Family: The Bedrock of Support for American Indian Women Cancer Survivors
Cancer disparities among American Indian (AI) women are alarming, yet a dearth of research focuses on the role of family support for such women. The purpose of this research was to examine the composition of AI women cancer survivors' family support networks and the types of support that they provided. We used a qualitative descriptive methodology with 43 AI women cancer survivors and qualitative content analysis, which indicated that 38 participants (approximately 90%) reported that their families provided integral and varied forms of support, especially instrumental support throughout cancer experiences. Families were th...
Source: Family and Community Health - May 16, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Opposing Discourses Surrounding Type 2 Diabetes in Eastern Appalachian Kentucky
This study investigated discourse among friends and family with different diabetes risk levels in Central Appalachia. Eighteen semistructured, in-depth interviews were conducted with Appalachian Kentuckians. Thematic analysis revealed 2 dialectic tensions centered on disease management (health as a personal problem vs diabetes management requiring social support) and disclosure (openness vs closedness). Health professionals should consider the powerful influence of speech with respect to family relations and support, along with the need to communicate early, clearly, and often in a manner that emphasizes family, friends, a...
Source: Family and Community Health - May 16, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Correlates of Resilience in Hispanic Young Adults
This study sought to examine the relationship between factors in 4 primary domains—behavioral, psychological, social, and cultural—and resilience in Hispanic young adults. We used data from Project RED, which included 1503 Hispanic young adults. Results indicate that cultural factors (acculturation and cultural identity), psychological factors (depression, stress, and coping), and social connectedness are important determinants of resilience among Hispanic young adults. (Source: Family and Community Health)
Source: Family and Community Health - May 16, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Perceived Role of Built and Social Environments on Childhood Obesity: A PhotoVoice Approach With Latino Migrant Farmworking Families
This article presents qualitative themes related to the role of the built and social environments in influencing diet, physical activity, and ultimately, health and weight status. Themes were identified through the PhotoVoice method, with 13 parent participants representing 30 children from a rural farmworking community in Southwest Florida. (Source: Family and Community Health)
Source: Family and Community Health - May 16, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Consensus Organizing and Community-Based Participatory Research to Address Social-Structural Disparities and Promote Health Equity: The Hope Zone Case Study
This case study illustrates the process of integrating community-based participatory research and consensus organizing in an effort to deconstruct social-structural risk factors and markers of health disparities, and build positive relationships between members of the criminal justice system and the community. Community residents, law enforcement, and other cross-sector partners engaged in an extensive planning initiative to address crime and social-structural risk factors in a majority African American community. Community-based participatory research and consensus organizing can be integrated as an effective approach to ...
Source: Family and Community Health - May 16, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Racial Differences in the Influence of Health Care System Factors on Informal Support for Cancer Care Among Black and White Breast and Lung Cancer Survivors
This retrospective, secondary qualitative analysis investigates whether health system factors influence social support among Black and white breast and lung cancer survivors and racial differences in support. These data come from race- and cancer-stratified focus groups (n = 6) and interviews (n = 2) to inform a randomized controlled trial utilizing antiracism and community-based participatory research approaches. Findings indicate social support was helpful for overcoming treatment-related challenges, including symptom management and patient-provider communication; racial differences in support needs and provision were no...
Source: Family and Community Health - May 16, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Health Risk Behaviors and Resilience Among Low-Income, Black Primary Care Patients: Qualitative Findings From a Trauma-Informed Primary Care Intervention Study
This study describes an intervention with low-income, Black primary care patients and their experience in changing a health risk behavior. Participant themes, including behavioral coping, personal values, accomplishments and strengths, barriers and strategies, and social support, are understood in relationship to health behavior theories. Two structured interviews were conducted 1 month apart. Content analysis was used to analyze responses from 40 participants. Participants were well equipped with resilience-based coping, self-efficacies, and informal social networks despite economic and social disadvantages. Findings from...
Source: Family and Community Health - May 16, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Commentary: Addressing Inequities in the Era of COVID-19: The Pandemic and the Urgent Need for Critical Race Theory
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - May 16, 2020 Category: Primary Care Tags: Commentary Source Type: research

From the Editor
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - May 16, 2020 Category: Primary Care Tags: From the Editor Source Type: research

Neighborhood Disorganization and Child-rearing Beliefs Toward Physical Punishment Among Asian American Parents: The Mediation Role of Parenting Stress
Previous studies have indicated that neighborhood disorganization affects child-rearing beliefs in the United States, but few studies have focused on such influences among Asian American parents. Largely due to Asian American parents' immigration experiences, neighborhood disorganization factors inevitably intersect with their traditional cultures, which may lead to different patterns in their parental beliefs. Using structural equation modeling, this study found that neighborhood disorganization factors directly influenced Asian American parents' beliefs toward physical punishment and parenting stress mediated this relati...
Source: Family and Community Health - February 21, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Opiate Dependence: A Risk Factor for Hepatitis B Virus Exposure in Homeless Adults
The prevalence of hepatitis B virus (HBV) in the homeless population is underestimated despite multiple behavioral risks. Data from a sample of 534 homeless adults from downtown Los Angeles were analyzed to examine the prevalence and predictors of HBV infection in this community. The prevalence of HBV was 7 to 10 times higher than in the US general population rate. Opiate dependence, injection and noninjection use, was an independent predictor of HBV exposure. Testing and counseling occurred at significantly lower rates for HBV than for human immunodeficiency virus. Findings emphasize the need to enhance screening and coun...
Source: Family and Community Health - February 21, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Case Management and Capacity Building to Enhance Hepatitis C Treatment Uptake at Community Health Centers in a Large Urban Setting
An estimated 4.1 million people in the United States are infected with hepatitis C virus (HCV). In 2014, the Hepatitis C Community Alliance to Test and Treat (HepCCATT) collaborative was formed to address hepatitis C in Chicago. From 2014 to 2017, the HepCCATT Case Management Program case managed 181 HCV-infected people and performed on-site capacity building at a 6-site community health center (CHC) that produced codified protocols, which were translated into a telehealth program to build capacity within CHCs to deliver hepatitis C care. HepCCATT's innovative approach to addressing multilevel barriers is a potential model...
Source: Family and Community Health - February 21, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Rural-Urban Differences in Roles and Support for Community Health Workers in the Midwest
The Patient Protection and Affordable Care Act supports the integration of community health workers (CHWs) into the health care workforce, but little is known about integration and current roles of CHWs among employers in community settings. This analysis of 97 employers described the roles of CHWs in Nebraska and found significant differences between CHWs practicing in rural and urban areas in organization types employing CHWs, funding sources, and minority populations served. The findings suggest that the utility of CHWs is widely recognized among employers, but deliberate support will be needed to better define the role...
Source: Family and Community Health - February 21, 2020 Category: Primary Care Tags: Original Articles Source Type: research

My Quest, a Community-Based mHealth Intervention to Increase Physical Activity and Promote Weight Loss in Predominantly Rural-Dwelling, Low-Income, Alabama Women
This study adds support that text message programs can reach a high-risk, limited-resource, predominantly rural population to promote physical activity and weight loss. (Source: Family and Community Health)
Source: Family and Community Health - February 21, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Preliminary Effects of Tailoring an Obesity Prevention Intervention Program for Latino Immigrant Families
An obesity preventive intervention program for preschool families, Healthy Balance, was tested in 2 sequential pilot trials. The first pilot tested the original and translated group intervention in a heterogeneous population (65 families), and the second tested the feasibility of a culturally adapted version for Latinx immigrant families (27 families). No significant study 1 intervention effects were found. However, in study 2, there were significant improvements in parent body mass index, neck circumference, and blood pressure. These studies suggest that targeting family system change and tailoring the intervention for La...
Source: Family and Community Health - February 21, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Evaluating Ten Top Tips (10TT): Brief Dietary and Physical Activity Counseling in Rural Overweight and Obese Adults
Adults living in rural areas are at greater risk of becoming overweight and obese due to health care disparities. A pre-/postmatched cohort design was used to evaluate a brief weight-loss counseling intervention, Ten Top Tips (10TT), in a rural primary care setting. The rank sum scores for total weight-loss behaviors and the subscales for dietary changes, self-monitoring, physical activity, and psychological coping taken before and 12 weeks after the intervention differed significantly (P = .0001). Ten Top Tips offers rural community clinics an effective weight-loss intervention. (Source: Family and Community Health)
Source: Family and Community Health - February 21, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Enriching Nutrition Programs to Better Serve the Needs of a Diversifying Aging Population
Racial minorities experience a high burden of food insecurity relative to non-Hispanic whites. Government-subsidized nutrition programs can positively impact food insecurity and nutritional risk among older adults. Yet, in New York City, where nearly 60% of people over 65 years are non-white, older minorities participate in government nutrition programs at very low rates. In this commentary, we focus on 2 programs: the Child and Adult Care Food Program and Older Americans Act Nutrition Services Programs. We identify opportunities for strengthening these programs to improve their reach and engagement with diverse older adul...
Source: Family and Community Health - February 21, 2020 Category: Primary Care Tags: Original Articles Source Type: research

The Association Between Perceived Racial Discrimination and Hypertension in a Low-Income, Racially Integrated Urban Community
We examined the association between perceived racial discrimination and hypertension among African Americans and whites who live in a low-income, racially integrated, urban community. Hypertension was defined as having a systolic blood pressure 140 mm Hg or more, a diastolic blood pressure 90 mm Hg or more, or taking antihypertensive medication(s). Perceived racial discrimination was based on self-reported responses of experiencing racial discrimination in various settings. Using modified Poisson multivariable regression models, we found no association between perceived racial discrimination and hypertension (prevalence ra...
Source: Family and Community Health - February 21, 2020 Category: Primary Care Tags: Original Articles Source Type: research

Stress, Social Support, and Mental Health Among Young Adult Hispanics
National health goals include assessing and improving mental health in understudied US populations. We surveyed 274 individuals (18-35 years old) of Hispanic/Latino/Spanish origin residing in the United States. Participants reported poor general mental health compared with Healthy People goals. Stress was negatively associated and perceived supportive communication was positively associated with mental health. A 3-way interaction showed perceived supportive communication mitigated the negative effect of stress on mental health, and perceptions of tangible support without supportive communication degraded overall mental hea...
Source: Family and Community Health - November 26, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Family and Child Characteristics Associated With Caregiver Challenges for Medically Complex Children
Children with medical complexity, comprising 3% of US children, face elevated risk of adverse medical, developmental, psychosocial, and family outcomes. The purpose of this study was to examine the association between family and child characteristics and caregiver challenges via a retrospective cohort study using data from 2009/2010 National Survey of Children with Special Health Care Needs. Results revealed that most children with medical complexity have 2 or more conditions; region of residence, insurance, and health conditions significantly predict caregiver challenges; and race, ethnicity, and coinsurance status are as...
Source: Family and Community Health - November 26, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Food Sources of Shortfall Nutrients Among US Adolescents: National Health and Nutrition Examination Survey (NHANES) 2011-2014
To identify food sources of shortfall nutrients consumed by adolescents (n = 3156), data from the National Health and Nutrition Examination Survey (NHANES) (2011-2014) were used. Some of the food groups commonly consumed by adolescents made a significant contribution to shortfall nutrient intakes in the diet. Many food sources that provided significant amounts of shortfall nutrients were from foods that also provided nutrients to limit. Awareness of nutrient intakes and food sources is essential to establish dietary guidance in a practical context. Efforts to continue monitoring the food sources of nutrients consumed by ad...
Source: Family and Community Health - November 26, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Evaluating the Feasibility and Acceptability of a Community-Based Parenting Support Intervention for Refugee Parents From Burma
Refugee families negotiate stressors as they adjust to communities of resettlement, which can result in shifting family dynamics. The purpose of this community-engaged, explanatory, mixed-methods pilot study was to evaluate the feasibility and acceptability of a culturally oriented, community-based parenting curriculum. Through a partnership with a prominent refugee-serving organization, the curriculum was delivered to 50 Karen refugee mothers and fathers of adolescent youth resettled in the United States. Results demonstrated the potential for impact on key constructs of family adaptability and cohesion, as well as parent...
Source: Family and Community Health - November 26, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Who Are the Undiagnosed? Disparities in Hypertension Diagnoses in Vulnerable Populations
This study builds upon a project that developed clinical criteria to identify undiagnosed hypertension patients “hiding in plain sight” (HIPS) by examining patient characteristics to understand whether there are disparities in hypertension diagnosis. We examined electronic health record demographic data for patients identified by the HIPS criteria and subgroups at 3 Missouri health centers. Identified patients who returned for a follow-up visit and were subsequently diagnosed with hypertension tended to be older, black/African American, uninsured, and classified as having obesity. Younger, white, healthy weight...
Source: Family and Community Health - November 26, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Perceived Family Social Support for Healthy Eating Is Related to Healthy Dietary Patterns for Native Americans: A Cross-sectional Examination
Native Americans continue to suffer health disparities ameliorated by healthy dietary patterns. The study objective was to determine moderating effects of perceived family social support on the relationship between ethnicity and diet behaviors. Dependent variables included dietary variables, and independent variable was family social support for healthy eating. Analyses included Pearson χ2 and correlation, one-way analysis of variance, and regression tests. Higher social support was related to lower consumption of added sugars, sugar-sweetened beverages, and red/processed meats for Native Americans. More research is ne...
Source: Family and Community Health - November 26, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Family Weight Teasing, LGBTQ Attitudes, and Well-being Among LGBTQ Adolescents
This study explored weight-based victimization by family members, accepting lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) attitudes, and family connectedness, and how these experiences are associated with health, self-esteem, and depressive symptoms among LGBTQ adolescents. Data came from the LGBTQ National Teen Survey (N = 9261, mean age = 15.6 years). The 3 key variables were significantly associated with poorer self-rated health, self-esteem, and depressive symptoms. For example, weight-based victimization was associated with approximately 2 more points on the depressive symptoms scale (β = 1.8...
Source: Family and Community Health - November 26, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Medicaid Instability and Mental Health of Teen Parent Families
This study examines the effect of inconsistent Medicaid coverage on parenting stress, maternal depression, and child behavior in a sample of teen mothers and their children. The majority (54%) of mothers experienced inconsistent coverage. After 24 months, mothers experiencing inconsistent coverage had significantly higher parenting stress and depressive symptoms, and their children had more internalizing behaviors than families with consistent Medicaid. These differences existed despite no initial differences and controlling for numerous covariates. Policies and practices that stabilize Medicaid coverage for teen parent fa...
Source: Family and Community Health - November 26, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Physical Activity and Pain in Youth With Sickle Cell Disease
Study objectives were to examine the relationships between physical activity, pain, and psychological distress in youth 8 to 17 years of age with sickle cell disease. Participants were 206 youth with sickle cell disease (M = 11.73 years, 54.9% female, 99.5% African American). Caregivers and youth completed a clinical psychosocial screening battery. Results revealed frequent pain (37.6%), moderate median pain intensity, and elevated median pain interference in youth. Lower caregiver-reported physical activity was associated with worse pain outcomes. Increased anxiety was also associated with worse pain outcomes. A better un...
Source: Family and Community Health - November 26, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Families in Context: Food Insecurity Among Hispanic Immigrant and Nonimmigrant Households With Children
Using restricted, geo-coded Early Childhood Longitudinal Study, Kindergarten Class of 2010-2011 data (N = 2700) linked with 3 sources of contextual data, we examine whether a comprehensive set of individual, household, and county-level characteristics explains disparities in household food insecurity between Hispanic children of foreign- and US-born parents. Adjusting for individual, household, and county-level characteristics does not eliminate the higher odds of household food insecurity among Hispanic children in immigrant families, especially of Mexican origin. Moreover, growth in the noncitizen population at the count...
Source: Family and Community Health - August 21, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Central American Immigrant Mothers' Mental Health in the Context of Illegality: Structural Stress, Parental Concern, and Trauma
Using a community-based participatory research approach, we surveyed 134 undocumented Central American immigrant mothers to examine correlates of maternal mental health. Drawing upon an ecosystemic framework, predictors of depression included structural and familial stressors, parental concerns, and maternal health factors. Mothers' perceptions of child affect, traumatic stress, and general health ratings were among the most salient predictors. However, structural and familial stressors, such as food insecurity and single parenting, also accounted for significant variance in depression scores. Findings informed community a...
Source: Family and Community Health - August 21, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Home Food Environment Factors Associated With Hispanic Preschoolers' Intake of Fruits and Vegetables
The purpose of this study was to evaluate the relationship of home fruit and vegetable (F&V) availability and maternal feeding practices with Hispanic preschoolers' F&V intake (N = 238). “Availability' of total fruit” (P (Source: Family and Community Health)
Source: Family and Community Health - August 21, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Understanding Complex Roles of Family for Latina Health: Evaluating Family Obligation Stress
We developed a measure of family obligation stress and compared its relationship to health and unmet health care needs relative to social support among a sample of US-based Latinas. Data come from a randomized controlled trial within 4 clinics to increase mammography among Latinas (n = 539). The 1-factor measure had acceptable reliability and construct validity. Family obligation stress was associated with worse health and greater unmet health care needs. Family obligation stress varied by years in the United States and country of origin. Our measure of family obligation stress contributes new venues to family research amo...
Source: Family and Community Health - August 21, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Activating Communal Coping Related to Diabetes Risk in Mexican-Heritage Families
We investigate how interpersonal ties influence communication about type 2 diabetes risk and encouragement to maintain or adopt a healthy lifestyle between family members of Mexican heritage, after a family history-based risk assessment intervention. Results suggest that individuals are more likely to initiate risk communication with another family member if they are close to, already seek advice from, or discuss health with him or her. Risk communication precedes encouragement, which is initiated by the older generation of the family. Understanding the role of interpersonal relationships in Mexican-heritage families can h...
Source: Family and Community Health - August 21, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Concordance and Discordance of the Knowledge, Understanding, and Description of Children's Experience of Food Insecurity Among Hispanic Adults and Children
Food insecurity is highly detrimental for children, who experience food insecurity differently than do adults. We aimed to understand concordance and discordance of adults' and children's knowledge, understanding, and description of children's experience of food insecurity. In-depth interviews were conducted with the primary caregiver, another caregiver, and a child 9 to 16 years of age in 16 Hispanic families at risk of food insecurity in South Carolina. Adults often lacked knowledge of the food insecurity experiences of their children, which presents challenges for adults with roles as caregivers, educators, or policy ma...
Source: Family and Community Health - August 21, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Foreword
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - August 21, 2019 Category: Primary Care Tags: Foreword Source Type: research

Colorectal Cancer Screening in African American HOPE VI Public Housing Residents
This study explores whether colorectal cancer screening outreach via home visits and follow-up calls is effective among public housing African American residents. It reports on the proportion of returned Fecal Immunochemical Test kits, on the characteristics of study participants, and on their primary reasons for returning the kit. By conducting home visits and follow-up calls, our colorectal cancer–screening outreach resulted in a higher Fecal Immunochemical Test kit return rate than anticipated. Findings suggest that a more personalized outreach approach can yield higher colorectal cancer–screening rates amon...
Source: Family and Community Health - May 21, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Disentangling Race and Place in Depressive Symptoms in Men
African American men report lower levels of depressive symptoms that their white peers in national data. However, the value of these studies is often undermined by data that confound race, socioeconomic status, and segregation. We sought to determine whether race differences in depressive symptoms were present after minimizing the effects of socioeconomic status and segregation within a cohort of southwest Baltimore (SWB) men using the data from the Exploring Health Disparities in Integrated Communities (EHDIC), a novel study of racial disparities within communities where African American and non-Hispanic white males live ...
Source: Family and Community Health - May 21, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Chronic Stress and Food Insecurity: Examining Key Environmental Family Factors Related to Body Mass Index Among Low-Income Mexican-Origin Youth
Low-income children of Mexican immigrants are at high risk for obesity. Drawing on a sample of 104 Mexican American children (Mage = 8.39 years; 61% female), this longitudinal study considered relations between food insecurity and chronic stress (ie, parent report and hair cortisol measurement) on body mass index (BMI) and examined whether stress moderated associations between food insecurity and BMI. Analyses revealed that undocumented status was associated with food insecurity and chronic stress but not when accounting for poverty. Food insecurity was only associated with higher BMI for children with the highest hair cor...
Source: Family and Community Health - May 21, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Multilevel Interaction Effects of Family and Community Factors on Mothers' Engagement in Evidence-Based Home Visiting
Informed by ecological and family system frameworks, our study investigated the relationship between family- and community-level factors, and their cross-level interactions, with evidence-based home visiting program participation in a sample of 2409 mothers (mean age: 24.15 years). Using 2-level hierarchical linear modeling, we observed that mothers living in disadvantaged communities demonstrated less active engagement in evidence-based home visiting. Cross-level interaction effects revealed that mothers' unstable living conditions and psychiatric problems amplified the negative influence of disadvantaged communities on p...
Source: Family and Community Health - May 21, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Delivering Tobacco Cessation Through Community Health Workers: Curriculum and Training Considerations
Texas faces unique barriers in health status and risk behaviors such as smoking. To address tobacco use, community health workers (CHWs) are a resource for disseminating education among a population. To promote smoking cessation in Texas, there is a need for the development of a smoking cessation training program for CHWs. The National Community Health Worker Training Center used an approach with CHWs to develop a curriculum. From the curriculum development and with feedback from CHWs, 4 training courses were produced: online and in person, and in English and Spanish. The curriculum meets a need that disseminates smoking c...
Source: Family and Community Health - May 21, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Correlates Associated With Willingness to Start Pre-exposure Prophylaxis Among Young Black Men Who Have Sex With Men (MSM) in Jackson, Mississippi
Black men who have sex with men have the greatest risk for human immunodeficiency virus infection. Pre-exposure prophylaxis (PrEP) is a highly effective prevention method. However, uptake in this group is extremely low. Data from a sample of 225 human immunodeficiency virus–negative young black men who have sex with men residing in Jackson, Mississippi, were analyzed to examine correlates associated with willingness to start PrEP. Consistent condom users for both insertive and receptive sex were more likely to be willing to start PrEP than inconsistent condom users. Heterogeneity among this high-risk population is an...
Source: Family and Community Health - May 21, 2019 Category: Primary Care Tags: Original Articles Source Type: research

The Association Between Acculturation and Parental Feeding Practices in Families With Overweight and Obese Hispanic/Latino Children
This study examines the association between acculturation and parental feeding practices in low-income Latinos. Overweight/obese children (N = 117), aged 5 to 14 years, and their parents were recruited from a rural health clinic. Findings show that more acculturated parents have greater control over their child's eating behavior (P = .04). Parents who perceive their child as having a weight problem also have more control over their child's eating behavior (P = .02). Control measured from regulation of how much and when the child should eat to offering sweets and screen time for good behavior. Results underscore the need fo...
Source: Family and Community Health - May 21, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Suicide Attempt Resiliency in American Indian, Hispanic, and Anglo Youth in New Mexico: The Influence of Positive Adult Relationships
The purpose of this study was to identify whether positive relationships with adults at home, school, and in the community are protective for suicide among American Indian/Alaska Native, Hispanic, and Anglo adolescents. Using data from the New Mexico version of the 2015 Centers for Disease Control and Prevention Youth Risk Behavior Survey, we found that positive relationships with adults affected past-year suicide attempts differently in youth from the 3 groups. The final multivariable model for American Indian/Alaska Native youth included only positive relationships with adults in the home. Among Hispanic and Anglo youth,...
Source: Family and Community Health - May 21, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Toward a Model of HPV Vaccine Series Completion in Adolescent Hispanic Males: Identifying Mothers' Salient Behavioral, Normative, and Control Beliefs
Human papillomavirus (HPV) vaccine series completion among adolescent Hispanic males (35%) is lower than the Healthy People 2020 80% goal. This directed qualitative content analysis identified mothers' beliefs about their sons completing the series. We found that mothers (N = 19) (1) express positive feelings; (2) believe the vaccine has positive effects; (3) identify the father and doctors as supporters and friends as nonsupporters; (4) list health insurance, transportation, and clinic reminders as facilitators; and (5) mention affordability as a barrier to vaccine completion. Results provide guidance for interventions. I...
Source: Family and Community Health - February 16, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Latino Health Perceptions in Rural Montana: Engaging Promotores de Salud Using Photovoice Through Facebook
The primary purposes of this study were to use photovoice with Facebook to explore health perceptions and health needs among promotores living in rural Montana and to build community among geographically dispersed promotores. Seven promotores participated in a photovoice project where they uploaded photographs and shared comments in a private Facebook group. Emergent themes based on the promotores' health perceptions, discussions, and interviews were transcribed and coded. Findings of this study will be used to assess health perceptions and needs of the promotores and Latino community in rural Montana. (Source: Family and Community Health)
Source: Family and Community Health - February 16, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Relationship Between Body Mass Index and Body Image Disturbances Among South African Mothers and Their Daughters Living in Soweto, Johannesburg
In South African families, a phenomenon of mothers' acceptance of stoutness coexists with their daughters' appreciation for thinness. A sample of N = 615 mother-and-daughter pairs was recruited to conjointly identify the relationships toward body image and body mass index between both groups by assessing body weight satisfaction, body esteem, and eating disorders risk. We observed higher prevalence of obesity in mothers and higher eating disorders risk in daughters, while mother-daughter relationships were identified for body mass index and psychometric dimensions. The high prevalence of obesity in mothers and their tolera...
Source: Family and Community Health - February 16, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Associations Among Caregiver Feeding Practices and Blood Pressure in African American Adolescents: The Jackson Heart KIDS Study
Caregiver feeding practices have been linked to youth health outcomes. The present study examined associations among caregiver feeding practices and blood pressure in 212 African American adolescents via the Child Feeding Practices Questionnaire. Results revealed a positive association between caregivers' concern about their child's weight and diastolic blood pressure, which was more acute for older adolescent boys. Caregivers' perceived responsibility for the quality and quantity of food their child receives was also associated with lower diastolic blood pressure in older adolescent boys. Feeding practices are ideal targe...
Source: Family and Community Health - February 16, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Affective and Cognitive Attitudes on Cervical Health Behaviors Among Asian American Women
This study explored factors influencing cervical health behaviors of these populations, using a 2-dimensional model (ie, affect and cognition) of attitude structure approach. Semistructured interviews were conducted with 33 participants. A semantic content analysis was used to identify major codes and themes across the transcripts. Multiple aspects of both negative and positive affect and cognition, which led to 3 different cervical health behaviors (avoidance, ambivalence, and acceptance), emerged from the interviews. The clinical implications of these findings are discussed. (Source: Family and Community Health)
Source: Family and Community Health - February 16, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Food Security Status and Overweight/Obesity Among 2- to 5-Year-Old Boys and Girls in a Community-Based Clinic
The purpose of this study was to examine relationships between food security, parental health behaviors, and overweight/obesity among 2- to 5-year-old children in West Tennessee (N = 264). Results from logistic regression models indicate that the association between parental characteristics and child weight status varies by child sex and household food security. These findings highlight the need for more nuanced analysis that can produce results that inform and shape the development of precise health promotion and intervention strategies designed for diverse low-resource populations. (Source: Family and Community Health)
Source: Family and Community Health - February 16, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Associations of Health Self-efficacy With Engagement in Health-Promoting Behaviors and Treatment Adherence in Rural Patients
Rural residents have lower levels of engagement in health-promoting behaviors and treatment adherence than their urban counterparts. This cross-sectional study sought to understand the role of health self-efficacy as a precursor to engagement in health-promoting behaviors and treatment adherence in 273 rural patients. Structural equation model was used to examine whether health self-efficacy predicted engagement in health-promoting behaviors and treatment adherence. Results show that health self-efficacy predicts engagement in health-promoting behaviors and treatment adherence. Boosting patients' health self-efficacy could...
Source: Family and Community Health - February 16, 2019 Category: Primary Care Tags: Original Articles Source Type: research

Promoting Health Equity Through Trauma-Informed Care: Critical Role for Physicians in Policy and Program Development
Trauma-informed care has emerged as an important model to address the pervasiveness of traumatic experiences across the life cycle and their association with significant adverse medical and psychiatric consequences. To achieve health equity, in which all people have the opportunity for health, it is crucial for physicians to become comfortable with a neurobiopsychosocial understanding of trauma and how to provide optimal trauma-informed care. Given the pervasiveness of trauma exposure, and its impact on individual and community health, this paradigm shift in adult health care delivery systems requires physician engagement ...
Source: Family and Community Health - February 16, 2019 Category: Primary Care Tags: Original Articles Source Type: research