Oral cancer knowledge and screening behavior among smokers and non-smokers in rural communities

Abstract Background Research suggests having an oral and pharyngeal cancer (OPC) examination for early diagnosis can increase survival rate. However, the OPC screening rate is low in certain populations. To improve OPC screening rate, this study identified factors that are associated with having an OPC examination. Methods Participants with landlines and aged 25 years and older were recruited from six northern Florida counties. Bivariate and logistic regressions were used to predict the outcome of whether the participants had ever had an OPC examination as well as whether participants had ever heard of an OPC examination. Results Of 2260 participants with a mean age of 55.9 ± 15.0 years, the majority of participants never smoked (53.4%), self-identified as Whites (70.6%), and had some college or 2-year degree education (30.3%). Smokers were significantly less likely to have ever heard of an OPC examination than those who never smoked. Significant interaction between smoking status and race, and smoking status and social support interaction were found. Whites who never smoked were more likely to have had an OPC examination than non-Whites who never smoked. Former and current smokers with greater social support were more likely to have had an OPC examination than those with lower social support. Conclusion The findings from this study inform the need to enhance the awareness of having an OPC examination among smokers and to reduce barriers for racial minority populations to receive an OPC examination. Future research is warranted to develop interventions to target certain populations to improve the rate of OPC examination.

Download Full-text

Disparities in Optimal Treatment of Oral and Pharyngeal Cancer by Ethnicity and Smoking Status

UF Journal of Undergraduate Research ◽

10.32473/ufjur.v22i0.121841 ◽

2020 ◽

Vol 22 ◽

Author(s):

Hannah Fechtel

Keyword(s):

Smoking Status ◽

Optimal Treatment ◽

Racial Groups ◽

Pharyngeal Cancer ◽

Cancer Data ◽

Oral And Pharyngeal Cancer ◽

Treatment Plans ◽

Race Ethnicity ◽

To Receive ◽

The Relationship

Oral and Pharyngeal Cancer (OPC) is a deadly cancer with complex treatment plans and outcomes. In practice, surgery followed by radiation or chemotherapy is considered the “optimal treatment” associated with better OPC survival. However, not all OPC patients receive the optimal treatment. Prior research has documented that survival varies by smoking status and ethno-racial groups, but little is known about the relationship between a patient’s smoking status, ethnicity, and the choices they make about cancer treatment post diagnosis. To shed light on this under-studied issue, data from the Florida Cancer Data System were analyzed. A logit model was built with the response variable treatment pattern arranged into three levels: surgery only (reference), surgery followed by radiation or chemotherapy, and other treatment types. The predictors included smoking status, race-ethnicity, smoking by race-ethnicity interaction, health insurance, age at diagnosis, gender, and marital status. Overall, the odds of receiving optimal treatment for Non-Hispanic Whites and Non-Hispanic Blacks are 29%-34% (p<0.001) greater than the odds of optimal treatment for Hispanics. One significant smoking by race-ethnicity interaction was found between Non-Hispanic Blacks and current smoking status, making Non-Hispanic Blacks who currently smoke less likely to receive optimal treatment than those who do not smoke.

Download Full-text

Factors Associated With Exercise Counseling and Program Preferences Among Breast Cancer Survivors

Journal of Physical Activity and Health ◽

10.1123/jpah.5.5.688 ◽

2008 ◽

Vol 5 (5) ◽

pp. 688-705 ◽

Cited By ~ 39

Author(s):

Laura Q. Rogers ◽

Kerry S. Courneya ◽

Steven Verhulst ◽

Stephen J. Markwell ◽

Edward McAuley

Keyword(s):

Breast Cancer ◽

Social Support ◽

Environmental Factors ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Social Cognitive ◽

Internet Access ◽

Future Research ◽

Exercise Counseling ◽

Lower Social Support

Objective:Our aim was to assess differences in exercise counseling preferences, program preferences, and telephone/Internet access among breast cancer survivors based on exercise behavior and demographic, medical, social cognitive, and environmental factors.Methods:A self-administered survey was returned by 192 breast cancer survivors.Results:Participants were Caucasian (98%), and the mean age was 64 ± 11.5 years. Participants preferring an exercise specialist were more likely to report current treatment, higher self-efficacy, greater perceived barriers, and a residential environment conducive to physical activity. Participants preferring face-to-face counseling and exercising outdoors were younger, and those preferring to exercise alone and at home reported lower social support. Low-intensity exercise was preferred by participants who were sedentary, obese, less self-efficacious, enjoyed exercise less, perceived greater barriers, and reported lower social support. Participants with Internet access were more apt to be younger with higher income and greater social support.Conclusions:Demographic, medical, social cognitive, and environmental factors might influence exercise preferences and Internet access. Future research assessing the effectiveness of tailoring interventions based on these factors is warranted.

Download Full-text

Social support and health among older adults – the Singapore Chinese Health Study

Ageing and Society ◽

10.1017/s0144686x20001944 ◽

2021 ◽

pp. 1-17

Author(s):

Jon Barrenetxea ◽

Yi Yang ◽

Kyriakos S. Markides ◽

An Pan ◽

Woon-Puay Koh ◽

...

Keyword(s):

Social Support ◽

Older Adults ◽

Poor Health ◽

Health Study ◽

Factors Associated ◽

Self Rated Health ◽

Health Factors ◽

Lower Social Support ◽

Singapore Chinese ◽

To Receive

Abstract While having social support can contribute to better health, those in poor health may be limited in their capacity to receive social support. We studied the health factors associated with social support among community-dwelling older adults in Singapore. We used data from the third follow-up interviews (2014–2016) of 16,943 participants of the Singapore Chinese Health Study, a population-based cohort of older Singapore Chinese. Participants were interviewed at a mean age of 73 years (range 61–96 years) using the Duke Social Support Scale (DUSOCS). We first applied ordinary least squares regression to DUSOCS scores and found that those with instrumental limitations, poor self-rated health, cognitive impairment and depression had lower social support scores. We then applied latent class analysis to DUSOCS answer patterns and revealed four groups of older adults based on the source and amount of social support. Among them, compared to the ‘overall supported’ group (17%) with the highest social support scores and broad support from family members and non-family individuals, the ‘family restricted’ (50%) group had the lowest social support scores and only received support from children. Health factors associated with being ‘family restricted’ were instrumental limitations (odds ratio (OR) = 1.33, 95% confidence interval (CI) = 1.19–1.49), poor self-rated health (OR = 1.40, 95% CI = 1.28–1.53), cognitive impairment (OR = 1.19, 95% CI = 1.04–1.37) and depression (OR = 2.50, 95% CI = 2.22–2.82). We found that while older adults in poor health have lower social support scores, they were more likely to receive a lot of support from children. Our results showed that lower social support scores among Singaporean older adults in poor health may not indicate lack of social support, but rather that social support is restricted in scope and intensified around children. These results may apply to other Asian societies where family plays a central role in elder-care.

Download Full-text

Perceptions of Social Support Provided to Smokers

The Journal of Smoking Cessation ◽

10.1375/jsc.5.1.95 ◽

2010 ◽

Vol 5 (1) ◽

pp. 95-101 ◽

Cited By ~ 2

Author(s):

Diana W. Stewart ◽

Janet L. Thomas ◽

Amy L. Copeland

Keyword(s):

Social Support ◽

Smoking Status ◽

Future Research ◽

Support Person ◽

Related Information ◽

Never Smokers ◽

Perception Of Support ◽

Negative Support ◽

The Relationship

AbstractIntroduction: Cessation efforts and maintained abstinence in smokers have been associated with social support from others (i.e., ‘support persons’). Characteristics of support persons appear to affect the amount and quality of support provided to adults who smoke. In the present investigation, the relationship between support person characteristics and perceived quality and quantity of smoking-specific support provided was examined. Method: College students (N = 244) were asked to identify an adult who smokes about whom they were concerned. Participants reported demographic and smoking-related information about themselves and their identified smoker and perceptions of positive and negative smoking-specific social support provided. Results: Results indicated significant differences in smoking status (p < .05), such that current and ex-smokers reported providing more negative support than never smokers. Additionally, participants romantically involved with their smokers reported providing more positive (p < .05) support than those in other relationships. Discussion: Findings suggest the importance of relationship in the perception of support provided during the cessation process and highlight the need for future research in this area.

Download Full-text

A Pilot Study of Mobile Telephone Message Interventions with Suicide Attempters in China

Crisis ◽

10.1027/0227-5910/a000017 ◽

2010 ◽

Vol 31 (2) ◽

pp. 109-112 ◽

Cited By ~ 35

Author(s):

Hui Chen ◽

Brian L. Mishara ◽

Xiao Xian Liu

Keyword(s):

Pilot Study ◽

Effective Means ◽

Text Message ◽

Text Messages ◽

Mobile Telephone ◽

Future Research ◽

Quick Method ◽

Suicide Attempters ◽

To Receive

Background: In China, where follow-up with hospitalized attempters is generally lacking, there is a great need for inexpensive and effective means of maintaining contact and decreasing recidivism. Aims: Our objective was to test whether mobile telephone message contacts after discharge would be feasible and acceptable to suicide attempters in China. Methods: Fifteen participants were recruited from suicide attempters seen in the Emergency Department in Wuhan, China, to participate in a pilot study to receive mobile telephone messages after discharge. All participants have access to a mobile telephone, and there is no charge for the user to receive text messages. Results: Most participants (12) considered the text message contacts an acceptable and useful form of help and would like to continue to receive them for a longer period of time. Conclusions: This suggests that, as a low-cost and quick method of intervention in areas where more intensive follow-up is not practical or available, telephone messages contacts are accessible, feasible, and acceptable to suicide attempters. We hope that this will inspire future research on regular and long-term message interventions to prevent recidivism in suicide attempters.

Download Full-text

Social Engagement and Episodic Memory in Non-Hispanic Black and White Older Adults

Innovation in Aging ◽

10.1093/geroni/igaa057.1101 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 343-343

Author(s):

Abbey Hamlin ◽

A Zarina Kraal ◽

Laura Zahodne

Keyword(s):

Social Support ◽

Older Adults ◽

Episodic Memory ◽

Cognitive Aging ◽

Social Engagement ◽

Future Research ◽

Social Activities ◽

Linear Regression Models ◽

Significant Positive Association ◽

Cross Sectional

Abstract Social engagement may confer cognitive benefits in older adulthood, but studies have typically been restricted to largely non-Hispanic White (NHW) samples. Levels of social engagement vary across race such that NHW report larger social networks, more frequent participation in social activities, and greater social support than non-Hispanic Blacks (NHB). Associations between social engagement and cognition may also vary by race, but research is sparse. The current cross-sectional study examined associations between different aspects of social engagement and episodic memory performance, as well as interactions between social engagement and race among NHB and NHW participants in the Michigan Cognitive Aging Project (N = 247; 48.4% NHB; age = 64.19 ± 2.92). Social engagement (network size, activities, support) was self-reported. Episodic memory was a z-score composite of immediate, delayed, and recognition trials of a list-learning task. Separate hierarchical linear regression models quantified interactions between race and each of the three social engagement variables on episodic memory, controlling for sociodemographics, depressive symptoms, and health conditions. Results showed a main effect of more frequent social activity on better episodic memory, as well as an interaction between race and social support indicating a significant positive association in NHB but not NHW. These preliminary findings suggest that participating in social activities may be equally beneficial for episodic memory across NHB and NHW older adults and that social support may be particularly beneficial for NHB. Future research is needed to determine the potential applications of these results in reducing cognitive inequalities through the development of culturally-relevant interventions.

Download Full-text

Potential Impacts of Extreme Heat and Bushfires on Dementia

Journal of Alzheimer s Disease ◽

10.3233/jad-201388 ◽

2021 ◽

Vol 79 (3) ◽

pp. 969-978

Author(s):

Taya L. Farugia ◽

Carla Cuni-Lopez ◽

Anthony R. White

Keyword(s):

Rural Communities ◽

Natural Disasters ◽

Low Socioeconomic Status ◽

Forest Fires ◽

Weather Conditions ◽

Extreme Weather ◽

Extreme Heat ◽

Indigenous Populations ◽

Future Research ◽

Diagnosis Of Dementia

Australia often experiences natural disasters and extreme weather conditions such as: flooding, sandstorms, heatwaves, and bushfires (also known as wildfires or forest fires). The proportion of the Australian population aged 65 years and over is increasing, alongside the severity and frequency of extreme weather conditions and natural disasters. Extreme heat can affect the entire population but particularly at the extremes of life, and patients with morbidities. Frequently identified as a vulnerable demographic in natural disasters, there is limited research on older adults and their capacity to deal with extreme heat and bushfires. There is a considerable amount of literature that suggests a significant association between mental disorders such as dementia, and increased vulnerability to extreme heat. The prevalence rate for dementia is estimated at 30%by age 85 years, but there has been limited research on the effects extreme heat and bushfires have on individuals living with dementia. This review explores the differential diagnosis of dementia, the Australian climate, and the potential impact Australia’s extreme heat and bushfires have on individuals from vulnerable communities including low socioeconomic status Indigenous and Non-Indigenous populations living with dementia, in both metropolitan and rural communities. Furthermore, we investigate possible prevention strategies and provide suggestions for future research on the topic of Australian bushfires and heatwaves and their impact on people living with dementia. This paper includes recommendations to ensure rural communities have access to appropriate support services, medical treatment, awareness, and information surrounding dementia.

Download Full-text

Providing trial results to participants in phase III pragmatic effectiveness RCTs: a scoping review

Trials ◽

10.1186/s13063-021-05300-x ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Hanne Bruhn ◽

Elle-Jay Cowan ◽

Marion K. Campbell ◽

Lynda Constable ◽

Seonaidh Cotton ◽

...

Keyword(s):

Scoping Review ◽

Health Care Professionals ◽

Search Strategy ◽

Phase Iii ◽

Future Research ◽

To Receive ◽

Emotional Effects ◽

Trial Participants ◽

Narrative Description ◽

Do So

Abstract Background There is an ethical imperative to offer the results of trials to those who participated. Existing research highlights that less than a third of trials do so, despite the desire of participants to receive the results of the trials they participated in. This scoping review aimed to identify, collate, and describe the available evidence relating to any aspect of disseminating trial results to participants. Methods A scoping review was conducted employing a search of key databases (MEDLINE, EMBASE, PsycINFO, and the Cumulative Index to Nursing & Allied Health Literature (CINAHL) from January 2008 to August 2019) to identify studies that had explored any aspect of disseminating results to trial participants. The search strategy was based on that of a linked existing review. The evidence identified describes the characteristics of included studies using narrative description informed by analysis of relevant data using descriptive statistics. Results Thirty-three eligible studies, including 12,700 participants (which included patients, health care professionals, trial teams), were identified and included. Reporting of participant characteristics (age, gender, ethnicity) across the studies was poor. The majority of studies investigated dissemination of aggregate trial results. The most frequently reported mode of disseminating of results was postal. Overall, the results report that participants evaluated receipt of trial results positively, with reported benefits including improved communication, demonstration of appreciation, improved retention, and engagement in future research. However, there were also some concerns about how well the dissemination was resourced and done, worries about emotional effects on participants especially when reporting unfavourable results, and frustration about the delay between the end of the trial and receipt of results. Conclusions This scoping review has highlighted that few high-quality evaluative studies have been conducted that can provide evidence on the best ways to deliver results to trial participants. There have been relatively few qualitative studies that explore perspectives from diverse populations, and those that have been conducted are limited to a handful of clinical areas. The learning from these studies can be used as a platform for further research and to consider some core guiding principles of the opportunities and challenges when disseminating trial results to those who participated.

Download Full-text

Self-rated health among undocumented and newly regularized migrants in Geneva: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-021-11239-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Julien Fakhoury ◽

Claudine Burton-Jeangros ◽

Idris Guessous ◽

Liala Consoli ◽

Aline Duvoisin ◽

...

Keyword(s):

Social Support ◽

Social Networks ◽

Cross Sectional Study ◽

Future Research ◽

Undocumented Migrants ◽

Long Term Effects ◽

Residence Permit ◽

Cross Sectional ◽

Convenience Sample ◽

Self Rated Health

Abstract Background In Europe, knowledge about the social determinants of health among undocumented migrants is scarce. The canton of Geneva, Switzerland, implemented in 2017–2018 a pilot public policy aiming at regularizing undocumented migrants. We sought to test for associations between self-rated health, proven eligibility for residence status regularization and social and economic integration. Methods This paper reports data from the first wave of the Parchemins Study, a prospective study whose aim is to investigate the effect of residence status regularization on undocumented migrants’ living conditions and health. The convenience sample included undocumented migrants living in Geneva for at least 3 years. We categorized them into those who were in the process of receiving or had just been granted a residence permit (eligible or newly regularized) and those who had not applied or were ineligible for regularization (undocumented). We conducted multivariate regression analyses to determine factors associated with better self-rated health, i.e., with excellent/very good vs. good/fair/poor self-rated health. Among these factors, measures of integration, social support and economic resources were included. Results Of the 437 participants, 202 (46%) belonged to the eligible or newly regularized group. This group reported better health more frequently than the undocumented group (44.6% versus 28.9%, p-value < .001), but the association was no longer significant after adjustment for social support and economic factors (odds ratio (OR): 1.12; 95% confidence interval (CI): 0.67–1.87). Overall, better health was associated with larger social networks (OR: 1.66; 95% CI: 1.04–2.64). This association remained significant even after adjusting for health-related variables. Conclusion At the onset of the regularization program, access to regularization was not associated with better self-rated health. Policies aiming at favouring undocumented migrants’ inclusion and engagement in social networks may promote better health. Future research should investigate long-term effects of residence status regularization on self-rated health.

Download Full-text

Education and social support: do migrants benefit as much as natives?

Comparative Migration Studies ◽

10.1186/s40878-020-00199-w ◽

2020 ◽

Vol 8 (1) ◽

Author(s):

Jana Brandt ◽

Kyra Selina Hagge

Keyword(s):

Social Support ◽

Personal Development ◽

Human Life ◽

Well Being ◽

Vital Role ◽

Cross Sectional ◽

Support Providers ◽

Appraisal Support ◽

Migration Experiences ◽

To Receive

Abstract Education and having access to social support play a vital role in the human life. Integrated and better-educated people demonstrate an increased personal health and well-being. Social isolation, on the contrary, can affect not only the personal development, but also pertains to society. These topics are especially relevant in the current migration debate. Our paper examines the link between schooling and the individuals’ probability to receive different types of social support, in particular emotional, instrumental, informational, and appraisal support. Using logit and ordinal logit regressions on cross-sectional micro-data provided by the SOEP, we distinguish between two subgroups, the native population and people who migrated to Germany. Our findings confirm that higher levels of education increase the probability to access social support as well as the number of support providers in the network. Migrants are disadvantaged when it comes to the access of social support. However, our results suggest no significant negative returns to education for people with migration experiences.

Download Full-text