Annals of family medicine
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Annals of family medicine · Jan 2023
Community-Based Participatory Research Approach to Qualitatively Examining Menstrual Health Experiences in Philadelphia, PA.
Context: Menstruation is a highly stigmatized topic across social, familial, and medical communities. Some people who menstruate experience severe symptoms, such as excessive bleeding or debilitating cramps. Roughly half of the world's population will menstruate at some point in their lives, thus destigmatized management of menses is critical. ⋯ Conclusions: Participants described vastly different experiences, biases, and needs regarding their menstrual periods. It is vital for providers to recognize that even though menstruation is a common physiologic process, every individual has different experiences. Further efforts to normalize and destigmatize menstruation, especially in health care settings is crucial.
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Annals of family medicine · Jan 2023
Imbalanced Incentives: A Content Analysis of research Participant Incentive Structures in Clinical and Translational Science.
In conducting research with underserved and vulnerable populations, incentives for research participants can improve recruitment efforts. However, incentives lose influence if researchers treat them as merely transactional. This study seeks to identify how researchers describe research participant incentives and incentive structures, with a focus on populations that experience health disparities. ⋯ Findings here show few publications describe incentive structures, which indicates that either 1) incentives are underutilized in recruitment efforts or 2) studies are not publishing incentive information. Furthermore, incentives are more frequently used to recruit healthcare worker populations than community or clinical participants, which may indicate a transactional approach in contrast to a community or patient-oriented approach to research participation. A standardized approach to describing incentives could help researchers and clinicians contextualize a study's findings.
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Annals of family medicine · Jan 2023
Dietary, Cooking, and Eating Pattern Outcomes from the Emory Healthy Kitchen Collaborative.
Context: Teaching kitchens are emerging innovative and engaging models for creating lifestyle behavior change. They are increasingly being utilized in workplace settings. Objective: The Emory Healthy Kitchen Collaborative (EHKC) year-long worksite wellness teaching kitchen program sought to improve self-reported health behaviors, including food choices, cooking skills, and mindful eating habits. ⋯ Conclusion: The EHKC worksite wellness program provided valuable knowledge and insight into the use of a teaching kitchen as a unique health care delivery model. The program significantly improved participant dietary patterns and mindful eating habits; though did not significantly improve cooking confidence or frequency. Further research is needed to understand long term health consequences and disease risk reduction of the EHKC program.
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Annals of family medicine · Jan 2023
Observational StudyLatino Adolescent-Mother Language Concordance, Neighborhood Deprivation, and Vaccinations in Community Health Centers.
Context: Latino adolescents face multilevel barriers (e.g. language, neighborhood deprivation) to preventive care, including recommended vaccinations. There is little research on the association between Latino adolescent-mother preferred language concordance and vaccination completion and if it varies by neighborhood deprivation. Objective: To better understand the social/family factors associated with Latino adolescent vaccination completion by studying the association of adolescent-mother language concordance and neighborhood social deprivation with adolescent vaccination completion. ⋯ While there was some evidence of variation by neighborhood social deprivation in influenza vaccination rates, these effects were minor in comparison to differences by ethnicity and language concordance. Conclusions: In a multistate analysis of vaccinations among Latino and non-Latino adolescents, English-preferring adolescents with Spanish- preferring mothers had the highest completion rates and English-preferring non-Hispanic white dyads had the lowest. Further research can seek to understand why this language dyad may have an advantage in adolescent vaccination completion.
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Context: Dental caries is the most common chronic childhood infectious disease in Canada and creates a significant burden in both human and financial costs. Saskatchewan has the third highest rate of day surgeries to treat dental caries among children 1-5 years of age. Objective: To explore and address the strengths and barriers related to the provision of oral health services. ⋯ Conclusions: This project developed sustainable relationships and built on the community's own strengths and capacities. The community developed a book written and illustrated by the community members, translated in Dene. The book will be used as a tool to provide targeted information about successes and knowledge gaps.