Ohio journal of public health最新文献_第4页

Ohio's Public Hospital System: Challenges and Opportunities 俄亥俄州公立医院系统:挑战与机遇

Ohio journal of public health Pub Date : 2023-02-15 DOI: 10.18061/ojph.v5i2.9120

Sterling Shriber, P. Rath

{"title":"Ohio's Public Hospital System: Challenges and Opportunities","authors":"Sterling Shriber, P. Rath","doi":"10.18061/ojph.v5i2.9120","DOIUrl":"https://doi.org/10.18061/ojph.v5i2.9120","url":null,"abstract":"Public hospitals have long been a cornerstone of the American health care system, providing an increased share of care to indigent and historically marginalized populations. Public hospitals have provided an increased share of their revenues as community benefit spending, often taking on added roles of community service and civic consequence. The number of public hospitals has decreased nationally over recent decades, with the forces of hospital system consolidation and increasing technological and medical complexity being contributory. As the architecture of public hospital structure governance differs by state or even municipality, public hospitals have become sensitive to political currents in their respective localities. This article serves as an analysis and commentary on the current state of the public hospital network in Ohio. While Ohio has both state-operated and city or county-operated hospital systems, special attention is given here to the latter, which have been decreasing in number at an alarming rate over recent years. Despite recent challenges, the system harbors substantial potential to both rural and urban communities alike. A call to action, inclusive of civic support and new investment, should be made to bolster Ohio’s public hospital system for the benefit of its communities.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48255278","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

A Close-up Examination of Racial Disparities in Infant and Maternal Outcomes in Montgomery County, Ohio 俄亥俄州蒙哥马利县婴儿和产妇结局种族差异的特写研究

Ohio journal of public health Pub Date : 2023-02-15 DOI: 10.18061/ojph.v5i2.9096

Kelsey M. Harman, Keith M Reisinger-Kindle, R. Maxwell

{"title":"A Close-up Examination of Racial Disparities in Infant and Maternal Outcomes in Montgomery County, Ohio","authors":"Kelsey M. Harman, Keith M Reisinger-Kindle, R. Maxwell","doi":"10.18061/ojph.v5i2.9096","DOIUrl":"https://doi.org/10.18061/ojph.v5i2.9096","url":null,"abstract":"Background: Infant and maternal outcomes in Montgomery County, Ohio, are among the worst in the state and rival that of many low-income nations. This study compares maternal and infant outcomes across 3 zip codes in Montgomery County to discern factors that are influencing health outcomes for their residents. The zip codes represent 3 distinct communities with unique racial and socioeconomic makeups.\u0000Methods: A cohort of mother-infant dyads (n=5098) who delivered at Miami Valley Hospital and Good Samaritan Hospital from January 1, 2009, to January 1, 2019, was analyzed via retrospective chart review. Maternal health outcome composite score (MCS) and infant health outcome composite score (ICS) from Trotwood, Ohio, (zip code 45426) were compared to those of 2 nearby zip codes (45415 and 45424), which were chosen for their lower infant mortality rates and proximity to Trotwood. Continuous variables were compared by ANOVA followed by post hoc Tukey tests. Categorical variables were compared via chi-square analysis.\u0000Results: The MCS and ICS were stratified by zip code and maternal age, race, and BMI. There was a statistically significant difference in MCS for race and BMI across all zip codes, but no statistically significant difference for maternal age. There was no statistically significant difference in ICS across maternal age, race, and BMI.\u0000Conclusion: Maternal outcomes for Black women were consistently worse across communities while outcomes for other races varied. Our study shows that maternal outcomes did not correlate with infant outcomes, indicating that interventions focusing on improving maternal outcomes may be inadequate at addressing infant outcomes. Investigations surrounding race-specific interventions in all populations are needed.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42200272","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

Examining Suicidal Thoughts and Behaviors Among Ohio Youth with Oppressed Identities Using the 2019 Ohio Youth Risk Behavior Survey 利用2019年俄亥俄州青少年风险行为调查，研究俄亥俄州被压迫身份青少年的自杀想法和行为

Ohio journal of public health Pub Date : 2023-01-23 DOI: 10.18061/ojph.v5i2.8878

C. Bauder, Austin G. Starkey

{"title":"Examining Suicidal Thoughts and Behaviors Among Ohio Youth with Oppressed Identities Using the 2019 Ohio Youth Risk Behavior Survey","authors":"C. Bauder, Austin G. Starkey","doi":"10.18061/ojph.v5i2.8878","DOIUrl":"https://doi.org/10.18061/ojph.v5i2.8878","url":null,"abstract":"Background: Suicide is the second leading cause of death among youth aged 10 to 14 years and third for those aged 15 to 24 years in the United States and in Ohio. Suicidal thoughts and behaviors disparately affect youth with oppressed identities, including those with oppressed racial, ethnic, gender, and sexual minority identities. The purpose of this study was to examine the relationship between self-reports of suicidal thoughts and behaviors among Ohio youth with oppressed identities. This research also contextualizes relationships between these indicators through the context of intersectionality. \u0000Methods: This cross-sectional descriptive study used responses from the 2019 Ohio Youth Risk Behavior Survey (YRBS; n = 1263) to examine the relationships between identity variables and suicidal thoughts and behaviors through a series of logistic regression models. \u0000Results: Female youth have higher odds of reporting persistent feelings of sadness and hopelessness and seriously considering suicide than male youth. Lesbian, gay, or bisexual (LGB) youth have higher odds of reporting all outcome measures of suicidal thoughts and behaviors (STBs), and youth with oppressed racial and ethnic identities were in general more likely to report higher odds of STBs when compared to White youth. \u0000Conclusion: Suicidal thoughts and behaviors disparately affect youth with these oppressed identities. Our findings suggest further examination of these youth nationally may influence public health suicide prevention strategies. Implica-tions also suggest that researchers, practitioners, and organizations across the spectrum of youth suicide prevention in Ohio should understand the increased risk that youth with multiple, intersectional oppressed identities face for suicide.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48161296","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

Mixed Methods Evaluation of State Targeted Response to the Opioid Crisis in Ohio 俄亥俄州阿片类药物危机国家目标反应的混合方法评估

Ohio journal of public health Pub Date : 2023-01-23 DOI: 10.18061/ojph.v5i2.8979

R. T. Sherba, Julia Dionne, Jessica Linley

{"title":"Mixed Methods Evaluation of State Targeted Response to the Opioid Crisis in Ohio","authors":"R. T. Sherba, Julia Dionne, Jessica Linley","doi":"10.18061/ojph.v5i2.8979","DOIUrl":"https://doi.org/10.18061/ojph.v5i2.8979","url":null,"abstract":"Background: In 2017, the Substance Abuse and Mental Health Services Administration awarded State Targeted Response (STR) grants through the 21st Century Cures Act to help states address the opioid crisis. While there are publications that discuss how each state allocated their STR grant awards, there is a paucity of evaluations illustrating the impact of STR grant activities on clients of opioid use disorder (OUD) treatment, family members of persons living with OUD, community professionals whose work involves addressing OUD, as well as impacts on local communities. This longitudinal qualitative study assessed the impact of STR grant-funded projects on communities in Ohio particularly hard hit by the opioid epidemic.\u0000Methods: Data were collected through a mixed research methodology from November 2017 through April 2019. Epidemiologists conducted focus groups and administered surveys in 4 geographically different areas of the state. Study objectives included assessments of community messaging related to opioids, level of perceived stigma for OUD, knowledge of available services and processes for accessing them, and perception of community treatment service needs.\u0000Results: A total of 940 respondents participated in 3 cycles (6 months each) of focus groups. Key findings included increased naloxone knowledge and experience, increased proportion of persons living with OUD receiving medication-assisted treatment (MAT), and a 2.5 time increase in the number of reported positive observations of community change. While the level of perceived stigma for OUD remained consistent (moderate) throughout the study, respondents throughout cycles observed an increasing number of community approaches, such as public awareness campaigns and recovery rallies, to impart knowledge, change attitudes, and reduce stigma.\u0000Conclusion: Evaluations of STR funded activities and programs could help illustrate the value that additional funding might have over time in reducing stigma related to OUD and increasing knowledge of available treatment services in communities.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49581535","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

Virtual Alternatives and Technological Disparities 虚拟替代与技术差距

Ohio journal of public health Pub Date : 2022-08-24 DOI: 10.18061/ojph.v5i1.9146

Sheryl L. Chatfield

引用次数: 0

The Importance of Communication in Collaborative Community Development: Lessons Learned from Three Cases 沟通在社区合作发展中的重要性——三个案例的经验教训

Ohio journal of public health Pub Date : 2022-08-24 DOI: 10.18061/ojph.v5i1.8721

A. Leuchtag, Luke Bressler, Ashley R. Banks, Daniel Skinner

{"title":"The Importance of Communication in Collaborative Community Development: Lessons Learned from Three Cases","authors":"A. Leuchtag, Luke Bressler, Ashley R. Banks, Daniel Skinner","doi":"10.18061/ojph.v5i1.8721","DOIUrl":"https://doi.org/10.18061/ojph.v5i1.8721","url":null,"abstract":"Collaborative community development projects aimed at promoting economic vitality, with attendant consequences as a key social determinant of health, necessarily pose questions about how to best communicate between developers, project partners, and community members. Many such projects are taking place across the United States, including in Ohio. This commentary draws on examples from 3 communities (2 outside of our state of Ohio, and another in the Linden neighborhood of Columbus, Ohio) to distill 3 key lessons in the area of communication. First, we argue that communication should be proactive, not reactive. Second, we explain why planners should be consistent in the provision of updates related to progress or lack thereof in real time on websites and apps, all while ensuring that information remains current. Third, though communication remains an under-appreciated aspect of partnership-based community development work, including explicitly health-oriented work, we argue that communicating progress to community members is not only logistically important, but part of a broader effort to build trust within communities in order to create long-lasting and sustainable change. This trust, after all, is a necessary foundation for community-focused workconcerned with addressing the social determinants of health.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41735899","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

From Procurement to Consumption: A Model to Understand Nutrition Policy Implementation in Permanent Supportive Housing 从采购到消费：一个理解永久性保障性住房营养政策实施的模型

Ohio journal of public health Pub Date : 2022-08-24 DOI: 10.18061/ojph.v5i1.8829

Rebekah Russell, Briana Mcintosh, N. Palmer, Morgan Taggart, Erika S. Trapl

{"title":"From Procurement to Consumption: A Model to Understand Nutrition Policy Implementation in Permanent Supportive Housing","authors":"Rebekah Russell, Briana Mcintosh, N. Palmer, Morgan Taggart, Erika S. Trapl","doi":"10.18061/ojph.v5i1.8829","DOIUrl":"https://doi.org/10.18061/ojph.v5i1.8829","url":null,"abstract":"Background: Food insecurity has become an increasingly complex public health issue across the United States, particularly among various people battling with current or previous homelessness. This project sought to understand the food system in permanent supportive housing sites (PSH) that serve formerly homeless individuals and to explore the use of nutrition standards, specifically the Food Service Guidelines for Federal Facilities (FSGFFs), in this context.\u0000Methods: Participants were members of the administrative staff involved in the food procurement process, food preparation, administrative tasks, and daily operations in a small-intensive program managed by a local nonprofit agency that serves 12 adults over the age of 18 who experience chronic homelessness and persistent mental illness, or substance use disorders, and a second PSH site that helps 41 low-income adults with health conditions experiencing homelessness. The PSH Inquiry Tool (PSH-IT) was developed to better understand the business operations at each site, and the PSH Audit (PSH-A) was created to assess the applicability of FSGFF at each site.\u0000Results: Findings suggest that funding mechanisms, staff training, staff capacity, and access to nutrition education were critical barriers to the successful development and implementation of nutrition standards in PSH sites. Furthermore, findings suggest that adaptations to FSGFFs are required before implementation at PSH sites.\u0000Conclusion: This report advocates for increased involvement of community stakeholders to support nutrition policy development and implementation, a nutrition policy that impacts all levels of the food system from procurement to consumption, and local, state, or federal policy changes to support improved nutrition in PSH.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46259197","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

Perceptions of How Integrated Care Impacts Treatment in Rural Settings 综合护理如何影响农村环境中的治疗

Ohio journal of public health Pub Date : 2022-08-24 DOI: 10.18061/ojph.v5i1.8394

D. Graham, Samantha Nandyal, Salonas Ayad

{"title":"Perceptions of How Integrated Care Impacts Treatment in Rural Settings","authors":"D. Graham, Samantha Nandyal, Salonas Ayad","doi":"10.18061/ojph.v5i1.8394","DOIUrl":"https://doi.org/10.18061/ojph.v5i1.8394","url":null,"abstract":"\u0000Background: In light of the changing face of health care, it is important that practitioners and researchers begin to think strategically regarding comprehensive and accessible care. The purpose of this research study is to provide a deeper understanding of change among health care providers who work on multidisciplinary teams and the impact on patient outcomes.\u0000Methods: This research was designed as an exploratory phenomenological research study. The experience of interest was how providers described changes in care when working in an integrated care context. Eight semistructured in-depth interviews were conducted with physicians, nurse practitioners, social workers, and psychologists from locations in Southern Ohio, Central Maine, and Eastern Tennessee. Data were analyzed using qualitative coding to find patterns with and across participants associated with their perceptions of health integration.\u0000Results: Final developed themes described provider perceptions of working in an integrated care environment, and included access to care, interprofessional education, communication between providers.\u0000Conclusion: Through interviews and a review of the literature, we have found that as integrated care is employed throughout the country, patients have better health outcomes and providers experience efficient and effective work environments. Providers have adapted to the changing environment of integrative medicine; through this study we see that these changes have been for the benefit of the patients. Patients who disproportionately suffer from a lack of health care resources, such as those in rural areas, may benefit greatly from an integrated care model.\u0000","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42658212","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

Depressive Symptoms and Perception of COVID-19 Risk in Ohio Adults 俄亥俄州成年人的抑郁症状和COVID-19风险感知

Ohio journal of public health Pub Date : 2022-08-24 DOI: 10.18061/ojph.v5i1.8805

Katarina M. Bischof, P. Chakraborty, W. Miller, A. Turner

{"title":"Depressive Symptoms and Perception of COVID-19 Risk in Ohio Adults","authors":"Katarina M. Bischof, P. Chakraborty, W. Miller, A. Turner","doi":"10.18061/ojph.v5i1.8805","DOIUrl":"https://doi.org/10.18061/ojph.v5i1.8805","url":null,"abstract":"Background: We assessed the relationship between depressive symptoms and perceived COVID-19 risk in the next month.\u0000Methods: This analysis used survey data collected during a July 2020 cross-sectional study using a household-based probability sampling design. A total of 615 noninstitutionalized, English- and/or Spanish-speaking adults in Ohio were included. Depressive symptoms screening occurred using the Patient Health Questionnaire-2 (PHQ-2). We applied survey weights so that presented analyses represent the adult population in Ohio. We performed log-risk regression modeling (generalized linear model with binomial distribution and log link) to estimate unadjusted and covariate-adjusted prevalence ratios examining the association between screening positive for depressive symptoms and perceived risk of COVID-19 in the next month.\u0000Results: The study population was majority female (59.1%) and White (90.3%). The mean age was 55.9 years (standard deviation (SD)=17.3). About 1 in 20 (4.6%) screened positive for depressive symptoms. A positive depressive symptoms screen was not significantly associated with perceived risk of COVID-19 in the next month (prevalence ratio [PR]=0.75; 95% confidence interval [CI]=0.25–2.24). After confounder adjustment, the adjusted prevalence ratio (aPR) was nearly unchanged (aPR=0.78; 95% CI=0.24–2.55).\u0000Conclusion: As depression is often associated with anxiety and pessimism toward the future, the lack of association between depressive symptoms screening and perception of COVID-19 risk in the next month is surprising. Social withdrawal, which is also associated with depression, may have concealed any increased perceived COVID-19 risk, as depressed individuals who remained socially isolated may have had lower perceived COVID-19 risk.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44511348","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

Adverse Childhood Experiences, Race, and Health Outcomes: Examining a Synergistic Relationship 不良童年经历、种族和健康结果:检验协同关系

Ohio journal of public health Pub Date : 2022-08-24 DOI: 10.18061/ojph.v5i1.8982

Helen Gu, N. Vallabh, W. Motley

引用次数: 0