Journal of community medicine & public health最新文献

{"title":"Lessons from a Community Health Worker Home-visiting Program to Reduce Infant Mortality Among Black Mothers in Ohio","authors":"C. Swoboda, A. McAlearney, Terri Menser, Cynthia J. Sieck, Jennifer L. Hefner, D. Walker, Timothy R. Huerta","doi":"10.29011/2577-2228.100051","DOIUrl":"https://doi.org/10.29011/2577-2228.100051","url":null,"abstract":"The Ohio Infant Mortality Reduction Initiative (OIMRI) aims to reduce infant mortality rates among black infants in Ohio by employing community health workers (CHWs) to conduct home visits. At these home visits, CHW activities include: refer-ring mothers to health and social services, educating mothers, giving mothers needed supplies, and providing social support. This study uses participant self-report data collected by CHWs from 2010 to 2015 and interviews with county-level program managers from 14 counties in Ohio. Program data and interviews were used to describe ways clients were recruited, client gestational age at enrollment and start of prenatal care, number of prenatal care visits, ways that OIMRI helps facilitate prenatal care, and barriers to staying in the program. Findings indicate that the earlier participants were recruited into OIMRI, the more prenatal care visits they attended, which may relate to whether barriers like transportation and poor/inconsistent housing were addressed. Programs like OIMRI may help reduce risk factors for infant mortality by improving the uptake of prenatal care.","PeriodicalId":73682,"journal":{"name":"Journal of community medicine & public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45970075","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}

{"title":"Genetic Epidemiologic Analysis of Hypertensive Retinopathy in an Underrepresented and Rare Federally Recognized Native American Population of the Intermountain West.","authors":"Patrice M. Hicks, Samuel A Collazo Melendez, A. Vitale, W. Self, M. Hartnett, P. Bernstein, Denise J. Morgan, M. Feehan, A. Shakoor, Ivana K. Kim, Leah A. Owen, M. DeAngelis","doi":"10.29011/2577-2228.100052","DOIUrl":"https://doi.org/10.29011/2577-2228.100052","url":null,"abstract":"Understanding disease risk is challenging in multifactorial conditions as it can differ by environment, ethnicity and race. The Confederated Tribes of the Goshute Reservation are one of the most isolated populations in the United States. Retinal changes are a reliable indicator for systemic disease. We conducted a cross-sectional study to identify correlations between genetic data and epidemiological risk factors for blinding retinal disease in this tribe. As part of the \"Supporting Prediction and Prevention Blindness Project (SPBPP)\" in the Native American Population of the Intermountain West, we found that hypertensive retinopathy was the most prevalent retinal disease. We found that forty-two percent of the Goshute population was affected. Blood samples, fundus photos and intraocular pressure were obtained for all participants. In addition, a standardized questionnaire was administered. DNA and total cholesterol, HDL, LDL, VLDL, triglycerides and HbA1c were also evaluated. Our study interrogated genetic variants from the PAGE study (ARMS2 rs10490924, CFH rs800292, rs1061170) and additional studies that looked at previously associated genetic variants with retinal disease associated with cardiovascular disease. We conducted univariate and multivariate logistic regression in Stata v15.0. We found an association between hypertriglyceridemia and HTR (adjp = .05) within the Goshute population. To the best of our knowledge, this is the first study to demonstrate the prevalence of hypertensive retinopathy in a Native American population. Moreover, our study is the first to demonstrate an independently predictive relationship between hypertriglyceridemia and hypertensive retinopathy in an American Indian population. This study furthers our knowledge about prevalent blinding eye disease within the most geographically isolated federally recognized native United States American tribe, for which nothing has been published with respect to any disease. Although, this study furthers our understanding about the prevalence of genetic epidemiological risk factors within this population, it has greater implications for the screening of blinding diseases in underserved populations in general. This study can inform public health on planning and delivering of quality, accessible and relevant care to this population.","PeriodicalId":73682,"journal":{"name":"Journal of community medicine & public health","volume":"3 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69474242","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}

{"title":"Genetic Epidemiologic Analysis of Hypertensive Retinopathy in an Underrepresented and Rare Federally Recognized Native American Population of the Intermountain West.","authors":"Patrice M Hicks, Samuel A Collazo Melendez, Albert Vitale, William Self, Mary Elizabeth Hartnett, Paul Bernstein, Denise J Morgan, Michael Feehan, Akbar Shakoor, Ivana Kim, Leah A Owen, Margaret M DeAngelis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Understanding disease risk is challenging in multifactorial conditions as it can differ by environment, ethnicity and race. The Confederated Tribes of the Goshute Reservation are one of the most isolated populations in the United States. Retinal changes are a reliable indicator for systemic disease. We conducted a cross-sectional study to identify correlations between genetic data and epidemiological risk factors for blinding retinal disease in this tribe. As part of the \"Supporting Prediction and Prevention Blindness Project (SPBPP)\" in the Native American Population of the Intermountain West, we found that hypertensive retinopathy was the most prevalent retinal disease. We found that forty-two percent of the Goshute population was affected. Blood samples, fundus photos and intraocular pressure were obtained for all participants. In addition, a standardized questionnaire was administered. DNA and total cholesterol, HDL, LDL, VLDL, triglycerides and HbA1c were also evaluated. Our study interrogated genetic variants from the PAGE study (ARMS2 rs10490924, CFH rs800292, rs1061170) and additional studies that looked at previously associated genetic variants with retinal disease associated with cardiovascular disease. We conducted univariate and multivariate logistic regression in Stata v15.0. We found an association between hypertriglyceridemia and HTR (adj<i>p</i> = .05) within the Goshute population. To the best of our knowledge, this is the first study to demonstrate the prevalence of hypertensive retinopathy in a Native American population. Moreover, our study is the first to demonstrate an independently predictive relationship between hypertriglyceridemia and hypertensive retinopathy in an American Indian population. This study furthers our knowledge about prevalent blinding eye disease within the most geographically isolated federally recognized native United States American tribe, for which nothing has been published with respect to any disease. Although, this study furthers our understanding about the prevalence of genetic epidemiological risk factors within this population, it has greater implications for the screening of blinding diseases in underserved populations in general. This study can inform public health on planning and delivering of quality, accessible and relevant care to this population.</p>","PeriodicalId":73682,"journal":{"name":"Journal of community medicine & public health","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6716530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285492","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":"An Investigation of the Development of Cultural Competence in Undergraduate Nursing Students: A Mixed-Methods Study","authors":"J. G. Knecht, Joyce. S. Fontana, B. Fischer, Rsm, Ba, Jessie Tetrault, Katherine R. Spitz","doi":"10.29011/2577-2228.100044","DOIUrl":"https://doi.org/10.29011/2577-2228.100044","url":null,"abstract":"Background: American nursing students are required to competently care for patients from diverse cultural backgrounds, yet few studies have demonstrated effective methods for increasing cultural competence in undergraduate nursing programs. Methods: A convergent mixed-methods study explored the effect of participation in an embedded, culturally diverse service-learning program on students’ development of cultural competence. The Inventory for Assessing the Process of Cultural Competence Among Health Care Professionals-Student Version (IAPCC-SV) and focus group interviews were used for data collection and analysis. Results: Students who participated in the culturally diverse program had significantly higher mean scores on the IAPCC-SV. Focus group interviews revealed themes of enlightenment, competence and connection, which were congruent with the quantitative data. Conclusion: Results support the use of a culturally diverse service learning program as a means to increasing cultural competence in undergraduate nursing students.","PeriodicalId":73682,"journal":{"name":"Journal of community medicine & public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44648925","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}

{"title":"Pilot Projects Advance Community Health Workers in Chicago Underserved Communities","authors":"Shields Mc, L. Price, Wandy Hernandez, M. Shields","doi":"10.29011/2577-2228.100037","DOIUrl":"https://doi.org/10.29011/2577-2228.100037","url":null,"abstract":"A strategic goal of the Institute of Medicine of Chicago (IOMC) is to advance the health of the underserved. In pursuit of that goal, in partnership with Blue Cross and Blue Shield of Illinois and others, IOMC raised funds for one-year pilot projects for the training of Community Health Workers (CHWs). The four grantees were varied: a community college, a community organization, a non-profit health advocacy organization and a network organization of CHWs. The training programs drew CHWs from underserved communities and addressed 1) public policy advocacy, 2) mental health first aid, 3) pelvic health","PeriodicalId":73682,"journal":{"name":"Journal of community medicine & public health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42568259","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}

{"title":"Preventive Health Care Behavior Among Albanian American Population; The Albanian Heath Initiative: A Study by the Albanian American Medical Society©.","authors":"I. Lukolic, G. Veseli, E. Lulaj, L. Çoku, S. Çelaj, P. Pochi, M. Salifu, Tafaj Olta, Samy I McFarlane","doi":"10.29011/2577-2228.100036","DOIUrl":"https://doi.org/10.29011/2577-2228.100036","url":null,"abstract":"Background\u0000Preventive health care measures among immigrants and minority groups are generally underutilized. While there is data available regarding healthcare utilization among several ethnic minorities in the USA, little is known regarding health behavior among Albania American communities.\u0000\u0000\u0000Objectives\u0000To assess the rate of preventive health screening measures among Albanian American immigrants.\u0000\u0000\u0000Methods\u0000Cross sectional analysis of data obtained through anonymous surveys offered to Albanian-American adults over eighteen years of age.\u0000\u0000\u0000Results\u0000Of the 175 participants, 52% were females in the age range of 18-80 years. Body Mass Index (BMI) measured as Kg/m2 was 29.0 ± 0.62 (± SEM) versus 26.3±0.73 for men and women respectively, P < 0.01. Of the above participants of 50 years of age and older, 62% had screening colonoscopy and 49% had hepatitis C screening test irrespective of their gender. Out of the eligible female participants, 68% had a pap smear and 71% had a mammogram.\u0000\u0000\u0000Conclusion\u0000Preventive health measures such as colonoscopy, mammography and hepatitis C screening, were somewhat comparable to USA population including minority groups. There was a higher rate of marriage among our Albanian cohort (67.5%), compared to that reported in the US A (50.0% reported in 2013). Interestingly, colonoscopy screening rate was higher among USA born and married Albanians.","PeriodicalId":73682,"journal":{"name":"Journal of community medicine & public health","volume":"2 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69474177","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}

{"title":"Functional Modification of Bone Tissues After Treatment with the Biofield Energy Treated Vitamin D3 in Human Bone Osteosarcoma Cells (MG-63)","authors":"J. Balmer, M. Trivedi, A. Branton, Dahryn Trivedi, G. Nayak, Sambhu Mondal, S. Jana","doi":"10.29011/2577-2228/100035","DOIUrl":"https://doi.org/10.29011/2577-2228/100035","url":null,"abstract":"Author(s): Balmer, Joy Angevin; Trivedi, Mahendra Kumar; Branton, Alice; Trivedi, Dahryn; Nayak, Gopal; Mondal, Sambhu Charan; Jana, Snehasis | Abstract: The potential of Consciousness Energy Treated vitamin D3 and DMEM in human bone osteosarcoma cells (MG-63) was investigated. The Test Items (TI), were separated into two parts. One part of each sample was received Biofield Energy Treatment by Joy Angevin Balmer and defined as Biofield Treated (BT) samples, while other parts of each sample were denoted as Untreated Test Items (UT). The cell viability results revealed test samples were found as safe upto 100 µg/mL. ALP was significantly increased by 84.62% in BT-DMEM + BT-TI at 0.1 µg/mL, while increased by 118.24% and 241.62% in UT-DMEM + BT-TI and BT-DMEM + UT-TI, respectively at 1 µg/mL than UT-DMEM + UT-TI. Moreover, ALP was significantly elevated by 43.56% and 192.08% in UT-DMEM + BT-TI and BT-DMEM + UT-TI, respectively at 10 µg/mL than untreated. Collagen was significantly increased by 112.24%, 83.68%, and 142.88% in UT-DMEM + BT-TI, BT-DMEM + UT-TI, and BT-DMEM + BT-TI, respectively at 0.1 µg/mL than untreated. Further, collagen was significantly elevated by 75.39%, 106.15%, and 113.87% in UT-DMEM + BT-TI, BT-DMEM + UT-TI, and BT-DMEM + BT-TI at 1 µg/mL than UT-DMEM + UT-TI. Besides, bone mineralization was remarkably increased by 106.2% and 95.20% at 100 µg/mL in BT-DMEM + UT-TI and BT-DMEM + BT-TI, respectively than untreated. Overall, Biofield Energy Treated vitamin D3 was significantly improved bone health parameters and could be able to fight against various bone-related disorders (osteoporosis, rickets, low bone density, osteogenesis imperfecta), autoimmune and inflammatory diseases, stress, and anti-aging improving overall health.","PeriodicalId":73682,"journal":{"name":"Journal of community medicine & public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46128227","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}

{"title":"The Role of Dashboards in Long Lasting Insecticidal Nets (LLIN) Campaigns: A Pilot Report from Nigeria","authors":"Akubue Augustine Uchenna, J. Saleh, Dr. Abdullahi Saddiq, Ukor Nkiruka Calista, Dr. Ekweremadu Isaac, Ikeonu Caroline Obianuju, W. Komakech, Ada Erinne, Angela Anwagom Izegbune, A. I. Chimezie, Dr. Abonyi, Dominic Ojiabor, Joseph Akam Ingwu, ere Alvana, Opara Emmanuel Chinedu, John Anderson, Rex G. Mpazanje, Alemu Wondimagegnehu, Dr. Bala Mohammed, Audu, A. Nkwa","doi":"10.29011/2577-2228.100034","DOIUrl":"https://doi.org/10.29011/2577-2228.100034","url":null,"abstract":"Background: Although there are various malaria intervention measures, the Long-Lasting Insecticidal Nets (LLIN) are considered as the most cost-effective intervention measure for malaria endemic countries. This study critically aims to look at the role of dashboards in the 2017 LLIN replacement campaigns that took place across five states (Adamawa, Edo, Imo, Kwara, and Ondo) in Nigeria. Methods: This study conducted an in-depth review of the technical assistance provided by the WHO National Professional Officers on malaria to the five states that implemented the LLIN replacement campaign in 2017 in Nigeria - Adamawa, Edo, Imo, Kwara, and Ondo. Dashboards as strategic monitoring tools were deployed at stages to monitor the pre-implementation. The findings from the dashboards at different stages of the campaign were analysed using the SPSS version 24. Results: The result shows that out of 17 variables on the pre-implementation dashboards, the gaps flagged-off using the dashboard at 3 weeks’ pre-implementation in the implementing states dropped from a maximum of 88.2% (15/17) in Kwara state, 82.3% (14/17) in Edo state, 76.5% (13/17) in Ondo state, and 70.6% (12/17) in Adamawa and Imo states respectively to 0% (0/17) across all the states at three days to the campaign implementation. Also documented is the progressive increase in the proportion of distribution points (DPs) with LLINs by days of implementations from 32% to 45%, 68%, 80% and 100% in day1, day2, day3, day 4 and day 5 respectively. Conclusion: On the overall, this study further underscores the need to scale up the use of the LLIN dashboards that would be monitored using a ‘virtual situation-room’ with the technical input from the WHO NPOs on a real-time basis. This innovation in the malaria control programme in Nigeria would promptly flag-off key issues that potentially affect the quality of the LLIN campaign in Nigeria.","PeriodicalId":73682,"journal":{"name":"Journal of community medicine & public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45659500","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}

{"title":"Preventive Health Care Behavior Among Albanian American Population; The Albanian Heath Initiative: A Study by the Albanian American Medical Society©.","authors":"I Lukolic,&nbsp;G Veseli,&nbsp;E Lulaj,&nbsp;L Çoku,&nbsp;S Çelaj,&nbsp;P E Pochi,&nbsp;M O Salifu,&nbsp;Tafaj Olta,&nbsp;S I McFarlane","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Preventive health care measures among immigrants and minority groups are generally underutilized. While there is data available regarding healthcare utilization among several ethnic minorities in the USA, little is known regarding health behavior among Albania American communities.</p><p><strong>Objectives: </strong>To assess the rate of preventive health screening measures among Albanian American immigrants.</p><p><strong>Methods: </strong>Cross sectional analysis of data obtained through anonymous surveys offered to Albanian-American adults over eighteen years of age.</p><p><strong>Results: </strong>Of the 175 participants, 52% were females in the age range of 18-80 years. Body Mass Index (BMI) measured as Kg/m2 was 29.0 ± 0.62 (± SEM) versus 26.3±0.73 for men and women respectively, P < 0.01. Of the above participants of 50 years of age and older, 62% had screening colonoscopy and 49% had hepatitis C screening test irrespective of their gender. Out of the eligible female participants, 68% had a pap smear and 71% had a mammogram.</p><p><strong>Conclusion: </strong>Preventive health measures such as colonoscopy, mammography and hepatitis C screening, were somewhat comparable to USA population including minority groups. There was a higher rate of marriage among our Albanian cohort (67.5%), compared to that reported in the US A (50.0% reported in 2013). Interestingly, colonoscopy screening rate was higher among USA born and married Albanians.</p>","PeriodicalId":73682,"journal":{"name":"Journal of community medicine & public health","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10527908","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}