Los Alamos National Laboratory Research Articles

First Steps Toward a Participatory Research Program: Early Intervention Perspectives on SLP Services for Children of Diverse Backgrounds.

This research was designed to deepen the understanding of contributing factors to disparities in speech-language pathology (SLP) service delivery to children of diverse backgrounds with language and communication delays, as well as to initiate community connections. We sought to understand the perspectives and experiences of those who provide or oversee SLP services to children with communication disorders in early intervention settings in Washington State. Individual semistructured interviews were completed with six SLPs and three administrators across five organizations. The interviews were designed to understand both individual- and systems-level contributing factors to service delivery challenges. Interviews were analyzed using an iterative coding process with multiple rounds of coding and multiple coders. In addition to synthesizing participants' understandings of, and preparation for, culturally responsive practice, three overarching themes are presented: (1) assets of early intervention as a service delivery model, (2) the distance between families and the practitioners and systems that serve them, and (3) compromised access and quality of services due to a predominantly monolingual-English system. Findings inform the next steps for building community partnerships with early intervention organizations. The long-term goal of this work is to collaboratively develop a participatory research program on equitable service delivery that addresses children's, families', and SLPs' needs.

Plant-Guided Microbiome Selection Produces Transient Effects on Insect Performance and Rhizosphere Community Assembly

Microbial communities are essential for plant health, but using these relationships to enhance growth and pest protection is challenging. Leveraging the natural mechanisms plants employ to manage relationships with microbes is one promising means to selectively engineer whole microbial communities with beneficial properties. This approach, known as host-guided selection, has been successful in some model species targeting performance traits (e.g., biomass). However, few studies use crop plants or focus on defensive traits (e.g., pest resistance). Our goal was to naturally engineer tomato root-associated microbiomes that increase resistance to insect pests. First, we used an iterative soil microbial inoculation process to engineer insect-suppressive rhizosphere soil microbiomes that reduce damage from aphid feeding ( Macrosiphum euphorbiae) or caterpillar defoliation ( Manduca sexta, Spodoptera exigua). We then characterized the bacterial and fungal microbial communities of soils associated with differences in insect performance using metabarcoding approaches. Overall, soil microbiome selection produced transient differences in aphid performance, but caterpillar growth was unaffected. In four of nine generations, the aphid population growth rate was significantly lower on plants with rhizospheres selected for “low” insect performance, where abundance was reduced by up to 20%. Correspondingly minor shifts in fungal and bacterial relative abundance occurred in insect-suppressive communities. However, network analysis indicated that aphid feeding disrupted rhizosphere microbiome assembly, resulting in lower community complexity and connectivity and fewer structurally important taxa compared with uninfested controls. Overall, our results highlight critical factors for successful engineering of beneficial microbiomes, particularly insect feeding guild and microbial community stability.

Outcomes of Community-Friendly Schools in Hong Kong

Amid growing competition and evolving demands, schools must rethink their roles in addressing the needs of various stakeholders. Community-friendly schools in Hong Kong, which integrate community resources to help students understand and contribute to social issues, not only facilitate students’ engagement in learning activities and their learning attitudes but also positively impact students’ willingness to serve the community and the school’s reputation. This research adopted both qualitative and quantitative methods, utilizing questionnaires and interviews as data-gathering instruments. The sample included students, teachers, and community stakeholders for the questionnaires, while interviews were conducted with a smaller group, consisting of participants from each of these groups. The performance of these schools was assessed in terms of their impact on students' understanding of the community, willingness to serve, and school reputation. These aspects were evaluated through three tiers of community-friendly schools: community learning activities, activities in cooperation with community organizations, and community services organized by the school. The data analysis employed descriptive statistics, analysis of variance, and linear regression models to highlight the significant impacts of these institutions. Key findings revealed that community-friendly schools significantly boosted student engagement in community activities, deepening their understanding of social issues and fostering a stronger sense of civic responsibility. Students' involvement in these programs was strongly linked to a deeper understanding of the community and a greater willingness to serve. These initiatives also positively impacted the school's reputation, as stakeholders perceived these schools as fostering meaningful community connections and shared responsibility.

Gym and swim: a co-facilitated exercise program that improves community connection, confidence, and exercise habits in a community mental health service.

High rates of cardiometabolic disease and poor physical health outcomes contribute to significant premature mortality in people living with severe mental illness (PLWSMI). Lifestyle interventions such as exercise are known to improve both physical and mental health outcomes, however the best way to deliver exercise programs for PLWSMI remains a challenge. This paper uses a pragmatic program evaluation of a co-delivered low-cost community-based exercise program implemented over a 6-month period. Of 46 referrals in the first half of 2023 to the SLHD Gym and Swim program, 13 gave consent to participate in standardised measures and qualitative interviews. Findings revealed an increase in average hours of sport/exercise, improvements in confidence to exercise independently and within group settings, as well as achievement of individualised goals. The success of the program was in part due to the co-facilitation between peer support workers and exercise physiologists, community connection and the established partnership between the public health service and the local government council. Results offer evidence to adopt and implement accessible and low-cost exercise opportunities in the community external to health services to address barriers of attendance for PLWSMI.

The modern role of paraprofessionals in delivering brief psychological interventions

AbstractThe increasing global demand for mental health services, compounded by the COVID‐19 pandemic, has spurred innovative approaches. Among these, the utilisation of paraprofessionals for delivering brief psychological interventions (BPIs) is gaining significant traction across diverse settings and populations. Paraprofessionals (individuals equipped with specialised mental health training but lacking formal qualifications) have emerged as a valuable resource. They have the potential to offer cost‐effective, culturally sensitive and readily accessible support. The integration of paraprofessionals into various healthcare settings, such as inpatient psychiatric units and primary care clinics, underscores their potential to enhance holistic well‐being and early intervention. This integration not only lightens the load on licensed therapists but also broadens access to services while reducing treatment costs. At a global scale, paraprofessionals, armed with local knowledge and community connections, play a pivotal role in improving mental health outcomes among underserved populations. Furthermore, the rise of telemental health, an increasingly crucial aspect of mental healthcare, presents new avenues for paraprofessionals to deliver psychological care. Despite their potential, paraprofessionals encounter challenges related to work‐life balance, boundary‐setting and the stigma attached to their roles. Their integration into healthcare systems requires clear roles and responsibilities, along with continuous support to ensure effective intervention and the well‐being of both providers and recipients. Further research and development are necessary to harness their full potential and meet the increasing demand for accessible mental health services.

The Role of Community-Based Organizations in Promoting Menstrual Health Through Menstrual Product Distribution: A Qualitative Investigation

In Canada, many individuals, particularly underserved populations living in poverty, struggle to access menstrual supplies. Amidst growing awareness of menstrual inequities, community-based organizations have emerged as vital actors in collecting and distributing menstrual supplies. We conducted a qualitative study to understand the experiences of community-based organizations in promoting menstrual health through the distribution of menstrual supplies. Close community connections allow organizations to reach underserved populations and provide tailored support. However, the sustainability of distribution is inhibited by unreliable sourcing of menstrual products and limitations in financial infrastructure. We recommend additional research into the experiences of community-based organizations and funding to allow organizations to engage in monitoring and programming evaluation.

Navigating the Skies: The Aviation Industry’s Corporate Social Responsibility Communication for Human Trafficking Awareness

ABSTRACT Corporate social responsibility (CSR) communication has not yet fully explored the issue of human trafficking, especially not specifically in the aviation industry. The present study examines Group III mainline passenger airlines in the United States to understand how those airlines communicate their CSR efforts related to human trafficking as well as how those airlines engaged with stakeholders in this work. Using a six-phase thematic analysis approach, the analysis of airline CSR communication revealed that 7 of 10 airlines used a human rights lens to frame human trafficking, that human trafficking was part of airline community outreach and community connection efforts and important to combating labor trafficking in airline supply chains; and that training and partnership efforts were employed to engage key stakeholders. Findings present theoretical and practical implications for students, researchers, and communication practitioners working in CSR for human trafficking.

The experiences of rural generalist occupational therapists in provision of palliative care in rural, regional, and remote Australia: A phenomenological inquiry.

Access to specialist palliative care in rural and remote Australia is limited, resulting in a reliance on generalist health professionals to provide these services. Although literature exists concerning the experiences of some health professions in providing rural generalist palliative care, little is known about the experiences of occupational therapists who fill these roles. This paper aims to address this gap in knowledge by exploring the experiences of rural generalist occupational therapists in the provision of palliative care in rural, regional, and remote Australia. An interpretive phenomenological approach guided this research. Data were collected from eight rural generalist occupational therapists across Australia, using semi-structured, in-depth interviews. Data were thematically analysed to develop a nuanced understanding of lived experience in provision of palliative care. Due to the focus of this research on the practice experiences of occupational therapists, consumer and/or community involvement was not undertaken in its design or implementation. Three key themes were identified: 'community connections - a double-edged sword'; 'frustrations with structural and contextual factors limiting quality palliative care service provision'; and 'education and support as enablers of professional preparedness for palliative care service provision.' Taken collectively, these findings shed light on a variety of challenges and opportunities associated with rural generalist palliative care occupational therapy practice, as well as clues to their effective management. Knowledge of rural generalist occupational therapists' experiences can inform workforce development, promote retention of rural occupational therapists, and improve outcomes for dying persons, their families and caregivers. This study offers new insights into challenges and opportunities for rural generalist occupational therapy practice in palliative care and highlights the way in which both, new and existing support structures may be of value in promoting practice capacity and therapist wellbeing. It can be hard to get expert support for dying people in areas outside of cities in Australia. Health workers in these areas should be helped to provide good care. In this study, we spoke with some health workers in rural and remote areas who occasionally work with people who are dying. They told us that people in these areas were often helpful in supporting people who are dying because they felt close to them. But they also said that this made caring sadder for health workers because, sometimes, they were close to the people who were dying too. Having too much work, not enough experience and long distances made providing good care extra difficult. The health workers said that getting expert advice or using online teaching could help them improve their practice, but finding the time to do this is hard.

Exploring Collective Identity and Community Connections: An Interpersonal Analysis of Online Visitor Reviews at the Overseas Chinese Museum (2012–2023)

The Overseas Chinese Museum in Xiamen, Fujian, is a cultural historical museum in China that promotes heritage tourism and strengthens the community connection among the overseas Chinese diaspora, international and local visitors. The museum has become a platform for interpreting the immigration experience of overseas Chinese communities around the world. In this study, we examine visitors’ feedback to the Overseas Chinese Museum through a linguistic analysis of their reviews. The visitors’ reviews, 207 English-language online reviews, were collected from various travel forums between 2012 and 2023, totaling 11,584 words. We divided the data evenly into two distinct time periods, Stage I (2012–2017) and Stage II (2018–2023) and used statistical corpus log-likelihood analysis to quantify and understand if there were significant linguistic differences over time. Some of the key differences emerging from the linguistic analysis were related to conjunctions, e.g., also, while, after, and so, evaluative language and how identity was construed through language. Findings adopting an appraisal analysis suggested an increase in visitor satisfaction, possibly due to enhanced exhibits and changes in visitor expectations. The findings from analysing the reviews also showed that visitors shared similar values, developed a social bond with overseas Chinese, and engaged with this cultural historical community. The study contributes to a wider discussion on language in digital communication and cultural heritage. In addition, the visitors’ feedback and preferences could be used to improve communication and promotional strategies that ultimately increase the number of visitors to the museum.

Ordinary encounters: living space and social rhythms among the American Gitanos of Mexico City

ABSTRACT For the Gitanos of Mexico City, the importance of dynamic community connections and doing things together – aspects of the intensive encounters associated with an active social life – give rise to a fluid social and cultural identity. Space is an inherent element of the latter; they are interdependent and constructed simultaneously. As such, anot locked up at homen intimate relationship can be established between urban space and the Gitanos who inhabit it. This article proposes that the activities carried out in these spaces are of a cultural nature: they form part of the space for sociability and cultural education, which are particularly important to the Gitanos. Social rhythms are highly significant as they demonstrate how locations impact subjects and the type of activities they carry out in different spaces. I have attempted to understand these rhythms by measuring the frequency of Gitano meetings in various urban environments.

When connecting with LGBTQ+ communities helps and why it does: A meta-analysis of the relationship between connectedness and health-related outcomes.

We conducted a multilevel meta-analysis of 390 effect sizes from 167 studies with 157,923 participants examining the relationship between connectedness with lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) communities and health-related outcomes, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We conducted our initial search in January 2023 in APA PsycInfo, ERIC, Medline, and Open Dissertations, selecting studies that (a) measured LGBTQ+ community connectedness, (b) measured health, and (c) provided an estimate of the relationship between LGBTQ+ community connectedness and health. We found that connectedness with LGBTQ+ communities promotes mental health (r = .11), well-being (r = .17), and physical health (r = .09). Conversely, we found that connectedness with LGBTQ+ communities promotes substance use among younger participants, likely through behavioral engagement with LGBTQ+ others. We found that connectedness with LGBTQ+ communities was related to less mental health and more suicidality for younger people, likely because younger LGBTQ+ people seek out connectedness in response to this psychological distress. We also found that connectedness was not as health-promoting for LGBTQ+ individuals with multiple marginalized identities and that psychological feelings of belongingness with LGBTQ+ communities are generally more health-promoting than behavioral community engagement. Results from a narrative review and moderation meta-analyses suggested that, contrary to predictions made by minority stress theory, connectedness with LGBTQ+ communities does not buffer the relationship between minority stressors and health. Rather, meta-analytic mediation analyses suggested that proximal minority stressors negatively impact health-related outcomes by reducing connectedness with LGBTQ+ communities and that distal minority stressors are often less impactful on health-related outcomes because they promote connectedness with LGBTQ+ communities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Exploring and prioritizing content to include in a medication self-management toolkit for persons with spinal cord injury/dysfunction: A concept mapping approach.

Adults with spinal cord injury/dysfunction (SCI/D) face challenges with medications they take to manage their secondary conditions (e.g., pain, urinary tract infections, autonomic dysreflexia). With many healthcare providers typically involved in care, there are additional challenges with care fragmentation and self-management. Prior research emphasized the desire for more support with medication self-management among this population. To explore what content should be included in a medication self-management resource (i.e., toolkit) for adults with SCI/D, as well as considerations for delivery from the perspectives of adults with SCI/D, caregivers, healthcare providers, and representatives from community organizations. A concept mapping study was conducted. Participants took part in one or more of three activities: brainstorming; sorting and rating; and mapping. Participants generated ideas about the content to include in a medication self-management toolkit. Participants sorted the statements into conceptual piles and assigned a name to each. All statements were rated on a five-point Likert-type scale on importance and realistic to include in the toolkit. Participants decided on the final cluster map, rearranged statements, and assigned a name to each cluster to create visual representations of the data. Forty-four participants took part in this study. The final map contained eight clusters: 1) information-sharing and communication; 2) healthcare provider interactions and involvement; 3) peer and community connections; 4) supports and services for accessing prescription medications and medication information; 5) information on non-prescription medication and medication supplies; 6) safety and lifestyle considerations; 7) general medication information; and 8) practical information and strategies related to medication-taking. Safety and lifestyle considerations was rated as the most important and realistic to include in the toolkit. Given the limited tools to help adults with SCI/D with managing their medications, there is great potential to better support this population across all areas of medication self-management.

Understanding the barriers and enablers to participation in vaccine trials in a pregnant population from diverse ethnic background in an inner-city UK hospital.

Vaccination during pregnancy is an important healthcare intervention for safeguarding the health of the mother and their infants. Ethnic disparities in recruitment to vaccine research studies during pregnancy potentially contribute to health inequalities. The aim of the current study was to explore the barriers and enablers influencing the willingness of pregnant women from ethnic minority backgrounds to participate in vaccine research studies. Semi-structured qualitative online interviews were conducted with 23 pregnant women from diverse ethnic backgrounds in the UK. Interviews were transcribed verbatim, and thematically analysed. Our findings suggest that participants perceived vaccines and vaccine research, in principle, to be beneficial to the individual and to society, and understood the value of vaccination in mitigating severity of disease and protecting the health of mothers and their infants. Apprehension over the safety of vaccination in pregnancy was common and reduced willingness to participate. For those that decided to participate in vaccine trials in pregnancy, this was seen as an act of solidarity, a way to contribute to a collective responsibility for the public health of the community. Personal and community connections and representation-seeing people from their own communities represented in in the recruitment process shapped decisions about vaccine trial participating. Trust and mistrust in health systems, shaped by past experiences of interacting with healthcare professionals were likely to inform whether they would consider participating. Practical considerations such as excessive time commitments related to study procedures, travel and organising childcare were barrier to participation. The level of invasiveness of trial procedures were also a concern, although increased monitoring during the trial was seen as a potential benefit, mitigating some safety concerns. Our study reinforcing previously identified barriers to vaccine participation among pregnant women from diverse ethnic communities. This study underlines the need to develop tailored interventions that focus on fostering trust with the aid of community engagement to understand cultural contexts, establishing authentic representation, and address practical considerations, to contribute to enhancing vaccine trial participation in pregnancy in those from diverse ethnic communities.

Promoting active ageing: The positive impact of older people’s participation in Urban Gardens

Abstract Background The socio-health and economic consequences of the progressive population ageing constitute a global challenge for public health, which is committed to the promotion of active and healthy ageing as a strategy to mitigate these consequences. The European project U-GARDEN has evaluated from a comprehensive and innovative approach the impact of urban gardens on the promotion of active ageing through the participation of older people in urban agriculture. Methods A qualitative methodology was designed and implemented in order to analyse the information provided by people over 65 years of age, who actively participated in urban gardens, from a personal and subjective perspective through semi-structured in-depth interviews. The benefits obtained from participation in urban gardens were analysed, considering the different dimensions that make up the paradigm of active ageing: physical, psychological, economic, health, behavioural and personal impact. A total of 20 interviews were used to reach the saturation point. Results Qualitative analysis showed multiple benefits of active and healthy aging. Participants reported increased physical activity and psychosocial improvements such as higher personal satisfaction, reduced stress, and enhanced self-esteem, strengthening community connections and fostering a sense of belonging. Economically, they reported savings on food costs and increased food security. Overall, respondents noted improvements in general health and quality of life, highlighting urban gardening as valuable for well-being and social-economic integration. Conclusions The findings reported in the framework of the U-GARDEN project support the importance of implementing innovative strategies that encourage participation in urban gardens as a tool to improve the overall wellbeing and health of older people, effectively addressing some of the main challenges of ageing such as loneliness unwanted frailty and disability. Key messages • The U-GARDEN project is an example of good practice in the use of urban gardens as a platform for promoting active and healthy ageing. • The promotion of green spaces through the establishment of urban gardens should be considered by health and political authorities for their ability to promote the general well-being of society.

Indigenized Leisure and Data Colonialist Systems

Social media sites and the opportunities they advertise are often promoted as facilitating community connection, creativity, and listening with others. Many facets and descriptors of social media opportunities can be related to First Nations’ understanding of what comprises wellness and leisure. With this in mind, many Indigenous users may partake in social media with the expectation of a primarily leisurely online experience that would contribute to an individual’s health and wellness. Couldry and Mejias’ (2019) concept of ‘data colonialism’ frames the purpose of online spaces such as the social media platforms TikTok, Instagram, and X (Twitter) as having a very different goal, one removed from leisure or where leisure is nothing more than a symptom of data collection efforts. This digital auto-ethnographic project, assisted by discourse analysis, utilizes the researcher’s Anishinaabe identity markers through site profiles to gather data which explores whether or not social media sites are truly a space of leisure for First Nation’s users under ‘data colonialism.’ This project finds a clash in data collection functions and online community opportunities, which renders Indigenized leisure within the digital space a fallacy. In council with teachings from Velkova and Kaun’s (2021) article Algorithmic Resistance: Media Practices and the Politics of Repair and Wemigwans’ (2018) A Digital Bundle; Protecting and Promoting Indigenous Knowledge Online, this project looks to the future, discussing the manipulation of social media affordances towards a true online wellness space for Indigenous users.

Russian-Ukraine War and its Impact on the European Economy

This study examines the impact of the Russian-Ukraine war on the economy of Europe, concentrating on trade disruptions, energy security, foreign direct investment (FDI) flows, and the socioeconomic ramifications of the war[1]induced refugee crisis. This study employs the descriptive research design, qualitative research method and a secondary source of data collection. The research uncovers the problems and possibilities coming from the war, as well as the larger implications for economic growth, development, and stability in the area. The results reveal severe interruptions to commercial links between European nations, especially Russia, and Ukraine, with key sectors such as energy, manufacturing, and agriculture facing considerable disruptions. Energy security emerges as a significant worry, spurring attempts to diversify energy sources and lessen dependence on Russian supply. Meanwhile, the war has resulted in a drop in FDI inflows to Russia and Ukraine, aggravating economic concerns in both nations and hurting their growth prospects. Furthermore, the research shows the burden on social welfare systems in European nations hosting migrants, since the inflow of refugees exerts great demands on resources and capabilities. Investments in housing, health care, education, and social welfare are vital for satisfying the different needs of displaced people and facilitating their long-term integration into society. However, issues connected to social cohesiveness, community connections, and political dynamics within host nations also occur. The study recommends diplomatic resolution of the dispute through peaceful discussions, involving European Union (EU) member states- Russia, Ukraine, and other parties. This could involve neutral mediation, de-escalating initiatives, and confidence-building measures.

The Perspectives of Community Pharmacists Toward the Name-Based Rationing System During the COVID-19 Pandemic in Taiwan: Cross-Sectional Survey Study.

In Taiwan's public health system, community-based pharmacists are key first-line health care providers due to their high accessibility. During the COVID-19 pandemic, the pharmacists played a central role in the distribution of these supplies through the Name-Based Rationing System (NBRS), during an acute shortage of masks and testing kits, that helped reduce the spread of the disease. The NBRS, an innovative government-guided strategy developed after the COVID-19 outbreak, provided equitable and convenient access to masks and COVID-19 test kits. This study aimed to investigate (1) Taiwanese pharmacists' knowledge, attitude, and practices (KAPs) of COVID-19, with the intention to assess their preparedness for public health emergencies and their capabilities to implement COVID-19-related policies effectively; (2) their perspectives toward the NBRS; and (3) the association between individual's KAP and corresponding perspectives toward the NBRS. A cross-sectional, web-based survey was conducted in 2 major cities in Taiwan, from June 18 to September 11, 2022, during the peak of the COVID-19 pandemic. To gauge community pharmacists' KAP, a 66-question instrument was developed using guidelines from the Taiwanese Centers for Disease Control, the International Pharmaceutical Federation, and the Taiwanese Pharmacist Association. The instrument's internal consistency reliability was ascertained using Cronbach α (0.819), and its content validity was verified by field experts. Overall, 343 Taiwanese community pharmacists were recruited in the study. Among them, 88% (303/343) scored high on knowledge domain questions related to SARS-CoV-2; 58% (201/343) and 39% (136/343) held positive and neutral attitudes toward COVID-19-related policies, respectively; and 77% (266/343) practiced infectious disease prevention measures in compliance with official guidelines. The results demonstrated a high level of competency in pharmacists in a public health crisis. It revealed that factors including age, pharmacy characteristics, and the number of customers were associated with their perceptions and willingness to continuously participate in the NBRS. Overall, the community pharmacists showed greater support for the COVID-19-testing NBRS compared with the mask NBRS, because of the more favorable influence on the revenue and workforce of the pharmacies and the well-being of the pharmacists. Responses also highlighted concerns about rapid government policy changes and supply dynamics, underscoring the importance of effective communication and considering supply availability in facilitating a successful NBRS. The strong KAP of the community pharmacists justified the government leveraging their expertise in Taiwan's COVID-19 response. While community pharmacies have proven to be essential distribution centers through the NBRS, improving community connections, communication with the government, and supply management are recommended to strengthen the system. These potential approaches aim to ensure successful NBRS implementation and better preparedness for future public health emergencies. Overall, pharmacists have demonstrated their integral role in achieving equitable outcomes and their dedication to public health efforts during crises.

Minority stress mediates associations of sexual minority state policies and tobacco use among US sexual minority young adults

IntroductionState policies surrounding sexual minority (SM) rights are associated with tobacco use among SM individuals. Research is scant regarding the role of distinct SM policy categories on SM young adults’ (SMYAs) tobacco use and mechanisms explaining these associations. MethodsWe analyzed 2023 survey data from 1100 SMYAs (ages 18–34; 14.2 % gender minority; 66.1 % bisexual+, 29.1 % monosexual; 53.2 % racial/ethnic minority) with representation across 45 US states and DC. Regression-based models examined: 1) direct associations of residing in states with negative and limited (vs. comprehensive) SM state policies with respect to 7 policy categories (relationship/parent recognition, nondiscrimination, religious exemptions, LGBTQ youth, healthcare, criminal justice, gender identity documents) with minority stress (mental health, internalized stigma, community connectedness); 2) direct associations of policy categories and minority stress with tobacco use (past-month cigarette, e-cigarette, any tobacco use, number of products used); and 3) indirect associations of policy categories with tobacco use through minority stress. ResultsRelative to residing in states with comprehensive policies, residing in states with limited relationship/parent recognition policies indirectly predicted higher odds of e-cigarette use through mental health; weaker nondiscrimination policies indirectly predicted using more tobacco products through internalized stigma; and negative healthcare policies indirectly predicted higher odds of cigarette and any tobacco use through community connectedness. ConclusionsThese novel findings regarding associations among distinct SM policy categories, minority stress mediators, and tobacco use outcomes warrant further examination to better understand these distinct mechanisms, ultimately to inform SM-related policy and advocacy efforts, as well as tobacco prevention and cessation efforts.

Research and program grants will support health equity

The philanthropic arm of health insurance company Humana Inc. has announced a series of grants devoted to advancing health equity, with several of the funded initiatives focused on mental health. The Humana Foundation on Oct. 16 announced investments totaling $15.2 million for research and programmatic initiatives emphasizing emotional health and community connection. Among the funded research projects, investigators at Indiana University's Bloomington campus will use grant support to examine connection between school staff and marginalized students for suicide prevention, while researchers at the University of South Florida will test a nutrition education intervention for low‐income older adults with behavioral health conditions. Program grantees include Junior Achievement of Kentuckiana, which plans to establish a youth mental health center in Kentucky, and Spring Branch Community Health Center in Texas, which intends to open a mental health center at a high school with a large proportion of students struggling with mental health issues. Older adults and school‐age children have been priority populations in the foundation's overall giving mission. “This commitment from the Humana Foundation offers a major investment in creating practical tools that will have wide application in reconnecting older adults to social and community networks,” said Tom Kamber, executive director of grant recipient agency Older Adults Technology Services, which will use its grant to educate communities on the difficulties many seniors have in combating social isolation.

Editorial: Blurring Boundaries & Building Community through Critical Awareness, Collective Action, & Creative Pedagogies

What is the role of art education today; what should our preservice teachers know; what do we wish people outside of the field knew about us; how can we advocate for the importance of our work in the face of so much uncertainty in education broadly; how can our research speak to these questions; and how can we possibly tackle all of this with the amount of responsibilities we carry? Serving simultaneously as teachers, administrators, and researchers in our respective universities, we (Amanda and Cala) discuss these questions regularly. At times, it feels like too much, like we are navigating a cacophony of competing interests, tasks, and politics too accelerated to really be heard or to make a significant difference. But, together, we can be heard, and the articles in this issue provide an inspiring spectrum of approaches and examples of artists and educators engaged in active pedagogies for community connection and historical understanding on a local and global level.