Community health equity research & policy最新文献_第5页

The Landscape of Health Technology for Equity Deserving Groups in Rural Communities: A Systematic Review. 为农村社区需要公平的群体提供医疗技术的情况：系统回顾

Community health equity research & policy Pub Date : 2024-05-07 DOI: 10.1177/2752535X241252208

Lindsay Burton, Fathi Milad, Robert Janke, Kathy L Rush

{"title":"The Landscape of Health Technology for Equity Deserving Groups in Rural Communities: A Systematic Review.","authors":"Lindsay Burton, Fathi Milad, Robert Janke, Kathy L Rush","doi":"10.1177/2752535X241252208","DOIUrl":"10.1177/2752535X241252208","url":null,"abstract":"Background: Equity-deserving groups face well-known health disparities that are exacerbated by rural residence. Health technologies have shown promise in reducing disparities among these groups, but there has been no comprehensive evidence synthesis of outcomes.Purpose: The purpose of this systematic review was to examine the patient, healthcare, and economic outcomes of health technology applications with rural living equity-deserving groups.Research design: The databases searched included Medline and Embase. Articles were assessed for bias using the McGill mixed methods appraisal tool.Analysis: Data were synthesized narratively using a convergent integrated approach for qualitative and quantitative findings.Results: This evidence synthesis includes papers (n = 21) that reported on health technologies targeting rural equity-deserving groups. Overall, patient outcomes - knowledge, self-efficacy, weight loss, and clinical indicators - improved. Healthcare access improved with greater convenience, flexibility, time and travel savings, though travel was still occasionally necessary. All studies reported satisfaction with health technologies. Technology challenges reported related to connectivity and infrastructure issues influencing appointment quality and modality options. While some studies reported additional costs, overall, studies indicated cost savings for patients.Conclusions: There is a paucity of research on health technologies targeting rural equity-deserving groups, and the available research has primarily focused on women. While current evidence was primarily of high quality, research is needed inclusive of equity-deserving groups and interventions co-designed with users that integrate culturally sensitive approaches. Review registered with Prospero ID = CRD42021285994.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X241252208"},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878071","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

Fostering Alignment and the Catalytic Potential of Community-Engaged Research With US Military Veterans and Advocates. 与美国退伍军人和倡导者一起促进社区参与式研究的一致性和催化潜力。

Community health equity research & policy Pub Date : 2024-04-17 DOI: 10.1177/2752535X241245270

Nicholas A. Rattray, Sean A Baird, D. Natividad, Leah Danson, Richard M. Frankel, Gala True

{"title":"Fostering Alignment and the Catalytic Potential of Community-Engaged Research With US Military Veterans and Advocates.","authors":"Nicholas A. Rattray, Sean A Baird, D. Natividad, Leah Danson, Richard M. Frankel, Gala True","doi":"10.1177/2752535X241245270","DOIUrl":"https://doi.org/10.1177/2752535X241245270","url":null,"abstract":"This paper explores the concept of \"community-engaged research\" (CEnR) within the context of Veteran health care delivery and reintegration programs. A multi-sector expert panel (msExP) was formed to evaluate and make recommendations on Veteran community reintegration research and programs. The panel consisted of Veterans, care partners, clinical providers, researchers, community stakeholders, and subject matter experts. The paper examines the composition and lifecycle of the panel, highlighting the characteristics and experiences of the participants. Shifts in the panel's purpose and engagement levels occurred in response to unanticipated disruptions, particularly the COVID-19 pandemic. The transformation of the panel emphasizes the importance of aligning individual and group needs and deepening intrapersonal relationships Findings based on observations, surveys, and interviews with panel members contribute to the field of community-engaged research by demonstrating the utility of catalytic validity that balances group and individual development. As part of a broader study on Veteran reintegration, the panel and its development over time allowed for various perspectives on Veteran experiences and reintegration within the community that shaped the overall project. Despite the challenges of developing and maintaining a panel alongside a research study, feedback from the panel members on their participation provides insight into the potential for future working alliances in community-engaged health research.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":"209 2","pages":"2752535X241245270"},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140693305","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-Based Approach to Promote Rational Use of Antibiotics in Indonesia: The Development and Assessment of an Education Program for Cadres. 印度尼西亚促进合理使用抗生素的社区方法：干部教育计划的制定与评估。

Community health equity research & policy Pub Date : 2024-04-01 Epub Date: 2023-07-02 DOI: 10.1177/2752535X231184029

J V Christanti, A P Setiadi, E Setiawan, B Presley, S V Halim, S A Wardhani, B Sunderland, Y I Wibowo

{"title":"Community-Based Approach to Promote Rational Use of Antibiotics in Indonesia: The Development and Assessment of an Education Program for Cadres.","authors":"J V Christanti, A P Setiadi, E Setiawan, B Presley, S V Halim, S A Wardhani, B Sunderland, Y I Wibowo","doi":"10.1177/2752535X231184029","DOIUrl":"10.1177/2752535X231184029","url":null,"abstract":"Background: Cadres play an important part in providing community-based education. This study developed and assessed an education program for cadres in Malang, Indonesia, as 'change agents' to promote rational antibiotic use.Methods: In-depth-interviews with stakeholders (N = 55) and a subsequent group discussion with key personnel (N = 5) were conducted to develop a relevant education tool for cadres. This was followed with a pilot study with cadres (N = 40) to assess the effectiveness and acceptability of the new tool.Results: Consensus was reached on the education tool media: an audio-recording (containing full information) with a pocketbook (containing key information) as a supplement. A pilot study on the new tool reported its effectiveness in improving knowledge (p < 0.001) and demonstrated a high acceptability (all respondents stated 'Strongly Agree' or 'Agree' on all statements).Conclusion: This study has created a model for an education tool which can potentially be implemented for cadres to educate their communities about antibiotics in the Indonesian context.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"281-293"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9737153","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 and Care: Reflections on the Lived Experience of COVID-19 Sufferers. 妇女与护理：对 COVID-19 患者生活经历的思考。

Community health equity research & policy Pub Date : 2024-04-01 Epub Date: 2023-03-13 DOI: 10.1177/2752535X231163029

Sheilalaine G Romulo, Ryan C Urbano

引用次数: 0

Continuity of Trust: Health Systems' Role in Advancing Health Equity Beyond the COVID-19 Pandemic. 信任的连续性：卫生系统在 COVID-19 大流行后促进卫生公平方面的作用》（Continuity of Trust: Health Systems' Role in Advancing Health Equity Beyond the COVID-19 Pandemic）。

Community health equity research & policy Pub Date : 2024-04-01 Epub Date: 2023-07-03 DOI: 10.1177/2752535X231185221

Tiwaladeoluwa B Adekunle, Jeanne S Ringel, Malcolm V Williams, Laura J Faherty

{"title":"Continuity of Trust: Health Systems' Role in Advancing Health Equity Beyond the COVID-19 Pandemic.","authors":"Tiwaladeoluwa B Adekunle, Jeanne S Ringel, Malcolm V Williams, Laura J Faherty","doi":"10.1177/2752535X231185221","DOIUrl":"10.1177/2752535X231185221","url":null,"abstract":"Given COVID-19's disproportionate impact on populations that identify as Black, Indigenous, and People of Color (BIPOC) in the United States, researchers and advocates have recommended that health systems and institutions deepen their engagement with community-based organizations (CBOs) with longstanding relationships with these communities. However, even as CBOs leverage their earned trust to promote COVID-19 vaccination, health systems and institutions must also address underlying causes of health inequities more broadly. In this commentary, we discuss key lessons learned about trust from our participation in the U.S. Equity-First Vaccination Initiative, an effort funded by The Rockefeller Foundation to promote COVID-19 vaccination equity. The first lesson is that trust cannot be \"surged\" to meet the needs of the moment until it is no longer deemed important; rather, it must predate and outlast the crisis. Second, to generate long-term change, health systems cannot simply rely on CBOs to bridge the trust gap; instead, they must directly address the root causes of this gap among BIPOC populations.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"323-329"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10333557/pdf/10.1177_2752535X231185221.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9908765","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

Qualitative Analysis of Coping Strategies Among Older Persons During COVID-19 Lockdown in Nigeria: Considerations for Community Health Promotion. 尼日利亚 COVID-19 封锁期间老年人应对策略的定性分析：社区健康促进考虑因素》。

Community health equity research & policy Pub Date : 2024-04-01 Epub Date: 2023-04-28 DOI: 10.1177/2752535X231173527

Isaac A Adedeji, Saheed Akinmayowa Lawal, Sola Aluko-Arowolo

{"title":"Qualitative Analysis of Coping Strategies Among Older Persons During COVID-19 Lockdown in Nigeria: Considerations for Community Health Promotion.","authors":"Isaac A Adedeji, Saheed Akinmayowa Lawal, Sola Aluko-Arowolo","doi":"10.1177/2752535X231173527","DOIUrl":"10.1177/2752535X231173527","url":null,"abstract":"Background: The challenge of COVID-19 and the disease control restrictions in Nigeria directly affected social life. Older adults were disproportionately affected because of social vulnerabilities, socio-economic dependency, and the high risk of COVID-19 infectious disease in the population.Purpose: To this end, the study explored the instrumental coping strategies of older adults duirng the COVID-19 lockdown in Nigeria.Research Design: An exploratory research design using qualitative approach based on in-depth interviews was adopted.Study Sample: Twenty-seven (27) older adults aged 60 years and more in Ibadan, Nigeria were purposively selected for participation in the research.Data Collection and/or Analysis: Community living older adults participated in in-depth telephone interviews during the COVID-19 restrictions. Using Atlas ti 8.4, the 27 transcripts were analyzed and validated through content analysis.Results: Older adults coped with fear, anxiety, depression, and other health challenges, and three major themes emerged as problem-focused coping strategies. Older adults explored spirituality, engaged in their social networks through telephones, and focused on a healthy diet and physical activities.Conclusions: Community health promotion strategies for older adults should explore the identified problem-focused coping strategies to optimize the health and wellbeing of older adults.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"253-263"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10149519/pdf/10.1177_2752535X231173527.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9450160","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

Seeing Inside: How Stigma and Recognition Shape Community Health Worker Home Visits in São Paulo, Brazil. 洞察内部：污名化和认可度如何影响巴西圣保罗社区医疗工作者的家访。

Community health equity research & policy Pub Date : 2024-04-01 Epub Date: 2022-11-02 DOI: 10.1177/2752535X221137384

Emily S Pingel

引用次数: 0

Infant Obesity Prevention Programs for Underrepresented Mothers in a Home Visiting Program: A Qualitative and Community-Engaged Needs Assessment. 针对家访计划中代表性不足的母亲的婴儿肥胖预防计划：定性和社区参与的需求评估。

Community health equity research & policy Pub Date : 2024-04-01 Epub Date: 2023-05-18 DOI: 10.1177/2752535X231176730

Cathleen Odar Stough, Julia Rabin, Taylor Gates, Katlyn Garr, Angela Combs, Zachary T Edwards, Suzanne S Summer, Jessica G Woo, Alonzo T Folger, Robert T Ammerman, Miguel Nuñez, Jennifer Berndsen, Margaret J Clark, Jennifer R Frey, Lisa M Vaughn

{"title":"Infant Obesity Prevention Programs for Underrepresented Mothers in a Home Visiting Program: A Qualitative and Community-Engaged Needs Assessment.","authors":"Cathleen Odar Stough, Julia Rabin, Taylor Gates, Katlyn Garr, Angela Combs, Zachary T Edwards, Suzanne S Summer, Jessica G Woo, Alonzo T Folger, Robert T Ammerman, Miguel Nuñez, Jennifer Berndsen, Margaret J Clark, Jennifer R Frey, Lisa M Vaughn","doi":"10.1177/2752535X231176730","DOIUrl":"10.1177/2752535X231176730","url":null,"abstract":"A qualitative, community-engaged assessment was conducted to identify needs and priorities for infant obesity prevention programs among mothers participating in home visiting programs. Thirty-two stakeholders (i.e., community partners, mothers, home visitors) affiliated with a home visiting program serving low-income families during the prenatal to age three period participated in group level assessment sessions or individual qualitative interviews. Results indicated families face many challenges to obesity prevention particularly in terms of healthy eating. An obesity prevention program can address these challenges by offering realistic feeding options and non-judgmental peer support, improving access to resources, and tailoring program content to individual family needs and preferences. Informational needs, family factors in healthy eating outcomes, and the importance of access and awareness of programs were also noted. To ensure the cultural- and contextual-relevance of infant obesity prevention programs for underserved populations, needs and preferences among community stakeholders and the focal population should be used as a roadmap for intervention development.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"265-279"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10983836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9492278","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

Unravelling Delay in Care for Sexually Transmitted Infections-Related Symptoms in a Developing Country Setting (Jamaica). 发展中国家（牙买加）性传播感染相关症状护理延迟问题研究》（Unraveling Delay in Care for Sexually Transmitted Infections-Related Symptoms in a Developing Country Setting (Jamaica).

Community health equity research & policy Pub Date : 2024-04-01 Epub Date: 2023-07-03 DOI: 10.1177/2752535X231187987

Ardene Harris, Camelia Thompson, Kenneth James, Desmalee Holder-Nevins

{"title":"Unravelling Delay in Care for Sexually Transmitted Infections-Related Symptoms in a Developing Country Setting (Jamaica).","authors":"Ardene Harris, Camelia Thompson, Kenneth James, Desmalee Holder-Nevins","doi":"10.1177/2752535X231187987","DOIUrl":"10.1177/2752535X231187987","url":null,"abstract":"Background: Sexually transmitted infections (STIs) and STI treatment remain a challenge in public health. There is little understanding of related factors influencing health seeking behaviour and delay of care among clinic attendees in Jamaica.Aim: To determine socio-demographic profile of clinic attendees with STI and identify factors associated with delay in seeking care for STI-related symptoms.Methods: A cross-sectional study was done. 201 adult patients presenting with STI symptoms from four health centres in Kingston and St Andrew were selected. A 24-item interviewer-assisted questionnaire was used to obtain data on socio-demographic characteristics, patients' symptoms and duration, previous STIs, knowledge of complications and seriousness of STIs, and factors influencing decision to seek medical care.Results: Almost 75% delayed seeking care for STIs. Recurrent STIs was identified in 41% of patients. 'Could not find time' was the most commonly reported reason for delay in seeking care (36%). Females were 3.4 times more likely to delay seeking care for STI symptoms than males (OR 3.42, 95% CI: 1.73-6.73). Those with primary level education and below were 5 times more likely to delay seeking care for STI symptoms than those with at least secondary level education (OR 5.05, 95% CI: 1.09-23.46). Participants viewed staff as confidential (68%) and 65% thought health-care workers spent adequate time during consultations.Conclusion: Lower education level and the female gender are associated with delay in seeking care for STI-related symptoms. These factors should be considered when developing interventions to reduce delay in care for STI-related symptoms.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"295-302"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9743022","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

Resilience is an Adverse Event: A Critical Discussion of Resilience Theory in Health Services Research and Public Health. 复原力是一种不良事件：卫生服务研究和公共卫生中的复原力理论批判性讨论》。

Community health equity research & policy Pub Date : 2024-04-01 Epub Date: 2023-03-01 DOI: 10.1177/2752535X231159721

Brianna Suslovic, Elle Lett

引用次数: 0