Religious Leaders' Perspectives on Rural Communities' Responses During the COVID-19 Pandemic in the USA.

The COVID-19 pandemic posed risks to the health and wellness of individuals and communities. Qualitative interviews based on the health belief model were conducted to gain insight into the perspectives of 17 leaders serving in rural Christian, Catholic, Jewish, and Muslim communities in the USA regarding their communities' responses during the pandemic. Nine themes emerged from the narrative data using phenomenological thematic analysis: Some people are more susceptible, Test of faith, Fear and anxiety, Staying connected, Will people follow the protocols? Science and faith can co-exist, Responsibility to self and others, We've had to adjust, and We've had to dispense of that. The religious leaders provided support and hope, adapted religious and social activities, and used faith and religious tenets as foundational principles to encourage compliance with health recommendations.

Association between acculturation and sociodemographic factors and cardiovascular disease among immigrants to the United States.

OBJECTIVE: This study investigated relationships among acculturation, sociodemographic, and health characteristics of adult U.S. immigrants and cardiovascular disease. DESIGN: Secondary data analysis using population data from 1,945 immigrant participants in the 2017 National Health Interview Survey (NHIS). MEASUREMENTS: Acculturation was measured using citizenship status, number of years in the U.S., and English language proficiency. Chi-square tests and multiple logistic regression modeling were utilized. RESULTS: Approximately 4.3% of the study sample had cardiovascular disease. Compared to immigrants without U.S. citizenship, significantly higher proportion of immigrants with U.S. citizenship had cardiovascular disease (6.2% vs. 1.7%, p < .001). In the multivariable-adjusted model, compared to non-citizen immigrants, odds of cardiovascular disease were higher in immigrants with U.S. citizenship (odds ratio 3.80, 95% confidence interval 1.91, 7.56). CONCLUSION: Acculturation factors, specifically U.S. citizenship, along with sociodemographic and health risk factors were associated with increased odds of cardiovascular disease among immigrants. This study builds upon previous findings demonstrating increased acculturation including U.S. citizenship in immigrant populations is associated with increased odds of cardiovascular disease. These findings inform public health specialists and clinicians of factors to consider for cardiovascular disease risk in immigrants as they adapt to their host country.

The Capture Gap: Implantable Cardioverter-Defibrillator Quality of Life.

We aimed to compare salient characteristics and antecedents of quality of life (QOL) in adolescents and young adults with implantable cardioverter-defibrillators (ICDs) from qualitative methods with quantitative measurement of QOL and correlations between QOL (PedsQL) and measured participant characteristics. Concurrent parallel mixed methods design was used to collect survey data from the PedsQL electronic health record, demographic questionnaire, and semistructured interview data. A convenience sample of 16 individuals with ICDs, aged 13 to 25 years, was obtained from a tertiary pediatric facility. Overall QOL and subdomains of physical, psychosocial, and academic/work were examined by PedsQL and visual analog scale. Select demographics were collected to develop a participant profile. Females with ICDs appear to be at risk of poor QOL given some unknown factors. Financial status of the individual and the family was positively related to QOL. For new ICD persons involved in physical activities that must be stopped, peer support appears to improve QOL.