scholarly journals Comparing Nighttime to Rush Hour Avoidance as Initial Driving Self-Regulation Behaviors

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 265-265
Author(s):  
Jonathon Vivoda ◽  
Lisa Molnar ◽  
David Eby ◽  
Carolyn DiGuiseppi ◽  
Vanya Jones ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Low Income ◽  
Longitudinal Research ◽  
Self Regulation ◽  
Binary Logistic Regression ◽  
Female Gender ◽  
Lifestyle Changes ◽  
Avoidance Behaviors ◽  
Regulatory Behavior ◽  
Aging Drivers

Abstract Aging is associated with an increase in avoidance of challenging driving situations (e.g., driving at night, during rush hour, on freeways, and in unfamiliar areas). Such avoidance behavior may be due to driving self-regulation (SR), an intentional response to perceived declining abilities, or it may be due to other factors such as lifestyle changes or preferences. Most previous research has not studied SR as the reason for avoidance, and has treated avoidance behaviors interchangeably. In addition, previous research has not differentiated one’s first SR behavior from those reported later in the process. This study included 1,557 participants from the AAA Longitudinal Research on Aging Drivers (LongROAD) to assess older adults’ initial self-regulatory behavior by comparing the frequency of nighttime, rush hour, freeway, and unfamiliar area avoidance among those who reported only one SR behavior. Nighttime SR was most common (58.8%), followed by rush hour (25.5%), unfamiliar areas (11.0%), and freeways (4.8%). Binary logistic regression was used to assess how demographics, function, and self-reported driving variables were related to different odds of reporting nighttime vs. rush hour avoidance (the two most common) as one’s initial SR behavior. Higher odds of reporting nighttime avoidance (compared to rush hour) as one’s initial SR behavior were related to female gender, low income, impaired visual acuity, better self-reported ability to see during the day, worse self-reported ability to see at night, less comfort driving at night, and more comfort driving during rush hour, and in unfamiliar areas.

scholarly journals Exploring How Hearing, Vision, and Cognition Affect Older Adults’ Driving Exposure Patterns

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 617-617
Author(s):  
Jonathon Vivoda ◽  
Lisa Molnar ◽  
David Eby ◽  
Jennifer Zakrajsek ◽  
Nicole Zanier ◽  
...  
Keyword(s):  
Older Adults ◽  
Visual Acuity ◽  
Longitudinal Research ◽  
Hearing Aid ◽  
Lower Percentage ◽  
Hearing Aid Use ◽  
Exposure Patterns ◽  
Trail Making ◽  
Objectively Measured ◽  
Aging Drivers

Abstract Better information is needed about how declines in sensory and cognitive function affect older drivers. This study assessed how hearing loss affects engagement in four challenging driving patterns. Data from the AAA Longitudinal Research on Aging Drivers study was used, including objectively-measured driving; three measures of hearing: reported hearing aid use, self-rated hearing, and the Whisper Test; visual acuity (Tumbling E); and cognition (Trail Making B). Failing the Whisper Test in both ears was related to significantly lower percentage of trips (%trips) at night, on freeways, and during rush hour, but a higher %trips >15 miles. Hearing aid use and self-rated hearing were not associated with any driving differences. Worse vision was related to a lower %trips >15 miles, while worse cognition was associated with a lower %trips at night, on freeways, and during rush hour. The Whisper Test interacted with cognition for rush hour trips.

The Influence of Hearing Impairment on Driving Avoidance Among a Large Cohort of Older Drivers

2021 ◽  
pp. 073346482199922
Author(s):  
Jonathon M. Vivoda ◽  
Lisa J. Molnar ◽  
David W. Eby ◽  
Scott Bogard ◽  
Jennifer S. Zakrajsek ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Longitudinal Research ◽  
Hearing Aid ◽  
Future Research ◽  
Hearing Results ◽  
Lower Odds ◽  
Avoidance Behaviors ◽  
Hearing Aid Use ◽  
Aging Drivers

As people age, some of the commonly experienced psychomotor, visual, and cognitive declines can interfere with the ability to safely drive, often leading to situational avoidance of challenging driving situations. The effect of hearing impairment on these avoidance behaviors has not been comprehensively studied. Data from the American Automobile Association (AAA) Longitudinal Research on Aging Drivers (LongROAD) study were used to assess the effect of hearing impairment on driving avoidance, using three measures of hearing. Results indicated that hearing loss plays a complex role in driving avoidance, and that an objective hearing measure was a stronger predictor than hearing aid use and self-rated hearing. Greater hearing impairment was related to less nighttime and freeway driving, more trips farther than 15 mi from home, and lower odds of avoiding peak driving times. The moderating influence of hearing on both vision and cognition is also discussed, along with study implications and future research.

Developmental Trends in Self-regulation among Low-income Toddlers

2007 ◽  
Vol 16 (1) ◽  
pp. 128-149 ◽  
Author(s):  
H. Abigail Raikes ◽  
JoAnn L. Robinson ◽  
Robert H. Bradley ◽  
Helen H. Raikes ◽  
Catherine C. Ayoub
Keyword(s):  
Low Income ◽  
Self Regulation ◽  
Developmental Trends

scholarly journals Identifying Mobile Health Technology Experiences and Preferences of Low-Income Pregnant Women with Diabetes

2021 ◽  
pp. 193229682199317
Author(s):  
Karolina Leziak ◽  
Eleanor Birch ◽  
Jenise Jackson ◽  
Angelina Strohbach ◽  
Charlotte Niznik ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Mobile Health ◽  
Low Income ◽  
Self Regulation ◽  
Health Inequities ◽  
Comparison Method ◽  
Rapid Expansion ◽  
Self Management ◽  
Postpartum Women ◽  
Design Elements

Background: Rapid expansion of mobile technology has resulted in the development of many mobile health (“mHealth”) platforms for health monitoring and support. However, applicability, desirability, and extent of tailoring of these platforms for pregnant women, particularly in populations who experience the greatest health inequities—such as women with diabetes mellitus (DM) and/or those with greater socioeconomic barriers—remains unknown. The objective is to understand low-income pregnant women’s experiences and preferences for mHealth tools to support DM health and improve DM self-management during pregnancy. Methods: Low-income pregnant and postpartum women were included in individual interviews or focus groups; women with type 2 DM, gestational DM, or no DM were included. Analysis was performed with the constant comparison method. Results: In this population of 45 ( N=37 with DM) low-income, largely minority, pregnant and postpartum women, 100% reported access to smartphones and prior experience with apps. Interest in mHealth to support health and engagement during pregnancy was high. Preferences for general mHealth features included education that reduces uncertainty, support communities, visualizing progress, convenient access to information, and support for better management of pregnancy-related tasks. Preferred design elements included personalization, interactive features, and integrated graphics. Women with DM expressed multiple additional DM-specific needs, including support tools for DM self-management and self-regulation tasks. Conclusion: Pregnant and postpartum women, especially those with DM, desire mHealth technology to support engagement and to adapt lifestyle guidelines and treatment requirements for a healthy pregnancy. Further work to develop mHealth interventions tailored for target populations remains a key step in reducing health inequities and promoting access to evidence-based perinatal health interventions.

scholarly journals Predictors of COVID-19-Related Perceived Improvements in Dietary Health: Results from a US Cross-Sectional Study

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2097
Author(s):  
Kelly Cosgrove ◽  
Christopher Wharton
Keyword(s):  
Dietary Habits ◽  
Eating Habits ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Lifestyle Changes ◽  
Income Loss ◽  
Cross Sectional ◽  
Healthy Eating Habits ◽  
Health Related ◽  
Survey Responses

The COVID-19 pandemic resulted in substantial lifestyle changes. No US study has identified predictors of perceived dietary healthfulness changes during the pandemic period. This study included analyses of lifestyle and dietary healthfulness changes using 958 survey responses from US primary household food purchasers. Information was collected related to demographics, COVID-19-related household changes, and health-related habits before and during the pandemic. Binary logistic regression identified predictors of perceived increase in dietary healthfulness during the pandemic period. Overall, 59.8%, 16.4%, and 23.4% of participants reported that their eating habits likely changed, may have changed, and likely did not change, respectively. Of the participants whose dietary habits likely or may have changed, 64.1%, 16.8%, and 19% reported healthier, neither healthier nor less healthy, and less healthy eating habits, respectively. COVID-19-related income loss, more meals consumed with household members in front of the television, an increase in food advertisement exposure, increased perceived stress, and better perceived current health were significant predictors of a perceived increase in dietary healthfulness. Overall, dietary habits were perceived to become healthier during the pandemic. The predictors of perceived improvement in dietary healthfulness were surprising and indicate the need for further study of these factors in crisis and noncrisis situations.

Expanding after School Program Access for Vulnerable Students: Examining the Efficacy of Federal Policy and Funding

2021 ◽  
pp. 001312452110045
Author(s):  
Susan K. Klumpner ◽  
Michael E. Woolley
Keyword(s):  
Low Income ◽  
Binary Logistic Regression ◽  
After School Programs ◽  
Lower Percentage ◽  
After School ◽  
School Program ◽  
Logistic Regression Models ◽  
School Programs ◽  
After School Program ◽  
Low Income Families

After school programs provide low income students and students of color with learning opportunities across both academic and non-academic domains that such students would otherwise not get. In this study, we examined the intersection of school characteristics (e.g., enrollment size, percent minority enrolled, and percent eligible for FARM) and the types of after school programming schools offered (e.g., fee-based, 21st CCLC, and other types) using binary logistic regression models. I n a sample of schools ( n = 1,601) surveyed by the National Center on Education Statistics 2008 FRSS, we found that under-resourced schools had lower odds of having a 21st CCLC program and higher odds of having a fee-based after school program (than schools with a lower percentage of students receiving FARM). That is counter to the stated goals of the 21st CCLC program. These findings highlight the need for a re-prioritization of 21st CCLC funding such that financial assistance provided to schools to support after school programs is allocated to schools serving students from low income families and communities.

scholarly journals Frequency of Complications Following Cataract Surgery in Diabetic Patients at Tertiary Care Hospital

2022 ◽  
Vol 9 (1) ◽  
pp. 75-81
Author(s):  
Muhammad Bilal ◽  
Shafqat Ali Shah ◽  
Marina Murad ◽  
Saad Ali ◽  
Ammad Ali ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Tertiary Care ◽  
Case Series ◽  
Female Gender ◽  
Posterior Capsule Opacification ◽  
Posterior Capsule ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Case Series Study

OBJECTIVES: To determine the frequency of complications following cataract surgery in diabetic patients admitted in the ophthalmology unit. METHODOLOGY: A prospective descriptive interventional case series study was conducted after approval of the ethical committee, from June 2017-June 2020 at the Ophthalmology department MTI-MMC. A total of 129 patients from either gender were enrolled in study. All the study patients went through detailed history and complete ocular examination. After necessary investigations, surgical procedure was carried out. Results were analyzed through the SPSS-24 version. RESULTS: Out of the total 129 eyes of the diabetic patients, fifty-nine (45.7%) were males and seventy (54.3%) were females with a ratio of 1:1.2. Uveitis leads the chart in complications found in twenty (15.50%) eyes while PODR being the least common found in only ten (7.75%) eyes. Worse visual acuity was observed in fourteen (10.85%) eyes. Striate keratopathy and posterior capsule opacification were found in sixteen (12.40%) and fifteen (11.62%) eyes respectively. Among the patients, 15.7% were having more than one complication during follow-up visits and eighty-eight (68.2%) eyes were found to have none complication. The age group 51-60 years observed frequent complications as compared to other groups. Similarly female gender (38.57%) has frequent complications as compared to males (2.7%). CONCLUSION: The study concludes Uveitis as the most common complication observed in 15.50% 0f the eyes while worse visual acuity (10.85%) and progression of diabetic retinopathy (7.75%) being the least common. Striate keratopathy was found in 12.40% while posterior capsule opacification in 11.62% of the eyes.

scholarly journals PSYCHOLOGICAL STATES AND PROPERTIES OF THE PERSONALITY HAVING DEPENDENCE ON THE SMARTPHONE

2021 ◽  
pp. 225-235
Author(s):  
Виктор Павлович Шейнов ◽  
Наталья Васильевна Дятчик
Keyword(s):  
College Students ◽  
Communicative Competence ◽  
Negative Impact ◽  
Self Regulation ◽  
Female Gender ◽  
Self Control ◽  
Smartphone Addiction ◽  
Poor Sleep ◽  
Negative Consequences ◽  
Educational Work

Зависимость от смартфона стала распространенным явлением, особенно в молодежной среде. В предыдущих исследованиях установлены большая распространенность данной зависимости и то, что жертвы этой зависимости испытывают страдания от плохого качества сна (а то и от бессонницы), депрессии, тревожности, стресса, а также отрицательные эмоции, характеризуются значительным снижением физической активности. Распространенность зависимости от смартфона и ее отрицательные последствия диктуют необходимость ее всестороннего исследования. Изучаются проявления феномена зависимости от смартфонов у учащихся медицинского колледжа. Установлено, что зависимость от смартфона положительно связана с одиночеством, агрессивностью, плохим настроением и отрицательно – с коммуникативной компетентностью, настойчивостью, самообладанием, саморегуляцией, а также с возрастом. В большей степени она проявляется у представителей женского пола. Выявленные корреляции зависимости от смартфонов с одиночеством, агрессивностью, саморегуляцией, коммуникативной компетентностью в целом соответствуют характеру корреляций, установленных в зарубежных исследованиях. Новыми как для отечественных, так и для зарубежных исследований являются установленные авторами отрицательные связи зависимости от смартфона респондентов с настойчивостью и самообладанием. Smartphone addiction has become common, especially among young people. Previous studies have established a high prevalence of this addiction and the fact that the victims of this addiction experience suffering: from poor sleep quality (and even insomnia), depression, anxiety, stress, experience negative emotions, and are also characterized by a significant decrease in physical activity. The prevalence of smartphone addiction and its negative consequences dictate the need for a comprehensive study. The article examines the manifestations of the phenomenon of smartphone addiction in medical college students. It is shown that the psychological mechanism of the emergence of addictions is described by a general model of psychological impact. It was found that that smartphone addiction is positively associated with loneliness, aggressiveness, bad mood, with the female gender, and negatively – with communicative competence, persistence, self-control, self-regulation, as well as with age. The connections identified in the article with loneliness, aggressiveness, self-regulation, and communicative competence generally correspond to the nature of the correlations established in foreign studies. New for both domestic and foreign studies are the negative links of dependence on smartphones with persistence and self-control revealed in the article. Based on the results of this study, recommendations were developed (based on the obtained empirical data) for college students to minimize the negative impact of smartphones on their mental and physical health. It is recommended in the process of educational work with students to explain the negative consequences of dependence on smartphones and the value of direct, live communication with their environment.

scholarly journals Contact With Nature as a Mental Health Buffer for Lower Income Communities During the COVID-19 Pandemic

2021 ◽  
Vol 3 ◽  
Author(s):  
Amber L. Pearson ◽  
Teresa Horton ◽  
Karin A. Pfeiffer ◽  
Rachel Buxton ◽  
Joseph Gardiner ◽  
...  
Keyword(s):  
Mental Health ◽  
Perceived Stress ◽  
Low Income ◽  
Longitudinal Research ◽  
Positive Association ◽  
Depression Symptoms ◽  
Health Issues ◽  
Mental Health Issues ◽  
As Stress ◽  
Perceived Access

Despite a growing number of research outputs on the importance of nature contact during the COVID-19 pandemic, we know of no longitudinal research conducted prior to and during the pandemic among low-income and minority ethnicity populations, i.e., those that might be most affected. Furthermore, we have scant information about how and to what degree contact with nature might protect mental health or mitigate worsening of mental health during the pandemic. We filled these gaps using a subset of a longitudinal study of n = 86 individuals in low-income, predominantly African American, neighborhoods in Detroit, MI, USA. The study addressed the following research questions: (1) did self-reported use and perceived value of nature change during, vs. prior to, the pandemic; (2) did perceived access to outdoor spaces buffer people against mental health issues such as stress, anxiety and depression symptoms; or (3) did objectively measured quality of nature views from home buffer people against mental health issues, taking into account relevant covariates and pandemic experiences (e.g., loss of employment, death of a friend/relative)? While attitudes to nature improved slightly from pre- to during the pandemic, we also observed significant decreases in most types of outdoor physical activity and passive enjoyment of nature (e.g., smelling plants/rain). We found a positive association between visibility of greenspace and perceived stress and anxiety, which not only contradicts previous research findings, but was especially surprising given that overall there was a decrease in perceived stress from 2019–2020. We did not detect associations between perceived access/use of nature and mental health. However, higher depressive symptoms were associated with exposure to more COVID-19-related stressors (lost employment, death of friends from COVID-19, etc.). Taken together, our results indicate that COVID-19 may serve to prolong or exacerbate mental health issues, rather than create them, in this population and that low quality greenspace may perhaps limit the ability for nature view to buffer mental health during the pandemic.

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