Abstract 244: Racial Disparities In Cardiopulmonary Training Status in the United States

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_2) ◽  
Author(s):  
Shaun K McGovern ◽  
Andrew Murray ◽  
Benjamin S Abella ◽  
Marion Leary ◽  
Audrey L Blewer
Keyword(s):  
Secondary Analysis ◽  
The United States ◽  
Training Status ◽  
Individual Level ◽  
Significant Difference ◽  
Chi Squared ◽  
Random Digit Dial ◽  
Nationally Representative ◽  
The Individual ◽  
Cpr Training

Background: Survival from out-of-hospital cardiac arrest varies by race, possibly due to poor penetration of CPR training in minority communities. Targeted trainings and campaigns to increase access to CPR education have sought to address these gaps, yet it is unknown if these initiatives have equalized training rates. Objectives: We sought to examine racial variation of CPR training status on the individual-level by assessing current CPR training and ever CPR trained status. We hypothesized that whites would be more likely to hold current CPR training and be ever trained in CPR compared to minorities. Methods: As a secondary analysis to a previous random digit dial survey of a nationally-representative adult sample, we defined CPR training status of individuals as currently trained (only ≤2 years) and ever trained. Chi-squared test and multivariate logistic regression were used to determine variation by race. Results: From 09/2015-11/2015, 9,022 individuals completed the national survey. Of those, 65% had been CPR trained at some point in time, while 18% reported being currently trained. Minorities were significantly less likely to ever be trained in CPR compared to whites (54.9% vs 70.8%, p<0.01). However, minorities and whites were equally as likely to be currently CPR trained (18.2% vs. 18.2%, p=0.99); no significant difference was found when adjusting for age, sex, and education (p=ns). Probability of training status by age displayed variation between groups (Figure 1). Conclusions: Significant disparities by race were observed in those ever trained in CPR, however no significant difference exists in attainment of current CPR training. Increased access to CPR education and targeted training campaigns may have closed the gap in current CPR training status disparities. Continued surveillance of CPR training rates is needed to monitor these findings over time.

scholarly journals Predictors of HIV/AIDS Programming in African American Churches: Implications for HIV Prevention, Testing, and Care

2016 ◽  
Vol 44 (3) ◽  
pp. 385-393 ◽  
Author(s):  
Jennifer M. Stewart ◽  
Alexandra Hanlon ◽  
Bridgette M. Brawner
Keyword(s):  
African American ◽  
The United States ◽  
Individual Level ◽  
African American Churches ◽  
Aids Program ◽  
Nationally Representative ◽  
Using Data ◽  
The Individual ◽  
American Churches ◽  
Hiv Aids

Using data from the National Congregational Study, we examined predictors of having an HIV/AIDS program in predominately African American churches across the United States. We conducted regression analyses of Wave II data ( N = 1,506) isolating the sample to churches with a predominately African American membership. The dependent variable asked whether or not the congregation currently had any program focused on HIV or AIDS. Independent variables included several variables from the individual, organizational, and social levels. Our study revealed that region, clergy age, congregant disclosure of HIV-positive status, permitting cohabiting couples to be members, sponsorship or participation in programs targeted to physical health issues, and having a designated person or committee to address health-focused programs significantly increased the likelihood of African American churches having an HIV/AIDS program. A paucity of nationally representative research focuses on the social-, organizational-, and individual-level predictors of having HIV/AIDS programs in African American churches. Determining the characteristics of churches with HIV/AIDS programming at multiple levels is a critical and necessary approach with significant implications for partnering with African American churches in HIV or AIDS initiatives.

Abstract 16236: The Majority of Laypersons Trained in CPR Do Not Maintain Current Certification or Training

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Audrey L Blewer ◽  
Marion Leary ◽  
Daniel Ikeda ◽  
Lance B Becker ◽  
Benjamin S Abella
Keyword(s):  
Secondary Analysis ◽  
Household Survey ◽  
Training Status ◽  
Prevalence Survey ◽  
Racial Variation ◽  
Individual Level ◽  
The Past ◽  
Annual Survey ◽  
Cpr Training ◽  
Future Work

Background: Recent work has demonstrated that U.S. CPR training rates are low, yet few studies have measured the overall prevalence of CPR education and whether individuals have maintained training over time. Furthermore, few studies have linked individual-level demographics with current maintenance of CPR training. Quantifying these variations could help inform future targeted education initiatives. Objectives: We hypothesized that current CPR training frequency is low in Southeastern Pennsylvania (SEPA). As a secondary analysis, we examined gender and racial variation among those who are currently trained. Methods: We administered validated survey questions to assess CPR training status through the Community Health Household Survey, a semi-annual survey of 50,000 households in SEPA. Participants were contacted via random-digit-dialing using stratified sampling methods. Analysis was performed using categorical methods. Results: From 12/2014-2/2015, 10,048 participants completed the regional health household survey. Subjects mean age was 44±23 and 55% were female. Overall, 61% identified taking a CPR training course at some point in time, while only 18% were trained within the past two years; 15% identified being CPR certified. Of those who were certified, 76% sought certification for their vocation. CPR training status varied by gender, with more females identified being trained in the past two years compared to males (61% vs 39%, p<0.01). This gender distribution was similar among those who reported certification for their vocation (62% vs 38%, p<0.01). Additionally, current CPR training status varied by race; among those trained within two years, 62% were White, 27% were Black, and 6% were Latino (p<0.01). Conclusions: The overall prevalence of those currently trained or certified in CPR was low in SEPA. These data suggest that many individuals seek CPR training at some point, but few maintain current training or certification. Additionally, there was gender and racial variation among those currently trained within the past 2 years. These data suggest the need for programs to offer CPR skill refreshers among targeted layperson subpopulations. Future work may consider implementing a similar CPR training prevalence survey nationally.

Personality change and environmental concerns

2020 ◽  
Author(s):  
Christopher James Hopwood ◽  
Ted Schwaba ◽  
Wiebke Bleidorn
Keyword(s):  
Personality Traits ◽  
Personality Change ◽  
Environmental Concerns ◽  
Big Five Personality ◽  
German Population ◽  
Individual Level ◽  
Sustainable Behavior ◽  
Nationally Representative ◽  
The Individual ◽  
Over Time

Personal concerns about climate change and the environment are a powerful motivator of sustainable behavior. People’s level of concern varies as a function of a variety of social and individual factors. Using data from 58,748 participants from a nationally representative German sample, we tested preregistered hypotheses about factors that impact concerns about the environment over time. We found that environmental concerns increased modestly from 2009-2017 in the German population. However, individuals in middle adulthood tended to be more concerned and showed more consistent increases in concern over time than younger or older people. Consistent with previous research, Big Five personality traits were correlated with environmental concerns. We present novel evidence that increases in concern were related to increases in the personality traits neuroticism and openness to experience. Indeed, changes in openness explained roughly 50% of the variance in changes in environmental concerns. These findings highlight the importance of understanding the individual level factors associated with changes in environmental concerns over time, towards the promotion of more sustainable behavior at the individual level.

A Discussion of Ismail K. White and Chryl N. Laird’s Steadfast Democrats: How Social Forces Shape Black Political Behavior

2021 ◽  
Vol 19 (1) ◽  
pp. 209-210
Author(s):  
Michael Leo Owens
Keyword(s):  
African American ◽  
African Americans ◽  
Political Behavior ◽  
Democratic Party ◽  
The United States ◽  
Social Forces ◽  
Individual Level ◽  
The Individual ◽  
Behavioral Norm ◽  
Black Political Behavior

Charge: As Ismail K. White and Chryl N. Laird note, collectively more than 80% of African Americans self-identify as Democrats according to surveys, and no Republican presidential candidate has won more than 13% of the Black vote since 1968. This is true despite the fact that at the individual level many African Americans are increasingly politically moderate and even conservative. Against this backdrop, what explains the enduring nature of African American support for the Democratic Party? In Steadfast Democrats: How Social Forces Shape Black Political Behavior, White and Laird answer this question by developing the concept of “racialized social constraint,” a unifying behavioral norm meant to empower African Americans as a group and developed through a shared history of struggle against oppression and for freedom and equality. White and Laird consider the historical development of this norm, how it is enforced, and its efficacy both in creating party loyalty and as a path to Black political power in the United States. On the cusp of perhaps the most consequential presidential election in American history, one for which African American turnout was crucial, we asked a range of leading political scientists to assess the relative strengths, weaknesses, and ramifications of this argument.

An individualized treatment rule to optimize probability of remission by continuation, switching, or combining antidepressant medications after failing a first-line antidepressant in a two-stage randomized trial

2021 ◽  
pp. 1-10
Author(s):  
Ronald C. Kessler ◽  
Toshi A. Furukawa ◽  
Tadashi Kato ◽  
Alex Luedtke ◽  
Maria Petukhova ◽  
...  
Keyword(s):  
Pragmatic Trial ◽  
Secondary Analysis ◽  
Individualized Treatment ◽  
Second Line ◽  
Open Label ◽  
Individual Level ◽  
Ensemble Machine Learning ◽  
Medication Selection ◽  
The Individual ◽  
Optimized Treatment

Abstract Background There is growing interest in using composite individualized treatment rules (ITRs) to guide depression treatment selection, but best approaches for doing this are not widely known. We develop an ITR for depression remission based on secondary analysis of a recently published trial for second-line antidepression medication selection using a cutting-edge ensemble machine learning method. Methods Data come from the SUN(^_^)D trial, an open-label, assessor blinded pragmatic trial of previously-untreated patients with major depressive disorder from 48 clinics in Japan. Initial clinic-level randomization assigned patients to 50 or 100 mg/day sertraline. We focus on the 1549 patients who failed to remit within 3 weeks and were then rerandomized at the individual-level to continuation with sertraline, switching to mirtazapine, or combining mirtazapine with sertraline. The outcome was remission 9 weeks post-baseline. Predictors included socio-demographics, clinical characteristics, baseline symptoms, changes in symptoms between baseline and week 3, and week 3 side effects. Results Optimized treatment was associated with significantly increased cross-validated week 9 remission rates in both samples [5.3% (2.4%), p = 0.016 50 mg/day sample; 5.1% (2.7%), p = 0.031 100 mg/day sample] compared to randomization (30.1–30.8%). Optimization was also associated with significantly increased remission in both samples compared to continuation [24.7% in both: 11.2% (3.8%), p = 0.002 50 mg/day sample; 11.7% (3.9%), p = 0.001 100 mg/day sample]. Non-significant gains were found for optimization compared to switching or combining. Conclusions An ITR can be developed to improve second-line antidepressant selection, but replication in a larger study with more comprehensive baseline predictors might produce stronger and more stable results.

Prevalence and clustering of diarrhoea within households in India: some evidence from NFHS-4, 2015–16

2020 ◽  
Vol 53 (1) ◽  
pp. 108-120 ◽  
Author(s):  
Bevin Vijayan ◽  
Mala Ramanathan
Keyword(s):  
Water Supply ◽  
Diarrhoeal Disease ◽  
Household Level ◽  
Individual Level ◽  
Under Five ◽  
Safe Water ◽  
Chi Squared ◽  
Improved Sanitation ◽  
Nationally Representative ◽  
Water Supply And Sanitation

AbstractDiarrhoeal disease is one of the major causes of morbidity and mortality in children and is usually measured at individual level. Shared household attributes, such as improved water supply and sanitation, expose those living in the same household to these same risk factors for diarrhoea. The occurrence of diarrhoea in two or more children in the same household is termed ‘diarrhoea clustering’. The aim of this study was to examine the role of improved water supply and sanitation in the occurrence of diarrhoea, and the clustering of diarrhoea in households, among under-five children in India. Data were taken from the fourth round of the National Family and Health Survey (NFHS-4), a nationally representative survey which interviewed 699,686 women from 601,509 households in the country. If any child was reported to have diarrhoea in a household in the 2 weeks preceding the survey, the household was designated a diarrhoeal household. Household clustering of diarrhoea was defined the occurrence of diarrhoea in more than one child in households with two or more children. The analysis was done at the household level separately for diarrhoeal households and clustering of diarrhoea in households. The presence of clustering was tested using a chi-squared test. The overall prevalences of diarrhoea and clustering of diarrhoea were examined using exogenous variables. Odds ratios, standardized to allow comparison across categories, were computed. The household prevalence of diarrhoea was 12% and that of clustering of diarrhoea was 2.4%. About 6.5% of households contributed 12.6% of the total diarrhoeal cases. Access to safe water and sanitation was shown to have a great impact on reducing diarrhoeal prevalence and clustering across different household groups. Safe water alone had a greater impact on reducing the prevalence in the absence of improved sanitation when compared with the presence of improved sanitation. It may be possible to reduce the prevalence of diarrhoea in households by targeting those households with more than one child in the under-five age group with the provision of safe water and improved sanitation.

Canada’s changing innovation landscape

2021 ◽  
Author(s):  
Md. Razib Alam ◽  
Bonwoo Koo ◽  
Brian Paul Cozzarin
Keyword(s):  
The United States ◽  
Destination Country ◽  
Firm Level ◽  
Individual Level ◽  
Patent Classification ◽  
The Usa ◽  
The Government ◽  
The Individual ◽  
The University ◽  
Over Time

Abstract Our objective is to study Canada’s patenting activity over time in aggregate terms by destination country, by assignee and destination country, and by diversification by country of destination. We collect bibliographic patent data from the Canadian Intellectual Property Office and the United States Patent and Trademark Office. We identify 19,957 matched Canada–US patents, 34,032 Canada-only patents, and 43,656 US-only patents from 1980 to 2014. Telecommunications dominates in terms of International Patent Classification technologies for US-only and Canada–US patents. At the firm level, the greatest number of matched Canada–US patents were granted in the field of telecommunications, at the university level in pharmaceuticals, at the government level in control and instrumentation technology, and at the individual level in civil engineering. We use entropy to quantify technological diversification and find that diversification indices decline over time for Canada and the USA; however, all US indices decline at a faster rate.

State- and Individual-Level Predictors of Mexican Death Penalty Support

2017 ◽  
Vol 64 (12) ◽  
pp. 1590-1611 ◽  
Author(s):  
Alexander H. Updegrove ◽  
Erin A. Orrick
Keyword(s):  
Death Penalty ◽  
Capital Punishment ◽  
Mexican Immigrants ◽  
State Level ◽  
The United States ◽  
Individual Level ◽  
Specific Factors ◽  
Nationally Representative ◽  
Future Practice ◽  
Insight Into

Mexico exerts a unique influence on Texas through immigration. As immigrants bring perspectives from their country of origin when they immigrate, studying attitudes toward capital punishment in Mexico may provide insight into ways Mexican immigrants could affect its future practice in Texas. Multilevel modeling is used to examine individual- and state-level predictors of death penalty support among a nationally representative sample of Mexicans. Results indicate age and Catholic affiliation are associated with death penalty support, although not in the expected directions, whereas states bordering the United States are less likely to support capital punishment, despite experiencing less overall peace and a higher average homicide rate. Findings suggest the need for researchers to use culture-specific factors to predict death penalty support.

scholarly journals Women in Blue: Structural and Individual Determinants of Sex Segregation in Blue-Collar Occupations

2019 ◽  
Vol 33 (3) ◽  
pp. 410-438 ◽  
Author(s):  
Margarita Torre
Keyword(s):  
Social Reproduction ◽  
Blue Collar ◽  
Gender Composition ◽  
Vocational Education And Training ◽  
Individual Level ◽  
Parental Background ◽  
Individual Determinants ◽  
Nationally Representative ◽  
The Individual ◽  
And Training

The number of women occupying male-dominated blue-collar jobs continues to be very low. This study examines segregation in the blue-collar trades, taking into consideration both structural and individual factors. Using nationally representative data for 25 countries, the study shows that segregation in the blue-collar sector does not vary with the strength of vocational education and training programs. At the individual level, findings reveal higher degrees of social reproduction among working-class families, but parental background alone does not fully account for the gender composition of the sector in which children end up working. Overall, the findings point to the existence of a socializing mechanism that entrenches horizontal segregation in the blue-collar sector. The study indicates that to reduce segregation in the blue-collar fields, policies must address this prior mechanism, both at the structural and individual level.

scholarly journals Modulation of corticomotor excitability in response to distal focal cooling

PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e6163 ◽  
Author(s):  
Yekta Ansari ◽  
Anthony Remaud ◽  
François Tremblay
Keyword(s):  
Skin Temperature ◽  
Motor Evoked Potentials ◽  
Secondary Analysis ◽  
Initial Study ◽  
Primary Analysis ◽  
Single Digit ◽  
Corticomotor Excitability ◽  
Individual Level ◽  
Cooling Phase ◽  
The Individual

Background Thermal stimulation has been proposed as a modality to facilitate motor recovery in neurological populations, such as stroke. Recently (Ansari, Remaud & Tremblay, 2018), we showed that application of cold or warm stimuli distally to a single digit produced a variable and short lasting modulation in corticomotor excitability. Here, our goal was to extend these observations to determine whether an increase in stimulation area could elicit more consistent modulation. Methods Participants (n = 22) consisted of a subset who participated in our initial study. Participants were asked to come for a second testing session where the thermal protocol was repeated but with extending the stimulation area from single-digit (SD) to multi-digits (MD, four fingers, no thumb). As in the first session, skin temperature and motor evoked potentials (MEPs) elicited with transcranial magnetic stimulation were measured at baseline (BL, neutral gel pack at 22 °C), at 1 min during the cooling application (pre-cooled 10 °C gel pack) and 5 and 10 min post-cooling (PC5 and PC10). The analysis combined the data obtained previously with single-SD cooling (Ansari, Remaud & Tremblay, 2018) with those obtained here for MD cooling. Results At BL, participants exhibited comparable measures of resting corticomotor excitability between testing sessions. MD cooling induced similar reductions in skin temperature as those recorded with SD cooling with a peak decline at C1 of respectively, −11.0 and −10.3 °C. For MEPs, the primary analysis revealed no main effect attributable to the stimulation area. A secondary analysis of individual responses to MD cooling revealed that half of the participants exhibited delayed MEP facilitation (11/22), while the other half showed delayed inhibition (10/22); which was sustained in the post-cooling phase. More importantly, a correlation between variations in MEP amplitude recorded during the SD cooling session with those recorded in the second session with MD cooling, revealed a very good degree of correspondence between the two at the individual level. Conclusion These results indicate that increasing the cooling area in the distal hand, while still eliciting variable responses, did produce more sustained modulation in MEP amplitude in the post-cooling phase. Our results also highlight that responses to cooling in terms of either depression or facilitation of corticomotor excitability tend to be fairly consistent in a given individual with repeated applications.

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