{"title":"Health Issues in Ohio","authors":"Emilia Lombardi","doi":"10.18061/ojph.v6i2.9974","DOIUrl":"https://doi.org/10.18061/ojph.v6i2.9974","url":null,"abstract":"No abstract available.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141828166","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}
Jessica P Suratkal, Erika Trapl, Catherine C Osborn, Pranav Vasu, Stephanie Pike Moore
Background: Hemp-derived psychoactive cannabis products (HDPCPs), such as delta-8 tetrahydrocannabinol (THC), emerged onto the market as an alternative to cannabis following the 2018 US Farm Bill which legalized hemp. Research on HDPCPs remains limited. The purpose of this research was to evaluate the availability, placement, and consumption modality of HDPCPs as well as to identify potential defining characteristics of consumers. Methods: Between October 2022 and January 2023, researchers visited a random sample of 82 tobacco retailers in Cleveland, Ohio, to evaluate the availability of HDPCPs marketed as delta THC (eg, delta-8 or delta-10). Information was captured on where the HDPCPs were placed (eg, behind the counter, on the counter, by candy, or elsewhere) as well as the consumption modality (eg, edible or inhaled). Among retailers who stocked these products, clerks were asked who typically buys these products and how often they are purchased. Results: Over two-fifths (41.5%) of retailers carried HDPCPs. Most retailers (97.1%) carried delta THC products behind the counter and carried products as inhaled (82.4%), edible (70.6%). More than half of retailers (55.9%) carried both inhaled and edible forms of HDPCP. Retail clerks reported on a range of ages of consumers from younger to older or “everyone.” Conclusion: Hemp-derived psychoactive cannabis products are prevalent in this pilot study sample. These findings necessitate additional research to better quantify the population health impact of these products to determine if regulatory action may be necessary to protect public health.
{"title":"Availability and Characteristics of Hemp-Derived Psychoactive Cannabis Products: A Pilot Study in Cleveland, Ohio","authors":"Jessica P Suratkal, Erika Trapl, Catherine C Osborn, Pranav Vasu, Stephanie Pike Moore","doi":"10.18061/ojph.v6i2.9747","DOIUrl":"https://doi.org/10.18061/ojph.v6i2.9747","url":null,"abstract":"Background: Hemp-derived psychoactive cannabis products (HDPCPs), such as delta-8 tetrahydrocannabinol (THC), emerged onto the market as an alternative to cannabis following the 2018 US Farm Bill which legalized hemp. Research on HDPCPs remains limited. The purpose of this research was to evaluate the availability, placement, and consumption modality of HDPCPs as well as to identify potential defining characteristics of consumers.\u0000Methods: Between October 2022 and January 2023, researchers visited a random sample of 82 tobacco retailers in Cleveland, Ohio, to evaluate the availability of HDPCPs marketed as delta THC (eg, delta-8 or delta-10). Information was captured on where the HDPCPs were placed (eg, behind the counter, on the counter, by candy, or elsewhere) as well as the consumption modality (eg, edible or inhaled). Among retailers who stocked these products, clerks were asked who typically buys these products and how often they are purchased.\u0000Results: Over two-fifths (41.5%) of retailers carried HDPCPs. Most retailers (97.1%) carried delta THC products behind the counter and carried products as inhaled (82.4%), edible (70.6%). More than half of retailers (55.9%) carried both inhaled and edible forms of HDPCP. Retail clerks reported on a range of ages of consumers from younger to older or “everyone.”\u0000Conclusion: Hemp-derived psychoactive cannabis products are prevalent in this pilot study sample. These findings necessitate additional research to better quantify the population health impact of these products to determine if regulatory action may be necessary to protect public health.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831422","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}
Keith Reisinger-Kindle, Cassidy Hughes-Lubanski, Fiona Hodges, Timothy Crawford, Sara Paton, David Dhanraj
BACKGROUND: The Healthy Migrant Theory is a phenomenon describing a protective effect regarding specific health outcomes when a person of color is born outside of the U.S. Previous literature has focused on the application of this theory to infant outcomes, leaving its application to maternal outcomes mostly unstudied. The objective of this research is to determine whether the Healthy Migrant Theory holds true to maternal morbidity in the Ohio population. METHODS: Birth record data from the Ohio Department of Health was analyzed from 2015-2020 that included mothers identifying as White or Black and data where country of birth was available (n=717,300). Mothers were grouped by race and nationality. Maternal morbidity and socioeconomic status (SES) were analyzed. One-way ANOVA was used to examine associations between SES and number of maternal morbidity events. Binary logistic regression models were developed to examine the relationships among race, nationality, and occurrence of maternal morbidity events. Interaction between race and nationality was also evaluated. RESULTS: Among black mothers, nationality was significantly associated with the likelihood of any maternal morbidity event occurring (OR= 1.659; 95% CI= 1.534, 1.795; p< 0.001), with foreign-born mothers having about 1.66 times greater odds of having a maternal morbidity event. This relationship persisted after adjusting for SES. No statistical difference in low SES indicators was found between foreign-born Black mothers and US-born Black mothers (p= 0.349, 95% CI= -0.007, 0.030). DISCUSSION: Our findings appear to contradict the Healthy Migrant Theory. More research regarding treatment and outcomes of foreign-born Black mothers must be implemented to better understand the nuances of the application of this theory to maternal outcomes. Caution should be taken when comparing infant and maternal outcomes and interventions since they may not be as closely connected as previously thought. Limitations of this project include inaccuracies in data collection from birth certificates, limited morbidity variables, and lack of stratification based on country of origin.
{"title":"Application of The Healthy Migrant Theory to Maternal Morbidity and Mortality Data in Ohio","authors":"Keith Reisinger-Kindle, Cassidy Hughes-Lubanski, Fiona Hodges, Timothy Crawford, Sara Paton, David Dhanraj","doi":"10.18061/ojph.v6i2.9659","DOIUrl":"https://doi.org/10.18061/ojph.v6i2.9659","url":null,"abstract":"BACKGROUND: The Healthy Migrant Theory is a phenomenon describing a protective effect regarding specific health outcomes when a person of color is born outside of the U.S. Previous literature has focused on the application of this theory to infant outcomes, leaving its application to maternal outcomes mostly unstudied. The objective of this research is to determine whether the Healthy Migrant Theory holds true to maternal morbidity in the Ohio population. \u0000METHODS: Birth record data from the Ohio Department of Health was analyzed from 2015-2020 that included mothers identifying as White or Black and data where country of birth was available (n=717,300). Mothers were grouped by race and nationality. Maternal morbidity and socioeconomic status (SES) were analyzed. One-way ANOVA was used to examine associations between SES and number of maternal morbidity events. Binary logistic regression models were developed to examine the relationships among race, nationality, and occurrence of maternal morbidity events. Interaction between race and nationality was also evaluated. \u0000RESULTS: Among black mothers, nationality was significantly associated with the likelihood of any maternal morbidity event occurring (OR= 1.659; 95% CI= 1.534, 1.795; p< 0.001), with foreign-born mothers having about 1.66 times greater odds of having a maternal morbidity event. This relationship persisted after adjusting for SES. No statistical difference in low SES indicators was found between foreign-born Black mothers and US-born Black mothers (p= 0.349, 95% CI= -0.007, 0.030). \u0000DISCUSSION: Our findings appear to contradict the Healthy Migrant Theory. More research regarding treatment and outcomes of foreign-born Black mothers must be implemented to better understand the nuances of the application of this theory to maternal outcomes. Caution should be taken when comparing infant and maternal outcomes and interventions since they may not be as closely connected as previously thought. Limitations of this project include inaccuracies in data collection from birth certificates, limited morbidity variables, and lack of stratification based on country of origin.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141701617","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}
{"title":"How Can Public Health Professionals Help to Improve Mental Health for Students Using Distance Learning?","authors":"Colin Brame, Lorraine Wallace","doi":"10.18061/ojph.v6i2.9820","DOIUrl":"https://doi.org/10.18061/ojph.v6i2.9820","url":null,"abstract":"","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141711299","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}
Sara Burcham, Daniella Saul, Rachael D. Nolan, Susan M. Pinney
Background: The study aims to analyze and interpret the exposure experiences of local residents living within 5 miles of the Fernald Feed Materials Production Center, a former uranium processing site. The goal is to enhance public health efforts addressing psychological stress resulting from environmental exposure. Methods: Semi-structured interviews were conducted from July 1998 to February 2001 as part of the Fernald Living History Project. The study focuses on 4 key phenomenological events: air releases of uranium by-products, Ohio Environmental Protection Agency public notifications of water contamination, a citizens' class action lawsuit against the US Department of Energy and National Lead of Ohio, Inc, and extensive media coverage. Researchers used descriptive inductive coding to analyze data from these events, involving 34 participants. Results: The study identified 5 central themes in the residents' exposure experiences: disruptions to life, loss of trust, seeking answers, interpreting ambiguous threats, and adaptive responses. Participants recounted how these events affected their lives and triggered emotional responses. Conclusion: This research provides valuable insights into the experiences of individuals living near environmentally contaminated sites and offers guidance for future prevention and mitigation strategies.
{"title":"Exposure Experiences of Area Residents Near a Chronic Environmental Contamination Site","authors":"Sara Burcham, Daniella Saul, Rachael D. Nolan, Susan M. Pinney","doi":"10.18061/ojph.v6i1.9701","DOIUrl":"https://doi.org/10.18061/ojph.v6i1.9701","url":null,"abstract":"Background: The study aims to analyze and interpret the exposure experiences of local residents living within 5 miles of the Fernald Feed Materials Production Center, a former uranium processing site. The goal is to enhance public health efforts addressing psychological stress resulting from environmental exposure.\u0000Methods: Semi-structured interviews were conducted from July 1998 to February 2001 as part of the Fernald Living History Project. The study focuses on 4 key phenomenological events: air releases of uranium by-products, Ohio Environmental Protection Agency public notifications of water contamination, a citizens' class action lawsuit against the US Department of Energy and National Lead of Ohio, Inc, and extensive media coverage. Researchers used descriptive inductive coding to analyze data from these events, involving 34 participants.\u0000Results: The study identified 5 central themes in the residents' exposure experiences: disruptions to life, loss of trust, seeking answers, interpreting ambiguous threats, and adaptive responses. Participants recounted how these events affected their lives and triggered emotional responses.\u0000Conclusion: This research provides valuable insights into the experiences of individuals living near environmentally contaminated sites and offers guidance for future prevention and mitigation strategies.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140995729","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}
{"title":"Aging in Ohio: Trends and Preparation","authors":"Sheryl L. Chatfield","doi":"10.18061/ojph.v6i1.9803","DOIUrl":"https://doi.org/10.18061/ojph.v6i1.9803","url":null,"abstract":"No abstract available.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140995416","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}
Megan E. Roberts, Dushka Crane, Lauren Elliott-Dorans, T. Price-Spratlen, Thomas Albani, Timothy R. Sahr, Jill M Singer, Kraig Knudsen, Michael Nau, Leyla Tosun, Mary Applegate
Background: Mental health impairment (MHI) refers to a high threshold of mental health diagnosis, whereby individuals are unable to participate in work or other usual activities due to a mental health condition or emotional problem. This study aimed to estimate COVID-19-related trends and disparities in high MHI for Ohio adults throughout the COVID-19 pandemic. An additional goal was to identify modifiable factors associated with high MHI.Methods: Analyses were conducted using data from the 2017, 2019, and 2021 Ohio Medicaid Assessment Survey (OMAS). This a repeated, cross-sectional random probability survey of noninstitutionalized adults assessing the health of residential Ohioans, with a concentration on Ohio’s Medicaid, potentially Medicaid eligible, and non-Medicaid populations.Results: The prevalence of high MHI among Ohio adults rose between 2017 (6.4%) and 2021 (8.2%). This increase was particularly pronounced among Black and Hispanic individuals; 2021 also saw high MHI among young women. In adjusted analysis, indicators of low fiscal stability and having unmet health care needs were associated with greater prevalence of high MHI.Conclusion: Pandemic-related mental health trends and disparities extended to those at the highest levels of mental illness severity and treatment need. Several modifiable factors could be targeted to potentially improve mental health symptoms and to be better prepared for the next public health crisis.
{"title":"COVID-19 and Mental Health in Ohio: Trends from 2017 to 2021","authors":"Megan E. Roberts, Dushka Crane, Lauren Elliott-Dorans, T. Price-Spratlen, Thomas Albani, Timothy R. Sahr, Jill M Singer, Kraig Knudsen, Michael Nau, Leyla Tosun, Mary Applegate","doi":"10.18061/ojph.v6i1.9563","DOIUrl":"https://doi.org/10.18061/ojph.v6i1.9563","url":null,"abstract":"Background: Mental health impairment (MHI) refers to a high threshold of mental health diagnosis, whereby individuals are unable to participate in work or other usual activities due to a mental health condition or emotional problem. This study aimed to estimate COVID-19-related trends and disparities in high MHI for Ohio adults throughout the COVID-19 pandemic. An additional goal was to identify modifiable factors associated with high MHI.Methods: Analyses were conducted using data from the 2017, 2019, and 2021 Ohio Medicaid Assessment Survey (OMAS). This a repeated, cross-sectional random probability survey of noninstitutionalized adults assessing the health of residential Ohioans, with a concentration on Ohio’s Medicaid, potentially Medicaid eligible, and non-Medicaid populations.Results: The prevalence of high MHI among Ohio adults rose between 2017 (6.4%) and 2021 (8.2%). This increase was particularly pronounced among Black and Hispanic individuals; 2021 also saw high MHI among young women. In adjusted analysis, indicators of low fiscal stability and having unmet health care needs were associated with greater prevalence of high MHI.Conclusion: Pandemic-related mental health trends and disparities extended to those at the highest levels of mental illness severity and treatment need. Several modifiable factors could be targeted to potentially improve mental health symptoms and to be better prepared for the next public health crisis.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139824570","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}
Na’Tasha M. Evans, Kamesha Spates, Danette Conklin, Yu-Lin Hsu
Background: When examining prenatal care utilization rates, African American women were more likely to receive inadequate prenatal care. Yet, research about African American women’s prenatal care experiences fails to account for how their experiences may vary by socioeconomic status and insurance type. Therefore, the purpose of this study was to provide African American women on Medicaid with the opportunity to speak to what they found to be meaningful during their interactions with their prenatal care provider using an intersectionality framework.Methods: Individual interviews were conducted with pregnant African American women (n = 20) receiving Medicaid who were in their second or third trimester of pregnancy. Participants aged 18 to 45 years were recruited from various health care systems located in Ohio. Researchers applied a thematic analysis approach during data collection and data analysis.Results: Two overarching themes emerged about what these African American women considered meaningful when they talked to their prenatal care provider during pregnancy: (1) conversations around my prenatal care and (2) equipping me with knowledge.Conclusion: The results obtained through the application of intersectionality theory allow researchers the opportunity to create effective solutions, interventions, and policies that can be implemented to improve infant health outcomes and reduce the risk of infant mortality among pregnant African American women receiving Medicaid. Implications also suggested that public health practitioners in Ohio should increase their awareness of what is important to this population to build patient's trust in provider recommendations and patient’s confidence in shared decision-making.
{"title":"It’s the Small Things: An Intersectional Approach to African American Women on Medicaid Receiving Prenatal Care","authors":"Na’Tasha M. Evans, Kamesha Spates, Danette Conklin, Yu-Lin Hsu","doi":"10.18061/ojph.v6i1.9376","DOIUrl":"https://doi.org/10.18061/ojph.v6i1.9376","url":null,"abstract":"Background: When examining prenatal care utilization rates, African American women were more likely to receive inadequate prenatal care. Yet, research about African American women’s prenatal care experiences fails to account for how their experiences may vary by socioeconomic status and insurance type. Therefore, the purpose of this study was to provide African American women on Medicaid with the opportunity to speak to what they found to be meaningful during their interactions with their prenatal care provider using an intersectionality framework.Methods: Individual interviews were conducted with pregnant African American women (n = 20) receiving Medicaid who were in their second or third trimester of pregnancy. Participants aged 18 to 45 years were recruited from various health care systems located in Ohio. Researchers applied a thematic analysis approach during data collection and data analysis.Results: Two overarching themes emerged about what these African American women considered meaningful when they talked to their prenatal care provider during pregnancy: (1) conversations around my prenatal care and (2) equipping me with knowledge.Conclusion: The results obtained through the application of intersectionality theory allow researchers the opportunity to create effective solutions, interventions, and policies that can be implemented to improve infant health outcomes and reduce the risk of infant mortality among pregnant African American women receiving Medicaid. Implications also suggested that public health practitioners in Ohio should increase their awareness of what is important to this population to build patient's trust in provider recommendations and patient’s confidence in shared decision-making.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139886597","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}
Megan E. Roberts, Dushka Crane, Lauren Elliott-Dorans, T. Price-Spratlen, Thomas Albani, Timothy R. Sahr, Jill M Singer, Kraig Knudsen, Michael Nau, Leyla Tosun, Mary Applegate
Background: Mental health impairment (MHI) refers to a high threshold of mental health diagnosis, whereby individuals are unable to participate in work or other usual activities due to a mental health condition or emotional problem. This study aimed to estimate COVID-19-related trends and disparities in high MHI for Ohio adults throughout the COVID-19 pandemic. An additional goal was to identify modifiable factors associated with high MHI.Methods: Analyses were conducted using data from the 2017, 2019, and 2021 Ohio Medicaid Assessment Survey (OMAS). This a repeated, cross-sectional random probability survey of noninstitutionalized adults assessing the health of residential Ohioans, with a concentration on Ohio’s Medicaid, potentially Medicaid eligible, and non-Medicaid populations.Results: The prevalence of high MHI among Ohio adults rose between 2017 (6.4%) and 2021 (8.2%). This increase was particularly pronounced among Black and Hispanic individuals; 2021 also saw high MHI among young women. In adjusted analysis, indicators of low fiscal stability and having unmet health care needs were associated with greater prevalence of high MHI.Conclusion: Pandemic-related mental health trends and disparities extended to those at the highest levels of mental illness severity and treatment need. Several modifiable factors could be targeted to potentially improve mental health symptoms and to be better prepared for the next public health crisis.
{"title":"COVID-19 and Mental Health in Ohio: Trends from 2017 to 2021","authors":"Megan E. Roberts, Dushka Crane, Lauren Elliott-Dorans, T. Price-Spratlen, Thomas Albani, Timothy R. Sahr, Jill M Singer, Kraig Knudsen, Michael Nau, Leyla Tosun, Mary Applegate","doi":"10.18061/ojph.v6i1.9563","DOIUrl":"https://doi.org/10.18061/ojph.v6i1.9563","url":null,"abstract":"Background: Mental health impairment (MHI) refers to a high threshold of mental health diagnosis, whereby individuals are unable to participate in work or other usual activities due to a mental health condition or emotional problem. This study aimed to estimate COVID-19-related trends and disparities in high MHI for Ohio adults throughout the COVID-19 pandemic. An additional goal was to identify modifiable factors associated with high MHI.Methods: Analyses were conducted using data from the 2017, 2019, and 2021 Ohio Medicaid Assessment Survey (OMAS). This a repeated, cross-sectional random probability survey of noninstitutionalized adults assessing the health of residential Ohioans, with a concentration on Ohio’s Medicaid, potentially Medicaid eligible, and non-Medicaid populations.Results: The prevalence of high MHI among Ohio adults rose between 2017 (6.4%) and 2021 (8.2%). This increase was particularly pronounced among Black and Hispanic individuals; 2021 also saw high MHI among young women. In adjusted analysis, indicators of low fiscal stability and having unmet health care needs were associated with greater prevalence of high MHI.Conclusion: Pandemic-related mental health trends and disparities extended to those at the highest levels of mental illness severity and treatment need. Several modifiable factors could be targeted to potentially improve mental health symptoms and to be better prepared for the next public health crisis.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139884280","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}
Na’Tasha M. Evans, Kamesha Spates, Danette Conklin, Yu-Lin Hsu
Background: When examining prenatal care utilization rates, African American women were more likely to receive inadequate prenatal care. Yet, research about African American women’s prenatal care experiences fails to account for how their experiences may vary by socioeconomic status and insurance type. Therefore, the purpose of this study was to provide African American women on Medicaid with the opportunity to speak to what they found to be meaningful during their interactions with their prenatal care provider using an intersectionality framework.Methods: Individual interviews were conducted with pregnant African American women (n = 20) receiving Medicaid who were in their second or third trimester of pregnancy. Participants aged 18 to 45 years were recruited from various health care systems located in Ohio. Researchers applied a thematic analysis approach during data collection and data analysis.Results: Two overarching themes emerged about what these African American women considered meaningful when they talked to their prenatal care provider during pregnancy: (1) conversations around my prenatal care and (2) equipping me with knowledge.Conclusion: The results obtained through the application of intersectionality theory allow researchers the opportunity to create effective solutions, interventions, and policies that can be implemented to improve infant health outcomes and reduce the risk of infant mortality among pregnant African American women receiving Medicaid. Implications also suggested that public health practitioners in Ohio should increase their awareness of what is important to this population to build patient's trust in provider recommendations and patient’s confidence in shared decision-making.
{"title":"It’s the Small Things: An Intersectional Approach to African American Women on Medicaid Receiving Prenatal Care","authors":"Na’Tasha M. Evans, Kamesha Spates, Danette Conklin, Yu-Lin Hsu","doi":"10.18061/ojph.v6i1.9376","DOIUrl":"https://doi.org/10.18061/ojph.v6i1.9376","url":null,"abstract":"Background: When examining prenatal care utilization rates, African American women were more likely to receive inadequate prenatal care. Yet, research about African American women’s prenatal care experiences fails to account for how their experiences may vary by socioeconomic status and insurance type. Therefore, the purpose of this study was to provide African American women on Medicaid with the opportunity to speak to what they found to be meaningful during their interactions with their prenatal care provider using an intersectionality framework.Methods: Individual interviews were conducted with pregnant African American women (n = 20) receiving Medicaid who were in their second or third trimester of pregnancy. Participants aged 18 to 45 years were recruited from various health care systems located in Ohio. Researchers applied a thematic analysis approach during data collection and data analysis.Results: Two overarching themes emerged about what these African American women considered meaningful when they talked to their prenatal care provider during pregnancy: (1) conversations around my prenatal care and (2) equipping me with knowledge.Conclusion: The results obtained through the application of intersectionality theory allow researchers the opportunity to create effective solutions, interventions, and policies that can be implemented to improve infant health outcomes and reduce the risk of infant mortality among pregnant African American women receiving Medicaid. Implications also suggested that public health practitioners in Ohio should increase their awareness of what is important to this population to build patient's trust in provider recommendations and patient’s confidence in shared decision-making.","PeriodicalId":74337,"journal":{"name":"Ohio journal of public health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139826907","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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