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Social Work in Public Health

Tiffany Donley, Dione Moultrie King, Nhlanganiso Nyathi, Anthony Okafor, Justice Mbizo
Parents of children with special healthcare needs (CSHCN) face tremendous stress in caring for their children. Families of CSHCN face increased barriers to health services as evidence also reflects the influence of socioeconomic factors on access. This study investigates the impact of socioeconomic factors and family functioning on delayed care. Descriptive, bivariate, and adjusted multivariate logistic regression were performed using sampling weights. findings suggest that family dynamics are more impactful on delayed care than socioeconomic predictors...
2018: Social Work in Public Health
Deirdre Lanesskog
Human service agencies in new immigrant destinations often lack the experience and bilingual staff required to provide inguistically and culturally appropriate services to Latino immigrant families. This qualitative study examined the ways one new destination public health agency responded to this demographic shift. The agency leveraged a culture of collaboration and a team approach so that serving immigrants became the responsibility of all workers, not only a few bilingual staff. Implications for practice including the potential benefits and pitfalls of including monolingual workers in immigrant clients' care are discussed...
2018: Social Work in Public Health
Ming-Sheng Wang, Chi-Fang Wu
Many caregivers of individuals who are frail and elderly face financial hardships that have negative consequences that compound over time. This article explores the causes of these hardships, reviews Medicaid home and community-based interventions, and related government financial supports that have been used to alleviate them and concludes with recommendations for social work practice and social policy.
2018: Social Work in Public Health
Azam Raoofi, Effat Hatefnia, Anoshirvan Kazemnejad
Hepatitis B (HB) is one of the major public health problems and a major cause of liver cirrhosis and hepatocellular carcinoma (HCC). The aim of this study was to evaluate the effect of a model-based educational intervention on preventive health behavior of hepatitis B vaccination among women who were going to get married (pending marriage women). Seventy pending marriage women were selected from martial counseling centers. The participants' knowledge, health beliefs model (HBM) constructs, and intention to receive HB vaccination were collected using a questionnaire based on HBM...
2018: Social Work in Public Health
Cheryl Geisthardt, Adam Kloha
Results of a pilot study examining young adults' beliefs about what factors contribute to physical and mental health are reported. Existing research and the results of the pilot study are used to argue for the need for improved education on the connection between physical and mental health, the impact of social determinants on physical and mental health, and the potential for social policies that better the lives of children and families to improve health outcomes. Benefits of and suggestions for increasing understanding of social determinants and social policies on physical and mental health are explored...
2018: Social Work in Public Health
Rachel Shentow-Bewsh, Daniyal Zuberi
With rates of obesity among adults and youth rising in Canada, it is clear that the current approaches currently used to reduce the prevalence of obesity, with an emphasis on individual weight management interventions focused on restrictive dieting, are not proving successful at a population level. Given that obesity is associated with poor physical and mental health outcomes, is placing a multi-billion-dollar economic burden on Canada and disproportionately affects disadvantaged groups, such as Aboriginal Canadians and women of low socioeconomic status, it is a health and social issue that must be addressed immediately by social workers and policy makers...
2018: Social Work in Public Health
Marcella Smith, Gracie Brownell
Sickle cell disease (SCD) is a widespread inherited blood disorder, which leaves lasting effects on the health, social functioning, and finances of individuals, families, communities, and health care systems. A nonexperimental, cross-sectional research design was used to assess 415 college students' knowledge about SCD. Data was obtained through an online survey derived from a modified version of the SCD Knowledge Assessment Tool. The majority of participants (79%) reported previous SCD knowledge; however, 21% of the participants reported no previous SCD knowledge...
2018: Social Work in Public Health
Rachel Hagues, Sarah Stotz, Austin Childers, Joe Phua, Judy Hibbs, Deborah Murray, Jung Sun Lee
As access to healthy food (or lack thereof) could be considered a social justice issue, social workers should be concerned about this issue and willing to collaborate with colleagues of various disciplines to address it. This study was a formative evaluation conducted to understand best practices, recommendations, and feasibility of a social-marketing-based nutrition education program tailored to the needs of adults with limited income. The authors report findings from focus groups conducted with Cooperative Extension Agents (CEAs) and region coordinators (n = 45) and Supplemental Nutrition Assistance Program Education (SNAP-Ed) (n = 69) eligible participants to inform the development of a social marketing nutrition intervention for SNAP-Ed in Georgia...
2018: Social Work in Public Health
Samuel Ojima Adejoh, Olusegun M Temilola, Funmilayo F Adejuwon
The increase in the use, abuse and misuse of psychoactive substances is not just of concern to national government of different countries but poses a big problem to the international community as well as of a global public health challenge. The study explored the perceived influence of perceptions, relationships and family support on rehabilitation of drug abusers undergoing rehabilitation in a rehabilitation centre. The non-experimental study design was used. The study population was that of drug abuse patients undergoing rehabilitation in the Neuropsychiatric Hospital in Lagos...
2018: Social Work in Public Health
Yan Searcy
Market-based approaches to addressing racial disparities have essentially re-commodified Blackness. Utilizing Hartford, which contains the largest percentage of Blacks per capita in Connecticut, this article examines market-based approaches to address racial disparities while discussing Blackness as an enduring commodity that is tied to private sector profit. The study argues that market based approaches incentivize punitive approaches to social problems associated with Blackness. The study concludes by suggesting that addressing disparities utilizing markets requires reimagining policy incentives to focus on prevention and treatment of social problems associated with Blackness...
2018: Social Work in Public Health
Louanne Bakk, Tamara J Cadet
Using nationally representative data from the Health and Retirement Study, this study examined (1) whether awareness of the Medicare Part D Low-Income Subsidy (LIS) varies by race and ethnicity among beneficiaries age 65 and older (N = 1,504), and (2) the impact of factors associated with health benefits knowledge and need for assistance on LIS awareness. Logistic regression results showed that compared with older non-Hispanic Whites, older non-Hispanic Blacks (odds ratio [OR] = .61, p < .001) and Hispanics (OR = ...
2018: Social Work in Public Health
Donalee Unal
The health disparities that are prevalent among American Indian and Alaska Native (AI/AN) communities are connected to the ideology of sovereignty and often ignored in social work and public health literature. Therefore, the purpose of this paper is to examine the health outcomes of American Indians from the time of contact with European settlers to the present through the ideology of sovereignty and federal government AI health policy. The foundation for the health outcomes of AIs and the governmental policies affecting them lie in the ideology of tribal sovereignty...
2018: Social Work in Public Health
Christopher W Blackwell
The incidence of new HIV infections in the United States continues to be greatest among men who have sex with men (MSM). MSM infected with HIV often seek seroconcordant sexual partners based on intent to limit psychosocial, legal, and health risks they perceive as higher with serodiscordant sexual partners. However, the rationales for limiting sexual relationships exclusively with other MSM infected with HIV may be rooted in misinformation or misperception. Thus, these clients may have a unique sexual health knowledge deficit that nurses, social workers, and other clinicians need to address to help them reduce risk...
2018: Social Work in Public Health
Aparecida de Fatima Cordeiro Dutra, Wilma Cordova, Freddie Avant
This study aimed to give voice to 13 men of African descent from Salvador, Brazil, and East Texas, United States, living with HIV/AIDS regarding their perceptions on accessibility of services, and the stigma and discrimination they experience. Phenomenological research using in-depth interviews was used as methodology. Five themes emerged from the data analysis: perception of positive health, services and accessibility, not disclosing HIV status is a way to be protected, health professionals untrained in treating people living with HIV/AIDS, being of African descent increases discrimination in both countries, education would decrease stigma and discrimination...
2018: Social Work in Public Health
Janet Bronstein, Bisakha Sen, Michael Morrisey, Justin Blackburn, Meredith Kilgore, Sally Engler, Wilson Smith
State Medicaid programs increasingly use case management to manage enrollees with chronic conditions who may become cost intensive for the program. The authors examined the impact of Alabama Department of Public Health (ADPH)'s case management on care expenditures for Medicaid enrollees with various chronic diseases, over 2011 to 2014. The authors matched case-managed enrollees with three controls per case using health conditions and sociodemographics. Thereafter, the authors used a quasi-experimental approach to estimate how per-member-per-month costs changed following case management...
2018: Social Work in Public Health
Hamed Rezakhani Moghaddam, Hamid Allahverdipour, Hossein Matlabi
Along with health development in general terms, women's involvement in health programs can be effective in raising their self-confidence and their health promotion. This study was carried out to unveil the barriers to and challenges of the health volunteers and to present the solutions to its promotion using active women participants' experiences and the authorities of the program. The study was carried out using qualitative method along with content analysis in city of Tabriz East-Azerbaijan province, Iran...
2018: Social Work in Public Health
Rogério M Pinto, Anya Y Spector, Susan S Witte, Prema Filippone, C Jean Choi, Melanie Wall
Providers of social and public health services ("providers") often use HIV prevention strategies with substance-using clients to decrease HIV transmission and infection. This article examines factors that facilitate providers' use of select HIV-prevention strategies. Sample comprises 379 providers from 36 agencies in New York City. OUTCOMES: sexual risk assessments; risk reduction counseling; condom demonstration; and referrals to HIV testing. PREDICTORS: training; job satisfaction; staff collaboration...
2018: Social Work in Public Health
Laura Hoyt D'Anna, Marissa Hansen, Brittney Mull, Carol Canjura, Esther Lee, Stephanie Sumstine
The study aims to describe the perceived discriminatory health care treatment experiences and its impact on care among minority urban-dwelling adults. Semistructured qualitative interviews (N = 51) were conducted with patients from community-based health care settings, and systematic, grounded theory approach was used. Three distinct themes emerged: (a) the sources of discriminatory experiences, (b) its impact on health care, and (c) the provider/organization recommendations to address discriminatory practices...
2018: Social Work in Public Health
Derek Falk
Reviews have assessed studies of breast and cervical cancer screening access and utilization for rural women, but none analyze interventions to increase screening rates. A mixed methods literature search identified studies of breast and/or cervical cancer prevention education and patient navigation interventions for rural women. Rural areas need greater implementation and evaluation of screening interventions as these services address the challenges of delivering patient-centered cancer care to un-/underserved communities...
2018: Social Work in Public Health
Kimberly Bender, Stephanie Begun, Rebecca Durbahn, Kristin Ferguson, Nick Schau
Although homeless youth face extreme adversities, they are often hesitant to seek help from formal and informal supports. The current study qualitatively explored homeless youths' reasons for coping independently and their strategies for doing so. Youth accessing services (N = 145) in three U.S. cities were interviewed about their rationales for not seeking help from others regarding distressing experiences. Analyses illustrated specific barriers to help seeking that prompted homeless youth to cope on their own by utilizing soothing, avoidant, aggressive, and introspective coping strategies...
2018: Social Work in Public Health
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