A qualitative study examining medical provider advice, barriers, and perceived effectiveness in addressing childhood obesity to patients and families from a low-income community health clinic

Objective: To examine medical provider (n = 16) perceptions in addressing and managing pediatric obesity with a diverse, low-income patient population. Methods: Semi-structured audio-recorded interviews were performed at three pediatric clinics. Transcripts were reviewed using content analysis and consensus was reached among authors for themes. Themes were grouped into categories including: (1) initiation of weight discussions, (2) advice and perceived effectiveness, and (3) barriers. Results: Most providers reported being comfortable addressing weight and use a variety of methods to initiate conversations; however, many challenges were reported, which include limited time and parent misperceptions of child’s weight. A broad range of lifestyle advice was utilized, but preference to discuss physical activity over nutrition was reported. Conclusion: Results suggest that successful management of children’s weight involves addressing issues at both the parent and the provider levels. Improved nutrition resources or training for providers is suggested; however, time must also be available for individualized counseling. Incorporation of registered dietitians may also reduce the burden.

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Validation of the FRESH Austin Food Frequency Questionnaire Using Multiple 24-hour Dietary Recalls

Public Health Nutrition ◽

10.1017/s1368980021002214 ◽

2021 ◽

pp. 1-26

Author(s):

CES Jovanovic ◽

J Whitefield ◽

DM Hoelscher ◽

B Chen ◽

N Ranjit ◽

...

Keyword(s):

Low Income ◽

Food Frequency Questionnaire ◽

Fruits And Vegetables ◽

Health Clinic ◽

Local Health ◽

Food Frequency ◽

Intervention Area ◽

Valid Instrument ◽

Local Health Center ◽

Community Health Clinic

Abstract Objective: The purpose of this study was to examine the validity of a Food Frequency Questionnaire (FFQ) utilized in the Food Retail: Evaluating Strategies for a Healthy Austin (FRESH Austin) study, designed to evaluate changes in the consumption of fruits and vegetables (FV) in diverse low-income communities in Austin, TX. Design: The FRESH Austin FFQ was validated against three 24-hour dietary recalls (24hDRs). All dietary assessments were administered (in-person or by telephone) by trained investigators. Setting: Recruitment was conducted at sites within the geographic areas targeted in the FRESH Austin recruitment. People at a community health clinic, a local health center, and a YMCA within the intervention area were approached by trained and certified data collectors, and invited to participate. Participants: Among n=56 participants, 83% were female, 46% were non-White, 24% had income < $25K/year, and 30% spoke only/mostly Spanish at home. Results: The FFQ and average of three 24hDRs produce similar estimates of average total servings per day across FV (6.68 and 6.40 servings per day, respectively.) Correlations produced measures from 0.01 for “Potatoes” and 0.59 for “Other Vegetables”. Mean Absolute Percentage Errors (MAPE) values were small for all FV, suggesting the variance of the error estimates were also small. Bland-Altman plots indicate acceptable levels of agreement between the two methods. Conclusion: These outcomes indicate that the FRESH FFQ is a valid instrument for assessing FV consumption. The validation of the FRESH Austin FFQ provides important insights for evaluating community-based efforts to increase FV consumption in diverse populations.

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Assessment of Patient Interest and Preferences for a Nutrition Education and Counseling Program at a Diverse Low-Income Community Health Clinic

Journal of the Academy of Nutrition and Dietetics ◽

10.1016/j.jand.2017.06.345 ◽

2017 ◽

Vol 117 (9) ◽

pp. A17

Author(s):

L. Sastre

Keyword(s):

Community Health ◽

Nutrition Education ◽

Low Income ◽

Health Clinic ◽

Counseling Program ◽

Community Health Clinic

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Acceptance of a COVID-19 Vaccine in Japan during the COVID-19 Pandemic

Vaccines ◽

10.3390/vaccines9030210 ◽

2021 ◽

Vol 9 (3) ◽

pp. 210

Author(s):

Masaki Machida ◽

Itaru Nakamura ◽

Takako Kojima ◽

Reiko Saito ◽

Tomoki Nakaya ◽

...

Keyword(s):

Low Income ◽

Multiple Logistic Regression Analysis ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Internet Survey ◽

Protective Measure ◽

Attitudes And Beliefs ◽

Perceived Effectiveness ◽

Cross Sectional ◽

Vaccine Acceptance

Vaccination could be a key protective measure against coronavirus disease 2019 (COVID-19), and it is important to understand the acceptability of the COVID-19 vaccine among the general public. However, there is no study on the acceptance of a COVID-19 vaccine in Japan. Therefore, this study aimed to describe the COVID-19 vaccine acceptance and hesitancy situation in Japan and assess the factors associated with such issues. This was a cross-sectional study based on an internet survey completed by 2956 people. Participants were asked to indicate how likely they were to get vaccinated for COVID-19. In addition, the participants responded to questions regarding sociodemographic factors, attitudes, and beliefs regarding COVID-19 infection and vaccination. The proportion of participants with a high likelihood of getting a COVID-19 vaccine was 62.1%. Multiple logistic regression analysis showed that vaccine acceptance was lower among several sociodemographic groups, such as women, adults aged 20–49 years, and those with a low-income level. Several psychological factors, especially the perceived effectiveness of the COVID-19 vaccine, and willingness to protect others by getting oneself vaccinated, were associated with vaccine acceptance. Our results indicate that the perceived effectiveness of the vaccine and willingness to protect others may play an important role in the acceptance of the COVID-19 vaccine.

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Uptake of Primary Care Services and HIV and Syphilis Infection among Transgender Women attending the Tangerine Community Health Clinic, Bangkok, Thailand, 2016 – 2019

Journal of the International AIDS Society ◽

10.1002/jia2.25683 ◽

2021 ◽

Vol 24 (6) ◽

Author(s):

Frits Griensven ◽

Rena Janamnuaysook ◽

Oranuch Nampaisan ◽

Jitsupa Peelay ◽

Kritima Samitpol ◽

...

Keyword(s):

Primary Care ◽

Community Health ◽

Transgender Women ◽

Health Clinic ◽

Syphilis Infection ◽

Care Services ◽

Primary Care Services ◽

Community Health Clinic

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Sistem Informasi Geografis Pemantauan Status Gizi Balita di Kabupaten Lombok Barat untuk Pemeringkatan Daerah Rawan Gizi dengan Menggunakan Metode Analytical Hierarchy Process

Journal of Computer Science and Informatics Engineering (J-Cosine) ◽

10.29303/jcosine.v5i1.80 ◽

2021 ◽

Vol 5 (1) ◽

pp. 1-8

Author(s):

Sri Endang Arjarwani ◽

Qori amalia Fitrasani ◽

Ida Bagus Ketut Widiartha

Keyword(s):

Analytical Hierarchy Process ◽

System Development ◽

Health Clinic ◽

The Public ◽

Public Health Office ◽

Status Information ◽

Waterfall Model ◽

Strongly Agree ◽

Community Health Clinic ◽

Hierarchy Process

This research was triggered by the increasing number of malnutrition cases in West Lombok Regency that caused the mortality rate of children under five years old is also increasing. This research is aimed to provide the malnutrition status information and other related nutritional information, also to let the citizen send their feedbacks to the Public Health Office and Community Health Clinic. This system was built with waterfall model as its System Development Method and Analytical Hierarchy Process (AHP) method to determine the nutritional areas. This system was tested with blackbox, whitebox and MOS. Whitebox was used to test the Analytical Hierarchy Process and the result was corresponding to the manually done calculation. Meanwhile the testing using blackbox showed that the system has been running well. The testing using MOS showed that the average assessment of public respondents to the system stated strongly agree, agree and fair were 39.04%, 55.24%, and 5.72% respectively

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Provider fidelity and modifications to cognitive processing therapy in a diverse community health clinic: Associations with clinical change.

Journal of Consulting and Clinical Psychology ◽

10.1037/ccp0000384 ◽

2019 ◽

Vol 87 (4) ◽

pp. 357-369 ◽

Cited By ~ 21

Author(s):

Luana Marques ◽

Sarah E. Valentine ◽

Debra Kaysen ◽

Margaret-Anne Mackintosh ◽

Louise E. Dixon De Silva ◽

...

Keyword(s):

Community Health ◽

Cognitive Processing ◽

Health Clinic ◽

Cognitive Processing Therapy ◽

Clinical Change ◽

Diverse Community ◽

Community Health Clinic

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Knowledge, attitudes, and beliefs about seasonal influenza and H1N1 vaccinations in a low-income, public health clinic population

Vaccine ◽

10.1016/j.vaccine.2011.10.050 ◽

2012 ◽

Vol 30 (2) ◽

pp. 454-458 ◽

Cited By ~ 11

Author(s):

Matthew D. Redelings ◽

Jennifer Piron ◽

Lisa V. Smith ◽

Amy Chan ◽

Julia Heinzerling ◽

...

Keyword(s):

Public Health ◽

Low Income ◽

Seasonal Influenza ◽

Health Clinic ◽

Attitudes And Beliefs ◽

Clinic Population ◽

Public Health Clinic

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The Effect of Parents' Insurance Coverage on Access to Care for Low-Income Children

INQUIRY The Journal of Health Care Organization Provision and Financing ◽

10.5034/inquiryjrnl_40.3.254 ◽

2003 ◽

Vol 40 (3) ◽

pp. 254-268 ◽

Cited By ~ 26

Author(s):

Amy Davidoff ◽

Lisa Dubay ◽

Genevieve Kenney ◽

Alshadye Yemane

Keyword(s):

Access To Care ◽

Low Income ◽

Insurance Coverage ◽

Spillover Effects ◽

Medical Provider ◽

Low Income Children ◽

Point Reduction ◽

Percentage Points ◽

Well Child Visit ◽

Child Visit

This study examines the effects of having an uninsured parent on access to health care for low-income children. Using data from the 1999 National Survey of America's Families, we find that having an uninsured parent decreases the likelihood that a child will have any medical provider visit by 6.5 percentage points, and decreases the likelihood of a well-child visit by 6.7 percentage points. Estimates for low-income children who have insurance but have an uninsured parent indicate a 4.1 percentage-point reduction in the probability of having any medical provider visit, and a similar 4.2 percentage-point reduction in the probability of having a well-child visit relative to those with insured parents. The effects of having an uninsured parent are smaller in magnitude than the effects of a child being uninsured. Efforts to increase insurance coverage of parents, either by extending eligibility for public insurance or through other policy interventions, will have positive spillover effects on access to care for children. Although the magnitude of these effects is small relative to the direct effect of providing insurance to either the child or parent, they should be considered in analyses of costs and benefits of proposed policies.

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Knowledge, attitudes and potential response to menu labelling in an urban public health clinic population

Public Health Nutrition ◽

10.1017/s1368980009991303 ◽

2009 ◽

Vol 13 (4) ◽

pp. 550-555 ◽

Cited By ~ 15

Author(s):

Jennifer Piron ◽

Lisa V Smith ◽

Paul Simon ◽

Patricia L Cummings ◽

Tony Kuo

Keyword(s):

Public Health ◽

Los Angeles ◽

Low Income ◽

Fast Food ◽

Health Clinic ◽

Potential Response ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Clinic Population ◽

Public Health Clinic

AbstractObjectiveThe present study examines the receptivity to and potential effects of menu labelling on food choices of low-income and minority individuals – a group often at disproportionate risk for preventable, lifestyle-related health conditions (e.g. obesity, diabetes and CVD).DesignWe conducted a cross-sectional survey to examine the knowledge, attitudes and potential response to menu labelling in an urban public health clinic population.SettingUnited States.SubjectsA total of 639 clinic patients were recruited in the waiting rooms of six, large public health centres in Los Angeles County (2007–2008). These centres provide services to a largely uninsured or under-insured, low-income, Latino and African-American population.ResultsAmong those approached and who met eligibility criteria, 88 % completed the survey. Of the 639 respondents, 55 % were overweight or obese based on self-reported heights and weights; 74 % reported visiting a fast food restaurant at least once in the past year, including 22 % at least once a week; 93 % thought that calorie information was ‘important’; and 86 % thought that restaurants should be required to post calorie information on their menu boards. In multivariate analyses, respondents who were obese, female, Latino and supportive of calorie postings were more likely than others to report that they would choose food and beverages with lower calories as a result of menu labelling.ConclusionsThese findings suggest that clinic patients are receptive to this population-based strategy and that they would be inclined to change their food selections in response to menu labelling.

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