"Breaking Bread" With Respondents: Strategies to Increase Response Rates and Create Long-Term Cooperation With Health Clinic Administrators.

BACKGROUND AND OBJECTIVES: To fully understand the impact of unintended pregnancy, as well as to evaluate the implementation and outcomes of programs targeted at reducing unintended pregnancy, it is critical that researchers be able to collect comprehensive data from health clinics that provide these services in vulnerable communities. METHODS: Our paper details recruitment and incentive strategies, as well as the theories that guided them, which allowed us to achieve a high survey response rate among health clinic administrators in public health clinics in 2 Southeastern states-South Carolina and Alabama-both of which have high rates of unintended pregnancy. RESULTS: Grounded in organizational theory, and utilizing the Tailored Design Method, we achieved a 68% response rate utilizing paper and web survey administration with multiple contact modes. Our incentive structure comprised both traditional cash-based and food-based incentives. CONCLUSIONS: Findings indicate high response rates are achievable despite high survey burden (ie, detailed information, length of survey). We found that sample screening was critical and that food-based incentives made an impression on respondents that positively impacted the researcher-respondent relationship. Providing detailed methodology and additional literature will assist researchers working with similar populations-a gap in the applied methodological literature that was problematic at the project's onset.

Uncertainty and disaster recovery: An analysis of victim perceptions utilizing the problematic integration theory.

Guided by the problematic integration theory, the purpose of this study was to determine what probabilistic and evaluative orientations were formed during post-disaster decision-making following the 2010 Deepwater Horizon oil spill, the 2011 Tuscaloosa Tornado, the 2011 Mississippi Delta flooding, and a pair of tornados in Hattiesburg Mississippi in 2013 and 2017. A series of focus groups were conducted in communities impacted by these disasters. Five different themes emerged when coding the focus group data for probabilistic and evaluative orientations formed: (1) Distrust, (2) Disorientation, (3) Desperation, (4) Disparity, and (5) Disconnection. The broader implications of this study shed light on how people handle personal uncertainty, especially in situations where their lives have been dramatically shifted in a negative way.

"Those People Count": Naloxone Media Coverage in Mississippi.

There is a movement to promote naloxone adoption by law enforcement and other stakeholders in the state of Mississippi. The purpose of this study is to understand how local media are framing the conversation about naloxone products, and to better understand how it might affect naloxone adoption among law enforcement. We searched for news articles published in Mississippi from January 2012 to July 2018 mentioning the words Narcan® and/or naloxone. Four main themes emerged from 25 articles: (a) positive and informative discussion of naloxone, (b) full articles persuading readers to use and/or advocate the use of naloxone, (c) government or organizational effort to increase the availability and use of naloxone products, and (d) negative or misleading information about naloxone. Better efforts to disseminate correct and persuasive information about the drug will have a profound and positive effect on the opioid epidemic in Mississippi and in the United States.

Considerations of the impacts of COVID-19 on domestic violence in the United States.

"Stay home, save lives" has been shown to reduce the impacts of COVID-19; however, it is crucial to recognize that efforts not to stress healthcare systems may have unintended social consequences for domestic violence. This commentary addresses domestic violence as an important social and public health implication of COVID-19. As a pandemic with a high contagion level, necessary social distancing measures have been put in place across the world to slow transmission and protect medical services. We first present literature that shows that among the effects of social distancing are social and functional isolation and economic stress, which are known to increase domestic violence. We then present preliminary observations from a content analysis conducted on over 300 news articles from the first six weeks of COVID-19 "lockdown" in the United States: articles predict an increase in domestic violence, report an increase in domestic violence, and inform victims on how to access services. Assessing the intersection of the early news media messaging on the effect of COVID-19 on DV and the literature on social isolation and crisis situations, we conclude the commentary with implications for current policy related to (1) increased media attention, (2) increased attention in healthcare systems, (3) promoting social and economic security, and (4) long-term efforts to fund prevention and response, as well as research implications to consider. The research is presented as ongoing, but the policy and procedure recommendations are presented with urgency.

Social Network Gap Analysis Evaluation: A Case Study of the Southeastern Health Equity Council.

Despite the growing emphasis on collaboration in public health, there remains a dearth of literature providing tools for the evaluation of coalitions and councils. This study employed social network gap analysis as an evaluation tool. Survey data collected from the Southeastern Health Equity Council members were used to assess connections among members as a whole, by committee, by state, and by health specialty area. Analysis of how well Southeastern Health Equity Council met the representation outlined in its strategic plan was also conducted. Recommendations for improving the network and opportunities to effectively recruit and advance the work of Southeastern Health Equity Council are discussed.

Domestic Violence and Pregnancy: A CBPR Coalition Approach to Identifying Needs and Informing Policy.

BACKGROUND: Community engagement-the collaborative process of addressing issues that impact the well-being of a community-is a strategic effort to address community issues. The Gulf States Health Policy Center (GS-HPC) formed the Hattiesburg Area Health Coalition (HAHC) in November 2014 for the purpose of addressing policies impacting the health of Forrest and Lamar counties in Mississippi. OBJECTIVES: To chronicle the community-based participatory research (CBPR) process used by HAHC's identification of infant and maternal health as a policy area, domestic violence in pregnancy as a priority area within infant and maternal health, and a community action plan (CAP) regarding this priority area. METHODS: HAHC reviewed data and identified infant and maternal health as a priority area. They then conducted a policy scan of local prenatal health care to determine the policy area of domestic violence in pregnancy. RESULTS: HAHC developed a CAP identifying three goals with regard to domestic violence and pregnancy that together informed policy. Changes included the development of materials specific to resources available in the area. The materials and recommended changes will first be implemented by Southeast Mississippi Rural Health Initiative (SeMRHI) through a screening question for all pregnant patients, and the adoption of policies for providing information and referrals. CONCLUSIONS: The lack of community-level data was a challenge to HAHC in identifying focus and priority areas, but this was overcome by shared leadership and community engagement. After completion of the CAP, 100% of expecting mothers receiving prenatal care in the area will be screened for domestic violence.

The Value of Social Network Analysis for Evaluating Academic-Community Partnerships and Collaborations for Social Determinants of Health Research.

Objective: Community-based participatory research processes build healthy communities, as well as promote trust and genuine collaborative partnerships between stakeholders. Fostering relationships is essential to promoting these partnerships, which are necessary for collaborative, coordinated, and integrated efforts toward improving health outcomes in the community. The objective of our research was to demonstrate social network analysis as an evaluative tool to assess movement toward positive health outcomes through promoting relationships. Methods: Using the example of the Gulf States Health Policy Center Coalition based at Bayou Clinic in Bayou La Batre, Alabama, we demonstrate the ability of social network analysis (SNA) methods to measure and map the formation of relationships, as well as the level and frequency of these relationships. Data were collected via email using a survey of Gulf States Health Policy Center Coalition members (N=80, 87%) and analyzed using UCInet software for social network analysis in April 2016. Results: In this application of SNA to the community coalition of the Gulf States Health Policy Center, we find that, on average, coalition members doubled their own network within the coalition in a time period of <2 years and were working together more often and more collaboratively than they were before the coalition formed. Conclusions: The increased frequency and level of collaboration among the Coalition network was accompanied by a higher level of collaboration among the coalition members as posited by social network and capital theories. As such, the community engagement fostered through the Coalition has increased and thus, to date, the Gulf States Health Policy Center has been effective in promoting partnerships and collaboration.

Elections, news cycles, and attention to disasters.

PURPOSE: Political elections, especially presidential elections, have a tendency to overshadow other events, including disasters. Response to disasters during elections, such as Hurricane Matthew and the Baton Rouge flooding in 2016, are often dependent on attention given to them from the media, as well as prominent political figures and political candidates candidates. The purpose of this paper is to explore how election cycles affect government response to disasters and ultimately demonstrate the dependency of crisis communication on media agenda-setting for presenting saliency of disaster risk and needs. DESIGN/METHODOLOGY/APPROACH: Responses from presidential candidates Donald Trump and Hillary Clinton, as well as President Barack Obama, in regards to the Baton Rouge flooding and Hurricane Matthew, were observed using media reports and social media accounts. These results were matched with key events from the presidential election timeline. FINDINGS: There is a positive relationship between news exposure and attention, and also between attention and civic response. In regards to the 2016 presidential election, news coverage of the release of the Donald Trump-Billy Bush tape distracted national attention from the approach, landfall, and recovery of Hurricane Matthew. Information subsidies provided by the candidates directed the media agenda away from the needs of the communities and individuals impacted by these disasters. ORIGINALITY/VALUE: Disasters are often assumed to be value-free because they are "blind to politics." Here, it is argued that this was not the case in relation to these two disasters. Thus, the authors encouraged more research be conducted to clarify the impact that political elections have on strategic news coverage of disasters and ultimately on disaster response.