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  1. Article ; Online: From art to health action: lessons from a community-based, culturally tailored arts-meets-health educational campaign in Hispanic communities.

    Urich, Thomas J / Lee, Woori / Po, Justine / Bookstein, Arthur / Barahona, Rosa / Baezconde-Garbanati, Lourdes

    Frontiers in public health

    2024  Volume 12, Page(s) 1385916

    Abstract: Introduction: Robust digital and community-led approaches are needed to combat health misinformation, as highlighted by the COVID-19 pandemic. Such gaps in public health outreach, compounded by systemic health barriers, contributed to higher rates of ... ...

    Abstract Introduction: Robust digital and community-led approaches are needed to combat health misinformation, as highlighted by the COVID-19 pandemic. Such gaps in public health outreach, compounded by systemic health barriers, contributed to higher rates of COVID-19 infection, mortality, and mental health effects among Hispanics during the peak of the pandemic. Thus, we conducted a community-based art-meets-health intervention [Stay Connected Los Angeles (SCLA)] to address the impacts of the COVID-19 pandemic in Hispanic communities.
    Methods: Led by local artists in collaboration with public health specialists and community members, SCLA used multimedia to promote infection mitigation behaviors and psychological well-being among the 120,000 residents of Eastern Los Angeles. Campaign materials were designed with input from community representatives and included digital media, large-scale murals, and comic-book style pieces. Two semi-structured focus groups (one in English and another in Spanish) were conducted to solicit participants' views on attributes of the campaign. Independent coders analyzed transcripts and applied thematic analysis to summarize key learnings regarding central health and mitigation messages, media modalities, how health information would be communicated, and the ideal spokespersons for delivering health-related messages.
    Results: Focus group participants emphasized the effectiveness of social media, GIFs, and references to popular media. Further, youth involvement in the creative process was deemed to be important. Participants highlighted the need for clarity in public health messaging and adaptation of visual campaigns to the preferences of diverse age groups through different art styles. Finally, community leaders were found to be critical health information sources.
    Discussion: As a model of a culturally tailored arts-meets health public education campaign, SCLA yielded valuable information on how to structure future public health messaging and media to create a meaningful improvement in health knowledge, mental well-being, and compliance with mitigation behaviors in communities that are often overlooked. Contributions from local artists can heighten appeal and acceptability of messages.
    MeSH term(s) Humans ; Hispanic or Latino/psychology ; Los Angeles ; Male ; COVID-19/prevention & control ; Female ; Adult ; Art ; Health Promotion/methods ; Health Education/methods ; Focus Groups ; Middle Aged
    Language English
    Publishing date 2024-04-12
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2024.1385916
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Monitoring Adolescents' Receipt of Time Alone From Two National Surveys.

    Adams, Sally H / Po, Justine / Jane Park, M / Irwin, Charles E

    The Journal of adolescent health : official publication of the Society for Adolescent Medicine

    2020  Volume 68, Issue 1, Page(s) 79–85

    Abstract: Purpose: Despite professional endorsement and research supporting time alone with a clinician for adolescents, low rates and disparities persist. The purpose of the present analysis was to provide detailed monitoring of time alone estimates in two ... ...

    Abstract Purpose: Despite professional endorsement and research supporting time alone with a clinician for adolescents, low rates and disparities persist. The purpose of the present analysis was to provide detailed monitoring of time alone estimates in two national surveys that assess time alone for adolescents aged 12-17 years: the National Survey of Children's Health (NSCH) and the Medical Expenditure Panel Survey (MEPS).
    Methods: Time alone assessments in the NSCH and the MEPS have different definitions. The NSCH assessed time alone within the most recent preventive visit, and the MEPS assessed it within the most recent health care visit. We analyzed these within the subsample of 12- to 17-year-olds who had any past-year preventive visit: MEPS 2016-2017, n = 2,689; and NSCH 2016-2017, n = 24,085. We developed time alone estimates for full and subgroup samples and conducted multivariable logistic regressions to determine differences by age, sex, race/ethnicity, income, insurance, and region.
    Results: Overall time alone receipt was 49% (NSCH) and 29% (MEPS). Overall rates are not comparable because their definitions differ. Some subgroup differences were similar across datasets: younger adolescents (p < .01) and females (p < .05) had lower rates.
    Conclusions: Among adolescents with a past-year preventive visit, time alone rates are low. Lower rates for females versus males and younger versus older adolescents persist. Detailed monitoring results can help to shape promising strategies including clinic-based interventions, such as provider training and educating parents, in efforts to improve the provision of time alone in clinical practice.
    MeSH term(s) Adolescent ; Adolescent Health Services ; Child ; Female ; Health Care Surveys ; Health Expenditures ; Humans ; Income ; Logistic Models ; Male ; Preventive Health Services ; United States
    Language English
    Publishing date 2020-07-02
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 1063374-1
    ISSN 1879-1972 ; 1054-139X
    ISSN (online) 1879-1972
    ISSN 1054-139X
    DOI 10.1016/j.jadohealth.2020.05.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Lean Management and U.S. Public Hospital Performance: Results From a National Survey.

    Po, Justine / Rundall, Thomas G / Shortell, Stephen M / Blodgett, Janet C

    Journal of healthcare management / American College of Healthcare Executives

    2019  Volume 64, Issue 6, Page(s) 363–379

    Abstract: Executive summary: Many public hospitals have adopted Lean management methodology, but little is known about the extent of Lean adoption or the relationship between Lean adoption and hospital performance. Using data from the 2017 National Survey of Lean/ ...

    Abstract Executive summary: Many public hospitals have adopted Lean management methodology, but little is known about the extent of Lean adoption or the relationship between Lean adoption and hospital performance. Using data from the 2017 National Survey of Lean/Transformational Performance Improvement in Hospitals, linked with data from the American Hospital Association 2015 Annual Hospital Survey and 2015 Centers for Medicare & Medicaid Services data on hospital performance, we compare public hospitals with nonprofit and for-profit hospitals on the rate of Lean adoption and the extent of Lean implementation. We also assess the associations between Lean adoption by the end of 2014 and measures of public hospital financial performance, patient outcomes, and patient satisfaction measured in 2015.Among the 288 public hospitals that responded to the survey, 54.2% reported that they had adopted Lean. The average length of time of Lean implementation was 4.58 years. The mean number of units in which Lean was implemented was 11.9 out of 29 possible hospital units, with the emergency department (ED) being the unit in which Lean was most frequently implemented. The most common Lean practices used were daily huddles, plan-do-study-act cycles, visual management, and use of standard work. Lean adoption by 2014 was significantly associated in the direction predicted with earnings before interest, taxes, depreciation, and amortization margin (b = .042, p < .020) and percentage of patients leaving the ED without being seen (b = -0.610, p < .068). No significant associations were found between Lean adoption and patient outcomes or patient satisfaction.
    MeSH term(s) Diffusion of Innovation ; Hospitals, Public/economics ; Hospitals, Public/standards ; Inservice Training ; Patient Satisfaction ; Quality Improvement ; Surveys and Questionnaires ; Total Quality Management ; United States
    Language English
    Publishing date 2019-11-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1418083-2
    ISSN 1944-7396 ; 1096-9012
    ISSN (online) 1944-7396
    ISSN 1096-9012
    DOI 10.1097/JHM-D-18-00163
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Association between Airport Ultrafine Particles and Lung Cancer Risk: The Multiethnic Cohort Study.

    Bookstein, Arthur / Po, Justine / Tseng, Chiuchen / Larson, Timothy V / Yang, Juan / Park, Sung-Shim L / Wu, Jun / Shariff-Marco, Salma / Inamdar, Pushkar P / Ihenacho, Ugonna / Setiawan, Veronica W / DeRouen, Mindy C / Le Marchand, Loïc / Stram, Daniel O / Samet, Jonathan / Ritz, Beate / Fruin, Scott / Wu, Anna H / Cheng, Iona

    Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology

    2024  Volume 33, Issue 5, Page(s) 703–711

    Abstract: Background: Ultrafine particles (UFP) are unregulated air pollutants abundant in aviation exhaust. Emerging evidence suggests that UFPs may impact lung health due to their high surface area-to-mass ratio and deep penetration into airways. This study ... ...

    Abstract Background: Ultrafine particles (UFP) are unregulated air pollutants abundant in aviation exhaust. Emerging evidence suggests that UFPs may impact lung health due to their high surface area-to-mass ratio and deep penetration into airways. This study aimed to assess long-term exposure to airport-related UFPs and lung cancer incidence in a multiethnic population in Los Angeles County.
    Methods: Within the California Multiethnic Cohort, we examined the association between long-term exposure to airport-related UFPs and lung cancer incidence. Multivariable Cox proportional hazards regression models were used to estimate the effect of UFP exposure on lung cancer incidence. Subgroup analyses by demographics, histology and smoking status were conducted.
    Results: Airport-related UFP exposure was not associated with lung cancer risk [per one IGR HR, 1.01; 95% confidence interval (CI), 0.97-1.05] overall and across race/ethnicity. A suggestive positive association was observed between a one IQR increase in UFP exposure and lung squamous cell carcinoma (SCC) risk (HR, 1.08; 95% CI, 1.00-1.17) with a Phet for histology = 0.05. Positive associations were observed in 5-year lag analysis for SCC (HR, 1.12; 95% CI, CI, 1.02-1.22) and large cell carcinoma risk (HR, 1.23; 95% CI, 1.01-1.49) with a Phet for histology = 0.01.
    Conclusions: This large prospective cohort analysis suggests a potential association between airport-related UFP exposure and specific lung histologies. The findings align with research indicating that UFPs found in aviation exhaust may induce inflammatory and oxidative injury leading to SCC.
    Impact: These results highlight the potential role of airport-related UFP exposure in the development of lung SCC.
    MeSH term(s) Humans ; Lung Neoplasms/epidemiology ; Lung Neoplasms/etiology ; Male ; Female ; Airports ; Particulate Matter/adverse effects ; Particulate Matter/analysis ; Middle Aged ; Aged ; Risk Factors ; Cohort Studies ; Air Pollutants/adverse effects ; Prospective Studies ; Environmental Exposure/adverse effects ; Incidence ; Ethnicity/statistics & numerical data ; Los Angeles/epidemiology
    Chemical Substances Particulate Matter ; Air Pollutants
    Language English
    Publishing date 2024-02-17
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1153420-5
    ISSN 1538-7755 ; 1055-9965
    ISSN (online) 1538-7755
    ISSN 1055-9965
    DOI 10.1158/1055-9965.EPI-23-0924
    Database MEDical Literature Analysis and Retrieval System OnLINE

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