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Family & Community Health

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https://www.readbyqxmd.com/read/29489464/estimated-cost-savings-everyone-with-diabetes-counts-edc-program
#1
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
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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/29135796/voices-of-the-filipino-community-describing-the-importance-of-family-in-understanding-adolescent-behavioral-health-needs
#15
Joyce R Javier, Kristina Galura, Frank Anthony P Aliganga, Jocelyn Supan, Lawrence A Palinkas
Filipinos are a large, yet invisible, minority at high risk for adolescent behavioral health problems. Limited research describes the family as offering a source of positive support for some Filipino youths and yet for some it is also a source of stress and isolation, leading to struggles with adolescent depression and suicidal behavior. This article describes a qualitative study that investigates the role of family when understanding behavioral health needs among Filipino adolescents. Findings highlight the importance of addressing family cohesion when designing interventions aimed at improving the well-being of Filipino youth...
January 2018: Family & Community Health
https://www.readbyqxmd.com/read/29135795/families-and-the-juvenile-justice-system-considerations-for-family-based-interventions
#16
Bita Amani, Norweeta G Milburn, Susana Lopez, Angela Young-Brinn, Lourdes Castro, Alex Lee, Eraka Bath
We conducted focus groups with defense lawyers, clinicians, and education advocates to gather their perspectives on families' experiences with the juvenile justice system. Our quantitative descriptive analysis identified a range of themes such as discussions about the poor treatment of families as well as recommendations for a shifting of power to families. These perspectives may provide insights about the context in which families are expected to participate in interventions, meet probationary demands, and provide for their youth's well-being...
January 2018: Family & Community Health
https://www.readbyqxmd.com/read/29135794/fostering-oral-hygiene-habits-and-self-regulation-skills-an-intervention-with-preschool-children
#17
Martha Leticia Gaeta, Judith Cavazos, Maria Del Rosario Cabrera, Pedro Rosário
The purpose of this study was to evaluate a program to promote self-regulation for self-care skills in preschool-aged children focused on oral habits and good oral health. Participants were 210 Mexican children aged 4 to 5 years who attended the Children's Assistance Community Centers (CAIC in Spanish). Findings showed that children who participated in the program, compared with those who did not, decreased significantly the teeth-bacteria plaque. The former also improved their self-regulation skills and dental hygiene habits...
January 2018: Family & Community Health
https://www.readbyqxmd.com/read/29135793/an-ecological-model-of-well-being-after-sexual-assault-the-voices-of-victims-and-survivors
#18
Pamela Wadsworth, Eve Krahe, Kim Searing
In this article, the authors describe factors that enhance or detract from well-being after adult sexual assault from the perspective of sexual assault victims and survivors. The authors present a holistic view of the complex ways in which women respond to and cope with the impact of adult sexual assault while trying to create a sense of well-being. The forces that facilitate or detract from well-being are organized into an ecological model. The data originate from a grounded theory study in 2015, with 22 adult female adult sexual assault victims/survivors...
January 2018: Family & Community Health
https://www.readbyqxmd.com/read/29135792/the-use-of-family-rituals-in-eating-behaviors-in-hispanic-mothers
#19
Kathryn Coe, Tanya Benitez, Natasha Tasevska, Anel Arriola, Colleen Keller
Food rituals often abruptly change when Hispanic families migrate to the United States. This report describes changes in rituals of food procurement, preparation, and presentation (food-PPP) in Hispanic women following migration to the United States. Focus groups and face-to-face interviews were conducted with 13 low-income, overweight/obese Hispanic women 27 to 40 years of age. Content analysis was used to analyze cultural and contextual sources for food-PPP. Changes in rituals and traditions in food-PPP occurred, including materials and ingredients for traditional meals...
January 2018: Family & Community Health
https://www.readbyqxmd.com/read/29135791/an-ecological-approach-to-understanding-preventive-service-utilization-among-the-underserved
#20
Bettie Coplan
Preventive services have the potential to reduce health disparities; however, these services are underutilized, particularly among the underserved. Patients with low socioeconomic status and racial and ethnic minorities experience significant health disparities related to cancer and infectious and chronic diseases but face multilevel challenges accessing preventive care. The purpose of this article is to enhance understanding of preventive service utilization among underserved patients by providing an ecological framework that addresses factors at multiple levels that influence patient care...
January 2018: Family & Community Health
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