Social Work in Public Health最新文献

There is a maternal health crisis in the US, the country with the highest rates of maternal deaths. This crisis disproportionately affects Black women, whose maternal death rate is three times higher than for white or Hispanic women. Black women are dying, and these deaths are preventable. Solutions are needed to address this maternal health crisis, which is not only a Black women's issue but also a Black fathers' issue. Black fathers are profoundly impacted by the death and sickness that Black women experience as a result of pregnancy-related complications. Yet we know too little about Black fathers' experiences and roles in maternal health. The voice of Black fathers is largely silenced in maternal health and maternal health spaces. A knowledge gap results from this silencing, limiting opportunities to develop interventions to involve Black fathers. Thus, there remains a need to amplify the vital, necessary voice of Black fathers in maternal health. Involving Black fathers in the pregnancy period and in maternal health in a meaningful way can support Black mothers and optimize their health outcomes. Relevant theoretical frameworks can be used to give voice to Black fathers, to better understand how they are involved in the pregnancy period and how they want to be involved. The voice of Black fathers is necessary. This conceptual paper will describe a relevant theoretical framework that can be utilized to give, de-silence, and amplify the voice of Black fathers in maternal health, in order to better engage Black fathers as partners in maternal health. This conceptual paper will 1) provide a historical overview of relevant theory and key concepts, 2) describe the theory as a way to give voice and amplify the voice of Black fathers in maternal health, and 3) explain how the theoretical framework can be used to frame future research on the subject of Black fathers in maternal health.

Given the disproportionate rates of COVID infections among Hispanics, this study explored factors influencing COVID vaccine uptake and inform public health messaging targeting this population. Hispanic participants (n = 80) were part of eight Spanish and English focus groups. Bilingual researchers transcribed interviews verbatim and conducted Reflexive Thematic Analysis. Five themes were constructed regarding factors influencing the community's uptake of the vaccines: (1) Vaccine seen as lifesaving; (2) Difficulty accessing the vaccine; (3) Vaccinated to protect others; (4) Misinformation led to fear and mistrust; (5) Others influenced perception of COVID and uptake of the vaccine. Two themes were constructed regarding factors influencing public health messaging: (1) Trusted sources of information are critical; and (2) Culturally relevant prevention and treatment messaging is needed through social media. Motivated to protect others, culturally relevant community-informed messaging via local trusted stakeholders is necessary for social workers to address health misinformation and reach Texas-Mexico border Hispanics.

Through the broad use of technology such as phones and social media, people are more aware of various instances of police brutality. Specifically, police violence toward Black men continues to garner increased public scrutiny. The paper discusses the historical context of police violence toward Black men and the associated psychological trauma impact. The authors advocate for police reform using the Sanctuary Model of trauma-informed care approach to address the issue. Further, the implementations of trauma-informed care in police training for United States law enforcement and for Black men are presented.

This study investigates socioeconomic disparities in chronic respiratory diseases and the factors contributing to these inequalities, using data from the 2019 Turkish Health Survey. Multivariate logistic regression and Oaxaca-Blinder decomposition analyses reveal that 13.10% of adults aged 25 and older in Turkey suffer from chronic respiratory diseases, with a significantly higher prevalence among lower socioeconomic status (SES) individuals. Key risk factors include older age, being female, smoking, and an unhealthy diet, with age and gender being the dominant contributors to SES-related disparities, while smoking and diet play smaller roles. Fundamental cause theory highlights how SES influences health outcomes, demonstrating the need for addressing these mechanisms through the intersection of public health and social work. Social work implications include advocating for systemic change, expanding healthcare access, and developing community programs. Public health efforts should address structural determinants, reduce environmental hazards, and ensure culturally sensitive interventions for vulnerable populations.

COVID-19 presented numerous challenges to medical professional's mental, emotional, and physical health, including burnout and secondary trauma. As social workers served as essential and frontline workers during COVID-19, it is important to investigate the effects of the pandemic on professional burnout and secondary trauma responses. A multiracial sample of 163 medical social workers working across four hospital settings responded to a survey addressing burnout and the impact of COVID-19. Medical social workers in this sample reported high levels of emotional exhaustion and personal accomplishment and moderate levels of depersonalization. Regression analyses found that hyperarousal scores significantly predicted emotional exhaustion, identifying as Latinx and Black significantly predicted depersonalization, and being older and identifying as White significantly predicted personal accomplishment among medical social workers. Resiliency programs can be developed for medical social workers in direct practice to reduce secondary traumatic stress and increase employee well-being. Future research should employ more rigorous research designs to better understand risk and protective factors for burnout among medical social workers providing direct practice to clients and families.

This cross-sectional study investigates the relationship between three distinct types of racism-based experiences (i.e. hostile, aversive-hostile, and avoidant) and suicide risk among Black emerging adults. Computer assisted surveys were administered to a sample of 300 Black emerging adult college students. Increased exposure to hostile racism was linked to higher risk of suicidal ideation and attempts, whereas an increase in exposure to aversive-hostile racism was associated with a decreased likelihood of experiencing suicidal ideation. These findings underscore the complex and multifaceted nature of the relationship between racism-based experiences and suicide risk for Black emerging adults. Implications for research, practice, and policy are discussed.

Prevention of trafficking is legislated and funded through federal law, with victim services for child sex trafficking assigned to local departments of social services. Among child welfare workers, research has documented mislabeling, misidentification, misunderstanding of policy, and improper care for youth involved in sex trafficking, and pointed to a need for training of professionals. A survey of five years of classes of child welfare workers (n = 1,061) in departments of social services was conducted, measuring changes in the pre-training knowledge and self-efficacy workers arrived with regarding engaging with survivors of child sex trafficking. Correlations and regression analysis (controlling for gender, race, and years working in the field) showed that the passage of time was associated with markedly higher levels of pre-training knowledge by successive cohorts of workers arriving for training but not with higher self-efficacy in these areas. Professional development training for child welfare workers about child trafficking should deliver more advanced content, while expanding experiential training components that build self-efficacy.

This study aims to develop a social work model for managing cases of abandoned infants in Turkey, addressing inconsistencies in hospital practices. Designed as a qualitative and phenomenological study, in-depth interviews were conducted with ten social workers working in the Medical Social Services units of hospitals affiliated with the Ministry of Health. These participants represented the seven geographical regions of Turkey (2 from Central Anatolia, 2 from the Black Sea Region, 1 from the Marmara Region, 2 from the Mediterranean Region, 1 from the Aegean Region, 1 from the Eastern Anatolia Region, and 1 from the Southeastern Anatolia Region). Data were collected through semi-structured interviews lasting between 45 and 75 minutes and analyzed using Maxqda. The findings indicate that while social workers act professionally in practice, they experience a lack of specific training in the case management of abandoned infants. Differences were identified in hospital procedures related to infant handover, revealing the need for standardized practices. The study also highlights the importance of early identification of at-risk mothers during pregnancy and the implementation of preventive, multidisciplinary interventions that prioritize the best interests of both mother and child. The proposed model aims to support family unity by addressing the social, emotional, and economic needs of the mother and promotes a holistic care approach that prioritizes maternal and infant health and well-being. It recommends the close monitoring of at-risk mothers through Family Health Centers or similar institutions, and the enhancement of social and psychological support services during pregnancy and postpartum. Furthermore, supervision and in-service training programs should be expanded to reduce professional burnout among social workers. At the policy level, the employment of social workers in Family Health Centers to provide close psychosocial support during and after pregnancy is proposed. Additionally, strengthening legal responsibilities of biological fathers and increasing employment and vocational training opportunities to promote mothers' economic independence are recommended. This social work model not only seeks to streamline the intervention process for abandoned infants but also aims to contribute to the development of preventive and protective social policies that address structural causes.

This study aims to develop and test a Healthy Aging Scale (HAS) for Chinese elders. Using purposive sampling, 367 older adults in Beijing participated in the questionnaire survey. Four exploratory factor analyses were performed to identify the underlying factor structure of the HAS. The reliability tests and hierarchical regression analyses were employed to check the internal consistency reliability and the criterion-related validity of the HAS. Based on the results of data analysis, the 51 original items of the HAS were reduced to 46 and a five-factor solution was generated for the HAS, including physical functioning, cognitive functioning, an ability to perform activities of daily living, psychological well-being, and a sense of social engagement. The HAS demonstrated both high reliability and high criterion-related validity. The HAS can be applied to the provision of social work services related to the promotion of healthy aging among older adults.

Adverse childhood experiences (ACEs) are associated with poor adolescent mental health. Despite evidence that ACEs may be more prevalent in rural communities, it remains underexplored how region moderates the association between ACEs and mental health, as well as how access to treatment may vary across regions. Data for this study come from the 2019 Minnesota Student Survey, a state-wide survey of 125,375 adolescents. Results suggest that cumulative ACEs and certain mental health conditions (i.e. suicidality) were more common among town and rural youth compared to city and suburban youth. Even after adjusting for ACEs, town and rural youth who endorsed a mental health problem were less likely to receive treatment compared to urban peers. The findings have implications for social work and public health responses that reduce ACEs, particularly in rural communities, and expand treatment options for adolescent mental health in more remote settings.