scholarly journals Optimizing Recruitment of Black Adolescents into Behavioral Research: A Multi-Center Study

Author(s):  
Deborah A Ellis ◽  
Jillian Rhind ◽  
April Idalski Carcone ◽  
Meredyth Evans ◽  
Jill Weissberg-Benchell ◽  
...  

Abstract Objectives Adolescents of color are underrepresented in behavioral health research. Study aims were to quantify the amount and types of outreach effort needed to recruit young Black adolescents with type 1 diabetes and their primary caregiver into a clinical trial evaluating a parenting intervention and to determine if degree of recruitment difficulty was related to demographic, diabetes-related, or family characteristics. Methods Data were drawn from a multi-center clinical trial. Participants (N = 155) were recruited from seven pediatric diabetes clinics. Contact log data were used to quantify both number/type of contacts prior to study enrollment as well as length of time to enrollment. Families were coded as having expedited recruitment (ER) or prolonged recruitment (PR). Baseline study data were used to compare ER and PR families on sociodemographic factors, adolescent diabetes management and health status and family characteristics such as household organization and family conflict. Results Mean length of time to recruit was 6.6 months and mean number of recruitment contacts was 10.3. Thirty-nine percent of the sample were characterized as PR. These families required even higher levels of effort (mean of 9.9 months to recruit and 15.4 contacts). There were no significant between-group differences on any baseline variable for ER and PR families, with the exception of family income. Conclusions Researchers need to make persistent efforts in order to successfully enroll adolescents of color and their caregivers into clinical trials. Social determinants of health such as family resources may differentiate families with prolonged recruitment within such samples.

Author(s):  
Paige Colley ◽  
Jamie A. Seabrook ◽  
Sarah J. Woodruff ◽  
Jason Gilliland

Purpose: Knowledge is fundamental to helping children make nutritional choices that support lifelong healthy behaviours. This study (i) investigates elementary school children’s knowledge about food and nutrition and (ii) identifies sociodemographic factors influencing children’s reported knowledge. Methods: In 2017–2019, a survey was administered to 2443 students (grades 5–8) at 60 schools across southwestern Ontario, Canada, and a parent survey was used to validate self-reported sociodemographics. Multiple regression was used to analyse children’s knowledge scores and related sociodemographic factors. A total knowledge score was calculated by summing correct responses derived from 46 individual questions in the student survey. Results: Mean total knowledge score was 29.2 out of a possible 46 points (63.5% correct). Students demonstrated some knowledge and awareness of strategies to encourage fruit and vegetable consumption, healthy food selection, nutrition, and food preparation skills, although knowledge of food guide recommendations and locally sourced produce were limited. Female sex, family income, and rurality were associated with higher knowledge scores. Conclusions: Results provide insight regarding strengths and gaps in elementary-school children’s food and nutrition knowledge. Poor performance of students on specific food guide-related questions suggests that the general guidance of the 2019 Canada’s Food Guide might be better understood by children and adolescents.


2008 ◽  
Vol 24 (12) ◽  
pp. 2827-2833 ◽  
Author(s):  
Ana Lúcia Lyrio de Oliveira ◽  
Anamaria Mello Miranda Paniago ◽  
Marcos Antônio Sanches ◽  
Maria Elizabeth Cavalheiros Dorval ◽  
Elisa Teruya Oshiro ◽  
...  

The Brazilian city of Três Lagoas, Mato Grosso do Sul State, has experienced an urban outbreak of visceral leishmaniasis since 2000. In 2002, due to the increase in the number of cases, 46 families with cases of visceral leishmaniasis were studied to verify the prevalence of asymptomatic infection in household contacts. Indirect immunofluorescence and ELISA showed a 36.4% positive infection rate. There were no cases of symptomatic disease among these contacts. There was no statistically significant difference in gender or age. Median age was 21 years, and the 10-19-year age bracket was the most heavily affected (23%). As for family characteristics, no differences were observed in schooling or family income; most families (58.7%) owned their homes, which were built of masonry (97.8%) and had adequate infrastructure. All the families reported what were probably phlebotomine sand flies in the peridomicile. In conclusion, asymptomatic visceral leishmaniasis infection is frequent and occurs in both males and females, regardless of age.


2018 ◽  
Vol 38 (1) ◽  
pp. 24-29 ◽  
Author(s):  
Ana Paula Modesto ◽  
Len Usvyat ◽  
Viviane Calice-Silva ◽  
Dandara Novakowski Spigolon ◽  
Ana Elizabeth Figueiredo ◽  
...  

Background Simple and low-cost tools to monitor the risk profile of patients on peritoneal dialysis (PD) at high risk of complications and mortality are scarce. One of the tools available to monitor the variation in vitality and dependence levels is the Karnofsky performance status (KPS). This study analyzed the average trends and variation of KPS during the 12 months before death and its independent value in predicting patients’ survival. Methods The data were compiled from the BRAZPD II multi-center study, performed in Brazil between 2004 and 2011. For the analysis of KPS dynamics, we included patients with at least 12 months of follow-up on PD and who had a fatal event during the follow-up. The following covariables were evaluated: age, gender, ethnicity, educational level, and presence of diabetes. We used the linear regression model to present the results: the log (time) before death was represented by the regression variable and KPS was the response. We also analyzed the independent impact of baseline KPS on patients’ survival. Results From the population of 9,905 patients enrolled in the BRAZPD study, 4,133 survived 12 months on PD and were included in the analysis. There was a gradual decline in the KPS scores, which accelerated in the last 2 months before death. These changes were similar irrespective of age, race, family income, gender, diabetes, PD modality, and education level. We observed 989 fatal events in this population during the observation period, and the KPS score was identified as an independent predictor for mortality in this cohort. Conclusions This study demonstrates for the first time the dynamics of KPS before death in PD patients, indicating a progressive and accelerated decline of KPS in the 12 months before patients died. In addition, KPS was an independent predictor of mortality in this population.


2020 ◽  
Vol 6 (3) ◽  
pp. 181-189
Author(s):  
Shervin Assari ◽  

Background: A wide array of Socioeconomic Status (SES) indicators show differential effects for the members of diverse social groups. Researchers know a little about the ethnic variation and the effects of family income on delay discounting which is the predictor of risk behaviors. Objectives: This study examined the effect of family income and its differences on delayed gratification between Latino and non-Latino children. Materials & Methods: In this cross-sectional analytical study, data came from wave one of the Adolescent Brain Cognitive Development (ABCD) study which included 3903 non-Latino or Latino Black or White American children who are between 9 and 10 years old. The predictor was family income. Data were collected from 21 sites in the US, in 2018. The outcome was the children’s delay discounting. We measured delay discounting, which reflected individuals’ tendency to assign less value to remote outcomes and rewards (inversely correlated with delayed gratification). Data analysis was done by linear regression in SPSS V. 22. Results: According to our pooled sample regression, higher family income was associated with lower children delay discounting (Beta=-0.05, P=0.021). We found a significant interaction between family income and ethnicity, suggesting that the association between family income and delay discounting is stronger for Latino compared with non-Latino children (Beta=-0.09, P=0.043). Conclusion: Not all ethnic disparities are due to socioeconomic status gaps. Across diverse social groups, differential returns of socioeconomic status indicators, such as family income, also contribute to ethnic disparities in health.


2021 ◽  
Vol 27 (1) ◽  
pp. 84-89
Author(s):  
Cecília Bertuol ◽  
Kelly Samara da Silva ◽  
Rafael Miranda Tassitano ◽  
Adair da Silva Lopes ◽  
Markus Vinicius Nahas

ABSTRACT Introduction Although the benefits of regular physical activity (PA) for adolescents are well-described in the literature, there is little evidence of the role of psychosocial aspects on levels of PA in this population. Objective To investigate the prevalence and sociodemographic factors associated with enjoyment of PA and preference for leisure-time activities in boys and girls. Methods A cross-sectional study, with 6529 adolescents (aged 15 to 19 years) enrolled in secondary education in public schools in the South of Brazil. Logistic regression was used to analyze the association between sociodemographic factors and the variables of interest, with data collection using a standardized questionnaire. Results Boys enjoyed (87.1%) and preferred (44.4%) PA more than girls (enjoyment: 79.2%; preference: 29.5%). Among the boys, enjoyment was associated with family income(OR3-5 wages=1.53; OR≥6 wages=1.62) and, among the girls, it was associated with age (OR19 years=0.28), occupational status (ORworkers=1.45), and income (OR3-5 wages=1.35). Preference was associated with age (OR19 years=2.48) and income (OR≥6 wages=0.70) among the boys and, among girls, it was associated with area of residence (ORrural=1.47) and occupation (ORworkers=1.31). Conclusion Boys (enjoyment: 87.1%; preference: 44.4%) had more positive attitudes toward PA than girls (enjoyment: 79.2%; preference: 29.5%), and some sociodemographic variables appear to be more closely associated with these attitudes than others. Enjoyment was associated with family income for boys, and with age, occupation and income for girls. Preference, in turn, was associated with age and family income for boys, and area of residence and occupational status for girls. Level of evidence II, Diagnostic studies - Investigation of a diagnostic test.


Author(s):  
P. Amulya Reddy ◽  
K. Saravanan ◽  
A. Madhukar

Aim: The aim of the study was to evaluate the QOL of patients with Diabetes Mellitus. Study Design: This was a prospective, observational study. Duration of Study: The study was conducted from August 2019 to January 2021 in Yashoda Hospital, Hyderabad. Methodology: Patients of either sex with ≥1year history of diabetes willing to give the consent were included in the study. Patients of either sex with <1year history of DM, Pregnant/lactating women and patients not willing to give the consent were excluded from the study. Data on Blood glucose levels (FBS, PPBS) and HbA1C was also obtained and assessed. QOLID questionnaire was administered to the patients and assessed which consisted of a set of 34 items representing 8 domains such as Role limitation due to the physical health, Physical endurance, General health, Treatment satisfaction, Symptom botherness, Financial worries, Mental health, and Diet satisfaction). Results: A total of 200 patients were analysed in the study,108(54%) were males and 92(46%) were females. The average age of the patients was 58.5 years with majority being 51-70years (73.5%) of age. Patients with higher age and females had poor QOL compared to others. The correlation between various categorical variables with that of scores of QOL in various domains was assessed, Age of the patients influenced QOL score in various domains like RLPH (p value-0.038), PE (p value-0.0183), and SB (p value-0.0002), Gender has influenced QOL score in domains like RLPH (p value-0.0008), PE (p value-0.0106), TS (p value-0.0005) and Educational Qualification has influenced QOL score in RLPH (p value-0.0008), GH (p value-<0.0001), TS (p value-<0.0001), E/MH (p value-<0.0001). Conclusion: The results concluded that overall QOL was noticeably low in Diabetic patients especially in Women and elderly thus indicating that Diabetes management is not restricted to treatment but also requires attention on QOL of patients.


Author(s):  
Jacquelynne S Eccles

This paper is based on a talk given at the conference of the Centre for Research on the Wider Benefits of Learning, September 2004. There is consistent evidence that parents' education predicts children's educational outcomes, alongside other distal family characteristics such as family income, parents' occupations and residence location. A variety of explanations have been offered for these associations. In this paper, we review the most prominent explanations, present a comprehensive model of the influences of parents' education and then summarize some of the research we have done that focuses on the role of parental influences on children's academic achievement.


2018 ◽  
Vol 48 ◽  
pp. 01033
Author(s):  
Meral Sert Aǧır

This research aims to examine adolescents’ world assumptions, personal attributes and gender roles. The research has attempted to examine the thoughts of adolescents about the world and the ways in which they define themselves as a man or a woman by considering the fact that their lives are affected not only by "traumatic" events but also by several family and environmental dynamics affecting their quality of life. Data was obtained from randomly selected 407 high school students from Kadıköy district in Istanbul province, by applying “World Assumptions Scale (WAS)”, “Extended Personal Attributes Questionnaire (EPAQ)”, “Gender Roles Attitude Scale (GRAS)”, and “Data Collection Form”. Our results showed that there was a significant difference in the scales and sub-dimensions used in the research with respect to gender, grade, family characteristics as well as life standards, balance of standards, adequacy of/change in family income, living with the family without problems, level of satisfaction with the environment, and the desire to change the living environment. In addition to a positive relationship between world assumptions and personal attributes, various correlations in different directions were also found between the sub-dimensions of the scales. Our research has shown that adolescents’ life dynamics can make a difference in their perception of the world and their assumptions about perceiving themselves as moral and valuable individuals, as well as their personal attributes and perceptions about gender roles.


Author(s):  
Gayle C. Windham ◽  
Jasmine W. Soriano ◽  
Dina Dobraca ◽  
Connie S. Sosnoff ◽  
Robert A. Hiatt ◽  
...  

Childhood environmental tobacco smoke (ETS) exposure is a risk factor for adverse health outcomes and may disproportionately burden lower socioeconomic status groups, exacerbating health disparities. We explored associations of demographic factors, stressful life events, and chemical co-exposures, with cotinine levels, among girls in the CYGNET Study. Data were collected from families of girls aged 6–8 years old in Northern California, through clinic exams, questionnaires and biospecimens (n = 421). Linear regression and factor analysis were conducted to explore predictors of urinary cotinine and co-exposure body burdens, respectively. In unadjusted models, geometric mean cotinine concentrations were higher among Black (0.59 ug/g creatinine) than non-Hispanic white (0.27), Asian (0.32), or Hispanic (0.34) participants. Following adjustment, living in a rented home, lower primary caregiver education, and lack of two biologic parents in the home were associated with higher cotinine concentrations. Girls who experienced parental separation or unemployment in the family had higher unadjusted cotinine concentrations. Higher cotinine was also associated with higher polybrominated diphenyl ether and metals concentrations. Our findings have environmental justice implications as Black and socio-economically disadvantaged young girls experienced higher ETS exposure, also associated with higher exposure to other chemicals. Efforts to reduce ETS and co-exposures should account for other disparity-related factors.


2015 ◽  
Vol 7 (1) ◽  
pp. 289-294 ◽  
Author(s):  
MT Islam ◽  
MS Hossen ◽  
R Khatun

The main aim of the study was to determine the farmer’s awareness on environmental degradation used by modern agricultural technologies by exploring the relationships between ten selected characteristics of the farmers and their awareness. Eighty farmers of the selected village Ashrafpur under of Meherpur district constituted the sample of the study. Data were collected by interviewing the farmers using personal interview schedule during the period from August to September, 2013. Among these eighty respondents 37.5% had low, 51.25% respondents had medium and only 11.25% of the respondent had high knowledge about modern agricultural technologies. While 35% respondents had low, 55% respondents had medium and only 10 % had high knowledge about environmental degradation. Among the respondents 25% had poor, 61.25% respondents had medium and only 13.75% had high awareness about environmental degradation caused by the use of modern agricultural technologies. Out of ten independent variables, six of them, that is academic qualification, organizational participation, communication exposure, innovativeness, knowledge about the use of modern agricultural technologies and knowledge about environmental degradation had positive significant relationships with their awareness on environmental degradation caused by the use of modern agricultural technologies . Three independent variable i.e. family size, farm size, and family income had no significant relationship and only age had negative significant relationship with their awareness on environmental degradation used by modern agricultural technologies.DOI: http://dx.doi.org/10.3329/jesnr.v7i1.22186 J. Environ. Sci. & Natural Resources, 7(1): 289-294 2014


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