Research Brief for Des Moines County Public Health

Personalized research briefing

Focused Research Brief: Screening, Prevention, Home-Based Care, Emergency Preparedness, and Access

These five recent studies were selected because they align directly with Des Moines County Public Health’s priorities: health promotion, disease and disability prevention, and provision of comprehensive home- and community-based care. Each study offers actionable findings for screening programs, prevention messaging, home health practice, emergency surge planning, or culturally and linguistically appropriate service delivery.

Colorectal Cancer Mortality Following an Organized Fecal Immunochemical Test-Based Screening Program.

This population-based cohort study from the Basque Country found that a biennial organized FIT screening program was associated with a sustained decline in colorectal cancer mortality, with a roughly 50% reduction among people aged 50–69 and earlier-stage diagnoses for most screen-detected cancers. Analyses identified an inflection point about three years after program start and estimated large relative reductions compared with projected trends without screening.

Why it matters for Des Moines County Public Health
Organized FIT screening is a high-impact, population-level prevention strategy that maps to your priority of disease prevention and screening outreach. Findings support investing in outreach to eligible age groups, tracking participation and colonoscopy follow-up, and using program timing and staging data to measure local impact. READ THE STUDY: https://doi.org/10.1001/jamanetworkopen.2026.26951

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Determinants of mammography screening uptake among women attending family health centers in Ankara, Türkiye: a cross-sectional study.

This cross-sectional study identified key predictors of mammography uptake: awareness of screening programs, prior participation in other screening, presence of chronic disease, and positive self-rated health—awareness showed the strongest association. The authors concluded that strengthening program awareness, primary-care education, and reducing financial barriers could improve mammography participation.

Why it matters for Des Moines County Public Health
The results highlight modifiable factors you can address through public health nursing and home-visit education—especially raising awareness of screening programs and linking screening messages to chronic disease management. Consider integrating breast cancer screening information into routine home health visits and care coordination for patients with chronic conditions. READ THE STUDY: https://doi.org/10.1186/s12913-026-15334-z

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Patterns and Correlates of Disposable E-Cigarette Use Among U.S. Youth.

Using 2023 national survey data, this study found that youth who predominantly use disposable e-cigarettes have higher rates of nicotine-containing product use and flavor preference, and that disposable use is associated with daily social media exposure, peer and home exposure, and severe psychological distress. Concurrent use of cigarettes and e-cigarettes marked the greatest dependence and social exposure risk.

Why it matters for Des Moines County Public Health
These findings inform youth prevention priorities by identifying social media exposure, household exposure, and peer influence as intervention points, consistent with your prevention and health-promotion work. Local programs can use this evidence to tailor school- and family-facing education, coordinate with schools, and target outreach where social media and peer networks drive use. READ THE STUDY: https://www.ajpmonline.org/article/S0749-3797(26)00095-4/pdf

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Implementation of Alternate Care Facilities During Public Health Emergencies: A Qualitative Study.

This qualitative synthesis of ACF experiences identified five recurring themes for successful ACF planning and operations: flexibility, strong partnerships with health systems and emergency management, resource readiness, executive leadership support, and clear leadership structures. Strategies such as affiliating with parent health systems and maintaining ‘warm closure’ (ready-to-reactivate footprints) improved performance.

Why it matters for Des Moines County Public Health
The study offers practical lessons for county-level surge planning and operational coordination—especially the need to formalize partnerships, define leadership roles, and plan resource readiness and warm-closure options. These insights can inform your emergency preparedness work, drills, and agreements with regional health systems rather than requiring new clinical service models within the health department. READ THE STUDY: https://doi.org/10.1001/jamanetworkopen.2026.26931

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Health and Health Care Access Among Afghan Refugee Women in the United States.

In interviews with Afghan refugee women, researchers identified multilayered barriers to care: inadequate interpretation and communication, sociocultural norms limiting autonomy, structural barriers leading to use of home remedies, gaps in sexual/reproductive health knowledge, and prominent mental health distress often expressed somatically. The authors recommend culturally and linguistically tailored interventions and structural changes to improve access.

Why it matters for Des Moines County Public Health
For a department that provides home health and public health nursing, this study underscores the value of interpreter services, culturally informed outreach, and trauma-informed approaches when serving immigrant and refugee patients in the community. Consider assessing local interpreter capacity, training for culturally sensitive consent and communication, and partnerships with community organizations to improve access for linguistically diverse residents. READ THE STUDY: https://doi.org/10.1001/jamanetworkopen.2026.27727

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Across these studies, themes that recur for Des Moines County Public Health are the importance of organized, measurable screening outreach; targeted, culturally and developmentally tailored prevention messaging; and advance operational planning with partners for both routine service delivery and surge events. Each study offers specific actions you can align with existing home-visiting, public health nursing, and community engagement workflows.


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