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Perceived Barriers to and Recommendations for Cessation among Poly-tobacco-using Young Adults 青少年戒烟的障碍及建议
IF 0.8 Q3 Social Sciences Pub Date : 2021-11-01 DOI: 10.14485/hbpr.8.6.1
Daisy Le, G. D’Souza, Rebkha Atnafou, M. 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.
目的:年轻成年烟草使用者使用非香烟烟草产品的风险增加,并且多用途烟草使用率高。我们采访了来自城市社区的使用多种烟草的年轻人,以探讨与他们使用多种烟草相关的特征、戒烟的感知障碍,以及对戒烟计划的建议和兴趣。方法:我们对97名使用聚烟草的年轻人进行了17次焦点小组讨论。访谈采用框架分析法进行分析,定量调查采用描述性统计法进行分析。结果:所有参与者都报告过多次使用烟草制品的历史,85%的参与者报告在过去30天内多次使用烟草产品。研究结果表明,这一人群在戒烟方面面临着多重障碍(例如,社交网络的影响、容易接触、焦虑管理、对自我控制的信念、无聊),但人们有兴趣利用基于移动的干预和社交媒体进行戒烟尝试,最终使他们能够在自己的时间内管理戒烟,而且在某种程度上更符合他们的生活方式。结论:为了努力消除与烟草相关的癌症差异,我们必须了解影响服务不足人群烟草使用的社会和环境因素,以便实施预防吸烟的初级预防策略。同样重要的是制定更有针对性、更有效的戒烟干预措施的二级预防战略。
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引用次数: 0
Development and Psychometric Assessment of Questionnaires for Evaluation of Social Support for Healthy Breakfast and Snack Consumption 健康早餐和零食消费社会支持评估问卷的编制和心理测量评估
IF 0.8 Q3 Social Sciences Pub Date : 2021-11-01 DOI: 10.14485/hbpr.8.6.6
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.
目的:社会支持是营养行为的预测因素之一。因此,测量和提高支持水平对于改善学生的营养状况是必要的。本研究的目的是设计工具并评估其心理测量特性,以评估早餐和零食消费的社会支持。方法:本研究于2016年至2018年进行。定性阶段在伊朗三个城市进行:伊斯法罕、霍拉马巴德和德黑兰。定量阶段仅在伊斯法罕完成。最初,利用定性研究的结果编制了2份问卷。随后,我们评估了这两种工具的表面、内容和结构的有效性。结果:母亲支持问卷由3个维度组成,包括母亲支持、家庭生活模式和学校合作,解释了55.35%的工具方差。学校支持问卷包括信息支持和工具支持两个维度,解释了54.52%的结果差异。结论:这些工具可用于通过设计、实施和评估社区运动和干预措施来衡量和改善社会支持,以改善儿童和青少年在家中和学校的早餐消费和零食行为。
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引用次数: 0
The Impact of COVID-19 on Pre-K-12 Students and Staff in a Mid-sized Metropolitan Area 新冠肺炎对中等城市地区学龄前学生和教职员工的影响
IF 0.8 Q3 Social Sciences Pub Date : 2021-11-01 DOI: 10.14485/hbpr.8.6.8
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.
目标:在2020年秋季,学校根据学校内病毒传播的预期风险使用了各种学习模式。方法:整理2020年8月1日至11月15日堪萨斯州威奇托市11个学区的严重急性呼吸系统综合征冠状病毒2型数据进行分析。Sedgwick县卫生部(SCHD)和堪萨斯州卫生与环境部(KDHE)的数据库被访问,以获取社区层面和接触者追踪数据。结果:共有13573名工作人员和54479名学生接受了全部或部分现场(混合)教育。很少有学生(1.4%)或工作人员(4.7%)的严重急性呼吸系统综合征冠状病毒2型检测呈阳性。学区学生的比率从0.1%到3.3%不等,教职员工的比率从0.7%到8.7%不等。9-12年级的学生阳性检测率较高,病例更可能与学校接触有关。按职等分列的工作人员比率没有显示出明显的趋势;非看护中心的员工比例更高。结论:较低的严重急性呼吸系统综合征冠状病毒2型学生病例率表明现场学习形式可能是合适的。学校的趋势反映了社区比率的加强,即社区层面的干预措施对于减少传播是必要的。随着新车型的出现,必须研究变速器特性。健康和教育伙伴关系对于确保学生和教职员工的最大福祉至关重要。
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引用次数: 0
Hallways to Health: School Health Beyond School-Based Health Center Walls 健康之路:超越校本健康中心围墙的学校健康
IF 0.8 Q3 Social Sciences Pub Date : 2021-11-01 DOI: 10.14485/hbpr.8.6.2
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.
目的:在本文中,我们描述了一项倡议的实施和结果,该倡议让学校卫生中心(shbhcs)参与一个学习型社区,在卫生中心之外创建计划性和政策性的学校卫生变化。方法:60名受访者完成了影响调查,13个联盟完成了进度报告,以记录全校在利益相关者参与、学生健康饮食和积极生活、学生社会和情感健康以及学校员工健康方面的健康努力和结果。结果:受访者报告了干预前和干预后利益相关者参与的改善,包括学校行政部门促进学校卫生政策(从64%提高到95%),教师参与shbhc赞助的活动(从63%提高到98%)。他们报告了全校范围内的政策和计划成就,包括增加学生在上课时间进行体育活动的机会(从55%增加到85%),向所有学生提供行为健康咨询和支持服务(从62%增加到89%),并向工作人员提供健康食品或营养教育(从10%增加到73%)。结论:shbhc员工、学校员工和社区成员可以协同工作,评估学生的身心健康需求,并在诊所之外制定和实施学校政策和项目。
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引用次数: 0
A Content Analysis of Implementation Strategies Chosen by Virginia School Nutrition Directors 弗吉尼亚州学校营养主任选择的实施策略的内容分析
IF 0.8 Q3 Social Sciences Pub Date : 2021-11-01 DOI: 10.14485/hbpr.8.6.9
Rachel Nelson, Kathleen J. Porter, Kelly Shomo, S. Curwood, S. Misyak
Objective: School-based interventions are common approaches to address childhood obesity; however, there is little understanding of strategies that can foster their implementation into schools. In this study, we aimed to identify goals and the specific strategies selected by school nutrition directors (SNDs) in Virginia to execute school-based interventions. Methods: Between 2018 and 2019, SNDs in Virginia participated in Team Nutrition workshops through which they created action plans. We carried out a content analysis of 132 action plans collected from 100 school divisions. We developed codes deductively and inductively. The codes captured plan completion, goals, and strategies. Each plan was independently coded by 2 coders. Results: Action plans included 1.2 goals (SD = 0.54) and 3.9 strategies per goal (SD = 2.1). Goals were most commonly related to improving menus or increasing participation in the school meal programs. The strategies varied based on the goals. However, obtaining buy-in from school personnel and students was the most commonly included goal (64.4%) across plans. The level of action plan completion decreased with each subsequent section of the worksheet. Conclusions: Emerging patterns identified in this study suggest SNDs’ strategy selection is based on goals and that trainings should be tailored to promote the development of skills required to execute optimal strategies.
目标:以学校为基础的干预措施是解决儿童肥胖问题的常见方法;然而,人们对能够促进其在学校实施的策略知之甚少。在这项研究中,我们旨在确定弗吉尼亚州学校营养主管(SND)选择的目标和具体策略,以执行基于学校的干预措施。方法:2018年至2019年间,弗吉尼亚州的SND参加了团队营养研讨会,通过研讨会制定了行动计划。我们对从100个学校部门收集的132项行动计划进行了内容分析。我们推导和归纳地开发代码。代码记录了计划完成情况、目标和策略。每个计划由2名编码员独立编码。结果:行动计划包括1.2个目标(SD=0.54)和3.9个策略/目标(SD=2.1)。目标最常见的是改善菜单或增加对学校膳食计划的参与。策略因目标而异。然而,获得学校工作人员和学生的支持是所有计划中最常见的目标(64.4%)。行动计划的完成程度随着工作表的每个后续部分而降低。结论:本研究中发现的新模式表明,SND的战略选择是基于目标的,培训应该有针对性,以促进执行最佳战略所需技能的发展。
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引用次数: 0
Effective Elements of School-based Provision for the Promotion of Healthy Lifestyles: A European Delphi Study 促进健康生活方式的校本提供的有效要素:欧洲德尔菲研究
IF 0.8 Q3 Social Sciences Pub Date : 2021-11-01 DOI: 10.14485/hbpr.8.6.5
R. Bailey, I. Glibo, C. Scheuer
Objective: Schools can serve as settings for promoting their student health, although it is necessary to identify the key elements of provision to leverage change. This study’s objective was to develop a Europe-based list of the elements of learning and health support systems judged by a group of experts to be most effective in influencing school student healthy lifestyles education. Methods: A 3-stage Delphi study involving a group of 18 Europe-based subject specialists was used to articulate shared expert opinions on the main research question: what are the most effective elements of learning and health support systems influencing school students’ healthy lifestyles education? Over 3 rounds of data-gathering, experts were asked to assess the effectiveness of 25 specific elements. Results: The 3 rounds resulted in the following ranked list: Physical Education (PE), Staff Professional Development, Healthy School Policies, Active Recess, Family & Community Engagement, Healthy Eating, Physical Activity in Classroom Lessons, and Active Transport. Conclusions: Cautious of overly generalizing from the results, we suggest the findings offer useful information for evidence-based programs, as well as future research that explores the necessary components of health promotion in schools.
目标:学校可以作为促进学生健康的环境,尽管有必要确定利用变革的关键要素。这项研究的目的是制定一份基于欧洲的学习和健康支持系统要素清单,由一组专家判断,这些要素在影响学生健康生活方式教育方面最有效。方法:一项由18名欧洲学科专家组成的三阶段德尔菲研究用于阐明主要研究问题的共同专家意见:影响学生健康生活方式教育的学习和健康支持系统最有效的因素是什么?在三轮数据收集中,专家们被要求评估25个具体要素的有效性。结果:这三轮比赛产生了以下排行榜:体育(PE)、员工专业发展、健康学校政策、积极经济衰退、家庭和社区参与、健康饮食、课堂体育活动和积极交通。结论:为了避免从结果中过于概括,我们建议这些发现为循证计划以及未来探索学校健康促进必要组成部分的研究提供有用的信息。
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引用次数: 0
Supporting Mental Health in School Settings: Findings from a Qualitative Evaluation 支持学校环境中的心理健康:定性评估的结果
IF 0.8 Q3 Social Sciences Pub Date : 2021-09-01 DOI: 10.14485/hbpr.8.5.4
Linda Weiss, M. Jacob, Maya Scherer, A. Borkina
Objective: In this paper, we describe results from stakeholder interviews conducted to assess implementation and perceived outcomes of a project, implemented in 92 New York City middle and high schools, and focused on building the mental health-related skills of school personnel and promotion of healthier school environments. Methods: As part of a mixed-methods evaluation, we conducted 59 key stakeholder interviews with staff of participating community-based organizations and schools. Interview topics included mental health needs, project activities, engagement by school staff, strengths and challenges of the initiative, and perceived impact. Results: At the start of the project, interviewees reported difficulty comprehending the model and accepting its utility, given the direct service needs of students. Although concerns remained, we found positive impact, including increased awareness of mental health issues and their root causes, a greater sensitivity to students’ social and emotional challenges, and improved capacity to manage behavioral issues in the classroom. Conclusions: Although targeted approaches are needed for high-risk youth, population-level approaches may increase mental health knowledge and skills and support transformation leading to healthier school environments.
目的:在本文中,我们描述了对利益相关者进行访谈的结果,以评估一个项目的实施和感知结果,该项目在纽约市92所初中和高中实施,重点是建立学校人员的心理健康技能和促进更健康的学校环境。方法:作为混合方法评估的一部分,我们与参与的社区组织和学校的工作人员进行了59次关键利益相关者访谈。访谈主题包括心理健康需求、项目活动、学校工作人员的参与、倡议的优势和挑战以及感知到的影响。结果:在项目开始时,考虑到学生的直接服务需求,受访者表示难以理解该模型并接受其实用性。尽管仍然存在担忧,但我们发现了积极的影响,包括提高了对心理健康问题及其根源的认识,对学生的社会和情感挑战更加敏感,以及提高了管理课堂行为问题的能力。结论:虽然高危青少年需要有针对性的方法,但人群层面的方法可能会增加心理健康知识和技能,并支持转变,从而导致更健康的学校环境。
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引用次数: 0
Perceptions and Barriers to Physical Activity in Childhood and Adulthood Among Latinas. 拉丁裔儿童和成年期体育活动的认知和障碍。
IF 0.8 Q3 Social Sciences Pub Date : 2021-07-01 DOI: 10.14485/hbpr.8.4.2
Rosenda Murillo, Mariana Vazquez, Isabel Martinez Leal, Daphne C Hernandez, Qian Lu, Lorraine R Reitzel

Objective: The purpose of this qualitative study was to identify perceptions and barriers to physical activity in childhood and adulthood among Latina adults.

Methods: Three focus groups, 2 dyadic interviews, and an individual interview were conducted using semi-structured interview guides with 23 Latina women aged 21-35. A thematic analysis approach employing inductive and deductive coding was utilized to code, categorize, and summarize data into themes.

Results: The themes that emerged focused on: (1) physical activity is enjoyable; (2) family influenced physical activity; (3) different lifestyle in the US influenced physical activity; (4) physical activity is important for health; and (5) responsibilities (eg, work, caregiving) as barriers to physical activity in adulthood.

Conclusions: Perceptions and barriers to physical activity experienced in both childhood and adulthood should be considered in the promotion of physical activity among Latinas.

目的:本定性研究的目的是确定拉丁裔成年人在儿童期和成年期对体育活动的认知和障碍。方法:采用半结构化访谈指南对23名21 ~ 35岁的拉丁裔女性进行3个焦点小组、2个二元访谈和个别访谈。采用归纳和演绎编码的主题分析方法对数据进行编码、分类和汇总。结果:出现的主题集中在:(1)体育活动是愉快的;(2)家庭对身体活动的影响;(3)美国不同的生活方式影响了身体活动;(4)体育活动对健康很重要;(5)责任(如工作、照料)是成年期身体活动的障碍。结论:在促进拉丁美洲人的身体活动时,应考虑儿童和成年时期对身体活动的看法和障碍。
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引用次数: 1
High School Students Voice Regarding School-based Physical Activity: Perceived Barriers and Facilitating Factors 高中生对学校体育活动的声音:感知障碍和促进因素
IF 0.8 Q3 Social Sciences Pub Date : 2021-07-01 DOI: 10.14485/hbpr.8.4.5
Marie-Maude Dubuc, Seira Fortin-Suzuki, Sylvie Beaudoin, F. Berrigan, S. Turcotte
Objective: To contribute to the development of tailored school-based physical activity interventions, in this study, we aimed to identify the perceived facilitating factors and barriers of high school students toward their physical activity in the school environment. Methods: A total of 139 students from 4 different high schools completed an online questionnaire comprising open-ended questions on their perceived facilitating factors and barriers toward their physical activity at school. Thereafter, 100 of these students participated in one of the 16 focus groups designed to deepen students’ responses regarding their perceived facilitating factors and barriers. Qualitative content analysis was performed to classify data according to the Social-Ecological Model. Results: Through questionnaires, students mostly identified intrapersonal elements as facilitating factors and barriers to their practice of physical activity, as opposed to institutional factors during the focus groups. Girls strongly valued the characteristics of the interventions and of the involved school stakeholders. Conclusions: Our results allow us to qualify the current understanding of high school students’ perceived facilitating factors and barriers toward school-based physical activity and strengthen the relevance of surveying students prior to the development and implementation of physical activity interventions.
目的:为了有助于制定量身定制的学校体育活动干预措施,在本研究中,我们旨在确定高中生在学校环境中进行体育活动的感知促进因素和障碍。方法:来自4所不同高中的139名学生完成了一份在线问卷,其中包括关于他们在学校体育活动中感知的促进因素和障碍的开放式问题。此后,其中100名学生参加了16个重点小组中的一个,该小组旨在加深学生对其感知的促进因素和障碍的反应。根据社会生态学模型对数据进行定性内容分析。结果:通过问卷调查,在焦点小组中,学生大多将个人因素确定为促进他们进行体育活动的因素和障碍,而不是制度因素。女孩们非常重视干预措施和相关学校利益攸关方的特点。结论:我们的研究结果使我们能够验证目前对高中生在学校体育活动中感知的促进因素和障碍的理解,并加强在制定和实施体育活动干预措施之前对学生进行调查的相关性。
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引用次数: 0
State Recreational Marijuana Laws and Dispensaries: Chronic School Absenteeism in Washington State 州娱乐大麻法律和药房:华盛顿州的长期旷课现象
IF 0.8 Q3 Social Sciences Pub Date : 2021-07-01 DOI: 10.14485/hbpr.8.4.8
M. Gakh, C. Coughenour, B. Kleven, B. Labus
Objective: Whereas states continue to experiment with liberalized marijuana laws, how these laws impact health, education, and social factors is not yet fully understood. In this study, we examined whether chronic school absenteeism rates changed in Washington State in the presence of recreational marijuana dispensaries pursuant to implementation of the state’s recreational marijuana laws. Methods: We conducted a secondary analysis using school district chronic absenteeism rates before and after the presence of recreational dispensaries. Results: The results of the independent samples t-test showed no statistically significant difference in chronic absenteeism rates among districts with or without recreational marijuana dispensaries. Conclusions: The finding of no statistical significance for chronic absenteeism in districts with and without recreational dispensaries – a pattern that largely persisted among at-risk groups – supports that the presence of recreational marijuana dispensaries seems neither to exacerbate nor improve chronic school absenteeism rates. This finding is important for policymakers, practitioners, and researchers trying to understand the changing marijuana legal landscape.
目的:尽管各州继续尝试放宽大麻法律,但这些法律对健康、教育和社会因素的影响尚不完全清楚。在这项研究中,我们研究了华盛顿州在娱乐性大麻药房存在的情况下,根据该州娱乐性大麻法律的实施,慢性学校缺勤率是否发生了变化。方法:我们进行了二次分析,使用学区的慢性缺勤率前后娱乐药房的存在。结果:独立样本t检验结果显示,有无娱乐性大麻药房的地区慢性缺勤率无统计学差异。结论:在有和没有娱乐性大麻药房的地区,慢性缺勤率没有统计学意义——这种模式在高危人群中很大程度上持续存在——支持娱乐性大麻药房的存在似乎既没有加剧也没有改善慢性缺勤率。这一发现对于试图了解大麻法律环境变化的政策制定者、从业者和研究人员来说非常重要。
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引用次数: 0
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Health Behavior and Policy Review
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