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
