scholarly journals If We Build It, Will They Come? Challenges of Adapting and Implementing a Smoking Cessation Program for the LGBTQ Community in Southcentral Texas

2020 ◽  
Vol 21 (1_suppl) ◽  
pp. 118S-123S
Author(s):  
Ronald D. Williams ◽  
Jeff M. Housman ◽  
Jacquelyn D. McDonald
Keyword(s):  
Public Health ◽  
Smoking Cessation ◽  
General Population ◽  
San Francisco ◽  
Tobacco Cessation ◽  
Health Educators ◽  
Community Members ◽  
Time Line ◽  
Participant Recruitment ◽  
Short Time

Studies indicate that tobacco use among lesbian, gay, bisexual, transgender, or queer (LGBTQ) community members is consistently higher than the general population. The Last Drag is a tobacco cessation program developed and implemented in 1991 in San Francisco, California, that has shown promise in assisting LGBTQ members with tobacco cessation. This article describes the practical challenges of adapting The Last Drag to be implemented in a southcentral Texas community. Primary challenges included short time line to expected implementation, issues with culturally insensitive language, and barriers to participant recruitment. Acknowledging and overcoming these challenges can assist public health educators who are addressing tobacco cessation in LGBTQ populations.

scholarly journals Provider Attitudes and Practices on Treating Tobacco Dependence in New York City After 10 years of Comprehensive Tobacco Control Efforts

2021 ◽  
Vol 12 ◽  
pp. 215013272095744
Author(s):  
Elizabeth A. Kilgore ◽  
Elizabeth Needham Waddell ◽  
Kathryn M. Tannert Niang ◽  
Jennifer Murphy ◽  
Sayone Thihalolipavan ◽  
...  
Keyword(s):  
Public Health ◽  
New York ◽  
New York City ◽  
Smoking Cessation ◽  
York City ◽  
Clinical Guidelines ◽  
Tobacco Cessation ◽  
Tobacco Dependence ◽  
Provider Attitudes

To design strategies for provider education and implementation of clinical guidelines, this study investigated how physicians (1) approach tobacco cessation, including barriers to screening and treatment, (2) prioritize tobacco cessation, and (3) perceive the role of public health. Semi-structured focus groups were conducted with 30 New York City physicians across specialties. Physicians reported that they: (1) understand risks of smoking, as well as basic counseling and medications for smoking cessation; (2) do not always follow clinical guidelines for treatment of smoking cessation; (3) prioritize treatment of patients based upon a number of criteria; and (4) see the role of public health and the city health department as separate from the clinical environment, despite population-level interventions to reduce smoking. Physicians understand the importance of treating tobacco dependence, but identified barriers to treatment, some of which are health system-related. Further, patients who do not yet present with smoking-related illness may receive less intense interventions.

scholarly journals Visualizing Health Equity: Qualitative Perspectives on the Value and Limits of Equity Images

2021 ◽  
pp. 109019812199452
Author(s):  
Sarah S. Willen ◽  
Colleen C. Walsh ◽  
Abigail Fisher Williamson
Keyword(s):  
Public Health ◽  
Health Equity ◽  
Systemic Change ◽  
Decision Makers ◽  
Health Educators ◽  
Community Members ◽  
Lower Socioeconomic Status ◽  
Systemic Racism ◽  
Health Crisis ◽  
Lower Socioeconomic

Background Health educators and advocacy groups often use side-by-side visual images to communicate about equity and to distinguish it from equality. Despite the near-ubiquity of these images, little is known about how they are understood by different audiences. Aims To assess the effectiveness of an image commonly used to communicate about health equity. Method In 167 interviews with health stakeholders in Greater Cleveland, Ohio, in 2018 to 2019, a commonly used health equity image was shown to participants, who were asked to interpret its meaning. Interviewees included 21 health professionals, 21 clinicians, 22 metro-wide decision makers, 24 community leaders, and 79 community members. Results About two thirds of our socioeconomically, racial/ethnically, educationally, and professionally diverse sample said the equity image helped clarify the distinction between “equality” and “equity.” Yet less than one third offered an interpretation consistent with the image’s goals of foregrounding not only injustice but also a need for systemic change. Patterns of misinterpretation were especially common among two groups: ideological conservatives and those of lower socioeconomic status. Conservatives were most likely to object to the image’s message. Conclusions Equity images are widely used by public health educators and advocates, yet they do not consistently communicate the message that achieving equity requires systemic change. In this moment of both public health crisis and urgent concern about systemic racism, new visual tools for communicating this crucial message are needed.

scholarly journals A successful population-based smoking cessation program

2003 ◽  
Vol 56 (3-4) ◽  
pp. 120-123
Author(s):  
Jaroslava Hovan-Somborac
Keyword(s):  
Public Health ◽  
Smoking Cessation ◽  
General Population ◽  
Care Facility ◽  
Health Care Facility ◽  
Population Based ◽  
Smoking Cessation Program ◽  
The Third ◽  
Federal Institute ◽  
Local Media

Introduction Our country is in the third place in Europe concerning tobacco smoking. Although strict law regulations regarding indoor smoking have been brought, the law banning all tobacco advertising, and the behaviour of our population are inadequate. Our objective was to persuade smokers for the 'Quit and Win' campaign and to establish the number of smokers in health personnel employed in health facilities. Material and methods This population-based smoking cessation campaign was coordinated by Federal Institute of Public Health, through a network of Public Health Institutes within the country with the support of national and local media. Results and discussion Quit and Win campaign was organized for the third time. The campaign was realized with the financial support and sponsorship at community level throughout the country. The Federal Ministry provided a national health award. The national and local media accompanied the campaign. The campaign included 3.178 smokers and 2.575 supporters, that is 0.1% of the population over 18 years of age. This is in accordance with participants in some other countries, who had a better support. More than 60% of health care facility employees are smokers. Conclusions Our tradition, habits in the society and overall situation encourage smoking habits to spread in general population. Our campaign has proved that people should be motivated to quit smoking, but they need to be informed. Actions taken in general population and based on a positive smoking cessation program in which smokers are willing to stop smoking have given unexpectedly good results.

Illuminating the MPH Health Educator Workforce: Results and Implications of an Employer Survey

2003 ◽  
Vol 30 (6) ◽  
pp. 683-694 ◽  
Author(s):  
Leonard J. Finocchio ◽  
Mary Beth Love ◽  
Emma V. Sanchez
Keyword(s):  
Public Health ◽  
Labor Market ◽  
San Francisco ◽  
San Francisco Bay ◽  
San Francisco Bay Area ◽  
Public Health Workforce ◽  
Local Health ◽  
Health Educators ◽  
Master Of Public Health ◽  
Bay Area

The public health workforce has been studied, but not health educators specifically. The development of a Master of Public Health (MPH) in community health education inspired research to illuminate the San Francisco MPHhealth educator labor market. Atime-series survey of an employer panelwas conducted between 1995 and 1999 regarding the number of MPH health educators on staff, hiring projections, and importance of selected competencies. In the San Francisco Bay Area, there were 4 MPH health educators per 100, 000 persons in 1999. The majority worked in local health departments and community-based organizations. Although hiring was largely replacement in the late 1990s, employers anticipated an increase in hiring from 2000 to 2004. Employers reported that educational preparationw as adequate, although preparationin specific competencies, such as bilingual competence, was lacking. These results suggest a favorable labor market for MPH health educators in the San Francisco Bay Area.

“cool and clean”: does prevention of substance abuse work in sport?

2017 ◽  
Vol 65 (3) ◽  
Keyword(s):  
Public Health ◽  
Substance Abuse ◽  
General Population ◽  
Prevention Programme ◽  
High Expectations ◽  
Positive Effects ◽  
Umbrella Organisation ◽  
International Attention ◽  
National Prevention ◽  
Preventive Effects

There is a strong belief among the general population that sport has positive effects. However, only some preventive effects of sport meet these high expectations. Numerous studies have specifically shown that sport does not protect people from the consumption of legal and illegal drugs such as alcohol, tobacco and cannabis. For this reason, the umbrella organisation of Swiss sports associations (Swiss Olympic), the Federal Office of Sport (FOSPO) and the Federal Office of Public Health (FOPH) teamed up as early as 2003 and launched the “cool and clean” prevention programme. Over the last 14 years, it has developed into Switzerland’s largest national prevention programme and has also attracted international attention. This article summarizes how “cool and clean” works and what the programme achieved so far.

scholarly journals “Stages of change, smoking behavior and acceptability of a textmessaging intervention for tobacco cessation among cigarette, dokha and shishasmokers: A qualitative research study.”

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e029144 ◽  
Author(s):  
Yusra Elhidaia Elobaid ◽  
Andrea Leinberger Jabari ◽  
Aisha Al Hamiz ◽  
Abdul Rizzak Al Kaddour ◽  
Sherif Bakir ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Smoking Cessation ◽  
Focus Group ◽  
United Arab Emirates ◽  
Text Messaging ◽  
Tobacco Cessation ◽  
Text Messages ◽  
Controlled Study ◽  
Focus Group Discussions ◽  
Group Discussions

ObjectivesTo explore: (A) the underlying motivators and barriers to smoking cessation among young Arabic speaking smokers and (B) to examine the suitability and preferences for tobacco cessation interventions (specifically text messages) and study the possibility of enrollment methods for a randomised controlled study using text messages as an intervention for tobacco cessation.DesignQualitative research using focus group discussions and content analysis.Setting(s)Two universities, one of them is the first and foremost comprehensive national university in the United Arab Emirates (UAE). The third setting is the largest hospital in the UAE and the flagship institution for the public health system in the emirate of Abu Dhabi.ParticipantsSix focus group discussions with a total of 57 participants. Forty-seven men and 10 women. Fifty-three of them were current smokers.ResultsThe analysis of six focus groups was carried out. Main themes arose from the data included: preferences for tobacco cessation interventions and acceptability and feasibility of text messaging as tobacco cessation intervention. Different motives and barriers for quitting smoking including shisha and dokha were explored.ConclusionInterventions using text messaging for smoking cessation have not been used in the Middle East and they could potentially be effective; however, tailoring and closely examining the content and acceptability of text messages to be used is important before the conduction of trials involving their use. Social media is perceived to be more effective and influential, with a higher level of penetration into communities of young smokers.

scholarly journals SARS-CoV-2 Seroprevalence among Healthcare Workers in General Hospitals and Clinics in Japan

2021 ◽  
Vol 18 (7) ◽  
pp. 3786
Author(s):  
Tatsuya Yoshihara ◽  
Kazuya Ito ◽  
Masayoshi Zaitsu ◽  
Eunhee Chung ◽  
Izumi Aoyagi ◽  
...  
Keyword(s):  
Public Health ◽  
Social Support ◽  
General Population ◽  
Severe Acute Respiratory Syndrome ◽  
Immunoglobulin G ◽  
Health Problem ◽  
Healthcare Workers ◽  
Public Health Problem ◽  
General Hospitals ◽  
Second Wave

Coronavirus disease 2019 (COVID-19) has become a serious public health problem worldwide. In general, healthcare workers are considered to be at higher risk of COVID-19 infection. However, the prevalence of COVID-19 among healthcare workers in Japan is not well characterized. In this study, we aimed to examine the seroprevalence of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) antibodies among 2160 healthcare workers in hospitals and clinics that are not designated to treat COVID-19 patients in Japan. The prevalence of SARS-CoV-2 immunoglobulin G was 1.2% in August and October 2020 (during and after the second wave of the pandemic in Japan), which is relatively higher than that in the general population in Japan (0.03–0.91%). Because of the higher risk of COVID-19 infection, healthcare workers should be the top priority for further social support and vaccination against SARS-CoV-2.

Complaint-Oriented “Services”: Shelters as Tools for Criminalizing Homelessness

2021 ◽  
Vol 693 (1) ◽  
pp. 264-283
Author(s):  
Chris Herring
Keyword(s):  
Public Health ◽  
San Francisco ◽  
Homeless People ◽  
Public Spaces ◽  
Health Initiatives ◽  
Public Health Initiatives

This article argues that the expansion of shelter and welfare provisions for the homeless can lead to increased criminalization of homeless people in public spaces. First, I document how repression of people experiencing homelessness by the police in San Francisco neighborhoods increased immediately after the opening of new shelters. Second, I reveal how shelter beds are used as a privileged tool of the police to arrest, cite, and confiscate property of the unhoused, albeit in the guise of sanitary and public health initiatives. I conclude by considering how shelters increasingly function as complaint-oriented “services,” aimed at addressing the interests of residents, businesses, and politicians, rather than the needs of those unhoused.

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