Community health equity research & policy最新文献

What Made the COVID-19 Pandemic Experience Worse in Communities in Northern Nigeria: Fuzzy Cognitive Mapping of Community Perceptions. 是什么让尼日利亚北部社区的COVID-19大流行经历变得更糟：社区认知的模糊认知映射。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-03 DOI: 10.1177/2752535X251384522

Ivan Sarmiento, Yagana Gidado, Hadiza Mudi, Altine Joga, Umaira Ansari, Sa'adatu Bello Kirfi, Mohammed Abbas Ibrahim, Neil Andersson, Anne Cockcroft

{"title":"What Made the COVID-19 Pandemic Experience Worse in Communities in Northern Nigeria: Fuzzy Cognitive Mapping of Community Perceptions.","authors":"Ivan Sarmiento, Yagana Gidado, Hadiza Mudi, Altine Joga, Umaira Ansari, Sa'adatu Bello Kirfi, Mohammed Abbas Ibrahim, Neil Andersson, Anne Cockcroft","doi":"10.1177/2752535X251384522","DOIUrl":"https://doi.org/10.1177/2752535X251384522","url":null,"abstract":"AimsCollate local perceptions of factors influencing experience of the COVID-19 pandemic in communities in Bauchi State, Northern Nigeria.ResultsFuzzy cognitive mapping (FCM) collated participant views of what made their experience worse during the COVID-19 pandemic. FCM uses concepts linked by weighted arrows to indicate perceived causal relationships. Higher weights indicate stronger influences; positive and negative signs indicate direct and inverse causal relationships, respectively. In late 2023, local facilitators collected 81 maps in urban, rural and remote communities, 11 with administrative officials, and four with vulnerable groups (388 participants in total). We created average maps for each stakeholder group. Facilitators inductively grouped factors into categories. We calculated the cumulative net influence (CNI) (range -1 to +1) of categories and identified important causes and outcomes within the network. The maps included 152 factors in 25 categories. Hunger and lack of food (CNI = 0.63) worsened pandemic experience the most, followed by reduced businesses and jobs (CNI = 0.40), causing economic disruption and threatening livelihoods. Increased household conflicts (CNI = 0.35) and stress and mental health problems (CNI = 0.30) were also prominent negative influences and intermediate outcomes in the network. Lockdown (CNI = 0.34) was the most important underlying cause of other causal categories.ConclusionsThe maps depicted the interconnected impacts of the pandemic on community members. Participants confirmed the worst impacts were related to control measures exacerbating pre-existing economic challenges. These FCM findings will form part of the evidence shared with communities and policy makers to support co-design of strategies for pandemic recovery aligned with community needs and strengths.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X251384522"},"PeriodicalIF":1.8,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214132","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}

引用次数: 0

Use of Subsidized Health Services by Artists in Canada: An Exploratory Study. 加拿大艺术家使用补贴医疗服务的情况：一项探索性研究。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-01 Epub Date: 2024-10-12 DOI: 10.1177/2752535X241290666

Sesinam de Youngster, Shelly-Anne Li

引用次数: 0

Addressing Dietary-Related Health Disparities in Underserved Communities: Outcomes From a 24-Month Pilot, Subsidized Food Prescription Program in the Mississippi Delta. 在缺乏服务的社区解决与饮食相关的健康差异问题：密西西比三角洲为期 24 个月的试点补贴食品处方计划的成果。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-01 Epub Date: 2024-11-16 DOI: 10.1177/2752535X241301847

Austin Arnold, Victoria Zigmont, Pouria Sefidmooye Azar, Kima Barannik, Anne Cafer, Meagen Rosenthal

{"title":"Addressing Dietary-Related Health Disparities in Underserved Communities: Outcomes From a 24-Month Pilot, Subsidized Food Prescription Program in the Mississippi Delta.","authors":"Austin Arnold, Victoria Zigmont, Pouria Sefidmooye Azar, Kima Barannik, Anne Cafer, Meagen Rosenthal","doi":"10.1177/2752535X241301847","DOIUrl":"10.1177/2752535X241301847","url":null,"abstract":"Background: This study examines the outcomes of the 24-months Charleston FoodRx food prescription program implemented in rural Mississippi to address dietary-related health disparities.Purpose: Examine changes in participant produce consumption, food seccurity, and anthropometrics over a 24-month period.Research Design: A one-group, repeated measures design, was utilized to assess changes in produce consumption, food security, and anthropometric data from baseline.Study Sample: A total of 55 households completed the study.Data analyses: longitudinal and regression analyses were conducted to identify significant change over time.Results: Results indicated an increase in weekly produce consumption, and a decrease in the prevalence of food insecurity over the follow-up periods. Among adults, statistically significant reductions in weight, body mass index (BMI), waist circumference, and triglyceride levels were observed at the 24-month endpoint.Conclusions: These outcomes support the efficacy of food prescription programs in promoting healthier dietary behaviors and improving health-related outcomes. The study provides valuable insights into the impact of such interventions on dietary-related health disparities in underserved communities. However, more robust research is needed to maximize the potential of these interventions.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"89-101"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142645257","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}

引用次数: 0

Women's Perspectives on Post-partum Family Planning in Banyumas, Indonesia. 印度尼西亚班尤马斯妇女对产后计划生育的看法。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-01 Epub Date: 2024-12-08 DOI: 10.1177/2752535X241304080

Sandra Olivia Frans, Utsamani Cintyamena, Shita Listyadewi, Ariane Utomo

{"title":"Women's Perspectives on Post-partum Family Planning in Banyumas, Indonesia.","authors":"Sandra Olivia Frans, Utsamani Cintyamena, Shita Listyadewi, Ariane Utomo","doi":"10.1177/2752535X241304080","DOIUrl":"10.1177/2752535X241304080","url":null,"abstract":"Background: A recent programmatic shift in the provision of family planning in the Global South led to a renewed focus on post-partum family planning (PPFP). PPFP embodies a shift in the primary narrative of global family planning programs, from fertility reduction to promoting maternal and child well-being.Purpose: We examine key factors that shape women's knowledge, attitudes and practice of PPFP in Banyumas, Indonesia.Methodology: We employed a qualitative approach utilizing focus group discussions with pregnant women and women with children aged less than 1 year old (n = 44), and in-depth interviews with health service providers (n = 10). Guided by the research questions, we conducted a thematic analysis of the transcripts.Results: Our findings demonstrate how women's agency within marriage, their social and familial networks, their interactions with healthcare providers, and policy changes related to reproductive health and health insurance schemes, all influence the extent to which women's rights to information and choice regarding post-partum family planning can be realized. Conclusions: Key implications for practice include the necessity for health providers to offer unbiased information about contraceptive options, to engage local leadership effectively, and to ensure that government targets for the PPFP program align with women's needs and the health and social conditions of the community.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"103-115"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796669","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}

引用次数: 0

Empowering Trusted Messengers With Motivational Interviewing Skills: Improving Dissemination of Accurate Information to Communities. 用动机访谈技巧增强可信信使的能力：提高向社区传播准确信息的能力。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-01 Epub Date: 2024-11-27 DOI: 10.1177/2752535X241304081

Marie Ivantechenko, Shubarna Akhter, Damara Gutnick

{"title":"Empowering Trusted Messengers With Motivational Interviewing Skills: Improving Dissemination of Accurate Information to Communities.","authors":"Marie Ivantechenko, Shubarna Akhter, Damara Gutnick","doi":"10.1177/2752535X241304081","DOIUrl":"10.1177/2752535X241304081","url":null,"abstract":"BackgroundHistorical injustices, structural racism, and negative healthcare experiences contribute to Black and Brown communities' distrust of science. Bridging Research, Accurate Information, and Dialogue (BRAID) is a community engagement model that leverages trusted messengers to share accurate, co-created health and science messages to their community through their social networks. In our prior research, trusted messengers reported encountering resistance or \"discord\" when conveying information about controversial topics such as COVID-19 vaccines and the importance of diversity in clinical trials. Motivational Interviewing (MI) is an evidence-based communication style widely practiced by healthcare providers to guide ambivalent patients toward behavior change. However, MI's application by community members, particularly trusted messengers, as a strategy for enhancing health message dissemination remains unexplored.PurposeThis study used mixed methods to explore the feasibility of training trusted messengers in MI to support the dissemination of public health messages through social networks. Specifically, we sought to understand perspectives on learning MI and use of MI in conversations about clinical trial diversity and research subject protection.Research Design13 trusted messengers completed a MI introductory training.ResultsEighty-five percent found the training highly valuable, 54% reported high self-efficacy, and 69% expressed a desire for additional training. Qualitative analysis revealed trusted messenger endorsement of MI, recognition of MI's applicability to various contexts, and a sense of empowerment to share accurate information to their communities.ConclusionsOur findings suggest that empowering trusted messengers with communication skills can be a practical, feasible, and cost-effective public health strategy for effective dissemination of accurate public health messages.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"41-51"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735184","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}

引用次数: 0

A Qualitative Exploration of Refugee Experiences of Access to a Dedicated Multi-Disciplinary Refugee Health Team in an Australian Context: Implication for Future Care. 在澳大利亚背景下，对难民获得专门的多学科难民医疗团队服务的经历进行定性探索：对未来护理的启示。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-01 Epub Date: 2024-09-19 DOI: 10.1177/2752535X241286250

Jennifer White, Ashley Young, Murray Webber, Joy Harrison, Amy Hiscox, Jessica Lush, Baeho Joo, Janessa Sherrin, Mattias Grasselli, Julie Byles

{"title":"A Qualitative Exploration of Refugee Experiences of Access to a Dedicated Multi-Disciplinary Refugee Health Team in an Australian Context: Implication for Future Care.","authors":"Jennifer White, Ashley Young, Murray Webber, Joy Harrison, Amy Hiscox, Jessica Lush, Baeho Joo, Janessa Sherrin, Mattias Grasselli, Julie Byles","doi":"10.1177/2752535X241286250","DOIUrl":"10.1177/2752535X241286250","url":null,"abstract":"AimsRefugees experience physical and mental health issues that need attention following settlement in a new community. However, access to and utilisation of healthcare services is challenging. We aimed to explore the experience of refugee access to a dedicated multi-disciplinary refugee health team.MethodsAn interpretative qualitative study. 17 qualitative interviews were conducted with Ezidi refugees who attended a newly established multi-disciplinary refugee health program in a regional town in NSW, Australia. Data were analysed using an inductive thematic approach.ResultsParticipants (n = 17) identified as Ezidi and were from Iraq. Parents were between 23 and 57 years of age and had 1-12 children per family. Most had been in Australia between 2 and 5 years. Four key themes were identified: (1) Identifying the extent of health needs following a long wait to migrate; (2) Health support across the life span: the benefit of access to a multi-disciplinary team; (3) Gaps in cultural competence - impacted by understanding and interpreter access; and (4) Ongoing health and lifestyle concerns - influenced by understanding and education.ConclusionsWe identified the benefit of access to allied health for prompt diagnosis, treatment and management of conditions including congenital and developmental conditions, mental health and chronic diseases. Access to a dedicated team ensured early intervention for a broad range of health and social issues including early referral to services, close coordination and help to complete supporting paperwork and applications. Ongoing investments are needed to maintain this comprehensive and coordinated approach to care that is underpinned by a family centric approach.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"19-29"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302406","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}

引用次数: 0

Identifying CFIR Inner Setting Factors in the Implementation of a Salon-Based Intervention to Reduce Barriers and Improve Pre-Exposure Prophylaxis (PrEP) Uptake Among Black Women in US South. 确定在美国南部黑人妇女中实施基于沙龙的干预措施以减少障碍并提高暴露前预防疗法 (PrEP) 使用率的 CFIR 内部环境因素。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-01 Epub Date: 2024-11-27 DOI: 10.1177/2752535X241305455

Elizabeth Jeter, Cynthia Bacon, Ragan Johnson, Hannah Lane, Schenita D Randolph

{"title":"Identifying CFIR Inner Setting Factors in the Implementation of a Salon-Based Intervention to Reduce Barriers and Improve Pre-Exposure Prophylaxis (PrEP) Uptake Among Black Women in US South.","authors":"Elizabeth Jeter, Cynthia Bacon, Ragan Johnson, Hannah Lane, Schenita D Randolph","doi":"10.1177/2752535X241305455","DOIUrl":"10.1177/2752535X241305455","url":null,"abstract":"US Black women are disproportionally represented in new HIV diagnoses. PrEP is effective in HIV prevention, but Black women's uptake is low. The UPDOs salon-based intervention is effective in overcoming barriers to care but scaling implementation is needed. This mixed-method pilot study sought to understand how salon organizational factors may have influenced UPDOs implementation with a focus on organizational culture, team culture, relational connection, and communication within a Consolidated Framework for Implementation Research (CFIR) inner setting lens. Organizational culture and team culture were measured using the Organizational Culture Survey (OCS) and Team Psychological Safety Scale (TPS). Relational connection and communication were explored qualitatively using participant observations and semi-structured interviews. Findings were positive towards teamwork, morale, information flow, involvement, and supervision as well as reflected positive organizational environment that were supportive of developing knowledge and skills. Relational connection and communication created a trusting environment that facilitated implementation. Future research can benefit from examining organizational environment when scaling interventions to overcome HIV and PrEP inequities.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"53-63"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735186","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}

引用次数: 0

"It's Really About Those Social Determinants of Health that Drive It": Addressing Food Insecurity in Rural Veterans. "真正的驱动因素是健康的社会决定因素"：解决农村退伍军人的粮食不安全问题。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-01 Epub Date: 2024-10-15 DOI: 10.1177/2752535X241292108

Jacquelyn N Heuer, Sarah E Bradley, Bridget Hahm, Kristin Pettey, Karen Besterman-Dahan

{"title":"\"It's Really About Those Social Determinants of Health that Drive It\": Addressing Food Insecurity in Rural Veterans.","authors":"Jacquelyn N Heuer, Sarah E Bradley, Bridget Hahm, Kristin Pettey, Karen Besterman-Dahan","doi":"10.1177/2752535X241292108","DOIUrl":"10.1177/2752535X241292108","url":null,"abstract":"BackgroundThe Department of Veterans Affairs (VA) employs numerous strategies to address food insecurity among rural veterans. This manuscript discusses findings from a quality improvement project examining factors impacting food insecurity among rural veterans.MethodsQualitative interviews were conducted with VA expert informants (n = 30) who worked in national program offices addressing veteran food insecurity, site visit participants (n = 57) at three VA Medical Centers (VAMCs), and rural veterans who screened positive for food insecurity at the VAMC sites (n = 10). Interviews were analyzed with analysis matrices.ResultsCurrent VA programming includes a national food insecurity screening initiative and connecting veterans with local community resources. Veteran participants provided suggestions for addressing veteran food insecurity, including outreach and education. In addition, these interviews demonstrate that rural veteran food insecurity is intrinsically interwoven with other social determinants of health.ConclusionsAddressing rural veteran food insecurity must include strategies for understanding and supporting interconnected veteran needs.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"65-77"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482298","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}

引用次数: 0

Community Health Agents Dismantling Gender Norms in a Machismo Society. 社区保健代理人在大男子主义社会中打破性别规范。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-01 Epub Date: 2024-11-08 DOI: 10.1177/2752535X241298832

Elizabeth M Allen, Michael J Van Skiba, Ariel Frisancho, Claudia Llanten, Cecilia Izarra

引用次数: 0

Inadequate Indoor Air Quality and Household Overcrowding Predispose to Life-Threatening Pulmonary Infections: Call for Action. 室内空气质量不足和家庭过度拥挤易导致危及生命的肺部感染：呼吁采取行动。

IF 1.8

Community health equity research & policy Pub Date : 2025-09-25 DOI: 10.1177/2752535X251383183

Malvika Kaul, Israel Rubinstein

引用次数: 0