Public Health NursingPub Date : 2025-01-01Epub Date: 2024-11-08DOI: 10.1111/phn.13481
Bingzi Shi, Jing Zhang, Yasi Zhang, Yujing Sun, Wenming Cui
{"title":"Factors Associated With Colorectal Cancer Screening Behaviors Among Urban Populations in China: A Mixed-Methods Study Using the Health Belief Model.","authors":"Bingzi Shi, Jing Zhang, Yasi Zhang, Yujing Sun, Wenming Cui","doi":"10.1111/phn.13481","DOIUrl":"10.1111/phn.13481","url":null,"abstract":"<p><strong>Objective: </strong>Adherence to guideline-recommended colorectal cancer screening (CRCS) among average-risk urban populations in China remains significantly suboptimal. This mixed-methods study aimed to investigate screening behaviors and associated factors among average-risk urban populations through a multi-center approach.</p><p><strong>Methodology: </strong>From February to July 2024, 550 participants were recruited via stratified random sampling in Harbin, China. They completed questionnaires related to health beliefs and knowledge. Additionally, semi-structured interviews were conducted to explore CRCS behaviors, with data analyzed using directed content analysis based on the Health Belief Model (HBM).</p><p><strong>Results: </strong>Five hundred twenty two participants (95.0%) completed the survey. Identified factors influencing screening behavior among average-risk urban populations included perceived severity of colorectal cancer (CRC), benefits of colon cancer surveillance, barriers to surveillance, and knowledge. Twenty-six individuals were engaged in qualitative interviews. Twenty-four themes were identified and categorized by frequency. Both quantitative and qualitative data suggest that CRCS behavior among urban average-risk populations is suboptimal, and the identified factors can be mapped onto the HBM.</p><p><strong>Conclusions: </strong>This mixed-methods study demonstrates that key factors influencing screening behavior among urban average-risk populations align with the HBM. These identified factors should be meticulously considered in future systematic interventions to enhance screening behaviors.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"466-477"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607483","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-10-16DOI: 10.1111/phn.13451
Shimpei Kodama, Rika Hinokuma
{"title":"Indirect Effects of Municipal Public Health Nurse Workforce on Cancer Standardized Mortality Ratios Mediated by Cancer Screening Rates.","authors":"Shimpei Kodama, Rika Hinokuma","doi":"10.1111/phn.13451","DOIUrl":"10.1111/phn.13451","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the indirect effects of the number of Japanese municipal public health nurses (PHNs) on cancer standardized mortality ratios (SMRs), using cancer screening and diagnostic follow-up rates as mediators.</p><p><strong>Design: </strong>Ecological study using municipalities as the unit of analysis MEASUREMENTS: Aggregate, municipal-level government data were analyzed using a linear model with empirical Bayes estimates of SMRs (EBSMRs) for gastric, colorectal, and lung cancers as the dependent variables, and the number of PHNs, cancer screening rate, diagnostic follow-up rate, and adjustment variables as independent variables. Structural equation modeling (SEM) was used to examine the indirect effects of PHNs.</p><p><strong>Results: </strong>Cancer screening rates were significantly negatively associated with EBSMR, except for gastric cancer in women. No significant association was observed between the EBSMR and diagnostic follow-up rates. SEM revealed a significant indirect effect of the number of PHNs, most of which was due to the cancer screening rate.</p><p><strong>Conclusions: </strong>From a population-based public health perspective, increasing the number of PHNs and focusing on improving cancer screening rates may effectively reduce cancer SMRs.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"70-79"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481068","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-10-24DOI: 10.1111/phn.13469
Ali Tayhan, Kübra Işık
{"title":"Relationship Between Primary School Teachers' COVID-19 Fear Levels and COVID-19 Vaccine Attitudes After the Start of Face-to-Face Education During the Pandemic Period: A School Health Study.","authors":"Ali Tayhan, Kübra Işık","doi":"10.1111/phn.13469","DOIUrl":"10.1111/phn.13469","url":null,"abstract":"<p><strong>Context: </strong>Starting face-to-face education while the COVID-19 pandemic was ongoing was a risk for public health. Determining teachers' initial reactions to public health practices during this high-risk period may contribute to the redesign of public health and school nursing policies.</p><p><strong>Objective: </strong>The aim of this research is to examine the relationship between primary school teachers' COVID-19 fear levels and COVID-19 vaccine attitudes.</p><p><strong>Design: </strong>The research has a descriptive correlational design. The data were obtained from teachers working in primary schools (n = 430). Simple random sampling method was used in the data collection process. Data were obtained with the Scale of Attitudes Towards COVID-19 Vaccine and Fear of COVID-19 Scale.</p><p><strong>Results: </strong>In the study, 50.5% of teachers reported that they were afraid of catching COVID-19, 41.9% said their risk of catching COVID-19 was \"high,\" and 87.7% reported that they voluntarily got the COVID-19 vaccine. Of the teachers, 4.6% (n = 20) stated that they regretted getting vaccinated. A positive and significant relationship was found between teachers' Fear of COVID-19 Scale and COVID-19 Vaccine Attitude Scale scores (r = 0.133, p < 0.001).</p><p><strong>Conclusions: </strong>During the pandemic, it was observed that teachers' fear level of COVID-19 increased with the start of face-to-face education. In addition, it is seen that teachers started to have doubts about some public health practices. This may indicate that public health nurses should take a more active role in school health practices.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"113-122"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513084","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-10-28DOI: 10.1111/phn.13458
Kübra Gülırmak Güler, Eda Albayrak Günday
{"title":"Fronts in Minds: A Phenomenological Study on the Effects of War News on Collective Mental Health.","authors":"Kübra Gülırmak Güler, Eda Albayrak Günday","doi":"10.1111/phn.13458","DOIUrl":"10.1111/phn.13458","url":null,"abstract":"<p><strong>Introduction: </strong>War has been recognized throughout history for its devastating effects on societies, and these effects have not been limited to physical destruction. In the modern era, even wars in remote regions have profound psychological effects on large masses due to the instant information transfer brought about by globalization and technology.</p><p><strong>Aim: </strong>This study aims to examine in depth the effects of exposure to war news on the collective mental health of individuals through a phenomenological approach.</p><p><strong>Methods: </strong>In this qualitative study using a phenomenological research design, one of the purposive sampling methods, criterion sampling, was employed. Face-to-face in-depth interviews lasting approximately 35-45 min were conducted with 20 participants. Colaizzi's phenomenological analysis method was used to analyze the obtained data. Data were collected according to COREQ criteria.</p><p><strong>Results: </strong>According to the analysis results, three main categories emerged as follows: echoes of collective anxiety, keys to maintaining spiritual resilience, and navigating the media storm.</p><p><strong>Discussion: </strong>This research provides important findings on the psychological and social effects of the media by examining the impact of war news on public mental health in depth. It was determined that war news has the potential to spread social anxiety and fear. Participants expressed the negative effects of war news on psychological and physical health and stated that this situation creates a wide wave of anxiety and psychological storms. The constant coverage of war news in the media also affects social empathy, shaping society's ability to support each other in times of crisis.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"483-493"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523698","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-10-23DOI: 10.1111/phn.13443
Gustavo Nigenda, Mariana Montaño, Zeus Aranda, Patricia Aristizabal, Fabiola Ortiz, Soraya Ortega, Ameyalli Juárez, Valeria Macías, Rosa Amarilis Zárate-Grajales, Hugo Flores
{"title":"Achievements and Challenges in the Development of a Nurse-Led Respectful Delivery Care Model Provided by Partners in Health in Rural Mexico.","authors":"Gustavo Nigenda, Mariana Montaño, Zeus Aranda, Patricia Aristizabal, Fabiola Ortiz, Soraya Ortega, Ameyalli Juárez, Valeria Macías, Rosa Amarilis Zárate-Grajales, Hugo Flores","doi":"10.1111/phn.13443","DOIUrl":"10.1111/phn.13443","url":null,"abstract":"<p><strong>Background: </strong>The model of obstetric care predominant in Mexico in most public and private healthcare institutions is particularly focused on a physiological perspective of the female body that does not respond to women's need for emotional comfort and satisfaction. In the last decade, however, various initiatives that provide obstetric care centered on women's rights have emerged.</p><p><strong>Objective: </strong>To analyze the implementation of a model of humanized/respectful delivery care supervised by nursing and midwifery undergraduate interns in a birthing center in the state of Chiapas, in order to identify achievements and future challenges.</p><p><strong>Methods: </strong>We used information from secondary sources and carried out a descriptive analysis.</p><p><strong>Findings: </strong>Births attended at the birthing center increased in relation to all the births registered in the Angel Albino Corzo municipality between 2017 and 2022. Positive indicators of respectful care increased with the implemented model, while negative indicators decreased. Between 2016 and 2022, obstetric nurses attended more than 1500 births without maternal deaths and managed some emergency cases referred to specialized care.</p><p><strong>Conclusions: </strong>This case illustrates the potential of alternative models of obstetric care. Evidence-based, midwife- and nurse-led models of clinical obstetric care should be expanded in the Mexican healthcare system.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"435-443"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513077","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-10-28DOI: 10.1111/phn.13474
Yoonjung Kim, Heemin Chae, Yeun Hee Kwak, Ji-Su Kim
{"title":"Factors Associated With Health-Promoting Behaviors Among South Korean Adults: A Cross-Sectional Study.","authors":"Yoonjung Kim, Heemin Chae, Yeun Hee Kwak, Ji-Su Kim","doi":"10.1111/phn.13474","DOIUrl":"10.1111/phn.13474","url":null,"abstract":"<p><strong>Objective: </strong>To examine the association between positive psychological capital, social support, illness attitudes toward COVID-19, and health-promoting behaviors in Korean adults.</p><p><strong>Design: </strong>An online cross-sectional study.</p><p><strong>Sample: </strong>The participants were 820 South Korean adults aged 19-64, recruited through quota sampling. The sample was census-matched in terms of age and gender based on the Korean Population Census.</p><p><strong>Measurements: </strong>The participants completed measures assessing psychological capital, social support, illness attitude toward COVID-19, and health-promoting behaviors. The t-test, one-way analysis of variance, Pearson's correlation, and multiple stepwise regression analysis were used to analyze the data.</p><p><strong>Results: </strong>Participants who were religious, perceived themselves as physically healthy, had negative illness attitudes, had high positive psychological capital, and received high social support were more likely to engage in health-promoting behaviors. These variables explained 44.5% of the participants' health-promoting behaviors.</p><p><strong>Conclusions: </strong>This study is the first to examine illness attitudes toward COVID-19 and health-promoting behaviors among South Korean adults during the COVID-19 pandemic. The results can pave the way for effective public health intervention strategies that consider religiosity, physical health status, illness attitude, and social support, to promote healthy living during future public health crises.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"265-274"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523697","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-09-30DOI: 10.1111/phn.13420
Florence L Théodore, Ana Lilia Lozada-Tequeanes, Rocío Alvarado, Edith Yunessi Kim-Herrera, Armando García-Guerra, Sonia Rodríguez-Ramírez, Anabelle Bonvecchio
{"title":"Exploring barriers and facilitators to feeding children with minimal or no \"Junk Food\": Insights from Mexican women.","authors":"Florence L Théodore, Ana Lilia Lozada-Tequeanes, Rocío Alvarado, Edith Yunessi Kim-Herrera, Armando García-Guerra, Sonia Rodríguez-Ramírez, Anabelle Bonvecchio","doi":"10.1111/phn.13420","DOIUrl":"10.1111/phn.13420","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate the factors that promote or hinder the feeding of children with minimal or no ultra-processed products to inform the design of an mHealth strategy in Mexico and prevent child malnutrition among the economically vulnerable.</p><p><strong>Methods: </strong>An exploratory qualitative study was conducted, involving 24 in-depth face-to-face interviews with caregivers of children aged 24-59 months from both urban and rural communities. To analyze the data, we used thematic analysis and incorporated a few elements of grounded theory.</p><p><strong>Results: </strong>More barriers than facilitators were identified. Key barriers included: misconceptions and the widespread availability of junk food through an extensive network of grocery stores; neighbors and family gifting junk food; the association of soda with celebrations; the practice of indulging children with junk food; and the normalization of junk food consumption by both adults and children. Facilitators included: caregivers' awareness of the health risks associated with junk food; economic constraints limiting junk food purchases; support from husbands in regulating children's junk food consumption; the presence of a family member with diabetes; specific cultural beliefs about children's digestive health; as well as displacement of \"healthy\" foods that nourish children.</p><p><strong>Conclusion: </strong>Based on our findings, we formulated recommendations for interventions at intrapersonal, interpersonal, organizational, community, and public policy levels to support healthier feeding practices for children.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"23-32"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332484","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-09-29DOI: 10.1111/phn.13429
Çiçek Ediz, Sevda Uzun
{"title":"Exploring Nursing Students' Metaphorical Perceptions and Cognitive Structures Related to the Global Climate Crisis's Impact on Nursing.","authors":"Çiçek Ediz, Sevda Uzun","doi":"10.1111/phn.13429","DOIUrl":"10.1111/phn.13429","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the metaphorical perceptions and cognitive structures of Turkish nursing students related to the impact of the global climate crisis on their profession.</p><p><strong>Methods: </strong>Researchers adopted a qualitative approach centered on metaphor analysis and involved 40 Turkish nursing students enrolled in programs in Türkiye during October 2023. Using metaphor analysis and techniques involving writing and drawing, the study uncovered how these students perceive and cognitively structure the influence of the global climate crisis on their nursing careers. The interview form featured the metaphor expression \"The reflection of the global climate crisis on nursing is like … because …,\" while the drawing component prompted students to determine their perspectives on the climate crisis's impact on nursing through concept drawings. The research adhered to the COREQ checklist.</p><p><strong>Results: </strong>The study revealed that nursing students generated 22 metaphors each through written and drawing techniques. Written metaphors were grouped into five categories: psychosocial challenges faced by nurses, patient populations, diseases and coping, burdens on the health system, and the growing importance of various fields within nursing. Drawing technique metaphors were grouped into four categories: nurses and the difficulties they face, the impact of the global climate crisis on the world, the impact of the global climate crisis on the healthcare sector, and the roles and responsibilities of nurses.</p><p><strong>Conclusions: </strong>While nursing students expressed diverse opinions, their concerns about the reflection of the global climate crisis on nursing yielded similar emotional responses. Metaphors are mostly focused on psychosocial challenges faced by nurses, the patient population, diseases, and coping mechanisms. The findings underscored nursing students' concerns about the global climate crisis's impact on both their profession and the broader community.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"192-204"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332485","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 Video-Based Educational Intervention on Parents' Decision to Uptake the Measles-Rubella (MR) Vaccine in Jordan.","authors":"Khitam Alsaqer, Mariam Kawafha, Dua'a Al-Maghaireh, Samar Thabet Jallad, Heidar Sheyab, Abedelkader Al Kofahi, Mayyada Saleh","doi":"10.1111/phn.13445","DOIUrl":"10.1111/phn.13445","url":null,"abstract":"<p><strong>Background: </strong>Interventions are needed to decrease measles and rubella (MR) vaccine hesitancy/refusal among Jordanian parents during the implementation campaign in Jordan by 2023. This study developed an educational video for parents with hesitancy or refusal to enhance their attitudes and decisions toward the MR vaccine.</p><p><strong>Objective: </strong>This study aimed to assess the impact of video-based educational intervention on the attitudes of parents toward the MR vaccine and the decision to accept the MR vaccine.</p><p><strong>Method: </strong>One group pretest-posttest experimental design was used. A 5-min MR vaccine education video was shown to parents. Parents' decisions on the MR vaccine and the parent attitudes about childhood vaccines (PACV) scale were collected before, immediately, and 2 weeks after the video, the differences in the scores were also measured.</p><p><strong>Results: </strong>The initial PACV scale score averaged 24 ± 1.5. After watching the MR education video, the PACV scores immediately and after 2 weeks were 21 ± 1.6 and 21.8 ± 1.4, respectively, with a statistically significant difference (p value < 0.05). The parents' likelihood of refusing the MR vaccine decreased immediately and 2 weeks after watching the video (68% and 70.5%; respectively), and this decrease was sustained after 2 weeks (p value = 0.617).</p><p><strong>Conclusion: </strong>An educational video intervention was associated with improved PACV and improved parents' attitudes toward the MR vaccine, potentially altering the decisions of hesitant or refusing parents to accept the vaccine during the 2023 MR vaccine campaign in Jordan. These positive effects appeared to persist even 2 weeks after the intervention.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"341-348"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402001","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}
Public Health NursingPub Date : 2025-01-01Epub Date: 2024-10-22DOI: 10.1111/phn.13460
Roque Anthony F Velasco, Christine Tagliaferri Rael, Samantha Stonbraker, Evelyn Iriarte, Avery M Anderson, Anthony Nuñez, Melissa Golden, Christina J Sun
{"title":"Health-Related Experiences of Transgender and Gender-Diverse Coloradans: A Scoping Review of the Literature.","authors":"Roque Anthony F Velasco, Christine Tagliaferri Rael, Samantha Stonbraker, Evelyn Iriarte, Avery M Anderson, Anthony Nuñez, Melissa Golden, Christina J Sun","doi":"10.1111/phn.13460","DOIUrl":"10.1111/phn.13460","url":null,"abstract":"<p><strong>Background: </strong>Extant literature on transgender and gender-diverse (TGD) people living in the United States is centered on bicoastal metropolitan cities. Little is known about the health status and health-related barriers among TGD people living in the middle of the country. Minority Stress Theory (MST) provides a framework for understanding how TGD people experience stressors that shape their health-related experiences.</p><p><strong>Purpose: </strong>To describe health-related experiences of TGD people living in Colorado using the MST framework.</p><p><strong>Method: </strong>The scoping review was limited to peer-reviewed, English-language studies published between January 2018 and November 2023. Data abstraction and synthesis were performed using Thomas and Harden's approach to thematic synthesis.</p><p><strong>Results: </strong>Twenty-one articles were included in the review. Seventeen (80.9%) articles were quantitative studies, two (9.5%) were qualitative, and two (9.5%) were mixed methods. Most of the participants were transfeminine and 18 years old or younger. Three themes emerged (1) TGD Coloradans experience multiple health-related stressors, (2) these stressors contribute to poor health outcomes, and (3) overcome with coping strategies and/or social support.</p><p><strong>Conclusion: </strong>TGD Coloradans experience multiple stressors related to their TGD identity that shape their health-related experiences. Nurses play a critical role in intervening in these stressors and addressing care disparities.</p>","PeriodicalId":54533,"journal":{"name":"Public Health Nursing","volume":" ","pages":"589-603"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513079","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}