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Implementation of the SafeCare Model in Georgia for Preventing Child Maltreatment 在格鲁吉亚实施防止虐待儿童的安全护理模式
Pub Date : 2017-01-01 DOI: 10.21633/JGPHA.7.116
D. Whitaker, Theresa Glasheen
Background: The SafeCare model is a behaviorally-based parenting model used in the prevention of child maltreatment. SafeCare targets three proximal risk factors for child neglect and abuse: parent-child interactions, home safety, and child health. SafeCare is one of only a few evidence-based practices for preventing child neglect, the dominant problem in child welfare, accounting for over 75% of child maltreatment cases. SafeCare has been broadly implemented in several states in the US, including Georgia, and is disseminated by the National SafeCare Training and Research Center (NSTRC) at Georgia State University. The presentation will (1) describe SafeCare and associated data, (2) describe the SafeCare implementation.
背景:SafeCare模式是一种基于行为的育儿模式,用于预防儿童虐待。SafeCare针对儿童被忽视和虐待的三个最接近的风险因素:亲子互动、家庭安全和儿童健康。儿童福利是儿童福利的主要问题,占儿童虐待案件的75%以上,而安全护理是预防儿童忽视的少数循证做法之一。安全护理已在美国的几个州广泛实施,包括佐治亚州,并由乔治亚州立大学的国家安全护理培训和研究中心(NSTRC)传播。该报告将(1)描述SafeCare和相关数据,(2)描述SafeCare的实现。
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引用次数: 0
Assessing a comprehensive approach to prevent sexual violence on campus: Implications for program improvement 评估预防校园性暴力的综合方法:对项目改进的影响
Pub Date : 2017-01-01 DOI: 10.21633/jgpha.6.404
Chinwe Ejikeme, Threets Kia Powell, M. Bayo, Kia L Toddle, Jean C. O'Connor
Background: On college campuses, sexual violence (or sexual assault) is at epidemic proportions. As many as one in four college women experience sexual assaults, most of which are not reported, likely due to the adverse reactions stemming from social norms and attitudes about rape. To prevent sexual violence on college campuses, the multi-level factors influencing it necessitate implementation of a holistic approach channeled at all levels. The present multi-method study assessed the feasibility and effectiveness of a peer educator (PE)-facilitated program implemented as part of a comprehensive sexual assault prevention program in three small Georgia colleges. Methods: Student participants (N=128) were questioned on their attitude toward rape myths, intention to rape, and likelihood to intervene in a potential rape situation. Paired t-tests for pre-/post-test scores assessed statistical differences in mean levels of outcomes at the data collection points. In addition, a qualitative assessment explored the feasibility of implementing, on campus, a long-duration program for prevention of sexual violence. Results: The findings indicated that, after exposure to the program, participants demonstrated decreased rape myth beliefs and intention to commit rape and an increased likelihood to intervene in a potential rape situation. In addition, apart from attaining regular student attendance in the 10-week sessions of the program, implementation of the “One on Four & Beyond” program proved to be feasible. Conclusions: This preliminary, multi-approach study suggests the effectiveness of a school PE-facilitated prevention program as a component of a comprehensive approach in reducing sexual violence on campus. Future studies are necessary to enhance understanding of the impact of the program.
背景:在大学校园里,性暴力(或性侵犯)是流行病的比例。多达四分之一的大学女生经历过性侵犯,其中大多数没有被报道,可能是由于社会规范和对强奸的态度造成的不良反应。为防止大学校园性暴力,影响性暴力的因素是多层次的,需要从各个层面采取综合措施。目前的多方法研究评估了同伴教育(PE)促进项目的可行性和有效性,该项目作为佐治亚州三所小型学院综合性侵犯预防项目的一部分实施。方法:调查了128名学生对强奸神话的态度、强奸意图和干预潜在强奸事件的可能性。配对t检验的前/后测试分数评估了数据收集点平均结果水平的统计学差异。此外,一项定性评估探讨了在校园实施一项长期预防性暴力计划的可行性。结果:研究结果表明,在接触该项目后,参与者表现出减少强奸神话的信念和实施强奸的意图,并增加了干预潜在强奸情况的可能性。此外,除了在为期10周的课程中实现学生的正常出勤率外,“一对四超越”课程的实施证明是可行的。结论:这项初步的、多方法的研究表明,学校体育活动促进预防项目作为减少校园性暴力的综合方法的一个组成部分是有效的。未来的研究有必要加强对该计划影响的理解。
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引用次数: 0
Analysis of Hypertension Control Rates Among Participants in the Georgia Hypertension Management and Outreach Program 格鲁吉亚高血压管理和推广项目参与者高血压控制率分析
Pub Date : 2017-01-01 DOI: 10.21633/jgpha.7.108
S. Byers, Jean C. O'Connor, K. Powell-Threets, B. Taylor, K. Padgett, Melissa K Hallow
Background: This study utilized health department electronic medical records retrospectively to evaluate hypertension control rates achieved by the Georgia Hypertension Management and Outreach Program (HMOP), an education, screening, and treatment control program that provides services, including blood pressure screening and assessment, referral to physicians, counseling, educational material, disease case management, and treatment. Methods: Hypertension control rates after at least 6 months of study participation were determined for patients participating in the program for at least 6 months between 2010 and 2014, and for African American and uninsured subgroups. Results: The overall hypertension control rate was 61.1%, above the 2012 national average of 51.8%. The control rates for African Americans and the uninsured were 58.9% and 62%, respectively, compared to 41.7% and 28.7% nationally. Conclusions: Although potential bias sources in the use of retrospectively obtained electronic medical records should be considered, this analysis suggests that the Georgia HMOP provides substantial improvements in hypertension control for a population of patients with otherwise poor control.
背景:本研究利用卫生部门电子病历回顾性评估乔治亚州高血压管理和推广项目(HMOP)所取得的高血压控制率,HMOP是一个教育、筛查和治疗控制项目,提供的服务包括血压筛查和评估、转诊医生、咨询、教材、疾病病例管理和治疗。方法:对2010年至2014年期间参加该项目至少6个月的患者、非裔美国人和未参保亚组,在参与研究至少6个月后的高血压控制率进行测定。结果:高血压总体控制率为61.1%,高于2012年51.8%的全国平均水平。非裔美国人和未参保人群的控制率分别为58.9%和62%,而全国的控制率分别为41.7%和28.7%。结论:虽然应该考虑使用回顾性获得的电子医疗记录的潜在偏倚来源,但本分析表明,格鲁吉亚HMOP为控制不良的患者群体提供了高血压控制的实质性改善。
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引用次数: 0
Utilization of the "Connecting the Dots" Worksheet to Engage Undergraduate Students in Health Promotion Program Planning 运用“串连点”工作表让大学生参与健康促进计画
Pub Date : 2017-01-01 DOI: 10.21633/jgpha.7.109
Raymona H Lawrence, A. Walker
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引用次数: 0
Coliphage as an Indicator of the Quality of Beach Water to Protect the Health of Swimmers in Coastal Georgia 噬菌体作为海滩水质量的一个指标,以保护佐治亚州沿海游泳者的健康
Pub Date : 2017-01-01 DOI: 10.21633/JGPHA.7.101
Javier F. Gallard-Gongora, Kathryn McGowan Munck, Jeffery A. Jones, A. Aslan
Background: Gastrointestinal disease affects millions of people in the United States and places a substantial economic burden upon healthcare systems. Recreational waters polluted with fecal material are a main source for transmission of gastrointestinal disease. Georgia beaches are monitored for the presence of fecal indicator bacteria, but these bacteria are not well associated with enteric viruses. The United States Environmental Protection Agency (US EPA) has recently proposed coliphage (a virus of Escherichia coli) as an alternative indicator of fecal contamination in recreational waters. The present study compares fecal indicator bacteria and coliphage concentrations at two Georgia beaches with adjacent creeks that have a history of pollution. Methods: For one year, samples and environmental data were collected from four sites on Jekyll Island, GA, during the peak swimming season and the off-season. Samples were processed using US EPA-approved methods for membrane filtration and plaque formation. Statistical analyses were performed using t-tests and Spearman correlations. Results: The highest numbers of enterococci and significant differences with coliphage were found at Saint Andrews Creek during the swimming season and the off-season. The enterococci concentrations at Clam Creek sites did not exceed recommended recreational water criteria. During the off-season, concentrations of enterococci and coliphages were different at Clam Creek sites, indicating a potential risk for presence of enteric virus when enterococci could not be detected. Conclusions: The US EPA has proposed to adapt coliphage concentrations as an alternative indicator of water pollution for routine beach monitoring nationally. The present study provides a background for adoption of this method in Georgia. Measures of enterococci do not provide sufficient information about the associated human health risk. Inclusion of these viral indicators will improve decision making for beach closures and for protection of the health of swimmers.
背景:胃肠道疾病影响着美国数百万人,并给医疗保健系统带来了巨大的经济负担。被粪便污染的游憩用水是胃肠道疾病传播的主要来源。对乔治亚州海滩的粪便指示细菌的存在进行了监测,但这些细菌与肠道病毒没有很好的联系。美国环境保护署(EPA)最近提议将噬菌体(大肠杆菌的一种病毒)作为娱乐用水中粪便污染的替代指标。目前的研究比较了乔治亚州两个海滩的粪便指示细菌和噬菌体浓度与附近有污染历史的小溪。方法:在一年多的时间里,在乔治亚州杰基尔岛的4个地点采集了游泳旺季和淡季的样本和环境数据。样品使用美国环保署批准的膜过滤和斑块形成方法进行处理。采用t检验和Spearman相关进行统计分析。结果:圣安德鲁斯溪游泳季和淡季肠球菌数量最高,与噬菌体数量差异显著。蛤溪各地点的肠球菌浓度没有超过建议的康乐用水标准。在淡季,Clam Creek站点的肠球菌和噬菌体浓度不同,表明在未检测到肠球菌的情况下存在肠道病毒的潜在风险。结论:美国环境保护署建议将噬菌体浓度作为全国常规海滩监测的水污染替代指标。本研究为格鲁吉亚采用这种方法提供了背景。肠球菌的测量不能提供有关人类健康风险的充分信息。纳入这些病毒指标将改善关闭海滩和保护游泳者健康的决策。
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引用次数: 1
Development/enhancement of the assessment (monitoring and evaluation) knowledge and skills of workers in public health and related settings 发展/加强公共卫生和相关环境中工作人员的评估(监测和评价)知识和技能
Pub Date : 2017-01-01 DOI: 10.21633/JGPHA.7.122
J. Telfair
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引用次数: 0
Differences in Reported Benefits in Older Adults After Participation in a Nutrition Incentive Program 老年人参加营养激励计划后报告获益的差异
Pub Date : 2017-01-01 DOI: 10.21633/JGPHA.7.150
Miranda Cook, R. Kane
Background: A healthy food incentive program doubles the value of food stamp dollars at farmers’ markets, addressing financial barriers to healthy eating for low-income Supplemental Nutrition Assistance Program (SNAP), or food stamps, recipients. Older adults sometimes have more trouble purchasing and eating healthy food due to illness, a lack of social support, or mobility problems, in addition to financial reasons.
背景:健康食品激励计划使农贸市场的食品券价值翻了一番,解决了低收入补充营养援助计划(SNAP)或食品券接受者健康饮食的财务障碍。除了经济原因外,由于疾病、缺乏社会支持或行动不便,老年人有时在购买和食用健康食品方面遇到更多困难。
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引用次数: 0
EMS 2020: A Multi-Year SWOT and Financial Analysis of Georgia’s Emergency Medical Services System EMS 2020:格鲁吉亚紧急医疗服务系统的多年SWOT和财务分析
Pub Date : 2017-01-01 DOI: 10.21633/JGPHA.7.151
Charles F. Owens
© Charles Owens. Originally published in jGPHA (http://www.gapha.org/jgpha/) December 20, 2017. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No-Derivatives License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work ("first published in the Journal of the Georgia Public Health Association...") is properly cited with original URL and bibliographic citation information. The complete bibliographic information, a link to the original publication on http://www.gapha.jgpha.org/, as well as this copyright and license information must be included. J Ga Public Health Assoc (2017), Vol. 7, No. 1 ISSN: 2471-9773
©Charles Owens。最初发表于jGPHA (http://www.gapha.org/jgpha/) 2017年12月20日。这是一篇在知识共享署名非商业禁止衍生品许可(http://creativecommons.org/licenses/by/4.0/)条款下发布的开放获取文章,该许可允许在任何媒介上不受限制地使用、分发和复制,前提是原始作品(“首次发表在乔治亚公共卫生协会杂志上…”)被适当引用,并注明原始URL和书目引文信息。必须包括完整的书目信息,到http://www.gapha.jgpha.org/上原始出版物的链接,以及版权和许可信息。公共卫生学报,2017,Vol. 7, No. 1 ISSN: 2471-9773
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引用次数: 0
Can Summer camp Improve Childhood Asthma Management? Outcomes from Augusta Area Asthma Camp 夏令营能改善儿童哮喘管理吗?奥古斯塔地区哮喘营的结果
Pub Date : 2017-01-01 DOI: 10.21633/jgpha.7.154
Terrill M. Flakes
Background: Childhood asthma is the most common chronic condition in the U.S., affecting 8.6% of children.1 Asthma is particularly an issue in Georgia where 16.2% of children have been diagnosed with this condition.2 Research suggests an association between pediatric asthma education and a decrease in emergency room visits and hospitalizations, and improved quality of life (QOL).3,4 The Augusta Area Asthma Camp, a free week-long educational day camp, was created to address a critical need for asthma education in the community by increasing parent and child knowledge and self-management of asthma symptoms while providing typical summer camp activities in a safe environment. Yet camp effectiveness has not been evaluated. This study explored differences in parent and child related asthma outcomes before and after attending Asthma Camp.
背景:儿童哮喘是美国最常见的慢性疾病,影响8.6%的儿童哮喘在格鲁吉亚尤为严重,16.2%的儿童被诊断患有哮喘研究表明,儿童哮喘教育与减少急诊室就诊和住院以及改善生活质量(QOL)之间存在关联。3,4奥古斯塔地区哮喘营是一个为期一周的免费教育日营,旨在通过增加家长和儿童对哮喘症状的知识和自我管理,同时在安全的环境中提供典型的夏令营活动,解决社区对哮喘教育的迫切需求。然而,营地的有效性尚未得到评估。本研究探讨了参加哮喘夏令营前后父母和儿童相关哮喘结局的差异。
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引用次数: 0
Better Nutrition by Increased Knowledge of food Nutritional Components 通过增加对食物营养成分的了解来改善营养
Pub Date : 2017-01-01 DOI: 10.21633/jgpha.7.144
Lisa Hayworth, Tangela Hendricks, K. Littrell, Nicole Matthews
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引用次数: 0
期刊
Journal of the Georgia Public Health Association
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