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156 records returned

Evaluating the Community Health Legacy of WWI Chemical Weapons Testingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Spring Valley, Washington, DC, was built over a World War I chemical weapons development site. Testing activities caused wide dispersal of arsenic in soil and waste disposal resulted in localized subsurface contamination. Spring Valley presents an interesting case study, a contaminated physical environment, but a strongly health-protective social environment. To address a possible “healthy community” bias we selected a nearby comparison community with similar health-protective characteristics. Our study included a community health assessment, a spatial analysis of disease clustering and a chemic...
Source: Journal of Community Health - November 18, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Caring for the Uninsured with Prostate Cancer: A Comparison of Four Policy Alternatives in Californiaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, IMPACT provides underserved Californians with prostate cancer care and value-added services with only 11% of funds allocated to administrative fixed costs. Both the original IMPACT program and the hypothetical Medicaid prostate cancer program were cost-effective compared to the county safety net, while the reduced-fees version of IMPACT was not. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10900-009-9199-8Authors Jonathan Bergman, UCLA Department of Urology Box 951738 Los Angeles CA 90095-1738 USASusan Logan, Washington University at St. Louis Department of Surgery 660 So. Euclid A...
Source: Journal of Community Health - November 13, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Lifestyle-Related Determinants of Hookah and Cigarette Smoking in Iranian Adultsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  To identify lifestyle-related determinants of hookah and cigarette smoking in Iranian adults, a total of 12,514 men and women aged ≥19 years in three counties in central Iran (Isfahan, Najafabad, Arak) were selected in multistage random sampling. Data on socio-demographic characteristics and lifestyle were collected in interviewer-administered questionnaires, as part of the baseline survey of the Isfahan Healthy Heart Program. Unhealthy lifestyle-related factors independently associated with cigarette and hookah smoking, were identified in sex-specific multivariate logistic regression analyse...
Source: Journal of Community Health - October 29, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Health Indicators of Native Hawaiian and Pacific Islanders in the United Statesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study aimed to describe health indicators and behaviors of Native Hawaiian and Pacific Islander (NHPI) adults and to compare findings to previous reports on US NHPI and the US population. A sample of N = 100 (56 M, 44 F) NHPI adults aged 40–59 years completed an anonymous questionnaire addressing education and household income, tobacco use, physical activity, fruit and vegetable (F&V) consumption, cancer screening and health status. Objective measures of height and weight were taken to calculate body mass index (BMI). The study sample consisted of 49% current smokers and the majority was...
Source: Journal of Community Health - October 24, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

The Culture of Health Survey: A Qualitative Assessment of a Diabetes Prevention Coalitionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  In the past two decades, the fields of public health and social services have increasingly turned toward collaborative and community-based approaches to address complex health and social issues. One aspect of these approaches has been the development and implementation of community coalitions. Coalitions have been used to successfully address a wide range of issues, including cancer prevention, tobacco use, HIV/AIDS, youth violence, heart disease, diabetes, and sexual exploitation of youth runaways. In south Tucson, Arizona the SEAH coalition was developed to address diabetes and substance abuse pre...
Source: Journal of Community Health - October 24, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

West African Immigrant Families from Mauritania and Senegal in Cincinnati: A Cultural Primer on Children’s Healthemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Similar to many cities in the US, the Greater Cincinnati area has recently had an increase in immigrants from other countries. In particular, there is a small but growing population of West African immigrants especially from Senegal and Mauritania. In order to better understand children’s health of West African families in the Cincinnati area, in-depth, in-home narrative interviews were conducted with ten West African immigrant parents from Senegal and Mauritania. Four salient themes about cultural information related to children’s health were derived from the qualitative analysis: (1) health ca...
Source: Journal of Community Health - October 24, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Addressing Health Disparities Among African Americans: Using the Stages of Change Model to Document Attitudes and Decisions About Nutrition and Physical Activityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Physical activity (PA) and poor fruit/vegetable intake are contributors of health disparities among African Americans (AA). In order to design effective interventions to address these behaviors, it is essential to assess where individuals are in terms of their attitudes and decisions. The aim of this study was to use the Stages of Change Model to assess AA’s attitudes and decisions regarding pertinent health behaviors and provide suggestions about how to address them. A survey was administered to 242 low-income, medically underserved adults (47% AA, 27% White, and 26% “Others”). The majority w...
Source: Journal of Community Health - October 24, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Mahfouz H. Zaki, MD, MPH, DrPHemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10900-009-9193-1Authors Pascal James Imperato, State University of New York School of Public Health, Downstate Medical Center 450 Clarkson Avenue Box 43 Brooklyn NY 11203 USA Journal Journal of Community HealthOnline ISSN 1573-3610Print ISSN 0094-5145 (Source: Journal of Community Health)
Source: Journal of Community Health - October 23, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Satisfaction with Dental Case Management Among People Living with HIV/AIDSemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  We evaluated access to and satisfaction with dental services for people living with HIV/AIDS receiving services from a dental case manager (DCM). People living with HIV/AIDS who had received dental services at two Community Dental Centers on Cape Cod, Massachusetts were eligible to participate in a mailed, anonymous return, Dental Satisfaction Survey (N = 160). Overall, respondents were satisfied with the dental care they had received. Most patients (58%) were new to the practice and were more likely to report that they had not been seen by a dental provider for more than 12 months (OR...
Source: Journal of Community Health - October 22, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

D. A. Henderson: Smallpox. The Death of a Disease. The Inside Story of Eradicating a Worldwide Killeremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Book ReviewDOI 10.1007/s10900-009-9187-zAuthors Pascal James Imperato, Downstate Medical Center Brooklyn NY USA Journal Journal of Community HealthOnline ISSN 1573-3610Print ISSN 0094-5145 (Source: Journal of Community Health)
Source: Journal of Community Health - October 22, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Conrad Fischer: Routine Miracles: Personal Journeys of Patients and Doctors Discovering the Power of Modern Medicineemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Book ReviewDOI 10.1007/s10900-009-9196-yAuthors Pascal James Imperato, Downstate Medical Center Brooklyn NY USA Journal Journal of Community HealthOnline ISSN 1573-3610Print ISSN 0094-5145 (Source: Journal of Community Health)
Source: Journal of Community Health - October 22, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Minding the Immunization Gap: Family Characteristics Associated with Completion Rates in Rural Ethiopiaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  To examine risk factors for lack of immunization, we tested the impact of maternal, paternal, and household variables on child immunization status in children ≥1 year in a rural area of Ethiopia. Data collected by face-to-face interview on maternal, paternal, household and child variables from cross-sectional random sample community-based study on health and well-being in rural Ethiopia was used to test hypotheses on immunization status of children (n = 924). Bivariate and multivariate logistic regression models were used for two immunization outcomes: record of at least one vaccina...
Source: Journal of Community Health - October 22, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Coaches’ Attitudes and Involvement in Alcohol Prevention Among High School Athletesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  A total of 288 high school coaches completed a survey on their attitudes toward and involvement in alcohol prevention among male high school athletes. Results indicated that coaches felt alcohol use was less of a problem among high school student-athletes than high school students in general. Only one-third of coaches (39%) worked at a school requiring them to talk to their athletes about alcohol use. Coaches most likely to be involved in alcohol prevention were those who had attended an alcohol prevention class/workshop and those who worked for schools with strong alcohol prevention policies and sc...
Source: Journal of Community Health - October 17, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Assessing Diabetes Practices in Clinical Settings: Precursor to Building Community Partnerships Around Disease Managementemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Many recommended best practices exist for clinical and community diabetes management and prevention. However, in many cases, these recommendations are not being fully utilized. It is useful to gain a sense of currently utilized and needed practices when beginning a partnership building effort to ameliorate such practice problems. The purpose of this study was to assess current practices in clinical settings within the Brazos Valley in preparation for beginning a community-based participatory research project on improving diabetes prevention and management in this region. Fifty-seven physicians with ...
Source: Journal of Community Health - September 17, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

A Classification and Meta-analysis of Community-based Directly Observed Therapy Programs for Tuberculosis Treatment in Developing Countriesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  In many developing countries, Directly Observed Therapy (DOT) for tuberculosis has been undertaken mainly in the clinic setting. However, clinic-based DOT may create a high patient load in already overburdened health facilities and increase barriers to care by requiring patients to travel to clinic frequently for therapy. Community-based DOT (CBDOT) may overcome some of these problems. This aims of this review are (a) to describe the main features of CBDOT programs, and (b) to compare features and outcomes of CBDOT programs that do and do not offer financial reward for CBDOT providers. Ten major fea...
Source: Journal of Community Health - September 17, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

The Role of Genealogy and Clinical Family Histories in Documenting Possible Inheritance Patterns for Diabetes Mellitus in the Pre-Insulin Eraemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Part 2 presents detailed genealogic information on Josephine Imperato’s paternal and maternal lineages extending from four to seven generations into the nineteenth and eighteenth centuries. Among these lineages are some where early adult death over successive generations is perhaps indicative of type 2 diabetes mellitus (type 2 DM). These lineages, all in the town of San Prisco in Italy, include both paternal and maternal ones with the following surnames: Casaccia, Casertano, Cipriano, de Angelis, de Paulis, Peccerillo, Foniciello, di Monaco, Vaccarella, Valenziano, Ventriglia, and Zibella. Geneal...
Source: Journal of Community Health - September 3, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Development of a Culturally Targeted Smoking Cessation Intervention for African American Smokersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  In this paper we describe the development a culturally targeted (CT) smoking cessation intervention for low-to-middle income African–American smokers. Based on theoretically based guidelines, modifications were made to a standard treatment manual for group-based smoking cessation counseling that incorporates cognitive-behavioral, motivational, and twelve step skills. Approximately 41% of the standard treatment materials were modified, and four new modules were developed. A pilot study was conducted to compare acceptability, feasibility and early outcome indicates in African American smokers random...
Source: Journal of Community Health - September 3, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Rural–Urban Differences in Colorectal Cancer Screening Capacity in Arizonaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, Arizona has the ability to expand colorectal cancer screening endoscopic capacity; this potential increase was more pronounced in rural as compared to urban regions. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10900-009-9185-1Authors Jose G. Benuzillo, University of Utah Salt Lake City Veterans Affairs Health Care System 500 Foothill Drive Salt Lake City UT 84148 USAElizabeth T. Jacobs, University of Arizona Mel and Enid Zuckerman College of Public Health, Arizona Cancer Center 1515 North Campbell Avenue Tucson AZ 85724 USARichard M. Hoffman, University of New Mexico, School of Med...
Source: Journal of Community Health - September 3, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Ethnic Health Care Advisors: A Good Strategy to Improve the Access to Health Care and Social Welfare Services for Ethnic Minorities?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Empirical studies indicate that ethnic minorities have limited access to health care and welfare services compared with the host population. To improve this access, ethnic health care (HC) advisors were introduced in four districts in Amsterdam, the Netherlands. HC advisors work for all health care and welfare services and their main task is to provide information on health care and welfare to individuals and groups and refer individuals to services. Action research was carried out over a period of 2 years to find out whether and how this function can contribute to improve access to services fo...
Source: Journal of Community Health - August 29, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Knowledge and Behaviors of Physicians and Caregivers About Appropriate Child Passenger Restraint Useemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  The object of this research was to ascertain caregivers’ and physicians’ knowledge, behaviors, and comfort levels regarding child passenger safety restraint transitions with belt positioning booster seats (BPB). A targeted survey of physicians caring for 4–8 year olds plus convenience sampling surveys of caregivers across an urban community was conducted. Data revealed 42% of physicians and 47% of caregivers did not know that motor vehicle crashes are the leading cause of death in children in this age group. Only 34% of caregivers consistently placed children in booster seats; 48% reporte...
Source: Journal of Community Health - August 28, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Patterns of Tobacco-Use Behavior Among Chinese Smokers with Medical Conditionsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Understanding the characteristics of Chinese American smokers with medical conditions and factors associated with their tobacco-use behaviors will guide effective cessation programs. In 2008, the authors described socio-demographic profiles of Chinese smokers with medical conditions treated during the period 2002–2006, documented their tobacco-use behaviors (i.e., average daily cigarette use, nicotine dependence, and number of past-year quit attempts), and drew comparisons between subjects recruited from hospitals (IP) and ambulatory settings (OP). Compared to OP, IP were significantly older, less...
Source: Journal of Community Health - August 26, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

HCV Infection and Cryptogenic Cirrhosis are Risk Factors for Hepatocellular Carcinoma Among Latinos in New York Cityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Latinos in the US experience a 60% higher death rate from primary hepatocellular carcinoma (HCC) when compared to Non-Latinos. The goal of this study was to examine risk factors that are associated with ethnic disparities among HCC patients seen at the transplant center of a metropolitan medical center in New York City. We compared HCC risk factors in 140 Non-Latino and 55 Latino patients that presented with HCC from 1995 to 2003. Surnames were used to define Latino and Non-Latino HCC patients in a retrospective analysis. Latino and Non-Latino HCC patients did not vary by gender or age at presentati...
Source: Journal of Community Health - August 25, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Healthcare Barriers of Refugees Post-resettlementemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  The majority of refugees spend the greater part of their lives in refugee camps before repatriation or resettlement to a host country. Limited resources and stress during residence in refugee camps can lead to a variety of acute and chronic diseases which often persist upon resettlement. However, for most resettled refugees little is known about their health needs beyond a health assessment completed upon entry. We conducted a qualitative pilot-study in San Diego County, the third largest area in California, USA for resettling refugees, to explore health care access issues of refugees after governme...
Source: Journal of Community Health - August 25, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

HIV Testing Practices and Attitudes on Prevention Efforts in Six Diverse Chicago Communitiesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Data describing local level HIV testing practices and attitudes regarding HIV prevention are rarely available, yet would be useful for HIV policy and evaluation. A comprehensive health survey was conducted in six community areas of Chicago (n = 1,699) in 2002–2003. The HIV prevention module of this survey was used for this analysis. The proportion that ever tested for HIV ranged from 40 to 75% and 11 to 38% were tested in the past 12 months. Residents favored: needle exchange programs (59–77%), HIV information in high schools (95–100%) and elementary schools (85–94%), and condo...
Source: Journal of Community Health - August 25, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Toxic Chemical Releases, Health Effects, and Productivity Losses in the United Statesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  In this paper we examine the impacts of toxic chemical releases on labor productivity. The hypothesis is that exposure to releases results in chronic or acute illnesses, which increases number of work days lost. To test the hypothesis we combine data from the National Health Interview Survey with data from US Environmental Protection Agency’s Toxic Release Inventory, using an instrumental variable approach to control for endogeneity of subjective binary health status. We find that the survey respondents are significantly more likely to have increased work days lost as their exposure to toxic relea...
Source: Journal of Community Health - August 25, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Clinical Psychologists and Smoking Cessation: Treatment Practices and Perceptionsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  A random sample of clinical psychologists was surveyed regarding their smoking cessation practices and perceptions. A total of 352 psychologists responded (57%) to the valid and reliable questionnaire. The majority (59.1%) of psychologists did not always identify and document the smoking status of patients. The majority reported high efficacy expectations (66.4%) and low outcome expectations (55.1%) for using the 5A’s smoking cessation counseling technique. Counselors that had never smoked were almost two times more likely to have higher efficacy expectations than those that were current smokers o...
Source: Journal of Community Health - August 22, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Commentary: Physician Retirement and Physician Shortagesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Considerable recent discussion has taken place regarding the predicted future shortage of physicians, especially in primary care. Much of the attention has focused on the difficulty of recruiting new physicians into primary care practice. It is suggested that part of the solution may be increased efforts to recruit and retain older physicians into primary care practice rather than retirement. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10900-009-9165-5Authors Neil J. Nusbaum, VA North Texas Health Care System Dallas TX 75216 USA Journal Journal of Community HealthOnlin...
Source: Journal of Community Health - August 21, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

County-Level Social Environment Determinants of Health-Related Quality of Life Among US Adults: A Multilevel Analysisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study provides important new empirical information on whether various commonly-measured characteristics of the social environment, which are believed to be social determinants of health, are in fact associated with the perceived physical and mental health of its residents. Our findings provide additional support for the construct validity of county-level HRQOL as a community health indicator. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10900-009-9173-5Authors Haomiao Jia, Columbia University Department of Biostatistics, Mailman School of Public Health and School of Nursing 617 West 168th S...
Source: Journal of Community Health - June 25, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Prevalence of State Firearm Mortality and Mental Health Care Resourcesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study assessed whether selected variables that potentially indicate increased access to mental health care or known demographic risk factors for firearm trauma best predicted state variations in firearm homicide and suicide. Partial correlation coefficients indicated that the proportion of the population within a given state that was African American or Hispanic was significantly associated with increased state firearm homicides. The percent of the population within a given state that had earned a Baccalaureate degree was associated with decreased state firearm homicides. Additionally, increased state firearm own...
Source: Journal of Community Health - June 18, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

The Role of Genealogy and Clinical Family Histories in Documenting Possible Inheritance Patterns for Diabetes Mellitus in the Pre-Insulin Era: Part 1. The Clinical Case of Josephine Imperatoemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Establishing the role of heredity in type 2 diabetes mellitus (type 2 DM) is challenging. While type 2 DM frequently displays a pattern of familial aggregation, many other risk factors are responsible for the clinical expression of the disease. This paper reviews a number of the early twentieth-century studies of inheritance patterns for type 2 DM and presents in detail the history of Josephine Foniciello Imperato (Maria Giuseppa Foniciello) who died from the disease in New York City at the age of 52 years on 14 November 1921, ten months before commercial insulin became available. Content Ty...
Source: Journal of Community Health - June 17, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Rapid Weight Gain During the First Year of Life Predicts Obesity in 2–3 Year Olds from a Low-income, Minority Populationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  As the prevalence of childhood obesity increases, researchers continue to attempt to identify factors contributing to obesity. The purpose of this study was to define the relationship between birth weight, rapid weight gain (RWG), and early childhood obesity in a low-income, inner-city minority population. In this retrospective chart review, researchers documented every medical encounter recorded in the chart from birth to 3 years for 203 3 year old minority children from low-income families living in an urban area. Based on Center for Disease Control and Prevention’s growth charts and t...
Source: Journal of Community Health - June 13, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

The Fort McMurray Demonstration Project in Social Marketing: No Demonstrable Effect on Already Falling Injury Rates Following Intensive Community and Workplace Interventionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  The Fort McMurray Demonstration Project in Social Marketing attempted to achieve mutually reinforcing effects from thematically coordinated educational and awareness efforts in the community as a whole and in the workplace and the inclusion of occupational safety within the framework of a community health promotion project. The study community was Fort McMurray, a small, industrial city in northern Alberta. The Mistahiai Health Region, several hundred kilometers to the west and also dominated by one city, Grande Prairie, served as the reference community. The intervention was based on media and even...
Source: Journal of Community Health - June 12, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

African American Men’s Understanding and Perceptions About Prostate Cancer: Why Multiple Dimensions of Health Literacy are Important in Cancer Communicationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Prostate cancer (PrCA) is the most diagnosed cancer among men in the United States, especially among African American (AA) men. The purpose of this formative study was to explore the implications of applying Nutbeam’s multidimensional health literacy framework to AA men’s understanding of PrCA information. Participants were 25 AA men aged 45 and older in South Carolina. Their functional health literacy was assessed using two modified Cloze tests and the Shortened Test of Functional Health Literacy in Adults (S-TOFHLA). Men also participated in interviews or focus groups during which they were as...
Source: Journal of Community Health - June 11, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Investigation of a Cluster of Syphilis, Gonorrhea, and Chlamydia Cases Among Heterosexual Micronesians Living on Oahuemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  A recent case investigation of secondary syphilis in a 27-year-old heterosexual Micronesian male and his 19-year-old chlamydia and syphilis co-infected female partner, conducted by the Hawaii State Department of Health, June to August 2007, identified a cluster of 13 case-patients with undiagnosed syphilis, chlamydia, and gonorrhea. The social network of Micronesians uncovered was characterized by having transient accommodations but a central gathering place. The critical factor in gaining access to this network was the establishment of a trusting relationship with a key social network member. Field...
Source: Journal of Community Health - June 11, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Smoke-Free Homes for Smoke-Free Babies: The Role of Residential Environmental Tobacco Smoke on Low Birth Weightemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study evaluates the effect of residential ETS exposure on the risk of having a low birth weight (LBW) infant and investigates whether there is a dose–response relationship. This retrospective cohort study comprised 2,206 women who participated in the 2004–2005 North Carolina Phase V Pregnancy Risk Assessment Monitoring System. Women self-reported information on ETS exposure and birth weight was obtained from birth certificates. Logistic regression was used to obtain odds ratios and 95% confidence intervals. When adjusted for marital status and income, women exposed to ETS during pregnancy had increased odds o...
Source: Journal of Community Health - June 11, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Lifestyle Risk Factors and Utilization of Preventive Services in Disabled Elderly Adults in the Communityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, disabled elderly adults have more undesirable lifestyle risk factors, but are less likely to receive needed health services than nondisabled counterparts. More attention is needed to this vulnerable population. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10900-009-9166-4Authors Dae Hyun Kim, Beth Israel Deaconess Medical Center Division of Gerontology Boston MA 02215 USAUtpal N. Sagar, Lankenau Hospital Department of Internal Medicine 100 Lancaster Ave, Annenberg Conference Center, G10 Wynnewood PA 19096 USASuzanne Adams, Jefferson Medical College Department of Medicine 1025 Walnut ...
Source: Journal of Community Health - June 11, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Early Adolescent, Multi-ethnic, Urban Youth’s Exposure to Patterns of Alcohol-related Neighborhood Characteristicsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study identified heterogeneous classes of alcohol-related neighborhood characteristics to which multi-ethnic, early adolescents in urban communities are exposed. The sample comprised 4,215 youth from 42 community areas in Chicago, Illinois who completed surveys at the beginning of 6th grade (2002). Neighborhood measures included: (1) mean number of alcohol outlets per 1,000 population per community area; (2) alcohol purchase attempt rate by pseudo-underage youth; (3) average number of alcohol advertisements within 1,500 feet of each school per community; and (4) a Census 2000-based deprivation index. Parents and c...
Source: Journal of Community Health - June 11, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Trends in Smoking Among African–Americans: A Description of Nashville’s REACH 2010 Initiativeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study suggests that consistent, multiple and multi-level strategies targeted to an African American community may impact smokers who are not ready to quit but willing to reduce their level of smoking. This study underscores the importance of developing and implementing community wide campaigns to address the needs of African Americans. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10900-009-9154-8Authors Celia O. Larson, Metro Public Health Department 311 23rd Avenue North Nashville TN 37203 USADavid G. Schlundt, Vanderbilt University Department of Psychology 301 Wilson Hall, 111 21st Avenue ...
Source: Journal of Community Health - April 14, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Malaria Prevention in Sub-Saharan Africa: A Field Study in Rural Ugandaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Malaria, a completely preventable and treatable disease, remains one of the biggest killers in Sub-Saharan Africa today. The objectives of this study were to describe the impact of malaria on a small rural community in Uganda (Bufuula) and to implement and evaluate a malaria prevention program (subsidised insecticide treated nets with an accompanying education session). In January 2006, a survey of 202 households (100% response rate) was conducted, and meetings held with the Village Council, which revealed that malaria was the community’s major cause of morbidity and mortality, and showed there wa...
Source: Journal of Community Health - April 14, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Asthma 1-2-3: A Low Literacy Multimedia Tool to Educate African American Adults About Asthmaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Asthma 1-2-3 is a newly-developed low-literacy multimedia education tool designed to promote asthma self-care concepts among African American adults. An expert panel (n = 10) informed content development for the tool. The video script and storyboard imagery were shown to 30 African Americans recruited from the American Lung Association, whose reactions and comments guided further revisions. The final version was pilot tested in three diverse community settings in Chicago to determine the efficacy of Asthma 1-2-3 at improving patient understanding of asthma and its symptoms. In all, 130 adu...
Source: Journal of Community Health - April 8, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Development of the Volunteer Peer Educator Role in a Community Cardiovascular Health Awareness Program (CHAP): A Process Evaluation in Two Communitiesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Discussions were audio-recorded and transcribed. Analysis used an editing approach to identify themes, taking into account the community-specific context. Volunteers reported an overall positive experience and identified rewarding aspects of their involvement. They felt well prepared but appreciated ongoing training and support and requested more refresher training. Understanding of program objectives increased volunteer satisfaction. Volunteers continued to develop their role during the program; however, organizational and logistical factors sometimes limited skill acquisition and contributions. The prospect of great...
Source: Journal of Community Health - April 7, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Educating the Public About Research Funded by the National Institutes of Health Using a Partnership Between an Academic Medical Center and Community-based Science Museumemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, research partnerships between academic institutions and community-based museums appear to be viable ways to inform the public about research, stimulate their interest as future participants, and possibly influence their intention to improve health behaviors. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10900-009-9150-zAuthors Patricia A. Carney, Oregon Health and Science University Department of Family Medicine, School of Medicine 3181 SW Sam Jackson Park Rd. Portland OR 97239 USAArwen Bunce, Oregon Health and Science University Department of Family Medicine, School of Medicine 3181...
Source: Journal of Community Health - April 7, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Educating Youth About Health and Science Using a Partnership Between an Academic Medical Center and Community-based Science Museumemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In conclusion, high quality experiential learning best created by community-academic partnerships appears to have the ability to stimulate interest and influence intentions to change health behaviors among middle and high school students. Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10900-009-9157-5Authors Arwen E. Bunce, Oregon Health & Science University Department of Family Medicine 3181 SW Sam Jackson Park Rd. Mail Code: FM Portland OR 97239 USASusan Griest, Oregon Health & Science University Oregon Hearing Research Center 3181 SW Sam Jackson Park Rd. Mail Code: NRC04 Portland OR 97239 USALind...
Source: Journal of Community Health - April 7, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Cardiovascular Disease Urban Intervention: Baseline Activities and Findingsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Regular exercise, good dietary habits, knowledge of the disease and its warning signs as well as ability to perform CPR (cardiopulmonary resuscitation) are all important to prevent and combat Cardiovascular Disease (CVD) and Stroke. In 2005–2006, an AHA sponsored “Search Your Heart” cardiovascular disease intervention was conducted in 388 urban African-American/black and Latino/Hispanic faith based institutions, all churches of various denominations, to improve members’ knowledge and preparedness about CVD and stroke. The intervention involved (a) distribution of a customized multi-component...
Source: Journal of Community Health - April 3, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Associations Between Perceptions and Involvement in Neighborhood Violence and Intimate Partner Violence Perpetration Among Urban, African American Menemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  Violence disproportionately affects African American men and their communities. Research is needed to inform programming efforts to reduce racial/ethnic disparities in violence exposure, involvement, and victimization. The current study examined involvement in and perceptions of neighborhood violence and relation to perpetration of intimate partner violence (IPV) among a sample of urban, African American men. Participants of this cross-sectional study were sexually active African American men (n = 703) between the ages of 18 and 65 years, recruited from urban community health centers. ...
Source: Journal of Community Health - April 3, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Public Policy Involvement by Health Commissionersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  The purpose of this national study was to determine advocacy activities and level of involvement of health commissioners regarding public policy. Benefits, barriers, and perceived outcomes of advocacy efforts were also explored. A previously validated (Holtrop et al., Am J Health Behav 24(2):132–142, 2000) four-page survey was mailed to 700 health commissioners, who were randomly selected from the National Association of County and City Health Officials (NACCHO) database. A three-wave mailing was performed which yielded a 50% response rate. Of these respondents, the majority (70%) were female and ...
Source: Journal of Community Health - April 3, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Living Alone and Fall Risk Factors in Community-Dwelling Middle Age and Older Adultsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  As part of a larger study on fall-related risk factors, this study investigated the relationship between living alone status and fall-related variables among community-dwelling adults who lived in a rural county in eastern North Carolina. A convenience sample of 666 community-dwelling adults ages 50 and over participated in this 4-year study and completed a fall questionnaire. Significant findings were found in relation to living alone status and experiencing a fall, who they informed about their fall, injuries, safety equipment, ambulatory devices, and personal emergency response system usage. Thre...
Source: Journal of Community Health - March 31, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Disparities in Obesity and Overweight Prevalence Among US Immigrant Children and Adolescents by Generational Statusemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We examined the prevalence and socio-behavioral correlates of obesity and overweight among 46,707 immigrant and US-born children and adolescents aged 10–17 years. The 2003 National Survey of Children’s Health was used to estimate obesity and overweight prevalence among children in 12 immigrant groups, stratified by race/ethnicity and generational status. Logistic regression was used to examine immigrant differentials in the prevalence and odds of obesity and overweight. Obesity and overweight prevalence varied from a low of 6 and 18% for second-generation Asian immigrants to a high of 24 and 42% for native-bor...
Source: Journal of Community Health - March 31, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Opportunities for the Cost Reduction of Medical Careemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract  The explosion of medical knowledge has deluged the medical community with a plethora of new medicines, new tests, and new procedures. This creates a serious need to carefully evaluate the definable benefits from these new developments, which promise to increase the quality of medical care beyond older, established, and usually less-costly methods. In addition, more recent information has clearly identified genetic variation in an individual’s response to medications. As such, conventional wisdom may now prove to be wrong or subject to question. Examples of this, which we present, include situation...
Source: Journal of Community Health - March 31, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals

Socioeconomic and Health Inequality in Two Regions of Turkeyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study investigated health inequalities between two areas within the city of Bursa, Turkey from a socioeconomic perspective. Information was gathered from 582 subjects >15 years old using self-assessed health of the respondents, a general health questionnaire, and disability records. Health service access and health inequalities with respect to demographic and socioeconomic data are reported. The study indicates that the health of people living in socioeconomically less advantaged neighborhoods of Bursa is worse than that of people in more affluent areas. However, socioeconomic status has no effect on disab...
Source: Journal of Community Health - March 31, 2009 Category: Global & Universal Tags: Journal of Community Health Source Type: journals