Journal of Community Health Nursing最新文献

{"title":"An Integrated Medical and Nursing Management Model for Children with Allergic Rhinitis.","authors":"Qiuchen Wu, Xueqi Zhao, Wen Su, Jiajia Lv, Qun Wu","doi":"10.1080/07370016.2025.2531904","DOIUrl":"https://doi.org/10.1080/07370016.2025.2531904","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to explore the efficacy of an integrated medical and nursing management model in the treatment of children with allergic rhinitis (AR).</p><p><strong>Design: </strong>We employed a before-after study design in this non-randomized concurrent control trial. In total, 73 patients completed the entire study including follow-up.</p><p><strong>Methods: </strong>Seventy-three children with AR,  previously treated with intranasal corticosteroids (INCSs) without symptom improvement, were enrolled. An allergy nurse specialist provided step-by-step operation of INCSs and AR education to children and parents. Treatment compliance, visual analogue scale (VAS) scores, and Pediatric Rhino-conjunctivitis Quality of Life Questionnaire (PRQLQ) results were assessed at baseline and 4 weeks post-intervention.</p><p><strong>Findings: </strong> Medication compliance improved from 46.6% to 96.6% at 4 weeks (P < 0.01). The total VAS of nasal symptoms scores decreased significantly [6 (3.5, 10) vs. 22 (14, 27), P < 0.01]. The total VAS of ocular symptoms scores decreased significantly [1 (0, 3.5) vs. 5 (1, 9), P < 0.01]. PRQLQ scores showed significant improvements in nasal symptoms [6 (4, 8) vs. 16 (9, 20), P < 0.01], ocular symptoms [0 (0, 2) vs. 1 (0, 6), P < 0. 01], practical problems [5 (1.5, 8) vs. 16 (8, 22), P < 0.01], other symptoms [6 (2, 8) vs. 14 (7, 22), P < 0.01], and emotional symptoms [2 (0, 4) vs. 8 (2, 12), P < 0.01].</p><p><strong>Conclusions: </strong>The nurse specialist's involvement in managing children with AR enhanced treatment compliance, reduced symptoms, and improved quality of life.</p><p><strong>Clinical evidence: </strong>This intervention not only benefited the children, but also enhanced nurses' roles in disease management and fostering professional value. We recommend its clinical application.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"1-11"},"PeriodicalIF":0.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651153","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 Qualitative Study of Community Health Nurses' Home Visiting Experiences in the Keta Municipality, Ghana.","authors":"Anita Fafa Dartey, Theodocia Avle Doe, Ellen Eyi Klutsey, Beatrice Bella Johnson, Perfect Titiati, Edeam Agbalenyo, Angela Otoo, Monica Danku Niebawiere, Robert Awuku, Rosemary Asantewaa Ankomah","doi":"10.1080/07370016.2025.2527657","DOIUrl":"https://doi.org/10.1080/07370016.2025.2527657","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored the experiences of Community Health Nurses (CHNs) providing home-based services in the Keta Municipality, Ghana, emphasizing the challenges and barriers faced while delivering healthcare in remote and riverine communities.</p><p><strong>Design: </strong>An exploratory qualitative research approach was used to gain in-depth insights into CHNs' home visiting experiences within this specific context.</p><p><strong>Methods: </strong>Fifteen CHNs were purposively selected and interviewed using a semi-structured guide. The interviews were audio-recorded, transcribed, and thematically analyzed following Braun et al.'s six-step process to identify key themes and subthemes.</p><p><strong>Findings: </strong>Three themes with 12 subthemes emerged: (1) factors influencing the accessibility and frequency of home visits, (2) healthcare services provided during home visits, and (3) barriers to effective service delivery. The findings highlight geographical isolation, financial constraints, inadequate transportation, cultural barriers, and limited logistical resources as major challenges. Despite these, CHNs provide critical services, including antenatal and postnatal care, immunizations, health education, and health monitoring, to improve access to healthcare in underserved areas.</p><p><strong>Conclusions: </strong>Home visiting is an essential healthcare delivery approach in Keta Municipality, serving as a bridge to healthcare for remote populations. Enhancing logistical support, addressing staffing shortages, and providing adequate incentives can significantly improve service delivery and healthcare outcomes.</p><p><strong>Clinical evidence: </strong>The study underscores the importance of community-level interventions and policy support in optimizing healthcare delivery in rural and riverine communities, thereby improving maternal and child health and reducing healthcare inequities.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"1-12"},"PeriodicalIF":0.8,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602176","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":"Community Health Physicians' and Nurses' Dementia Knowledge and Attitudes: A Cross-Sectional Survey in Turkiye.","authors":"Burcu Cengiz, Merve Aliye Akyol, Dilay Açıl","doi":"10.1080/07370016.2025.2454463","DOIUrl":"10.1080/07370016.2025.2454463","url":null,"abstract":"<p><strong>Purpose: </strong>Community health physicians and nurses are pivotal in the prevention, detection, and management of dementia, particularly as its prevalence continues to rise globally. This study aims to assess community health physicians' and nurses' dementia knowledge and attitudes, as well as the associated factors.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>A survey was conducted with 146 participants, including 103 nurses and 43 physicians, . The research tools were the demographic characteristics form, dementia knowledge assessment scale (DKAS), and dementia attitudes scale (DAS). The data were analyzed using descriptive statistics and multiple regression analysis.</p><p><strong>Findings: </strong>Mean score on the DKAS was 16.53 ± 6.24 (min: 0 point, max: 30 points) out of 34 and DAS was 96.23 ± 15.72 (min: 12 points, max: 120 points) out of 140. The total score of DKAS was positively predicted by being a physician, having prior education about dementia, and having experience with caring for people with dementia (PwD). These variables accounted for 35.4% of the total variance of DKAS (F: 8.292, R2 : 0.354, <i>p</i> < 0.001). Age and total scores of DKAS predicted the total scores of DAS. These variables accounted for 25.2% of the total variance of DAS (F: 4.553, R2 : 0.252, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>While community health physicians and nurses lack comprehensive knowledge about dementia, their positive attitudes present an opportunity for improvement.</p><p><strong>Clinical evidence: </strong>It is crucial to foster community health professionals' dementia knowledge, as well as more positive attitudes toward PwD, in order to enhance the quality of care provided in primary care settings.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"185-196"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048608","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":"On Track to Wellness: Nurse-Led Public Health Education for Children.","authors":"Leigh Ann Bray, Janet Brown","doi":"10.1080/07370016.2025.2503232","DOIUrl":"10.1080/07370016.2025.2503232","url":null,"abstract":"<p><strong>Purpose: </strong>To improve the health outcomes of children through the implementation of On Track to Wellness.</p><p><strong>Design: </strong>A repeated cross-sectional study design with a community-based participatory approach.</p><p><strong>Methods: </strong>On Track to Wellness is a nurse-led, health education program delivered to at-risk populations to simultaneously provide community health experience for nursing students and active health education for children . Children completed the Kids Activity and Nutrition Questionnaire (KAN-Q) and Perceived Stress Scale for Kids (PeSSKi). Parents completed the Behavior and Attitudes Questionnaire for Healthy Habits (BAQ-HH).</p><p><strong>Findings: </strong>Children were ages 5-11 and over 20% had a BMI ranked as overweight or obese. The BAQ-HH (75%) and KAN-Q (41%) showed that per day children drank 2 or more sugary drinks (70%) and had 2 or more hours of screen time (40%). PeSSKi revealed that over 40% of children reported feeling helpless when a problem occurred, and approximately 40% had difficulty calming down. Parents reported the following barriers to family health: 1) affordability of healthy food, 2) ineligibility for food stamps, and 3) sugar. They reported the need for assistance with : 1) nutrition education, 2) limiting screens, 3) ability to buy healthy food and 4) safe places to work out with their children.</p><p><strong>Conclusions: </strong>This program: 1) educated children on healthy habits surrounding nutrition, fitness, stress management, and prevention of accidental poisonings and 2) provided nursing students with experience in delivering public health interventions in the community.</p><p><strong>Clinical evidence: </strong>This program can be widely implemented through partnerships between nursing schools and surrounding communities.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"147-154"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015043","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":"Post-Acute Sequelae of COVID-19 (PASC) Symptoms Associated with Deteriorated Quality of Life in a Community Sample of Individuals Reporting Previous SARS-CoV-2 Infection.","authors":"Judith M Burnfield, Natalie A Williams, Fang Yu, Jihyun Ma","doi":"10.1080/07370016.2025.2487702","DOIUrl":"10.1080/07370016.2025.2487702","url":null,"abstract":"<p><strong>Purpose: </strong>To understand the impact of post-acute sequelae of COVID-19 (PASC) on quality of life (QOL) in a Midwestern community sample.</p><p><strong>Design: </strong>Anonymous online cross-sectional community survey.</p><p><strong>Methods: </strong>Survey responses collected July 2023-October 2024 were examined from 1,564 individuals reporting prior COVID-19 positive test or diagnosis. Logistic regressions and sensitivity analyses using subset of data were conducted to identify symptoms significantly associated with perceived Current QOL (determined by \"Taking everything in your life into account, please rate your current overall QOL\") and Deteriorated QOL (i.e., Current QOL rated lower than QOL prior to SARS CoV-2 infection).</p><p><strong>Findings: </strong>Current QOL was predicted by pre-infection QOL and more frequent experiences of work/school difficulties, challenges with shopping/cleaning/driving/meal-prep, anxiety, depression, fatigue/tiredness, light headedness/fainting/rapid heartbeat episodes, and diminished activity/exercise tolerance (C-statistic = 0.84). Compared to the full dataset's primary analyses, sensitivity analysis revealed all identified predictors except three physical symptoms remained significant Current QOL predictors. Deteriorated QOL after SARS-CoV-2 infection was predicted by pre-infection QOL, and more frequent experiences of work/school difficulties, diminished activity/exercise tolerance, anxiety, depression, trouble completing daily activities, fatigue/tiredness, and slow mental processing (C-statistic = 0.85). In contrast, sensitivity analysis revealed frequency of SARS-CoV-2 infection, pre-infection QOL, and more frequent challenges with shopping/cleaning/driving/meal-prep were the only significant predictors of Deteriorated QOL.</p><p><strong>Conclusions: </strong>PASC negatively impacted QOL. Pre-infection QOL may influence perceived post-infection QOL.</p><p><strong>Clinical evidence: </strong>Results make a compelling case for community nurses to identify PASC, rule-out underlying medical causes, and refer patients for interdisciplinary post-COVID rehabilitation to improve health outcomes and QOL.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"213-230"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025680","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":"Mobile Health Solutions for Breast Cancer: A Resource for Community Health Nurses in Awareness Promotion and Quality Assessment.","authors":"Surekha Sakore, Seeta Devi, Prachi Jadhav","doi":"10.1080/07370016.2025.2498917","DOIUrl":"10.1080/07370016.2025.2498917","url":null,"abstract":"<p><p>This study aimed to evaluate breast cancer (BC) prevention mHealth apps using MARS and the APPLICATIONS framework to recommend effective tools for community health nurses.</p><p><p>In June 2024, we searched Google Play and Apple Store for BC apps.</p><p><p>Two independent reviewers downloaded and evaluated the identified apps using a multimodal assessment approach to determine their quality.</p><p><p>The Mobile Application Rating Scale (MARS) score was 3.06 ± 0.85, and the APPLICATIONS framework score was 5.47 ± 0.83. Top-rated apps, \"Breast Advocate\" and \"Breast Cancer Manager,\" excelled. The overall rating based on 16 specific statements assessing screening information accuracy was 8.42 ± 0.64.</p><p><p>Community health nurses are recommended to use good quality mobile apps to educate women on BC prevention.</p><p><p>Mobile applications play a crucial role in raising awareness about BC prevention and promoting regular BC screening, ultimately increasing early detection and reducing mortality rates.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"197-212"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056893","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":"Unintended Consequences of Follow-Up Care: Patient Experiences with Hypertension Management in Chinese Community Nursing.","authors":"Bo Li","doi":"10.1080/07370016.2025.2462006","DOIUrl":"10.1080/07370016.2025.2462006","url":null,"abstract":"<p><strong>Purpose: </strong>Community follow-up care is essential for managing hypertension, with Chinese community nurses playing a pivotal role in sustaining long-term management. However, little research has examined how rigid or inappropriate care approaches may inadvertently cause patient discomfort. This study addresses this gap by exploring the unintended consequences of follow-up practices among community nurses caring for hypertensive patients in China.</p><p><strong>Design: </strong>A qualitative descriptive study.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 23 hypertensive patients in Shenzhen between June and August 2024. Data were analyzed using iterative thematic analysis.</p><p><strong>Findings: </strong>Three themes emerged. First, standardized follow-up protocols often clashed with patients' individual needs, leading to frustration with the rigid, one-size-fits-all approach. Second, patients experienced emotional distress, feeling alienated by impersonal, task-oriented nurse communication. Third, health education communication breakdowns were prevalent, with patients finding vague lifestyle recommendations impractical and difficult to apply.</p><p><strong>Conclusions: </strong>This study uncovers overlooked complexities in follow-up interactions, critiques the rigidity of current protocols, and challenges the predominantly positive perception of standardized follow-up care.</p><p><strong>Clinical evidence: </strong>Findings underscore the need for training programs to equip community nurses with patient-centered care skills, emphasizing effective communication and personalized health education to improve patient engagement and clinical outcomes in hypertension management.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"169-184"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191139","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":"Exploring Robotic Nursing: A Comprehensive Systematic Review of Socially Assistive Robots within the Healthcare Professions.","authors":"Manisha Mistry","doi":"10.1080/07370016.2024.2436886","DOIUrl":"10.1080/07370016.2024.2436886","url":null,"abstract":"<p><strong>Purpose: </strong>The objective is to evaluate empirical literature on Socially Assistive Robots (SARs) in nursing, identifying strengths, weaknesses, and avenues for future research and practice. This article explores studies investigating robotic applications in healthcare, specifically nursing.</p><p><strong>Design: </strong>The systematic review using PRISMA guidelines includes 19 relevant studies from Medline, PubMed, and Cochrane, presenting insights into the potential of SARs in addressing patients' mental health and well-being.</p><p><strong>Methods: </strong>The eligibility criteria for this review included publications from 2015 to 2024, full-text articles employing either qualitative or quantitative methodologies, articles written in English, and those published in peer-reviewed academic journals. Excluded were single-case studies, unpublished theses or dissertations, and studies not published in peer-reviewed journals. The search employed the terms \"robotic nursing\" and \"future,\" utilizing Medical Subject Headings (MeSH) terminology for precise retrieval.</p><p><strong>Findings: </strong>The current literature has limitations in generalizability, breadth, and quantification of health-related outcomes. Areas of exploration, including diverse robot types, therapies, and geographical contexts, offer promising directions for future research.</p><p><strong>Conclusions: </strong>The article concludes that although SARs show promise in healthcare, particularly in nursing, more comprehensive research is needed to establish their efficacy across a wider range of applications and settings.</p><p><strong>Clinical evidence: </strong>Current studies indicate that SARs may play a valuable role in supporting patients' mental health and well-being, though further investigation is required to determine their broader impact and effectiveness.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"155-168"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781878","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 Community-Partnered Approach to Address Excess Type 2 Diabetes Mellitus in a Midwestern Community.","authors":"Maithe Enriquez, Rosalia Molina, Nohemi Alvarez, Micaela Barbosa, An-Lin Cheng, Jo Collette, Patricia J Kelly, Diana Luna, Wendy Mora, Wael Mourad, Sophia Saxton, Jeannine Midgett","doi":"10.1080/07370016.2025.2522172","DOIUrl":"https://doi.org/10.1080/07370016.2025.2522172","url":null,"abstract":"<p><strong>Purpose: </strong>To design and pilot a tailored intervention to enhance type 2 diabetes mellitus (T2DM) outcomes in an under-resourced Midwestern community. Design: One group pre-post feasibility study guided by Social Cognitive Theory and the Center for Latino Adolescent and Family Health's social determinants of health (SDOH) framework.</p><p><strong>Methods: </strong>A community-health-academic partnership of three nonprofit organizations, nurses, researchers, and promotoras (community health workers) developed an intervention program to help people in their community prevent and manage T2DM and mitigate adverse SDOH. Seven small group, interactive sessions included low health literacy materials on diabetes-related self-care skills, healthy eating on a limited budget, and linkages to healthful resources and health care.</p><p><strong>Findings: </strong>Participants (n = 31) had received a new diagnosis of pre-diabetes (n = 14) or T2DM (n = 17) at free community health screenings and were not engaged in care. All self-identified as Hispanic, had low acculturation scores, and were underinsured. After 12 weeks, hemoglobin A1C levels had significantly decreased for 66% of participants (p = 0.012). Body weight decreased from baseline to 12 weeks, although the change was not statistically significant. Self-efficacy for diabetes self-care increased from baseline to 12 weeks, notably on healthy eating (p = .012); exercising regularly (p = .035) and controlling diabetes/blood sugars (p = .003).</p><p><strong>Conclusions: </strong>The intervention has promise but more research is needed to examine intervention efficacy and strategies to facilitate implementation.</p><p><strong>Clinical evidence: </strong>Nurses play an important role in forging partnerships that can equip people in their communities with the knowledge, skills, and strategies to improve their T2DM health outcomes and to help them mitigate adverse SDOH.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"1-11"},"PeriodicalIF":0.8,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530976","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":"Depression and Treatment in Low-Income Senior Housing Residents: Results from the Medicare Annual Wellness Visit.","authors":"N Jennifer Klinedinst, Barbara Resnick, Sarah Holmes, Nicole Brandt","doi":"10.1080/07370016.2025.2519629","DOIUrl":"https://doi.org/10.1080/07370016.2025.2519629","url":null,"abstract":"<p><strong>Purpose: </strong>Depression affects up to 26% of low-income senior housing residents in the United States. The purpose of this cross-sectional study was to analyze the factors associated with depression (race, gender, marital status, subjective memory, falls, care challenges, and antidepressant use) in 186 low-income senior housing residents. Additionally, rates and factors associated with antidepressant use were explored.</p><p><strong>Design: </strong>This is a descriptive correlational study.</p><p><strong>Methods: </strong>The Patient Health Questionnaire (PHQ)-2 was collected as part of the Medicare Annual Wellness Visit questionnaire to determine depression. Structural equation modeling using the AMOS statistical program was used to determine the factors associated with depression and antidepressant use.</p><p><strong>Findings: </strong>Most residents were Black (70%) and female (76%), with an average age of 78 years. Twenty-one residents (11.3%) screened positive for depression. Prior falls, care challenges and male gender explained 13% of the variance in depression. A total of <i>n</i> = 19 (10.2%) residents were taking an antidepressant. White race was the only predictor of antidepressant use and explained 7% of the variance in antidepressant use.</p><p><strong>Conclusions: </strong>All residents, but particularly men, those who have fallen in the past year, and those who have care challenges, should be screened for depression and treated. Treatment should be monitored for effectiveness in promoting healthy aging for low-income senior housing residents.</p><p><strong>Clinical evidence: </strong>Community health nursing services are needed in low-income senior housing settings to screen and treat residents for depression to support successful aging in place.</p>","PeriodicalId":51084,"journal":{"name":"Journal of Community Health Nursing","volume":" ","pages":"1-12"},"PeriodicalIF":0.8,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477814","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}