Community-based interventions.
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Community Health Planning↗
Biomedical subjects
Michelle C Kegler
Publications and source records attributed to Michelle C Kegler.
Smoking restrictions in the home and car among rural Native American and white families with young children.
BACKGROUND: This paper examines the prevalence of household and car smoking restrictions, factors associated with these restrictions, and children's exposure to secondhand smoke in homes with varying levels of household smoking restrictions in rural Native American and White families. METHODS: In-person interviews were conducted with 380 rural, low-income Native American and White parents or guardians who were the primary caregivers of children aged 1-6 in northeastern Oklahoma. RESULTS: Prevalence of complete smoking bans was 49.1% in Native American homes and 42.7% in White homes. Car smoking bans were less common, with 34.9% of Native American and 39.6% of White caregivers reporting complete bans. Among nonsmoking households, the proportion of friends who smoked was associated with both car and home smoking bans. Race and education of the caregivers were also associated with car smoking bans in homes with no adult smokers. Among smokers, cigarettes smoked per day, quit attempts within the past year, and the strong belief that secondhand smoke harmed children and babies were related to household smoking bans, whereas cigarettes smoked per day and the proportion of friends who smoked were related to car smoking bans. CONCLUSIONS: Despite the relatively low prevalence of smoking bans in our population, factors associated with household and car smoking bans were similar to those found in the general population.
Adult↗
An exploration of family influences on smoking among ethnically diverse adolescents.
In an attempt to better understand mechanisms through which families might influence adolescent smoking, focus group data collected as part of a larger study of ethnic and gender differences in teen smoking were analyzed for family-related themes. Across six sites, 132 focus groups were conducted with African American, American Indian, Hispanic, Asian/Pacific Islander, and White youth. Similarities across race/ethnicity were evident in the content of antismoking messages and the feeling among youth that they would get in trouble with their parents if caught smoking. African American and Asian/Pacific Islander youth appeared more concerned about their parents thinking less of them if they smoked than were youth from other racial/ethnic groups. White and American Indian youth were more likely to discuss that their parents felt it was their own decision as to whether or not to smoke than were the other groups.
Adolescent↗
A multiple case study of neighborhood partnerships for positive youth development.
OBJECTIVE: To identify factors associated with successful neighborhood mobilization to prevent teen pregnancy using a positive youth development approach. METHODS: A multiple case study was conducted on 5 neighborhood partnerships using in-person interviews with key informants, observation of meetings, and review of existing documents. RESULTS: Competent staff, strong sense of community, support of key organizations, shared leadership, effective group process, and a perceived need for the initiative influenced level of mobilization. CONCLUSION: Organizing neighborhoods around teen pregnancy prevention, even using a youth development approach, is challenging but can be accomplished when the right constellation of factors is in place.
Adolescent↗