Ohio journal of public health最新文献_第5页

Hearing Loss: Applying the Social-Ecological Model for Change 听力损失:应用社会生态模型进行改变

Ohio journal of public health Pub Date : 2022-08-24 DOI: 10.18061/ojph.v5i1.8386

A. Hinson-Enslin, H. McClintock

{"title":"Hearing Loss: Applying the Social-Ecological Model for Change","authors":"A. Hinson-Enslin, H. McClintock","doi":"10.18061/ojph.v5i1.8386","DOIUrl":"https://doi.org/10.18061/ojph.v5i1.8386","url":null,"abstract":"Introduction: The proportion of Ohioans experiencing deafness or serious difficulty hearing is higher than national estimates and is increasing over time.\u0000Purpose: The purpose of this study is to describe the burden, risk factors, comorbidities, and financial implications of hearing loss in Ohio as well as discuss approaches to reduce the burden of hearing loss in Ohio applying the Social-Ecological Model\u0000Methods: A narrative review was completed to summarize peer-reviewed literature on hearing loss in Ohio. The Social-Ecological Model was applied to identify approaches to reduce the burden of hearing loss in Ohio.\u0000Results: The burden of hearing loss on health and economic well-being is substantial in Ohio. While initiatives have sought to reduce costs and increase access, barriers continue to persist impeding people’s ability to obtain needed services in Ohio. Approaches were identified on all levels of the Social-Ecological Model to address the burden of hearing loss in Ohio such as creating interventions for prevention, improving access to hearing tests and hearing aids, and changing policies that expand insurance coverage for hearing aids.\u0000Conclusion: There is a critical need for public health-initiated programs and policies that reduce barriers and increase access to hearing related services that can be implemented on all levels of the Social-Ecological Model.","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":"46796598","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

Referrals to Mental Health Services in Ohio: An Exploration of Time to First Referral After Completion of Mental Health First Aid Gatekeeper Training 俄亥俄州的心理健康服务转诊：心理健康急救员培训完成后首次转诊时间的探索

Ohio journal of public health Pub Date : 2022-08-24 DOI: 10.18061/ojph.v5i1.8478

J. Song, Kimberly R. Laurene, D. Kenne

{"title":"Referrals to Mental Health Services in Ohio: An Exploration of Time to First Referral After Completion of Mental Health First Aid Gatekeeper Training","authors":"J. Song, Kimberly R. Laurene, D. Kenne","doi":"10.18061/ojph.v5i1.8478","DOIUrl":"https://doi.org/10.18061/ojph.v5i1.8478","url":null,"abstract":"Background: The college population is particularly vulnerable to mental health challenges. In 2020 only 46.2% of people with a mental illness received mental health services. Mental Health First Aid (MHFA) is a training course designed to teach people how to connect individuals in need of professional services to the appropriate resources.\u0000Methods: Mental Health First Aid (MHFA) trainings were offered to students, faculty, and staff at Kent State University. Data from 343 individuals, who completed the MHFA gatekeeper training, were analyzed to explore the impact of time and participant characteristics on the likelihood of first referral to mental health services after completion of the MHFA. Participants completed a pretraining and posttraining paper questionnaire on the day of MHFA training and received a monthly online follow-up survey to assess self-reported referrals over time.\u0000Results: After completing MHFA, the average time until first referral was approximately 3 months. Several participant characteristics were significantly associated with referral to mental health services. African American and Black participants who completed the training were more likely to make a referral as compared to White participants. Extraversion was associated with increased likelihood of making a referral, while emotional stability was associated with a decreased likelihood of making a referral.\u0000Conclusion: Participants were 5.7% less likely to first report referring with each passing month following the MHFA training, suggesting that there may be cause for an MHFA or similar gatekeeper “booster” course to highlight the importance of making referrals.","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":"48227035","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

Patient Access to Care: In-Network and Out-of-Network Utilization of Services 患者获得护理：网络内和网络外的服务利用

Ohio journal of public health Pub Date : 2022-08-24 DOI: 10.18061/ojph.v5i1.8673

B. Lanese, Nora Alrubaie

{"title":"Patient Access to Care: In-Network and Out-of-Network Utilization of Services","authors":"B. Lanese, Nora Alrubaie","doi":"10.18061/ojph.v5i1.8673","DOIUrl":"https://doi.org/10.18061/ojph.v5i1.8673","url":null,"abstract":"Background: Access to health care is impacted by several key factors such as urbanization, insurance coverage, availability of health care facilities, specialists, and equipment. For an in-depth understanding of Portage County area residents' health care utilization location choices, a study was conducted to identify the main factors and assess health care outmigration.\u0000Methods: A total of 125 292 patients were identified using 2019 administrative health data from University Hospitals Portage Medical Center in Portage County, Ohio. A descriptive analysis, t test, and chi-square tests were used to examine 3 primary outcomes: (1) patients’ demographics (age, gender, insurance, etc.), (2) time and distance patients are willing to travel for care, and (3) health services demand that is causing outmigration. \u0000Results: An analysis of 119 034 patients showed 66% of patients stayed in network and 34% went out of network. In-network participants had an average travel time of 30 minutes [95% CI, 29.5 to 29.8] and an average distance of 19.4 miles [95% CI, 15.9 to 16.1]. Conversely, out-of-network participants averaged 43 minutes [95% CI, 43.1 to 43.5] and 30.8 miles [95% CI, 30.4 to 30.8]. Outmigration was mainly influenced by the need for radiology services (66.3%), specifically mammograms (12.7%), computerized tomography (CT) (39.2%), and lab (18.2%).\u0000Conclusion: Outmigration can negatively impact a county's health care infrastructure and growth and contribute to a loss of revenue to the local hospitals. In this case, out-of-network services are more commonly used for radiology and lab work than for chronic conditions. It is recommended that both physicians and patients become knowledgeable about the impact of seeking out-of-network care","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":"43624676","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

Health Disparities in Liver Cancer: An Analysis of the Ohio Cancer Incidence Surveillance System 癌症健康差异：俄亥俄州癌症发病监测系统分析

Ohio journal of public health Pub Date : 2022-08-24 DOI: 10.18061/ojph.v5i1.8514

Robert B. Hood, R. Andridge, S. Sealy-Jefferson, A. Felix

{"title":"Health Disparities in Liver Cancer: An Analysis of the Ohio Cancer Incidence Surveillance System","authors":"Robert B. Hood, R. Andridge, S. Sealy-Jefferson, A. Felix","doi":"10.18061/ojph.v5i1.8514","DOIUrl":"https://doi.org/10.18061/ojph.v5i1.8514","url":null,"abstract":"Background: We explored associations between neighborhood deprivation and tumor characteristics, treatment, and 5-year survival among primary hepatocellular carcinoma (HCC) patients in Ohio diagnosed between 2008 and 2016. \u0000Methods: We used data from the Ohio Cancer Incidence Surveillance System and limited our analysis to adult (>18 years of age) HCC patients with known census tract information based on address at diagnosis. Using principal components analysis, we created a neighborhood deprivation index (NDI) using 9 census tract-level variables. We examined associations between tumor characteristics (stage and tumor size) and NDI quintile using chi-square tests and analysis of variance (ANOVA). Associations between guideline-concordant care and NDI using log-binomial regression adjusted for sex, race, age at diagnosis, metropolitan status, cancer stage, and year of diagnosis were conducted. For 5-year survival, we utilized Cox proportional hazards models with a similar adjustment set.\u0000Results: Neighborhood deprivation index was not associated with stage or tumor size. Individuals living in the most deprived neighborhoods were 16% less likely to receive guideline-concordant care as compared to individuals living in the least deprived neighborhoods (adjusted prevalence ratio [PR]: 0.84; 95% confidence interval [CI]: 0.74-0.94). Similarly, individuals living in the most deprived neighborhoods were 15% less likely to survive 5 years compared to individuals living in the least deprived neighborhoods (adjusted Hazard Ratio: 1.15; 95% CI: 1.01-1.29). \u0000Conclusion: Our results suggest a negative association between neighborhood deprivation on guideline-concordant care and survival among HCC patients. Interventions targeting disparities of HCC should focus not only on individual-level factors but address larger neighborhood level factors as well.","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":"47459552","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

“How do we get to them?” Insights on Preconception and Interconception Health for Women in Rural Northwest Ohio “我们怎么去找他们?”俄亥俄州西北部农村妇女孕前和孕间健康状况调查

Ohio journal of public health Pub Date : 2022-08-24 DOI: 10.18061/ojph.v5i1.8739

Akia D. Clark, Natalie A. DiPietro Mager

{"title":"“How do we get to them?” Insights on Preconception and Interconception Health for Women in Rural Northwest Ohio","authors":"Akia D. Clark, Natalie A. DiPietro Mager","doi":"10.18061/ojph.v5i1.8739","DOIUrl":"https://doi.org/10.18061/ojph.v5i1.8739","url":null,"abstract":"Background: Rural women in the United States are at increased risk for poor preconception and interconception health. In a previous study, women living in Hardin County, a Primary Care Health Professional Shortage Area and maternity care desert in rural northwest Ohio expressed their concerns and their need for more resources to improve their health. As a follow-up study, key informants of Hardin County were interviewed to provide further insight on current resources for preconception and women’s health available to community members, barriers and challenges community members face, and interventions could be implemented in the county to improve health and pregnancy outcomes.\u0000Methods: A purposive sample of 14 key informants from community assets in Hardin County were recruited and individually interviewed with semistructured questions from 2 domains: perceived needs and barriers to care. Interview recordings were transcribed, precoded, and thematically analyzed. Participants received a $20 gift card as a token of appreciation. \u0000Results: Three themes were characterized from the data: current resources available, community observations, and suggested intervention strategies. Key informants identified the federally-qualified health center and YMCA, among others, as potentially underutilized resources for reproductive-age women. The small-town culture was described as both an advantage and disadvantage when trying to raise awareness about preconception/interconception health. Interventions built on partnerships and utilizing various outlets were suggested. Childcare, intergenerational knowledge transfer, and trust were issues crossing multiple themes.\u0000Conclusion: Key informants gave direction on available resources for reproductive-age women and potential approaches to provide education and outreach regarding preconception/interconception health and care.","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":"44592371","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

Increasing Parenting Self-Efficacy Through a Community Partnership in Akron, Ohio 俄亥俄州阿克伦市通过社区伙伴关系提高育儿自我效能

Ohio journal of public health Pub Date : 2022-08-24 DOI: 10.18061/ojph.v5i1.8765

Annette Sues-Mitzel, Alexandria Coffey, M. Espe-Sherwindt, D. Gothard, Deborah Maglionico, Heather Ekers, Ameeca Holmes, Monika Hale-Johnson, Heather Wuensch, Mary Douglas

{"title":"Increasing Parenting Self-Efficacy Through a Community Partnership in Akron, Ohio","authors":"Annette Sues-Mitzel, Alexandria Coffey, M. Espe-Sherwindt, D. Gothard, Deborah Maglionico, Heather Ekers, Ameeca Holmes, Monika Hale-Johnson, Heather Wuensch, Mary Douglas","doi":"10.18061/ojph.v5i1.8765","DOIUrl":"https://doi.org/10.18061/ojph.v5i1.8765","url":null,"abstract":"Background: The Nurturing Family Program (NFP) is a family-centered educational curriculum designed to equip parents with tools and techniques to support a nurturing relationship with their child. While there have been many evaluations of the NFP, no evaluations to date measure how the curriculum may influence parenting self-efficacy, how confident a caregiver feels about their ability to foster their child’s development and success, or parenting stress.\u0000Methods: This community-based interventional study used a convenience sample of families recruited from community agencies or within a pediatric medical center. Families with one or more children aged 0 to 5 years, premature infants or an infant discharged from the neonatal intensive care unit (NICU), and/or adolescent parents were invited to participate in NFP. Participants were recruited from community agencies that were most likely to work with populations meeting program eligibility criteria. The NFP was offered as in-home and community-based sessions. The primary outcome of interest was perceived parental self-efficacy, measured using the Tool to Measure Parenting Efficacy (TOPSE) at weeks 1, 5, and 10. The secondary outcome of interest was perceived level of stress, as measured by a visual analog scale each week.\u0000Results: Participants of community-based sessions (n=45) experienced a significant increase in parenting self-efficacy at week 10, compared to week 1 and week 5 (p <0.01). Overall, participants of the community-based sessions experienced an average increase of 17.7 points on the TOPSE scale (p =0.014). Across all participants (n=79), each session attended resulted in a modest, but significant, 3% reduction in stress (p =0.021).\u0000Conclusion: The NFP improved parental self -efficacy among participants of the community-based sessions and reduced perceived stress for all participants.","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":"49421580","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

Ohio Journal of Public Health Vol. 5, Issue 1 (August 2022): Full Issue 俄亥俄州公共卫生杂志第5卷，第1期(2022年8月):完整版

Ohio journal of public health Pub Date : 2022-08-24 DOI: 10.18061/ojph.v5i1.9195

Ohio Public Health Association Opha

引用次数: 0

Vision Care Utilization and Insurance Coverage Prior to and Following Medicaid Expansion in Ohio 俄亥俄州医疗补助扩张前后的视力保健利用和保险范围

Ohio journal of public health Pub Date : 2022-08-24 DOI: 10.18061/ojph.v5i1.8685

D. VanNasdale, Matthew L. Robich, Lisa A. Jones-Jordan, Erica R. Shelton, Megan S. Hurley, Andrew Wapner, S. Williams, David Monder, Marc Molea, J. Crews

{"title":"Vision Care Utilization and Insurance Coverage Prior to and Following Medicaid Expansion in Ohio","authors":"D. VanNasdale, Matthew L. Robich, Lisa A. Jones-Jordan, Erica R. Shelton, Megan S. Hurley, Andrew Wapner, S. Williams, David Monder, Marc Molea, J. Crews","doi":"10.18061/ojph.v5i1.8685","DOIUrl":"https://doi.org/10.18061/ojph.v5i1.8685","url":null,"abstract":"Background: Increased access and utilization of vision care services has the potential to reduce preventable vision loss. The state of Ohio has been uniquely proactive when collecting vision-oriented data through population health surveys, including the Behavioral Risk Factor Surveillance System (BRFSS). These data can be used to better understand vision care utilization patterns and access to insurance.\u0000Methods: Responses to 3 items administered in the Ohio BRFSS that assess vision care utilization and insurance coverage were compared between 2 different administration periods, 2005-2011 and 2018-2019, using chi-square tests. Comparable data from 2 items assessing eye care utilization were available in 2005-2011 and 2019. Comparable data for insurance coverage were available in 2005-2011 and in 2018-2019. Responses were further stratified by population characteristics, including age, gender, household income, and education level.\u0000Results: The percentages of those reporting eye exams in the previous year were not significantly different between 2005-2011 and 2019 (chi-square, p = 0.06). In Ohio, the primary reason for not seeing a vision care provider in the past 12 months was “No reason to go” in 2005-2011 and in 2019. The second most common reason for not seeing a vision care provider in the past 12 months was “Cost/insurance,” which decreased between 2005-2011 and 2019 (chi-square, p <0.001). Insurance coverage for eye care increased between 2005-2011 and 2018-2019 (chi-square, p <0.001). Important differences were found within the demographic stratification.\u0000Conclusion: Population health surveillance data provide useful insight into vision care utilization and insurance coverage. Despite the increase in insurance coverage, eye care provider utilization remains relatively stable.","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":"45728812","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

OJPH: New Editor-in-Chief, Enduring Public Health Challenges OJPH：新主编，持久的公共卫生挑战

Ohio journal of public health Pub Date : 2022-01-28 DOI: 10.18061/ojph.v4i2.8774

Sheryl L. Chatfield

引用次数: 0

The High Cost of Opioid Use in Pregnancy 妊娠期阿片类药物使用的高成本

Ohio journal of public health Pub Date : 2022-01-28 DOI: 10.18061/ojph.v4i2.8407

Michael D. Jacobson, J. Wilson, Anna Squibb, L. Kellar

{"title":"The High Cost of Opioid Use in Pregnancy","authors":"Michael D. Jacobson, J. Wilson, Anna Squibb, L. Kellar","doi":"10.18061/ojph.v4i2.8407","DOIUrl":"https://doi.org/10.18061/ojph.v4i2.8407","url":null,"abstract":"Background: Numerous investigators have highlighted the need to integrate opioid use disorder (OUD) treatment with maternity care. Since data first became available in 2014, Montgomery County (Ohio) has experienced the highest rates of OUD and unintended opioid overdose deaths in the state. This paper examines the demographics and costs of medical treatment for pregnant women with OUD and their newborns with prenatal exposure to opioids (PEO). Methods: The study involved a retrospective records review of all newborns born between May 1, 2016, and April 30, 2017, at a large, urban medical center. Newborns with PEO were matched with a control group by mother's type of insurance, race/ethnicity, method of birth, and maternal parity. Results: Establishing which of the pregnant women should be diagnosed with OUD and be included in the study group was inordinately challenging. Ultimately, of the 3841 infants birthed during the study period, 131 (3.4%) were iden-tified as being born to mothers with OUD. Significantly more mothers with OUD were White and on Medicaid. Only 25 (19.2%) mothers with OUD engaged in treatment for substance use. Compared to the control group, newborns with PEO were much more likely (71.4% versus 25.4%) to be admitted to the NICU and had much longer lengths of stay in both the NICU (mean of 14.4 versus 4.1 days) and hospital (16.9 versus 5.8 days), resulting in dramatic increases in health care cost. Conclusion: These data underscore the need for a comprehensive, systematic approach to OUD and PEO and affirm the government as a major stakeholder in the care of infants born to these women.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42060906","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