AJPM focusPub Date : 2023-11-28DOI: 10.1016/S2773-0654(23)00099-8
{"title":"2022 Author Acknowledgment and Articles of the Year","authors":"","doi":"10.1016/S2773-0654(23)00099-8","DOIUrl":"https://doi.org/10.1016/S2773-0654(23)00099-8","url":null,"abstract":"","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773065423000998/pdfft?md5=f334a37fe3cdba89a420df795dd1c798&pid=1-s2.0-S2773065423000998-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138448728","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}
AJPM focusPub Date : 2023-11-10DOI: 10.1016/j.focus.2023.100171
Amira A. Roess PhD , Laura F. Henderson MPH , Leah M. Adams PhD , Keith D. Renshaw PhD
{"title":"Association Between Firearm Purchasing in Response to the COVID-19 Pandemic and Symptoms of Anxiety, Depression, and Stress, August 2021","authors":"Amira A. Roess PhD , Laura F. Henderson MPH , Leah M. Adams PhD , Keith D. Renshaw PhD","doi":"10.1016/j.focus.2023.100171","DOIUrl":"10.1016/j.focus.2023.100171","url":null,"abstract":"<div><h3>Introduction</h3><p>Firearm sales and firearm-related injuries and deaths increased during the pandemic. Little is known about motivations for firearm purchasing in response to the COVID-19 pandemic and the mental health status of first-time purchasers. The purpose of this study was to estimate the association between firearm purchasing in response to the COVID-19 pandemic and anxiety symptoms, depressive symptoms, and stress.</p></div><div><h3>Methods</h3><p>The authors analyzed data from a survey that approximated a nationally representative sample of American adults (N=3,528) who either did not own firearms (<em>n</em>=2,327) or purchased firearms for the first time in response to the pandemic (<em>n</em>=240). Self-reported stress, depressive symptoms, and anxiety symptoms were determined using standardized self-assessment questionnaires (Perceived Stress Scale, Patient Health Questionnaire, and Depression Anxiety Stress Scale, respectively). Using multivariable logistic regression, the association between firearm purchasing and each mental health measure were assessed after controlling for demographics and other determinants.</p></div><div><h3>Results</h3><p>In each model, first-time firearm owners were more likely to be younger, live in urban areas, believe the government does too much for its citizens, stay home, stock up on items, and keep their children at home. First-time owners had significantly higher odds of anxiety and depressive symptoms than non-owners (AOR=1.05; 95% CI=1.04, 1.07 and AOR=1.15; 95% CI=1.04, 1.26, respectively).</p></div><div><h3>Conclusions</h3><p>First-time firearm purchasers report higher depressive and anxiety symptoms than non-owners, suggesting that there may be a risk of suicide and other related firearm violence.</p></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773065423001086/pdfft?md5=666c8620e4624ab6c518ecec780d2715&pid=1-s2.0-S2773065423001086-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135614881","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}
AJPM focusPub Date : 2023-11-10DOI: 10.1016/j.focus.2023.100170
Anja Jokela MD, Maija Reblin PhD
{"title":"A Community Survey of Referral Sources to Identify Primary Care and Gender-Affirming Care Providers","authors":"Anja Jokela MD, Maija Reblin PhD","doi":"10.1016/j.focus.2023.100170","DOIUrl":"10.1016/j.focus.2023.100170","url":null,"abstract":"<div><h3>Introduction</h3><p>Barriers exist in access to primary care as well as specialty healthcare such as gender-affirming care. Understanding the referral sources used to identify new providers for these types of care can help healthcare systems facilitate access.</p></div><div><h3>Methods</h3><p>Using data from a community-based survey, demographics and information relevant to finding new healthcare providers were assessed.</p></div><div><h3>Results</h3><p>Data from 165 participants suggest that seeking a new primary care provider was perceived as challenging. The most common referral sources for primary care providers were family/friends, a doctor, or a medical center website. The most common referral sources for gender–affirming care providers were a doctor, family/friends, or social media. There were significant differences in the types of referral sources most likely to be utilized for primary versus gender-affirming care.</p></div><div><h3>Conclusions</h3><p>Personal connections, including trusted doctors, can be important sources of provider referrals. Additional resources may be needed to facilitate their ability to make quality connections. Community resources and social media can be important sources when existing social networks may not have knowledge about the needs of particular communities, especially those who may be at risk of discrimination. More inclusive and secure referral sources may be needed to ensure gender-affirming care referrals are made.</p></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773065423001074/pdfft?md5=bc340b89144ae1762e94ba5fa5372a2e&pid=1-s2.0-S2773065423001074-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135614839","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}
AJPM focusPub Date : 2023-11-10DOI: 10.1016/j.focus.2023.100169
Ryan L. Spotts MD , Brittany A. Massare MD , Madeline Matzelle-Zywicki BS , Ashley Sun BA , Lisa R. Yoder BS , Eric W. Schaefer MS , Angela L. Zearfaus MD , Deepa L. Sekhar MD
{"title":"Cooking with the Community: Addressing Food Insecurity Through Equipment Provision and Professional Instruction","authors":"Ryan L. Spotts MD , Brittany A. Massare MD , Madeline Matzelle-Zywicki BS , Ashley Sun BA , Lisa R. Yoder BS , Eric W. Schaefer MS , Angela L. Zearfaus MD , Deepa L. Sekhar MD","doi":"10.1016/j.focus.2023.100169","DOIUrl":"10.1016/j.focus.2023.100169","url":null,"abstract":"<div><h3>Introduction</h3><p>Food insecurity is a common problem with many associated negative downstream health impacts. Despite government sponsored and private supports, many individuals struggle with making healthy, nutritious meals. Penn State's Cooking with the Community program was constructed with the objective of providing cooking equipment and instructions to increase knowledge of healthy cooking techniques and consumption of under-utilized food pantry ingredients.</p></div><div><h3>Methods</h3><p>Four cooking demonstrations were held over an 8-month study period in 2021 designed to educate participants on under-utilized and seasonally available ingredients. Each demonstration was professionally led by a chef who taught cooking skills and the use of different equipment, which were subsequently gifted to the participants. Participants were surveyed before and after each demonstration to assess cooking perceptions and comfort using Likert scales. Final analysis was completed in 2022 using mixed effects models to analyze changes between pre- and post-demonstration.</p></div><div><h3>Results</h3><p>There were 34 total participants. Statistically significant improvements were seen in confidence in cooking (mean increase=0.5; SD=0.2; <em>p</em>=0.031; 95% CI=0.1, 1.0), preparation of a simple recipe (mean increase=0.6; SD=0.2; <em>p</em>=0.013; 95% CI=0.1, 1.0), and cooking new foods (mean increase=0.6; SD=0.3; <em>p</em>=0.026; 95% CI=0.1, 1.1).</p></div><div><h3>Conclusions</h3><p>Cooking with the Community provides valuable information on how cooking confidence may be boosted within vulnerable populations by providing cooking equipment and professional instructions on its use.</p></div>","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773065423001062/pdfft?md5=96d4cb2a4fba74b7a2b7b897a418e922&pid=1-s2.0-S2773065423001062-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135615386","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}
AJPM focusPub Date : 2023-11-08DOI: 10.1016/j.focus.2023.100167
Rosemary M. Caron PhD, MPH , Kimberly Noel MD, MPH , Rachael N. Reed DrPH, MPH , Jamie Sibel MD, MPH , Hunter J. Smith MD, MPH, MBE
{"title":"Health Promotion, Health Protection, and Disease Prevention: Challenges and Opportunities in a Dynamic Landscape","authors":"Rosemary M. Caron PhD, MPH , Kimberly Noel MD, MPH , Rachael N. Reed DrPH, MPH , Jamie Sibel MD, MPH , Hunter J. Smith MD, MPH, MBE","doi":"10.1016/j.focus.2023.100167","DOIUrl":"10.1016/j.focus.2023.100167","url":null,"abstract":"","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773065423001049/pdfft?md5=38569f4955730dbef841d3f659ea7477&pid=1-s2.0-S2773065423001049-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135515898","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}
AJPM focusPub Date : 2023-11-08DOI: 10.1016/j.focus.2023.100166
Jennifer Chevinsky MD, MPH , Siri Chirumamilla MS, DO , Silvia Caswell DO, MPH , Lola Melody Nyoni MS , Karen Studer MD, MPH, MBA
{"title":"Clinical Preventive Medicine, Integrative Medicine, and Lifestyle Medicine: Current State and Future Opportunities in the Development of Emerging Clinical Areas","authors":"Jennifer Chevinsky MD, MPH , Siri Chirumamilla MS, DO , Silvia Caswell DO, MPH , Lola Melody Nyoni MS , Karen Studer MD, MPH, MBA","doi":"10.1016/j.focus.2023.100166","DOIUrl":"10.1016/j.focus.2023.100166","url":null,"abstract":"","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773065423001037/pdfft?md5=ffad67ec9359dab4d8f9cb4ca945d530&pid=1-s2.0-S2773065423001037-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135516036","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}
AJPM focusPub Date : 2023-11-08DOI: 10.1016/j.focus.2023.100168
Miriam J. Chickering RN, BSN, NE-BC , Erica Frank MD, MPH, FACPM , Arthur L. Caplan PhD, MPhil, MA, BA
{"title":"Standing on the Shoulders of Giant Artificial Intelligence Bots: Artificial Intelligence Can and Therefore Must Now Elevate Equity in Health Professional Education","authors":"Miriam J. Chickering RN, BSN, NE-BC , Erica Frank MD, MPH, FACPM , Arthur L. Caplan PhD, MPhil, MA, BA","doi":"10.1016/j.focus.2023.100168","DOIUrl":"10.1016/j.focus.2023.100168","url":null,"abstract":"","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773065423001050/pdfft?md5=6ed0e525f2c00f94d47bd414d6a22131&pid=1-s2.0-S2773065423001050-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135515822","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}
AJPM focusPub Date : 2023-11-08DOI: 10.1016/j.focus.2023.100165
Andrew S. Knecht DO, MPH , Namita Akolkar MD, MPH , Alexander H.W. Molinari DO, MPH , Melissa L. Palma MD, MPH
{"title":"Community Medicine, Community Health, and Global Health: Interdisciplinary Fields With a Future Lens Inclusive of Local and Global Health Equity","authors":"Andrew S. Knecht DO, MPH , Namita Akolkar MD, MPH , Alexander H.W. Molinari DO, MPH , Melissa L. Palma MD, MPH","doi":"10.1016/j.focus.2023.100165","DOIUrl":"10.1016/j.focus.2023.100165","url":null,"abstract":"","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773065423001025/pdfft?md5=e435e1cff7ec31d6115c716de94be763&pid=1-s2.0-S2773065423001025-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135515175","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}
AJPM focusPub Date : 2023-11-08DOI: 10.1016/j.focus.2023.100164
Irina Arkhipova-Jenkins MD, MBA , Sritha Reddy Rajupet MD, MPH
{"title":"Population Medicine, Population Health, and Population Health Management: Strategies That Meet Society's Health Needs","authors":"Irina Arkhipova-Jenkins MD, MBA , Sritha Reddy Rajupet MD, MPH","doi":"10.1016/j.focus.2023.100164","DOIUrl":"10.1016/j.focus.2023.100164","url":null,"abstract":"","PeriodicalId":72142,"journal":{"name":"AJPM focus","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2773065423001013/pdfft?md5=cdbd214a79819e8690fdc39e19a6180e&pid=1-s2.0-S2773065423001013-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135516020","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}