Community health equity research & policy最新文献_第7页

Qualitative Evaluation of Treatment Partners for People With HIV in Botswana: Current Healthcare Provider Practices and Recommendations for Improvement. 对博茨瓦纳艾滋病毒感染者治疗伙伴的定性评估：当前医疗服务提供者的做法和改进建议》。

Community health equity research & policy Pub Date : 2024-01-03 DOI: 10.1177/2752535X231225809

Laura M Bogart, Nthabiseng Phaladze, Keonayang Kgotlaetsile, Kathy Goggin, Mosepele Mosepele

{"title":"Qualitative Evaluation of Treatment Partners for People With HIV in Botswana: Current Healthcare Provider Practices and Recommendations for Improvement.","authors":"Laura M Bogart, Nthabiseng Phaladze, Keonayang Kgotlaetsile, Kathy Goggin, Mosepele Mosepele","doi":"10.1177/2752535X231225809","DOIUrl":"10.1177/2752535X231225809","url":null,"abstract":"Botswana has an adult HIV prevalence of 20.8% and annual incidence of 0.2%. We aimed to evaluate current practices and advance recommendations for treatment partners (informal adherence supporters) for people with HIV in Botswana. In January-February 2020, we conducted seven focus groups with 36 healthcare providers at seven HIV clinics in Gaborone, Botswana. Providers perceived treatment partners to be critical for quality patient care. They shared that in the new era of universal antiretroviral therapy (ART) initiation immediately after diagnosis (\"test-and-treat\"), providers no longer require patients to select treatment partners at ART initiation. Providers suggested a renewed emphasis on treatment partners. They believed that standard guidance for providers around treatment partner selection would ensure that providers cover similar topics across patients and endorsed implementation of workshops to educate treatment partners on how to support patients. However, streamlined ART initiation policies require innovative strategies, including eHealth interventions, to engage treatment partners.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"2752535X231225809"},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11219526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139089516","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

Recommendations for Improving Oral Pre-exposure Prophylaxis Implementation and Social Marketing in Ugandan Fisherfolk Communities: A Qualitative Exploration. 改善乌干达渔民社区口服暴露前预防实施和社会营销的建议:定性探索。

Community health equity research & policy Pub Date : 2024-01-01 Epub Date: 2022-10-04 DOI: 10.1177/0272684X221113608

Laura M Bogart, William Musoke, Jimmy Mayatsa, Terry Marsh, Rose Naigino, Anchilla Banegura, Christopher Semei Mukama, Stella Allupo, Mary Odiit, Herbert Kadama, Barbara Mukasa, Rhoda K Wanyenze

{"title":"Recommendations for Improving Oral Pre-exposure Prophylaxis Implementation and Social Marketing in Ugandan Fisherfolk Communities: A Qualitative Exploration.","authors":"Laura M Bogart, William Musoke, Jimmy Mayatsa, Terry Marsh, Rose Naigino, Anchilla Banegura, Christopher Semei Mukama, Stella Allupo, Mary Odiit, Herbert Kadama, Barbara Mukasa, Rhoda K Wanyenze","doi":"10.1177/0272684X221113608","DOIUrl":"10.1177/0272684X221113608","url":null,"abstract":"Background: HIV is hyperendemic among fisherfolk in Sub-Saharan Africa, especially around Lake Victoria, Uganda. Purpose/Research Design: We conducted cross-sectional semi-structured interviews about oral pre-exposure prophylaxis (PrEP) implementation with 35 Ugandan fisherfolk (15 women, 20 men) and 10 key stakeholders (healthcare providers, policymakers, community leaders). We used a directed content analysis approach based on implementation science and social marketing frameworks. Results: Participants showed high acceptability for PrEP. Anticipated barriers among fisherfolk included stigma (due to similar medications/packaging as HIV treatment); misconceptions; mobility, competing needs, poverty, and partner conflict. Anticipated provider barriers included insufficient staffing and travel support. Recommendations included: change PrEP packaging; integrate PrEP with other services; decrease PrEP refill frequency; give transportation resources to providers; train more healthcare workers to provide PrEP to fisherfolk; and use positively framed messages to promote PrEP. Conclusions: Results can inform policymakers and healthcare organizations on how to overcome barriers to PrEP scale-up in most at-risk populations with poor healthcare access.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"189-199"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10070557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9266308","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

Lessons Learned about Developing Faith and Public Health Partnerships to Address Health Disparities. 关于发展信仰和公共卫生伙伴关系以解决健康差距的经验教训。

Community health equity research & policy Pub Date : 2024-01-01 Epub Date: 2023-03-06 DOI: 10.1177/2752535X231151850

Malcolm V Williams, Karen R Flórez, Cheryl A Branch, Jennifer Hawes-Dawson, Michael A Mata, Clyde W Oden, Kathryn P Derose

{"title":"Lessons Learned about Developing Faith and Public Health Partnerships to Address Health Disparities.","authors":"Malcolm V Williams, Karen R Flórez, Cheryl A Branch, Jennifer Hawes-Dawson, Michael A Mata, Clyde W Oden, Kathryn P Derose","doi":"10.1177/2752535X231151850","DOIUrl":"10.1177/2752535X231151850","url":null,"abstract":"Partnerships between public health and faith-based organizations draw on the strengths of both sectors to achieve a shared interest in promoting health and reducing disparities. However, information about implementation of faith and public health partnerships-particularly those involving diverse racial-ethnic groups-is limited. This paper reports on findings from qualitative interviews conducted with 16 public health and congregational leaders around the country as part of the early phase of the development of a faith and public health partnership to address health disparities in Los Angeles, CA. We identified eight themes regarding the barriers and facilitators to building faith and public health partnerships and distilled these into 10 lessons for developing such approaches. These interviews identified that engaging religious organizations often requires building congregational capacity of the congregation to participate in health programs; and that trust is a critically important element of these relationships. Further, trust is closely related to how well each organization involved in the partnership understands their partners' belief structures, approaches to addressing health and well-being and capacities to contribute to the partnership. Tailoring congregational health programs to match the interests, needs and capacity of partners was identified as an important approach to ensuring that the partnership is successful. But, this is complicated by working across multiple faith traditions and the racial-ethnic backgrounds, thus requiring increased and diverse communication strategies on the part of the partnership leadership. These lessons provide important information for faith and public health leaders interested in developing partnered approaches to address health in diverse urban communities.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"229-238"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10480341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10518810","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

Creating Food Learning Opportunities for Adults Within Urban Settings: A Framework for Food Pedagogies. 为城市环境中的成年人创造食物学习机会:食物教学法的框架。

Community health equity research & policy Pub Date : 2024-01-01 Epub Date: 2022-10-11 DOI: 10.1177/0272684X221118791

Soo Jin Park, Heather Yeatman, Joanna Russell, Catherine MacPhail

{"title":"Creating Food Learning Opportunities for Adults Within Urban Settings: A Framework for Food Pedagogies.","authors":"Soo Jin Park, Heather Yeatman, Joanna Russell, Catherine MacPhail","doi":"10.1177/0272684X221118791","DOIUrl":"10.1177/0272684X221118791","url":null,"abstract":"Globally, food is acknowledged as a primary focus for addressing challenges facing cities. City councils create and support food-related policies or strategies to enhance healthy and sustainable environments, and multiple food practitioners engage closely with these initiatives. However, the visibility of educational aspects of food within governments, policy development, public spaces, or across society is limited. There is a lack of evidence about how pedagogical frameworks can inform these initiatives. This study aims to develop a draft food pedagogies framework, whose application can inform food initiatives beyond the classroom to increase adults' awareness of, engagement with and empowered action relating to food, with the goal to advance societal health and sustainability. A qualitative approach included semi-structured interviews with 39 experienced food leaders from diverse food-related fields in Australia. Using thematic analysis, five key themes to assist adults learn about food in everyday life settings were identified: (1) Making use of (in)formal pedagogical spaces in communities; (2) Encouraging interactions with a range of people related to food; (3) Creating enjoyable and practical experiences as part of daily lives; (4) Developing supportive and transparent systems that reflect communities' needs; and (5) Utilizing broader social issues. A proposed framework, based on the five themes and existing theoretical frameworks, can be used to inform policy makers and diverse food practitioners to develop urban food strategies that aim to create food-centred changes within urban settings toward societal health and sustainability.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"165-175"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33520997","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

Freelisting: A Technique for Enhancing the Community Health Needs Assessment. 自由清单:一种加强社区卫生需求评估的技术。

Community health equity research & policy Pub Date : 2024-01-01 Epub Date: 2022-12-13 DOI: 10.1177/2752535X221146232

Marquita Decker-Palmer, David Klodowski, Trina Thompson, Marianna Lanoue, Allison Messina, Diana Schroeder, Shiryl Barto, Billy Oglesby, Rosemary Frasso

{"title":"Freelisting: A Technique for Enhancing the Community Health Needs Assessment.","authors":"Marquita Decker-Palmer, David Klodowski, Trina Thompson, Marianna Lanoue, Allison Messina, Diana Schroeder, Shiryl Barto, Billy Oglesby, Rosemary Frasso","doi":"10.1177/2752535X221146232","DOIUrl":"10.1177/2752535X221146232","url":null,"abstract":"US health systems are required to conduct community health needs assessments (CHNAs). These assessments often rely solely on publicly reported disease prevalence data. The objective of this study was to identify a feasible qualitative method that can be implemented into CHNAs to confirm existing information and enhance them with new data and community narrative. Freelisting interviews were conducted in 2017 throughout a county in Pennsylvania. Individuals listed (1) things that improve health, (2) health problems, and (3) health barriers. Responses were grouped into like terms, Smith's salience index was calculated for each, subgroup variation was assessed. Community-reported health priorities were identified by salient terms juxtaposed with publicly reported disease prevalence data. 98 respondents throughout the county participated in freelisting interviews. Demographics resembled the population: median age 55, 46% female, 88% Caucasian, 9% uninsured. Salient terms that improve health included: \"physical activity\", \"healthy eating\", and \"health services\". Salient terms describing health problems included: \"cardiovascular disease\" and \"spine and joint disease\". Centers for Disease Control and Prevention (CDC)-reported chronic disease prevalence in the county included heart disease mortality (22% of deaths) and arthritis (26% of adults). Salient barriers to health included: \"weight, physical activity, and dietary concerns\", as well as \"occupational concerns\". This is in line with 2017 County Health Rankings related to obesity (reported 29%), however, while 10% were uninsured in the community, this was not a salient term. Freelisting can augment and inform CHNAs. In this single-county study, freelisting responses supported publicly available disease/mortality prevalence data and provided insight into community perceptions of health issues.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"201-208"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10399731","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 Intersectional Impact of Disability and Immigration on Health: A Health Needs Assessment of Immigrants Living With Spinal Cord Injury in Houston, Texas. 残疾和移民对健康的交叉影响:德克萨斯州休斯顿脊髓损伤移民的健康需求评估

Community health equity research & policy Pub Date : 2024-01-01 Epub Date: 2023-01-20 DOI: 10.1177/2752535X221132445

Alane Celeste-Villalvir, Christine Kovic, Francisco Argüelles

{"title":"The Intersectional Impact of Disability and Immigration on Health: A Health Needs Assessment of Immigrants Living With Spinal Cord Injury in Houston, Texas.","authors":"Alane Celeste-Villalvir, Christine Kovic, Francisco Argüelles","doi":"10.1177/2752535X221132445","DOIUrl":"10.1177/2752535X221132445","url":null,"abstract":"Background: Immigrants with spinal cord injury (SCI) experience challenges with co-morbidities and lack of access to medical supplies and equipment. Much of the current disability and SCI literature does not include Latinx immigrants with SCI. To address this gap in knowledge, the present study explores the intersectional impact of disability and immigration on health as well as the health status and health needs of immigrants living with SCI.Methods: This community-partnered study is a secondary analysis of needs assessment data collected in February 2019 with 24 of the members of Living Hope Wheelchair Association, a nonprofit organization serving Latinx immigrants living with SCI in Houston, Texas.Results: Participants shared challenges with accessing healthcare, comorbidities, mental illness, transportation, and discrimination by healthcare professionals. They also shared difficulties accessing medical supplies, medical equipment, and the need for adaptations in their homes and vehicles.Conclusion: The findings corroborate those of previous studies with people with SCI, but highlights additional layers of marginalization and challenges faced by immigrants living with SCI. More research is needed to understand the health needs and health status of this population, including their access to care and management of chronic diseases such as diabetes and heart disease. Findings support the need for public health and immigration policies to promote inclusion and equitable access to services as well as improve the health and quality of life of immigrants.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"209-218"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10545281","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

As Much As I Can - Utilizing Immersive Theatre to Reduce HIV-Related Stigma and Discrimination Toward Black Sexual Minority Men. 尽我所能——利用沉浸式戏剧来减少与艾滋病有关的耻辱和对黑人性少数男性的歧视。

Community health equity research & policy Pub Date : 2024-01-01 Epub Date: 2022-10-03 DOI: 10.1177/0272684X221115920

Paul A Burns, Emily Klukas, Courtney Sims-Gomillia, Angela Omondi, Melverta Bender, Tonia Poteat

{"title":"As Much As I Can - Utilizing Immersive Theatre to Reduce HIV-Related Stigma and Discrimination Toward Black Sexual Minority Men.","authors":"Paul A Burns, Emily Klukas, Courtney Sims-Gomillia, Angela Omondi, Melverta Bender, Tonia Poteat","doi":"10.1177/0272684X221115920","DOIUrl":"10.1177/0272684X221115920","url":null,"abstract":"Background: Despite advances in biomedical HIV prevention modalities such as pre-exposure prophylaxis to prevent the transmission of HIV, racial/ethnic and sexual/gender minority populations are disproportionately impacted by HIV epidemic. Alarming rates of HIV have persisted among Black gay and bisexual men, particularly in Southern states.Methods: Utilizing data from the ViiV ACCELERATE! initiative, we explored the impact of As Much As I Can, an immersive theatre production, on HIV-related stigma behaviors. A self-administered post-performance survey was conducted with a cohort (n = 322) of randomly selected audience members.Results: Overall, the results showed participants had a highly favorable experience, rating the performance with a mean score of 9.77/10. Respondents indicated they intended to change behaviors to promote HIV prevention education and to reduce stigma and discrimination including: (1) Say something if I hear stigmatizing language against people living with HIV (75.4%), (2) Say something if I hear anti-gay language (69.7%) and (3) Tell others about HIV prevention options (e.g., PrEP, PEP, condoms (64.1%). The findings show there is an association between HIV-related behavior intention and linkage to HIV care. Respondents who reported they were more likely to say something about HIV stigma were almost three times (O.R. 2.77; 95% C.I. 0.98-7.8) more likely to indicate they would follow up with a healthcare professional.Conclusions: This study suggests that immersive theatre is an effective method for communicating HIV prevention education and reducing HIV-related structural stigma and discrimination that increases HIV vulnerability for Black sexual minority men.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"151-163"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40394267","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

Shifting the Paradigm From Participant Mistrust to Researcher & Institutional Trustworthiness: A Qualitative Study of Researchers' Perspectives on Building Trustworthiness With Black Communities. 从参与者不信任到研究者&机构可信度的范式转变:研究人员对黑人社区建立可信度观点的定性研究。

Community health equity research & policy Pub Date : 2024-01-01 Epub Date: 2022-09-20 DOI: 10.1177/0272684X221117710

Cynterria Henderson, Taylor Scott, Bee Schinder, Erricka Hager, Felicia Savage Friedman, Elizabeth Miller, Maya I Ragavan

{"title":"Shifting the Paradigm From Participant Mistrust to Researcher & Institutional Trustworthiness: A Qualitative Study of Researchers' Perspectives on Building Trustworthiness With Black Communities.","authors":"Cynterria Henderson, Taylor Scott, Bee Schinder, Erricka Hager, Felicia Savage Friedman, Elizabeth Miller, Maya I Ragavan","doi":"10.1177/0272684X221117710","DOIUrl":"10.1177/0272684X221117710","url":null,"abstract":"Introduction: Black communities are deeply underrepresented in research, due, in large part, to research mistrust. It is critical to shift the burden of trust building from communities to researchers and research institutions, which have perpetrated harm against Black communities for centuries. In this study, we examine researchers' perspectives on how to become trustworthy to Black-identifying participants and communities.Methods: We conducted semi-structured interviews with researchers affiliated with our institution's Clinical and Translational Science Institute. Participants were recruited through email and responded to the study team if they wished to participate. Interviews occurred through Zoom, took 60 minutes, and were audio recorded. We used an inductive thematic data analysis approach.Results: Sixteen researchers, who were affiliated with medicine, public health, psychology, education, and nursing, participated in this study. Participants agreed that researchers bear the responsibility for building trust and noted how critical it is to address the underrepresentation of Black participants in research through equitable recruitment and that researchers must be transparent and engage in reciprocal research practices. Community-partnered research was highlighted as a way to develop trustworthiness. Finally, participants noted that trustworthiness must also be built at the institutional level, rather than just by individual researchers.Discussion: To our knowledge, this is one of the first studies to examine researchers' perspectives on how to build their own trustworthiness, with a specific focus on trust-building with Black communities. Explicit training and resources are needed to build trustworthiness into academic centers.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"127-136"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40372881","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: 1

Understanding the Public Health Role, Motivations, and Perceptions of Community Health Workers Deployed to Low-Income Housing in Richmond, Virginia. 了解公共卫生的角色，动机，社区卫生工作者部署到低收入住房在里士满，弗吉尼亚州的看法。

Community health equity research & policy Pub Date : 2024-01-01 Epub Date: 2023-01-30 DOI: 10.1177/2752535X231154051

Iyabo Obasanjo, Alison Scott, Monica Griffin, Amma Agyemang-Duah, Charlie Westhoff, Stephanie Toney, Patrice Shelton

{"title":"Understanding the Public Health Role, Motivations, and Perceptions of Community Health Workers Deployed to Low-Income Housing in Richmond, Virginia.","authors":"Iyabo Obasanjo, Alison Scott, Monica Griffin, Amma Agyemang-Duah, Charlie Westhoff, Stephanie Toney, Patrice Shelton","doi":"10.1177/2752535X231154051","DOIUrl":"10.1177/2752535X231154051","url":null,"abstract":"Background: For the US health indicators to improve to the level of other developed countries, the use of Community Health Workers (CHWs) in vulnerable populations has been indicated as a possible long-term intervention. There are few models of long-term deployment of CHWs as part of the district level public health system in the US.Method: In this study we interviewed CHWs who served as neighborhood-integrated health district staff assigned to low-income housing in Richmond, Virginia for 10 years. Qualitative analyses of their taped and transcribed interviews resulted in 5 themes from the interviews. The themes were Activities, Satisfaction, Strengths, Facilitation/Resources and Challenges. We highlighted quotes from the CHWs interviews for themes and summarized the findings from each theme.Results: CHWs carried out a variety of activities daily and these were described. The CHWs were generally satisfied with their job because it enabled them to assist others. The strength of their communities was resilience, and the resources they needed more included physical resources, human resources, political support, and more comprehensive programming. Their client's challenges include transportation, mental health, and physical safety and the CHWs challenge to effectively carrying out their work with clients was trust by community members.Conclusion: The information garnered from the CHWs would be useful in designing CHW programs at other health districts.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"219-227"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10586485","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

"Black Women Don't Always Put Our Healthcare First": Facilitators and Barriers to Cervical Cancer Screening and Perceptions of Human Papillomavirus Self-Testing Among Church-Affiliated African American Women. “黑人妇女并不总是把我们的医疗保健放在第一位”:在教会附属的非裔美国妇女中，宫颈癌筛查的促进者和障碍以及对人类乳头瘤病毒自我检测的看法。

Community health equity research & policy Pub Date : 2024-01-01 Epub Date: 2022-09-20 DOI: 10.1177/0272684X221115494

Kelsey Christensen, Alexandria G Bauer, Tacia Burgin, Joah Williams, Joan McDowd, Gary Sutkin, Kymberly Bennett, Carole Bowe Thompson, Jannette Y Berkley-Patton

{"title":"\"Black Women Don't Always Put Our Healthcare First\": Facilitators and Barriers to Cervical Cancer Screening and Perceptions of Human Papillomavirus Self-Testing Among Church-Affiliated African American Women.","authors":"Kelsey Christensen, Alexandria G Bauer, Tacia Burgin, Joah Williams, Joan McDowd, Gary Sutkin, Kymberly Bennett, Carole Bowe Thompson, Jannette Y Berkley-Patton","doi":"10.1177/0272684X221115494","DOIUrl":"10.1177/0272684X221115494","url":null,"abstract":"Background: African American women are at greater risk for cervical cancer incidence and mortality than White women. Up to 90% of cervical cancers are caused by human papillomavirus (HPVs) infections. The National Institutes of Health (NIH) co-developed HPV self-test kits to increase access to screening, which may be critical for underserved populations. Purpose/Research Design: This mixed methods study used the Theory of Planned Behavior to examine attitudes, barriers, facilitators, and intentions related to receipt of cervical cancer screening and perceptions of HPV self-testing among church-affiliated African American women. Study Sample/Data Collection: Participants (N = 35) aged 25-53 participated in focus groups and completed a survey. Results: Seventy-four percent of participants reported receipt of cervical cancer screening in the past 3 years. Healthcare providers and the church were supportive referents of screening. Past trauma and prioritizing children's healthcare needs were screening barriers. Concerns about HPV self-testing included proper test administration and result accuracy. Conclusions: Strategies to mitigate these concerns (e.g., delivering HPV self-test kits to the health department) are discussed.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"137-150"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40372884","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