scholarly journals The Feasibility and Acceptability of Using a Wearable UV Radiation Exposure Monitoring Device in Adults and Children: Cross-Sectional Questionnaire Study

10.2196/15711 ◽  
2020 ◽  
Vol 3 (1) ◽  
pp. e15711
Author(s):  
Elizabeth Sela Nagelhout ◽  
Riley Lensink ◽  
Angela Zhu ◽  
Bridget G Parsons ◽  
Jakob D Jensen ◽  
...  
Keyword(s):  
Uv Radiation ◽  
The United States ◽  
Monitoring Device ◽  
Preventive Interventions ◽  
Cross Sectional ◽  
Individual Level ◽  
Exposure Monitoring ◽  
Adults And Children ◽  
Radiation Exposure Monitoring ◽  
Monitoring Devices

Background In the United States, melanoma is the fifth most common type of cancer. Reducing UV radiation (UVR) exposure is essential for the prevention of melanoma. The assessment of individual-level UVR exposure using wearable technology is a promising method to monitor and reduce UVR exposure. However, the feasibility and acceptability of using wearable UVR monitoring devices have not been assessed. Objective This study aimed to assess the feasibility and acceptability of using a commercially available UVR monitoring wearable device in adults and children. Methods We recruited families (1 parent and 1 child) to test a new, commercially available UVR monitoring device (namely, Shade). Participants wore Shade for 2 weeks and completed questionnaires assessing the feasibility and acceptability of wearing the device. Qualitative analyses were conducted to summarize participants’ open-ended responses regarding device feasibility. Results A total of 194 individuals (97 adults and 97 children) participated in this study. The participating children were aged, on average, 12.7 years. Overall, adults and children reported moderate satisfaction with wearing Shade. The feasibility of the use of Shade was adequate, with 73% (65/89) of adults and 61% (54/89) of children reporting that they wore the device “all of the time they were outside.” Through open-ended responses, participants reported that the device was easy to use, was compact, and increased their awareness about their exposure to UVR. Conclusions Adults and children can feasibly use a wearable UVR monitoring device, and the use of the device was acceptable to participants. The device could be integrated into melanoma preventive interventions to increase individuals’ and families’ awareness of UVR exposure and to facilitate the use of recommended melanoma preventive strategies.

scholarly journals 218. Changes in Dental Antibiotic Prescribing in the United States, 2012–2017

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S111-S111
Author(s):  
Swetha Ramanathan ◽  
Connie H Yan ◽  
Colin Hubbard ◽  
Gregory Calip ◽  
Lisa K Sharp ◽  
...  
Keyword(s):  
The United States ◽  
Cross Sectional Study ◽  
Antibiotic Prescribing ◽  
Prescription Data ◽  
Oral Antibiotic ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prescribing Trends ◽  
Adults And Children ◽  
Linear Regressions

Abstract Background Data suggest dental antibiotic prescribing is increasing with relatively less documented about prescribing trends in adults and children. Therefore, the aim was to evaluate trends in antibiotic prescribing by US dentists from 2012–2017. Methods This was a cross-sectional study of US dental prescribing using IQVIA Longitudinal Prescription Data from 2012 to 2017. Prescribing rates (prescriptions [Rx] per 100,000 dentists), mean days’ supply, and mean quantity dispensed were calculated monthly across eight oral antibiotic groups: amoxicillin, clindamycin, cephalexin, azithromycin, penicillin, doxycycline, fluoroquinolone, and other antibiotics. Descriptive frequencies and multiple linear regressions were performed to obtain trends overall and stratified by adults (≥ 18) and children (< 18). Results 220, 325 dentists prescribed 135 million Rx (94.0% in adults). 61.0% were amoxicillin, 14.4% clindamycin, 11.7% penicillin, 4.4% azithromycin, 4.3% cephalexin, 2.0% other antibiotics, 1.4% doxycycline, and 0.7% fluoroquinolones. Prescribing increased by 33 Rx/100,000 dentists (p< 0.0001) each month for all antibiotics. Amoxicillin (p< 0.0001) and clindamycin (p=0.02) prescribing rate increased by 73 and 5 Rx/100,000 dentists, respectively. Prescribing decreased by 8, 12, and 2 Rx/100,000 dentists for cephalexin (p< 0.0001), doxycycline (p< 0.0001), and fluoroquinolones (p=0.008), respectively. Mean days’ supply increased for amoxicillin, penicillin, and clindamycin (p< 0.0001), and decreased for cephalexin (p< 0.0001).Mean quantity dispensed decreased (p< 0.0001) for all groups except azithromycin and doxycycline. Among adults, cephalexin prescribing rates (7 Rx/100,000 dentist; p< 0.0001) and other antibiotics days’ supply (p< 0.0001) decreased. Among children, azithromycin prescribing rates (1 Rx/100,000 dentists, p=0.02), and fluoroquinolone and other antibiotics days’ supply (p< 0.0001) decreased. Conclusion These findings support dental antibiotic prescribing is increasing, specifically for amoxicillin and clindamycin. Further, trends differed between adults and children. Understanding what is driving these trends is important to target dental antibiotic stewardship efforts. Disclosures All Authors: No reported disclosures

Rural–Urban Disparities in Obesity Prevalence Among Working Age Adults in the United States: Exploring the Mechanisms

2017 ◽  
Vol 32 (2) ◽  
pp. 400-408 ◽  
Author(s):  
Ming Wen ◽  
Jessie X. Fan ◽  
Lori Kowaleski-Jones ◽  
Neng Wan
Keyword(s):  
United States ◽  
Family Income ◽  
The United States ◽  
Overweight And Obesity ◽  
Spatial Distance ◽  
Median Income ◽  
Cross Sectional ◽  
Individual Level ◽  
Environmental Features ◽  
Working Age

Purpose: Higher prevalence rates of overweight and obesity in rural America have been consistently reported, but sources of these disparities are not well known. This study presented patterns and mechanisms of these disparities among working age Americans. Design: Cross-sectional study. Setting: United States of America. Participants: The study included 10 302 participants of the 2003-2008 National Health and Nutrition Examination Survey (NHANES) who were 20 to 64 years old, not pregnant, and with a body mass index ranging from 18.5 to 60. Measures: Individual-level data were from NHANES including age, gender, race/ethnicity, immigrant status, education, and family income. The outcomes were prevalence of obesity and prevalence of overweight and obesity combined. Neighborhood data were constructed from the 2000 US Census providing tract-level information on family median income and built environmental features and from the 2006 ESRI ArcGIS 9.3 Data DVD providing tract-level park location information. Analysis: Geographic information system (GIS) methods were used to create a measure of spatial distance to local parks capturing park accessibility. Random intercept logistic and ordinal logit regression analyses were performed. Findings: Multivariate regression results showed that the odds of obesity was higher in rural areas compared to urban areas (odds ratio = 1.358, P < .001) net of demographic controls and that this gap was largely attributable to individual educational attainment and neighborhood median household income and neighborhood built environmental features. After controlling for these hypothesized mediators, the elevated odds associated with rural residence was reduced by nearly 94% and rendered statistically insignificant. Conclusions: In this nationally representative cross-sectional sample, rural–urban obesity disparities were large and explained by rural–urban educational differences at the individual level and economic and built environmental differences at the neighborhood level.

How State Responses to Economic Crisis Shape Income Inequality and Financial Well-Being

2020 ◽  
pp. 153244002091980
Author(s):  
William W. Franko
Keyword(s):  
Income Inequality ◽  
Economic Crisis ◽  
State Government ◽  
Well Being ◽  
The United States ◽  
Fiscal Stress ◽  
Budget Deficits ◽  
Cross Sectional ◽  
Individual Level ◽  
Inequality State

This study examines how state government responses to economic crisis, in the form of unexpected changes in state fiscal policy, influence income inequality. State governments are vital actors in times of fiscal stress as nearly every state must make difficult policy decisions related to taxes and spending to address budget deficits, both of which are policies that shape the income gap. Focusing on periods of fiscal stress is important for the study of state inequality as those with fewer resources are the most likely to experience the consequences of their state’s fiscal response during these times. Using time-series cross-sectional data, this research demonstrates that income inequality increases when states respond to economic crisis by relying on unexpected spending cuts. These effects tend to persist even after initial economic downturns. In addition, one individual-level implication of the aggregate relationship between state policy responses and inequality—that people will be worse off financially when their states emphasize budget cuts in response to economic decline—is assessed using several post–Great Recession surveys. The findings have implications for the future of inequality in the United States and provide potential paths for state fiscal reform.

scholarly journals Measures of political ideology and beliefs are not appropriate for measuring ideologies in people’s heads because they primarily measure stable traits

2021 ◽  
Author(s):  
Mark John Brandt ◽  
G. Scott Morgan
Keyword(s):  
Political Ideology ◽  
Belief System ◽  
The United States ◽  
Complete Understanding ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Individual Level ◽  
Political Beliefs ◽  
New Methods ◽  
Political Ideologies

Ideology and political beliefs are individual-level phenomena that are intended to describe the political thoughts of a person. However, the modal study of the structure of political ideologies and beliefs uses cross-sectional survey data to estimate what is central to the belief system or the dimensionality of the belief system. Cross-sectional data are ill-suited to the task of studying individual-level phenomena because they contain an unobservable mixture of within-person and between-person variation. In this project, we use longitudinal datasets from the Netherlands and the United States, spanning between 6 months and 10 years, to we ask whether the modal study helps us understand the ideologies in people’s heads? First, using Bayesian STARTS models (Lüdtke, Robitzsch, &amp; Wagner, 2018), we find that variability in measures of ideology and political beliefs is primarily due to stable between-person differences, with relatively smaller amounts variation due to within-person change. Second, we estimate between-person, within-person, and cross-sectional correlations between all items in our study and find that between-person correlations are substantially different from within-person correlations. Between-person correlations are larger and in some cases differ in their direction from within-person correlations. Cross-sectional correlations are most similar to between-person correlations, suggesting that the modal study may help describe divisions between people but is ill-suited to tell us about the structure of individual’s ideologies and political beliefs. New methods are necessary for a complete understanding of political attitudes that can focus on both between- and within-person processes.

Associations of Cycling with Urban Sprawl and the Gasoline Price

2009 ◽  
Vol 24 (1) ◽  
pp. 27-36 ◽  
Author(s):  
Inas Rashad
Keyword(s):  
United States ◽  
Urban Sprawl ◽  
The United States ◽  
Gasoline Prices ◽  
Behavioral Risk ◽  
Cross Sectional ◽  
Gasoline Price ◽  
Men And Women ◽  
Individual Level ◽  
Percentage Points

Purpose. Determine the relationships between cycling and urban sprawl and between cycling and the gasoline price. Analysis. Cross-sectional multivariate regression analyses using pooled data from two individual-level national surveys to analyze the effects of variations in levels of urban sprawl and the gasoline price on cycling as a form of physical activity. Setting. Metropolitan areas representative of the U.S. population, 1990 to 2001. Subjects. Behavioral Risk Factor Surveillance System: 146,730 individuals at least 18 years old in the United States; Nationwide Personal Transportation Survey: 73,903 individuals at least 18 years old in the United States. Measures. Self-reported information on bicycling served as the dependent variable. Urban sprawl and the gasoline price served as key independent variables. Results. Living in a metropolitan area with a lower degree of urban sprawl increased the probability of cycling in the past month by 3.4 to 4.4 percentage points and 1.6 to 2.1 percentage points from the means for men and women, respectively. Increasing the gasoline price by one dollar increased the probability of cycling by 4.3 to 4.7 percentage points and 2.9 to 3.5 percentage points for men and women, respectively. Conclusion. Results indicate that the prevalence of cycling is higher in less sprawling areas and areas with higher gasoline prices. More research is needed to refine results on how individuals respond to incentives and the roles that monetary and time costs play in improving public health.

scholarly journals Low Praziquantel Treatment Coverage for Schistosoma mansoni in Mayuge District, Uganda, Due to the Absence of Treatment Opportunities, Rather Than Systematic Non-Compliance

2018 ◽  
Vol 3 (4) ◽  
pp. 111 ◽  
Author(s):  
Moses Adriko ◽  
Christina Faust ◽  
Lauren Carruthers ◽  
Arinaitwe Moses ◽  
Edridah Tukahebwa ◽  
...  
Keyword(s):  
Multivariate Logistic Regression Analysis ◽  
Individual Characteristics ◽  
World Health ◽  
Policy Recommendations ◽  
Cross Sectional ◽  
Individual Level ◽  
Praziquantel Treatment ◽  
Adults And Children ◽  
Health Organization ◽  
Untreated Individuals

The World Health Organization (WHO) recommends praziquantel mass drug administration (MDA) to control schistosomiasis in endemic regions. We aimed to quantify recent and lifetime praziquantel coverage, and reasons for non-treatment, at an individual level to guide policy recommendations to help Uganda reach WHO goals. Cross-sectional household surveys (n = 681) encompassing 3208 individuals (adults and children) were conducted in 2017 in Bugoto A and B, Mayuge District, Uganda. Participants were asked if they had received praziquantel during the recent MDA (October 2016) and whether they had ever received praziquantel in their lifetime. A multivariate logistic regression analysis with socio-economic and individual characteristics as covariates was used to determine factors associated with praziquantel uptake. In the MDA eligible population (≥5 years of age), the most recent MDA coverage was 48.8%. Across individuals’ lifetimes, 31.8% of eligible and 49.5% of the entire population reported having never taken praziquantel. Factors that improved individuals’ odds of taking praziquantel included school enrolment, residence in Bugoto B and increasing years of village-residency. Not being offered (49.2%) and being away during treatment (21.4%) were the most frequent reasons for not taking the 2016 praziquantel MDA. Contrary to expectations, chronically-untreated individuals were rarely systematic non-compliers, but more commonly not offered treatment.

scholarly journals Seroprevalence of hepatitis E virus antibodies in adults and children from upstate New York: A cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245850
Author(s):  
Brittany L. Kmush ◽  
Amelia M. Lu ◽  
Taylor Spillane ◽  
Bryce Hruska ◽  
Brooks B. Gump ◽  
...  
Keyword(s):  
United States ◽  
New York ◽  
Hepatitis E Virus ◽  
New York State ◽  
Geographic Location ◽  
Hepatitis E ◽  
The United States ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Adults And Children

Hepatitis E virus (HEV) is a major cause of viral hepatitis around the world, especially in developing countries. Recently, HEV has also been recognized as important cause of hepatitis in Europe and Japan, however, there is a paucity of clinical data from the United States. The overall seroprevalence of HEV antibodies is around 10% in the United States, but considerable variation is seen based on geographic location, year, and assay used. In this study, 63 adults and 417 children from New York State were tested for anti-HEV IgG antibodies using the commercially available Wantai IgG assay. The overall seroprevalence of HEV antibodies among adult participants was 9.52% (95% CI: 3.58–19.59%). Positive adults tended to be older than HEV negative adults, all positive adults were female. Only 3 (0.7%, 95% CI:: 0.15–2.09%) of the children were positive, all positive children were male. These results are consistent with global and United States trends in HEV seroprevalence.

scholarly journals Childhood cross-ethnic exposure predicts political behavior seven decades later: Evidence from linked administrative data

2021 ◽  
Vol 7 (24) ◽  
pp. eabe8432
Author(s):  
Jacob R. Brown ◽  
Ryan D. Enos ◽  
James Feigenbaum ◽  
Soumyajit Mazumder
Keyword(s):  
Political Behavior ◽  
Large Scale ◽  
The United States ◽  
Small Samples ◽  
Cross Sectional ◽  
Panel Surveys ◽  
Individual Level ◽  
Early Life Exposure ◽  
Residential Context ◽  
Short Time

Does contact across social groups influence sociopolitical behavior? This question is among the most studied in the social sciences with deep implications for the harmony of diverse societies. Yet, despite a voluminous body of scholarship, evidence around this question is limited to cross-sectional surveys that only measure short-term consequences of contact or to panel surveys with small samples covering short time periods. Using advances in machine learning that enable large-scale linkages across datasets, we examine the long-term determinants of sociopolitical behavior through an unprecedented individual-level analysis linking contemporary political records to the 1940 U.S. Census. These linked data allow us to measure the exact residential context of nearly every person in the United States in 1940 and, for men, connect this with the political behavior of those still alive over 70 years later. We find that, among white Americans, early-life exposure to black neighbors predicts Democratic partisanship over 70 years later.

Does a Graduate Course in Fluency Disorders Make a Difference?

2010 ◽  
Vol 20 (1) ◽  
pp. 10-14 ◽  
Author(s):  
Evelyn R. Klein ◽  
Barbara J. Amster
Keyword(s):  
Undergraduate Students ◽  
Graduate Programs ◽  
The United States ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Graduate Course ◽  
Cross Sectional ◽  
Fluency Disorders ◽  
Introductory Course ◽  
Communicative Disorders

Abstract A study by Yaruss and Quesal (2002), based on responses from 134 of 239 ASHA accredited graduate programs, indicated that approximately 25% of graduate programs in the United States allow students to earn their degree without having coursework in fluency disorders and 66% of programs allow students to graduate without clinical experience treating people who stutter (PWS). It is not surprising that many clinicians report discomfort in treating PWS. This cross-sectional study compares differences in beliefs about the cause of stuttering between freshman undergraduate students enrolled in an introductory course in communicative disorders and graduate students enrolled and in the final weeks of a graduate course in fluency disorders.

A Silenced Population

Crisis ◽  
2017 ◽  
Vol 38 (6) ◽  
pp. 433-442 ◽  
Author(s):  
Kim Gryglewicz ◽  
Melanie Bozzay ◽  
Brittany Arthur-Jordon ◽  
Gabriela D. Romero ◽  
Melissa Witmeier ◽  
...  
Keyword(s):  
At Risk ◽  
Depressive Symptomatology ◽  
The United States ◽  
Future Research ◽  
At Risk Youth ◽  
Peer Relationship ◽  
Student Records ◽  
Cross Sectional ◽  
Increased Risk ◽  
Method Student

Abstract. Background: Given challenges that exceed the normal developmental requirements of adolescence, deaf and hard-of-hearing (DHH) youth are believed to be at elevated risk for engaging in suicide-related behavior (SRB). Unfortunately, little is known about the mechanisms that put these youth potentially at risk. Aims: To determine whether peer relationship difficulties are related to increased risk of SRB in DHH youth. Method: Student records (n = 74) were retrieved from an accredited educational center for deaf and blind students in the United States. Results: Peer relationship difficulties were found to be significantly associated with engagement in SRB but not when accounting for depressive symptomatology. Limitations: The restricted sample limits generalizability. Conclusions regarding risk causation cannot be made due to the cross-sectional nature of the study. Conclusion: These results suggest the need for future research that examines the mechanisms of the relationship between peer relationship difficulties, depression, and suicide risk in DHH youth and potential preventive interventions to ameliorate the risks for these at-risk youth.

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