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Family & Community Health
Journal Prestige (SJR): 0.539  Citation Impact (citeScore): 1 Number of Followers: 12  Hybrid journal (It can contain Open Access articles)ISSN (Print) 0160-6379 - ISSN (Online) 1550-5057 Published by LWW Wolters Kluwer  [330 journals]
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- Police Contact, Non-Suicidal Self-Injury, and Suicidal Ideation: Findings
From a National Sample of Canadian Adolescents and Young Adults-
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Authors: Jackson; Dylan B.; Testa, Alexander; Fix, Rebecca L.; Semenza, Daniel C.; Nagata, Jason M.; Ganson, Kyle T.
Abstract:
Background and Objectives: The purpose of this research is to investigate associations between police contact, non-suicidal self-injury (NSSI), and suicidal ideation (SI) among a national sample of Canadian adolescents and young adults (ages 16-30).Methods: Data used in this study were obtained from the Canadian Study of Adolescent Health Behaviors (N = 940), a national survey of Canadians ages 16-30.Results: Police contact was associated with higher odds of NSSI (OR = 1.98, 95% CI = 1.37, 2.86). Those who reported police contact with intrusion (OR = 2.39, 95% CI = 1.49, 3.38) and police contact with harassment (OR = 3.98, 95% CI = 2.30, 6.88) had higher odds of NSSI relative to respondents with no contact. Finally, any police contact was associated with higher odds of SI (OR = 1.56, 95% CI = 1.04, 2.34) and respondents experiencing police stops with harassment had higher odds of SI compared to those who had never been stopped (OR = 2.48, 95% CI = 1.45, 4.24).Conclusions: Distressing police contact heightens the risk of NSSI and SI among young people. Rigorous evaluation of trauma-informed, developmentally appropriate strategies for identifying and intervening on NSSI and SI following adverse police encounters should be prioritized.
PubDate: Thu, 16 May 2024 00:00:00 GMT-
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- Food Insecurity and Family Dynamics: A Systematic Review
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Authors: Krishnamurthy; Sudarshan; Chait, Joshua S.; Reddy, Menaka N.; Galli, Lucas D.; Skelton, Joseph A.
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Background: Undernutrition is related to numerous childhood outcomes. However, little research has investigated the relationship between food insecurity and family dynamics. This systematic review seeks to validate the evidence for a relationship between these 2 factors.Methods: A systematic literature review was conducted in Embase, PubMed, and Scopus. Inclusion criteria include peer-reviewed research articles published during or after 1996 in English, using standardized measures of family function and food insecurity. Exclusion criteria include measurement of parent or child characteristics without assessing household or family characteristics or demographics. Two reviewers independently voted using Covidence, and Alpha agreement was determined at each phase.Results: A total of 15 studies were included for data extraction after the initial search being completed in April 2022. All included studies were found to be appropriate in numerous categories for quality assessment. Primary findings from these studies show a potential relationship exists between food insecurity and family dynamics.Discussion: The findings in this review suggest that effects of food insecurity expand to various aspects of healthy family functioning. Unhealthy family dynamics in childhood can also expose children to trauma and lead to increased physical and mental health disorders in the future.
PubDate: Thu, 16 May 2024 00:00:00 GMT-
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- Project ECHO Brain Health: Assessing the Impact of a Pilot Program to
Promote Self-Efficacy Among Community Health Workers-
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Authors: Masoud; Sara S.; Escareño, Juana T.; Flores, Belinda; Lesser, Janna; Choi, Byeong Yeob; White, Carole L.
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This mixed-methods study sought to examine the impact of the Project ECHO Brain Health program on participating community health workers’ (CHWs’) self-efficacy to address dementia, promote brain health, and advocate for research among Latinx South Texas communities. Using an explanatory sequential design, quantitative data collected from pre- and post-program surveys were analyzed to inform the collection of qualitative data, followed by an interpretation of all findings to better understand the impact of the program on self-efficacy. Pre- and post-surveys were collected from 25 CHWs, 13 of whom later participated in individual interviews. There was a statistically significant increase in mean self-efficacy scores between the pre- and post-surveys among participants. Three categories reflecting the experiences of participants were identified from the qualitative data: addressing training needs; impact on CHWs and their practice; and community of learning. The findings suggest that Project ECHO Brain Health program is a timely intervention that may facilitate increased self-efficacy among CHWs as they navigate the impacts of dementia in their communities.
PubDate: Mon, 13 May 2024 00:00:00 GMT-
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- Effects of the COVID-19 Pandemic on Patient Navigation for Health-Related
Social Needs: Reflections From the Accountable Health Communities Model-
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Authors: Payne; Julianne; DePriest, Kelli; Clayton, Megan L.; Berzin, Olivia K.G.; Renaud, Jeanette M.
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Background and Objectives: This paper uses data from the Center for Medicare & Medicaid Innovation’s Accountable Health Communities (AHC) Model to assess the effects of the COVID-19 pandemic on patient navigation (PN) for health-related social needs.Methods: We analyzed evaluation data from 28 organizations implementing the Center for Medicare & Medicaid Innovation’s AHC Model. We first distilled themes from 81 stakeholder interviews conducted in 2021. We then analyzed quantitative beneficiary-level data on acceptance of navigation among 133,173 unique Medicare and Medicaid beneficiaries who were eligible for navigation between January 2019 and March 2021.Results: During the pandemic, interview participants described greater complexity of patients’ cases and uncertainty regarding community service availability. Changes to navigation staffing and mode led to improvements in navigation quality and efficiency, but also challenges such as reduced rapport with patients. The pandemic increased navigator stress and burnout but also deepened appreciation for navigation among navigators and their patients. Beneficiaries were more likely to accept navigation during the pandemic than before the pandemic (P
PubDate: Mon, 13 May 2024 00:00:00 GMT-
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- A Predefined Rule-Based Multi-Factor Risk Stratification Is Associated
With Improved Outcomes at a Rural Primary Care Practice-
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Authors: Abu Lekham; Laith; Hey, Ellen; Canario, Jose; Rivas, Yissette; Felice, Amanda; Mantegna, Tiffani; Wang, Yong; Khasawneh, Mohammad T.
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This study built a predefined rule-based risk stratification paradigm using 19 factors in a primary care setting that works with rural communities. The factors include medical and nonmedical variables. The nonmedical variables represent 3 demographic attributes and one other factor represents transportation availability. Medical variables represent major clinical variables such as blood pressure and BMI. Many risk stratification models are found in the literature but few integrate medical and nonmedical variables, and to our knowledge, no such model is designed specifically for rural communities. The data used in this study contain the associated variables of all medical visits in 2021. Data from 2022 were used to evaluate the model. After our risk stratification model and several interventions were adopted in 2022, the percentage of patients with high or medium risk of deteriorating health outcomes dropped from 34.9% to 24.4%, which is a reduction of 30%. The medium-complex patient population size, which had been 29% of all patients, decreased by about 4% to 5.7%. According to the analysis, the total risk score showed a strong correlation with 3 risk factors: dual diagnoses, the number of seen providers, and PHQ9 (0.63, 0.54, and 0.45 correlation coefficients, respectively).
PubDate: Fri, 10 May 2024 00:00:00 GMT-
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- Adult Day Services for People With Intellectual and Developmental
Disabilities: A Scoping Review-
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Authors: Westmore; Megan R.; Anderson, Keith A.
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Background: Adult day services (ADS) are therapeutic, social, and health-related activities that keep people in their homes, rather than institutional settings. While there is a growing body of literature on ADS for older adults, there is far less information available about ADS for younger adults with intellectual and/or developmental disabilities (IDDs).Method: Researchers conducted a scoping review of 6 databases (892 total articles).Results: After applying inclusion and exclusion criteria, 74 full articles were reviewed, with 10 articles meeting study requirements. The research team found the literature is limited to simple descriptive reports or interventions that use ADS as a platform.Conclusions: Simply put, we know very little about the services provided to younger adults with IDD in ADS. Implications for future research are discussed, including the need to catalog the services offered in ADS for younger adults with IDD and to evaluate their impact on participant well-being.
PubDate: Tue, 07 May 2024 00:00:00 GMT-
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- Comparison of Cardiovascular Health Between Parents and Non-Parents in
NHANES 2011-2018-
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Authors: Gregory; Emily F.; Maddox, Adya I.; Tindall, Alyssa; Ibarra, Jose L.; Virudachalam, Senbagam
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Background and Objectives: We compared cardiovascular health for parents and non-parents using the American Heart Association’s Life’s Essential 8 (LE8).Methods: This cross-sectional cohort analyzed 2011-2018 NHANES participants aged 20 to 54. The exposure was parenting, defined as living with a child. Logistic regression assessed whether parenting was associated with odds of ideal LE8 total or sub-scores. Regression adjusted for age, sex, race and ethnicity, educational attainment, marital status, and income. Subgroups included female sex, male sex, income
PubDate: Tue, 07 May 2024 00:00:00 GMT-
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