Delaware journal of public health最新文献

{"title":"HIV Prevention in Delaware: A Local and Global Public Health Crisis.","authors":"Suzan Abdallah","doi":"10.32481/djph.2025.04.05","DOIUrl":"https://doi.org/10.32481/djph.2025.04.05","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"11 1","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065382","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}

{"title":"Food is Medicine: The Effectiveness of Delaware's Feeding Families Program in Managing Chronic Conditions.","authors":"John Oluwadero, Lydia De Leon, Megan Falgowski, Eunice Holman, Nicole Kennedy, Maggie Norris-Bent, Heather Patosky, Ruthann Richardson, Mia Seibold, Tara Tracy, Megan Werner, Samuel VanHorne, Allison Karpyn","doi":"10.32481/djph.2025.04.04","DOIUrl":"https://doi.org/10.32481/djph.2025.04.04","url":null,"abstract":"<p><strong>Background: </strong>The \"Food is Medicine\" (FIM) model bridges healthcare and food access to mitigate chronic health conditions and address social determinants of health.</p><p><strong>Objectives: </strong>This study assesses the impact of the Feeding Families (FF) program, a FIM initiative by Westside Family Healthcare in Delaware, which was conducted between February 2023 and February 2024 and designed to support individuals with diabetes, hypertension, and obesity.</p><p><strong>Methods: </strong>We employed a quasi-experimental design to evaluate the implementation and effectiveness of the program over 12 months. The FF program provided participants with nutrient-dense food, bi-weekly nutrition counseling, and behavioral support. Data on body mass index (BMI), glycated hemoglobin (A1C), and fruit and vegetable intake were collected from 43 participants at baseline, midpoint, and endpoint. Participant knowledge, dietary behaviors and food insecurity, changes in goal setting, consumption of sodium, sugar, and fats were also assessed.</p><p><strong>Results: </strong>Participants demonstrated significant reductions in BMI and improved dietary behaviors, including decreased consumption of sodium, sugar, and fats. While changes in A1C levels were not statistically significant, the overall trend indicated improvement. The program also led to modest enhancements in food security.</p><p><strong>Conclusion: </strong>The Feeding Families program contributes to improving health outcomes among populations with chronic diseases, particularly in reducing BMI and promoting healthier dietary behaviors around sodium, sugar, and fat consumption.</p><p><strong>Policy implications: </strong>The Feeding Families program demonstrates the potential of integrating tailored nutrition, behavioral support, and healthcare services to manage chronic conditions through 'Food Is Medicine' best practices, and its impact on BMI, salt, sugar and fat reduction among other benefits. Delaware should prioritize FIM, including establishing Medicaid waivers for funding.</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"11 1","pages":"10-18"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035968","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}

{"title":"Global Health Literacy: Delaware and Beyond!","authors":"Greg O'Neill","doi":"10.32481/djph.2025.04.06","DOIUrl":"https://doi.org/10.32481/djph.2025.04.06","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"11 1","pages":"24-25"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059118","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}

{"title":"Voice of a Shadow: Reflections on Wellbeing.","authors":"Mark D Mason","doi":"10.32481/djph.2025.04.11","DOIUrl":"https://doi.org/10.32481/djph.2025.04.11","url":null,"abstract":"<p><p>A psychologist shares his observations shadowing resident, fellow and attending physicians, and the unexpected impacts on culture, health, and wellbeing.</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"11 1","pages":"64-65"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024842","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}

{"title":"Measles is Just a Harbinger.","authors":"Catherine Troisi","doi":"10.32481/djph.2025.04.08","DOIUrl":"https://doi.org/10.32481/djph.2025.04.08","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"11 1","pages":"50-52"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060640","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}

{"title":"The Importance of a Systems Approach to Health Workforce Wellbeing.","authors":"Maureen Leffler, Kathryn Godfrey","doi":"10.32481/djph.2025.04.10","DOIUrl":"https://doi.org/10.32481/djph.2025.04.10","url":null,"abstract":"<p><p>Recently we honored the second annual Health Workforce Wellbeing Day, intended to assess our progress and recommit our focus on improvements, which are critically necessary for the health and wellbeing of both healthcare workers and the general population. We have seen tremendous progress in supporting healthcare worker mental health and a deepening awareness of how operational challenges in the workplace contribute to occupational distress. Approaching health workforce wellbeing with a better understanding of root causes of burnout and a holistic and systems-oriented approach to improvement is progress worth celebrating and paves the way for more promising approaches and significant improvements.</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"11 1","pages":"60-62"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054587","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}

{"title":"Emerging Autochthonous Transmission of Travel-Associated Vector-Borne Infections in the Continental United States.","authors":"Steven Duncan, Stephen Eppes","doi":"10.32481/djph.2025.04.13","DOIUrl":"https://doi.org/10.32481/djph.2025.04.13","url":null,"abstract":"<p><p>Over the past 20 years, the continental United States has experienced unprecedented local transmission of infectious diseases which were previously only known to be travel-associated. Confirmed infections have included malaria, dengue, chikungunya, zika, and leishmaniasis. Scientific projection models predict an increasing risk of such infections in the future, particularly in southern states along the Gulf Coast. Outbreaks may reflect changes in climate conditions, infrastructural capacity, and patterns of human behavior.</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"11 1","pages":"68-71"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022328","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}

{"title":"Sustaining the Fight : Maintaining HIV Service Funding in Delaware.","authors":"Christopher Moore, Tyler Berl","doi":"10.32481/djph.2025.04.15","DOIUrl":"https://doi.org/10.32481/djph.2025.04.15","url":null,"abstract":"<p><p>Delaware has made significant progress in the fight against HIV, thanks to increased access to testing, treatment, and community-driven prevention services. However, this progress is now at risk due to a heavy reliance on federal funding-particularly the $1.1 million annual support from the CDC's Division of HIV Prevention-which is currently under threat. Without sustained investment, Delaware could see drastic reductions in HIV testing, education, and outreach, especially among marginalized populations who are already disproportionately affected. Community-based organizations like AIDS Delaware and the Delaware HIV Consortium play a vital role in delivering culturally competent care, case management, and prevention services across the state. Funding cuts would not only jeopardize their efforts but could lead to a resurgence in HIV transmissions and long-term public health costs. Delaware's HIV response is a model of effectiveness, equity, and compassion-but it cannot survive without stable funding. Continued investment is both a fiscal responsibility and a moral obligation to protect the health of all Delawareans.</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"11 1","pages":"98-99"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993669","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}

{"title":"Addressing Antimicrobial Resistance by Changing Our Relationships with Microbes: Lessons from Japan.","authors":"Melissa K Melby, Kohei Watanabe, Louis-Patrick Haraoui","doi":"10.32481/djph.2025.04.07","DOIUrl":"https://doi.org/10.32481/djph.2025.04.07","url":null,"abstract":"<p><p>Antimicrobial resistance (AMR) is a global health problem, but it is only the 'tip of the iceberg' of microbial disruption caused by antibiotics. Under the surface, cultural factors such as understandings of and attitudes toward microbes may play a significant role influencing relationships between humans and microbes. Western strategies to address pathogenic microbes and AMR often overlook the symbiotic relationship humans share with beneficial microbes (our microbiota), viewing humans as separate from nature and focusing on control. Given the increasing prevalence of novel pathogens, antimicrobial resistance, and chronic illnesses associated with disturbed microbiota (dysbiosis), alternative approaches are needed. Cross-cultural studies may provide ways forward. An exploration of Japanese perspectives on microbes through the lens of food and health reveals practices where microbes are often regarded as partners and friends rather than foes.</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"11 1","pages":"28-31"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013003","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}

{"title":"A Suitcase Full of Hope and a Heart Full of Service.","authors":"Prishu Gaire","doi":"10.32481/djph.2025.04.12","DOIUrl":"https://doi.org/10.32481/djph.2025.04.12","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"11 1","pages":"66"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12051886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054411","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}