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Establishing School-Based Health Services in South Bexar County, Texas 在德克萨斯州南贝克萨县建立学校卫生服务
Pub Date : 2020-11-15 DOI: 10.47779/ajhs.2015.172
Camerino I. Salazar, J. Quinlan, Sadaf Rafique, Theresa De La Haya, K. Plastino
School-based health centers are an important avenue for students to receive timely clinical preventive care. In an effort to redesign delivery of health care to priority populations, University Health System, a major safety net hospital system located in South Central Texas, opened the first school-based health center in Bexar County, Texas. This article describes the planning process with emphasis on the community assessment as part of a strategy to promote community engagement and guide development of health services. Such synergistic efforts exemplify the importance of leveraging school, community, and health services to address regional disparities in child and adolescent health.
学校卫生中心是学生获得及时临床预防护理的重要途径。为了重新设计向优先人群提供医疗服务的方式,位于得克萨斯州中南部的主要安全网医院系统大学卫生系统在得克萨斯州贝克萨县开设了第一个学校卫生中心。本文描述了规划过程,重点是社区评估,作为促进社区参与和指导卫生服务发展战略的一部分。这种协同努力体现了利用学校、社区和卫生服务来解决儿童和青少年健康方面的区域差异的重要性。
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引用次数: 0
An Evaluation of the Non-Emergency Medical Transportation System of Rural Southern Illinois 南伊利诺斯州农村非紧急医疗运输系统评价
Pub Date : 2020-11-15 DOI: 10.47779/ajhs.2014.217
Peggy A. Wilken, D. Ratnapradipa, D. Presely, Alicia B. Wodika
The purpose of the study was to determine if disparities existed in the non-emergency medical transportation (NEMT) system in the lower 34 counties of southern Illinois. NEMT is described as the transfer of individuals from a pre-hospital care setting to care facilities, and ongoing care transfer of individuals from pre-hospital care settings. Several research themes developed during the study. These themes included an underserved rural population by non-emergency medical transportation, negative health consequences, and an ineffective use of medical staff’s time. Two types of data collection were used in the collection of information about the non-urgent medical transportation system. Qualitative research consisted of three focus groups, made-up of various stakeholders within the medical community. The quantitative research consisted of the collection of 250 surveys from various participating healthcare professionals. The results of the data collected indicated that the rural population of southern Illinois is inadequately served by the NEMT system. It also indicated that due to insufficient non-urgent medical transportation, patients and medical staff alike had undue burdens placed on them because of missed appointments, lack of timely healthcare services, reduced effectiveness of patient care, and medical staff distress.
本研究的目的是确定是否存在差异的非紧急医疗运输(NEMT)系统在较低的34县伊利诺斯州南部。NEMT被描述为将个人从院前护理环境转移到护理设施,以及将个人从院前护理环境持续转移。在研究过程中形成了几个研究主题。这些主题包括非紧急医疗运输服务不足的农村人口、负面健康后果以及医务人员时间的无效利用。在非紧急医疗运输系统的信息收集中,采用了两种类型的数据收集。定性研究包括三个焦点小组,由医学界的各种利益相关者组成。定量研究包括收集来自不同参与医疗保健专业人员的250份调查。收集的数据结果表明,伊利诺斯州南部的农村人口没有得到NEMT系统的充分服务。它还指出,由于非紧急医疗运输不足,病人和医务人员都因错过预约、缺乏及时的保健服务、病人护理效率降低和医务人员痛苦而承受了不应有的负担。
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引用次数: 1
Influence of Parental Attachment and Life Satisfaction on Social Tanning Behavior 父母依恋和生活满意度对社会晒黑行为的影响
Pub Date : 2020-11-15 DOI: 10.47779/ajhs.2015.179
J. Yoo, Hye-young Kim
The goal of the study was to explore college students’ social tanning behavior based on their parental attachment and life satisfaction. The data were collected from a sample of 333 college students using a self-administered online survey tool. The questionnaire consisted of multi-item scales measuring parental attachment, life satisfaction, and social tanning behaviors (tanning bed use vs. sun tanning) along with demographic questions. The majority of the participants were female (80.2%) and Caucasian (76.9%), with an average age of 19.8 years. Results suggest that there is an association between having a high parental attachment and engaging in “social sun tanning.” College students who are highly satisfied with their life are less likely to use tanning beds with friends and families. Intervention strategies to deter harmful body-tanning should be designed to consider ways of improving quality of relationships and life.  
摘要本研究旨在探讨大学生社会晒黑行为与父母依恋、生活满意度的关系。这些数据是通过一项自我管理的在线调查工具从333名大学生中收集的。问卷包括多条目量表,测量父母依恋,生活满意度,社会晒黑行为(晒黑床使用与晒黑)以及人口统计问题。大多数参与者为女性(80.2%)和白种人(76.9%),平均年龄为19.8岁。研究结果表明,高度的父母依恋与参与“社会晒黑”之间存在关联。对生活高度满意的大学生不太可能与朋友和家人一起使用日光浴床。在设计防止有害的身体晒黑的干预策略时,应该考虑改善人际关系和生活质量的方法。
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引用次数: 0
Developing and Implementing a Substance Abuse Prevention and Awareness Campaign at a State-Supported Regional University 在一所国家支持的区域大学开展和实施预防药物滥用和提高认识运动
Pub Date : 2020-11-15 DOI: 10.47779/ajhs.2015.169
J. Lombardi, Mandi N. Dupain
The purpose of this descriptive study was to analyze the percent of targets achieved for five Student Objectives of Healthy Campus 2020. The objectives were chosen to assess the University's implementation of a substance abuse prevention and awareness campaign. Overall, 1,019 students completed the ACHANCHA II Survey. We identified non-medical use of prescription drugs (NMUPD) as a main area of concern. This state-supported regional university is committed to creating and sustaining an educational environment free from all forms of substance abuse.
本描述性研究的目的是分析“健康校园2020”五个学生目标的实现百分比。选择这些目标是为了评估联合国大学实施预防药物滥用和提高认识运动的情况。总共有1019名学生完成了ACHANCHA II调查。我们确定处方药的非医疗使用(NMUPD)是一个主要的关注领域。这所国家支持的区域大学致力于创造和维持一个没有任何形式的药物滥用的教育环境。
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引用次数: 0
Exploring the Relationships of Physical Activity, Emotional Intelligence, and Mental Health Among College Students 大学生体育活动、情绪智力与心理健康的关系探讨
Pub Date : 2020-11-15 DOI: 10.47779/ajhs.2014.215
Amir Bhochhibhoya, Paul Branscum, E. L. Taylor, Craig W. Hofford
The purpose of this study was to explore the relationship among physical activity (PA), emotionalintelligence (EI), and mental health in a sample of university undergraduate students (n=438). All participants were asked to complete three standardized assessments: the International Physical Activity Questionnaire, the Schutte Self-Report Emotional Intelligence Test, and the Kessler Psychological Distress Scale. Results showed that participants who reported higher levels of PA scored significantly higher in Global EI (p = 0.031) and mental health (p = 0.049) compared to participants with moderate and low levels of PA. Results also indicated that whereas Global EI was a significant predictor of PA, it was mediated by the relationship between mental health and PA.
本研究的目的是在一个大学本科生样本(n=438)中探讨体育活动(PA)、情绪智力(EI)和心理健康之间的关系。所有参与者都被要求完成三项标准化评估:国际体育活动问卷、舒特自我报告情商测试和凯斯勒心理痛苦量表。结果显示,报告PA水平较高的参与者在总体EI(p=0.031)和心理健康(p=0.049)方面的得分显著高于PA水平中等和较低的参与者。结果还表明,尽管总体EI是PA的重要预测因子,但它是由心理健康和PA之间的关系介导的。
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引用次数: 10
Using Social Cognitive Theory to Predict Breastfeeding in African-American Women 用社会认知理论预测非裔美国妇女的母乳喂养
Pub Date : 2020-11-15 DOI: 10.47779/ajhs.2015.187
Adryan R. Eastin, M. Sharma
The purpose of this study was to apply social cognitive theory (SCT) to predict breastfeeding initiation and duration in African-American women in a community sample. A total of 238 African-American women completed a 50-item valid and reliable questionnaire assessing their knowledge, expectations, self-efficacy, self-efficacy in overcoming barriers and self-control in initiation and duration of breastfeeding. Regression results indicated that self-efficacy for initiation and self-efficacy in overcoming barriers for initiation were significant predictors for initiation of breastfeeding in African-American women. Logistic regression revealed that self-efficacy to breast feed for more than six months and self-control for duration were significant predictors.
本研究的目的是应用社会认知理论(SCT)预测社区样本中非裔美国妇女的母乳喂养开始和持续时间。共有238名非裔美国妇女完成了一份50项有效可靠的问卷,评估了她们的知识、期望、自我效能、克服障碍的自我效能以及母乳喂养开始和持续时间的自我控制。回归结果表明,在非裔美国妇女中,启动自我效能感和克服启动障碍的自我效能感是开始母乳喂养的重要预测因素。Logistic回归显示,母乳喂养六个月以上的自我效能感和持续时间的自我控制是显著的预测因素。
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引用次数: 5
Privilege, Oppression and the Affordable Care Act: Cultural Implications for Health Educators 特权、压迫和平价医疗法案:对健康教育工作者的文化影响
Pub Date : 2020-11-15 DOI: 10.47779/ajhs.2014.228
C. Story, Hugh C. Crethar, Tayler Hall
 The United States Patient Protection and Affordable Care Act (ACA) provides an opportunity for more equitable healthcare. Preventive care provisions under the ACA have the potential to address persistent health disparities. However, many health disparities are fueled by issues of privilege and oppression in our society, which lead to inequitable access. Those in positions of privilege may have greater access to quality care, even in light of the ACA. Health educators are equipped to address underpinning issues of oppression and privilege through equitable participation and culturally competent programming.
《美国患者保护和平价医疗法案》(ACA)为更公平的医疗保健提供了机会。《平价医疗法》下的预防性保健条款有可能解决持续存在的健康差距问题。然而,许多健康差异是由我们社会中的特权和压迫问题造成的,这导致了不公平的机会。那些处于特权地位的人可能有更多的机会获得高质量的医疗服务,即使根据ACA。卫生教育工作者有能力通过公平参与和有文化能力的规划来解决压迫和特权的基本问题。
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引用次数: 0
Eve's Apple: A Faith-Based Nutrition Education Pilot Program for African American Women 夏娃的苹果:一个以信仰为基础的非裔美国妇女营养教育试点项目
Pub Date : 2020-11-15 DOI: 10.47779/ajhs.2015.173
Jenelle Robinson, D. Tidwell, C. Briley, Ronald D. Williams, W. Taylor, P. Threadgill
The purpose of this pilot study was to evaluate a faith-based intervention, known as Eve’s AppleNutrition Education Program. A nutrition education session was provided once a week for eight weeks at a church, with sessions composed of lecture, discussion, and hands-on activities. Matched pre- and post-program survey data for 38 women showed that participants decreased negative dietary behaviors (emotional eating, snacking on sweets, haphazard meal planning, meal skipping, cultural factors) and increased low-fat eating(p < .01). Although pilot studies may present limitations, this faith-based strategy seems to be promising for addressing dietary behaviors among African American women.
这项试点研究的目的是评估一种基于信仰的干预措施,即伊芙的苹果营养教育计划。每周在教堂举行一次营养教育课程,为期八周,课程包括讲座、讨论和实践活动。对38名女性进行的项目前和项目后的匹配调查数据显示,参与者减少了负面饮食行为(情绪化饮食、吃甜食、随意计划膳食、不吃饭、文化因素),并增加了低脂饮食(p<0.01)。尽管试点研究可能存在局限性,这种基于信仰的策略似乎有望解决非裔美国女性的饮食行为。
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引用次数: 0
Relationship of Food Label Use and Household Availability of Beverages in a Sample of Mothers of Preschool Children Participating in the Supplemental Nutrition Assistance Program 参加补充营养援助计划的学龄前儿童母亲样本中食品标签使用与家庭饮料可得性的关系
Pub Date : 2020-11-15 DOI: 10.47779/ajhs.2015.178
K. Lora, Paul Branscum, S. Sisson, Lindsay Scott, M. Anderson, A. Knehans
The purpose of this study was to assess the association between maternal participation in the Supplemental Nutrition Assistance Program (SNAP) and the use of food labels to purchase various types of beverages, and whether home availability of beverages differed by SNAP participation. Low-income mothers (n=250) of preschool children were surveyed. Food label use to purchase beverages and home availability of beverages were analyzed using adjusted multivariate logistic regression and iteratively reweighted with least squares regression.  SNAP participants were approximately 50% less likely to use the food label to purchase beverages for the home than non-participants. SNAP homes also had significantly higher availability of fruit juice (192 oz vs. 128 oz), juice drinks (192 oz vs. 128 oz), regular soda (156 oz vs. 135 oz), and low-calorie beverages (469 oz vs. 243 oz) than non-SNAP homes (p < 0.05). Further research is needed to understand the attitudes and group-specific characteristics associated with food label use and beverage availability among low-income families. 
本研究的目的是评估母亲参与补充营养援助计划(SNAP)与使用食品标签购买各种类型饮料之间的关系,以及SNAP的参与是否会使家庭获得饮料有所不同。对学龄前儿童的低收入母亲(n=250)进行了调查。使用调整后的多元逻辑回归分析购买饮料的食品标签使用情况和家庭饮料供应情况,并使用最小二乘回归迭代重新加权。SNAP参与者使用食品标签购买家庭饮料的可能性比非参与者低约50%。SNAP家庭的果汁(192盎司vs.128盎司)、果汁饮料(192盎司比对128盎司)和普通苏打水(156盎司比对135盎司)的供应量也明显更高,与非SNAP家庭相比,低热量饮料(469盎司vs.243盎司)(p<0.05)。需要进一步研究,以了解低收入家庭对食品标签使用和饮料供应的态度和群体特征。
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引用次数: 0
Creating the Financial Future of Integration in Primary Care: State and National Innovations 创造初级保健整合的财务未来:州和国家创新
Pub Date : 2020-11-15 DOI: 10.47779/ajhs.2014.219
Jennifer L. Hodgson, Laurie C Ivey, R. Reitz
The primary care system is a fertile ground for professionals to be trained to promote positive health behaviors. However, most primary care systems that integrate physical and behavioral health struggle with financial start-up and sustainability. The growth and development of mechanisms for supporting grass roots integration highlight the creativity and sheer will of communities, states, and healthcare systems to innovate their way to health. And now, for the first time, national-level funding initiatives have begun to support integration. This article highlights funding mechanisms at the state, foundation, payor, and federal levels that have been used to champion innovation. It provides a historical and future-oriented primer of the various mechanisms for initiating and advancing integration in primary care settings.
初级保健系统是专业人员接受培训以促进积极健康行为的沃土。然而,大多数整合身体和行为健康的初级保健系统都难以实现财务启动和可持续性。支持基层融合机制的成长和发展凸显了社区、州和医疗保健系统创新健康方式的创造力和纯粹意愿。现在,国家一级的资助举措首次开始支持一体化。本文重点介绍了用于支持创新的州、基金会、付款人和联邦层面的资助机制。它为初级保健环境中启动和推进一体化的各种机制提供了一本面向历史和未来的入门读物。
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引用次数: 0
期刊
American journal of health studies
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