Rural Latino health and the built environment: a systematic review

Stone, Garrett A.; Fernández, Mariela; DeSantiago, Alondra

doi:10.1080/13557858.2019.1606899

Cited by 21 publications

(17 citation statements)

References 140 publications

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“…Despite this growing body of research, there is a dearth of studies that have specifically explored Latino fathers' perceptions of their roles in influencing family food and physical activity (Khandpur et al 2014). Particularly missing are studies that contribute to understanding how immigrant generation (e.g., first generation immigrant, second generation immigrant) influence Latino fathers' health related beliefs and behaviors (Martínez, 2013;Stone, Fernandez, & DeSantiago, 2019). Gathering data directly from Latino fathers of different immigrant generations can help inform practice, as well as the development of interventions aimed to promote healthy family lifestyles and prevent childhood obesity.…”

Section: Introductionmentioning

confidence: 99%

Rural Midwestern Mexican Fathers’ Perspectives on Family Food, Mealtimes, and Physical Activity

Greder

Zaman

Routh

et al. 2020

Ecology of Food and Nutrition

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Two focus group interviews with eight low-income Mexican fathers in two communities in a rural Midwestern state explored fathers' perceptions, behaviors, and roles related to child and family food consumption, mealtimes, and physical activity. On average, fathers were 34 years of age, had 10 years of formal education, and annual household incomes ranged from $36,250 to $46,249. Findings include the identification of fifteen themes through the process of thematic analysis that are organized by five thematic areas of interest (family food patterns, strategies for healthy eating, family roles in food shopping and preparation, family mealtimes, physical activity among families). Findings revealed ways fathers contributed to their children's and families' health and well-being, and challenges they faced. Health promotion efforts aimed at rural, low-income Mexican immigrant families can benefit from embracing fathers' perspectives and how they influence the health and well-being of their children and families.

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Section: Introductionmentioning

confidence: 99%

Rural Midwestern Mexican Fathers’ Perspectives on Family Food, Mealtimes, and Physical Activity

Greder

Zaman

Routh

et al. 2020

Ecology of Food and Nutrition

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“…After removing duplicates, 321 were manually screened, and 286 records were excluded for title and abstract. We reviewed the full text of 35 studies, 24 of which were excluded [11,12,14,18,[23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42]. Finally, eleven SRs were included in the narrative synthesis ( Figure 1).…”

Section: Literature Search Resultsmentioning

confidence: 99%

“…Only one of the included systematic reviews performed a metaanalysis [44], heterogeneity due to the design of primary studies, weak methodological rigor, and the lack of standardized tools that assess mental health, and built environments are the main drawbacks reported by the others SRs. Full-text articles excluded, with reasons (n = 22) Did not meet study design (n = 13) [12], [14], [18], [23], [25], [26], [28]- [31], [37], [40] [24] Did not meet study intervention (n = 6) [32], [33], [35], [36], [38], [39] Did not meet study outcome (n = 3) [11], [27], [34] (i) e research looking at the role of the built environment on mental health is relatively new, and causal pathways connecting both constructs are just starting to emerge. According to van den Bosch et al, mental health is consistently influenced directly or indirectly by multiple environmental exposures, and depressive mood may be the result of the rapid urbanization and a disconnection from our evolutionary origin and natural environments [53].…”

Section: Discussionmentioning

confidence: 99%

Overview of “Systematic Reviews” of the Built Environment’s Effects on Mental Health

Núñez-González

Delgado‐Ron

Gault

et al. 2020

Journal of Environmental and Public Health

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Good mental health is related to mental and psychological well-being, and there is growing interest in the potential role of the built environment on mental health, yet the evidence base underpinning the direct or indirect effects of the built environment is not fully clear. The aim of this overview is to assess the effect of the built environment on mental health-related outcomes. Methods. This study provides an overview of published systematic reviews (SRs) that assess the effect of the built environment on mental health. We reported the overview according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Databases searched until November 2019 included the Cochrane Database of Systematic Reviews, EMBASE, MEDLINE (OVID 1946 to present), LILACS, and PsycINFO. Two authors independently selected reviews, extracted data, and assessed the methodological quality of included reviews using the Assessing Methodological Quality of Systematic Reviews-2 (AMSTAR-2). Results. In total, 357 records were identified from a structured search of five databases combined with the references of the included studies, and eleven SRs were included in the narrative synthesis. Outcomes included mental health and well-being, depression and stress, and psychological distress. According to AMSTAR-2 scores, the quality assessment of the included SRs was categorized as “high” in two SRs and as “critically low” in nine SRs. According to the conclusions of the SRs reported by the authors, only one SR reported a “beneficial” effect on mental health and well-being outcomes. Conclusion. There was insufficient evidence to make firm conclusions on the effects of built environment interventions on mental health outcomes (well-being, depression and stress, and psychological distress). The evidence collected reported high heterogeneity (outcomes and measures) and a moderate- to low-quality assessment among the included SRs.

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“…Outreach and technology-based approaches, including home visit programs, 43 mobile health units, 44 and telemedicine, 45 may be particularly important in bridging the GHA gaps for this and other largely rural populations in the southeastern United States. Various studies have shown that telemedicine has great, largely unfulfilled, potential to facilitate healthcare access among Latinos/as/x in rural areas 45,46 . Some of this potential was unlocked during the coronavirus disease 2019 pandemic 47 .…”

Section: Discussionmentioning

confidence: 99%

Geographic Access to Primary Healthcare Services among Latinos/as/x in Western Alabama

Morales-Alemán

Ferreti

et al. 2022

Southern Medical Journal

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Objectives: Alabama's Latino/a/x population grew 278% from 2000 to 2018. Tuscaloosa County, located in the largely rural region of western Alabama, also experienced a significant influx of Latino/as/x during this time frame. Geographic healthcare access (GHA) to primary care and hospitals is crucial for immigrant Latino/as/x to care for their health, but few studies have characterized it. The goals of this article were to describe the availability (defined as number of provider locations) and accessibility (defined as travel impedance between potential patients and provider locations) of primary healthcare services and to discuss potential strategies to address these healthcare access challenges.Methods: We drew data from the US Census Bureau, American Community Survey 5-year estimates, Blue Cross Blue Shield national doctor and hospital finder database, the Alabama Department of Public Health, and Tuscaloosa Transit Authority. We used geographic data, geographic information systems, and spatial analyses to characterize the availability and accessibility of primary care services and hospitals for Latinos/as/x in Tuscaloosa County using ESRI, ArcGIS 10.6.1. We showed the distribution of Latinos/as/x by census tract with choropleth mapping and mapped primary healthcare providers alongside public transit routes and hospital driving times to support our findings.Results: This work demonstrated that Latinos/as/x in Tuscaloosa County were concentrated in more rural areas surrounding the county's city center, presenting significant barriers to GHA. These areas had fewer primary care providers and limited public transit. Many Latinos/as/x in this county had to travel ≥45 minutes to a hospital.Conclusions: Outreach and technology-based approaches, including home visit programs, mobile health units, and telemedicine, may be particularly important in bridging the GHA gaps for this and other largely rural populations the southeastern United States. Some of this potential was unlocked during the coronavirus disease 2019 crisis. These gains should be leveraged toward sustainable healthcare access initiatives for rural Latino/a/x populations.

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Rural Latino health and the built environment: a systematic review

Cited by 21 publications

References 140 publications

Rural Midwestern Mexican Fathers’ Perspectives on Family Food, Mealtimes, and Physical Activity

Rural Midwestern Mexican Fathers’ Perspectives on Family Food, Mealtimes, and Physical Activity

Overview of “Systematic Reviews” of the Built Environment’s Effects on Mental Health

Geographic Access to Primary Healthcare Services among Latinos/as/x in Western Alabama

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