Perceived Barriers and Facilitators in Accessing Cervical Cancer Screening: The Voices of Women in a Low-Income Urban Community
Although advancements in cervical cancer prevention have helped reduce the incidence, mortality, and prevalence, access to these preventive services has not been experienced equally by all women in the United States. The purpose of this study was to learn about the factors that affect access to preventive services in a low-income, primarily Black community. Using a community-based participatory research approach, women were recruited to participate in 7 focus groups, with 6 to 8 women per group (N = 45). Participants were mainly Black (64%), with a mean age of 46 years, and 60% reporting completing at least some college. T...
Source: Family and Community Health - November 25, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Latino Health Access: Comparative Effectiveness of a Community-Initiated Promotor/a-Led Diabetes Self-management Education Program
This study examines the effectiveness of a community-initiated health intervention to improve diabetes management in an underserved community of color using a retrospective observational study, comparing a study intervention, the Latino Health Access Diabetes Self-Management Program (LHA-DSMP), with usual care. The LHA-DSMP is a 12-session community health worker (promotor/a) intervention developed and implemented by a community-based organization in a medically underserved area. Usual care was delivered at a federally qualified health center in the same geographic area. Participants were 688 predominantly Spanish-speaking...
Source: Family and Community Health - November 25, 2021 Category: Primary Care Tags: Original Articles Source Type: research

The UnProcessed Pantry Project (UP3): A Community-Based Intervention Aimed to Reduce Ultra-Processed Food Intake Among Food Pantry Clients
Low-income populations are more likely to experience food and nutrition insecurity and suffer a greater burden of noncommunicable disease than the general population. The UnProcessed Pantry Project (UP3) is an intervention aimed to reduce ultra-processed food availability and consumption of food pantry clients accessing the emergency food system. The pilot study included nutrition education, food boxes, and social support for 16 weeks at 2 food pantries. Data collection included the ASA24 dietary recall to calculate Healthy Eating Index-2015 (HEI-2015) scores, biomarkers (hemoglobin A1c, total cholesterol, blood pressure, ...
Source: Family and Community Health - November 25, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Predictors of Depressive Symptoms in Caregivers of Children With Poorly Controlled Asthma: Is the Neighborhood Context Important?
Children residing in low-income neighborhoods are disproportionately affected by asthma morbidity and mortality. Neighborhood violence has been explored in relationship to child morbidity and health and developmental outcomes, but less is known about the relationship of violence to caregiver mental health. The purpose of this study was to examine the relationship of neighborhood violent crime victimization (objective and subjective measures), perceptions of community well-being and support, and depressive symptoms among a sample of primarily single female caregivers of children with uncontrolled asthma. This is a secondary...
Source: Family and Community Health - November 25, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Home Environment Influence on Adolescent Health Literacy
Adolescent health disparities are influenced by individuals' health literacy. To date, the only known household factors to influence adolescent health literacy (AHL) are social capital factors of parental health literacy, parent education, and household income. Therefore, the purpose of this study was to expand the understanding of household factors that influence AHL for future interventions. A sample of 105 adolescents and their parents completed an online survey. Home environment variables included family communication, family involvement, and books in the home. A quantitative analysis of correlations and regression was...
Source: Family and Community Health - November 25, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Community-Driven Prioritization of Primary Health Care Access Issues by Bangladeshi-Canadians to Guide Program of Research and Practice
This study aimed to seek input from an immigrant community in Calgary, Canada. Members of the Bangladeshi community of Calgary were asked through a survey to rank 10 predefined primary care access topics as to what they felt constituted priorities for solution-oriented research (1, highest; 10, lowest). We used frequencies and percentages to describe the participant demographics. Ratings of preferred research themes were analyzed on the basis of relative weighted priority rank. We received 432 responses: 51.2% female; 58.9% aged 36 to 55 years; 90.5% had university-level education; 46.2% immigrated to Canada between 10 and...
Source: Family and Community Health - August 20, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Striving for Structure and Stability in Cincinnati's Family Homeless Shelters: A Community-Based Participatory Research Approach
This study demonstrates the power of the GLA approach to affect community action as a direct result of priorities generated by families experiencing homelessness. (Source: Family and Community Health)
Source: Family and Community Health - August 20, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Feasibility, Acceptability, and Preliminary Impact of Asdzáán Be'eená: An Intergenerational, Strength-Based, and Culturally Grounded Program to Improve the Health of Navajo Families
Native American youth endure a complex interplay of factors that portend greater risk-taking behaviors and contribute to marked health disparities experienced in adolescence. The Asdzáán Be'eená (“Female Pathways” in Navajo) program was developed as a primary prevention program to prevent substance use and teen pregnancy among Navajo girls. The Asdzáán Be'eená program consists of 11 lessons delivered to dyads of girls ages 8 to 11 years and their female caregivers. Feasibility, acceptability, and preliminary impact on risk and protective factors were assessed through a ...
Source: Family and Community Health - August 20, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Disparities in Technology and Broadband Internet Access Across Rurality: Implications for Health and Education
Amidst the COVID-19 pandemic, interest in using telehealth to increase access to health and mental health care has grown, and school transitions to remote learning have heightened awareness of broadband inequities. The purpose of this study was to examine access and barriers to technology and broadband Internet service (“broadband”) among rural and urban youth. Washington State public school districts were surveyed about youth's access to technology (ie, a device adequate for online learning) and broadband availability in spring 2020. Availability of and barriers to broadband (ie, geography, affordability, and ...
Source: Family and Community Health - August 20, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Intervention to Reduce Stigma and Improve Knowledge of HPV and Cervical Cancer in Nigeria: A Community-Based Assessment
We compared the effectiveness of an educational intervention at reducing stigma and improving knowledge of human papillomavirus (HPV) and cervical cancer among Nigerian men and women. We used a pre-/posttest design to deliver 2 educational interventions to 266 adults. Low knowledge was observed at baseline, which improved significantly post-intervention with no difference between groups. No significant changes were observed between groups in 5 out the 6 stigma domains. Health education was effective in improving knowledge. However, the lack of positive change in stigma shows urgent need for HPV and cervical cancer stigma r...
Source: Family and Community Health - August 20, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Disparities in Elevated Body Mass Index in Youth Receiving Care at Community Health Centers
This study describes the prevalence of obesity among youth of diverse racial and ethnic backgrounds receiving care at community health centers (CHCs). This cross-sectional study describes the prevalence of elevated body mass index (BMI) (≥85th percentile) and obesity (≥95th percentile) in youth aged 9 to 19 years receiving care in CHCs in 2014. Multilevel logistic regression estimated the prevalence of elevated BMI and obesity by age, race/ethnicity, and sex. Among 64 925 youth, 40% had elevated BMI and 22% were obese. By race, obesity was lowest in the combined Asian/Pacific Islander category (13%); however, when su...
Source: Family and Community Health - August 20, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Commentary: COVID-19 and the Vulnerability of Single Mothers in Institutions of Higher Education
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - August 20, 2021 Category: Primary Care Tags: Commentary Source Type: research

Consumers' Ability to Distinguish Between Milk Types: Results of Blind Taste Testing
The objective of this study was to assess consumers' ability to correctly identify different types of milk in a blind taste test and correlates of plans to purchase lower fat milk. Adults from 8 supermarkets in low-income neighborhoods tasted 3 types of unlabeled lower fat or fat-free milk samples and guessed the type of each sample. Of the 1074 participants, only 7.6% were able to identify all 3 unlabeled samples correctly. Most adults in this study reported consuming higher fat milk and could not correctly identify milk type by taste alone. Blind taste tests may encourage consumers to drink lower fat milk. (Source: Famil...
Source: Family and Community Health - May 27, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Association Between Sense of Coherence and Periodontal Outcomes: A Systematic Review and Meta-analysis
This systematic review and meta-analysis aimed to evaluate the association between sense of coherence (SOC) and periodontal outcomes. Electronic searches were performed in 6 databases. Seventeen studies that evaluated the association between SOC and periodontal outcomes were included. The included studies demonstrated that individuals with a stronger SOC were more likely to present improved periodontal outcomes. The meta-analysis showed that individuals with a lower SOC were 3.31 times more likely to present bleeding on probing. Sons/daughters of mothers with a lower SOC were 3.22 times more likely to present gingival blee...
Source: Family and Community Health - May 27, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Keeping Each Other Accountable: Social Strategies for Smoking Cessation and Healthy Living in Vietnamese American Men
This study explored social support mechanisms provided by lay health workers (LHWs) and family members through a smoking cessation intervention. Eight focus groups (N = 54) were conducted in Vietnamese stratified by intervention arms (Tobacco [experimental] and healthy living [control]) with 18 smokers, 18 family members, and 18 LHWs. Smokers reported feeling more accountable for their health behaviors, and smoking changes were reinforced by family members, peers, and LHWs through conversations facilitated during and outside the program. Culturally appropriate interventions with multiple social support mechanisms may reduc...
Source: Family and Community Health - May 27, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Lessons From the Feasibility Testing of a Parent-Focused, Life Skills–Based Intervention to Prevent Obesity in Preschoolers From Underserved Families
This article describes lessons from the feasibility testing of a parent-focused, life skills–based intervention to promote healthy weight in 58 low-income children aged 2 to 5 years. This intervention was feasible and acceptable, with a potential to impact child weight and diet (calories) and parental quality of life (QOL). The group delivery approach through a partnering organization (Head Start) was a more efficient way to reach/engage parents. Compared with one-on-one sessions, the group could provide an avenue to enhance parental psychosocial well-being, given QOL improvements among parents in group sessions. Les...
Source: Family and Community Health - May 27, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Mass Incarceration and Children's Health: A State-Level Analysis of Adverse Birth Outcomes and Infant, Child, and Teen Mortality
Children's health indicators such as mortality and adverse birth outcomes are poorer in the United States than in comparable nations. These measures also show racial inequities within the United States, with Black children experiencing the highest levels. Mass incarceration may partially explain these findings. High incarceration rates can disrupt community functioning, influencing behavior and health. The purpose of the current study was to conduct a macro (state)-level analysis examining whether yearly state incarceration rates predict health outcomes including infant, child, and teen mortality as well as preterm birth a...
Source: Family and Community Health - May 27, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Paying for Pediatric Home Health Care: How Families of Children With Medical Complexity Navigate Gaps in Coverage
Limited private and public financing of home health care for children with medical complexity can have harmful and costly consequences. Little is known of how parents and professionals in the United States navigate coverage for these services or how payer restrictions are shaping service quality. Qualitative interviews were conducted with families and professionals (eg, prescribers, providers, administrators of pediatric home health care [PHHC]) caring for children with medical complexity. Interview transcripts were analyzed using inductive thematic analysis. In total, 47 families and 45 professionals from across 31 states...
Source: Family and Community Health - May 27, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Forgoing Care in Southernmost Texas: Compounding Hardship and Health Among Latinx Immigrant Border Residents
This study examines how material hardship and perceived discrimination are associated with health care access and self-rated health among lower Rio Grande Valley residents. Of respondents to surveys administered at 2 clinic systems (N = 546), approximately 67% reported forgoing medical care in the past 12 months. Regression results suggested that perceived discrimination (odds ratio [OR] = 1.05, P (Source: Family and Community Health)
Source: Family and Community Health - May 27, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Laboring With the Heart: Promotoras:'Transformations, Professional Challenges, and Relationships With Communities
Little is known about promotoras' professional experiences engaging in Latinx health promotion. In this promotora-led community-based participatory study, we purposively recruited and interviewed 30 Spanish-speaking promotoras who worked in Los Angeles County and who had at least 5 years of experience as promotoras. Using a constructivist grounded theory approach, findings revealed promotoras self-identified as health professionals who offered unique, insider perspectives. Challenges arose as employers viewed promotoras as volunteer lay health workers, while promotoras desired opportunities for professional growth. Motivat...
Source: Family and Community Health - May 27, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Active Play Network Influences on Physical Activity Among Children Living in Texas Colonias
This study aims to understand associations between self-reported play networks and PA among Mexican-heritage children. Mexican-heritage children from colonias along the Texas-Mexico border (n = 44; 54.5% girls; mean age = 9.89 years, SD = 0.97) reported information on up to 5 people they played with most often. Linear regression was used to analyze the relationship between composition of children's social network and minutes of moderate- to vigorous-intensity PA (MVPA) and sedentary minutes per day measured by accelerometers. Children who reported a higher percentage of friends as opposed to family members attained signifi...
Source: Family and Community Health - May 27, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Generational Status, Language Use, Parental Limit Setting, and Screen Time in US Latinx Children
We examined the effect of generational status and language use on screen time in 6- to 11-year-old Latinx children and whether parental limit setting mediated that relationship. Participants included 3127 children (aged 9.2 ± 2.0 years; 54% male) from the 2011-2012 National Survey of Children's Health. Spanish language use was associated with 14.0 more minutes per day of screen time (P = .038); parental limit setting partially mediated this relationship (11.4%). Future research should explore the protective role of parental limit setting in reducing screen time in Latinx children. (Source: Family and Community Health)
Source: Family and Community Health - May 27, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Local Health Department and Hospital Collaboration Around Community Health Needs Assessment to Improve Health Outcomes
The objectives of this study were to examine the relationships between local health department (LHD) and nonprofit hospital collaboration around community health needs assessment (CHNA), levels of collaboration, and selected community health outcomes. Data were obtained from multiple sources including the National Profile of Local Health Departments. Results showed that high levels of LHD-hospital collaboration around CHNA were associated with lower self-reported poor or fair health, lower years of potential life lost per 100 000 population, and lower premature age-adjusted mortality per 100 000 population. More research i...
Source: Family and Community Health - May 27, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Development and Validation of a Community Assessment Survey for Diverse Rural Family Caregivers of People With Alzheimer Disease and Related Dementias
This study details the development and content validation process for a community assessment survey for rural white, Latinx, and American Indian/Alaska Native Alzheimer disease and related dementias caregivers. Foundational survey items were based upon instruments validated with diverse rural caregivers. A modified Delphi process (2 rounds) was used to refine items. The process concluded when 75%+ of experts agreed that the survey was (1) inclusive of different cultural groups; (2) respectful of cultural values and norms; (3) comprehensive with respect to needs, assets, and resources, and (4) relevant to the experiences of...
Source: Family and Community Health - May 27, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Conducting a Community “Street Survey” to Inform an Obesity Intervention: The WE Project
Using a community-based participatory research approach, a citywide survey was conducted to explore perceptions of obesity and interventions to reduce obesity within an African American urban community. More than 1300 surveys were collected within 3 months; 92.9% of respondents agreed or strongly agreed that obesity was an important health issue in the community and the majority indicated that family-based interventions were the preferred pathway for improving physical activity (86.0%) and nutrition (85.2%). Engaging community members in survey development and implementation was an effective approach to build local researc...
Source: Family and Community Health - May 27, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Commentary: Stronger Together: The Role of a Rural Community of Practice in Implementing a Culturally Relevant Response to the Opioid Epidemic During the COVID-19 Pandemic
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - May 27, 2021 Category: Primary Care Tags: Commentary Source Type: research

Commentary: Systemic Racism in Maternal Health Care: Centering Doula Advocacy for Women of Color During COVID-19
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - February 18, 2021 Category: Primary Care Tags: Commentary Source Type: research

Commentary: The Invisible and Forgotten: COVID-19 Inequities Among People Experiencing Homelessness
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - February 18, 2021 Category: Primary Care Tags: Commentary Source Type: research

Commentary: Pandemic Inequities: Refugees' Health in the Rural United States During COVID-19
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - February 18, 2021 Category: Primary Care Tags: Commentary Source Type: research

Commentary: Social Determinants of Health and Latinx Families, Risk for COVID-19 Infection
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - February 18, 2021 Category: Primary Care Tags: Commentary Source Type: research

Factors Contributing to Parents' Psychological and Medical Help Seeking During the COVID-19 Global Pandemic
The COVID-19 pandemic and related quarantine orders will impact the mental health of millions of individuals in the United States. Mental health difficulties, including depression, anxiety, traumatic stress, and other negative mental health sequelae are likely and likely to persist. These challenges will require response from the psychotherapeutic and medical community that addresses the mental health needs of the population. Using binary logistic regression (n = 322 at time 1, and n = 189 at time 2), researchers in the present study examined promotive factors related to having sought medical or behavioral health treatment...
Source: Family and Community Health - February 18, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Commentary: The Impact of the COVID-19 Pandemic and the Economic Recession on Food Insecurity: Short- and Long-term Recommendations to Assist Families and Communities
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - February 18, 2021 Category: Primary Care Tags: Commentary Source Type: research

Commentary: Rebuilding With Impacted Communities at the Center: The Case for a Civic Engagement Approach to COVID-19 Response and Recovery
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - February 18, 2021 Category: Primary Care Tags: Commentary Source Type: research

Addressing the Social Determinants of Health During the COVID-19 Pandemic: Ensuring Equity, Quality, and Sustainability
The COVID-19 pandemic has highlighted the importance of social determinants of health in affecting health outcomes. Populations with high social risk are disproportionately impacted by the virus and its economic consequences. Primary care practices have a unique opportunity to implement interventions to mitigate their patients' unmet social needs, such as food and income insecurity. In this commentary, we outline key considerations for clinics implementing programs that identify and address patients' social needs in a way that promotes equity, quality, and sustainability. We provide examples from our own experience at a fe...
Source: Family and Community Health - February 18, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Preexisting Conditions That Kill Us
To protect human life, science and public health need to guide public policy. We call for an end to the anti-science, anti-prevention, and anti-regulatory policies that have resulted in countless preexisting conditions and deaths. Reactive responses are not a substitute for primary prevention; we must invest in environmental and public health protections. (Source: Family and Community Health)
Source: Family and Community Health - February 18, 2021 Category: Primary Care Tags: Original Articles Source Type: research

Commentary: When Science Conflicts With the Agendas of the Powerful, People Die
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - February 18, 2021 Category: Primary Care Tags: Commentary Source Type: research

An Integrative Review of Current Practice Models and/or Process of Family-Centered Early Intervention for Children Who Are Deaf or Hard of Hearing
This study describes our first steps in formulating a framework for FCEI for children who are DHH in South Africa. An integrative literature review was conducted. Sage, Science Direct, PubMed, and Google Scholar databases were searched for studies published in English between January 2009 and January 2019 reporting on FCEI programs for children who are DHH. Studies that focused on the following were excluded from the study: speech and language outcomes of children, youth, and adults who are DHH; education for children who are DHH; universal newborn hearing screening; professionals' roles in early hearing detection and inte...
Source: Family and Community Health - November 23, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Rural and Racial/Ethnic Differences in Children Receiving Early Intervention Services
Conclusions: Families who were Hispanic or who were from rural areas were most likely to receive a delayed HCP response; for parents who received a delayed HCP response, a developmental delay diagnosis took 5 months longer than for families from the other groups listed. A review of the literature shows that racial and ethnic minority children (eg, African American, Asian, and Hispanic) received diagnoses for developmental concerns later in life compared with their age-matched white counterparts. Research has also documented disparities in access to and receipt of health care services among children with developmenta...
Source: Family and Community Health - November 23, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Recruitment and Retention for the Evaluation of a Healthy Food Initiative in Economically Disadvantaged, Majority African American Communities
Effective recruitment and retention supports equitable participation in research. The aim of this article is to describe recruitment and retention methods among residents of highly disadvantaged, predominantly African American communities in the southeastern United States during the evaluation of a healthy food access initiative. We proposed that active and passive recruitment methods, intensive retention strategies, community outreach and involvement, over-enrollment to anticipate attrition, and applied principles of community participation would achieve the study's recruitment and retention goals. The enrollment goal of ...
Source: Family and Community Health - November 23, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Promoting Interdisciplinary, Participatory Approaches to Address Childhood Asthma Disparities in an Urban Black Community
This article describes the successful use of BCT to develop a culturally relevant AAP promotion campaign in West Louisville, a predominantly Black community that experiences social and health disparities. (Source: Family and Community Health)
Source: Family and Community Health - November 23, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Perceived Built Environment and Physical Limitations: Race Contrasts in Historically Lower-Income African American Neighborhoods
This study uses primary data from a community-based random sample of adults in historically lower-income African American (or Black) neighborhoods in Atlanta, Georgia (N = 352). The aim was to investigate whether there are race differences in perceived neighborhood conditions/amenities, and the potential conditional effect of race on the relationship between the perceived built environment and physical limitations. Findings indicate significant race differences in the perceived built environment and that the relationship between the perceived built environment and physical limitations is conditioned by race, whereby Whites...
Source: Family and Community Health - November 23, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Latinx Parents' Perceptions of Neighborhood Walking Safety for Their Youth With Intellectual Disabilities: A Mixed-Methods Investigation
Increased walking distance and frequency has been linked to positive health outcomes. Neighborhood walkability disproportionately impacts youth with intellectual and developmental disabilities (IDD). We investigated concerns of Latinx parents of youth with IDD about walkability and their impact on families' walking behavior. We surveyed Latinx parents of youth with IDD (n = 21) and compared results with the general population. Results were triangulated with a focus group (n = 5). Survey data were analyzed using a Mann-Whitney U test, and focus group data via thematic analysis. We found a significant difference (P (Source: ...
Source: Family and Community Health - November 23, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Heart Attacks, Bloody Noses, and Other “Emotional Problems”: Cultural and Conceptual Issues With the Spanish Translation of Self-Report Emotional Health Items
This article examines how respondents understood items in the Spanish versions of the Short-Form 36 (SF-36v2). Cognitive interviews of the SF-36 were conducted in 2 phases with 46 Spanish speakers living in the United States. Roughly one-third (17/46) of respondents had difficulty understanding the Role Emotional items upon their initial reading, and almost half (21/46) provided examples that were inconsistent with the intended meaning of the items. The findings of this study underscore the importance of conducting cognitive testing to ensure conceptual equivalence of any instrument regardless of how well validated it appe...
Source: Family and Community Health - November 23, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Mediators and Moderators of the Influences of Living Alone on Psychological Distress Among Japanese Older Adults
This study explored gender differences in mediators and moderators of the association between living alone and psychological distress among 2556 Japanese older adults aged 65 years and older. Putative mediators and moderators were physical health, income, informal networks, and social support. Living alone was significantly related to psychological distress only in men. Significant mediators were income in both genders and social support only in men. Living alone in women was related to having more informal networks, which reduced psychological distress. This contributed to mitigating the effect of living alone on psycholo...
Source: Family and Community Health - August 28, 2020 Category: Primary Care Tags: Original Articles Source Type: research

A Conceptual Model of Rural Household Food Insecurity: A Qualitative Systematic Review and Content Analysis
This systematic review explores experiences of household food insecurity in rural areas of developed countries. A search of 5 databases resulted in 32 peer-reviewed articles for inclusion. Data were analyzed using directed content analysis to broaden the understanding of rural household food insecurity. Elements of food security (ie, availability, accessibility, acceptability, adequacy, and agency) were exemplified across the literature. In addition, 4 key themes were found: exercising human capital, realizing social capital, coping with compounding stressors, and navigating complex systems. This review demonstrates the ne...
Source: Family and Community Health - August 28, 2020 Category: Primary Care Tags: Original Articles Source Type: research

An Examination of Family Variables as Mediators of the Association of Acculturation With Sugar-Sweetened Beverage Consumption Among Latinx Adolescents
The objective of this study was to examine the mediating effects of family support for dietary habits and family meal frequency on the relationship between acculturation and sugar-sweetened beverage (SSB) consumption among Latinx adolescents (N = 131). Acculturation was positively associated with SSB consumption (B = 0.07, P (Source: Family and Community Health)
Source: Family and Community Health - August 28, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Promoting Healthier Home Food Environments Through 2-1-1: A Pilot and Feasibility Study
Relatively few interventions target the home food environment of adults for weight gain prevention. Using a pretest/posttest design, this study describes the adaptation and pilot testing of Healthy Homes/Healthy Families, a research-tested home food environment intervention, for telephone delivery to 2-1-1 clients (n = 101). The Healthy Eating Index-2015, a measure of diet quality, improved significantly at 4-month follow-up, as did the home food environment, with energy consumption improving in the expected direction. Overall findings suggest the simplified intervention will still be effective, although results may be att...
Source: Family and Community Health - August 28, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Comparison of Urban and Rural Physical Activity and Outdoor Play Environments of Childcare Centers and Family Childcare Homes
The purpose of this study was to examine the physical activity environment in childcare programs across type (childcare centers [CCCs] and family childcare homes [FCCHs]) and geographic location (urban and rural) as assessed by physical activity best practices according to the Go Nutrition and Physical Activity Self-assessment in Child Care. Results showed CCCs compared with FCCHs reported higher achievement of best practices. Further, urban childcare programs (CCCs and FCCHs) reported higher achievement of best practices in comparison to rural childcare programs. There is a need to deliver targeted interventions that prom...
Source: Family and Community Health - August 28, 2020 Category: Primary Care Tags: Original Articles Source Type: research

“I Shall Live and Not Die”: Using Monologues Based on the Experiences of Older African Americans Living With HIV to Address HIV-Related Stigma Among African Americans in Louisville, Kentucky
This study employs 5 monologues portraying lived experiences of older African Americans living with HIV to do this. Monologues were developed on the basis of qualitative research, actors performed them for live and online audiences, and surveys were distributed to gauge their potential for raising awareness about HIV-related stressors, reducing HIV-related stigma, and entertainment value. Monologues may also foster HIV testing. More scholarship should integrate arts-based knowledge translation with HIV education. Future efforts should focus on scaling this approach. (Source: Family and Community Health)
Source: Family and Community Health - August 28, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Commentary: Racism is a Public Health Emergency
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - August 28, 2020 Category: Primary Care Tags: Commentary Source Type: research