Identifying barriers to chronic disease reporting in Chicago Public Schools: a mixed-methods approach.

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Identifying barriers to chronic disease reporting in Chicago Public Schools: a mixed-methods approach.

BMC Public Health. 2014 Dec 6;14(1):1250

Authors: Rivkina V, Tapke DE, Cardenas LD, Harvey-Gintoft B, Whyte SA, Gupta RS

Abstract
BACKGROUND: Chronic disease among school-aged children is a public health concern, particularly for asthma and food allergy. In Chicago Public Schools (CPS), rates of asthma and food allergy among students are underreported. The aim of this study was to determine the barriers to chronic disease reporting as experienced by CPS parents and school nurses.
METHODS: A mixed-methods approach included focus groups and key informant interviews with parents and school nurses, and a cross-sectional survey was completed by parents. Qualitative data analysis was performed and survey data were analyzed to determine the significant demographic and knowledge variables associated with successfully completing the reporting process.
RESULTS: The three main barriers identified were 1) a lack of parental process knowledge; 2) limited communication from schools; and 3) insufficient availability of school nurses. Parents were significantly more likely to successfully complete the reporting process if they knew about special accommodations for chronic diseases, understood the need for physician verification, and/or knew the school nurse.
CONCLUSIONS: These findings suggest that increasing parental knowledge of the reporting process will allow schools to better identify and manage their students’ chronic conditions. A parent-focused intervention informed by these results has been completed.

PMID: 25481628 [PubMed – as supplied by publisher]

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Female-to-Male Transmasculine Adult Health: A Mixed-Methods Community-Based Needs Assessment.

Female-to-Male Transmasculine Adult Health: A Mixed-Methods Community-Based Needs Assessment.

J Am Psychiatr Nurses Assoc. 2013 Aug 20;

Authors: Reisner SL, Gamarel KE, Dunham E, Hopwood R, Hwahng S

Abstract
BACKGROUND: There is a dearth of health research about transgender people.
OBJECTIVES: This mixed-methods study sought to formatively investigate the health and perceived health needs of female-to-male transmasculine adults.
DESIGN: A cross-sectional quantitative needs assessment (n = 73) and qualitative open-ended input (n = 19) were conducted in June 2011. A latent class analysis modeled six binary health indicators (depression, alcohol use, current smoking, asthma, physical inactivity, overweight status) to identify clusters of presenting health issues.
RESULTS: Four clusters of health indicators emerged: (a) depression; (b) syndemic (all indicators); (c) alcohol use, overweight status; and (d) smoking, physical inactivity, overweight status. Transphobic discrimination in health care and avoiding care were each associated with membership in the syndemic class. Qualitative themes included personal health care needs, community needs, and resilience and protective factors.
CONCLUSIONS: Findings fill an important gap about the health of transmasculine communities, including the need for public health efforts that holistically address concomitant health concerns.

PMID: 23963876 [PubMed – as supplied by publisher]

View full post on pubmed: asthma