scholarly journals Navigating Blind in the Green Rush: Clinical Considerations and Harm Reduction Practices for Cannabis

2019 ◽  
Vol 11 (1) ◽  
pp. 3-11
Author(s):  
Brienna N. Meffert ◽  
Danielle M. Morabito ◽  
Michelle K. Mosich ◽  
Mallory J. Loflin ◽  
James Sottile ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Harm Reduction ◽  
Social Acceptance ◽  
Scientific Evidence ◽  
Public Health Education ◽  
The United States ◽  
Cannabis Use ◽  
Psychological Conditions ◽  
Reduction Techniques

Background: The United States has recently experienced extensive changes in state policy regarding the use of cannabis for recreational and medicinal purposes. Despite its rapidly increasing accessibility and social acceptance, there is a striking dearth of research on cannabis as a treatment for medical and psychological conditions. Research on cannabis is difficult to conduct as it is classified as a schedule I drug with high potential for abuse and currently not accepted to be medically used in treatment. As a result, no standard dosing procedures exist and the lack of conclusive scientific evidence has left clinical providers without evidence-based guidelines about if, when, and how to guide clients on using cannabis safely. Objective: To (1) provide critical psychoeducational information about cannabis and cannabis problems to guide client-provider conversations about cannabis use and (2) describe common clinical concerns around cannabis use, highlight special considerations for vulnerable populations, and review harm reduction techniques and practical resources that may help clinicians and their clients navigate safer cannabis use. Conclusion: The removal of regulatory barriers would enable researchers to address key public health questions about the potential therapeutic and adverse effects of cannabis use. Additionally, funds for research, clinician education, and public health education initiatives are necessary to reduce risks associated with cannabis use in the United States.

scholarly journals Toward a Culture of Health in the United States: Introducing the HPP Arts in Public Health Supplement

2021 ◽  
Vol 22 (1_suppl) ◽  
pp. 5S-7S
Author(s):  
Jill Sonke ◽  
Lourdes Rodríguez ◽  
Melissa A. Valerio-Shewmaker
Keyword(s):  
Public Health ◽  
United States ◽  
Health Promotion ◽  
Public Health Education ◽  
The United States ◽  
The Arts ◽  
Agents Of Change ◽  
The University ◽  
Critical Public Health ◽  
Health Promotion Practice

The arts—and the arts and culture sector—offer fertile ground for achieving a culture of health in the United States. The arts and artists are agents of change and can help enable this vision and also address the most critical public health issues we are contending with, including COVID-19 and racism. The arts provide means for engaging dialogue, influencing behaviors, disrupting paradigms and fueling social movements. The arts uncover and illuminate issues. They engage us emotionally and intellectually. They challenge assumptions. They call out injustice. They drive collective action. They heal—making arts + public health collaboration very relevant in this historic moment. In this special Health Promotion Practice supplement on arts in public health, you’ll find powerful examples and evidence of how cross-sector collaboration between public health and the arts can advance health promotion goals and impacts, and make health promotion programs not only more accessible to diverse populations but also more equitable and effective in addressing the upstream systems, policies, and structures that create health disparities. You will see how the arts can empower health communication, support health literacy, provide direct and measurable health benefits to individuals and communities, and support coping and resilience in response to COVID-19. This issue itself exemplifies cross-sector collaboration, as it was created through partnership between Health Promotion Practice, the Society for Public Health Education, ArtPlace America, and the University of Florida Center for Arts in Medicine, and presents voices from across the public health, arts, and community development sectors.

scholarly journals Cannabis Use and the Onset of Cigarette and E-cigarette Use: A Prospective, Longitudinal Study Among Youth in the United States

2020 ◽  
Author(s):  
Andrea H Weinberger ◽  
Jiaqi Zhu ◽  
Joun Lee ◽  
Shu Xu ◽  
Renee D Goodwin
Keyword(s):  
United States ◽  
Public Health Education ◽  
The United States ◽  
Unintended Consequences ◽  
Cannabis Use ◽  
Cigarette Use ◽  
Prospective Longitudinal Study ◽  
Logistic Regression Models ◽  
Increased Risk ◽  
Prospective Longitudinal

Abstract Introduction Cigarette use is declining among youth in the United States, whereas cannabis use and e-cigarette use are increasing. Cannabis use has been linked with increased uptake and persistence of cigarette smoking among adults. The goal of this study was to examine whether cannabis use is associated with the prevalence and incidence of cigarette, e-cigarette, and dual product use among U.S. youth. Methods Data included U.S. youth ages 12–17 from two waves of the Population Assessment of Tobacco and Health (PATH) Study (Wave 1 youth, n = 13 651; Wave 1 tobacco-naive youth, n = 10 081). Weighted logistic regression models were used to examine the association between Wave 1 cannabis use and (1) Wave 1 prevalence of cigarette/e-cigarette use among Wave 1 youth and (2) Wave 2 incidence of cigarette/e-cigarette use among Wave 1 tobacco-naive youth. Analyses were run unadjusted and adjusted for demographics and internalizing/externalizing problem symptoms. Results Wave 1 cigarette and e-cigarette use were significantly more common among youth who used versus did not use cannabis. Among Wave 1 tobacco-naive youth, Wave 1 cannabis use was associated with significantly increased incidence of cigarette and e-cigarette use by Wave 2. Conclusions Youth who use cannabis are more likely to report cigarette and e-cigarette use, and cannabis use is associated with increased risk of initiation of cigarette and e-cigarette use over 1 year. Continued success in tobacco control—specifically toward reducing smoking among adolescents—may require focusing on cannabis, e-cigarette, and cigarette use in public health education, outreach, and intervention efforts. Implications These data extend our knowledge of cigarette and e-cigarette use among youth by showing that cannabis use is associated with increased prevalence and incidence of cigarette and e-cigarette use among youth, relative to youth who do not use cannabis. The increasing popularity of cannabis use among youth and diminished perceptions of risk, coupled with the strong link between cannabis use and tobacco use, may have unintended consequences for cigarette control efforts among youth.

scholarly journals Characteristics of Twitter Use by State Medicaid Programs in the United States: Machine Learning Approach

10.2196/18401 ◽  
2020 ◽  
Vol 22 (8) ◽  
pp. e18401
Author(s):  
Jane M Zhu ◽  
Abeed Sarker ◽  
Sarah Gollust ◽  
Raina Merchant ◽  
David Grande
Keyword(s):  
Public Health ◽  
United States ◽  
Machine Learning ◽  
Public Health Education ◽  
The United States ◽  
Machine Learning Algorithms ◽  
Supervised Machine Learning ◽  
Care Organization ◽  
The Public ◽  
The Mean

Background Twitter is a potentially valuable tool for public health officials and state Medicaid programs in the United States, which provide public health insurance to 72 million Americans. Objective We aim to characterize how Medicaid agencies and managed care organization (MCO) health plans are using Twitter to communicate with the public. Methods Using Twitter’s public application programming interface, we collected 158,714 public posts (“tweets”) from active Twitter profiles of state Medicaid agencies and MCOs, spanning March 2014 through June 2019. Manual content analyses identified 5 broad categories of content, and these coded tweets were used to train supervised machine learning algorithms to classify all collected posts. Results We identified 15 state Medicaid agencies and 81 Medicaid MCOs on Twitter. The mean number of followers was 1784, the mean number of those followed was 542, and the mean number of posts was 2476. Approximately 39% of tweets came from just 10 accounts. Of all posts, 39.8% (63,168/158,714) were classified as general public health education and outreach; 23.5% (n=37,298) were about specific Medicaid policies, programs, services, or events; 18.4% (n=29,203) were organizational promotion of staff and activities; and 11.6% (n=18,411) contained general news and news links. Only 4.5% (n=7142) of posts were responses to specific questions, concerns, or complaints from the public. Conclusions Twitter has the potential to enhance community building, beneficiary engagement, and public health outreach, but appears to be underutilized by the Medicaid program.

scholarly journals Vaping Restrictions: Is Priority to the Young Justified?

2020 ◽  
Author(s):  
Monica Magalhaes
Keyword(s):  
Public Health ◽  
United States ◽  
At Risk ◽  
Young People ◽  
Harm Reduction ◽  
Ethical Dilemma ◽  
The United States ◽  
Youth Smoking ◽  
Health Authorities ◽  
Public Health Authorities

Abstract The vast majority of smokers become dependent on nicotine in youth. Preventing dependence has therefore been crucial to the recent decline in youth smoking. The advent of vaping creates an opportunity for harm reduction to existing smokers (mostly adults) but simultaneously also undermines prevention efforts by becoming a new vehicle for young people to become dependent on nicotine, creating an ethical dilemma. Restrictions to access to some vaping products enacted in response to the increase in vaping among youth observed in the United States since 2018 have arguably prioritized prevention of new cases of dependence—protecting the young—over harm reduction to already dependent adults. Can this prioritization of the young be justified? This article surveys the main bioethical arguments for prioritizing giving health benefits to the young and finds that none can justify prioritizing dependence prevention over harm reduction: any reasons for prioritizing the current cohort of young people at risk from vaping will equally apply to current adult smokers, who are overwhelmingly likely to have become nicotine-dependent in their own youth. Public health authorities’ current tendency to prioritize the young, therefore, does not seem to be ethically justified. Implications This article argues that commonsense reasons for prioritizing the young do not apply to the ethical dilemma surrounding restricting access to vaping products.

scholarly journals Mass Casualty Triage: An Evaluation of the Data and Development of a Proposed National Guideline

2008 ◽  
Vol 2 (S1) ◽  
pp. S25-S34 ◽  
Author(s):  
E. Brooke Lerner ◽  
Richard B. Schwartz ◽  
Phillip L. Coule ◽  
Eric S. Weinstein ◽  
David C. Cone ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Scientific Evidence ◽  
The United States ◽  
Mass Casualty ◽  
National Guideline ◽  
Public Health Preparedness ◽  
Life Saving ◽  
Review Reports ◽  
Triage Decisions

ABSTRACTMass casualty triage is a critical skill. Although many systems exist to guide providers in making triage decisions, there is little scientific evidence available to demonstrate that any of the available systems have been validated. Furthermore, in the United States there is little consistency from one jurisdiction to the next in the application of mass casualty triage methodology. There are no nationally agreed upon categories or color designations. This review reports on a consensus committee process used to evaluate and compare commonly used triage systems, and to develop a proposed national mass casualty triage guideline. The proposed guideline, entitled SALT (sort, assess, life-saving interventions, treatment and/or transport) triage, was developed based on the best available science and consensus opinion. It incorporates aspects from all of the existing triage systems to create a single overarching guide for unifying the mass casualty triage process across the United States. (Disaster Med Public Health Preparedness. 2008;2(Suppl 1):S25–S34)

Quality Assurance in Professional Preparation of Community/Public Health Education Specialists: Contributions of SABPAC

2018 ◽  
Vol 5 (1) ◽  
pp. 62-69
Author(s):  
Ellen M. Capwell ◽  
Carol Cox ◽  
Alyson Taub ◽  
M. Elaine Auld ◽  
Elias Berhanu
Keyword(s):  
Public Health ◽  
United States ◽  
Quality Assurance ◽  
Health Education ◽  
Public Health Education ◽  
The United States ◽  
Professional Preparation ◽  
Preparation Programs ◽  
Task Forces ◽  
Education Profession

The Society for Public Health Education and American Association for Health Education Baccalaureate Program Approval Committee (SABPAC) provided a valuable service to the health education profession in the United States for 27 years. From 1987 to its sunset in 2014, SABPAC offered a voluntary process whereby undergraduate community/public health education professional preparation programs could seek review and evaluation of their programs against published national health education criteria. Those programs meeting SABPAC criteria were granted “Approval.” SABPAC approval was instituted as one way by which the health education profession could strive to promote consistent professional preparation in the field and ensure that health education graduates were prepared for contemporary workforce demands. Over the years, SABPAC chairs, committee members, and volunteers devoted countless hours reviewing self-studies and conducting on-site visits of professional preparation programs and documenting how they met SABPAC criteria and/or could enhance compliance with guidelines. Seeking SABPAC approval provided many program benefits. Recognizing that accreditation is the “gold standard” in education, the health education profession applied a thoughtful and researched process beginning in 2001 to transition from SABPAC approval to undergraduate accreditation through the Council on Education for Public Health. Three national task forces developed recommendations, conducted events to foster communication about the change, and assisted professional preparation programs to prepare for and seek the Council on Education for Public Health accreditation. This brief article documents the genesis, organization, and processes of SABPAC in the United States, until its sunset as a major contributor to quality assurance in health education for more than a quarter of a century.

scholarly journals Impact of Public Health Education Program on the Novel Coronavirus Outbreak in the United States

2021 ◽  
Author(s):  
Enahoro A. Iboi ◽  
Ariana Richardson ◽  
Rachel Ruffin ◽  
DeAndrea Ingram ◽  
Jailyn Clark ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Health Education ◽  
Education Program ◽  
Public Health Education ◽  
The United States ◽  
The Novel ◽  
Health Education Program ◽  
The Us ◽  
Novel Coronavirus

AbstractThe coronavirus outbreak in the United States continues to pose a serious threat to human lives. Public health measures to slow down the spread of the virus involve using a face mask, social-distancing, and frequent hand washing. Since the beginning of the pandemic, there has been a global campaign on the use of non-pharmaceutical interventions (NPIs) to curtail the spread of the virus. However, the number of cases, mortality, and hospitalization continue to rise globally, including in the United States. We developed a mathematical model to assess the impact of a public health education program on the coronavirus outbreak in the US. Our simulation showed the prospect of an effective public health education program in reducing both the cumulative and daily mortality of the novel coronavirus. Finally, our result suggests the need to obey public health measures as loss of willingness would increase the cumulative and daily mortality in the US.

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