Obstetric Access and the Community Health Imperative for Rural Women
This study examined whether the closure of several inpatient obstetric units in rural New Hampshire affected birth outcomes. It is a secondary analysis of birth certificate data from 2005 through 2012 and includes 5881 births. There were no changes in perinatal outcomes. When examining outcomes based on distance travelled to place of birth, controlling for closures, women who traveled greater than 30 miles had fewer prenatal visits and lower birth weight and gestational age infants. Community services that provide prenatal care and/or home visiting are even more important when obstetric units are not available in the commu...
Source: Family and Community Health - February 22, 2018 Category: Primary Care Tags: Original Articles Source Type: research
The Effects of a Health Promotion Program on Rural, West Virginia Adults
This health promotion project is a 12-week program for adults in a rural West Virginia community with a body mass index (BMI) of 25 or greater. The goals of this project were to facilitate learning through modules focusing on activity and nutrition, increase knowledge of healthy activity and nutrition, and improve weight and BMI. Each 12-week session provided evidenced-based information regarding obesity, physical activity, and nutrition. Participants completed pre- and postprogram and 1-month follow-up survey/questionnaire. Results were compared for changes in activity, nutrition, and BMI. The program resulted in positive...
Source: Family and Community Health - February 22, 2018 Category: Primary Care Tags: Original Articles Source Type: research
There and Back Again: How the Repeal of ACA Can Impact Community Health Centers and the Populations They Serve
We examined the impact of Medicaid expansion on rates of the remaining uninsured at the federally qualified health center level by race/ethnicity, limited English proficiency, and poverty status of their patients. Results indicated a systematic disadvantage in nonexpansion states for federally qualified health centers with high concentrations of these populations and an advantage in expansion states for federally qualified health centers with fewer limited English proficiency patients. Our findings highlight the importance of maintaining the Affordable Care Act in reducing disparities in coverage and the importance of fede...
Source: Family and Community Health - February 22, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Health, Well-being, and Health Care Access in Rural Communities: Comparing Latino and Non-Latino White Low-income Families
This study explores how low-income rural Latino children and their mothers differ from their non-Latino white counterparts in terms of health, well-being, and health care access. A subsample of non-Latino white (n = 201) and Latino (n = 157) children and their mothers was drawn from the Rural Families Speak about Health Project, a multistate, cross-sectional data set developed through mixed purposive sampling methods. Findings suggest that Latino children's families were disadvantaged in terms of child health and access to health care, whereas non-Latino white children's families were disadvantaged in terms of child behavi...
Source: Family and Community Health - February 22, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Voices of the Filipino Community Describing the Importance of Family in Understanding Adolescent Behavioral Health Needs
This article describes a qualitative study that investigates the role of family when understanding behavioral health needs among Filipino adolescents. Findings highlight the importance of addressing family cohesion when designing interventions aimed at improving the well-being of Filipino youth. (Source: Family and Community Health)
Source: Family and Community Health - January 1, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Families and the Juvenile Justice System: Considerations for Family-Based Interventions
We conducted focus groups with defense lawyers, clinicians, and education advocates to gather their perspectives on families' experiences with the juvenile justice system. Our quantitative descriptive analysis identified a range of themes such as discussions about the poor treatment of families as well as recommendations for a shifting of power to families. These perspectives may provide insights about the context in which families are expected to participate in interventions, meet probationary demands, and provide for their youth's well-being. The results support evidence gathered from families about the impact of youth i...
Source: Family and Community Health - January 1, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Fostering Oral Hygiene Habits and Self-Regulation Skills: An Intervention With Preschool Children
The purpose of this study was to evaluate a program to promote self-regulation for self-care skills in preschool-aged children focused on oral habits and good oral health. Participants were 210 Mexican children aged 4 to 5 years who attended the Children's Assistance Community Centers (CAIC in Spanish). Findings showed that children who participated in the program, compared with those who did not, decreased significantly the teeth-bacteria plaque. The former also improved their self-regulation skills and dental hygiene habits. Data highlighted the key role of close adults in promoting young children's self-regulation for s...
Source: Family and Community Health - January 1, 2018 Category: Primary Care Tags: Original Articles Source Type: research
An Ecological Model of Well-being After Sexual Assault: The Voices of Victims and Survivors
In this article, the authors describe factors that enhance or detract from well-being after adult sexual assault from the perspective of sexual assault victims and survivors. The authors present a holistic view of the complex ways in which women respond to and cope with the impact of adult sexual assault while trying to create a sense of well-being. The forces that facilitate or detract from well-being are organized into an ecological model. The data originate from a grounded theory study in 2015, with 22 adult female adult sexual assault victims/survivors. (Source: Family and Community Health)
Source: Family and Community Health - January 1, 2018 Category: Primary Care Tags: Original Articles Source Type: research
The Use of Family Rituals in Eating Behaviors in Hispanic Mothers
This report describes changes in rituals of food procurement, preparation, and presentation (food-PPP) in Hispanic women following migration to the United States. Focus groups and face-to-face interviews were conducted with 13 low-income, overweight/obese Hispanic women 27 to 40 years of age. Content analysis was used to analyze cultural and contextual sources for food-PPP. Changes in rituals and traditions in food-PPP occurred, including materials and ingredients for traditional meals. Food rituals may play a role in healthful eating and could, therefore, serve as leverage points for interventions designed to promote heal...
Source: Family and Community Health - January 1, 2018 Category: Primary Care Tags: Original Articles Source Type: research
An Ecological Approach to Understanding Preventive Service Utilization Among the Underserved
Preventive services have the potential to reduce health disparities; however, these services are underutilized, particularly among the underserved. Patients with low socioeconomic status and racial and ethnic minorities experience significant health disparities related to cancer and infectious and chronic diseases but face multilevel challenges accessing preventive care. The purpose of this article is to enhance understanding of preventive service utilization among underserved patients by providing an ecological framework that addresses factors at multiple levels that influence patient care. In addition to factors that dir...
Source: Family and Community Health - January 1, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Using a Cultural Framework to Assess Motivation for Physical Activity Among Older Hispanic Women: Application of the PEN-3 Model
Culturally relevant strategies for intervention design and implementation, emphasizing strengths and resources, are essential to address cardiovascular health disparities among older Hispanic women. The purpose of this article is to present the process and results of focus group discussions conducted to understand the meaning of cultural, social, and contextual strengths to promote motivation for physical activity and cardiovascular health in this population. The PEN-3 model guided analysis of focus group data. Fifteen older Hispanic women (mean = 61, SD = 6) participated in 3 focus groups. Three interrelated domains were ...
Source: Family and Community Health - January 1, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Demographic Predictors of Family Functioning and Its Change Over the First 5 Years Postpartum: Findings From the Healthy Beginnings Trial
There are very few longitudinal studies examining family functioning in early childhood. This was a prospective cohort study to identify maternal sociodemographic factors associated with family functioning over the first 5 years postpartum, using data from the Healthy Beginnings Trial. Family functioning was measured using the General Functioning Subscale of the McMaster Family Assessment Device. A total of 667 first-time mothers participated, of which 369 remained at 5 years. Family functioning did not change significantly over the 5 years. Mothers being Australian born, being employed, and having a partner were predictor...
Source: Family and Community Health - January 1, 2018 Category: Primary Care Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - January 1, 2018 Category: Primary Care Tags: Foreword Source Type: research
Voices of the Filipino Community Describing the Importance of Family in Understanding Adolescent Behavioral Health Needs
This article describes a qualitative study that investigates the role of family when understanding behavioral health needs among Filipino adolescents. Findings highlight the importance of addressing family cohesion when designing interventions aimed at improving the well-being of Filipino youth. (Source: Family and Community Health)
Source: Family and Community Health - November 13, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Families and the Juvenile Justice System: Considerations for Family-Based Interventions
We conducted focus groups with defense lawyers, clinicians, and education advocates to gather their perspectives on families' experiences with the juvenile justice system. Our quantitative descriptive analysis identified a range of themes such as discussions about the poor treatment of families as well as recommendations for a shifting of power to families. These perspectives may provide insights about the context in which families are expected to participate in interventions, meet probationary demands, and provide for their youth's well-being. The results support evidence gathered from families about the impact of youth i...
Source: Family and Community Health - November 13, 2017 Category: Primary Care Tags: Original Articles Source Type: research
