Health Promotion Practice最新文献

There are increasing efforts among researchers, advocates, and school leaders to bring together physical health, mental and behavioral health, social emotional, and environmental supports together in K-12 school settings to more holistically address students' needs through "whole child thinking." The Whole School, Whole Community, Whole Child (WSCC) Model provides a theoretical framework for guiding this integration. There is an opportunity to better understand how "whole child thinking" and the WSCC model's components resonate in a practical way with key members of the school community, including parents, students, and school staff. Leveraging existing transcripts and data from discussion groups with key members of the Chicago Public Schools community, we explore how the WSCC components align with the school community's understanding of child health. Data were analyzed to assess how WSCC components aligned with parents', students', and school staff members' perceptions of child health. Members of all three participant types expressed views of health that align with the WSCC components. Most groups discussed components relevant to their experiences. For example, students and staff discussed health education programming more frequently, whereas parents and staff more frequently discussed family and community involvement. The salience of WSCC components across groups demonstrates promise for more intentional, practical use of the model among practitioners with all school community members.

This article discusses the importance of building community capacity through collaborative partnerships, especially in rural areas. Community Health Organization Improving Care and Equity (CHOICE) is an accountable community of health piloting the Improving Senior Healthcare Access in Rural Environments (I-SHARE) program. I-SHARE's goal, to improve health for rural older adults (aged 65 years and older) by increasing their ability to access primary care in-person and through telehealth, led to the collaboration between CHOICE, a federally qualified health center, a community-based organization, and the regional library system. This collaboration strengthened community capacity by more effectively utilizing limited resources, increasing program visibility and reach, and providing a template for future partnerships, all of which are especially important in resource-scarce rural areas. The organizations' differing backgrounds and expertise enriched the program's creation and implementation while the strength of the partnership and the organizations' commitment to serving area older adults propelled the team when faced with implementation barriers. Lessons learned in collaboration include working within recognized social networks and establishing commonalities in shared values and foundational knowledge. Building collaborative partnerships is a vital practice in rural areas to maximize resource utilization and deepen trust between community members and service providers.

Undergraduate research experiences provide high-impact educational opportunities for undergraduate public health students and serve as valuable career development activities for both students and faculty mentors. This reflective article shares faculty and student experiences from attending and presenting at the 2025 Society for Public Health Education (SOPHE) Annual Conference in Long Beach, California. Three undergraduate students enrolled in a Bachelor of Science in Public Health (BSPH) program, under faculty mentorship, presented original research examining the marketing tactics of diet teas. Each student's reflection highlights personal and professional growth through their first exposure to national-level research dissemination and networking. Faculty mentorship facilitated student skill development in public speaking, research dissemination, and professional identity formation, while also providing the faculty mentor with professional fulfillment and opportunities to contribute to student success. The experience reinforces the importance of providing undergraduate students-particularly those from underrepresented backgrounds-with access to professional development opportunities early in their careers. The reflections presented serve as a practical model for faculty seeking to integrate research mentorship and conference participation into undergraduate health promotion training.

In 2018, the Nicotine and Cannabis Policy Center's (NCPC) Community Core established a partnership with two state, one national, and local nonprofit and community-based organizations (CBOs) to increase policy capacity and community involvement in tobacco and cannabis control efforts in a predominantly rural region of California. Using principles of community-engaged research, the Community Core expanded their partnership network and provided colearning and networking opportunities for local CBOs, local public health departments, community members, and researchers to enhance their policy impact. We organized four full-day in-person workshops conducted in 2018 to 2019 and 2023 to increase regional tobacco and cannabis policy expertise; discuss shared goals, resources, and strategies; develop policy messaging skills building and facilitate dialogue between different audiences; provide legislative updates and state policy engagement trainings; and discuss local successes and challenges. In 2020 to 2021, we organized and implemented six virtual webinars during the COVID-19 pandemic. In terms of communications output, we established a message board with 183 subscribers from nine counties, developed an NCPC researcher video series, and trained a cadre of college-aged youth social media interns who posted hundreds of messages. In-person interactive workshops were found to be most effective, with social media and message boards having limited engagement. Our novel approach of bringing local, state, and national CBOs together enhanced the knowledge, resources, and expertise of each organization to optimize tobacco and cannabis control in our underserved region.

Background. Rural schoolchildren outpace their urban counterparts in obesity and diet-related chronic disease rates. Educating students on nutrition basics may help reduce these health burdens in this focus population. Rural schoolteachers are ideally positioned to teach students about nutrition; however, to teach nutrition, one must first understand basic nutrition concepts. The nutrition literacy and knowledge of rural schoolteachers, as well as strategies to and barriers for integrating nutrition into rural classrooms, are understudied. Examining these topics may provide a deeper understanding of nutrition education in rural schools. Methods. Data were collected via an online survey of K-12 teachers (n = 153) from seven Midwestern rural school districts. This survey collected data on nutrition literacy, nutrition knowledge, and preferred methods for implementing nutrition education into current curricula. Descriptive statistics were reported; associations between nutrition literacy and knowledge were examined. Results. Nutrition literacy levels were borderline low (mean score 45.7 out of 64). Nutrition knowledge and literacy were associated (p < .001). Most teachers (n = 108, 70%) were/may be willing to change lessons to incorporate nutrition information, with hands-on and group activities being preferred strategies. Barriers to including nutrition information into curricula included lack of time, knowledge, and resources. Most teachers reported little support from administration for promoting nutrition in the classroom. Discussion. Implementing nutrition education into teachers' continuing education requirements may provide a means of improving teacher nutrition literacy and knowledge. Support from both state-level and local administration could benefit both nutrition knowledge acquisition by schoolteachers and implementation of nutrition education throughout the curriculum.

We aim to develop and formatively evaluate a brief social needs screening tool that adheres to Massachusetts Department of Public Health (MDPH) clinical service standards for sexual and reproductive health (SRH) agencies and is acceptable and feasible for use by staff during a clinical encounter. Through a multi-stage literature and expert review process, we developed an evidence-informed, two-page social needs screening tool, scoring form, and implementation guide. We piloted this tool at three SRH agencies in Massachusetts and recruited staff to provide quantitative and qualitative feedback through post-pilot test self-reported surveys and semi-structured interviews. Participants (n = 13) felt the social needs screening tool was easy to integrate into their clinical workflow and were comfortable using it with patients. All participants reported feeling comfortable administering the tool, scoring it, and referring patients to appropriate resources, if applicable. Most reported they would like to continue using the tool after the pilot implementation period, either with or without modifications. Our multi-stage tool development and formative evaluation process involving literature review, expert review, and pilot-testing in clinical settings enabled our team to create a brief, evidence-informed social needs screening tool that is acceptable to staff and feasible for use during a short clinic visit at SRH agencies in Massachusetts. Staff felt that there is value in using this tool, are comfortable using it, and are able to integrate it into their existing clinical workflows.

The meat processing industry was significantly impacted by the COVID-19 pandemic. Deemed essential, the meat processing workforce faced the risk of exposure to the SARS-CoV-2 virus. Along with other essential workforces, meat processing workers were prioritized in the national approach to receive COVID-19 vaccines by the Centers for Disease Control and Prevention Advisory Committee on Immunization Practices. This mixed methods study aimed to identify the facilitators and barriers to COVID-19 vaccine uptake by meat processing workers in Nebraska through interviews (n = 29), a survey (n = 857), and application of the COM-B model. We found that facilitators for vaccine uptake included having information about the vaccine available; providing vaccines at the workplace, in pharmacies, and throughout the community to increase accessibility; feeling that there was a social responsibility to get vaccinated; believing that the vaccine was protective; and the use of various incentives. Barriers for vaccine uptake included workers' personal health issues; not having the right information to make an informed decision; logistical and contextual issues that made it challenging to get vaccinated; the disconnect between faith and science; individual choice being highly valued; and uncertainty and misinformation causing fear of the vaccine. Understanding facilitators and barriers to vaccine uptake by meat processing workers is critical to informing public health interventions, evidence-informed guidelines and policies, and tailored messaging to increase vaccination coverage among an essential workforce that inherently assumes occupational risk during infectious disease events, such as the COVID-19 pandemic. Implications for public health practitioners are provided.

This summary report describes partners' experiences and reflections on responding to the COVID-19 pandemic in selected countries in the African Region. Using a common protocol for participatory evaluation and sensemaking, it communicates country partners' experiences with the COVID-19 response in Gabon, Kenya, and Senegal as well as a regional perspective from partners in the World Health Organization Regional Office for Africa (WHO AFRO). This report describes factors identified as associated with decreases (bending the curve) of new cases of COVID-19 over time, as well those associated with increases (worsening) of new cases, seen during the study period (2020-2021). We also report on partners' identification of factors that enabled (made easier or possible) implementation of the COVID-19 response; and those that impeded (made more difficult) the response in participating countries, and in the broader WHO African Region. This report concludes with lessons learned and recommendations for practice in responding to public health emergencies based on experiences in the African Region.

Access to facilities that could promote physical activity (PA) and healthy eating (HE) is limited in rural areas. Shared use agreements with churches may be a promising strategy for enhancing rural community access to facilities. The goals of this qualitative study were to (a) examine rural pastors' views on the role of faith-based organizations in improving PA and HE in rural communities; (b) describe the availability of church facilities that could be used for PA and HE; (c) understand pastors' opinions on shared use of church facilities for community health promotion. A purposeful sampling strategy was used to recruit pastors in rural South Carolina. Thirteen United Methodist Church (UMC) pastors (46% female; 54% predominantly African American congregations) participated in phone interviews. Interviews were transcribed and coded using grounded theory and analyzed with NVIVO. Most pastors reported that their churches had a kitchen (88%), classrooms (82%), and open field space (71%). Nine churches (53%) said they had shared use agreements in place although only two agreements (12%) were related to PA promotion and none related to HE activities. Most pastors did not have concerns about shared use, and many believed that sharing the church's space with the community was an important aspect of outreach. These results demonstrate that rural churches have facilities to support shared use agreements for PA and HE activities and that pastors are open to sharing church space. Future studies should engage rural churches in establishing shared use agreements for health promotion.

As the COVID-19 pandemic recedes, SARS-CoV-2 vaccination is crucial for reducing transmission and severity, but vaccine hesitancy remains a challenge. The study explored community actions and initiatives addressing vaccine hesitancy among Somali immigrant communities in cities in the Upper Midwest, USA, and Western Norway, focusing on trust factors and comparing members of the Somali diaspora in two distinct social and cultural contexts. Qualitative collective case studies were conducted, involving 14 semi-structured interviews with key informants from the Upper Midwest and Western Norway knowledgeable about initiatives designed to address SARS-CoV-2 vaccine hesitancy. Data were coded in NVivo 12 and analyzed thematically, guided by the Bergen Model of Collaborative Functioning and the Socioecological Model to identify basic and organizational themes. The findings illustrate critical sociopolitical influences on vaccine hesitancy, like racial tensions following George Floyd's murder in Minneapolis and mistrust toward the government in Norway. Effective strategies in the Upper Midwest included maintaining long-term community relationships and culturally tailored outreach and communication to reduce hesitancy. Conversely, Western Norway's less community-centric approach, focusing on translation services without deeper engagement, faced challenges in trust-building. The study highlights the essential role of culturally affirming and community-centric approaches in addressing health challenges in immigrant communities. Trust, fostered through community involvement and understanding sociopolitical contexts, is pivotal in addressing vaccine hesitancy. This research offers insights into designing and implementing effective health promotion strategies tailored to immigrant populations' unique needs. It emphasizes the necessity of integrating socioecological perspectives and community-specific interventions in health promotion practice and policy.