Sources of Information About Gestational Weight Gain, Diet, and Exercise Among Brazilian Immigrant Women Living in the United States: A Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Ana Cristina Lindsay ◽  
Qun Le ◽  
Denise Lima Nogueira ◽  
Márcia Maria Tavares Machado ◽  
Mary L. Greaney
Keyword(s):  
United States ◽  
Immigrant Women ◽  
Low Cost ◽  
The United States ◽  
Easy Access ◽  
The Internet ◽  
Evidence Based ◽  
Cross Sectional ◽  
Diet And Exercise ◽  
First Time

BACKGROUND Background: Gestational weight gain (GWG) has been identified as one of the most important modifiable risk factors associated with short- and long-term health outcomes for both a woman and her newborn. Adoption of healthy lifestyles (e.g., diet, physical activity, etc.) during pregnancy has the potential to prevent excess GWG and reduce adverse health risks in pregnancy and beyond. Pregnant women’s access to accurate and evidence-based information about GWG, diet, and physical activity is key to promoting healthy GWG. Conclusions: To our knowledge currently no mHealth interventions are available in the United States for pregnant Brazilian immigrant women. The fact that women in our study were actively seeking information about GWG, diet, and exercise in the Internet suggests the potential for mHealth interventions to deliver linguistic and culturally tailored evidence-based information incorporating behavioral change practices through a low-cost, easy access method to this growing immigrant population in the United States. OBJECTIVE Objective: This study sought to assess sources used by first-time pregnant Brazilian women to seek information about GWG, diet, and exercise during pregnancy. METHODS Methods: Cross-sectional survey of first-time pregnant Brazilian women living in Massachusetts, United States. RESULTS Results: Eighty-six women participated in the study. The majority of the women were born in Brazil (96.5%; n = 83) and had lived in the United States for an average of 10.7 years (SD = 7.3). All women reported Portuguese as their primary language and 67.4% (n = 58) were classified as having low acculturation levels. The mean gestation was 27.5 weeks (SD = 5.6; range 14 – 38 weeks) and 25.6% (n = 22) self-reported being overweight pre-pregnancy. Overall, about two-thirds of the women had actively sought information about GWG (72.1%, n = 62), diet (79.1%, n = 68), and exercise (74.4%, n = 64) on the Internet during pregnancy. Adjusting for age, women who were classified as having low acculturation levels were more likely to seek information about GWG on the Internet (OR = 5.35 [CI: 1.08 – 26.50]; p = 0.04) compared to women who were classified as having high acculturation levels. Moreover, approximately 67% (n = 59), 71% (n = 61), and 52% (n = 45) of the women reported actively seeking information about GWG, diet, and exercise from family and friends, respectively. Women who self-reported being overweight pre-pregnancy were more likely to report seeking information about GWG (OR=2.94 [CI:1.07–8.06], p = 0.04) and less likely to report seeking information about diet (OR=0.27 [0.09–0.75], p = 0.01) and exercise (OR=0.30 [CI: 0.11–0.86], p = 0.02) from family and friends compared to women who self-reported normal weight pre-pregnancy. CONCLUSIONS Conclusions: To our knowledge currently no mHealth interventions are available in the United States for pregnant Brazilian immigrant women. The fact that women in our study were actively seeking information about GWG, diet, and exercise on the Internet suggests the potential for mHealth interventions to deliver linguistic and culturally tailored evidence-based information incorporating behavioral change practices through a low-cost, easy access method to this growing immigrant population in the United States.

Sources of Information About Gestational Weight Gain, Diet, and Exercise Among Brazilian Immigrant Women Living in the United States: A Cross-Sectional Study

2021 ◽  
pp. 1-41
Author(s):  
Ana Cristina Lindsay ◽  
Qun Le ◽  
Denise Lima Nogueira ◽  
Márcia M. T. Machado ◽  
Mary L. Greaney
Keyword(s):  
United States ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
The United States ◽  
The Internet ◽  
Sources Of Information ◽  
Cross Sectional ◽  
Gestational Weight ◽  
Diet And Exercise ◽  
First Time

Abstract Objectives: The objective of this study was to assess sources of information about gestational weight gain (GWG), diet, and exercise among first-time pregnant Brazilian women in the United States (US). Design: Cross-sectional survey. Setting: Massachusetts, United States. Participants: First-time pregnant Brazilian women. Results: Eighty-six women, the majority of whom were immigrants (96.5%) classified as having low-acculturation levels (68%), participated in the study. Approximately two-thirds of respondents had sought information about GWG (72.1%), diet (79.1%), and exercise (74.4%) via the internet. Women classified as having low acculturation levels were more likely to seek information about GWG via the internet (OR = 7.55; 95% CI: 1.41, 40.26) than those with high acculturation levels after adjusting for age and receiving information about GWG from healthcare provider (doctor or midwife). Moreover, many respondents reported seeking information about GWG (67%), diet (71%), and exercise (52%) from family and friends. Women who self-identified as being overweight pre-pregnancy were less likely to seek information about diet (OR = 0.32; 95% CI: 0.11, 0.93) and exercise (OR = 0.33; 95% CI: 0.11, 0.96) from family and friends than those who self-identified being normal weight pre-pregnancy. Conclusions: This is the first study to assess sources of information about GWG, diet, and exercise among pregnant Brazilian immigrants in the US. Findings have implications for the design of interventions and suggest the potential of mHealth intervention as low-cost, easy access option for delivering culturally and linguistically tailored evidence-based information about GWG incorporating behavioral change practices to this growing immigrant group.

COVID-19 and the Risk for Increased Intimate Partner Violence Among Gay, Bisexual and Other Men Who Have Sex With Men in the United States

2021 ◽  
pp. 088626052199745
Author(s):  
Rob Stephenson ◽  
Tanaka M.D. Chavanduka ◽  
Matthew T. Rosso ◽  
Stephen P. Sullivan ◽  
Renée A. Pitter ◽  
...  
Keyword(s):  
United States ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Social Contact ◽  
The United States ◽  
Intimate Partner ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sex With Men ◽  
First Time

Stay at home orders–intended to reduce the spread of COVID-19 by limiting social contact–have forced people to remain in their homes. The additional stressors created by the need to stay home and socially isolate may act as triggers to intimate partner violence (IPV). In this article, we present data from a recent online cross-sectional survey with gay, bisexual and other men who have sex with men (GBMSM) in the United States to illustrate changes in IPV risks that have occurred during the U.S. COVID-19 epidemic. The Love and Sex in the Time of COVID-19 survey was conducted online from April to May 2020. GBMSM were recruited through paid banner advertisements featured on social networking platforms, recruiting a sample size of 696 GBMSM. Analysis considers changes in victimization and perpetration of IPV during the 3 months prior to the survey (March-May 2020) that represents the first 3 months of lockdown during the COVID-19 epidemic. During the period March-May 2020, 12.6% of participants reported experiencing any IPV with higher rates of emotional IPV (10.3%) than sexual (2.2%) or physical (1.8%) IPV. Of those who reported IPV victimization during lockdown, for almost half this was their first time experience: 5.3% reported the IPV they experienced happened for the first time during the past 3 months (0.8% physical, 2.13% sexual, and 3.3% emotional). Reporting of perpetration of IPV during lockdown was lower: only 6% reported perpetrating any IPV, with perpetration rates of 1.5% for physical, 0.5% for sexual, and 5.3% for emotional IPV. Of those who reported perpetration of IPV during lockdown, very small percentages reported that this was the first time they had perpetrated IPV: 0.9% for any IPV (0.2% physical, 0.2% sexual, and 0.6% emotional). The results illustrate an increased need for IPV resources for GBMSM during these times of increased stress and uncertainty, and the need to find models of resource and service delivery that can work inside of social distancing guidelines while protecting the confidentiality and safety of those who are experiencing IPV.

scholarly journals Internet addiction among engineering students in Belagavi city: cross sectional study

2019 ◽  
Vol 6 (4) ◽  
pp. 1488
Author(s):  
Ravikiran Kamate ◽  
Sulakshna Baliga ◽  
M. D. Mallapur
Keyword(s):  
Internet Addiction ◽  
Internet Use ◽  
Engineering Students ◽  
Low Cost ◽  
Cross Sectional Study ◽  
Behavioral Pattern ◽  
Easy Access ◽  
The Internet ◽  
Sectional Study ◽  
Cross Sectional

Background: Internet addiction is not clinical diagnosis, but a potentially pathological behavioral pattern with symptoms: a loss of control over the behavior, preoccupation with the Internet, using the Internet to modify mood, and withdrawal symptoms. Easy access and low cost of Internet packs- are main cause of development of increased internet use in India. Internet addiction – factors like gender, environmental factors, socioeconomic status, etc. have effect on internet use.Methods: Cross-sectional study conducted during January 2016 to February 2016. Data was collected among 500 engineering students of four engineering colleges of Belagavi city using young's questionnaire. Analysis was performed using SPS 20. Chi-square applied as statistical test of significance for the association between age, sex, residence, SES and schooling. P<0.01 was considered to be statistically significant.Results: The present study revealed that 16.2 and 6.2% of participants had moderate and severe form of internet addiction respectively. With increase in age prevalence of addiction increased. Internet addiction was more among Males when compared to females. Addiction was seen more in students whose both parents were working.Conclusions: Internet addiction is an emerging form of addiction among students with males more than females mostly among engineering students who are dependent on internet for their work, carrier and completion of course Hence it's time to develop comprehensive intervention approach to promote healthy and safe internet use from family, college and peers.

Practice Patterns of Speech-Language Pathologists Managing Dysphagia in Dementia: A Cross-Sectional Survey in the United States

2020 ◽  
Vol 5 (6) ◽  
pp. 1631-1646
Author(s):  
Rinki Varindani Desai ◽  
Ashwini Namasivayam-MacDonald
Keyword(s):  
United States ◽  
Clinical Decision Making ◽  
Practice Patterns ◽  
The United States ◽  
Special Interest Groups ◽  
Caregiver Training ◽  
Evidence Based ◽  
Speech Language Pathologists ◽  
Cross Sectional Survey ◽  
Cross Sectional

Purpose The purpose of this study was to describe the practice patterns of speech-language pathologists (SLPs) managing dysphagia in persons with dementia (PWD) in the United States. We wanted to investigate if clinicians are (a) adequately prepared to manage dysphagia in PWD, (b) confident in their ability to manage dysphagia in PWD, (c) performing comprehensive dysphagia assessments in PWD, and (d) using evidence-based techniques to manage dysphagia in PWD. Method A web-based survey comprising 32 questions was developed, field-tested, and distributed to members of the American Speech-Language-Hearing Association's Special Interest Groups 13 and 15, as well as members of online SLP forums. Two hundred fifty-one responses were obtained and analyzed using descriptive methods. Results Respondents were experienced SLPs working primarily in acute care and skilled nursing facility settings. Their confidence in assessment and treatment was found to significantly increase with years of experience ( p < .001). The majority indicated more continuing education opportunities need to be offered related to managing dysphagia in PWD. Most reported using assessments that have not been validated for PWD. Clinical swallow examinations were utilized more frequently than instrumental exams to inform treatment planning. There was variability in the treatment techniques used to manage dysphagia in PWD, with a focus on use of compensatory strategies and providing caregiver training. Respondents listed several barriers to managing dysphagia in PWD and stated influences on their clinical decision making. Conclusions While some trends emerged regarding dysphagia practice patterns among SLPs managing PWD in the United States, a lack of consensus regarding best practices was apparent. The establishment of formal diagnostic standards, the elucidation of the underlying mechanisms of different types of dementia, and the development of evidence-based treatments for managing dysphagia in PWD could help improve SLP management of dysphagia in dementia and reduce the significant burden of this disease.

scholarly journals Documenting Indigenous Identity in the Internet Era: Lessons from the Composition of Narrawong Town Social Profile in Victoria, Australia

2019 ◽  
Vol 2 ◽  
pp. 00002
Author(s):  
Annisa Istighfari
Keyword(s):  
Indigenous Knowledge ◽  
Low Cost ◽  
Indigenous Communities ◽  
Document Analysis ◽  
The United States ◽  
Easy Access ◽  
Western World ◽  
The Internet ◽  
Indigenous Identity ◽  
Mainstream Media

Together with the process of globalization, the advancement of the Internet has created an easy access for researchers to conduct document analysis, which is a low-cost and time-efficient way to gain information about a certain topic. Nevertheless, the resources available on mainstream media mostly come from the Western world, especially the United States. Meanwhile, there are also other sources of knowledge that are inherited within indigenous communities. Reflecting on the experience of composing the community profile of Narrawong, a small town in regional Victoria, Australia, which traditionally belongs to the Gunditjmara people, the author found it challenging to prevent the bias of “modern” information. This bias is due to the limitations in studying the town’s indigenous identity using document analysis as a single method. Coming from this experience, the author explored and analyzed alternative ways in which indigenous knowledge can be documented, such as through interactive maps and public use of traditional language. The author also identified barriers to implementing similar efforts, namely the social structure within indigenous communities and different worldviews held by researchers and communities they work with. The author concludes that in doing documentation process, indigenous communities have to be involved in fruitful dialogues so that both the extraction of knowledge and empowerment of indigenous communities can be achieved. This paper is an important resource for those aiming to work on indigenous knowledge documentation.

440: Barriers to the Practice of Evidence Based Urology in the United States

2007 ◽  
Vol 177 (4S) ◽  
pp. 147-148
Author(s):  
Philipp Dahm ◽  
Hubert R. Kuebler ◽  
Susan F. Fesperman ◽  
Roger L. Sur ◽  
Charles D. Scales ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Evidence Based

Sex Differences in Mass Media Preferences Across Four Asian Countries

2011 ◽  
Vol 23 (4) ◽  
pp. 186-191 ◽  
Author(s):  
Malini Ratnasingam ◽  
Lee Ellis
Keyword(s):  
United States ◽  
Sex Differences ◽  
Mass Media ◽  
The United States ◽  
Female Students ◽  
The Internet ◽  
Evolutionary Explanation ◽  
Asian Countries ◽  
The World ◽  
Media Preferences

Background. Nearly all of the research on sex differences in mass media utilization has been based on samples from the United States and a few other Western countries. Aim. The present study examines sex differences in mass media utilization in four Asian countries (Japan, Malaysia, South Korea, and Singapore). Methods. College students self-reported the frequency with which they accessed the following five mass media outlets: television dramas, televised news and documentaries, music, newspapers and magazines, and the Internet. Results. Two significant sex differences were found when participants from the four countries were considered as a whole: Women watched television dramas more than did men; and in Japan, female students listened to music more than did their male counterparts. Limitations. A wider array of mass media outlets could have been explored. Conclusions. Findings were largely consistent with results from studies conducted elsewhere in the world, particularly regarding sex differences in television drama viewing. A neurohormonal evolutionary explanation is offered for the basic findings.

The End of Empire and the Search for Justice

2018 ◽  
Author(s):  
John Linarelli ◽  
Margot E Salomon ◽  
Muthucumaraswamy Sornarajah
Keyword(s):  
United States ◽  
International Economic ◽  
International Law ◽  
International Economic Order ◽  
The United States ◽  
Economic Order ◽  
Global Context ◽  
Neoliberal Ideology ◽  
First Time

This chapter is a study of the themes of the New International Economic Order (NIEO). It begins with the notion of justice that had been constructed in imperial law to justify empire and colonialism. The NIEO was the first time a prescription was made for justice in a global context not based on domination of one people over another. In its consideration of the emergence of a new notion of justice in international law, the chapter discusses the reasons for the origins of the NIEO, and goes on to describe the principles of the NIEO and the extent to which they came into conflict with dominant international law as accepted by the United States and European states. Next the chapter deals with the rise of the neoliberal ideology that led to the displacement of the NIEO and examines the issue of whether the NIEO and its ideals have passed or whether they continue to be or should be influential in international law. Finally, the chapter turns to the ideas of the NIEO alongside new efforts at promoting a fuller account of justice by which to justify and evaluate international law.

Bali 1928 Music Recordings and 1930s Films

2018 ◽  
pp. 348-372
Author(s):  
Edward Herbst
Keyword(s):  
United States ◽  
The United States ◽  
The Internet ◽  
Grass Roots ◽  
Emerging Media ◽  
Dominate Discourse ◽  
Music Recordings

Bali 1928 is a restoration and repatriation project involving the first published recordings of music in Bali and related film footage and photographs from the 1930s, and a collaboration with Indonesians in all facets of vision, planning, and implementation. Dialogic research among centenarian and younger performers, composers and indigenous scholars has repatriated their knowledge and memories, rekindled by long-lost aural and visual resources. The project has published a series of five CD and DVD volumes in Indonesia by STIKOM Bali and CDs in the United States by Arbiter Records, with dissemination through emerging media and the Internet, and grass-roots repatriation to the genealogical and cultural descendants of the 1928 and 1930s artists and organizations. Extensive research has overcome anonymity, so common with archival materials, which deprives descendants of their unique identities, local epistemologies, and techniques, marginalizing and homogenizing a diverse heritage so that entrenched hegemonies prevail and dominate discourse, authority, and power.

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