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Family & Community Health

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https://www.readbyqxmd.com/read/29781920/outcomes-of-community-based-prenatal-education-programs-for-pregnant-women-in-rural-texas
#1
Joseph Ramsey, Brandii Mayes
A prenatal, evidenced-based education program was implemented in 7 rural counties and provided by trained staff at the Texas Department of State Health Services. This was implemented to address health disparities, in regard to birth outcomes, in rural minorities of Southeast Texas. The participants were given a preassessment (N = 382) and a postassessment (N = 326) of relevant health knowledge and a follow-up assessment (N = 149) to document the outcomes of their birth as well as health practices they were employing as new parents...
July 2018: Family & Community Health
https://www.readbyqxmd.com/read/29781919/development-of-a-community-health-worker-delivered-cognitive-behavioral-training-intervention-for-individuals-with-diabetes-and-chronic-pain
#2
Susan J Andreae, Lynn J Andreae, Andrea L Cherrington, Marquita Lewis, Ethel Johnson, Debra Clark, Monika M Safford
Cognitive behavioral therapy (CBT) programs have the potential to improve quality of life in individuals with chronic pain and diabetes. Rural communities often lack the infrastructure necessary to implement such programs. CBT traditionally requires trained therapists, who are rarely available in these areas. An alternative may be programs delivered by community health workers (CHWs). We present an iterative developmental approach that combined program adaptation, pretesting, and CHW training processes for a CBT-based diabetes self-care program for individuals living with diabetes and chronic pain...
July 2018: Family & Community Health
https://www.readbyqxmd.com/read/29781918/health-self-empowerment-theory-predicting-health-behaviors-and-bmi-in-culturally-diverse-adults
#3
Carolyn M Tucker, Julia Roncoroni, Guillermo M Wippold, Michael Marsiske, Delphia J Flenar, Kristin Hultgren
Health Self-Empowerment Theory asserts that 5 controllable psychological variables predict engagement in health-promoting behaviors. This study tests the theoretical integrity of Health Self-Empowerment Theory and its usefulness in predicting health-promoting behaviors and body mass index. Results from surveying 189 predominantly low-income, overweight/obese, and culturally diverse adults showed that most Health Self-Empowerment Theory variables were positively correlated. Structural equation modeling showed that 4 variables significantly predicted engagement in health-promoting behaviors, which mediated the relationships between body mass index and (a) motivation, (b) health self-efficacy, and (c) self-praise...
July 2018: Family & Community Health
https://www.readbyqxmd.com/read/29781917/health-outcomes-of-medically-and-economically-vulnerable-adults-a-comparison-of-former-foster-youth-and-nonfoster-youth
#4
Morgan E Cooley, Heather M Thompson, Heather Murray
Medically and economically vulnerable adults experience various challenges that can impact their health. Within this vulnerable population, there may be individuals who are even more vulnerable, those who have a history of involvement with the foster care system. The purpose of this study was to evaluate the difference of reported health-related problems between adults with previous foster care experience and other vulnerable adults. Physical, mental, and relational health was evaluated in this study. Practice and policy implications for mental health and medical professionals are discussed...
July 2018: Family & Community Health
https://www.readbyqxmd.com/read/29781916/the-role-of-family-of-origin-in-current-lifestyle-choices-a-qualitative-secondary-data-analysis-of-interracial-and-same-race-couples
#5
Ana Laura Fonseca, Jill Koyama, Emily A Butler
Many Americans are in poor health. This is acute for racial/ethnic minorities compared with the Non-Hispanic white population. A grounded theory approach was used to analyze semistructured qualitative interviews to identify perceptions of family-of-origin lifestyle choices in same-race and interracial couples. Several central themes emerged from the data including influence of family-of-origin eating patterns, lack of family-of-origin importance for physical activity, and romantic partner influence in eating and exercise...
July 2018: Family & Community Health
https://www.readbyqxmd.com/read/29781915/childhood-asthma-disparities-in-chicago-developing-approaches-to-health-inequities
#6
Molly A Martin, Melissa Gutierrez Kapheim, Kim Erwin, Stacy Ignoffo, Kate McMahon, Amy OʼRourke, Lynn B Gerald, Meredith Barrett, Valerie G Press, Houshang Darabi, Jerry A Krishnan
We conducted a needs assessment to develop an evidence-based, locally tailored asthma care implementation plan for high-risk children with asthma in Chicago. Our team of health policy experts, clinicians, researchers, and designers included extensive stakeholder engagement (N = 162) in a mixed-methods community needs assessment. Results showed the lines of communication and collaboration across sectors were weak; caregivers were the only consistent force and could not always manage this burden. A series of recommendations for interventions and how to implement and measure them were generated...
July 2018: Family & Community Health
https://www.readbyqxmd.com/read/29461361/health-and-health-care-from-the-perspective-of-intimate-partner-violence-adult-female-victims-in-shelters-impact-of-ipv-unmet-needs-barriers-experiences-and-preferences
#7
Pamela Wadsworth, Catherine Kothari, Grace Lubwama, Cathy L Brown, Jennifer Frank Benton
Intimate partner violence (IPV) predicts poor health for victims and their children, but little is known about the perspective of victims. This study reports the perspectives of adult female IPV victims about the impact of IPV on their health and barriers of health care access for themselves and their children. The majority rated their health as good to excellent (69%). However, 83.5% indicated that IPV negatively affected their health; 53.5% had unmet health care needs. Mental health care was the most common unmet need for women; children's unmet needs were immunizations and preventive care...
April 2018: Family & Community Health
https://www.readbyqxmd.com/read/29461360/parenting-stress-in-fathers-of-children-with-type-1-diabetes
#8
Christine A Limbers, Ashley Teasdale
The purpose of the present study was to evaluate generic and pediatric parenting stress in an international sample of fathers of children with type 1 diabetes. Two-hundred forty-nine fathers of children ages 2 to 10 years with type 1 diabetes completed the Parenting Stress Index, Pediatric Inventory for Parents, Dads' Active Disease Support Scale (DADS), Self-Care Inventory, and a demographic/disease-related questionnaire online. More frequency of pediatric parenting stress was associated with greater general parenting stress (r = -0...
April 2018: Family & Community Health
https://www.readbyqxmd.com/read/29461359/the-relationship-between-expressed-emotion-and-the-probability-of-suicide-among-turkish-psychiatric-outpatients-a-descriptive-cross-sectional-survey
#9
Satı Demir
The purpose of this study is to examine expressed emotion and the relationship between expressed emotion and suicide probability in psychiatric outpatients (N = 350). Patients who did not receive support from anyone scored higher on the Level of Expressed Emotion (LEE) Scale than those who were supported by family, friends, or their physician provider. Scores by patients, who selected their spouse as a key person, scored higher on the LEE than those who chose one of their children. Spouses on the LEE were often depicted as being more intrusive, reactive, and intolerant when compared with their children...
April 2018: Family & Community Health
https://www.readbyqxmd.com/read/29461358/obstetric-access-and-the-community-health-imperative-for-rural-women
#10
Lynette Hamlin
This study examined whether the closure of several inpatient obstetric units in rural New Hampshire affected birth outcomes. It is a secondary analysis of birth certificate data from 2005 through 2012 and includes 5881 births. There were no changes in perinatal outcomes. When examining outcomes based on distance travelled to place of birth, controlling for closures, women who traveled greater than 30 miles had fewer prenatal visits and lower birth weight and gestational age infants. Community services that provide prenatal care and/or home visiting are even more important when obstetric units are not available in the community...
April 2018: Family & Community Health
https://www.readbyqxmd.com/read/29461357/the-effects-of-a-health-promotion-program-on-rural-west-virginia-adults
#11
Amy E Spurrier, Catherine Suttle, Linda Matheson, Ann Baker-Watson
This health promotion project is a 12-week program for adults in a rural West Virginia community with a body mass index (BMI) of 25 or greater. The goals of this project were to facilitate learning through modules focusing on activity and nutrition, increase knowledge of healthy activity and nutrition, and improve weight and BMI. Each 12-week session provided evidenced-based information regarding obesity, physical activity, and nutrition. Participants completed pre- and postprogram and 1-month follow-up survey/questionnaire...
April 2018: Family & Community Health
https://www.readbyqxmd.com/read/29461356/there-and-back-again-how-the-repeal-of-aca-can-impact-community-health-centers-and-the-populations-they-serve
#12
Nadereh Pourat, Amy Gabriela Bonilla, Maria Elena Young, Michael A Rodriguez, Steven P Wallace
We examined the impact of Medicaid expansion on rates of the remaining uninsured at the federally qualified health center level by race/ethnicity, limited English proficiency, and poverty status of their patients. Results indicated a systematic disadvantage in nonexpansion states for federally qualified health centers with high concentrations of these populations and an advantage in expansion states for federally qualified health centers with fewer limited English proficiency patients. Our findings highlight the importance of maintaining the Affordable Care Act in reducing disparities in coverage and the importance of federal funding to continue services for the remaining uninsured and vulnerable populations in both expansion and nonexpansion states...
April 2018: Family & Community Health
https://www.readbyqxmd.com/read/29461355/health-well-being-and-health-care-access-in-rural-communities-comparing-latino-and-non-latino-white-low-income-families
#13
Doris I Cancel-Tirado, Sarah L Feeney, Isaac J Washburn, Kimberly A Greder, Yoshie Sano
This study explores how low-income rural Latino children and their mothers differ from their non-Latino white counterparts in terms of health, well-being, and health care access. A subsample of non-Latino white (n = 201) and Latino (n = 157) children and their mothers was drawn from the Rural Families Speak about Health Project, a multistate, cross-sectional data set developed through mixed purposive sampling methods. Findings suggest that Latino children's families were disadvantaged in terms of child health and access to health care, whereas non-Latino white children's families were disadvantaged in terms of child behavior problems and maternal health and depression...
April 2018: Family & Community Health
https://www.readbyqxmd.com/read/29461314/social-and-demographic-predictors-of-nutritional-risk-cross-sectional-analyses-from-the-uab-study-of-aging-ii
#14
David R Buys, Richard E Kennedy, Courtney Phillips Williams, Cynthia J Brown, Julie L Locher
Social factors may disparately affect access to food and nutritional risk among older adults by race and gender. This study assesses these associations using the Mini Nutritional Assessment among 414 community-dwelling persons 75+ years of age in Alabama. Descriptive analyses on the full sample and by African American men, African American women, white men, and white women showed that mean scores for the full Mini Nutritional Assessment differed by groups, with African American men and African American women having the highest nutritional risk...
April 2018: Family & Community Health
https://www.readbyqxmd.com/read/29461313/sex-race-food-security-and-sugar-consumption-change-efficacy-among-low-income-parents-in-an-urban-primary-care-setting
#15
Marino A Bruce, Roland J Thorpe, Bettina M Beech, Tangela Towns, Angela Odoms-Young
The purpose of this study was to examine relationships between food security and parents' self-efficacy to reduce consumption of sugar-sweetened beverages and sugary snacks in a sample of parents in waiting rooms in community-based primary care clinics in West Tennessee. Results from logistic regression models underscore the need for nuanced analysis, as the results from the pooled regression models differ from those stratified by food security status. Self-efficacy is an important factor for behavior change, and our study highlights the need for additional research examining how social, psychological, and behavioral factors have implications for behavior change self-efficacy...
April 2018: Family & Community Health
https://www.readbyqxmd.com/read/29461312/a-theoretically-grounded-investigation-of-perceptions-about-healthy-eating-and-mhealth-support-among-african-american-men-and-women-in-new-orleans-louisiana
#16
Jylana L Sheats, Christine Petrin, Revonda M Darensbourg, Courtney S Wheeler
There has been a surge in diet-related mobile health (mHealth) interventions. However, diet-related mHealth research targeted toward racial/ethnic populations has been relatively limited. Focus groups with African American men and women from New Orleans, Louisiana, were conducted to (1) describe perceptions about healthy eating, (2) determine the acceptability of mHealth interventions, and (3) identify preferred mHealth intervention features. Descriptive statistics and thematic content analyses were performed...
April 2018: Family & Community Health
https://www.readbyqxmd.com/read/29461311/looking-for-food-food-access-food-insecurity-and-the-food-environment-in-rural-mississippi
#17
Leslie H Hossfeld, Gina Rico Mendez
Mississippi has the highest food insecurity rate in the nation, and while the overall pattern of food insecurity has declined in the United States, for Mississippians it has plateaued, remaining significantly higher than prerecession rates. In addition, the food environment of the state is characterized by low healthy food access, high persistent poverty, and a primarily rural landscape. This translational research seeks to bridge thinking on agriculture policy, nutrition, food access/food insecurity in seeking to understand the paradox between obesity and poverty in rural Mississippi...
April 2018: Family & Community Health
https://www.readbyqxmd.com/read/29461310/examining-the-impact-of-structural-racism-on-food-insecurity-implications-for-addressing-racial-ethnic-disparities
#18
Angela Odoms-Young, Marino A Bruce
Food insecurity is defined as "a household-level economic and social condition of limited or uncertain access to adequate food." While, levels of food insecurity in the United States have fluctuated over the past 20 years; disparities in food insecurity rates between people of color and whites have continued to persist. There is growing recognition that discrimination and structural racism are key contributors to disparities in health behaviors and outcomes. Although several promising practices to reduce food insecurity have emerged, approaches that address structural racism and discrimination may have important implications for alleviating racial/ethnic disparities in food insecurity and promoting health equity overall...
April 2018: Family & Community Health
https://www.readbyqxmd.com/read/29461309/foreword
#19
Bettina M Beech, Keith C Norris
No abstract text is available yet for this article.
April 2018: Family & Community Health
https://www.readbyqxmd.com/read/29489464/estimated-cost-savings-everyone-with-diabetes-counts-edc-program
#20
Lori J Silveira, Susan B Fleck, Nancy Sonnenfeld, Jill Manna, Lijing Zhang, Kimberly B Irby, Jane E Brock
Everyone with Diabetes Counts (EDC) is a national disparities reduction program funded by the Centers for Medicare & Medicaid Services to improve outcomes in the underserved minority, diverse, and rural populations. This analysis evaluates West Virginia's pilot program of diabetes self-management education (DSME), one component of EDC. We frequency-matched 422 DSME completers to 1688 others by demographics and enrollment from Medicare fee-for service claims. We estimated savings associated with reduced hospitalizations in multivariable negative binomial models...
February 27, 2018: Family & Community Health
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