scholarly journals Using the Social-Ecological Model to Understand the Current Perspective of Contraceptive Use in the United States: A Narrative Literature Review

Women ◽  
2021 ◽  
Vol 1 (4) ◽  
pp. 212-222
Author(s):  
Kobi V. Ajayi ◽  
Sonya Panjwani ◽  
Kelly Wilson ◽  
Whitney R. Garney
Keyword(s):  
Contraceptive Use ◽  
Ecological Model ◽  
The United States ◽  
Social Ecological Model ◽  
Social Ecological ◽  
Current Perspective ◽  
The Social ◽  
The Us ◽  
Narrative Literature ◽  
Narrative Literature Review

Contraceptive use is deemed one of the 10 greatest public health achievements of the 20th century because its benefits are universally acknowledged as a cornerstone for reducing global maternal morbidity and mortality. However, although the adoption of the Affordable Care Act in the United States (US) enhanced access to preventive health services, as well as increased contraceptive use, a considerable proportion of reproductive-aged women still have unmet reproductive health needs. Current data indicates gaps in contraceptive use patterns in the US, particularly among low-income women and those from racial/ethnic and gender minority subgroups, necessitating further investigation using an ecological approach. This narrative literature review aims to investigate the current perspective of contraceptive use in the US using the social-ecological model (SEM). Based on SEM levels, barriers to contraceptive use entail the following levels: individual (e.g., misbelief about the side effects of contraceptives), interpersonal (e.g., influence of family and friends), institutional (e.g., lack of training on how to use different types of contraceptives), community (e.g., societal stigma and shame), and policy (e.g., restrictive federal and states policies). Access to contraceptives for women is a system-level issue that necessitates consideration for multilevel strategies by key stakeholders to improve contraceptive uptake among vulnerable populations.

Men Who Have Sex With Men and HIV Risk Behavior: Exploring the Influence of Masculinity Within the Social Ecological Model

2021 ◽  
Vol 33 (6) ◽  
pp. 511-533
Author(s):  
Kenneth C. Hergenrather ◽  
Diona Emmanuel ◽  
Robert J. Zeglin ◽  
David J. Ruda ◽  
Scott D. Rhodes
Keyword(s):  
Risk Behavior ◽  
Hiv Risk ◽  
Ecological Model ◽  
The United States ◽  
Social Ecological Model ◽  
Hiv Risk Behavior ◽  
Bisexual Men ◽  
Social Ecological ◽  
The Social ◽  
Sex With Men

In the United States, gay, bisexual men, and men who have sex with men (MSM) represent 86% of new HIV infections among males. Approximately 1 in 7 men with HIV are unaware of their HIV status (CDC, 2017, 2019a, 2020a). To explore influences on MSM HIV risk behavior, the authors performed a systematic review of quantitative studies conducted in the U.S. assessing what is purported as masculinity. From 30 identified studies, significant findings were framed within the Social Ecological Model (SEM) levels (e.g., Individual, Relationship, Community). SEM level themes were applied to create the Masculinity 10, a preliminary 10-item assessment to explore the influence of masculinity on MSM HIV risk behavior. To increase MSM engagement in HIV prevention and treatment, the influences of masculinity (e.g., attitude toward sexual minorities, appearance, emotion, temperament, substance use, sexual activity, social support, intimate relationships, health care) on HIV risk behavior should be further explored.

scholarly journals The Social Ecological Model as a Framework for Determinants of 2009 H1N1 Influenza Vaccine Uptake in the United States

2011 ◽  
Vol 39 (2) ◽  
pp. 229-243 ◽  
Author(s):  
Supriya Kumar ◽  
Sandra Crouse Quinn ◽  
Kevin H. Kim ◽  
Donald Musa ◽  
Karen M. Hilyard ◽  
...  
Keyword(s):  
United States ◽  
Influenza Vaccine ◽  
Ecological Model ◽  
H1n1 Influenza ◽  
The United States ◽  
Social Ecological Model ◽  
Vaccine Uptake ◽  
Social Ecological ◽  
The Social ◽  
2009 H1n1

scholarly journals Melanoma Disparities among US Hispanics: Use of the Social Ecological Model to Contextualize Reasons for Inequitable Outcomes and Frame a Research Agenda

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Valerie M. Harvey ◽  
Charlene W. Oldfield ◽  
Jarvis T. Chen ◽  
Karl Eschbach
Keyword(s):  
Ecological Model ◽  
Treatment Options ◽  
Cancer Control ◽  
Incidence Rates ◽  
Social Ecological Model ◽  
Health Concern ◽  
Social Ecological ◽  
The Social ◽  
The Us ◽  
Significant Public Health

Cutaneous melanoma is a significant public health concern, accounting for thousands of deaths annually in the US. Early detection and diagnosis are critical given the poor prognosis and limited treatment options of advanced-stage disease. While non-Hispanic whites have higher incidence rates of melanoma, Hispanics are typically diagnosed at later disease stages and suffer higher morbidity and mortality. Currently, there is a paucity of literature investigating the root causes underlying these trends among Hispanics. Given that Hispanics are the most rapidly expanding demographic segment in the US, it is essential for cancer control efforts to elucidate the major determinants of their poor melanoma outcomes. Herein, we use the social ecological model as a framework to explore the multitude of influences on melanoma disparities among Hispanics and provide recommendations for planning future studies and interventions.

scholarly journals Social Ecological Model of Problem Gambling: A Cross-National Survey Study of Young People in the United States, South Korea, Spain, and Finland

2021 ◽  
Author(s):  
Atte Oksanen ◽  
Anu Sirola ◽  
Iina Savolainen ◽  
Aki Koivula ◽  
Markus Kaakinen ◽  
...  
Keyword(s):  
United States ◽  
Young People ◽  
Problem Gambling ◽  
Ecological Model ◽  
The United States ◽  
Social Ecological Model ◽  
Survey Study ◽  
Social Ecological ◽  
The Social ◽  
Cross National

Problem gambling among young people is an emerging trend globally. The online environment in particular offers various possibilities for gambling engagement. This is the first cross-national survey study using the social ecological model to analyze problem gambling, especially in the online context. The aim was to analyze how different social ecological spheres explain problem gambling. Participants were young people aged 15–25 in the United States (n = 1,212), South Korea (n = 1,192), Spain (n = 1,212), and Finland (n = 1,200). The South Oaks Gambling Screen (SOGS) instrument was used as a measure for problem gambling. Regression models predicted problem gambling with measures of intrapersonal, interpersonal, organizational, and societal spheres. Spanish participants had the highest SOGS score for problem gambling. Out of the spheres, organizational-sphere measures best explained the variation in problem gambling in all countries (26%) when compared to the societal (3%), interpersonal (5%) and intrapersonal (11%) spheres. In the full model, organizational-sphere measures had strong associations with problem gambling. These included consumer debt, online gambling community participation, online casino participation, and exposure to online pop-up advertisements. Other robust predictors of problem gambling included conformity to group norms in the interpersonal sphere and male gender and impulsivity in the intrapersonal sphere. Cross-national results were similar in different countries. The online context plays a major role in problem gambling behavior. The social ecological model is a useful tool by which to tackle problem gambling and develop preventative measures.

Prevention of Firearm Injury through Policy and Law: The Social Ecological Model

2020 ◽  
Vol 48 (S4) ◽  
pp. 191-197
Author(s):  
Allison Durkin ◽  
Christopher Schenck ◽  
Yamini Narayan ◽  
Kate Nyhan ◽  
Kaveh Khoshnood ◽  
...  
Keyword(s):  
Ecological Model ◽  
State Level ◽  
The United States ◽  
Social Contexts ◽  
Social Ecological Model ◽  
Firearm Injury ◽  
Causal Pathways ◽  
Social Ecological ◽  
The Social ◽  
Future Policy

Rates of firearm injury and mortality are far higher in the United States compared to other high-income nations. Patterns of firearm injury have complex causal pathways; different social contexts may be differentially affected by firearm legislation. In the context of the diversity of social, political, and legal approaches at the state level, we suggest the application of the social ecological model as a conceptual public health framework to guide future policy interventions in the U.S.

scholarly journals Reflections Regarding the Social Ecological Model to Address Obesity in Southern California Youth

2016 ◽  
Vol 14 (3) ◽  
pp. 64-69 ◽  
Author(s):  
Brittany A. Lemus ◽  
Faviola Mercado ◽  
Tracy Bryars ◽  
Michele Mouttapa ◽  
Tracy Conkey ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Southern California ◽  
Ecological Model ◽  
Vegetable Consumption ◽  
The United States ◽  
Social Ecological Model ◽  
Overweight And Obesity ◽  
Health Concern ◽  
Social Ecological ◽  
The Social

Childhood overweight and obesity has been a significant public health concern in the United States for decades. School-based obesity prevention programs have been one strategy to address this issue. This article describes the implementation of a knowledge-based, healthy eating intervention delivered to 4th and 5th graders in a southern California school district. Trained graduate students implemented a nutrition education curriculum, consisting of three monthly lessons that would eventually be utilized and sustained by the schools’ Physical Education (PE) teachers in the following school year. As such, the intervention drew upon the Social Ecological Model (SEM) to describe how nutrition education could be implemented in a sustainable way to future generations of youth. Students were assessed on their knowledge and dietary behaviors at pre-test and after the final lesson. Students’ overall nutritional knowledge significantly increased from pre-test to post-test; however their self-reported eating behaviors (e.g., low fruit and vegetable consumption, and high consumption of chips, soda, and sweets) largely remained the same. Although the findings of this study were largely non-significant, we conclude that future interventions, which creatively address different levels of the target population’s environment, may have promise if they are sufficiently dosed.

scholarly journals Social Ecological Model of Problem Gambling: A Cross-National Survey Study of Young People in the United States, South Korea, Spain, and Finland

2021 ◽  
Vol 18 (6) ◽  
pp. 3220
Author(s):  
Atte Oksanen ◽  
Anu Sirola ◽  
Iina Savolainen ◽  
Aki Koivula ◽  
Markus Kaakinen ◽  
...  
Keyword(s):  
United States ◽  
Young People ◽  
Problem Gambling ◽  
Ecological Model ◽  
The United States ◽  
Social Ecological Model ◽  
Survey Study ◽  
Social Ecological ◽  
The Social ◽  
Cross National

Problem gambling among young people is an emerging trend globally. The online environment in particular offers various possibilities for gambling engagement. This is the first cross-national survey study using the social ecological model to analyze problem gambling, especially in the online context. The study aimed to analyze how different social ecological spheres explain problem gambling. Participants were young people aged 15–25 in the United States (n = 1212), South Korea (n = 1192), Spain (n = 1212), and Finland (n = 1200). The South Oaks Gambling Screen (SOGS) instrument measured problem gambling. The regression models analyzed problem gambling with measures of intrapersonal, interpersonal, organizational, and societal spheres. Spanish participants had the highest SOGS score for problem gambling. In all countries, the variations in problem gambling were best explained by the organizational sphere measures (26%) when compared to the intrapersonal (11%), interpersonal (5%), and societal (3%) spheres. In the full model, the organizational sphere measures had strong associations with problem gambling. These included consumer debt, online gambling community participation, online casino participation, and exposure to online pop-up advertisements. Problem gambling was also associated with conformity to group norms in the interpersonal sphere, and male gender and impulsivity in the intrapersonal sphere. Cross-national results were similar in different countries. Within the final model, gambling community participation had the strongest association with problem gambling (β = 0.23, p < 0.001). The online context plays a major role in problem gambling behavior. The social ecological model is a useful tool for tackling problem gambling and developing preventative measures.

scholarly journals Conceptualizing the effects of the COVID-19 pandemic on people with opioid use disorder: an application of the social ecological model

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ethan Cowan ◽  
Maria R. Khan ◽  
Siri Shastry ◽  
E. Jennifer Edelman
Keyword(s):  
Structural Changes ◽  
Ecological Model ◽  
Disease Incidence ◽  
Opioid Use Disorder ◽  
Social Ecological Model ◽  
Physical And Mental Health ◽  
Opioid Use ◽  
Social Ecological ◽  
The Social ◽  
The Impact

AbstractThe COVID-19 pandemic has resulted in unparalleled societal disruption with wide ranging effects on individual liberties, the economy, and physical and mental health. While no social strata or population has been spared, the pandemic has posed unique and poorly characterized challenges for individuals with opioid use disorder (OUD). Given the pandemic’s broad effects, it is helpful to organize the risks posed to specific populations using theoretical models. These models can guide scientific inquiry, interventions, and public policy. Models also provide a visual image of the interplay of individual-, network-, community-, structural-, and pandemic-level factors that can lead to increased risks of infection and associated morbidity and mortality for individuals and populations. Such models are not unidirectional, in that actions of individuals, networks, communities and structural changes can also affect overall disease incidence and prevalence. In this commentary, we describe how the social ecological model (SEM) may be applied to describe the theoretical effects of the COVID-19 pandemic on individuals with opioid use disorder (OUD). This model can provide a necessary framework to systematically guide time-sensitive research and implementation of individual-, community-, and policy-level interventions to mitigate the impact of the COVID-19 pandemic on individuals with OUD.

Sign in / Sign up

Export Citation Format

Share Document