scholarly journals NATIONAL-LEVEL DISPARITIES IN INTERNET ACCESS AMONG LOW-INCOME AND BLACK AND HISPANIC YOUTH: CHALLENGES IN REACHING AT RISK GROUPS (Preprint)

Author(s):  
M. Margaret Dolcini ◽  
Jesse A Canchola ◽  
Joseph A Catania ◽  
Marissa M Song Mayeda ◽  
Erin L Dietz ◽  
...  
2021 ◽  
Author(s):  
M. Margaret Dolcini ◽  
Jesse A Canchola ◽  
Joseph A Catania ◽  
Marissa M Song Mayeda ◽  
Erin L Dietz ◽  
...  

BACKGROUND Internet access is increasingly critical for adolescents with regard to obtaining health information and resources, participating in online health promotion and communicating with health practitioners. Yet, past work demonstrates that access is not uniform across U.S. youth, with lower access found among groups with higher health related needs. Population level data yield important insights about access and internet use in the U.S. OBJECTIVE To examine internet access and mode of access by social class and race/ethnicity among youth (14-17 years) in the U.S. METHODS Using the Current Population Survey (CPS), we examined internet access, cell/smartphone access and modes of connecting to the internet for adolescents for 2015 (unweighted N= 6950; expanded weights N = 17,103,547) and 2017 (unweighted n = 6761; expanded weights N = 17,379,728). RESULTS Internet access increased from 2015 to 2017, but SES and racial/ethnic disparities remain. In 2017, the greatest disparities were found for youth in low-income households (no home access (HA) = 23%), and for Blacks (no HA = 18%) and Hispanics (no HA = 14%). Low-income Black and Hispanic youth were the most likely to lack home internet access (no HA, Low-SES Black = 29%; Low-SES Hispanic = 21%). Mode of access (e.g., from home, smartphone) and smartphone only analyses also revealed disparities. CONCLUSIONS Without internet access, online dissemination of information, health promotion, and health care will not reach a significant segment of youth. Currently, SES and racial/ethnic disparities in access prolong health inequalities.


2014 ◽  
Vol 2014 ◽  
pp. 1-12 ◽  
Author(s):  
Brenda Robles ◽  
Lisa V. Smith ◽  
Mirna Ponce ◽  
Jennifer Piron ◽  
Tony Kuo

Although US obesity prevention efforts have begun to implement a variety of system and environmental change strategies to address the underlying socioecological barriers to healthy eating, factors which can impede or facilitate community acceptance of such interventions are often poorly understood. This is due, in part, to the paucity of subpopulation health data that are available to help guide local planning and decision-making. We contribute to this gap in practice by examining area-specific health data for a population targeted by federally funded nutrition interventions in Los Angeles County. Using data from a local health assessment that collected information on sociodemographics, self-reported health behaviors, and objectively measured height, weight, and blood pressure for a subset of low-income adults (n= 720), we compared health risks and predictors of healthy eating across at-risk groups using multivariable modeling analyses. Our main findings indicate being a woman and having high self-efficacy in reading Nutrition Facts labels were strong predictors of healthy eating (P<0.05). These findings suggest that intervening with women may help increase the reach of these nutrition interventions, and that improving self-efficacy in healthy eating through public education and/or by other means can help prime at-risk groups to accept and take advantage of these food environment changes.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
V. Kovess-Masfety ◽  
Katherine Keyes ◽  
Elie Karam ◽  
Ajmal Sabawoon ◽  
Bashir Ahmad Sarwari

Abstract Background This survey attempts to measure at a national level, exposures to major traumas and the prevalence of common mental health disorders in a low-income dangerous country, highly affected by conflicts: Afghanistan. Methods Trans-sectional probability survey in general population by multistage sampling in 8 provinces, represented nationwide: 4445 adults (4433 weighted),15 years or older, 81% participation rate. Face to face interviews used specific scales for measuring lifetime exposure (LEC 5 Life Events Checklist) and Post Traumatic Stress Disorder (PTSD Check List), a diagnostic standardized interview: Composite International Diagnostic Interview (Short Form) for. Major Depressive Episode and Generalized Anxiety Disorder, plus scales for suicidal thoughts and attempts and psychological distress (MH5 and RE from SF36). Results 52.62% of the population is illiterate, 84,61% of the women do not have any source of income; 70.92% of the population lives in rural areas, 60.62% are below 35 years, 80% lives in very dangerous areas. 64.67% of the Afghan population had personally experienced at least one traumatic event; 78.48% had witnessed one such event. 60.77% of the sample experienced collective violence in relation to war and 48.76% reported four or more events; this very much differs across regions and levels of danger; women are less at risk for trauma except sexual violence, 35 years and above are more at risk than younger. 12-month PTSD prevalence reaches a high rate: 5.34% as MDE 11,71%, whereas GAD 2.78%; suicidal thoughts 2.26%, lifetime suicidal attempts 3.50% are close to reported in other countries. Women have more risk for PTSD (0R = 1.93) and suicidal behaviours (attempts OR = 1.92) than men; the number of events increases risk for MDE, PTSD and suicidal attempts, whereas education is protective. Exposure to different war events produced different mental health effects. People suffering from PTSD have higher risk to report 12-months suicidal ideations and lifetime suicidal attempts. Conclusion Our findings highlight the need to map the extent and the types of mental disorders post conflict; this would help maximise the help to be offered in guiding proper choice of interventions, including education.


Author(s):  
Yujuan Gao ◽  
Derek Hu ◽  
Evan Peng ◽  
Cody Abbey ◽  
Yue Ma ◽  
...  

Previous studies reflect a high prevalence of depressive symptoms among Taiwanese adolescents (ages 13–18), but there is an absence of literature related to the risk of depression of children in Taiwan (ages 6–12), particularly among potentially vulnerable subgroups. To provide insight into the distribution of depressive symptoms among children in rural Taiwan and measure the correlation between academic performance, we conducted a survey of 1655 randomly selected fourth and fifth-grade students at 92 sample schools in four relatively low-income counties or municipalities. Using the Center for Epidemiological Studies-Depression Scale (CES-D) we assessed the prevalence of depressive symptoms in this sample, in addition to collecting other data, such as performance on a standardized math test as well as information on a number of individual and household characteristics. We demonstrate that the share of children with clinically significant symptoms is high: 38% of the students were at risk of general depression (depression score ≥ 16) and 8% of the students were at risk of major depression (depression score > 28). The results of the multivariate regression and heterogeneous analysis suggest that poor academic performance is closely associated with a high prevalence of depressive symptoms. Among low-performing students, certain groups were disproportionately affected, including girls and students whose parents have migrated away for work. Results also suggest that, overall, students who had a parent who was an immigrant from another country were at greater risk of depression. These findings highlight the need for greater resource allocation toward mental health services for elementary school students in rural Taiwan, particularly for at-risk groups.


Bibliosphere ◽  
2019 ◽  
pp. 64-70
Author(s):  
I. V. Dolgovykh ◽  
M. V. Maslakova ◽  
L. I. Patrakova

The topic relevance is increasing due to the children number rise of homeless, dysfunctional, incomplete, low-income, left without parental care, from families using destructive methods, bringing to congenital disorders of the physical and psychological development, who could falling into unfavorable environment take the path of asocial behavior, disharmonious development and, as a result, getting into the «risk groups».  The article objective is to determine the library involvement in preventing the children at risk neglect through multiformat forms of the work popularizing books and reading for the educational and cultural development of children.  N. V. Stetsenko describes children at risk groups as exposed to biological, psychological, social influences, their tendency to offenses, violence and other types of antisocial behavior. Сhildren at risk include the following categories: gifted children; poorly educated; children with disabilities; children from problem and dysfunc­tional, asocial families; pedagogically neglected children; children from families in need of socio-economic and socio-psychological assistance and support.  Currently, the work of a librarian with children at risk is an urgent problem related to growth of families and minors of the «special attention group», where the library task is to reach the maximum number of children attracted to the library. Difficult children is a complicated category; therefore, library and information workers need to know the characteristics of such children, effective methods and methods of educational and preven­tive work. Сhildren at risk need to adapt to the world around them, broaden their horizons, communicate with their peers, organize leisure activities, express themselves creatively, receive information and services, and satisfy their intellectual needs. The library has the staff, resources and means capable to form a harmoniously developed child personality , including children at risk.  The library is designed to create for readers not only comfortable (it's important), but productive conditions with the point of intellectual growth, for example, the reader’s participation in organizing library activities (storytelling, makerspace, creative workshops, etc.). The modern library helps to reduce the number of «disadvantaged children», heals the social environment, makes it more friendly and safe for a child.  


2001 ◽  
Vol 116 (6) ◽  
pp. 608-616 ◽  
Author(s):  
Virginia A Cardin ◽  
Richard M Grimes ◽  
Zhi Dong Jiang ◽  
Nancy Pomeroy ◽  
Luther Harrell ◽  
...  

2020 ◽  
Vol 53 (3) ◽  
pp. 341-352 ◽  
Author(s):  
Kara Contreary ◽  
Todd Honeycutt

BACKGROUND: The U.S. government has implemented several programs to reduce federal expenditures on Social Security Disability Insurance (DI) and help beneficiaries return to work, but the limited success of these efforts has raised interest in approaches that help workers with disabilities remain in the workforce. OBJECTIVE: This paper provides information on individuals at risk of applying for DI benefits to help build the evidence base for policies that provide workers with disabilities support to eliminate the need to apply for and receive DI benefits. METHODS: Using three panels of the Survey of Income and Program Participation matched to SSA administrative data, we describe the employment characteristics of seven groups at risk of applying for DI benefits before and after application, as well as the outcomes of their DI applications. RESULTS: New private disability insurance recipients were more likely to apply for and receive DI than members of other at-risk groups. However, individuals with high healthcare expenditures made up the largest proportion of successful applicants across the at-risk groups considered here. CONCLUSION: While it seems plausible that individuals within an at-risk group who are likely to apply for DI benefits can be identified and provided supports to help them maintain employment, focusing on a specific group to promote employment over DI benefits may have a limited effect on the DI program because applicants come from multiple groups.


2012 ◽  
Vol 153 (17) ◽  
pp. 649-654
Author(s):  
Piroska Orosi ◽  
Judit Szidor ◽  
Tünde Tóthné Tóth ◽  
József Kónya

The swine-origin new influenza variant A(H1N1) emerged in 2009 and changed the epidemiology of the 2009/2010 influenza season globally and at national level. Aims: The aim of the authors was to analyse the cases of two influenza seasons. Methods: The Medical and Health Sciences Centre of Debrecen University has 1690 beds with 85 000 patients admitted per year. The diagnosis of influenza was conducted using real-time polymerase chain reaction in the microbiological laboratories of the University and the National Epidemiological Centre, according to the recommendation of the World Health Organization. Results: The incidence of influenza was not higher than that observed in the previous season, but two high-risk patient groups were identified: pregnant women and patients with immunodeficiency (oncohematological and organ transplant patients). The influenza vaccine, which is free for high-risk groups and health care workers in Hungary, appeared to be effective for prevention, because in the 2010/2011 influenza season none of the 58 patients who were administered the vaccination developed influenza. Conclusion: It is an important task to protect oncohematological and organ transplant patients. Orv. Hetil., 2012, 153, 649–654.


2020 ◽  
Author(s):  
Stella F. Lourenco ◽  
Arber Tasimi

Cognitive scientists have ramped up online testing in response to the coronavirus pandemic. Although research conducted online solves the problem of data collection, a lack of internet access among low-income and minority communities may reduce the diversity of study samples and, thus, impact the generalizability of scientific findings.


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