Maya Vijayaraghavan, Marlena Hartman-Filson, Priyanka Vyas, Toshali Katyal, Tram Nguyen, Margaret A Handley
{"title":"Multi-Level Influences of Smoke-Free Policies in Subsidized Housing: Applying the COM-B Model and Neighborhood Assessments to Inform Smoke-Free Policies.","authors":"Maya Vijayaraghavan, Marlena Hartman-Filson, Priyanka Vyas, Toshali Katyal, Tram Nguyen, Margaret A Handley","doi":"10.1177/15248399231174925","DOIUrl":"10.1177/15248399231174925","url":null,"abstract":"<p><p>Smoke-free policies in multi-unit housing are associated with reduced exposure to secondhand smoke (SHS); however, attitudes toward comprehensive smoke-free policies among residents in subsidized multi-unit housing are unknown. In this mixed-methods study, we explored the socio-ecological context for tobacco and cannabis use and attitudes toward policies restricting indoor use of these products through interviews with residents (<i>N</i> = 134) and staff (<i>N</i> = 22) in 15 federally subsidized multi-unit housing in San Francisco, California. We conducted a geo-spatial and ethnographic environmental assessment by mapping alcohol, cannabis, and tobacco retail density using ArcGIS, and conducted systematic social observations of the neighborhood around each site for environmental cues to tobacco use. We used the Capability, Opportunity, and Motivation behavior (COM-B) model to identify factors that might influence implementation of smoke-free policies in multi-unit housing. Knowledge and attitudes toward tobacco and cannabis use, social norms around smoking, neighborhood violence, and cannabis legalization were some of the social-ecological factors that influenced tobacco use. There was spatial variation in the availability of alcohol, cannabis, and tobacco stores around sites, which may have influenced residents' ability to maintain smoke-free homes. Lack of skill on how to moderate indoor smoking (psychological capability), lack of safe neighborhoods (physical opportunity), and the stigma of smoking outdoors in multi-unit housing (motivation) were some of the barriers to adopting a smoke-free home. Interventions to increase adoption of smoke-free policies in multi-unit housing need to address the co-use of tobacco and cannabis and commercial and environmental determinants of tobacco use to facilitate smoke-free living.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"142-157"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11689785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9493434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gwendolyn Johnson, Angelina Espàrza, Elizabeth Stevenson, Lauren Stadler, Kathy Ensor, Stephen Williams, Komal Sheth, Catherine Johnson, Loren Hopkins
{"title":"Schools and Wastewater Surveillance: Practical Implications for an Emerging Technology to Impact Child Health.","authors":"Gwendolyn Johnson, Angelina Espàrza, Elizabeth Stevenson, Lauren Stadler, Kathy Ensor, Stephen Williams, Komal Sheth, Catherine Johnson, Loren Hopkins","doi":"10.1177/15248399231196857","DOIUrl":"10.1177/15248399231196857","url":null,"abstract":"<p><p>Since the start of the COVID-19 pandemic, wastewater surveillance has emerged as a public health tool that supplements traditional surveillance methods used to detect the prevalence of the SARS-CoV-2 virus in communities. In May 2020, the Houston Health Department (HHD) partnered with a coalition of municipal and academic partners to develop a wastewater monitoring and reporting system for the city of Houston, Texas. The HHD subsequently launched a program to conduct targeted wastewater sampling at 52 school sites located in a large, urban school district in Houston. Data generated by this program are shared with school district officials and nurses from participating schools. Although initial feedback from these stakeholders indicated that they considered the wastewater data valuable, the emergency nature of the pandemic prevented a systematic evaluation of the program. To address this gap in knowledge, the HHD and Rice University conducted a study to determine how wastewater data are used to make decisions about COVID-19 prevention and mitigation practices in schools. Our findings indicate that maximizing the utility of wastewater data in the school context will require the development of communication strategies and education efforts tailored to the needs of specific audiences and improving collaboration between local health departments, school districts, and school nurses.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"104-113"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Public Enemy #1: How Many More?","authors":"Carrie Rosario","doi":"10.1177/15248399241291864","DOIUrl":"https://doi.org/10.1177/15248399241291864","url":null,"abstract":"<p><p><i>Public Enemy #1: How many more?</i> explores historical and contemporary manifestations of the tobacco industry on public health, and specifically Black lives, in the United States. This is reinforced with bold text that serves as a mini poem within the poem, emphasizing tobacco's impact on mortality. By juxtaposing messaging from the industry with Black American music (e.g., Hip Hop, R&B lyrics), TV culture references, and movements for racial justice, the poem provides an opportunity for critical analysis of the intersections between commercial tobacco, systemic racism, and capitalism. It counters narratives focused on personal responsibility and instead offers a complex, nuanced understanding of how systems of power intersect to harm communities. The title, a hip-hop reference to the group Public Enemy, whose songs include political messages to raise cultural consciousness, is a call to reflect on who is really the most dangerous threat in our society. I intentionally use italics for emphasis and references from Black culture to elevate our lives, voices, contributions, and legacies, which are in no way expendable. Any loss is a societal loss. Birthed from the pains of my own series of tobacco-related familial losses, this poem is a testament that the fight is one of reclamation that must be ongoing and provides an opportunity for reckoning and truth-telling. Like the Public Enemy song it references, <i>Public Enemy #1: How many more?</i> is a battle cry to take system-level action on these intricately woven epidemics to rectify, rather than perpetuate injustice, and advance racial and health equity. To view the original version of this poem, see the supplemental material section of this article online.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":"26 1","pages":"29-32"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kate Olscamp, Malorie Polster, Elizabeth Y Barnett, Mikaela A Momot, Rachel N Oziel, Frances Bevington
{"title":"Local Implementation of Move Your Way-A Federal Communications Campaign to Promote the Physical Activity Guidelines for Americans.","authors":"Kate Olscamp, Malorie Polster, Elizabeth Y Barnett, Mikaela A Momot, Rachel N Oziel, Frances Bevington","doi":"10.1177/15248399231172468","DOIUrl":"10.1177/15248399231172468","url":null,"abstract":"<p><p><i>Background</i>. The U.S. Department of Health and Human Services (HHS) developed the Move Your Way campaign to help more Americans increase their physical activity. The campaign includes more than 80 English and Spanish materials that can be used to promote physical activity. HHS also developed a community-based implementation strategy for the campaign. <i>Methods</i>. HHS collaborated with eight community-based organizations from across the United States to pilot campaign implementation in their communities. A mixed-methods process evaluation was conducted to assess events, partnership involvement, material distribution, and social media engagement. <i>Results</i>. More than 168,000 people participated in 55 campaign events, initiatives, and programs hosted by lead organizations and their 175 partners. More than 37,000 campaign materials were distributed, and there were over 72 million social media impressions. <i>Conclusion</i>. The community-based implementation strategy was effective at reaching the intended audience and driving traffic to Move Your Way resources. The flexibility of the Move Your Way materials and messages allowed communities to incorporate the campaign into diverse physical activity-promotion strategies. Findings demonstrate that the federal government and local community organizations can successfully work together to promote physical activity.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"158-167"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9799409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Allison R Casola, Kierstin Luber, Amy Henderson Riley
{"title":"Period Poverty: An Epidemiologic and Biopsychosocial Analysis.","authors":"Allison R Casola, Kierstin Luber, Amy Henderson Riley","doi":"10.1177/15248399231192998","DOIUrl":"10.1177/15248399231192998","url":null,"abstract":"<p><p>In the United States, approximately one in five persons experience period poverty, defined as the inability to obtain resources needed for healthy, safe, and dignified menstrual management. Limited access to an inadequate number of menstrual supplies may lead to longer-than-recommended use, which can increase skin chafing, disruption of vaginal flora, and intravaginal toxin overgrowth. However, period poverty goes beyond simply having enough menstrual products and can encompass the embarrassment, stigma, shame, and barriers in conversation surrounding menstruation. Discussion and critical examination of the multilayered attributes surrounding period poverty have been intermittent in academic literature, particularly from a domestic lens. Thus, this narrative review and theoretical analysis aimed to describe the epidemiology of period poverty and analyze its biological, socio-emotional, and societal implications. We applied a descriptive epidemiology approach of person, place, and time, and employed a social-ecological lens to examine risk factors. Our findings describe the incidence, distribution, and possible ways to alleviate period poverty. Practitioners, medical providers, and public health professionals may have limited knowledge of period poverty, what it entails, and who it impacts, but they have great potential to address it and associated menstrual inequities in their work. With its widespread implications for psychosocial and community-level health, this phenomenon needs urgent attention to promote menstrual equity as an issue of human rights and social justice. We conclude with research and policy recommendations for alleviating period poverty.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"65-74"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10037233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maggie Jones, Elena Kuo, Abbie Lee, Craig A Sewald, Karya Lustig, Carmen Rita Nevarez
{"title":"Building Public Health Competencies for Cross-Sector Leadership: Results From the National Leadership Academy for the Public's Health.","authors":"Maggie Jones, Elena Kuo, Abbie Lee, Craig A Sewald, Karya Lustig, Carmen Rita Nevarez","doi":"10.1177/15248399231201152","DOIUrl":"10.1177/15248399231201152","url":null,"abstract":"<p><p><i>Context.</i> The public health workforce is increasingly being asked to provide leadership in addressing complex community health needs. Effective leadership requires adaptiveness and cross-sector collaboration in developing solutions to address community needs. <i>Program.</i> An annual yearlong public health leadership development program, which engages cross-sector teams and uses an iterative design to build competencies for adaptive and collaborative leadership across sectors (e.g., public health, business, education, nonprofits). <i>Implementation</i>. The program engages cross-sector teams through a national retreat, coaching, site visits, interactive webinars, readings, and a community-based action learning project. As of 2020, the program was offered to nine cohorts, serving more than 100 communities across the United States. <i>Results</i>. Results from a mixed-methods evaluation found that high proportions of participants reported increased leadership skills, cross-sector collaboration, continued use of tools and concepts, and positive impact on their communities after participating in the program. Across all cohorts, participants rated themselves on five leadership domains and 17 leadership competencies focused on by the program. All domains and all competencies had statistically significant improvements from the beginning to the end of their program year. <i>Discussion</i>. The improvements in leadership skills were seen across all cohorts, geographies, roles, and sectors. The success of the program suggests the need for leadership programs that emphasize adaptive and collaborative leadership to advance community health and equity.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"57-64"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41143576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jessica Stroope, M Renée Umstattd Meyer, Kerry Gabbert, Deborah H John, Debra Kellstedt, Kathryn M Orzech, Marilyn E Wende
{"title":"Physical Activity Policy, Systems, and Environment Change Through Extension SNAP-Ed: A Multistate Perspective.","authors":"Jessica Stroope, M Renée Umstattd Meyer, Kerry Gabbert, Deborah H John, Debra Kellstedt, Kathryn M Orzech, Marilyn E Wende","doi":"10.1177/15248399231221779","DOIUrl":"10.1177/15248399231221779","url":null,"abstract":"<p><p>The Supplemental Nutrition Assistance Program-Education (SNAP-Ed) provides nutrition education and support for healthy living in SNAP-qualifying communities. SNAP-Ed supports policy, systems, and environmental (PSE) efforts to make the healthy choice an easier choice. SNAP-Ed implementers have widely adopted healthy eating PSE supports. However, physical activity (PA) PSE strategies are less common, with limited awareness between states of how other SNAP-Ed implementers approach PA-focused PSE work. Physical Activity Policy, Research, and Evaluation Network (PAPREN) Rural Active Living Workgroup project members sought to explore how Extension-based SNAP-Ed implements PA-focused PSE approaches. A sample of Extension-based SNAP-Ed program (<i>n</i> = 8) leaders were purposefully recruited from eligible universities in six of the seven SNAP-Ed regions. An interview guide to systematically collect information about current Extension SNAP-Ed implementation focused on PA PSE strategies was developed iteratively by the PAPREN Rural Active Living Workgroup Extension PA PSE project team. PA PSE Extension SNAP-Ed implementation efforts occurred at the state, county, and community levels and/or within local organizations. PA PSEs included school PA policy change, shared-use agreements, active transportation promotion, park development, walking challenges, and PA-promoting signage. All interviews highlighted the importance of partnerships at local, county, and state levels for PSE efforts. Extension-based SNAP-Ed shows potential to bring community partners together to plan and implement PA-focused PSE approaches. With a focus on SNAP-eligible people and substantial geographic reach, Extension SNAP-Ed is uniquely situated as a public health partner to broadly implement PA PSE changes.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"39-45"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11689813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saharra L Dixon, Elizabeth Salerno Valdez, Jazmine Chan, Mira Weil, Tiarra Fisher, Alya Simoun, Justine Egan, Elizabeth Beatriz, Aline Gubrium
{"title":"Stacked Up Against Us: Using Photovoice and Participatory Methods to Explore Structural Racism's Impact on Adolescent Sexual and Reproductive Health Inequities.","authors":"Saharra L Dixon, Elizabeth Salerno Valdez, Jazmine Chan, Mira Weil, Tiarra Fisher, Alya Simoun, Justine Egan, Elizabeth Beatriz, Aline Gubrium","doi":"10.1177/15248399241229641","DOIUrl":"10.1177/15248399241229641","url":null,"abstract":"<p><p>While structural racism has profound impacts on adolescent health, little is known about how youth synthesize racialized experiences and work to dismantle systems of oppression. This article provides an overview of a Youth Participatory Action Research study that used Photovoice and community mapping to explore how structural violence, like racism, impacts the sexual and reproductive health of historically excluded youth as they navigate unjust socio-political landscapes. Youth participants used photography and community maps to identify how the experience of bias, profiling, and tokenism impacted their ability to navigate complex social systems. With youth voices prioritized, participants explored ways to address structural racism in their lives. The importance of co-creating opportunities with and for youth in critical reflection of their lived experience is emphasized. Through an Arts and Cultural in Public Health framework, we provide an analysis of the ways structural racism functions as a gendered racial project and fundamental cause of adolescent sexual and reproductive health inequities, while identifying pathways toward liberation in pursuit of health and well-being.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"85-95"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kimberlee Flike, Roseanna H Means, Jiyin Chou, Ling Shi, Laura L Hayman
{"title":"Bridges to Elders: A Program to Improve Outcomes for Older Women Experiencing Homelessness.","authors":"Kimberlee Flike, Roseanna H Means, Jiyin Chou, Ling Shi, Laura L Hayman","doi":"10.1177/15248399231192992","DOIUrl":"10.1177/15248399231192992","url":null,"abstract":"<p><p>Homelessness among older individuals is increasing and women experiencing homelessness have been previously shown to have poorer health outcomes than their male counterparts. To address these concerns, the Bridges to Elders (BTE) program was developed to improve health and social outcomes for older women experiencing or at risk for homelessness. BTE consisted of a nurse practitioner (NP) and community health worker (CHW) dyad who provided intensive case management services for women 55+ with housing instability. This evaluation used a pretest/posttest design to examine three main outcomes from BTE: change in housing status, enrollment with a primary care provider (PCP), and diagnosis of uncontrolled chronic condition. The sample included 96 BTE participants enrolled from January 2017 to December 2018. The average age of participants was 66 years and had a mean BTE enrollment time of 7.6 months. Statistically significant improvements were achieved in all three outcomes measured: 17% (<i>p</i> < .009) increase in stable housing, 35% (<i>p</i> < .001) increase in PCP enrollment, and 47% (<i>p</i> < .001) decrease in the diagnosis of an uncontrolled chronic condition. The results indicated an NP/CHW dyad improved housing status, primary care access, and targeted health outcomes for older women who are experiencing or at risk for homelessness. Future studies examining the impact of NP/CHW dyads on additional social determinants of health and their impact on health outcomes are recommended.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"124-130"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10011774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supporting Diverse Family Caregivers: Key Stakeholder Perspectives.","authors":"Pamela Nadash, Shan Qu, Eileen J Tell","doi":"10.1177/15248399231196854","DOIUrl":"10.1177/15248399231196854","url":null,"abstract":"<p><p>This study aimed to understand the perspectives of key stakeholders regarding strategies for better supporting culturally and ethnically diverse family caregivers, aiming to incorporate them into the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Advisory Council's proposed National Strategy. The Strategy, published in 2022, identified priority actions to support the growing population of people providing unpaid care to people of all ages with disabilities, with a goal of improving the health and well-being of both the family caregiver and the person receiving support. Researchers conducted extensive outreach to purposively diverse stakeholder organizations, using six stakeholder strategy sessions with representatives from 42 groups in December 2020 to identify preliminary themes. During July-October 2021, 17 key informant interviews and 16 stakeholder listening sessions were held, involving 103 different organizations. Qualitative data analysis using an inductive approach was used to identify key themes. A significant issue for diverse caregivers is widespread lack of self-identification as caregivers, which is tied to a lack of awareness of potentially helpful services and supports; culturally appropriate outreach is critical to ensure access to services, as well as access to centralized resources and funding for community- and faith-based organizations. A community health worker model was recommended. Tailored activities, involving trusted community- and faith-based groups, as well as investments in caregiver- and culturally-specific supports, are critical for reaching the diverse family caregivers who most need supports. Raising awareness of caregiving among and taking advantage of the expertise of professionals working with diverse communities is also crucial.</p>","PeriodicalId":47956,"journal":{"name":"Health Promotion Practice","volume":" ","pages":"96-103"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10193890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}