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https://www.readbyqxmd.com/read/28588959/assessment-of-the-implementation-fidelity-of-the-arctic-char-distribution-project-in-nunavik-quebec
#1
Lara Gautier, Catherine M Pirkle, Christopher Furgal, Michel Lucas
BACKGROUND: In September 2011, the Nunavik Regional Board of Health and Social Services began supporting the Arctic Char Distribution Project (AC/DP) for pregnant women. This initiative promoted consumption of the fish Arctic char-a traditional Inuit food-by pregnant women living in villages of Nunavik, an area in northern Quebec (Canada) inhabited predominantly by people of Inuit ethnicity. This intervention was intended to reduce exposure to contaminants and improve food security in Inuit communities...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28553758/hpv-vaccine-acceptance-among-african-american-mothers-and-their-daughters-an-inquiry-grounded-in-culture
#2
Kayoll V Galbraith-Gyan, Julia Lechuga, Coretta M Jenerette, Mary H Palmer, Angelo D Moore, Jill B Hamilton
BACKGROUND: Much of the research on African-Americans' HPV vaccine acceptance has largely focused on racial/ethnic differences related to cognitive, socio-economical, and structural factors that contribute to differences in HPV vaccine acceptance and completion. A growing body of literature suggest that cultural factors, such as mistrust of healthcare providers (HCPs) and the healthcare system, religion, and social norms related to appropriate sexual behaviors, also plays a prominent role in their HPV vaccine acceptance...
May 29, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/28370728/towards-culturally-competent-paediatric-oncology-care-a%C3%A2-qualitative-study-from-the-perspective-of-care-providers
#3
J Suurmond, A Lieveld, M van de Wetering, A Y N Schouten-van Meeteren
In order to gain more insight on the influence of ethnic diversity in paediatric cancer care, the perspectives of care providers were explored. Semi-structured interviews were conducted among 12 paediatric oncologists and 13 nurses of two different paediatric oncology wards and were analysed using a framework method. We found that care providers described the contact with Turkish and Moroccan parents as more difficult. They offered two reasons for this: (1) language barriers between care provider and parents hindered the exchange of information; (2) cultural barriers between care provider and parents about sharing the diagnosis and palliative perspective hindered communication...
March 28, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/28318393/pathways-to-adolescent-childbearing-among-kaqchikel-women-in-guatemala
#4
Emily Lemon, Monique Hennink, Nely Amparo Can Saquic
One-in-five children in Guatemala is born to a mother aged 15-19 years, which poses social, economic and health risks to both mother and child. In Guatemala, adolescent childbearing is directly associated with education, ethnicity and poverty, which increases vulnerability among Indigenous young women living in poverty. This study examines the context and experiences of adolescent childbearing from the perspectives of young mothers in the Kaqchikel Indigenous ethnic group of Sololá, Guatemala. Data were collected in 19 qualitative in-depth interviews with women who had given birth to one or more children when aged 15 to 19 years...
March 20, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28298368/building-a-new-life-in-australia-an-analysis-of-the-first-wave-of-the-longitudinal-study-of-humanitarian-migrants-in-australia-to-assess-the-association-between-social-integration-and-self-rated-health
#5
Wen Chen, Li Ling, Andre M N Renzaho
OBJECTIVES: To assess the relationship between social integration and physical and mental health among humanitarian migrants (HMs) in Australia. DESIGN, SETTING AND PARTICIPANTS: We used the recently released first wave of data from the 2013 'Building a New Life in Australia' survey, which is an ongoing nationwide longitudinal study. A total of 2399 HMs participated in the survey. MAIN OUTCOME MEASURES: Self-rated physical health was measured using four items selected from the SF-36 which is a generic measure of health status...
March 15, 2017: BMJ Open
https://www.readbyqxmd.com/read/28277025/situated-influences-on-perceived-barriers-to-health-behavior-change-cultural-identity-and-context-in-kazakhstan
#6
Brett J Craig, Aizhan Kapysheva
OBJECTIVE: The objective of this study was to identify the perceived barriers to lifestyle changes citizens of Kazakhstan suffering from cardiovascular disease and type II diabetes were experiencing. DESIGN: 14 focus groups were conducted with patients across two regions of Kazakhstan. Topics of discussion included accessing medical care, communicating with health care providers, and following doctor's recommendations. The text of the discussions were analysed for trends and themes across the different groups...
February 23, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/28275965/increasing-routine-cancer-screening-among-underserved-populations-through-effective-communication-strategies-application-of-a-health-literacy-framework
#7
Alicia L Best, Cheryl Vamos, Seul Ki Choi, Erika L Thompson, Ellen Daley, Daniela B Friedman
Cancer prevention and control efforts serve as national priorities, as cancer is the second leading cause of death in the USA. In addition, cancer disparities exist, with racial/ethnic minority, low-income, and uninsured populations suffering the greatest burden. The goal of this paper is to describe the role that effective health communication can play in increasing routine cancer screening among medically underserved populations, thus decreasing persistent health disparities. For this paper, we applied Sorenson's integrated model of health literacy as a framework for identifying communication gaps and opportunities that can help improve cancer screening specifically at federally qualified health centers (FQHCs)...
March 8, 2017: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/28239512/exploring-the-continuum-of-vaccine-hesitancy-between-african-american-and-white-adults-results-of-a-qualitative-study
#8
Sandra Quinn, Amelia Jamison, Donald Musa, Karen Hilyard, Vicki Freimuth
Vaccine delay and refusal present very real threats to public health. Since even a slight reduction in vaccination rates could produce major consequences as herd immunity is eroded, it is imperative to understand the factors that contribute to decision-making about vaccines. Recent scholarship on the concept of "vaccine hesitancy" emphasizes that vaccine behaviors and beliefs tend to fall along a continuum from refusal to acceptance. Most research on hesitancy has focused on parental decision-making about childhood vaccines, but could be extended to explore decision-making related to adult immunization against seasonal influenza...
December 29, 2016: PLoS Currents
https://www.readbyqxmd.com/read/28229248/promoting-social-nurturance-and-positive-social-environments-to-reduce-obesity-in-high-risk-youth
#9
REVIEW
Dawn K Wilson, Allison M Sweeney, Heather Kitzman-Ulrich, Haylee Gause, Sara M St George
Nurturing environments within the context of families, schools, and communities all play an important role in enhancing youth's behavioral choices and health outcomes. The increasing prevalence rates of obesity among youth, especially among low income and ethnic minorities, highlight the need to develop effective and innovative intervention approaches that promote positive supportive environments across different contexts for at-risk youth. We propose that the integration of Social Cognitive Theory, Family Systems Theory, and Self-Determination Theory offers a useful framework for understanding how individual, family, and social-environmental-level factors contribute to the development of nurturing environments...
March 2017: Clinical Child and Family Psychology Review
https://www.readbyqxmd.com/read/28188283/the-deaf-mentoring-survey-a-community-cultural-wealth-framework-for-measuring-mentoring-effectiveness-with-underrepresented-students
#10
Derek C Braun, Cara Gormally, M Diane Clark
Disabled individuals, women, and individuals from cultural/ethnic minorities continue to be underrepresented in science, technology, engineering, and mathematics (STEM). Research has shown that mentoring improves retention for underrepresented individuals. However, existing mentoring surveys were developed to assess the majority population, not underrepresented individuals. We describe the development of a next-generation mentoring survey built upon capital theory and critical race theory. It emphasizes community cultural wealth, thought to be instrumental to the success of individuals from minority communities...
2017: CBE Life Sciences Education
https://www.readbyqxmd.com/read/28024439/impact-of-sociodemographic-characteristics-of-applicants-in-multiple-mini-interviews
#11
Jean-Michel Leduc, Richard Rioux, Robert Gagnon, Christian Bourdy, Ashley Dennis
BACKGROUND: Multiple mini-interviews (MMI) are commonly used for medical school admission. This study aimed to assess if sociodemographic characteristics are associated with MMI performance, and how they may act as barriers or enablers to communication in MMI. METHODS: This mixed-method study combined data from a sociodemographic questionnaire, MMI scores, semi-structured interviews and focus groups with applicants and assessors. Quantitative and qualitative data were analyzed using multiple linear regression and a thematic framework analysis...
December 26, 2016: Medical Teacher
https://www.readbyqxmd.com/read/27899479/a-formative-review-of-physical-activity-interventions-for-minority-ethnic-populations-in-england
#12
E Such, S Salway, R Copeland, S Haake, S Domone, S Mann
BACKGROUND: Physical activity (PA) levels are lower among some UK Black and minority ethnic (BME) groups than the majority White British population and a variety of tailored interventions have emerged. This study documents the characteristics and logic of local adaptations, a vital first step in evaluating such innovations. METHODS: An English PA data set was examined to identify and characterize PA programmes focussed on BME populations. Three case studies were conducted, employing documentary analysis and qualitative interviews...
November 29, 2016: Journal of Public Health
https://www.readbyqxmd.com/read/27535665/survivorship-care-and-support-following-treatment-for-breast-cancer-a-multi-ethnic-comparative-qualitative-study-of-women-s-experiences
#13
Charlotte Tompkins, Karen Scanlon, Emma Scott, Emma Ream, Seeromanie Harding, Jo Armes
BACKGROUND: As the number of breast cancer survivors continues to rise, Western populations become more ethnically and socially diverse and healthcare resources become ever-more stretched, follow-up that focuses on monitoring for recurrence is no longer viable. New models of survivorship care need to ensure they support self-management and are culturally appropriate across diverse populations. This study explored experiences and expectations of a multi-ethnic sample of women with breast cancer regarding post-treatment care, in order to understand potential barriers to receiving care and inform new models of survivorship care...
August 18, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27510456/supportive-care-communication-strategies-to-improve-cultural-competence-in-shared-decision-making
#14
Edwina A Brown, Hilary L Bekker, Sara N Davison, Jonathan Koffman, Jane O Schell
Historic migration and the ever-increasing current migration into Western countries have greatly changed the ethnic and cultural patterns of patient populations. Because health care beliefs of minority groups may follow their religion and country of origin, inevitable conflict can arise with decision making at the end of life. The principles of truth telling and patient autonomy are embedded in the framework of Anglo-American medical ethics. In contrast, in many parts of the world, the cultural norm is protection of the patient from the truth, decision making by the family, and a tradition of familial piety, where it is dishonorable not to do as much as possible for parents...
October 7, 2016: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/27461943/cultural-challenges-to-engaging-patients-in-shared-decision-making
#15
Sarah T Hawley, Arden M Morris
OBJECTIVE: Engaging patients in their health care through shared decision-making is a priority embraced by several national and international groups. Missing from these initiatives is an understanding of the challenges involved in engaging patients from diverse backgrounds in shared decision-making. In this commentary, we summarize some of the challenges and pose points for consideration regarding how to move toward more culturally appropriate shared decision-making. DISCUSSION: The past decade has seen repeated calls for health policies, research projects and interventions that more actively include patients in decision making...
January 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/27456233/pathways-to-potentially-preventable-hospitalizations-for-diabetes-and-heart-failure-a-qualitative-analysis-of-patient-perspectives
#16
Tetine L Sentell, Todd B Seto, Malia M Young, May Vawer, Michelle L Quensell, Kathryn L Braun, Deborah A Taira
BACKGROUND: Potentially preventable hospitalizations (PPH) for heart failure (HF) and diabetes mellitus (DM) cost the United States over $14 billion annually. Studies about PPH typically lack patient perspectives, especially across diverse racial/ethnic groups with known PPH health disparities. METHODS: English-speaking individuals with a HF or DM-related PPH (n = 90) at the largest hospital in Hawai'i completed an in-person interview, including open-ended questions on precipitating factors to their PPH...
July 26, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27426247/using-social-and-mobile-tools-for-weight-loss-in-overweight-and-obese-young-adults-project-smart-a-2-year-parallel-group-randomised-controlled-trial
#17
Job G Godino, Gina Merchant, Gregory J Norman, Michael C Donohue, Simon J Marshall, James H Fowler, Karen J Calfas, Jeannie S Huang, Cheryl L Rock, William G Griswold, Anjali Gupta, Fredric Raab, B J Fogg, Thomas N Robinson, Kevin Patrick
BACKGROUND: Few weight loss interventions are evaluated for longer than a year, and even fewer employ social and mobile technologies commonly used among young adults. We assessed the efficacy of a 2 year, theory-based, weight loss intervention that was remotely and adaptively delivered via integrated user experiences with Facebook, mobile apps, text messaging, emails, a website, and technology-mediated communication with a health coach (the SMART intervention). METHODS: In this parallel-group, randomised, controlled trial, we enrolled overweight or obese college students (aged 18-35 years) from three universities in San Diego, CA, USA...
September 2016: Lancet Diabetes & Endocrinology
https://www.readbyqxmd.com/read/27405727/building-a-culture-of-health-a-new-framework-and-measures-for-health-and-health-care-in-america
#18
Matthew D Trujillo, Alonzo Plough
For generations, Americans' health has been unequally influenced by income, education, ethnicity, and geography. Health care systems have operated largely apart from each other and from community life. The definition of health has been the "absence of illness," rather than the recognition that all aspects of our lives should support health. Today, a growing number of communities, regions, and states are working to redefine what it means to get and stay healthy by addressing the multiple determinants of health...
September 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27193580/applying-the-com-b-model-to-creation-of-an-it-enabled-health-coaching-and-resource-linkage-program-for-low-income-latina-moms-with-recent-gestational-diabetes-the-star-mama-program
#19
Margaret A Handley, Elizabeth Harleman, Enrique Gonzalez-Mendez, Naomi E Stotland, Priyanka Althavale, Lawrence Fisher, Diana Martinez, Jocelyn Ko, Isabel Sausjord, Christina Rios
BACKGROUND: One of the fastest growing risk groups for early onset of diabetes is women with a recent pregnancy complicated by gestational diabetes, and for this group, Latinas are the largest at-risk group in the USA. Although evidence-based interventions, such as the Diabetes Prevention Program (DPP), which focuses on low-cost changes in eating, physical activity and weight management can lower diabetes risk and delay onset, these programs have yet to be tailored to postpartum Latina women...
May 18, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27182444/perspectives-on-optimizing-care-of-patients-in-multidisciplinary-chronic-kidney-disease-clinics
#20
REVIEW
David Collister, Randall Russell, Josee Verdon, Monica Beaulieu, Adeera Levin
PURPOSE OF REVIEW: To summarize a jointly held symposium by the Canadian Society of Nephrology (CSN), the Canadian Association of Nephrology Administrators (CANA), and the Canadian Kidney Knowledge Translation and Generation Network (CANN-NET) entitled "Perspectives on Optimizing Care of Patients in Multidisciplinary Chronic Kidney Disease (CKD) Clinics" that was held on April 24, 2015, in Montreal, Quebec. SOURCES OF INFORMATION: The panel consisted of a variety of members from across Canada including a multidisciplinary CKD clinic patient (Randall Russell), nephrology fellow (Dr...
2016: Canadian Journal of Kidney Health and Disease
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