Epidemiology of Obesity in the Hispanic Adult Population in the United States
This study evaluated the epidemiology of obesity and associated factors among Hispanics using the data from the 2013-2014 National Health and Nutrition Examination Survey. Among the 1241 participants (20 years of age or older), the prevalence rates were as follows: overweight, 77.1%; obesity, 42.4%; and central obesity, 57.0%. These rates were consistent throughout most age groups. Significantly, more females than males were obese. Higher obesity rates were seen among those with diabetes, high cholesterol, hypertension, heart disease, and arthritis. Those born in the United States were more likely to be obese. Effective ob...
Source: Family and Community Health - August 25, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - August 25, 2017 Category: Primary Care Tags: Foreword Source Type: research
Mothers, Fathers, Sons, and Human Papillomavirus Immunization Practices
This study examined parental knowledge of the HPV vaccine and intent to vaccinate their sons. A cross-sectional study of 341 parents of boys was conducted in school settings in rural southeastern Georgia. Mothers were 2.07 times more likely than fathers to vaccinate their sons. Future research directions should include strategies to increase HPV vaccination in both genders and focus on parents' perceived severity and vulnerability of their sons to HPV infection. (Source: Family and Community Health)
Source: Family and Community Health - May 20, 2017 Category: Primary Care Tags: Special Features Source Type: research
Narrative Exposure Therapy: A Proposed Model to Address Intimate Partner Violence–Related PTSD in Parenting and Pregnant Adolescents
Pregnant and parenting adolescents experience high rates of intimate partner violence (IPV) and its sequelae posttraumatic stress disorder (PTSD) and depression. Narrative exposure therapy (NET) is an innovative intervention that has demonstrated strong preliminary evidence in improving mental health. The specific aims of this article are 3-fold: (1) provide a brief background about IPV-related PTSD and depression among pregnant and parenting adolescents; (2) describe NET's theoretical principles, its therapeutic process, and provide a review of existing evidence; and (3) discuss NET as a potential treatment to address the...
Source: Family and Community Health - May 20, 2017 Category: Primary Care Tags: Special Features Source Type: research
Training Village Health Workers in Detection and Monitoring of Noncommunicable Diseases: A Low Cost Option for Rural Areas Facing the Emerging Health Epidemic
Noncommunicable diseases account for 53% of deaths and 44% of disability-adjusted life years lost in India. Village health workers (VHWs) were trained in blood pressure (BP) and blood sugar (BS) measurement and assessed using a checklist. A total of 38 VHWs with a mean age of 44.8 years, schooling of 9.9 years, scored 10.0 (76.9%) for BP and 9.74 (69.6%) for BS. There was no difference in scores for education and age. It is possible to train VHWs in BP and BS measurement and utilize them for screening and monitoring of hypertension and diabetes in a noncommunicable disease care program. (Source: Family and Community Health)
Source: Family and Community Health - May 20, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Priorities and Preferences for Weight Management and Cardiovascular Risk Reduction in Primary Care
Implementing behavioral interventions for cardiovascular risk reduction and weight management is challenging in primary care. Primary care patients and providers were recruited for qualitative interviews to identify priorities and preferences for addressing weight management. Thematic analysis was used to identify relevant resources, barriers to lifestyle modification, health behavior change, and implementation of weight management strategies into care. Patients and providers prioritized increasing physical activity and healthy diets when managing chronic disease; and reported decreased patient motivation, knowledge, and l...
Source: Family and Community Health - May 20, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Cardiovascular Disease Risk Profile and Readiness to Change in Blue- and White-Collar Workers
This study provides a health and risk profile of blue- (BCWs) and white-collar workers (WCWs). Health screening data (n = 603; age 38.2 ± 9.7 years) included cholesterol and glucose finger-prick test, blood pressure, body mass index, and self-reported stress levels and readiness to change. Blue-collar workers were significantly older and had higher blood pressure readings and were more likely to develop hypertension (odds ratio [OR]: 1.72; 95% confidence interval [CI]: 1.05-2.81; P = .03), but less likely to present with hypercholesterolemia (OR: 0.50; 95% CI: 0.31-0.81; P = .01) and overweight/obesity (OR: 0.65; 95% CI: ...
Source: Family and Community Health - May 20, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Screen Hours and Sleep Symptoms: The US National Health and Nutrition Examination Survey
Few studies have examined the relationship between television viewing, computer use, and sleep symptoms. We hypothesized that television and computer time was associated with sleep symptoms. Screen hours were the sum of daily TV hours and computer hours. A total of 4342 participants 20 years and older had data on screen hours. After adjusting for confounders, 4 or more screen hours were significantly associated with increased odds of reporting long sleep latency, nighttime awakening, high sleep hours, and snoring (P (Source: Family and Community Health)
Source: Family and Community Health - May 20, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Prevalence and Determinants of Hypertension and High Normal Blood Pressure Among Young Adult Saudi Females: Insights Into Preventive Strategies
This study aimed to determine the prevalence of hypertension and high normal blood pressure and their risk factors among young adult Saudi females. A prospective cross-sectional study was conducted in a women's university. A questionnaire evaluated the subjects' demographic data and risk factors for hypertension and the blood pressure, height, and weight were recorded. In all, 4.1% of the participants were hypertensive and 6.2% had high normal blood pressure. Significant predictors of hypertension/high normal blood pressure were increased body mass index, increased heart rate, walking fewer days per week, and dietary facto...
Source: Family and Community Health - May 20, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Dance Your Heart Out: A Community's Approach to Addressing Cardiovascular Health by Using a Logic Model
This article provides an application of logic models as one strategy to generate a community-based program theory to improve cardiovascular health. (Source: Family and Community Health)
Source: Family and Community Health - May 20, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Prevention and Management of Hypertension and Diabetes Using Social Capital and Physical Activity Among Socioeconomically Disadvantaged Populations
The purpose of this study is to examine the association between physical activity adherence and social capital among uninsured primary care patients with or without hypertension and/or diabetes. Uninsured adults using a free clinic (N = 374) participated in a self-administered survey from January to April in 2016. The percentage of participants who were adherent to physical activity was low regardless of having hypertension and/or diabetes, or not. Individuals who reported a high sense of community were associated with a higher percentage of physical activity adherence. Good weight management was associated with less likel...
Source: Family and Community Health - May 20, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Evaluation of Community-Based Policy, Systems, and Environment Interventions Targeting the Vending Machines
The American Heart Association conducted policy, systems, and environmental (PSE) focused interventions to increase healthy vending in 8 communities. PSE interventions were assessed using the Nutrition Environment Measures Survey Vending Assessment to see changes in the food environment. Baseline and follow-up assessments were conducted with 3 settings and a total of 19 machines. PSE changes resulted in increased availability of healthy options and decreased unhealthy options. Implementation of PSE interventions targeting the food environment can be an effective method of providing increased access to healthy foods and bev...
Source: Family and Community Health - May 20, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Slowing BMI Growth Trajectories in Elementary School-Aged Children: The Northeast Iowa Food and Fitness Initiative
This project examines the Northeast Iowa Food and Fitness Initiative, a policy-, community-, and school-based effort to slow children's body mass index (BMI) growth over 6 years. Kindergarteners (K) to fifth graders (5) from 10 different school districts participated (N = 4101). Students with 0 to 1 years of initiative exposure showed greater growth in BMI compared with children who had 2 to 6 years of exposure, resulting in K-5 BMI savings of 1.5 points (6 lb) for median-height boys and girls. Results suggest that changes to policies, communities, and schools may provide effective obesity reduction in children. (Source: F...
Source: Family and Community Health - May 20, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Feasibility and Parental Acceptability of an 8-Week, Slow-Speed, High-Intensity, Community-Based Resistance Training Program for Preadolescent Children
High-intensity resistance training (RT) shows promise for improved cardiometabolic health in children. Achieving high-intensity RT safely is a challenge for community-based programs because of parental concerns and group engagement. Twenty preadolescent children completed an 8-week, twice per week program using slow speed to achieve high-intensity RT. Parent and child surveys were conducted to measure acceptability and effectiveness. Child fitness levels were assessed, and fasting blood draws and dual-energy x-ray absorptiometry were performed on a subset population. Perceived RT safety, self-efficacy, body composition, wa...
Source: Family and Community Health - May 20, 2017 Category: Primary Care Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - May 20, 2017 Category: Primary Care Tags: Foreword Source Type: research
