Abstract:
:We conducted a 2-year pilot randomized controlled trial (N = 105) in a high HIV-prevalence area in rural western Kenya to test whether providing young orphan adolescents with uniforms, school fees, and community visitors improves school retention and reduces HIV risk factors. The trial was a community intervention, limited to one community. In this paper, we examined intervention implementation and its association with outcomes using longitudinal data. We used both quantitative and qualitative methods to evaluate the community-based model for orphan HIV prevention, with recommendations for future studies. Despite promising effects after 1 year, GEE analyses showed null effects after 2 years. Volunteer community visitors, a key element of the intervention, showed little of the expected effect although qualitative reports documented active assistance to prevent orphans' school absence. For future research, we recommend capturing the transition to high school, a larger sample size, and biomarker data to add strength to the research design. We also recommend a school-based intervention approach to improve implementation and reduce infrastructure costs. Finally, we recommend evaluating nurses as agents for improving school attendance and preventing dropout because of their unique ability to address critical biopsychosocial problems.
journal_name
J Community Healthjournal_title
Journal of community healthauthors
Hallfors DD,Cho H,Mbai I,Milimo B,Itindi Jdoi
10.1007/s10900-012-9548-xsubject
Has Abstractpub_date
2012-10-01 00:00:00pages
1101-9issue
5eissn
0094-5145issn
1573-3610journal_volume
37pub_type
杂志文章,随机对照试验abstract::Despite the need for parents to support their children's healthy behaviors, knowledge of factors preventing parents from doing so is still rudimentary. This study primarily aimed to explore perceived parental barriers to and strategies for supporting physical activity and healthy eating among Head Start children. A se...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-015-0134-x
更新日期:2016-06-01 00:00:00
abstract::Although cervical cancer rates in the United States have declined sharply in recent decades, certain groups of women remain at elevated risk, including middle-aged and older women in central Appalachia. Cross-sectional baseline data from a community-based randomized controlled trial were examined to identify barriers ...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-012-9639-8
更新日期:2013-06-01 00:00:00
abstract::Improved pneumococcal vaccine (PPV) immunization for seniors is a national goal of the Medicare program. This study examined whether adding a simple telephone follow-up to an existing mailed physician performance feedback under the Medicare program would increase the impact on billed pneumococcal immunizations. Medica...
journal_title:Journal of community health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1023/b:johe.0000016715.91811.4b
更新日期:2004-04-01 00:00:00
abstract::Cancer is the leading cause of death for Korean Americans (KAs). Breast cancer (BC) is the most commonly occurring cancer among KA women, and its rate has been rapidly increasing. Low BC screening rates for KAs puts them at greater risk for late-stage breast cancer. We conducted a systematic review of the published li...
journal_title:Journal of community health
pub_type: 杂志文章,评审
doi:10.1007/s10900-016-0258-7
更新日期:2017-04-01 00:00:00
abstract::The aim of this study was to assess the levels of knowledge, attitudes and beliefs and AIDS among secondary school students in the Asir Region of Southwestern Saudi Arabia, and to assess the impact of a one-session AIDS education lecture given in some schools in the region during World AIDS Day, December 1992. An Arab...
journal_title:Journal of community health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/BF02260410
更新日期:1995-06-01 00:00:00
abstract::We assessed the relationship between sun protection policies and practices at child care centers in Massachusetts. We hypothesized that centers with sun protection policies were more likely to have regular sun protection practices in place compared to centers without these policies. We conducted a telephone survey wit...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-005-7283-2
更新日期:2005-12-01 00:00:00
abstract::Human papillomavirus vaccination (HPV) remains low in the United States. The inpatient postpartum setting provides an innovative opportunity to vaccinate eligible patients. This study evaluated two different interventions to improve HPV vaccination rates in hospitalized postpartum patients: a nurse based protocol and ...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-019-00755-1
更新日期:2020-06-01 00:00:00
abstract::The objective of this study was to examine geographic and race/ethnic disparities in access to end of life care among elderly patients with lung cancer. The study sample consisted of 91,039 Medicare beneficiaries with lung cancer who died in 2008. The key outcome measures included the number of emergency room visits, ...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-014-9850-x
更新日期:2014-10-01 00:00:00
abstract::Universal health coverage requires an adequate health workforce, including community health workers (CHWs) to reach rural communities. To improve healthcare access in rural areas, in 2010 the Government of Zambia implemented a national CHW strategy that introduced a new cadre of healthcare workers called community hea...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-015-0110-5
更新日期:2016-04-01 00:00:00
abstract::Access to screening mammography may be limited by the availability of facilities and machines, and nationwide mammography capacity has been declining. We assessed nationwide capacity at state and county levels from 2003 to 2009, the most recent year for which complete data were available. Using mammography facility ce...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-012-9562-z
更新日期:2012-12-01 00:00:00
abstract::Virtually all large employers engage in corporate philanthropy, but little is known about the extent to which it is directed toward improving community health. We conducted in-depth interviews with leaders of corporate philanthropy from 13 of the largest manufacturing companies in the US to understand how giving decis...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-017-0452-2
更新日期:2018-06-01 00:00:00
abstract::We examine whether workplace climate-quality of staff relationships (QSR) and manageable clinic workload (MCW) are related to better patient care experiences and diabetes care in community health centers (CHCs) catering to Latino and Chinese patients. Patient experience surveys of adult patients with type 2 diabetes a...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-016-0280-9
更新日期:2017-06-01 00:00:00
abstract::The elimination of categorical grants and their replacement by block grants provides public health departments the opportunity to integrate their services and provide general primary care to the underserved. While some may consider this an opportunity long overdue such a change may generate considerable conflict with ...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/BF01326552
更新日期:1982-01-01 00:00:00
abstract::Evidence of the degree of fit between the special needs of the elderly and the service mix and payment level of ambulatory services offered under the Medicare program is presented in this second part of a two-part study of geriatric office care. Results from interviews with a focus group of 60 practicing clinicians, i...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/BF01321539
更新日期:1989-07-01 00:00:00
abstract::Older adults are at risk of problems of medication use including underuse, overuse, and misuse. The purposes of this study were to investigate the prevalence of the use of conventional and complementary and alternative medications (CAM) in older adults and to explore which factors related to their medication use. For ...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-014-9934-7
更新日期:2015-04-01 00:00:00
abstract::Osteoporosis represents the major public health concern worldwide. The purpose of this study was to assess osteoporosis beliefs and actual performance of osteoporosis preventive behaviors in non-academic community Chinese population and to explore whether the differences exist in community females and males. A cross s...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-013-9795-5
更新日期:2014-06-01 00:00:00
abstract::The purpose of this study was to compare the self-reported quality of life of racial/ethnic minorities and Caucasians living in a rural, northern New York county, where 94% of the population is Caucasian. Participants completed a 79-item survey online and in-person assessing health status, health-related quality of li...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-011-9422-2
更新日期:2012-02-01 00:00:00
abstract::Cambodian immigrants are over 25 times more likely to have evidence of chronic hepatitis B infection than the general US population. Carriers of HBV are over 100 times more likely to develop liver cancer than non-carriers. Liver cancer incidence is the second leading cancer for Cambodian men and the sixth for Cambodia...
journal_title:Journal of community health
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10900-010-9277-y
更新日期:2011-02-01 00:00:00
abstract::Chagas disease (CHD) has become a challenge in Spain due to the high prevalence of immigrants coming from endemic areas. One of the main difficulties for its control and elimination is its underdiagnosis. The identification and integral treatment of CHD are key to increasing rates of diagnosis, overcoming psycho-socia...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-019-00684-z
更新日期:2019-08-01 00:00:00
abstract::The widespread use of touch-screen mobile devices renders them potential fomites for the transmission of bacterial pathogens among users of different ages. The objectives of the present research were to isolate bacteria from mobile phones, perform molecular and phylogenetic identification, and determine the antibiotic...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-020-00829-5
更新日期:2020-10-01 00:00:00
abstract::Addressing the health needs of all Americans is central to the public health agenda in the US. Although some progress has been made in documenting health disparities among South Asians living in the US, more attention is needed to fully understand how communities are addressing the health needs of this community. Comm...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-010-9256-3
更新日期:2010-08-01 00:00:00
abstract::A community-university partnership used community-based participatory research (CBPR) to design, implement, and evaluate a multi-cultural public health campaign to eliminate flammable products and reduce use of products high in volatile organic compounds (VOCs) in hardwood floor finishing in Massachusetts. Leading par...
journal_title:Journal of community health
pub_type: 杂志文章
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更新日期:2011-08-01 00:00:00
abstract::Hepatitis B virus (HBV) infection is an infectious disease that is specific to the liver, causing both acute and chronic hepatitis. This study determined the trend of HBV infection among blood donors in the Kpandai District Hospital from January 2014 to December 2018. Retrospective analysis of donor profiles for a per...
journal_title:Journal of community health
pub_type: 杂志文章
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更新日期:2020-12-01 00:00:00
abstract::A confederate civilian physician shot and killed a white Union officer who was drilling Negro troops in Norfolk, Virginia. With no question as to guilt, President Abraham Lincoln decided to have a medical expert conduct a professional sanity/insanity examination. Documentation indicates that legal and political factor...
journal_title:Journal of community health
pub_type: 传,历史文章,杂志文章
doi:10.1007/BF02260380
更新日期:1994-06-01 00:00:00
abstract::In an effort to improve Health Risk Appraisals and to induce individuals to change their lifestyles, comprehensive evaluations and counseling sessions were carried out for 476 participants of an experimental preventive care program (1984). Nurse practitioners interviewed participants in their homes and collected infor...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/BF01321479
更新日期:1988-04-01 00:00:00
abstract::The purpose of this study was to develop an in-depth understanding of the barriers and enablers of effective dual care (care obtained from the Veterans Health Administration [VHA] and the private health system) for rural veterans. Telephone interviews of a random sample of 1,006 veterans residing in rural Nebraska wer...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1007/s10900-012-9583-7
更新日期:2013-02-01 00:00:00
abstract::Threatened use of the smallpox virus in bioterrorist attacks recently prompted national concerns in the United States. Smallpox, the "speckled monster," was known in antiquity. In 1856, New York City opened its first hospital devoted to caring for victims of smallpox. Essentially, the hospital isolated and quarantined...
journal_title:Journal of community health
pub_type: 历史文章,杂志文章
doi:10.1007/s10900-005-5519-9
更新日期:2005-10-01 00:00:00
abstract::This study describes a statewide public health approach to strengthen diabetes care; evaluates diabetes-related processes of care for individuals enrolled in the Michigan Diabetes Outreach Network (MDON) program; and, examines MDON in the context of priorities for diabetes care and public health policy. Organizational...
journal_title:Journal of community health
pub_type: 杂志文章
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更新日期:2000-12-01 00:00:00
abstract::The fast food industry has been increasingly criticized for creating brand loyalty in young consumers. Food marketers are well versed in reaching children and youth given the importance of brand loyalty on future food purchasing behavior. In addition, food marketers are increasingly targeting the Hispanic population g...
journal_title:Journal of community health
pub_type: 杂志文章
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更新日期:2009-02-01 00:00:00
abstract::This paper describes the first year of an ongoing village health care and economic development project in the Krong Buk district of Dak Lak province in Vietnam's Central Highlands. The project serves 21 villages with a total population of just over 15,000. Most belong to ethnic minority groups. Physicians from the pro...
journal_title:Journal of community health
pub_type: 杂志文章
doi:10.1023/a:1026589131476
更新日期:2001-02-01 00:00:00