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Article ; Online: Influence of Spirituality, HIV Stigma and Education on HIV Knowledge in Rural African American Congregants in the Deep South: Additional Findings from Project FAITHH.

Cody, Shameka L / Paxton, Raheem J / Woodard, Hannah / Payne-Foster, Pamela

Journal of healthcare, science and the humanities

2023 Volume 11, Issue 1, Page(s) 259–274

Abstract: HIV incidence has shifted racially and geographically in the United States and now represents higher proportions of African Americans living in the Rural South. Lower levels of HIV knowledge may be the culprit behind the increasing HIV rates observed in ... ...

Abstract	HIV incidence has shifted racially and geographically in the United States and now represents higher proportions of African Americans living in the Rural South. Lower levels of HIV knowledge may be the culprit behind the increasing HIV rates observed in the Rural South. The purpose of this study was to investigate the individual and joint correlates of HIV knowledge in a sample of rural African Americans. Baseline data from a faith-based anti-stigma intervention (Project FAITHH, N= 210) was used to assess associations between sociodemographic characteristics, spirituality, stigma, and HIV knowledge scores. Associations were examined with recursive partitioning. Statistical significance was determined at P< 0.05 with a two-sided test. Recursive partitioning revealed five distinct groups based on the data. HIV knowledge scores were highest among participants who attended some college (P < 0.001) with lower levels of individual stigma (P < 0.001). HIV knowledge scores were lowest among less educated individuals (P < 0.001) who had lower levels of perceived community stigma (P = 0.002). Future interventions designed to improve HIV knowledge in rural African Americans should consider tailoring content to those who have the greatest deficits in HIV knowledge, which may be based on perceived community stigma and education levels.
Language	English
Publishing date	2023-02-16
Publishing country	United States
Document type	Journal Article
ISSN	2159-8819
ISSN (online)	2159-8819
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Increased dietary fiber is associated with weight loss among Full Plate Living program participants.

Kelly, Rebecca K / Calhoun, Janet / Hanus, Amy / Payne-Foster, Pamela / Stout, Ron / Sherman, Bruce W

Frontiers in nutrition

2023 Volume 10, Page(s) 1110748

Abstract: Introduction: Prior studies have demonstrated that an intake of foods rich in dietary fiber is associated with a favorable impact on health status and body weight. However, the association between fiber intake and weight loss has not been well-studied ... ...

Abstract	Introduction: Prior studies have demonstrated that an intake of foods rich in dietary fiber is associated with a favorable impact on health status and body weight. However, the association between fiber intake and weight loss has not been well-studied in employer settings. This research aimed to assess the relationship between dietary fiber and weight loss among individuals participating in the Full Plate Living (FPL) program. Methods: The 16-week plant-predominant fiber-rich eating program was delivered to 72 employers, primarily in the Southwest U.S., over 3 years (2017-2019). Participants received weekly video lessons, FPL materials, and additional online resources. A retrospective analysis of repeated measures was conducted using participant data obtained from 4,477 participants, of which 2,792 (62.5%) reduced body weight. Analysis of variance with Results: The mean weight loss for the weight loss group was 3.28 kg. As compared to the two other groups, the intake of whole fiber-rich foods at follow-up was significantly higher among the weight loss group with fruits (2.45 servings), vegetables (2.99 servings), beans (1.03 servings), and total fiber composites (9.07 servings; Discussion: Our findings indicate that the FPL program can be a part of a lifestyle medicine approach to healthy eating and weight loss. Delivering the program in clinical, community, and workplace settings can increase its reach as an effective and low-cost offering.
Language	English
Publishing date	2023-04-17
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2776676-7
ISSN	2296-861X
ISSN	2296-861X
DOI	10.3389/fnut.2023.1110748
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Article ; Online: Integrating Workforce Health Into Employer Diversity, Equity and Inclusion Efforts.

Sherman, Bruce W / Kelly, Rebecca K / Payne-Foster, Pamela

American journal of health promotion : AJHP

2020 Volume 35, Issue 5, Page(s) 609–612

Abstract: Our collective experience with COVID-19 and Black Lives Matter has heightened awareness of deeply embedded racial and socioeconomic disparities in American businesses. This time, perhaps, sustained change is within reach. As organizations advance ... ...

Abstract	Our collective experience with COVID-19 and Black Lives Matter has heightened awareness of deeply embedded racial and socioeconomic disparities in American businesses. This time, perhaps, sustained change is within reach. As organizations advance diversity, equity and inclusion (DEI) initiatives, an often overlooked focus of is the health status of employees and their families, where equitable access to high-value health benefits offerings should be available to all. This commentary provides guidance for employers to expand their DEI initiatives to include employee and family health and well-being as a central outcome measure. Employers should ensure that DEI efforts incorporate equitable benefits design, and objectively assess benefit design impact on healthcare utilization and cost. Additionally, employers must appreciate the workplace as a significant determinant of health-for lower income workers, in particular-with review of policies and practices to mitigate any discriminatory negative health or well-being impact. Further, race and ethnicity data should be incorporated in health benefits data analysis to understand more clearly the differential outcomes of health management offerings on these different sub-populations. Finally, social needs data should be incorporated into strategic benefits planning to better understand gaps and opportunities to foster greater benefits equity. The provided recommendations can support employer goals of achieving greater equity and value in workforce health, measurably contributing to business success.
MeSH term(s)	COVID-19 ; Health Equity ; Health Status Disparities ; Healthcare Disparities ; Humans ; Occupational Health ; Organizational Culture ; SARS-CoV-2 ; United States ; Workforce ; Workplace
Language	English
Publishing date	2020-12-23
Publishing country	United States
Document type	Journal Article
ZDB-ID	645160-3
ISSN	2168-6602 ; 0890-1171
ISSN (online)	2168-6602
ISSN	0890-1171
DOI	10.1177/0890117120983288
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Article ; Online: Telehealth uptake among middle-aged and older Americans during COVID-19: chronic conditions, social media communication, and race/ethnicity.

Choi, Shinae L / Hites, Lisle / Bolland, Anneliese C / Lee, Jiyoung / Payne-Foster, Pamela / Bissell, Kimberly

Aging & mental health

2022 Volume 28, Issue 1, Page(s) 160–168

Abstract: Objectives: This study investigated whether and to what extent constructs of the protection motivation theory of health (PMT)-threat appraisal (perceived vulnerability/severity) and coping appraisal (response efficacy and self-efficacy)-are related to ... ...

Abstract	Objectives: This study investigated whether and to what extent constructs of the protection motivation theory of health (PMT)-threat appraisal (perceived vulnerability/severity) and coping appraisal (response efficacy and self-efficacy)-are related to telehealth engagement during the COVID-19 pandemic, and how these associations differ by race/ethnicity among middle-aged and older Americans. Methods: Data were from the 2020 Health and Retirement Study. Multivariable ordinary least-squares regression analyses were computed adjusting for health and sociodemographic factors. Results: Some PMT constructs are useful in understanding telehealth uptake. Perceived vulnerability/severity, particularly comorbidity ( Conclusion: Results suggest the potential of using social media and telehealth to narrow health disparities, particularly serving as a bridge for members of underserved communities to telehealth uptake.
MeSH term(s)	Humans ; United States ; Middle Aged ; Aged ; Ethnicity ; COVID-19/epidemiology ; Social Media ; Pandemics ; Black or African American ; Chronic Disease ; Communication ; Telemedicine ; White
Language	English
Publishing date	2022-11-30
Publishing country	England
Document type	Journal Article
ZDB-ID	1474804-6
ISSN	1364-6915 ; 1360-7863
ISSN (online)	1364-6915
ISSN	1360-7863
DOI	10.1080/13607863.2022.2149696
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Article ; Online: Health Benefits of a 16-Week Whole Food, High Fiber, Plant Predominant Diet among U.S. Employees.

Kelly, Rebecca / Hanus, Amy / Payne-Foster, Pamela / Calhoun, Janet / Stout, Ron / Sherman, Bruce W

American journal of health promotion : AJHP

2022 Volume 37, Issue 2, Page(s) 168–176

Abstract: Purpose: To assess improvements in eating behaviors and health measures among adults participating in a whole food plant predominant diet, Full Plate Living (FPL) program.: Design: Retrospective, post hoc analysis of self-reported 16-week pre-post ... ...

Abstract	Purpose: To assess improvements in eating behaviors and health measures among adults participating in a whole food plant predominant diet, Full Plate Living (FPL) program. Design: Retrospective, post hoc analysis of self-reported 16-week pre-post participant data obtained over a 3 year program period (2017-19). Setting: Wellness offering for employees in Southwest U.S. Subjects: Of 6,820 enrollees, 4,477 completed the program, further segmented by generational cohorts. Intervention: FPL program materials and weekly online video lessons. Measures: Baseline and follow-up measures included eating behaviors, self-perceived health status and energy, body weight, and confidence in healthy eating and weight loss. Analysis: Paired t-tests were used to examine changes in eating behaviors and health measures. Mixed-effects models were used to examine whether changes among generational cohorts differed. Results: Significant pre-post improvements were demonstrated for all measures, including servings of fruits (1.54 to 2.34), vegetables (2.05 to 2.87), beans (.63 to .99), and weight loss (3.5) ( Conclusion: The FPL healthy eating approach has a beneficial impact on health measures across generational cohorts, and may be an effective addition to lifestyle medicine and corporate wellness offerings. Longer-term program evaluation is warranted.
MeSH term(s)	Adult ; Humans ; Retrospective Studies ; Diet ; Feeding Behavior ; Life Style ; Weight Loss ; Health Promotion
Language	English
Publishing date	2022-07-19
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	645160-3
ISSN	2168-6602 ; 0890-1171
ISSN (online)	2168-6602
ISSN	0890-1171
DOI	10.1177/08901171221116066
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Article ; Online: The health of rural Black communities during COVID: Some affirmations, some surprises.

Newman, Sharlene D / Moss, Kimberly / Pichon, Melonie / Scott, Deborah / Rogers, Kileema / Orr, Angela / Bui, Chuong / Payne-Foster, Pamela

Frontiers in public health

2023 Volume 11, Page(s) 932451

Abstract: Background and objective: There are overwhelming health disparities in the Deep South. It is important to include the voice of communities affected by these disparities when developing interventions. The goal of the current study was to develop an ... ...

Abstract	Background and objective: There are overwhelming health disparities in the Deep South. It is important to include the voice of communities affected by these disparities when developing interventions. The goal of the current study was to develop an academic community engaged partnership to strengthen the ability to address priority health concerns of rural African American communities with a focus on health literacy and health advocacy. Methods: A community-based participatory research approach was used to administer a 15-item community health survey in five rural communities led by African American mayors in Alabama ( Results: The five communities demonstrated similarities as well as differences in both the health concerns endorsed and the potential health behaviors that may contribute to those concerns. All five communities identified cardiovascular disease as a health concern with three endorsing mental health issues and 2 dental health. With respect to behaviors, all five communities identified either unhealthy eating/exercise and substance use as concerns with one community identifying racism as a risky behavior affecting health. Conclusion: The results presented replicate CBPR studies demonstrating that communities are important sources of information about local health priorities and concerns.
MeSH term(s)	Humans ; Rural Population ; COVID-19/epidemiology ; Health Behavior ; Black or African American ; Exercise
Language	English
Publishing date	2023-04-13
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2023.932451
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Article ; Online: Left behind in the U.S.' Deep South: Addressing critical gaps in HIV and intimate partner violence prevention efforts targeting Black women.

Johnson, Karen A / Binion, Stefanie / Waller, Bernadine / Sutton, Amber / Wilkes, Sherron / Payne-Foster, Pamela / Carlson, Catherine

Frontiers in reproductive health

2022 Volume 4, Page(s) 1008788

Language	English
Publishing date	2022-11-25
Publishing country	Switzerland
Document type	Journal Article
ISSN	2673-3153
ISSN (online)	2673-3153
DOI	10.3389/frph.2022.1008788
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Article ; Online: Community Perspectives and Environmental Justice Issues in an Unincorporated Black Township.

Moore, Teriana / Payne-Foster, Pamela / Oliver, JoAnn S / Spears, Ellen Griffith / Spencer, Christopher H / Maye, Jacqueline / Allen, Rebecca S

International journal of environmental research and public health

2022 Volume 19, Issue 12

Abstract: Through each era, the southeastern United States was and continues to be an epicenter for industrial companies to establish factories and plants. Though this development attracts economic gain for the companies and surrounding areas, low-income and ... ...

Abstract	Through each era, the southeastern United States was and continues to be an epicenter for industrial companies to establish factories and plants. Though this development attracts economic gain for the companies and surrounding areas, low-income and predominantly Black communities bear the brunt of the environmental consequences while frequently remaining stagnant economically. This qualitative, community-based participatory research study grew out of a larger study designed to recruit lay community advisors from communities labeled as hard to reach in research. We focus on Holt, Alabama, an unincorporated community in the southeastern United States region. The primary goal of this research inquiry is to thematically analyze community interviews stemming from a topic of research, practice, and policy interest to community members: the effects of industrial pollution on Holt citizens' daily lives. Content analysis of focus-group transcripts revealed four emergent themes, including: (1) how the pollution affects their water, soil, and air quality; (2) illness related to pollution; (3) community engagement and empowerment; and (4) suggestions regarding what government officials could do to address this area of need. Building upon the prior research regarding environmental justice, human flourishing, and the definition of nurturing environments, suggestions are made regarding the creation, implementation, and maintenance of project advisory councils focused on issues of environmental justice. Community advocacy and empowerment as well as community and scientific partnerships are imperative to alleviate problems associated with environmental justice.
MeSH term(s)	Air Pollution ; Community-Based Participatory Research ; Environmental Justice ; Environmental Pollution ; Humans ; Social Justice
Language	English
Publishing date	2022-06-18
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph19127490
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Article ; Online: HIV Knowledge among African Americans Living with HIV in the Rural South: Implications for Improving HIV Prevention and Care Outcomes.

Aduloju-Ajijola, Natasha / Oyerinde, Ifeoluwa Abosede / Gaul, Zaneta J / Gaskins, Susan / Sutton, Madeline Y / Cody, Shameka L / Johnson, Karen / Mugoya, George C T / Payne-Foster, Pamela

Journal of racial and ethnic health disparities

2023 Volume 11, Issue 1, Page(s) 364–370

Abstract: Purpose: This study examines the HIV knowledge of people living with HIV (PLWH) and its implications for improved healthcare outcomes.: Methods: The study design was a descriptive cross-sectional study, and a total of 41 PLWH were recruited from a ... ...

Abstract	Purpose: This study examines the HIV knowledge of people living with HIV (PLWH) and its implications for improved healthcare outcomes. Methods: The study design was a descriptive cross-sectional study, and a total of 41 PLWH were recruited from a larger faith-based anti-stigma study. Data was collected using a semi-structured self-administered questionnaire and analyzed using SAS. In addition, a literature review was conducted using search engines to gauge existing literature from 2013 to 2022 in areas of HIV knowledge and healthcare outcomes among PLWH. Results: The 41 PLWH enrolled consisted of 51% males and 49% females. Sixteen (39%) were aged ≥ 51 years, 17 (41%) had been living with HIV for > 10 years, 15 (37%) had < high school diploma, and 100% were currently in HIV care. HIV knowledge scores were below average for 20 (49%) of the PLWH. Substantial knowledge deficits were noted in areas of HIV transmission and risk reduction strategies. Lower scores were not significantly associated with the participant's gender, education level, or length of time being HIV-infected. The results of the literature review showed limited research in this area. Conclusions: The study and literature review results show that HIV knowledge and health literacy may contribute to racial disparities in retention in care leading to poor health outcomes. Healthcare providers and health facilities in rural areas should be equipped with culturally tailored HIV educational tools to strengthen ongoing care for PLWH, foster patient-provider relationships, and eliminate internalized stigma detrimental to improved healthcare outcomes among PLWH.
MeSH term(s)	Female ; Humans ; Male ; Black or African American ; Cross-Sectional Studies ; HIV Infections/epidemiology ; Social Stigma ; Health Knowledge, Attitudes, Practice ; Middle Aged ; Rural Population
Language	English
Publishing date	2023-02-01
Publishing country	Switzerland
Document type	Review ; Journal Article
ZDB-ID	2760524-3
ISSN	2196-8837 ; 2197-3792
ISSN (online)	2196-8837
ISSN	2197-3792
DOI	10.1007/s40615-023-01524-6
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Article ; Online: Church Leaders Share and Implement Solution-Focused Health Strategies During the COVID-19 Pandemic in Rural Alabama.

Allen, Rebecca S / McIntyre, Alissa C / Oliver, JoAnn S / Payne-Foster, Pamela / Cox, Brian S / Hay-McCutcheon, Marcia J / Wilson, Loretta / Spencer, Christopher / Lee, Hee Yun

Journal of racial and ethnic health disparities

2023

Abstract: Bridging the healthcare access gap and addressing COVID-19 vaccine hesitancy among rural-dwelling Black American adults residing in the Deep South require involvement of faith-based leaders in the community. This study explored perceived barriers and ... ...

Abstract	Bridging the healthcare access gap and addressing COVID-19 vaccine hesitancy among rural-dwelling Black American adults residing in the Deep South require involvement of faith-based leaders in the community. This study explored perceived barriers and resources to meeting community needs, including vaccination, during the COVID-19 pandemic as reported by 17 Black American church leaders in the rural West Alabama Black Belt geographic region in May 2022. The main themes that emerged included (1) attending to community impact of COVID-19 illness and death; (2) maximizing health literacy and diminishing vaccine hesitancy through engaging in preventive health practices and sharing public health information; (3) addressing challenges created or exacerbated by COVID-19, including reduction in in-person attendance (particularly among adolescents and young adults), limited access to and literacy with technology, and political perceptions influencing engagement in preventive health behaviors; (4) maximizing technological solutions to increase attendance in the church; and (5) engaging in solution-focused and innovative initiatives to meet the identified needs in the congregation and community. Church leaders in West Alabama rural areas facing economic, health, and technological disparities identified "silver linings" as well as challenges created or exacerbated during the pandemic. As the need for COVID-19 vaccination and booster vaccination continues, Black American church leaders play pivotal roles in meeting rural community needs.
Language	English
Publishing date	2023-12-04
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2760524-3
ISSN	2196-8837 ; 2197-3792
ISSN (online)	2196-8837
ISSN	2197-3792
DOI	10.1007/s40615-023-01873-2
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