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 - November 13, 2017 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 - November 13, 2017 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 - November 13, 2017 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 - November 13, 2017 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 - November 13, 2017 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 - November 13, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - November 13, 2017 Category: Primary Care Tags: Foreword Source Type: research
Associations of Immigration Transition to Cardiovascular Symptoms Experienced in Menopausal Transition
The purpose of this study was to explore the associations of immigration transition to cardiovascular symptoms among 4 major racial/ethnic groups of 1054 midlife women in the United States. This was a secondary analysis of the data from 2 large national survey studies. The instruments included questions on background characteristics and immigration transition and the Cardiovascular Symptom Index for Midlife Women. The data were analyzed using inferential statistics including hierarchical multiple regressions. Immigrants reported fewer numbers (t = 5.268, P (Source: Family and Community Health)
Source: Family and Community Health - August 25, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Suicide, Resilience, and Connectedness Across the Lifespan: Lessons From American Indian and Alaska Native Elders
This article examines literature pertaining to suicide rates in American Indian and Alaska Native communities and proposes a framework for understanding their lower rates of suicide as elders. Such understanding offers opportunities for developing strategies for suicide prevention across lifespan. (Source: Family and Community Health)
Source: Family and Community Health - August 25, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Community Health Workers and the Management of Noncommunicable Diseases Among Rural Health Clinics in Limpopo Province, South Africa: A Pilot Study
South Africa's rise in noncommunicable diseases (NCDs) and health care provider shortages has generated the need for community health workers (CHWs) in rural areas. However, roles and interactions with clinic staff are not well understood. Interviews with health care workers at community clinics in Limpopo Province revealed common themes, including resource scarcity, clinic-patient partnerships, management of NCDs, and collaboration between professionals. The data did not support CHW-physician interactions, necessitating further research to describe these practices and to evaluate CHWs' impact on patient outcomes. The CHW ...
Source: Family and Community Health - August 25, 2017 Category: Primary Care Tags: Original Articles Source Type: research
The Relationship Between Parental and Child Physical Activity in a Rural Community
This study examined the relationship between parental and child physical activity (PA) in a rural community. Forty-one children and at least 1 parent wore pedometers to measure step count over the course of 4 days. Parents also completed a PA survey assessing parental support for PA, parental enjoyment for PA, perceived importance of PA, and their own PA levels. Parental PA level and mothers' support for PA were moderately associated with their child's PA levels. Thus, future PA promotion efforts could focus on encouraging parents, primarily mothers, to be more active to help improve their child's PA levels. (Source: Famil...
Source: Family and Community Health - August 25, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Models of Care Delivery for Patients With Parkinson Disease Living in Rural Areas
The elderly who suffer from chronic conditions have an increasingly difficult time accessing health care in rural areas compared with their healthy counterparts who seek and utilize less specialty care. Parkinson disease affects approximately 0.3% to 5% of the elderly population. However, a large portion of that population has difficulty accessing health care. The purpose of this study was to obtain an understanding of the access to care issues for patients with Parkinson disease and review solutions to aid their provision of care. A review of the literature found several models of care available to improve access to care ...
Source: Family and Community Health - August 25, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Collective Efficacy, Physical Activity, and Health Outcomes Among Mothers
Motherhood is associated with low rates of physical activity that increase disease risk. Most theory-based approaches to increasing physical activity focus on personal rather than social factors. The purpose of this study was to examine the associations among perceptions of community collective efficacy and objectively measured physical activity, self-efficacy, social support, and health. Mothers completed questionnaires and wore a pedometer for 7 days. There was a significant, positive association between physical activity and collective efficacy-social cohesion subscale. In the regression analysis, only age and social su...
Source: Family and Community Health - August 25, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Transferable Training Modules: Building Environmental Education Opportunities With and for Mexican Community Health Workers (Promotores de Salud)
Community health workers (promotores de salud) have the ability to empower communities to mitigate negative health outcomes. Current training efforts in environmental topics are lacking. This project addressed this gap by developing 4 transferable training modules on environmental health. By applying a series of surveys, interviews, and trainings, we evaluated their relevance. Partners provided favorable feedback for 3 of the 4 modules. It was also learned that the development method could be improved by engaging technically trained promotores de salud in the role of co-creators. This project has implications for environme...
Source: Family and Community Health - August 25, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Impact of Targeted Education on Colorectal Cancer Screening Knowledge and Psychosocial Attitudes in a Predominantly Hispanic Population
Colorectal cancer remains a leading cause of cancer-related morbidity and mortality, with screening behavior found to be influenced by knowledge and other psychosocial attitudes. We recruited 784 participants 50 to 70 years of age. The intervention arm received a culturally sensitive, literacy-appropriate educational intervention by a promotora. Surveys were completed at baseline and 6 months post. Our intervention significantly increased knowledge at 6 months when compared with control (0.74 vs 0.18, P (Source: Family and Community Health)
Source: Family and Community Health - August 25, 2017 Category: Primary Care Tags: Original Articles Source Type: research
