10.1097/PHH.0000000000002050","url":null,"abstract":"<p><p>In the past decade, depression has become more visible in the public conversation; depression has also become bound in national divides. We sought to assess (1) whether positive screen for depression is associated with political party affiliation and (2) whether use of mental health care varies by political affiliation. Positive screen for depression did not differ significantly for Republicans versus Democrats in Spring 2023. However, Republicans were less likely to have received treatment for their mental health in the past 12 months. Depression is a bipartisan issue, and improving access to mental health care could be a priority that unites political groups during the upcoming election season.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"137-140"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141442","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":"Underrepresented Populations on Public Health Data Dashboards: Design Considerations for Improving Usability and Usefulness.","authors":"Bahareh Ansari, Mehdi Barati, Xiaojun Yuan","doi":"10.1097/PHH.0000000000002037","DOIUrl":"10.1097/PHH.0000000000002037","url":null,"abstract":"<p><strong>Context: </strong>Representation of racial and ethnic minority groups and sexual and gender minority groups is limited on public health data dashboards. The small size of these populations leads to data being aggregated or suppressed to produce stable estimations and preserve individuals' information privacy. This might, however, limit the usefulness of the represented data for identifying individuals' risk factors and allocating services.</p><p><strong>Objective: </strong>To explore public health practitioners' concerns about underrepresented populations on public health data dashboards that emerged during a usability evaluation study.</p><p><strong>Participants: </strong>20 public health practitioners from New York State, US.</p><p><strong>Setting: </strong>Virtual Zoom meetings were conducted to monitor the participants' use of a public health dashboard and ask about their experience using it. The collected data, in the form of researchers' notes and audio transcripts, were analyzed using the thematic analysis approach.</p><p><strong>Results: </strong>Participants were very concerned about the underrepresentation of sexual and gender minority groups and racial and ethnic minority groups on public health data dashboards. Four themes emerged regarding the consequences of the underrepresentation: (1) misinterpretation of risk for underrepresented groups, (2) exacerbating the mistrust between underrepresented populations and the government, (3) a potential disservice to underserved populations if the data is used as the basis for allocating resources, and (4) and unknown impact for the individuals whose demographic information is unknown.</p><p><strong>Conclusions: </strong>We propose considerations for displaying underrepresented populations on public health data dashboards to improve the utility of the represented data.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E61-E69"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903217","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}
AmberJean P Hansen, Melanie M Wilkinson, Sara Niesobecki, Heather Rutz, James I Meek, Linda Niccolai, Alison F Hinckley, Sarah Hook
{"title":"Barriers to the Uptake of Tickborne Disease Prevention Measures: Connecticut, Maryland 2016-2017.","authors":"AmberJean P Hansen, Melanie M Wilkinson, Sara Niesobecki, Heather Rutz, James I Meek, Linda Niccolai, Alison F Hinckley, Sarah Hook","doi":"10.1097/PHH.0000000000002033","DOIUrl":"10.1097/PHH.0000000000002033","url":null,"abstract":"<p><strong>Context: </strong>Public health programs promote numerous tickborne disease (TBD) prevention measures. However, measures are not frequently or consistently performed.</p><p><strong>Objective: </strong>Describe barriers to consistent use of 4 commonly promoted TBD prevention measures.</p><p><strong>Design: </strong>We conducted an online survey (n = 1883) evaluating behaviors regarding TBD prevention measures including conducting tick checks, applying insect repellents, showering/bathing, and applying chemical or natural pesticides to residential yards. Respondents could select reasons for never, rarely, or sometimes performing these measures. Descriptive analysis and logistic regression modeling evaluated associations between the 3 most cited barriers for each measure and select demographic variables.</p><p><strong>Setting: </strong>The survey was administered to residents in high Lyme disease incidence counties of Connecticut and Maryland, 2016-2017.</p><p><strong>Results: </strong>For tick checks (n = 800), the most cited barriers were forgetting (63%), not spending time in tick habitat (28%), and too much trouble (11%). For applying insect repellents (n = 1303), the most cited barriers were forgetting (38%), personal safety concerns (24%), and too much trouble (19%). For showering/bathing 2 hours after outdoor activity in tick habitat (n = 1080), the most cited barriers were being unaware of the prevention measure (51%), too much trouble (18%), and forgetting (18%). For applying chemical pesticides to yards (n = 1320), the most cited barriers were having environmental (45%), pet safety (31%), and personal safety concerns (28%). Lastly, for applying natural pesticides to yards (n = 1357), the most cited barriers were being unaware of natural pesticides (31%), having cost concerns (23%), and not being concerned about ticks on property (16%).</p><p><strong>Conclusions: </strong>Forgetting, too much trouble, unawareness, and safety concerns were primary barriers to using several TBD prevention measures. Education regarding effectiveness, safety, and timing may increase uptake of certain measures. These challenges can be difficult to address, highlighting the need for passive TBD prevention measures, such as a Lyme disease vaccine.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E52-E60"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142337045","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}