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Social Connections as a Catalyst for Improved Mental Health and Health Behavior among Long-term Survivors of HIV 社会联系是改善艾滋病毒长期存活者心理健康和健康行为的催化剂
IF 0.8 Q3 Social Sciences Pub Date : 2024-01-02 DOI: 10.14485/hbpr.11.1.5
Moka Yoo-Jeong, Erik L Ruiz, Jerome T. Galea, Andrea N. Polonijo, Jasmine L Lopez, K. Greene, Christopher Christensen, Jeff Taylor, Brandon Brown, Annie L Nguyen
Objective: In this commentary, we present our views on the importance of catalyzing social connections for mental well-being and effective health behavior, collectively, with special emphasis on long-term survivors of HIV. Methods: We examine select literature pertinent to mental health and HIV survivorship, including the impact of the COVID-19 pandemic. Results: Long-term HIV survivors face a substantial burden of health disparities and intersecting risk factors for comorbid health conditions Conclusions: An ongoing commitment to social support interventions is imperative to structure an environment where people can connect and thrive.
目的:在这篇评论中,我们将就促进社会联系对心理健康和有效的健康行为的重要性发表看法,并特别强调艾滋病病毒的长期存活者。研究方法我们研究了与心理健康和 HIV 幸存者相关的部分文献,包括 COVID-19 大流行的影响。结果长期艾滋病病毒感染者面临着巨大的健康差异负担,以及合并症的交叉风险因素:必须持续致力于社会支持干预措施,以营造一个能让人们相互联系并茁壮成长的环境。
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引用次数: 0
A Pilot Study of Physician Assistant Student and Alumni Attitudes, Awareness, and Perceptions of Medical and Recreational Marijuana 关于助理医师学生和校友对医用和娱乐用大麻的态度、认识和看法的试点研究
IF 0.8 Q3 Social Sciences Pub Date : 2024-01-02 DOI: 10.14485/hbpr.11.1.3
Kathryn Lawler, Abigail Strauss, Allison Kaczmarek, Mary Martinasek
Objectives: In this study, we aimed to explore current physician assistant (PA) student and alumni attitudes, knowledge, and perceptions towards recreational and medical marijuana. Methods: We conducted a cross-sectional study with PA students and alumni (N = 62) from a mid-sized university in the southeastern United States. We used an online QualtricsTM survey of 40 questions pertaining to both medical and recreational marijuana. Results: When asked about counseling patients on medical marijuana only 50.8% felt comfortable. Even fewer were comfortable with discussing drug interactions (39%). Participants felt that edibles were the safest route of administration (46.8%). The majority felt patient counseling should be incorporated into health sciences courses (79.7%). There was a statistically significant association between their knowledge and their comfort in answering questions about marijuana (p < .001) and between their knowledge and their comfort in addressing drug interactions (p = .005). Conclusion: Our results align with previous research concluding that a greater amount of marijuana education should be incorporated into healthcare professionals’ curricula.
研究目的:在本研究中,我们旨在探讨在校医生助理 (PA) 学生和校友对娱乐性和医用大麻的态度、知识和看法。方法: 我们对一名 PA 学生和校友进行了横断面研究:我们对美国东南部一所中等规模大学的助理医师学生和校友(62 人)进行了横断面研究。我们使用了一项在线 QualtricsTM 调查,其中包含 40 个与医用和娱乐大麻相关的问题。结果:当被问及如何向病人提供有关医用大麻的咨询时,只有 50.8% 的人感到轻松自如。对讨论药物相互作用感到轻松自如的人更少(39%)。参与者认为食用大麻是最安全的给药途径(46.8%)。大多数人认为应将患者咨询纳入健康科学课程(79.7%)。在回答有关大麻的问题时,他们的知识水平与他们的舒适度之间存在统计学意义上的显著关联(p < .001),在处理药物相互作用时,他们的知识水平与他们的舒适度之间也存在显著关联(p = .005)。结论:我们的研究结果与之前的研究结论一致,即医护人员的课程中应纳入更多的大麻教育内容。
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引用次数: 0
Improving Water Consumption in Underserved Elementary Schools: Implementation and Evaluation of a School-based Hydration Initiative 改善缺水小学的用水情况:校本水合行动的实施与评估
IF 0.8 Q3 Social Sciences Pub Date : 2024-01-02 DOI: 10.14485/hbpr.11.1.6
Kristina Tatum, Jessica LaRose, Danyel Smith, M. Stewart, Elizabeth Theriault, Melanie Bean
Objective: Our objective was to evaluate the feasibility and effectiveness of a school-based hydration initiative in elementary schools. Methods: Hydration initiative included (1) placement of hydration stations, (2) promotional and educational activities during “Water Week,” and (3) provision of reusable water bottles. Surveys were administered at baseline and follow-up to assess student beverage intake and perceptions about the school’s environmental hydration policies and practices. Water bottle fills were assessed objectively at baseline, post-Water Week, and followup via weekly counts from hydration stations. Results: Water use increased post-Water Week (2.97±2.14), declining to 0.71±0.47 2 weeks later. At follow-up, frequency of soda consumption decreased (-.01 times/day; p < .001), self-reported water refill station use increased (p = .011), and a decrease (-.04 cups/day) in overall daily water intake (p = .043). At follow-up, there was an increase in the percentage of school personnel who reported their school promoted water as the best choice (p = .039). Students and teachers reported positive attitudes towards hydration stations, with some concerns about water bottle use in classrooms. Conclusion: The intervention reduced soda consumption and improved school hydration culture. Results can inform hydration policy and programming efforts for elementary school students.
目标:我们的目标是评估在小学开展校本水合活动的可行性和有效性。方法: 水合计划包括:(1) 设置水合站;(2) 在 "水周 "期间开展宣传和教育活动;(3) 提供可重复使用的水瓶。在基线和后续阶段进行了调查,以评估学生的饮料摄入量以及对学校环境水合政策和实践的看法。在基线、"水周 "结束后和随访期间,每周通过水合站的计数对水瓶的装水量进行客观评估。结果饮水周后,水的使用量有所增加(2.97±2.14),两周后降至 0.71±0.47。在随访中,饮用苏打水的次数减少了(-.01 次/天;p < .001),自我报告的补水站使用率增加了(p = .011),每日总体水摄入量减少了(-.04 杯/天)(p = .043)。在后续调查中,报告学校提倡将水作为最佳选择的学校人员比例有所增加(p = .039)。学生和教师对水合站持积极态度,但对在教室中使用水瓶表示担忧。结论:干预措施降低了苏打水的消耗量,改善了学校的水合文化。干预结果可为小学生的水合政策和计划提供参考。
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引用次数: 0
Total vs Partial Workplace Tobacco Use Bans in Texas Behavioral Health Centers: Employees’ Perceptions Related to Best Practices Implementation 德克萨斯州行为健康中心的工作场所全面禁烟与部分禁烟:员工对最佳实践实施的看法
IF 0.8 Q3 Social Sciences Pub Date : 2024-01-02 DOI: 10.14485/hbpr.11.1.4
S. Kakarla, Noor Shabaneh, M. Britton, Anastasia Rogova, Brian J Carter, Tzuan A. Chen, I. Leal, Bryce Kyburz, T. Williams, Lorraine R. Reitzel
Objective: Tobacco-free workplace policies (TFWPs) at behavioral health treatment centers can curb clients’ tobacco use and secondhand smoke/vape exposure. However, there is little extant observational research about how total versus partial workplace tobacco use bans are associated with employees’ perceptions of best tobacco-related practices in behavioral health centers. Little is understood about the relationship between total or partial TFWPs and other factors that influence evidence-based client care including employees’ beliefs and their tobacco treatment practices. In this study, we examined these associations within Local Mental Health Authorities (LMHAs) providing behavioral healthcare throughout Texas. Methods: Employees from 30 of 39 LMHAs (> 75% of Texas’ statewide service area) responded to a 2021 survey on their TFWP characteristics. We explored associations between the TFWP (total vs partial) and variables of interest using independent proportions tests (p < .10). Results: LMHAs with total TFWPs reported clearer signage, more consistent enforcement, and greater client, contractor, and visitor awareness (ps = .013 to .078). They were also more likely to offer tobacco screening training, promote the Quitline, and believe in the benefits of concurrent treatment of behavioral health needs and tobacco use (ps = .024 to .079). Conclusions: LMHAs with partial TFWPs had weaknesses in communication, enforcement, awareness, and greater barriers to tobacco use care. There are opportunities for collaboration between LMHAs to share policies and care-facilitation practices to reduce the research-to-practice gap and resultant tobacco use inequities statewide.
目的:行为健康治疗中心的无烟工作场所政策(TFWPs)可抑制客户的烟草使用和二手烟/烟雾暴露。然而,关于全面禁止工作场所吸烟与部分禁止工作场所吸烟如何与员工对行为健康中心最佳烟草相关实践的认知相关联,现有的观察性研究很少。人们对全面或部分禁止工作场所吸烟与影响循证客户关怀的其他因素(包括员工的信念及其烟草治疗实践)之间的关系知之甚少。在本研究中,我们考察了德克萨斯州提供行为医疗服务的地方精神卫生局(LMHA)内部的这些关联。研究方法:来自 39 个 LMHA 中的 30 个(超过德克萨斯州全州服务面积的 75%)的员工回答了 2021 年关于其 TFWP 特征的调查。我们使用独立比例检验(P < .10)探讨了 TFWP(全部与部分)与相关变量之间的关联。结果:拥有全部 TFWP 的 LMHA 报告称,其标识更加清晰,执行更加一致,客户、承包商和访客的认知度更高(PS = .013 至 .078)。他们也更有可能提供烟草筛查培训、推广戒烟热线,并相信同时治疗行为健康需求和烟草使用的益处(ps = .024 to .079)。结论:有部分 TFWP 的 LMHA 在沟通、执行、意识方面存在不足,在烟草使用护理方面存在更大的障碍。LMHA 之间有机会开展合作,分享政策和护理促进实践,以缩小研究与实践之间的差距,从而减少全州范围内的烟草使用不平等现象。
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引用次数: 0
Health and Social Service Needs of People who Inject Drugs Living in Rural Settings in the United States: A Qualitative Study 美国农村地区注射吸毒者的健康和社会服务需求:定性研究
IF 0.8 Q3 Social Sciences Pub Date : 2024-01-02 DOI: 10.14485/hbpr.11.1.1
William Bull, Cahit Kaya, Wajiha Akhtar, Joshua Wilke, Sarah Krechel, Randall Brown, Ryan Westergaard, David Seal
Objective: Rural communities continue to be among the most severely affected by the opioid epidemic, showing some of the highest rates of overdose deaths and increasing rates of injection drug use. Lack of resources among other barriers contribute to the needs of this population going unmet. We assessed service needs among people who inject drugs (PWID) in rural regions, barriers to the implementation of these services, and optimal strategies to intervene with people who inject drugs, as well as to better link them to needed programs and services. Methods: We carried out thematic content analysis of 46 in-depth interviews with key respondents who worked with or had knowledge of the needs of PWID. Results: Respondents saw a need for increased access to services (eg, healthcare, harm reduction, addiction treatment), different treatment options, and education related to substance use as the most needed services among this population. Conclusions: Opioid use disorder interventions and initiatives must address these core service and education needs to best serve PWID. Increasing access to services in rural communities must be a priority for policymakers, local respondents, and healthcare providers.
目标:农村社区仍然是受阿片类药物流行病影响最严重的地区之一,其用药过量致死率最高,注射吸毒率不断上升。资源匮乏和其他障碍导致这一人群的需求得不到满足。我们评估了农村地区注射吸毒者(PWID)的服务需求、实施这些服务的障碍、对注射吸毒者进行干预的最佳策略,以及将他们与所需计划和服务更好地联系起来的策略。方法:我们对 46 个深入访谈进行了主题内容分析,访谈对象是与注射吸毒者打交道或了解他们需求的主要受访者。结果:受访者认为,这一人群最需要的服务是增加获得服务的途径(如医疗保健、减低伤害、成瘾治疗)、不同的治疗方案以及与药物使用相关的教育。结论:阿片类药物使用障碍干预措施和倡议必须满足这些核心服务和教育需求,以便为吸毒者提供最佳服务。增加农村社区获得服务的机会必须成为政策制定者、当地受访者和医疗服务提供者的优先事项。
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引用次数: 0
Health Risk Factors of Fishermen in West Seram Regency, Indonesia 印度尼西亚西塞拉姆地区渔民的健康风险因素
IF 0.8 Q3 Social Sciences Pub Date : 2024-01-02 DOI: 10.14485/hbpr.11.1.2
Sahrir Sillehu, Tri Utami, Ilyas Ibrahim, Zulfikar Peluw, Zulfikar Lating
Objective: Fishermen are a group of workers who play a major role in the development of a country’s economy but are susceptible to health challenges due to the high-risk nature of their profession. Therefore, in this study, we determined the health risk factors among fishermen in West Seram Regency, Indonesia. Methods: We used a cross-sectional design to develop a predictive model for fishermen’s health. We collected data through a survey using validated and reliable questionnaires, followed by analysis with multiple logistic regression. The sample population consisted of 114 participants. Results: Smoking, exercise, and diving habits influenced the health of the participants with p-values of .016, .005, and .001, respectively. Parents’ health history also had a significant impact, with a p-value of .021. Furthermore, it was considered to be the dominant factor, possessing an Exp(B) value of 6.7. Conclusion: Based on the findings, these groups of workers were advised to maintain health through smoking cessation, engaging in regular physical activity, and undergoing regular check-ups at primary healthcare facilities.
目的:渔民是在国家经济发展中发挥重要作用的工人群体,但由于其职业的高风险性,他们很容易受到健康挑战。因此,在本研究中,我们确定了印度尼西亚西雪兰县渔民的健康风险因素。研究方法我们采用横断面设计来建立渔民健康预测模型。我们使用经过验证的可靠问卷进行调查,收集数据,然后进行多元逻辑回归分析。样本人群包括 114 名参与者。结果显示吸烟、运动和潜水习惯对参与者健康的影响分别为 0.016、0.005 和 0.001。父母的健康史也有显著影响,p 值为 0.021。此外,它被认为是主导因素,Exp(B) 值为 6.7。结论根据研究结果,建议这些工人群体通过戒烟、经常参加体育锻炼和定期到基层医疗机构接受检查来保持健康。
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引用次数: 0
A Reflection on 10 Years of Health Behavior and Policy Review 健康行为与政策回顾》10 年回顾
IF 0.8 Q3 Social Sciences Pub Date : 2024-01-02 DOI: 10.14485/hbpr.11.1.7
Robert McDermott, Annie Nguyen
Objective: In this historical brief about the journal, we examine the original and future intentions of Health Behavior and Policy Review as a contributor to the scholarly literature and look back at some of the challenges faced by academic journals. Methods: We review the purpose and principles upon which the journal was founded and offer some of the journal’s highlights of the past decade. Results: We report some specific benchmarks of achievement – notably major coverage of historically relevant and emerging public health issues, linkage with World Health Organization and Healthy People 2030 objectives, articulation of health behavior and policy, and recognition of the journal’s impact factor and rank among peer journals in social sciences and humanities. Conclusion: The journal has evolved into an outlet for reporting the results of scientific research and learned opinion that is international in scope
目的:在这篇关于该期刊的历史简介中,我们探讨了《健康行为与政策评论》作为学术文献贡献者的初衷和未来打算,并回顾了学术期刊所面临的一些挑战。方法:我们回顾了《健康行为与政策评论》创刊的宗旨和原则,并介绍了该期刊在过去十年中的一些亮点。结果:我们报告了一些具体的成就基准--特别是对历史上相关的和新出现的公共卫生问题的主要报道、与世界卫生组织和《2030 年健康人群》目标的联系、对健康行为和政策的阐述,以及对期刊影响因子和在社会科学与人文科学同行期刊中排名的认可。结论:该期刊已发展成为国际范围内报道科学研究成果和学术观点的渠道
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引用次数: 0
Socioeconomic Factors, Movement Behavior Context, and Self-reported Physical and Mental Health in Adults Living in New York City 纽约市成年人的社会经济因素、运动行为背景和自我报告的身心健康状况
IF 0.8 Q3 Social Sciences Pub Date : 2023-10-01 DOI: 10.14485/hbpr.10.5.2
Ryan Burns, Christopher D. Pfledderer, You Fu
Objective: The purpose of this study was to examine the associations of socioeconomic factors, movement behavior context, and self-reported physical and mental health in adults living in New York City. Methods: Participants were adults from the Physical Activity and Transit Survey (N = 3811; 53.2% female). The dependent variables were items asking about the number of days the participant experienced poor physical and mental health. Independent variables were socioeconomic factors and items asking about the frequency of physical activity (PA) within certain contexts and rest/sleep behaviors. Weighted multivariable negative binomial regression models examined the associations. Results: More days of bicycling transit (IRR = 0.79, p = .001) and higher levels of household income (IRR range = 0.44-0.66, p < .025) were associated with lower rates of poor physical health. More days of poor rest/sleep (IRR = 1.05, p < .001) and labor PA (IRR = 1.10, p < .001) were associated with higher rates of poor mental health, and higher household income (IRR range = 0.58-0.65, p < .01) were associated with a lower rate of poor mental health. Conclusions: The strength and direction of associations with self-reported health varied according to PA context. Poor rest/sleep and low household income were strongly associated with both poor physical and mental health.
研究目的本研究旨在探讨纽约市成年人的社会经济因素、运动行为背景与自我报告的身心健康之间的关联。研究方法参与者为体育活动和交通调查中的成年人(人数 = 3811;53.2% 为女性)。因变量是询问参与者身心健康状况不佳天数的项目。自变量是社会经济因素和询问在特定情况下体育活动(PA)频率和休息/睡眠行为的项目。加权多变量负二项回归模型检验了这些关联。结果显示骑自行车出行的天数越多(IRR = 0.79,p = .001),家庭收入水平越高(IRR 范围 = 0.44-0.66,p < .025),身体健康不良率越低。休息/睡眠质量差(IRR = 1.05,p < .001)和劳动参与(IRR = 1.10,p < .001)天数越多,心理健康不良率越高,而家庭收入越高(IRR 范围 = 0.58-0.65,p < .01),心理健康不良率越低。结论与自我健康报告相关的强度和方向因参与活动的环境而异。休息/睡眠质量差和家庭收入低与身体和心理健康状况不佳密切相关。
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引用次数: 0
Barriers to Cervical Cancer Screening among Sub-Saharan African Immigrant Women in the United States: A Qualitative Report 美国撒哈拉以南非洲移民妇女进行宫颈癌筛查的障碍:定性报告
IF 0.8 Q3 Social Sciences Pub Date : 2023-10-01 DOI: 10.14485/hbpr.10.5.1
Ann Amuta-Jimenez, Itunu O. Sokale, Lorraine Reitzel
Objective: Cervical cancer screening can prevent women across all age groups from developing cervical cancer (CC). However, Sub-Saharan African immigrant women (SAIW) sparsely engage in routine CC screening. Thus, developing prevention strategies to improve SAIW’s adherence to recommended CC screening guidelines is critical. To ensure that such strategies are successful, they must meet the needs of the target population. By conducting qualitative interviews with SAIW (N = 15), we aimed to get a deeper understanding of barriers to CC screening receipt. Methods: We asked SAIW about barriers to CC screening and possible ideas to facilitate their future screening behavior. Results: Our findings revealed that SAIW are especially affected by several major barriers: lack of awareness of CC guidelines, fear/fatalism, lack of resources (eg, a lack of time due to job and family commitment), other resource-related barriers (eg, unreliable mode of transport, and no health insurance), modesty, and overt bias. Participants indicated a preference for female healthcare providers for CC screening and suggested spousal involvement in CC intervention development to foster support. Conclusion: The identification of multi-level barriers indicates that multiple strategies are needed to improve the uptake of CC screening among SAIW.
目的:宫颈癌筛查可以预防各年龄段妇女患上宫颈癌(CC)。然而,撒哈拉以南非洲移民妇女(SAIW)很少进行常规宫颈癌筛查。因此,制定预防策略以提高撒哈拉以南非洲移民妇女对推荐的宫颈癌筛查指南的依从性至关重要。为确保此类策略取得成功,它们必须满足目标人群的需求。通过对 SAIW(N = 15)进行定性访谈,我们旨在深入了解接受 CC 筛查的障碍。方法:我们向 SAIW 询问了接受 CC 筛查的障碍以及促进其今后筛查行为的可能想法。结果:我们的研究结果表明,高收入妇女尤其受到以下几大障碍的影响:缺乏对CC指南的了解、恐惧/宿命论、缺乏资源(例如,由于工作和家庭负担而缺乏时间)、其他与资源相关的障碍(例如,不可靠的交通方式和没有医疗保险)、谦虚和明显的偏见。参与者表示更倾向于由女性医疗保健提供者进行 CC 筛查,并建议配偶参与 CC 干预措施的制定以促进支持。结论多层次障碍的识别表明,需要采取多种策略来提高SAIW对CC筛查的接受度。
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引用次数: 0
Exploring the Common Factors that Influence Physical Activity, Academic Self-efficacy, and Depression among Junior High School Students: A Literature Review 探索影响初中生体育锻炼、学业自我效能感和抑郁的共同因素:文献综述
IF 0.8 Q3 Social Sciences Pub Date : 2023-10-01 DOI: 10.14485/hbpr.10.5.4
Dan Bai, Asha Hashim
Objective: The objective of this study was to identify the common factors that impact physical activity (PA), academic self-efficacy, and depression in junior high school students. A systematic electronic search for studies on the factors of PA, academic self-efficacy, and depression in junior high school students was performed through July 10, 2023. Methods: The search was conducted using the PsycINFO, ERIC, Cochrane Library, PubMed, SPORT Discus, and Web of Science databases. Results: Mindfulness, social support, self-esteem, family structure, emotional intelligence, and school PA program engagement were identified as the common factors that enhance junior high school students’ PA, academic self-efficacy, and depression. Conclusions: At the practical level, the findings of this study will contribute to the development of a framework for improving junior high school students’ PA, academic self-efficacy, and depression.
研究目的本研究旨在确定影响初中生体育锻炼(PA)、学习自我效能感和抑郁的共同因素。在 2023 年 7 月 10 日之前,对初中生体育锻炼、学业自我效能感和抑郁因素的相关研究进行了系统的电子检索。研究方法:使用 PsycINFO、ERIC、Cochrane Library、PubMed、SPORT Discus 和 Web of Science 数据库进行检索。研究结果发现正念、社会支持、自尊、家庭结构、情商和学校体育锻炼计划的参与是提高初中生体育锻炼、学业自我效能感和抑郁的共同因素。结论:在实践层面上,本研究的结果将有助于制定一个框架,以改善初中生的课余活动、学业自我效能感和抑郁状况。
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引用次数: 0
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Health Behavior and Policy Review
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