scholarly journals Participant Experiences in the Environmental Determinants of Diabetes in the Young Study: Common Reasons for Withdrawing

2016 ◽  
Vol 2016 ◽  
pp. 1-13 ◽  
Author(s):  
Barbro Lernmark ◽  
Kristian Lynch ◽  
Judith Baxter ◽  
Roswith Roth ◽  
Tuula Simell ◽  
...  
Keyword(s):  
United States ◽  
At Risk ◽  
The United States ◽  
Family Characteristics ◽  
Young Mothers ◽  
Environmental Determinants ◽  
Blood Draw ◽  
Observational Trial

Background. To characterize participant reasons for withdrawing from a diabetes focused longitudinal clinical observational trial (TEDDY) during the first three study years.Methods. 8677 children were recruited into the TEDDY study. At participant withdrawal staff recorded any reason parents provided for withdrawal. Reasons were categorized into (1) family characteristics and (2) protocol reasons. Families who informed staff of their withdrawal were classified as active withdrawals (AW); families without a final contact were considered passive withdrawals (PW).Results. Withdrawal was highest during the first study year(n=1220). Most families were AW (n=1549; 73.4%). PW was more common in the United States (n=1001; 37.8%) and among young mothers(p=0.001). The most frequent protocol characteristic was blood draw (55%) and the most common family reason was not having enough time (66%). The blood draw was more common among female participants; being too busy was more common among males. Both reasons were associated with study satisfaction.Conclusions. Results suggest that, for families of children genetically at risk for diabetes, procedures that can be painful/frightening should be used with caution. Study procedures must also be considered for the demands placed on participants. Study satisfaction should be regularly assessed as an indicator of risk for withdrawal.

scholarly journals Food Insecurity in the United States: Identification, Treatment, and Implications

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 772-773
Author(s):  
Rose Ann DiMaria-Ghalili ◽  
Connie Bales ◽  
Julie Locher
Keyword(s):  
United States ◽  
Older Adults ◽  
At Risk ◽  
Food Insecurity ◽  
Well Being ◽  
The United States ◽  
Health Clinic ◽  
High Risk Population ◽  
Geriatric Syndrome ◽  
The Impact

Abstract Food insecurity is an under-recognized geriatric syndrome that has extensive implications in the overall health and well-being of older adults. Understanding the impact of food insecurity in older adults is a first step in identifying at-risk populations and provides a framework for potential interventions in both hospital and community-based settings. This symposium will provide an overview of current prevalence rates of food insecurity using large population-based datasets. We will present a summary indicator that expands measurement to include the functional and social support limitations (e.g., community disability, social isolation, frailty, and being homebound), which disproportionately impact older adults, and in turn their rate and experience of food insecurity and inadequate food access. We will illustrate using an example of at-risk seniors the association between sarcopenia, the age-related loss of muscle mass and function, with rates of food security in the United States. The translational aspect of the symposium will then focus on identification of psychosocial and environmental risk factors including food insecurity in older veterans preparing for surgery within the Veterans Affairs Perioperative Optimization of Senior Health clinic. Gaining insights into the importance of food insecurity will lay the foundation for an intervention for food insecurity in the deep south. Our discussant will provide an overview of the implications of these results from a public health standpoint. By highlighting the importance of food insecurity, such data can potentially become a framework to allow policy makers to expand nutritional programs as a line of defense against hunger in this high-risk population.

Prevalence of at-risk hyperandrogenism by age and race/ethnicity among females in the United States using NHANES III

2021 ◽  
Vol 260 ◽  
pp. 189-197
Author(s):  
Pallavi Dubey ◽  
Sireesha Y. Reddy ◽  
Luis Alvarado ◽  
Sharron L. Manuel ◽  
Alok K. Dwivedi
Keyword(s):  
United States ◽  
At Risk ◽  
The United States ◽  
Nhanes Iii ◽  
Race Ethnicity

Why Are the Missiles (and Missile Defence) Called Peace-Keepers? – Corroding the Concept of Peaceful Use

2001 ◽  
Vol 14 (4) ◽  
pp. 789-828
Author(s):  
Keith Wilson
Keyword(s):  
United States ◽  
At Risk ◽  
Cold War ◽  
Outer Space ◽  
The United States ◽  
International Peace ◽  
Security Framework ◽  
Crucial Element ◽  
Earth Space ◽  
Peace And Security

The United States is abrogating the Anti-Ballistic Missile Treaty in order to deploy a limited missile defence shield. Amongst other developments, this is prompting a reconsideration of the global security framework. However, a crucial element is missing from the current missile defence proposals: a clearly articulated concept of peaceful use, applicable both to outer space and to earth-space. The deployment of missile defence runs counter to emerging norms. It has effects going far beyond the abandonment or re-configuration of specific Cold War agreements. In a community of nations committed to the maintenance of international peace and security (cf. national or plurilateral security), sustainable meaning for widely used and accepted norms of peaceful use and peaceful purposes is at risk.

Creating an Environment in Which Youths Are Encouraged to Eat a Healthier Diet

2007 ◽  
Vol 26 (2) ◽  
pp. 162-181 ◽  
Author(s):  
Marvin E. Goldberg ◽  
Kunter Gunasti
Keyword(s):  
United States ◽  
At Risk ◽  
Young People ◽  
Food Industry ◽  
The United States ◽  
Product Price ◽  
End Points ◽  
Convenience Stores ◽  
Marketing Activities ◽  
Youth Obesity

More than one-third of young people in the United States are either obese or at risk of becoming obese. The authors consider how food marketers have contributed to this problem and how they might help resolve it. The article organizes the marketing activities of food-related companies around the classic four Ps. The authors first discuss product, price, and promotion in terms of past, present, and potential future industry actions. They then discuss place as a function of four key commercial end points in the food channel: (1) supermarkets, (2) convenience stores, (3) restaurants, and (4) schools. The authors consider government actions in terms of how they affect the actions of both the food industry and consumers. Throughout the article, the authors consider how extant research can be extended in an effort to better understand and address the youth obesity problem.

Public Interest and Behavior Change in the United States Regarding Colorectal Cancer Following the Death of Chadwick Boseman: Infodemiology Investigation of Internet Search Trends Nationally and in At-Risk Areas (Preprint)

2021 ◽  
Author(s):  
Nicholas B Sajjadi ◽  
Kaylea Feldman ◽  
Samuel Shepard ◽  
Arjun K Reddy ◽  
Trevor Torgerson ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
At Risk ◽  
Colon Cancer ◽  
Public Interest ◽  
Black Population ◽  
The United States ◽  
American Cancer Society ◽  
Cancer Society ◽  
Search Volume

BACKGROUND Colorectal cancer (CRC) has the third highest cancer mortality rate in the United States. Enhanced screening has reduced mortality rates; however, certain populations remain at high risk, notably African Americans. Raising awareness among at-risk populations may lead to improved CRC outcomes. The influence of celebrity death and illness is an important driver of public awareness. As such, the death of actor Chadwick Boseman from CRC may have influenced CRC awareness. OBJECTIVE We sought to assess the influence of Chadwick Boseman’s death on public interest in CRC in the United States, evidenced by internet searches, website traffic, and donations to prominent cancer organizations. METHODS We used an auto-regressive integrated moving average model to forecast Google searching trends for the topic “Colorectal cancer” in the United States. We performed bivariate and multivariable regressions on state-wise CRC incidence rate and percent Black population. We obtained data from the American Cancer Society (ACS) and the Colon Cancer Foundation (CCF) for information regarding changes in website traffic and donations. RESULTS The expected national relative search volume (RSV) for colorectal cancer was 2.71 (95% CI 1.76-3.66), reflecting a 3590% (95% CI 2632%-5582%) increase compared to the expected values. With multivariable regression, the statewise RSV increased for each percent Black population by 1.09 (SE 0.18, <i>P</i>&lt;.001), with 42% of the variance explained (<i>P</i>&lt;.001). The American Cancer Society reported a 58,000% increase in CRC-related website traffic the weekend following Chadwick Boseman’s death compared to the weekend before. The Colon Cancer Foundation reported a 331% increase in donations and a 144% increase in revenue in the month following Boseman’s death compared to the month prior. CONCLUSIONS Our results suggest that Chadwick Boseman’s death was associated with substantial increases in awareness of CRC. Increased awareness of CRC may support earlier detection and better prognoses.

GIS, Spatial Analysis, and Modeling

2019 ◽  
pp. 1284-1297
Author(s):  
Khadijeh Rouzbehani ◽  
Ghazaleh Sajjadi ◽  
Mohamad Rahim Hatami
Keyword(s):  
Breast Cancer ◽  
United States ◽  
At Risk ◽  
The United States ◽  
Background Information ◽  
Health Related Research ◽  
Health Related ◽  
Physical Environmental Factors ◽  
International Strategies

Breast cancer is a major health issue in all countries affecting thousands of women. Its causes are unknown and the national and international strategies to reduce its morbidity and mortality levels are based on early detection of cancer through screening and treatment according to clinical guidelines. Thus, knowledge of which women are at risk and why they are at risk is therefore essential component of disease prevention and screening. In 2015, an estimated 231,840 new cases of invasive breast cancer are expected to be diagnosed in women in the United States, along with 60,290 new cases of non-invasive (in situ) breast cancer. The purpose of this study is to provide a more detailed analysis of the breast cancer distribution in the United States by comparing the spatial distribution of breast cancer cases against physical environmental factors using Geographic Information System (GIS). Further, it gives background information to the GIS and its applications in health-related research.

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