Community health equity research & policy最新文献_第4页

Evaluation of school-based iron supplementation adherence and determinant factors among adolescent girls in Indonesian settings. 评估印尼青春期女孩的学校补铁依从性和决定因素。

IF 2.2

Community health equity research & policy Pub Date : 2026-07-02 DOI: 10.1177/2752535X261463004

Adji Prayitno Setiadi, I Gusti Agung Ari Kusuma Yana, Gusti Ayu Putu Laksmi Puspa Sari, Catherina Hutahaean, Ni Nyoman Laila Nordewi Yani, Susilo Ari Wardhani, Bruce Sunderland, Yosi Irawati Wibowo

{"title":"Evaluation of school-based iron supplementation adherence and determinant factors among adolescent girls in Indonesian settings.","authors":"Adji Prayitno Setiadi, I Gusti Agung Ari Kusuma Yana, Gusti Ayu Putu Laksmi Puspa Sari, Catherina Hutahaean, Ni Nyoman Laila Nordewi Yani, Susilo Ari Wardhani, Bruce Sunderland, Yosi Irawati Wibowo","doi":"10.1177/2752535X261463004","DOIUrl":"https://doi.org/10.1177/2752535X261463004","url":null,"abstract":"BackgroundSchool-based iron supplementation is a key national intervention to reduce anaemia among adolescent girls, however evaluation regarding processes is lacking. This study evaluated adherence to iron supplementation and its determinant factors among schoolgirls in Indonesian settings.MethodsA cross-sectional study was conducted at selected schools in priority areas of East Java (n = 3) and Bali (n = 4) from April-September 2023. A questionnaire administered to approximately 100 girls at each school collected data on the individual factors and adherence. School databases and interviews with 7 health unit staff was used to understand the environmental factors, and content analysis elicited the themes. Binary logistic regression summarised associations of individual and environmental factors contributing to adherence.ResultsA total of 694 girl respondents reported a mean adherence of 40%. Environmental themes included location (East Java/Bali), type and level of schools (private/public and Junior/Senior High School), iron tablet distribution and administration mechanisms (1-week supply/1-month supply/varied and weekly program at school/self-administered at home/no fixed program). Binary logistic regression confirmed that individual associations (i.e., attitude, Odds Ratio (OR) 2.69; peer support, OR 2.03), and environmental factors (i.e., type of school, OR 7.41; location, OR 2.38; administration mechanisms, OR 8.80) were independently associated with adherence.ConclusionLow adherence levels among schoolgirls reported in this study warrants attention. Identified contributing factors provide a basis for the development of strategies to improve adherence to school-based iron supplementation programs in Indonesian settings, particularly at priority areas.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261463004"},"PeriodicalIF":2.2,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370526","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

Cost constraints in supporting the Healthy Living Practices in remote Aboriginal communities: A Western Australian perspective. 支持偏远土著社区健康生活做法的成本限制：西澳大利亚视角。

IF 2.2

Community health equity research & policy Pub Date : 2026-07-02 DOI: 10.1177/2752535X261458010

Stephanie L Enkel, Hannah M M Thomas, Rachel Burgess, Asha C Bowen

{"title":"Cost constraints in supporting the Healthy Living Practices in remote Aboriginal communities: A Western Australian perspective.","authors":"Stephanie L Enkel, Hannah M M Thomas, Rachel Burgess, Asha C Bowen","doi":"10.1177/2752535X261458010","DOIUrl":"10.1177/2752535X261458010","url":null,"abstract":"The Healthy Living Practices (HLPs) outline nine essential guidelines for maintaining health in remote Aboriginal communities, yet high costs and poor availability make them financially out of reach for many families. We assessed the cost and availability of essential goods required to support the HLPs in eight remote Kimberley community stores, recording prices during three visits in 2022 as part of the SToP (See, Treat, Prevent) Skin Sores and Scabies Trial, and retrospectively comparing these (inflation-adjusted) with Perth and Broome prices in 2024. Owing to limited stock, data were analysed at a Cluster level (geographically proximal communities) using paired-sample t-tests in SPSS. Across 23 store visits, a standardised 'shopping basket' was significantly cheaper in Perth ($20.29) and Broome ($21.76) than in remote communities ($39.19-$47.87; p < 0.001); whitegoods (refrigerators, washing machines) were also significantly more expensive remotely (p < 0.01). Availability was inconsistent-the full basket was available in remote stores in only 56.5% of visits, with essential healthcare items frequently unavailable. These findings indicate that affordability and access to goods required to support the HLPs are substantially compromised in remote Kimberley communities, emphasising the need for targeted policy interventions to ensure equitable health outcomes.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261458010"},"PeriodicalIF":2.2,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371195","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

Are Remitters at Risk for Lower Food Security and Dietary Quality? An Exploratory Study of Mexican Immigrants in NYC. 汇款人是否面临粮食安全和饮食质量下降的风险？纽约墨西哥移民的探索性研究。

IF 1.8

Community health equity research & policy Pub Date : 2026-07-01 Epub Date: 2025-06-20 DOI: 10.1177/2752535X251355455

Daniela Cruz-Salazar, Neil S Hwang, Shirshendu Chatterjee, Kathryn P Derose, Karen R Flórez

{"title":"Are Remitters at Risk for Lower Food Security and Dietary Quality? An Exploratory Study of Mexican Immigrants in NYC.","authors":"Daniela Cruz-Salazar, Neil S Hwang, Shirshendu Chatterjee, Kathryn P Derose, Karen R Flórez","doi":"10.1177/2752535X251355455","DOIUrl":"10.1177/2752535X251355455","url":null,"abstract":"ObjectiveTo examine whether remitting behavior among Mexican immigrants in the Bronx is associated with increased food insecurity and lower dietary quality, with a particular focus on potential gender differences in these associations.DesignDescriptive and bivariate statistics are shown, and binary logistic multivariate regression models are computed.SettingData come from a study exploring the social networks, dietary behaviors and outcomes of Mexican immigrants recruited from a Catholic Church in the Bronx between January 2019 and June 2019.Participants81 Mexican immigrants 18 years or older living in the Bronx, New York City.ResultsA statistically significant (p < .1) relationship was not found between sending remittances and food insecurity; however, we found that women remitters had higher odds than men remitters of having low dietary quality (p < .060). We also found that a higher Body Mass Index was associated with higher odds of experiencing low and very low food security (p < .037).ConclusionsFurther research with nationally representative data is needed to investigate the full extent of the association between remittances and nutritional outcomes of remitters.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"373-384"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337303","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

A Qualitative Study on Barriers and Facilitators to Effective Collaboration Between Local Health Departments and Hospitals. 地方卫生部门与医院有效合作的障碍与促进因素的质性研究。

IF 1.8

Community health equity research & policy Pub Date : 2026-07-01 Epub Date: 2025-06-09 DOI: 10.1177/2752535X251348526

Oluwaseyi O Isehunwa, Satish K Kedia, Michael Schmidt, Coree Entwistle, Erik L Carlton, Patrick J Dillon

{"title":"A Qualitative Study on Barriers and Facilitators to Effective Collaboration Between Local Health Departments and Hospitals.","authors":"Oluwaseyi O Isehunwa, Satish K Kedia, Michael Schmidt, Coree Entwistle, Erik L Carlton, Patrick J Dillon","doi":"10.1177/2752535X251348526","DOIUrl":"10.1177/2752535X251348526","url":null,"abstract":"A central component of the Public Health 3.0 model is building partnerships between local public health departments and other community organizations/stakeholders, including public and private hospitals, as a means of promoting data sharing, service coordination, and collective action. Evidence suggests that such partnerships remain challenging and infrequent. This qualitative study used in-depth interviews to identify barriers and facilitators to building effective collaboration between local health departments (LHDs) and hospitals. We purposively recruited LHD officials (n = 12) across the United States. A directed qualitative content analysis of the interview transcripts revealed five barriers and five facilitators to building effective collaboration between the two entities. Perceived barriers included competition, inconsistent participation and engagement, communication breakdown, time constraints, and lack of financial and human resources. Perceived facilitators included finding common ground, well-established relationships, aligning and leveraging resources, open communication, and leadership commitment. Findings highlight challenges and opportunities to promote effective collaboration between LHDs and hospitals.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"339-351"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259513","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

Understanding the Impacts of Immigration Status on Access to Primary Healthcare Services: Evidence From the Lived Experiences of Ethiopian Immigrant Women in the United States. 了解移民身份对获得初级卫生保健服务的影响：来自美国埃塞俄比亚移民妇女生活经历的证据。

IF 1.8

Community health equity research & policy Pub Date : 2026-07-01 Epub Date: 2025-07-03 DOI: 10.1177/2752535X251357457

Gashaye Melaku Tefera, Mansoo Yu, Setor K Sorkpor, Hyojin Im, Senait Kebede

{"title":"Understanding the Impacts of Immigration Status on Access to Primary Healthcare Services: Evidence From the Lived Experiences of Ethiopian Immigrant Women in the United States.","authors":"Gashaye Melaku Tefera, Mansoo Yu, Setor K Sorkpor, Hyojin Im, Senait Kebede","doi":"10.1177/2752535X251357457","DOIUrl":"10.1177/2752535X251357457","url":null,"abstract":"ObjectivesHealth inequity is a significant and pressing concern in the United States, and multiple studies showed that immigrants are one of the groups with the poorest access to healthcare compared to native-born populations. This study focuses on developing an in-depth understanding of how immigration status impacts primary healthcare (PHC) access among African immigrant women, particularly Ethiopian immigrant women (EIW).DesignA cross-sectional qualitative design was used to examine how immigration status shaped the healthcare experiences of EIW. In-depth interviews were conducted with 21 EIW in-person and virtually. The interviews were audio recorded and transcribed verbatim. Data analysis followed an inductive thematic analysis using NVivo 12 software.ResultsFour major themes emerged from the analysis, demonstrating how immigration and immigration status shape EIW's healthcare access and experiences. These were: (1) Employment-based insurance, (2) Eligibility for primary healthcare services, (3) Work conditions and time, and (4) Fear of losing status and the unknown. Across all themes, participants' experiences were deeply gendered and tied to broader labor and sociocultural conditions, highlighting the vitality of immigration status in determining healthcare access.ConclusionThe findings demonstrated the crucial need to expand work authorization to all immigrant groups, streamline the application process, and extend document validity to mitigate healthcare access barriers and prevent immigrants from taking low-wage, unprotected, and hazardous jobs that heighten health risks. Expanding eligibility to different groups of immigrants for programs such as Medicaid and Children's Health Insurance Program, and providing clear, comprehensive healthcare information tailored for immigrant populations are recommended.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"397-411"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556059","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

Understanding the Health and Social Determinants of Health Needs of Resettled Afghan Refugees in Houston, Texas. 了解德克萨斯州休斯顿重新安置的阿富汗难民健康需求的健康和社会决定因素。

IF 2.2

Community health equity research & policy Pub Date : 2026-07-01 Epub Date: 2025-07-23 DOI: 10.1177/2752535X251361011

Karissa Chesky, Angelica Garcia, Aaron Pathak, Imran Humza Hanif, Srijana Shrestha, Sophia Banu

{"title":"Understanding the Health and Social Determinants of Health Needs of Resettled Afghan Refugees in Houston, Texas.","authors":"Karissa Chesky, Angelica Garcia, Aaron Pathak, Imran Humza Hanif, Srijana Shrestha, Sophia Banu","doi":"10.1177/2752535X251361011","DOIUrl":"10.1177/2752535X251361011","url":null,"abstract":"PurposeThe global refugee crisis includes Afghan refugees, driven by decades of conflict. Understanding the currently unidentified, unique challenges of this group upon resettlement in the United States is crucial for bettering health outcomes. This needs assessment identifies the challenges surrounding health experiences of resettled Afghan refugees in Houston, Texas.MethodsAdult Afghan refugees resettled in Houston, Texas were surveyed via a needs assessment adapted from validated health screeners (PRAPARE, the RHS15, and CoPaQ) with translator assistance. Health experiences across demographics, urgent needs, accessibility, and healthcare services were assessed.Results: 73 participants were surveyed (median age: 33 years, 74% female). Most had lived in the U.S. for 1-3 years, primarily spoke Dari, lacked English proficiency, were unemployed, and earned less than $20,000 annually. Top needs were employment, food, and transportation, and key accessibility issues included transportation, clothing, and learning English. Though many had health insurance, only some felt comfortable visiting a doctor alone and felt understood by their physician. About one-third rated their health as fair or poor. For medical visits, most relied on case managers and interpreters for navigating appointments, traveled by car, and had wait times under an hour. Social determinants like housing, childcare, and healthcare access showed significant variation.ConclusionFindings reveal key elements, including language, transportation, provider communication, that shape the health experiences of resettled Afghan refugees. These access contributors can inform more responsive healthcare systems. Given the urgency of our analysis, healthcare, governmental and community programs should pursue targeted approaches to meet this population's needs.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"433-443"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692599","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

Bridging the Gap Between Research and Policy: Exploring Political Determinants of Immigrant Health in an Urban County With High Cervical Cancer Disparities. 弥合研究与政策之间的差距：探索宫颈癌高差异城市县移民健康的政治决定因素。

IF 2.2

Community health equity research & policy Pub Date : 2026-07-01 Epub Date: 2025-07-02 DOI: 10.1177/2752535X251352995

Marcela Nava, Monica Cañizares, James Earl, Hemali Patel, Lucy Ren

{"title":"Bridging the Gap Between Research and Policy: Exploring Political Determinants of Immigrant Health in an Urban County With High Cervical Cancer Disparities.","authors":"Marcela Nava, Monica Cañizares, James Earl, Hemali Patel, Lucy Ren","doi":"10.1177/2752535X251352995","DOIUrl":"10.1177/2752535X251352995","url":null,"abstract":"BackgroundCervical cancer disproportionally burdens Hispanic immigrant communities in the United States, despite its preventable nature and curability when detected early. These persistent disparities represent a \"wicked problem,\" characterized by contested evidence, fragmented data, and a politicized health policy environment.MethodsThis study uses Tarrant County, Texas-a high-disparity urban region-as a case study to explore how multilevel governance structures shape immigrant health inequities. Drawing on the concept of wicked problems and the political determinants of health (PDoH) framework, we analyze archival data through a policy science lens to examine how electoral, legal, and institutional forces perpetuate barriers to life-saving care for immigrant women.ResultsFour key themes emerged from our analysis: (1) a reactive political environment that amplifies exclusion, (2) decision-making shaped by legal ambiguity, (3) passive enforcement of immigration policies through institutional design, and (4) blame-shifting between public and private healthcare systems. These dynamics collectively sustain health disparities by limiting access to preventive care and delaying treatment among immigrant populations.ConclusionFindings demonstrate that cervical cancer disparities are not solely the result of individual health behaviors but are produced and sustained by structural and political forces. Addressing these disparities requires interdisciplinary partnerships and place-based strategies that confront the institutional barriers embedded in local governance. We call for strategic alliances among researchers, community stakeholders, and policymakers to foster shared accountability and develop responsive, equity-driven policies for addressing cervical cancer and other preventable conditions in immigrant communities.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"353-371"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556058","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

Community partnerships to optimize STI screening at an HBCU consortium. 社区伙伴关系优化HBCU联盟的性传播感染筛查。

IF 2.2

Community health equity research & policy Pub Date : 2026-07-01 DOI: 10.1177/2752535X261463842

Bria Pringle-Weston, Marissa Lapedis, Aparna Tadlapally, Kara Garretson, Kitty Carter-Wicker, Chelsea Cohen, Brittany Talbott, Javeria Lodi, Tiffany Anderson

{"title":"Community partnerships to optimize STI screening at an HBCU consortium.","authors":"Bria Pringle-Weston, Marissa Lapedis, Aparna Tadlapally, Kara Garretson, Kitty Carter-Wicker, Chelsea Cohen, Brittany Talbott, Javeria Lodi, Tiffany Anderson","doi":"10.1177/2752535X261463842","DOIUrl":"10.1177/2752535X261463842","url":null,"abstract":"BackgroundSexually transmitted infections (STIs) remain a major public health concern among college students, particularly at Historically Black Colleges and Universities (HBCUs), where structural barriers may limit access to routine screening. Community-based partnerships represent a promising strategy to expand sexual health services and address persistent inequities.PurposeThis study evaluated the impact of an on-site STI screening program delivered through a partnership with a local community-based organization (CBO) on screening utilization, provider efficiency, and student satisfaction within an HBCU consortium.MethodsA retrospective chart review was conducted among students aged 17 years and older who received STI screening between August 2022 and April 2025. The intervention provided free testing for chlamydia, gonorrhea, HIV, and syphilis through a CBO operating 3 days per week within the student health center. Appointments were scheduled online, by phone, or via walk-in. Data included screening volumes, demographic characteristics, provider visit patterns, and satisfaction survey responses. Descriptive statistics compared outcomes before and after implementation.ResultsSTI screening volumes increased from 1692 during the pre-implementation period (August 2022-September 2023) to 1817 and 1950 during the first (October 2023-April 2024) and second (August 2024-April 2025) post-implementation periods, respectively. Shifting asymptomatic screening to the CBO increased provider capacity for non-STI primary care visits.ConclusionIntegrating a CBO into campus health services expanded access to STI screening, optimized provider workflow, and maintained high-quality, student-centered care. This partnership model offers a scalable, equity-focused approach for strengthening sexual health services at HBCUs and other minority-serving institutions.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X261463842"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364198","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

The Enablers and Barriers to Accessing Women's Health and Wellbeing Services for Women Aged 40-65 Years: A Qualitative Study. 40-65岁妇女获得妇女保健和福利服务的促进因素和障碍：一项定性研究。

IF 2.2

Community health equity research & policy Pub Date : 2026-07-01 Epub Date: 2025-07-13 DOI: 10.1177/2752535X251358919

Kiersten Simmons, Jenny Hyde, Damla Harmanci, Collins Iwuji, Stephen Bremner, Carrie Llewellyn

{"title":"The Enablers and Barriers to Accessing Women's Health and Wellbeing Services for Women Aged 40-65 Years: A Qualitative Study.","authors":"Kiersten Simmons, Jenny Hyde, Damla Harmanci, Collins Iwuji, Stephen Bremner, Carrie Llewellyn","doi":"10.1177/2752535X251358919","DOIUrl":"10.1177/2752535X251358919","url":null,"abstract":"Introduction: Midlife women, aged 40-65 years, are an under-researched population with poor and inequitable access to Women's Health and Wellbeing Services (WHWS). This study, which was supported by a Patient and Public Involvement group, explored the enablers and barriers to WHWS, with a focus on sexual health and wellbeing services, cervical and breast screening, menopause care, contraception, and incontinence services.Methods: Semi-structured focus groups and interviews were conducted with sixty self-identifying women and gender non-binary participants aged 40-65 years living in the South-East of England. Recruitment was focused in underserved geographic areas and in underserved groups. Framework Analysis, also using the Socioecological Model, through an intersectionality lens, was used to analyse the enablers and barriers to WHWS. A feminist pragmatist approach was employed to interlink the findings into suggestions to improve access. The study was reported according to the Consolidated Criteria for Reporting Qualitative Research (COREQ).Results: Three main themes emerged: the lack of prioritisation of midlife women; the widespread deficits in knowledge of the needs of midlife women; and the impact of stigma on access to care, particularly sexual health and genitourinary syndrome of menopause services. The intersectional disadvantage of belonging to underserved groups for example due to ethnicity, income, and disability, overlapped across the themes. Participants advocated for integrated, holistic, community-based, women-only services.Conclusion: Further research, education, and policy investment is required to address the complex, and often highly sensitive nature of many health and wellbeing issues that face midlife women. These challenges are compounded by belonging to an underserved group.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"413-431"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13195065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627880","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

Implementation Evaluation of Three Community-Clinical Infection-Related Cancer Prevention and Control Programs in New York City: Lessons Learned From Leveraging Community Health Worker Strategies to Enhance Reach and Fit for Asian American Communities. 纽约市三个社区临床感染相关癌症预防和控制项目的实施评估：利用社区卫生工作者策略提高亚裔美国人社区的覆盖面和健康程度的经验教训

IF 1.8

Community health equity research & policy Pub Date : 2026-07-01 Epub Date: 2025-07-10 DOI: 10.1177/2752535X251357464

Matthew Lee, Julie Kranick, Victoria Foster, Perla Chebli, Yousra Yusuf, Chau Trinh-Shevrin, Simona C Kwon

{"title":"Implementation Evaluation of Three Community-Clinical Infection-Related Cancer Prevention and Control Programs in New York City: Lessons Learned From Leveraging Community Health Worker Strategies to Enhance Reach and Fit for Asian American Communities.","authors":"Matthew Lee, Julie Kranick, Victoria Foster, Perla Chebli, Yousra Yusuf, Chau Trinh-Shevrin, Simona C Kwon","doi":"10.1177/2752535X251357464","DOIUrl":"10.1177/2752535X251357464","url":null,"abstract":"BackgroundCommunity health workers (CHW) can perform unique functions to facilitate the implementation of evidence-based interventions for infection-related cancer prevention and control, and alleviate minoritized and immigration-related disparities.PurposeWe describe the implementation evaluation of three CHW-delivered infection-related cancer programs focused on Asian American (AA) communities in New York City: 1) a H. pylori treatment adherence program for Chinese and Korean Americans; 2) a HPV screening program for Muslim Americans; and 3) a hepatitis B screening, linkage to care, and treatment program for AA and other priority communities.MethodsWe conducted semi-structured key informant interviews with multi-level stakeholders from the programs.ResultsLessons learned include the importance of: 1) sustaining engagement and buy-in from implementation partners; 2) prioritizing recipient- and deliverer-centeredness; 3) fostering program flexibility to accommodate multiple implementation settings and to meet dynamic community resources and priorities; and 4) understanding interoperability between the CHW-delivered intervention and the inner setting for effective program implementation.ConclusionsThese findings can inform other efforts to implement CHW-delivered community-clinical cancer programs for AA and other underserved communities to advance health equity.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"445-453"},"PeriodicalIF":1.8,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12383678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610416","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