Delaware journal of public health最新文献

{"title":"Delaware Mini Medical School: An Expeditionary and Health Literacy Program for Youth, Young Adults, and Those Exploring New Career Options.","authors":"Timothy E Gibbs, Nicole Sabine","doi":"10.32481/djph.2024.12.08","DOIUrl":"10.32481/djph.2024.12.08","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 5","pages":"62-65"},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607458","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":"Improving Postpartum Follow-Up with Telehealth: Did the Pandemic Nudge Us in a Better Direction?","authors":"Kathryn Vollum Woodroof, Melanie Chichester, Karen Antell, Diana Wohler","doi":"10.32481/djph.2024.12.03","DOIUrl":"10.32481/djph.2024.12.03","url":null,"abstract":"<p><strong>Objective: </strong>To investigate if a telehealth option as the initial postpartum visit would increase postpartum visit attendance.</p><p><strong>Methods: </strong>This was a retrospective cohort study of women receiving prenatal care through a federally qualified health center, Westside Family Health in Delaware, comparing attendance at a postpartum visit before telehealth was an option (2018) versus after the onset of the pandemic (2021). Representative random samples were taken from one year of deliveries pre- and post-implementation of the telehealth visit option. The primary outcome of this study was attendance of any postpartum visit before and after the option of a telehealth visit.</p><p><strong>Results: </strong>A total of 700 subjects were enrolled, with 349 subjects pre-telehealth and 351 subjects post-telehealth implementation. Our population was >50% Hispanic/Latina and >40% Spanish- speaking. The post-implementation group had a significantly higher attendance of the postpartum visit (83.95% vs. 90.60%, p-value 0.0092, OR 1.887, 95% CI 1.171-3.043).</p><p><strong>Conclusion: </strong>There was a significant increase in the rate of postpartum visit attendance with the addition of a telehealth visit option. Postpartum depression screening was negatively impacted by the introduction of the telehealth visit.</p><p><strong>Public health implications: </strong>The recommendation for all women post-delivery is to see their obstetric provider within the first 3 weeks postpartum. This includes assessing for complications, postpartum wellness and interconception care planning before 12 weeks post-delivery. We found that there was a significant increase in the rate of postpartum visit attendance with the addition of a telehealth visit option. Telemedicine has increased dramatically with the COVID-19 pandemic, and patients are satisfied with telehealth as an option for care. Telemedicine offers the convenience of portable health care. However, those in underserved populations may or may not be able to access care through telemedicine, as telehealth requires reliable internet service, a smartphone or computer, and digital literacy. Lack of access to any of these may create health care disparities, especially in disadvantaged or vulnerable populations.</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 5","pages":"6-10"},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607464","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":"Executive Summary of the Delaware State Health Assessment:: 2022-2023 Report.","authors":"","doi":"10.32481/djph.2024.12.07","DOIUrl":"https://doi.org/10.32481/djph.2024.12.07","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 5","pages":"60"},"PeriodicalIF":0.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607461","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":"PNC's Commitment to Economic Prosperity Through Early Learning.","authors":"Greg Miraglia","doi":"10.32481/djph.2024.10.06","DOIUrl":"https://doi.org/10.32481/djph.2024.10.06","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 4","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570446","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":"Invest in Early Care and Education to Build Delaware's Healthcare Workforce of Today and Tomorrow.","authors":"Colleen Perry Keith, Brian DiSabatino","doi":"10.32481/djph.2024.10.07","DOIUrl":"https://doi.org/10.32481/djph.2024.10.07","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 4","pages":"24"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570432","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":"It's Time for Transformational Investments in Early Childhood in Delaware.: Help Advocates Make It Happen.","authors":"Donald Parsons","doi":"10.32481/djph.2024.10.05","DOIUrl":"https://doi.org/10.32481/djph.2024.10.05","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 4","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570441","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":"Navigating Life: Delaware Families Experiencing Homelessness with Young Children.","authors":"Annette Pic","doi":"10.32481/djph.2024.10.12","DOIUrl":"10.32481/djph.2024.10.12","url":null,"abstract":"<p><strong>Objective: </strong>This study explored the lived experience of Delaware families residing in homeless shelters and motels with young children. We focused on their daily experiences to gain understanding about their day-to-day living to foster understanding about optimal supports that can facilitate more permanent housing arrangements.</p><p><strong>Methods: </strong>We used qualitative approaches to obtain descriptions about the daily lives of families experiencing homelessness with young children. Semi-structured interviews were conducted between November 2022 and February 2023. This study analyzes data from three families using open and thematic coding methods.</p><p><strong>Results: </strong>Families experiencing homelessness with young children discussed their struggle to locate housing, attend to day-to-day tasks, and maintain and obtain employment. Having access to conveniently located affordable and available child care and reliable transportation were discussed across the themes.</p><p><strong>Conclusions: </strong>Evidence building through gathering pertinent qualitative information is a critical step toward understanding the needs of families experiencing homeless. Findings from this study can inform state-level policy and state and non-profit agencies' practices.</p><p><strong>Policy implications: </strong>Current policies that support family homelessness could be adjusted to better address connecting families to resources (e.g., direct connection to landlords), transportation (e.g., increasing allotted bus passes, providing a \"free\" monthly bus pass), and child care (e.g., co-located care - shelter plus child care, funding enrollment slots left \"open\" specifically for families experiencing homelessness).</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 4","pages":"46-52"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570443","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":"Families and Businesses in Delaware Share a Common Challenge: Child Care.","authors":"Michael J Quaranta","doi":"10.32481/djph.2024.10.11","DOIUrl":"https://doi.org/10.32481/djph.2024.10.11","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 4","pages":"44"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570427","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":"Youth Mental Health in the Wake of the COVID-19 Pandemic.","authors":"Rebecca McColl, Erin Nescott","doi":"10.32481/djph.2024.10.14","DOIUrl":"10.32481/djph.2024.10.14","url":null,"abstract":"<p><strong>Objective: </strong>In this article we examine the current state of youth mental health across the United States and in Delaware, and discuss the impact of the COVID-19 pandemic on the mental health and well-being of children and adolescents.</p><p><strong>Methods: </strong>We review available literature detailing the short- and long-term effects of the COVID-19 pandemic on youth mental health and discuss the resultant programmatic and legislative efforts in Delaware and nationally.</p><p><strong>Results: </strong>The COVID-19 pandemic had a severe impact on the mental health of young people. The prevalence of depression and anxiety among children and adolescents, which was already increasing pre-pandemic, spiked after the pandemic's onset. Even as public health precautions have lifted, young people continue to struggle with mental health in conjunction with lower levels of educational achievement, hindered social development, increased screen time, diminished access to effective mental healthcare, and economic instability. The negative impact of the pandemic will continue to have ramifications on the health and wellbeing of young people for years to come.</p><p><strong>Conclusions: </strong>Compiling evidence examining mental health trends is an important first step to understanding the impact of the pandemic on child and adolescent mental health and developing effective solutions.</p><p><strong>Policy implications: </strong>Although the official state of emergency is over, the effects of the COVID-19 pandemic are far-reaching and long-lasting. It is imperative that legislators and program administrators in Delaware and nationally work to ensure that young people and their families have access to affordable, high quality mental healthcare.</p>","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 4","pages":"62-66"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570448","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":"Delaware's Progress and Potential in Early Childhood.","authors":"Lynn C Jones","doi":"10.32481/djph.2024.10.09","DOIUrl":"10.32481/djph.2024.10.09","url":null,"abstract":"","PeriodicalId":72774,"journal":{"name":"Delaware journal of public health","volume":"10 4","pages":"28"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11526697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570392","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}