Sharon Thomson, Judy Ugwuegbu, Kimberly Montez, Sarah Langdon, Scott Best, Daniel Sostaita, Michelle Franklin, Rachel Zimmer
Objective: Food insecurity (FI) is a growing public health problem. Produce prescriptions are known to improve healthy eating and decrease FI; however, few studies have incorporated community voice prior to its implementation. In this study, we aimed to elicit perspectives of individuals at risk for FI and the potential impact of a fresh food prescription (FFRx) program.
Methods: We conducted this qualitative descriptive study through an academic medical center in collaboration with community partners. We conducted focus groups involving Latinx (N = 16) and African-American (N = 8) adults in community settings. Data were interpreted using an inductive thematic analysis.
Results: Three overarching themes emerged: (1) fresh food accessibility was limited by cost, household size, and transportation but enhanced by food pantries, budgeting, and education; (2) cooking behaviors were curbed by time constraints and unfamiliarity but propagated by passion, traditions, and communal practices; and (3) health and wellness deterrents included unhealthy diets driven by cultural and familial norms; however, weight loss and awareness of comorbidities were positive motivators. Participants shared their preference for local produce and cooking classes as components of a FFRx program while raising concerns about low participation due to the stigma of receiving aid.
Conclusions: Our findings illuminated interest in engaging in a FFRx program and learning ways to prepare healthy foods. A program distributing fresh produce and healthy lifestyle education could close gaps identified in African-American and Latinx communities at risk for FI.
{"title":"Qualitative Perceptions of an Anticipated Fresh Food Prescription Program.","authors":"Sharon Thomson, Judy Ugwuegbu, Kimberly Montez, Sarah Langdon, Scott Best, Daniel Sostaita, Michelle Franklin, Rachel Zimmer","doi":"10.14485/hbpr.9.1.5","DOIUrl":"https://doi.org/10.14485/hbpr.9.1.5","url":null,"abstract":"<p><strong>Objective: </strong>Food insecurity (FI) is a growing public health problem. Produce prescriptions are known to improve healthy eating and decrease FI; however, few studies have incorporated community voice prior to its implementation. In this study, we aimed to elicit perspectives of individuals at risk for FI and the potential impact of a fresh food prescription (FFRx) program.</p><p><strong>Methods: </strong>We conducted this qualitative descriptive study through an academic medical center in collaboration with community partners. We conducted focus groups involving Latinx (N = 16) and African-American (N = 8) adults in community settings. Data were interpreted using an inductive thematic analysis.</p><p><strong>Results: </strong>Three overarching themes emerged: (1) fresh food accessibility was limited by cost, household size, and transportation but enhanced by food pantries, budgeting, and education; (2) cooking behaviors were curbed by time constraints and unfamiliarity but propagated by passion, traditions, and communal practices; and (3) health and wellness deterrents included unhealthy diets driven by cultural and familial norms; however, weight loss and awareness of comorbidities were positive motivators. Participants shared their preference for local produce and cooking classes as components of a FFRx program while raising concerns about low participation due to the stigma of receiving aid.</p><p><strong>Conclusions: </strong>Our findings illuminated interest in engaging in a FFRx program and learning ways to prepare healthy foods. A program distributing fresh produce and healthy lifestyle education could close gaps identified in African-American and Latinx communities at risk for FI.</p>","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"9 1","pages":"670-682"},"PeriodicalIF":0.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9364949/pdf/nihms-1827260.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9301072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rashiduzzaman Ahmed, Mark R. Williamson, Samia Nadeem, Saif Bahri
Objective: Colorectal cancer screening is proven to reduce cancer burden and mortality. Despite several well-established screening methods, colorectal cancer still has the third-highest cancer mortality rate in the United States. Methods: We examine the self-reports of individuals ever having a colonoscopy or fecal occult blood test (FOBT) from the Behavioral Risk Factor Surveillance System questionnaire to determine if screening rates differed by race and year while controlling for state and other variables. Results: Colonoscopy rates increased between years while FOBT rates decreased. Blacks had higher colonoscopy rates than Whites and other racial minorities had lower rates. Blacks also had higher FOBT rates, as did American Indians/Alaska Natives (AI/ ANs), Native Hawaiian/Pacific Islanders (NH/PIs), and the multiracial category (MR). Whites and Asians saw a rise in colonoscopy rates between 2014 and 2018, whereas AI/ANs, NH/PIs, MR, and the other category (Other) saw a rise in FOBT rates. State-level screening rates were not associated with state-level incidence or mortality rates. Conclusions: Racial disparities still exist in self-reported colorectal screening patterns, though some are trending in the right direction, and there is a gap between screening rates and incidence rates by state that depend on further factors.
{"title":"Regional and Racial Trends in US Colorectal Cancer Screening","authors":"Rashiduzzaman Ahmed, Mark R. Williamson, Samia Nadeem, Saif Bahri","doi":"10.14485/hbpr.8.6.4","DOIUrl":"https://doi.org/10.14485/hbpr.8.6.4","url":null,"abstract":"Objective: Colorectal cancer screening is proven to reduce cancer burden and mortality. Despite several well-established screening methods, colorectal cancer still has the third-highest cancer mortality rate in the United States. Methods: We examine the self-reports of individuals ever having a colonoscopy or fecal occult blood test (FOBT) from the Behavioral Risk Factor Surveillance System questionnaire to determine if screening rates differed by race and year while controlling for state and other variables. Results: Colonoscopy rates increased between years while FOBT rates decreased. Blacks had higher colonoscopy rates than Whites and other racial minorities had lower rates. Blacks also had higher FOBT rates, as did American Indians/Alaska Natives (AI/ ANs), Native Hawaiian/Pacific Islanders (NH/PIs), and the multiracial category (MR). Whites and Asians saw a rise in colonoscopy rates between 2014 and 2018, whereas AI/ANs, NH/PIs, MR, and the other category (Other) saw a rise in FOBT rates. State-level screening rates were not associated with state-level incidence or mortality rates. Conclusions: Racial disparities still exist in self-reported colorectal screening patterns, though some are trending in the right direction, and there is a gap between screening rates and incidence rates by state that depend on further factors.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47995602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Di Toma, F. Buono, Nicola Rascio, C. Baiardi, E. Manca, Guido Fares, Ernesto Fascia, A. Campanozzi
Objective: Italy was the first European nation to undergo a general lockdown as a means of containing the COVID-19 pandemic. In that period, a significant reduction in pediatric accesses to emergency rooms (ERs) was reported. In this study, we evaluated whether, in addition to the fear of infection, the reduced ER visits were also an indirect indicator of reduced incidence of common seasonal viruses. Methods: Sales data for pediatric formulations of antipyretics and probiotics from 27 pharmacies were evaluated, during March-May 2020, and compared to sales during the same period in 2019. Pediatric accesses in the emergency department (ED) also were evaluated. Results: The median number of antipyretics and probiotics sold per pharmacy was respectively 152 (IQR = 144) and 55 (IQR = 52) in 2019; during the same period of 2020 it was 77.5 (IQR = 60) (p < .001) and 27 (IQR = 44) (p < .05). In the March-May period of 2019, the number of pediatric accesses was 1004, whereas in the same period of 2020 it was 143, a reduction of 85.76% (p < .001). Conclusions: We found a statistically significant reduction in pediatric admissions to the ED during the lockdown, but that this reduction could largely be due to a reduction in seasonal viral disease as an effect of social distancing, mask use, and frequent hand-washing, as mandated by healthcare dispositions.
{"title":"Reduction in Pediatric Emergency Department Admissions during Lockdown: Just Fear of COVID-19?","authors":"M. Di Toma, F. Buono, Nicola Rascio, C. Baiardi, E. Manca, Guido Fares, Ernesto Fascia, A. Campanozzi","doi":"10.14485/hbpr.8.6.7","DOIUrl":"https://doi.org/10.14485/hbpr.8.6.7","url":null,"abstract":"Objective: Italy was the first European nation to undergo a general lockdown as a means of containing the COVID-19 pandemic. In that period, a significant reduction in pediatric accesses to emergency rooms (ERs) was reported. In this study, we evaluated whether, in addition to the fear of infection, the reduced ER visits were also an indirect indicator of reduced incidence of common seasonal viruses. Methods: Sales data for pediatric formulations of antipyretics and probiotics from 27 pharmacies were evaluated, during March-May 2020, and compared to sales during the same period in 2019. Pediatric accesses in the emergency department (ED) also were evaluated. Results: The median number of antipyretics and probiotics sold per pharmacy was respectively 152 (IQR = 144) and 55 (IQR = 52) in 2019; during the same period of 2020 it was 77.5 (IQR = 60) (p < .001) and 27 (IQR = 44) (p < .05). In the March-May period of 2019, the number of pediatric accesses was 1004, whereas in the same period of 2020 it was 143, a reduction of 85.76% (p < .001). Conclusions: We found a statistically significant reduction in pediatric admissions to the ED during the lockdown, but that this reduction could largely be due to a reduction in seasonal viral disease as an effect of social distancing, mask use, and frequent hand-washing, as mandated by healthcare dispositions.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"1 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41368754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valerie Muehleman, Carey J. Fitzgerald, Shae Gantt, Brenda Hughes, Lydia Breland, Alan Warren, Swati Debroy
Objective: Our objective in this study was to inform policymakers if including a salad bar in school cafeterias in the district would serve all subgroups of students equally. Methods: A salad bar was implemented during the 2016-2017 academic year in a rural low-income county middle-school. Halfway through, a “healthy lifestyle” educational campaign was presented. Students’ gender, race, and body mass index (BMI) were recorded along with their choice of daily lunch item. Results: Overall, 528 middle schoolers participated in this program. Students opted to consume salad for approximately 5.73 days out of the 123 days that salad was served. The educational campaign had no effect on salad bar use. There was no gender difference in frequency of salad bar use. African- American students consumed significantly more salad than Hispanic students, and marginally more salad than white students. Students classified as normal weight (by BMI percentile) chose the salad bar option more frequently than obese students. Conclusions: Salad bar was the least popular food choice, and popularity of the salad bar decreased over time. The educational campaign designed to increase salad bar use had no effect. These results can help guide future interventions in low-income rural communities.
{"title":"Salad Bar Use among Middle School Children in a Socio-economically Disadvantaged Rural County","authors":"Valerie Muehleman, Carey J. Fitzgerald, Shae Gantt, Brenda Hughes, Lydia Breland, Alan Warren, Swati Debroy","doi":"10.14485/hbpr.8.6.11","DOIUrl":"https://doi.org/10.14485/hbpr.8.6.11","url":null,"abstract":"Objective: Our objective in this study was to inform policymakers if including a salad bar in school cafeterias in the district would serve all subgroups of students equally. Methods: A salad bar was implemented during the 2016-2017 academic year in a rural low-income county middle-school. Halfway through, a “healthy lifestyle” educational campaign was presented. Students’ gender, race, and body mass index (BMI) were recorded along with their choice of daily lunch item. Results: Overall, 528 middle schoolers participated in this program. Students opted to consume salad for approximately 5.73 days out of the 123 days that salad was served. The educational campaign had no effect on salad bar use. There was no gender difference in frequency of salad bar use. African- American students consumed significantly more salad than Hispanic students, and marginally more salad than white students. Students classified as normal weight (by BMI percentile) chose the salad bar option more frequently than obese students. Conclusions: Salad bar was the least popular food choice, and popularity of the salad bar decreased over time. The educational campaign designed to increase salad bar use had no effect. These results can help guide future interventions in low-income rural communities.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41486010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Keyondra Brooks, W. Rapp, Jennifer Ogleby, Mattherw Shepherd
Objective: That Pop-Up Restaurant Summer Food Service Program (SFSP) was a federally reimbursed program that first served healthy meals to families in a rural Kansas community during the summer of 2017. The program aimed to empower communities to address child hunger by reducing stigma concerning food assistance and providing high-quality, nutritious meals to families. This pilot was developed to increase low utilization rates of summer feeding programs. Methods: An ecological approach was implemented to engage students and families. Program innovations included an open menu ordering format with paid adult meals and proper food storage while maintaining USDA’s nutritional requirements. Additionally, the menu options exceeded fruit and vegetable requirements. Results: On average, 9.6% of youth who participated in the free and reduced-price lunch programs participated daily in summer nutrition during the 2016-2017 school year (FRAC, 2019). Comparatively, That Pop-Up Restaurant’s pilot had over 25% of eligible youth participate in the program one or more times. Conclusions: That Pop-Up Restaurant summer food service program showed promising results for the target population and program developers aim to replicate the program in various communities.
{"title":"That Pop-Up Restaurant: Innovation in a Summer Feeding Program","authors":"Keyondra Brooks, W. Rapp, Jennifer Ogleby, Mattherw Shepherd","doi":"10.14485/hbpr.8.6.12","DOIUrl":"https://doi.org/10.14485/hbpr.8.6.12","url":null,"abstract":"Objective: That Pop-Up Restaurant Summer Food Service Program (SFSP) was a federally reimbursed program that first served healthy meals to families in a rural Kansas community during the summer of 2017. The program aimed to empower communities to address child hunger by reducing stigma concerning food assistance and providing high-quality, nutritious meals to families. This pilot was developed to increase low utilization rates of summer feeding programs. Methods: An ecological approach was implemented to engage students and families. Program innovations included an open menu ordering format with paid adult meals and proper food storage while maintaining USDA’s nutritional requirements. Additionally, the menu options exceeded fruit and vegetable requirements. Results: On average, 9.6% of youth who participated in the free and reduced-price lunch programs participated daily in summer nutrition during the 2016-2017 school year (FRAC, 2019). Comparatively, That Pop-Up Restaurant’s pilot had over 25% of eligible youth participate in the program one or more times. Conclusions: That Pop-Up Restaurant summer food service program showed promising results for the target population and program developers aim to replicate the program in various communities.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48739751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. An, Danyi Li, Marjorie Cole, Katherine Park, M. Ji, Aaron R Lyon, Neil White
Objective: In this study, we examined the influence of multi-level barriers on school diabetes care quality. Methods: We administered an online survey to nurses in Missouri K-12 schools (N = 245). We assessed 57 potential barriers in 5 domains (at individual, school, community, social/ cultural, and political/economic levels). We developed 38 criteria for care quality based on the National Institute of Diabetes and Digestive and Kidney Diseases’ school diabetes care guidelines. We carried out structural equation modeling to examine the effect of barriers on school diabetes care quality. Results: School nurses’ heavy workloads, teachers’/parents’ lack of training/knowledge on evidence-based practices, and lack of funding from government, districts, and schools serving disadvantaged or rural populations were among the key barriers to school diabetes care. Deficiencies in care quality were identified in areas including knowledge/training, communication, school policies, resources and environment, physical activity engagement among students with diabetes, school nurses’ diabetes management practices, and trained diabetes practitioners’ responsibilities. School diabetes care barriers, overall, were inversely associated with care quality; one standard deviation increase in the barriers was associated with a 0.163 (95% confidence interval = 0.002- 0.324) standard-deviation decrease in care quality. Conclusions: Multi-level policy interventions are called upon to address these barriers to improve care quality and ensure the healthy growth of students with diabetes.
{"title":"Barriers and Diabetes Care Quality in Public Schools in the United States","authors":"R. An, Danyi Li, Marjorie Cole, Katherine Park, M. Ji, Aaron R Lyon, Neil White","doi":"10.14485/hbpr.8.6.3","DOIUrl":"https://doi.org/10.14485/hbpr.8.6.3","url":null,"abstract":"Objective: In this study, we examined the influence of multi-level barriers on school diabetes care quality. Methods: We administered an online survey to nurses in Missouri K-12 schools (N = 245). We assessed 57 potential barriers in 5 domains (at individual, school, community, social/ cultural, and political/economic levels). We developed 38 criteria for care quality based on the National Institute of Diabetes and Digestive and Kidney Diseases’ school diabetes care guidelines. We carried out structural equation modeling to examine the effect of barriers on school diabetes care quality. Results: School nurses’ heavy workloads, teachers’/parents’ lack of training/knowledge on evidence-based practices, and lack of funding from government, districts, and schools serving disadvantaged or rural populations were among the key barriers to school diabetes care. Deficiencies in care quality were identified in areas including knowledge/training, communication, school policies, resources and environment, physical activity engagement among students with diabetes, school nurses’ diabetes management practices, and trained diabetes practitioners’ responsibilities. School diabetes care barriers, overall, were inversely associated with care quality; one standard deviation increase in the barriers was associated with a 0.163 (95% confidence interval = 0.002- 0.324) standard-deviation decrease in care quality. Conclusions: Multi-level policy interventions are called upon to address these barriers to improve care quality and ensure the healthy growth of students with diabetes.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44359508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daisy Le, Gypsyamber D'Souza, Rebkha Atnafou, Meghan Bridgid Moran
Objective: Young adult tobacco users are at an increased risk for using non-cigarette tobacco products and have high poly-use rates. We interviewed poly-tobacco-using young adults from an urban community to explore characteristics associated with their poly-tobacco use, perceived barriers to tobacco cessation, and recommendations for and interest in cessation programs.
Methods: We conducted 17 focus group discussions with 97 poly-tobacco-using young adults. Interviews were analyzed using framework analysis and quantitative surveys were analyzed using descriptive statistics.
Results: All participants reported a history of tobacco product poly-use, and 85% reported poly-use in the past 30 days. Study results indicate that this population faces multiple barriers to cessation (eg, influence of social network, easy access, anxiety management, belief in self-control, boredom), but that there is interest in utilizing mobile-based interventions and social media for cessation attempts, ultimately allowing them to manage cessation in their own time, and in a way that is more fitting with their lifestyle.
Conclusions: To work toward eliminating tobacco-related cancer disparities, we must understand social and environmental factors that influence tobacco use among underserved populations so that primary prevention strategies to prevent smoking initiation may be implemented. Equally important are secondary prevention strategies that develop more targeted, effective smoking cessation interventions.
{"title":"Perceived Barriers to and Recommendations for Cessation among Poly-tobacco-using Young Adults.","authors":"Daisy Le, Gypsyamber D'Souza, Rebkha Atnafou, Meghan Bridgid Moran","doi":"10.14485/hbpr.8.6.1","DOIUrl":"10.14485/hbpr.8.6.1","url":null,"abstract":"<p><strong>Objective: </strong>Young adult tobacco users are at an increased risk for using non-cigarette tobacco products and have high poly-use rates. We interviewed poly-tobacco-using young adults from an urban community to explore characteristics associated with their poly-tobacco use, perceived barriers to tobacco cessation, and recommendations for and interest in cessation programs.</p><p><strong>Methods: </strong>We conducted 17 focus group discussions with 97 poly-tobacco-using young adults. Interviews were analyzed using framework analysis and quantitative surveys were analyzed using descriptive statistics.</p><p><strong>Results: </strong>All participants reported a history of tobacco product poly-use, and 85% reported poly-use in the past 30 days. Study results indicate that this population faces multiple barriers to cessation (eg, influence of social network, easy access, anxiety management, belief in self-control, boredom), but that there is interest in utilizing mobile-based interventions and social media for cessation attempts, ultimately allowing them to manage cessation in their own time, and in a way that is more fitting with their lifestyle.</p><p><strong>Conclusions: </strong>To work toward eliminating tobacco-related cancer disparities, we must understand social and environmental factors that influence tobacco use among underserved populations so that primary prevention strategies to prevent smoking initiation may be implemented. Equally important are secondary prevention strategies that develop more targeted, effective smoking cessation interventions.</p>","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":"488-502"},"PeriodicalIF":0.4,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49185323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fatemeh Bastami, F. Mostafavi, Arash Ardalan, Fereshteh Zamani-Alavijeh
Objective: Social support is one of the predictors of nutrition behaviors. Therefore, measuring and improving the level of support is necessary to improve students’ nutritional status. The purpose of this study was to design instruments and evaluate their psychometric properties for the evaluation of social support for breakfast and snack consumption. Methods: This methodological study was carried out from 2016 to 2018. The qualitative phase was performed in 3 Iranian cities: Isfahan, Khorramabad and Tehran. The quantitative phase was completed in Isfahan only. Initially, 2 questionnaires were developed using the results of the qualitative research. Subsequently, we assessed the face, content, and construct validity of both instruments. Results: The maternal support questionnaire consisted of 3 dimensions, including mother-sponsored support, family life pattern, and school-based collaboration, which explained 55.35% of the instrument’s variance. The school support questionnaire comprised 2 dimensions including informational support and instrumental support, which explained 54.52% of the variance in the results. Conclusions: These instruments can be used to measure and improve social support by designing, implementing, and evaluating community-based campaigns and interventions to improve breakfast consumption and snacking behaviors among children and youth at home and in school.
{"title":"Development and Psychometric Assessment of Questionnaires for Evaluation of Social Support for Healthy Breakfast and Snack Consumption","authors":"Fatemeh Bastami, F. Mostafavi, Arash Ardalan, Fereshteh Zamani-Alavijeh","doi":"10.14485/hbpr.8.6.6","DOIUrl":"https://doi.org/10.14485/hbpr.8.6.6","url":null,"abstract":"Objective: Social support is one of the predictors of nutrition behaviors. Therefore, measuring and improving the level of support is necessary to improve students’ nutritional status. The purpose of this study was to design instruments and evaluate their psychometric properties for the evaluation of social support for breakfast and snack consumption. Methods: This methodological study was carried out from 2016 to 2018. The qualitative phase was performed in 3 Iranian cities: Isfahan, Khorramabad and Tehran. The quantitative phase was completed in Isfahan only. Initially, 2 questionnaires were developed using the results of the qualitative research. Subsequently, we assessed the face, content, and construct validity of both instruments. Results: The maternal support questionnaire consisted of 3 dimensions, including mother-sponsored support, family life pattern, and school-based collaboration, which explained 55.35% of the instrument’s variance. The school support questionnaire comprised 2 dimensions including informational support and instrumental support, which explained 54.52% of the variance in the results. Conclusions: These instruments can be used to measure and improve social support by designing, implementing, and evaluating community-based campaigns and interventions to improve breakfast consumption and snacking behaviors among children and youth at home and in school.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49600430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Teran, Julia Kononowicz, Stephanie Kuhlmann, Julian A. Dedeaux, K. Harris
Objective: During fall 2020, schools used a variety of learning modes based on anticipated risk of viral transmission within schools. Methods: De-identified SARS-CoV-2 data from 11 school districts in the Wichita, Kansas metropolitan area from August 1 to November 15, 2020, was collated for analysis. The Sedgwick County Health Department (SCHD) and Kansas Department of Health and Environment (KDHE) databases were accessed for community-level and contact tracing data. Results: Altogether, 13,573 staff and 54,479 students receiving full or partial on-site (hybrid) education were included. Few students (1.4%) or staff (4.7%) tested positive for SARSCoV- 2. District rates varied from 0.1% to 3.3% in students and 0.7% to 8.7% in staff. Students in grades 9-12 had a higher rate of positive tests and cases were more likely linked to school-based exposure. Staff rate by grade level did not show an identifiable trend; staff rates were higher in nonattendance centers. Conclusions: Low SARS-CoV-2 student case rates suggests on-site learning formats may be appropriate. School trends reflected community rate reinforcing that communitylevel interventions are necessary to decrease transmission. As new variants arise, transmission characteristics must be studied. Health and education partnership is important to ensure the greatest well-being for students and staff.
{"title":"The Impact of COVID-19 on Pre-K-12 Students and Staff in a Mid-sized Metropolitan Area","authors":"P. Teran, Julia Kononowicz, Stephanie Kuhlmann, Julian A. Dedeaux, K. Harris","doi":"10.14485/hbpr.8.6.8","DOIUrl":"https://doi.org/10.14485/hbpr.8.6.8","url":null,"abstract":"Objective: During fall 2020, schools used a variety of learning modes based on anticipated risk of viral transmission within schools. Methods: De-identified SARS-CoV-2 data from 11 school districts in the Wichita, Kansas metropolitan area from August 1 to November 15, 2020, was collated for analysis. The Sedgwick County Health Department (SCHD) and Kansas Department of Health and Environment (KDHE) databases were accessed for community-level and contact tracing data. Results: Altogether, 13,573 staff and 54,479 students receiving full or partial on-site (hybrid) education were included. Few students (1.4%) or staff (4.7%) tested positive for SARSCoV- 2. District rates varied from 0.1% to 3.3% in students and 0.7% to 8.7% in staff. Students in grades 9-12 had a higher rate of positive tests and cases were more likely linked to school-based exposure. Staff rate by grade level did not show an identifiable trend; staff rates were higher in nonattendance centers. Conclusions: Low SARS-CoV-2 student case rates suggests on-site learning formats may be appropriate. School trends reflected community rate reinforcing that communitylevel interventions are necessary to decrease transmission. As new variants arise, transmission characteristics must be studied. Health and education partnership is important to ensure the greatest well-being for students and staff.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42309563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Geierstanger, Jordan Snyder, Hayley Love, Andrea Shore, J. Schlitt
Objective: In this paper, we describe the implementation and outcomes of an initiative that engaged school-based health centers (SBHCs) in a learning community to create programmatic and policy school health changes beyond the health center walls. Methods: Sixty respondents completed impact surveys and 13 coalitions completed progress reports to document schoolwide wellness efforts and outcomes in stakeholder engagement, student healthy eating and active living, student social and emotional wellness, and school staff wellness. Results: Respondents reported pre- to post-intervention improvements in stakeholder engagement, including school administration promotion of school health policies (from 64% to 95%), and teacher participation in SBHC sponsored activities (from 63% to 98%). They reported schoolwide policy and programmatic achievements including increased opportunities for physical activity for students during school hours (from 55% to 85%), access to behavioral health counseling and support services to all students, either on-site or through referrals (from 62% to 89%), and offering healthy food or nutrition education to staff (from 10% to 73%). Conclusions: SBHC staff, school employees, and community members can work collaboratively to assess student physical and mental health needs, and develop and implement school policies and programs beyond the clinic walls.
{"title":"Hallways to Health: School Health Beyond School-Based Health Center Walls","authors":"S. Geierstanger, Jordan Snyder, Hayley Love, Andrea Shore, J. Schlitt","doi":"10.14485/hbpr.8.6.2","DOIUrl":"https://doi.org/10.14485/hbpr.8.6.2","url":null,"abstract":"Objective: In this paper, we describe the implementation and outcomes of an initiative that engaged school-based health centers (SBHCs) in a learning community to create programmatic and policy school health changes beyond the health center walls. Methods: Sixty respondents completed impact surveys and 13 coalitions completed progress reports to document schoolwide wellness efforts and outcomes in stakeholder engagement, student healthy eating and active living, student social and emotional wellness, and school staff wellness. Results: Respondents reported pre- to post-intervention improvements in stakeholder engagement, including school administration promotion of school health policies (from 64% to 95%), and teacher participation in SBHC sponsored activities (from 63% to 98%). They reported schoolwide policy and programmatic achievements including increased opportunities for physical activity for students during school hours (from 55% to 85%), access to behavioral health counseling and support services to all students, either on-site or through referrals (from 62% to 89%), and offering healthy food or nutrition education to staff (from 10% to 73%). Conclusions: SBHC staff, school employees, and community members can work collaboratively to assess student physical and mental health needs, and develop and implement school policies and programs beyond the clinic walls.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48953832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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