Ohio journal of public health最新文献_第7页

Toledo Naloxone Outreach Program: Patient and Health Care Professional Student Education 托莱多纳洛酮推广计划:病人和卫生保健专业学生教育

Ohio journal of public health Pub Date : 2021-06-21 DOI: 10.18061/ojph.v4i1.8072

Alex Petrak, Luke Zona, Jeni Ten Eyck, M. Karamchandani, T. Singh

{"title":"Toledo Naloxone Outreach Program: Patient and Health Care Professional Student Education","authors":"Alex Petrak, Luke Zona, Jeni Ten Eyck, M. Karamchandani, T. Singh","doi":"10.18061/ojph.v4i1.8072","DOIUrl":"https://doi.org/10.18061/ojph.v4i1.8072","url":null,"abstract":"Background: In 2016, Ohio was home to 2 of the top 10 cities with opioid overdoses in the United States. Dayton ranked first, and Toledo held the tenth slot. In response to the opioid epidemic, the Toledo Naloxone Outreach Program (TNOP) was developed to provide naloxone to underserved patients at a student-run free clinic.Methods: The TNOP takes place weekly at 2 locations in the greater Toledo area. Patients are asked to fill out an anonymous survey and given a brief training session by a health care professional student. Patients are then sent home with a free naloxone kit. Additionally, health care professional students were surveyed on their confidence of acquiring a substance use history and knowledge of local services for patients and family members of those experiencing addiction during the \"train the trainer\" event. The health care professional student survey utilized a 1-5 Likert scale and was analyzed using paired student t tests.Results: Survey results from patients indicate that a majority had not received nalox one prior to the training, indicating the service was expanding access to an otherwise underserved population. Results from the survey administered before and after health care professional student training sessions reflect a significant increase in confidence eliciting a substance abuse history and providing patients and/or family members with addiction resources in the community.Conclusion: The TNOP has provided the community of Toledo with 2 additional outreach locations for receiving free naloxone kits with proper education. Currently, TNOP is in the process of expanding the outreach program to additional student-run free clinics in Ohio.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43321695","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

Keeping the Public Healthy During a Global Pandemic 在全球大流行期间保持公众健康

Ohio journal of public health Pub Date : 2021-06-21 DOI: 10.18061/ojph.v4i1.8365

A. Ferketich

引用次数: 0

Unintended Consequences: Social Isolation in the Elderly During COVID-19 意外后果：新冠肺炎期间老年人的社会隔离

Ohio journal of public health Pub Date : 2021-06-21 DOI: 10.18061/ojph.v4i1.8066

Geoffrey Carney-Knisely

引用次数: 0

Sight for All United: Five Year Impact of a Vision Foundation on its Community 团结所有人的视力:视力基金会对其社区的五年影响

Ohio journal of public health Pub Date : 2021-06-21 DOI: 10.18061/ojph.v4i1.8074

Ankur Parikh, Meredith Spitz, Cooper T. Johnson, S. Erzurum

{"title":"Sight for All United: Five Year Impact of a Vision Foundation on its Community","authors":"Ankur Parikh, Meredith Spitz, Cooper T. Johnson, S. Erzurum","doi":"10.18061/ojph.v4i1.8074","DOIUrl":"https://doi.org/10.18061/ojph.v4i1.8074","url":null,"abstract":"Background: In 2016, Sight for All United (SFAU) was founded in the Mahoning Valley of Ohio with the mission of improving access to care and maximizing the visual potential of the underserved. Methods: A retrospective chart review was conducted on patients served by SFAU from January 2016 through August 2020. Socioeconomic information, type of service, cost, and dollar amount paid were collected for patients. The data were analyzed with descriptive statistics and mapped with Esri ArcGIS. Results: A total of 1327 patients received assistance through the medical assistance and school vision programs. In the medical assistance program, 222 patients (mean age 50 years, 57% female) completed applications and 37% (83 patients) were in a household of 3 or more people. Median yearly income was $18 504, 134% above the federal poverty level by household size. The most common surgical services were cataract surgery (101) and vitreoretinal care (17). The most common medical services were eye exams (79) and spectacles (76). Estimated value of medical services provided was $367 249; actual cost was $93 746. The school vision program provided 1105 eye exams, 1514 pairs of spectacles, and 1 cataract surgery with an estimated value of $133 692. Conclusion: Sight for All United provided $500 941 of vision services to its patients since 2016 while dispersing less than $100 000 of donated dollars through collaboration with eye care providers, community resources, and national foun-dations. This study demonstrates the impact vision foundations managed by local eye care providers can have on the needs in their community in a cost-effective and efficient way.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45928401","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

Disproportionate Impact of COVID-19 on Lower-Income, Minority Populations 新冠肺炎对低收入少数民族人口的不成比例的影响

Ohio journal of public health Pub Date : 2020-12-18 DOI: 10.18061/ojph.v3i3.8034

N. Singer

引用次数: 3

Racism Measurement Framework: A Tool for Public Health Action and Accountability 种族主义衡量框架:公共卫生行动和问责制的工具

Ohio journal of public health Pub Date : 2020-12-18 DOI: 10.18061/ojph.v3i3.8037

Saira Nawaz, Kyle J. Moon, E. Seiber, Anne Trinh, Sue Bennett, Joshua J. Joseph

{"title":"Racism Measurement Framework: A Tool for Public Health Action and Accountability","authors":"Saira Nawaz, Kyle J. Moon, E. Seiber, Anne Trinh, Sue Bennett, Joshua J. Joseph","doi":"10.18061/ojph.v3i3.8037","DOIUrl":"https://doi.org/10.18061/ojph.v3i3.8037","url":null,"abstract":"Racism is a principal determinant of health inequity, but recent events have galvanized local and state leaders across Ohio to declare racism a public health emergency. In addition to the renewed call to racial justice, sustained progress will require ongoing measurement to determine which anti-racist efforts are working, and why. In this review, we present existing measures categorized by 3 dimensions of racism that interact and build off of one another: (1) systemic racism, considering the health effects of policies in housing, voting, criminal legal system, economic opportunity, and health care; (2) interpersonal racism, and measures of provider bias and cultural competency; (3) internalized racism, measured as allostatic stress and heightened vigilance in distinct contexts. After identifying knowledge gaps, we developed a racism measurement framework that more comprehensively depicts the disparities caused by racism within Ohio and can be used to monitor and evaluate the effectiveness of anti-racist efforts implemented across the state. As such, this framework provides not only a call for action against racism in Ohio, but an opportunity for organizations to measure the extent to which efforts have intervened on supposedly entrenched pathways to health inequities and disparities caused by racism.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43551725","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: 5

Benefits of Understanding Systemic Racism in Forming Clinician-Patient Relationships to Reduce Black Infant Mortality 理解系统性种族主义在形成医患关系以降低黑人婴儿死亡率中的益处

Ohio journal of public health Pub Date : 2020-12-18 DOI: 10.18061/ojph.v3i3.8036

M. Gotto, Laura Morello, Marsha Michie

{"title":"Benefits of Understanding Systemic Racism in Forming Clinician-Patient Relationships to Reduce Black Infant Mortality","authors":"M. Gotto, Laura Morello, Marsha Michie","doi":"10.18061/ojph.v3i3.8036","DOIUrl":"https://doi.org/10.18061/ojph.v3i3.8036","url":null,"abstract":"Background: The United States lags far behind other developed nations in our overall infant mortality rate. Public health researcher Arline Geronimus has described a \"weathering\" effect of chronic racial stress among Black women that contributes to high rates of preterm birth, the leading cause of infant death. Trusting relationships between clinicians and patients may play a role in reducing infant mortality for Black mothers. Based on a social-ecological model of health care communication around infant mortality, we focus here on doctor-patient communication and correlations between clinicians' understandings of systemic racism and their communication with Black pregnant patients.Methods: This paper reports the findings from interviews with 5 maternal health clinicians (prior to recruitment being temporarily paused due to COVID-19) practicing at Cuyahoga County hospitals that serve large populations of Black women. Qualitative coding methods based in grounded theory were used to draw out themes from interview transcripts.Results: Doctor-patient communication was an emergent theme in these interviews. Results suggest an association between clinicians' understanding of the impact of systemic racism and their ability to communicate successfully and form positive bonds with pregnant mothers who are at higher risk of infant mortality.Conclusion: Acknowledging systemic racism as the cause of poor social determinants of health, which in turn contribute to higher rates of infant mortality, may provide clinicians a pathway to more positive communication and higher levels of trust with their patients, which in turn may play a role in reducing infant mortality in the Black community. Further research should investigate these associations.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46327363","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

Addressing Racism as a Public Health Crisis in Ohio 将种族主义视为俄亥俄州的公共卫生危机

Ohio journal of public health Pub Date : 2020-12-18 DOI: 10.18061/ojph.v3i3.8032

A. Ferketich

引用次数: 2

Perceived Racial Discrimination and the Health of Black Youth in Ohio 俄亥俄州黑人青年的种族歧视与健康

Ohio journal of public health Pub Date : 2020-12-18 DOI: 10.18061/ojph.v3i3.8035

Kenneth J Steinman, T. Price‐Spratlen, Christopher Browning

{"title":"Perceived Racial Discrimination and the Health of Black Youth in Ohio","authors":"Kenneth J Steinman, T. Price‐Spratlen, Christopher Browning","doi":"10.18061/ojph.v3i3.8035","DOIUrl":"https://doi.org/10.18061/ojph.v3i3.8035","url":null,"abstract":"Background: Perceived racial discrimination (PRD) is known to harm youth, yet few studies use large, representative samples or study caregivers' perceptions of their children's experiences with unjust treatment. We examined how such a measure of PRD was associated with demographic characteristics as well as with physical and mental health outcomes for Black youth across Ohio.Methods: The 2019 Ohio Medicaid Assessment Survey was a complex telephone survey with a representative sample of 31 558 adults, 907 of whom completed a proxy interview for a youth in the household who was Black and age 6 to 18 years. One item from an Adverse Childhood Experiences (ACEs) scale assessed PRD: \"To the best of your knowledge, has [name] ever experienced any of the following? Treated or judged unfairly because of [her/his] race or ethnic group.\"Results: Weighted analyses found that PRD was more common among Black youth who were older, from higher income families, and lived in rural counties. Perceived racial discrimination was also associated with frequent mental distress and with having an emotional or behavioral problem that needs treatment or counseling. It was not associated with any physical health outcomes measured.Conclusion: Our findings resemble those from other studies that use more extensive measures of PRD. While no substitute for extensive measures, the ACEs single-item measure may expand opportunities to study PRD in subgroup analyses of larger, representative samples. Yet our findings and those from other studies already provide considerable evidence that efforts to improve Black youth's mental health should consider their experience with PRD.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49020860","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

Developing Continuing Education for Ohio’s Local Boards of Health 发展俄亥俄州地方卫生委员会的继续教育

Ohio journal of public health Pub Date : 2020-10-01 DOI: 10.18061/ojph.v3i2.9015

Diana M. Kingsbury, M. Stefanak, Ken Slenkovich

{"title":"Developing Continuing Education for Ohio’s Local Boards of Health","authors":"Diana M. Kingsbury, M. Stefanak, Ken Slenkovich","doi":"10.18061/ojph.v3i2.9015","DOIUrl":"https://doi.org/10.18061/ojph.v3i2.9015","url":null,"abstract":"Background: Public health functions at the county level and city level through the work of local health departments (LHDs). Local boards of health (LBoHs) work closely with LHDs as an administrative oversight body. In 2013, legislation was passed in the state of Ohio pertaining to the accreditation of LHDs, which included a provision requiring that Ohio’s LBoH members engage in 2 hours of continuing education (CE) per year. To assist LBoHs in fulfilling these requirements, a partnership was developed between the Ohio Association of Boards of Health (OABH) and the Kent State University College of Public Health (KSU-CPH) to deliver CE content. \u0000Methods: The process for developing the CE modules encompasses 3 steps: (1) needs assessment, (2) module development and delivery, and (3) evaluation. Feedback was solicited from Ohio’s LBoH members to determine topics of interest for CE modules. Taking this feedback, a curated set of 8 modules will be developed. Module content will be derived from graduate courses within KSU-CPH as well as from subject matter experts. The modules will be delivered online to LBoH members during their regularly scheduled meetings. \u0000Results: This program proposes to fulfill state requirements that LBoH members regularly engage in CE. Partner-ing with KSU-CPH allows for the use of academic content in these trainings. \u0000Conclusion: An adequately trained public health workforce is essential for a well-functioning public health system, which includes governing entities like LBoHs. There is limited understanding of how workforce development can be targeted specifically to LBoHs. This CE program contributes to current efforts to promote workforce development within the field of public health.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67666575","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