Californian journal of health promotion最新文献_第4页

Racial and Ethnic Disparities in Access to Care during the Early Years of Affordable Care Act Implementation in California. 在加州平价医疗法案实施的早期，种族和民族在获得医疗服务方面的差异。

Californian journal of health promotion

Pub Date : 2018-06-01 DOI: 10.32398/CJHP.V16I1.2122

S. Charles, A. McEligot

Background and PurposeFollowing the Affordable Care Act (ACA) health insurance expansions, this study asks: did racial/ethnic group disparities in access to care remain? And specifically, did Latinos experience worse access to care after the ACA expansions compared to other racial/ethnic groups?MethodsDataset: 2015 California Health Interview Survey (n=21,034; N=29,083,000). Participants: Adults, ages 18 and older, in California. Analyses: Bivariate chi-square tests and logistic multivariate regressions, including stratification by insurance.ResultsBivariate tests showed associations between racial/ethnic group and access to care. Latinos had lowest rates of having a usual source of care among uninsured (49.5%) and job-based coverage (85.2%). One-fifth of uninsured non-Latino whites (21%) report foregoing needed care. In the multivariate models, non-Latino whites had significantly higher odds of having a usual source of care (OR=1.32; p<0.05), but also of foregoing needed care (OR=1.43; p<0.05), than Latinos. Asian Americans had significantly lower odds of visiting a doctor in the past year (OR=0.65; p<0.05) than Latino adults.ConclusionFollowing the ACA, disparities among racial/ethnic groups have become more complex. While Latino adults still have lower rates of having a usual source of care, Asian American adults have low rates of visiting a doctor, and non-Latino whites have high rates of foregoing needed care. Further research into the causes of difficulties in accessing care is needed, as health insurance expansions did not create health equity in solving access to care problems.

背景和目的:在平价医疗法案(ACA)医疗保险扩大之后，本研究提出:种族/族裔群体在获得医疗服务方面的差异是否仍然存在?具体来说，与其他种族/族裔群体相比，在ACA扩大后，拉美裔人获得医疗服务的机会是否更差?方法数据集:2015年加州健康访谈调查(n= 21034;N = 29083000)。参与者:加利福尼亚州18岁及以上的成年人。分析:双变量卡方检验和logistic多变量回归，包括保险分层。结果双变量检验显示种族/民族与获得医疗服务之间存在关联。拉丁美洲人在无保险人群中拥有常规医疗来源的比例最低(49.5%)，以工作为基础的覆盖率最低(85.2%)。五分之一没有保险的非拉丁裔白人(21%)报告说，他们没有必要的治疗。在多变量模型中，非拉丁裔白人拥有常规护理来源的几率显著更高(OR=1.32;p<0.05)，但也有必要的护理(OR=1.43;p<0.05)。亚裔美国人在过去一年中看医生的几率明显较低(OR=0.65;p<0.05)。ACA实施后，种族/族裔群体之间的差异变得更加复杂。拉丁裔成年人接受常规医疗服务的比例仍然较低，亚裔美国成年人看医生的比例很低，而非拉丁裔白人接受必要医疗服务的比例很高。需要进一步研究难以获得保健服务的原因，因为扩大医疗保险并没有在解决获得保健服务的问题方面创造保健公平。

{"title":"Racial and Ethnic Disparities in Access to Care during the Early Years of Affordable Care Act Implementation in California.","authors":"S. Charles, A. McEligot","doi":"10.32398/CJHP.V16I1.2122","DOIUrl":"https://doi.org/10.32398/CJHP.V16I1.2122","url":null,"abstract":"Background and Purpose\u0000Following the Affordable Care Act (ACA) health insurance expansions, this study asks: did racial/ethnic group disparities in access to care remain? And specifically, did Latinos experience worse access to care after the ACA expansions compared to other racial/ethnic groups?\u0000\u0000\u0000Methods\u0000Dataset: 2015 California Health Interview Survey (n=21,034; N=29,083,000). Participants: Adults, ages 18 and older, in California. Analyses: Bivariate chi-square tests and logistic multivariate regressions, including stratification by insurance.\u0000\u0000\u0000Results\u0000Bivariate tests showed associations between racial/ethnic group and access to care. Latinos had lowest rates of having a usual source of care among uninsured (49.5%) and job-based coverage (85.2%). One-fifth of uninsured non-Latino whites (21%) report foregoing needed care. In the multivariate models, non-Latino whites had significantly higher odds of having a usual source of care (OR=1.32; p<0.05), but also of foregoing needed care (OR=1.43; p<0.05), than Latinos. Asian Americans had significantly lower odds of visiting a doctor in the past year (OR=0.65; p<0.05) than Latino adults.\u0000\u0000\u0000Conclusion\u0000Following the ACA, disparities among racial/ethnic groups have become more complex. While Latino adults still have lower rates of having a usual source of care, Asian American adults have low rates of visiting a doctor, and non-Latino whites have high rates of foregoing needed care. Further research into the causes of difficulties in accessing care is needed, as health insurance expansions did not create health equity in solving access to care problems.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"1 1","pages":"36-45"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80409029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Association between Caffeine Consumption and Depression in NHANES 2009-2010. NHANES 2009-2010中咖啡因摄入与抑郁症的关系。

Californian journal of health promotion

Pub Date : 2018-06-01 DOI: 10.32398/CJHP.V16I1.2120

J. Pogoda, Galilea Patricio, A. McEligot

Background and PurposeCaffeine is ubiquitous in foods, supplements, and medications and has been hypothesized to be associated with several health-related outcomes, including mental health disorders such as anxiety. We explored a possible relationship between caffeine consumption and depression using data from the National Health and Nutrition Examination Survey (NHANES).MethodsData from 1,342 adult NHANES participants were included. Statistical software for complex survey sample designs was used to perform two multivariable logistic regressions with a binary indicator of depression as the dependent variable: one using dietary caffeine consumption and one using the caffeine metabolite AAMU as the independent variable. Both analyses were adjusted for gender, race/ethnicity, smoking status, and use of anti-depressants.ResultsWe observed a descriptive, albeit non-significant (p = 0.12), pattern of increasing odds of depression with increasing levels of the AAMU caffeine metabolite.ConclusionOur finding of a possible association between caffeine metabolite level and depression is compelling because it is independent of self-reported caffeine consumption. Prospective studies are warranted to further explore the temporal relationship.

背景和目的咖啡因在食物、补充剂和药物中无处不在，并且被认为与几种健康相关的结果有关，包括焦虑等精神健康障碍。我们利用国家健康与营养检查调查(NHANES)的数据探讨了咖啡因摄入与抑郁症之间的可能关系。方法纳入1342名成人NHANES参与者的数据。使用复杂调查样本设计的统计软件进行两个多变量logistic回归，其中一个以抑郁的二元指标为因变量:一个以膳食咖啡因摄入量为变量，一个以咖啡因代谢物AAMU为自变量。两项分析都根据性别、种族/民族、吸烟状况和抗抑郁药物的使用进行了调整。结果我们观察到一个描述性的模式，尽管不显著(p = 0.12)，抑郁症的几率随着AAMU咖啡因代谢物水平的增加而增加。结论:我们发现咖啡因代谢物水平与抑郁症之间可能存在联系，这一发现令人信服，因为它与自我报告的咖啡因摄入量无关。前瞻性研究有必要进一步探讨时间关系。

{"title":"Association between Caffeine Consumption and Depression in NHANES 2009-2010.","authors":"J. Pogoda, Galilea Patricio, A. McEligot","doi":"10.32398/CJHP.V16I1.2120","DOIUrl":"https://doi.org/10.32398/CJHP.V16I1.2120","url":null,"abstract":"Background and Purpose\u0000Caffeine is ubiquitous in foods, supplements, and medications and has been hypothesized to be associated with several health-related outcomes, including mental health disorders such as anxiety. We explored a possible relationship between caffeine consumption and depression using data from the National Health and Nutrition Examination Survey (NHANES).\u0000\u0000\u0000Methods\u0000Data from 1,342 adult NHANES participants were included. Statistical software for complex survey sample designs was used to perform two multivariable logistic regressions with a binary indicator of depression as the dependent variable: one using dietary caffeine consumption and one using the caffeine metabolite AAMU as the independent variable. Both analyses were adjusted for gender, race/ethnicity, smoking status, and use of anti-depressants.\u0000\u0000\u0000Results\u0000We observed a descriptive, albeit non-significant (p = 0.12), pattern of increasing odds of depression with increasing levels of the AAMU caffeine metabolite.\u0000\u0000\u0000Conclusion\u0000Our finding of a possible association between caffeine metabolite level and depression is compelling because it is independent of self-reported caffeine consumption. Prospective studies are warranted to further explore the temporal relationship.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"27 1","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74873927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Can Multimedia Tools Promote Big Data Learning and Knowledge in a Diverse Undergraduate Student Population? 多媒体工具能在多样化的大学生群体中促进大数据学习和知识吗?

Californian journal of health promotion

Pub Date : 2018-06-01 DOI: 10.32398/CJHP.V16I1.2124

S. Mitra, A. McEligot

Background and PurposeMultimedia tools are an integral part of teaching and learning in today's technology-driven world. The present study explored the role of a newly-developed video introducing the emerging field of big data to a diverse undergraduate student population. Particularly, we investigated whether introduction of a multimedia tool would influence students' self-perceived knowledge related to various big data concepts and future interest in pursuing the field, and what factors influence these.MethodsStudents (n = 331) completed a survey on-line after viewing the video, consisting of Likert-type and quantitative questions about students' learning experience, future interest in big data, and background. The dataset was analyzed via ANOVA and multiple linear regression methods.ResultsGender, major, and intended degree were significantly associated with students' learning experience and future interest in big data. Moreover, students who had no prior exposure to big data reported a better learning experience, although they also reported less likelihood to pursue it in the future.ConclusionMultimedia tools may serve as an effective learning tool in introducing and creating interest in a diverse group of students related to introductory big data science concepts. Both similarities and differences were observed regarding such behaviors among different student sub-groups.

背景与目的多媒体工具是当今技术驱动的世界中教学不可缺少的一部分。本研究探讨了一个新开发的视频的作用，向不同的本科生群体介绍新兴的大数据领域。特别是，我们调查了多媒体工具的引入是否会影响学生对各种大数据概念的自我感知知识和未来对该领域的兴趣，以及影响这些的因素。方法学生(n = 331)在观看视频后完成在线调查，调查内容包括学生的学习经历、对大数据的未来兴趣和背景等方面的李克特型和定量问题。采用方差分析和多元线性回归方法对数据集进行分析。结果学生的性别、专业、意向学位与学生的学习经历和未来对大数据的兴趣显著相关。此外，之前没有接触过大数据的学生报告了更好的学习体验，尽管他们也报告了未来追求大数据的可能性较小。结论多媒体工具可以作为一种有效的学习工具，在介绍和培养与大数据科学概念相关的不同学生群体的兴趣。在不同的学生群体中，这些行为既有相似之处，也有差异。

{"title":"Can Multimedia Tools Promote Big Data Learning and Knowledge in a Diverse Undergraduate Student Population?","authors":"S. Mitra, A. McEligot","doi":"10.32398/CJHP.V16I1.2124","DOIUrl":"https://doi.org/10.32398/CJHP.V16I1.2124","url":null,"abstract":"Background and Purpose\u0000Multimedia tools are an integral part of teaching and learning in today's technology-driven world. The present study explored the role of a newly-developed video introducing the emerging field of big data to a diverse undergraduate student population. Particularly, we investigated whether introduction of a multimedia tool would influence students' self-perceived knowledge related to various big data concepts and future interest in pursuing the field, and what factors influence these.\u0000\u0000\u0000Methods\u0000Students (n = 331) completed a survey on-line after viewing the video, consisting of Likert-type and quantitative questions about students' learning experience, future interest in big data, and background. The dataset was analyzed via ANOVA and multiple linear regression methods.\u0000\u0000\u0000Results\u0000Gender, major, and intended degree were significantly associated with students' learning experience and future interest in big data. Moreover, students who had no prior exposure to big data reported a better learning experience, although they also reported less likelihood to pursue it in the future.\u0000\u0000\u0000Conclusion\u0000Multimedia tools may serve as an effective learning tool in introducing and creating interest in a diverse group of students related to introductory big data science concepts. Both similarities and differences were observed regarding such behaviors among different student sub-groups.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"30 1","pages":"54-65"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83361779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Prevalence and Correlates of Overweight and Obesity among Preschool-Aged Children in San Luis Obispo County, 2006-2014 2006-2014年圣路易斯奥比斯波县学龄前儿童超重和肥胖患病率及其相关因素

Californian journal of health promotion

Pub Date : 2018-06-01 DOI: 10.32398/CJHP.V16I1.2125

Kristine Z. Jankovitz, A. Ventura, Trevor M. Curry, Victoria B. Howarth, Caitlin C. Moran, Robin M. Mertens, Leland A. Bailey, Kristen Thompson, K. McGaughey

Background and Purpose: National prevalence of overweight and obesity (OW/OB) among children remains high; surveillance of OW/OB at state- and local-levels is needed. This study determines the prevalence and sociodemographic predictors of OW/OB among preschool-age children in San Luis Obispo (SLO) County. Methods: Cross-sectional convenience samples of Head Start, California State, and private preschools were surveyed in 2006 (n=482), 2009/10 (n=559), and 2014 (n=442). At all waves, preschool children aged 3-5 years were measured for height and weight using standardized stadiometer and digital scale protocols. In 2014, parents completed a demographics questionnaire. Results: Children assessed in 2009/10 and 2014 were more likely to be OW/OB than those assessed in 2006 (p=0.016). Unadjusted, bivariate odds ratios illustrated increased risk for OW/OB was associated with Hispanic ethnicity, residing in a lower income household, attending preschool in southern SLO County, and participation in a Head Start preschool. In the adjusted, multivariable model, increased risk for OW/OB was associated with attending preschool in SLO City and participation in a California State or Head Start preschool. Conclusion: OW/OB trends in SLO County are similar to national trends. Programs to continue to monitor and reduce socioeconomic disparity in OW/OB prevalence among young children are needed.

背景和目的:全国儿童超重和肥胖(OW/OB)患病率仍然很高;需要在州和地方各级监测OW/OB。本研究确定了圣路易斯奥比斯波县学龄前儿童OW/OB的患病率和社会人口学预测因素。方法:分别于2006年(n=482)、2009/10年(n=559)和2014年(n=442)对美国Head Start幼儿园、加州州立幼儿园和私立幼儿园进行横断面抽样调查。在所有的波浪中，3-5岁的学龄前儿童使用标准化的体尺和数字秤协议测量身高和体重。2014年，家长们完成了一份人口统计问卷。结果:2009/10年和2014年评估的儿童OW/OB的可能性高于2006年评估的儿童(p=0.016)。未经调整的双变量优势比表明，OW/OB风险增加与西班牙裔、居住在低收入家庭、在SLO县南部上学前班和参加先头开始学前班有关。在调整后的多变量模型中，OW/OB风险增加与参加SLO市幼儿园和参加加州州立幼儿园或Head Start幼儿园有关。结论:SLO县OW/OB趋势与全国趋势相似。需要制定方案，继续监测和减少幼儿OW/OB患病率的社会经济差异。

{"title":"Prevalence and Correlates of Overweight and Obesity among Preschool-Aged Children in San Luis Obispo County, 2006-2014","authors":"Kristine Z. Jankovitz, A. Ventura, Trevor M. Curry, Victoria B. Howarth, Caitlin C. Moran, Robin M. Mertens, Leland A. Bailey, Kristen Thompson, K. McGaughey","doi":"10.32398/CJHP.V16I1.2125","DOIUrl":"https://doi.org/10.32398/CJHP.V16I1.2125","url":null,"abstract":"Background and Purpose: National prevalence of overweight and obesity (OW/OB) among children remains high; surveillance of OW/OB at state- and local-levels is needed. This study determines the prevalence and sociodemographic predictors of OW/OB among preschool-age children in San Luis Obispo (SLO) County. Methods: Cross-sectional convenience samples of Head Start, California State, and private preschools were surveyed in 2006 (n=482), 2009/10 (n=559), and 2014 (n=442). At all waves, preschool children aged 3-5 years were measured for height and weight using standardized stadiometer and digital scale protocols. In 2014, parents completed a demographics questionnaire. Results: Children assessed in 2009/10 and 2014 were more likely to be OW/OB than those assessed in 2006 (p=0.016). Unadjusted, bivariate odds ratios illustrated increased risk for OW/OB was associated with Hispanic ethnicity, residing in a lower income household, attending preschool in southern SLO County, and participation in a Head Start preschool. In the adjusted, multivariable model, increased risk for OW/OB was associated with attending preschool in SLO City and participation in a California State or Head Start preschool. Conclusion: OW/OB trends in SLO County are similar to national trends. Programs to continue to monitor and reduce socioeconomic disparity in OW/OB prevalence among young children are needed.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88935340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Association between Total Folate Intakes and Depression amongst Three Racial/Ethnic Groups. 三个种族/族裔群体中叶酸总摄入量与抑郁症之间的关系。

Californian journal of health promotion

Pub Date : 2018-06-01 DOI: 10.32398/CJHP.V16I1.2119

A. McEligot, Shaina Sta. Cruz, S. Gonzalez, J. Pogoda

Background and PurposeLow dietary folate intake has been associated with depression outcomes, but few studies have been reported on the association in diverse populations. Using data from the National Health and Nutrition Examination Survey (NHANES), we examined the relationship between depression and folate intake from diet and supplementation in non-Hispanic whites, Hispanics and African Americans.Methods3,687 adult respondents from the 2009-2010 NHANES cycle were included. Statistical methods for analyzing data from complex survey sample designs were used to assess differences by race/ethnicity in demographic, behavioral, dietary and depression variables and to assess the relationship between depression and folate, adjusting for confounding variables using multivariable logistic regression.ResultsWe observed significant (p < 0.01) differences by race/ethnicity for all demographic, behavioral, dietary and depression variables, except for physical activity. The relationship between dietary folate and depression significantly differed by race/ethnicity (p = 0.03), with an inverse and significant association in Hispanics only (OR= 0.25; 95% CI= 0.09 - 0.70.; p for trend = 0.02).ConclusionThese data suggest that a diet high in folate, such as from dark green leafy vegetables, may be associated with a reduced odds for depression, and specifically, Hispanics may benefit from nutrition education to potentially reduce depression in the population.

背景和目的膳食中叶酸摄入量低与抑郁症有关，但很少有研究报道不同人群中叶酸摄入量低与抑郁症的关系。利用国家健康与营养调查(NHANES)的数据，我们研究了非西班牙裔白人、西班牙裔美国人和非洲裔美国人从饮食和补充剂中摄入叶酸与抑郁症之间的关系。方法选取2009-2010年NHANES周期的3687名成人调查对象。采用统计方法分析来自复杂调查样本设计的数据，评估不同种族/民族在人口统计学、行为、饮食和抑郁变量方面的差异，评估抑郁与叶酸之间的关系，并使用多变量逻辑回归对混杂变量进行调整。结果除体力活动外，我们观察到所有人口统计学、行为、饮食和抑郁变量在种族/民族之间存在显著差异(p < 0.01)。膳食叶酸与抑郁症之间的关系因种族/民族而有显著差异(p = 0.03)，仅在西班牙裔中呈显著负相关(OR= 0.25;95% ci = 0.09 - 0.70。P代表趋势= 0.02)。结论:这些数据表明，富含叶酸的饮食，如深绿色叶蔬菜，可能与降低抑郁症的几率有关，特别是，西班牙裔人可能受益于营养教育，以潜在地减少人群中的抑郁症。

{"title":"The Association between Total Folate Intakes and Depression amongst Three Racial/Ethnic Groups.","authors":"A. McEligot, Shaina Sta. Cruz, S. Gonzalez, J. Pogoda","doi":"10.32398/CJHP.V16I1.2119","DOIUrl":"https://doi.org/10.32398/CJHP.V16I1.2119","url":null,"abstract":"Background and Purpose\u0000Low dietary folate intake has been associated with depression outcomes, but few studies have been reported on the association in diverse populations. Using data from the National Health and Nutrition Examination Survey (NHANES), we examined the relationship between depression and folate intake from diet and supplementation in non-Hispanic whites, Hispanics and African Americans.\u0000\u0000\u0000Methods\u00003,687 adult respondents from the 2009-2010 NHANES cycle were included. Statistical methods for analyzing data from complex survey sample designs were used to assess differences by race/ethnicity in demographic, behavioral, dietary and depression variables and to assess the relationship between depression and folate, adjusting for confounding variables using multivariable logistic regression.\u0000\u0000\u0000Results\u0000We observed significant (p < 0.01) differences by race/ethnicity for all demographic, behavioral, dietary and depression variables, except for physical activity. The relationship between dietary folate and depression significantly differed by race/ethnicity (p = 0.03), with an inverse and significant association in Hispanics only (OR= 0.25; 95% CI= 0.09 - 0.70.; p for trend = 0.02).\u0000\u0000\u0000Conclusion\u0000These data suggest that a diet high in folate, such as from dark green leafy vegetables, may be associated with a reduced odds for depression, and specifically, Hispanics may benefit from nutrition education to potentially reduce depression in the population.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"13 1","pages":"6-15"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85878106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Drunchies Hangover Drunchies宿醉

Californian journal of health promotion

Pub Date : 2018-06-01 DOI: 10.32398/cjhp.v16i1.2127

J. Kruger, Jennifer Glassman, K. Knippen, Tavis J Glassman, D. Kruger

Background and Purpose: Alcohol intoxication affects college students' eating patterns. Yet, little is known about dietary habits on the day after heavy alcohol consumption. The purpose of this study was to examine college students’ dietary choices during alcohol consumption and on the following day by gender and level of alcohol consumption (including none). Methods: Ethnically diverse undergraduates (N = 286; 52% male, 48% female, M age = 19, SD age = 1) at a public university in the Midwest completed an anonymous on-line survey. The survey included Behavioral Risk Factor Surveillance System nutrition items, items on consumption of "empty calorie foods," and open-ended response items on dietary choices that were coded by a nutritionist. Results: Participants reported differences in the likelihoods of consuming non-nutrient dense foods after drinking alcohol both before sleeping and the next day compared to at other times when they were not consuming alcohol. Conclusion: College students are more likely to eat after drinking alcohol and tend to consume less healthy foods. These dietary practices necessitate the need for customized interventions focusing on the dietary influences of alcohol consumption.

背景与目的:酒精中毒影响大学生的饮食习惯。然而，人们对大量饮酒后第二天的饮食习惯知之甚少。本研究的目的是检查大学生在饮酒期间和第二天按性别和饮酒水平(包括不饮酒)的饮食选择。方法:不同种族的大学生(N = 286;男性52%，女性48%，男年龄19岁，SD年龄1岁)在中西部一所公立大学完成了一项匿名在线调查。该调查包括行为风险因素监测系统营养项目，“无热量食物”消费项目，以及由营养学家编码的关于饮食选择的开放式回答项目。结果:参与者报告说，在睡前和第二天喝酒后，与他们不喝酒的其他时间相比，他们摄入非营养密集食物的可能性有所不同。结论:大学生喝酒后更容易吃东西，健康食品的消费也更少。这些饮食习惯需要有针对性的干预措施，重点关注饮酒对饮食的影响。

{"title":"Drunchies Hangover","authors":"J. Kruger, Jennifer Glassman, K. Knippen, Tavis J Glassman, D. Kruger","doi":"10.32398/cjhp.v16i1.2127","DOIUrl":"https://doi.org/10.32398/cjhp.v16i1.2127","url":null,"abstract":"Background and Purpose: Alcohol intoxication affects college students' eating patterns. Yet, little is known about dietary habits on the day after heavy alcohol consumption. The purpose of this study was to examine college students’ dietary choices during alcohol consumption and on the following day by gender and level of alcohol consumption (including none). Methods: Ethnically diverse undergraduates (N = 286; 52% male, 48% female, M age = 19, SD age = 1) at a public university in the Midwest completed an anonymous on-line survey. The survey included Behavioral Risk Factor Surveillance System nutrition items, items on consumption of \"empty calorie foods,\" and open-ended response items on dietary choices that were coded by a nutritionist. Results: Participants reported differences in the likelihoods of consuming non-nutrient dense foods after drinking alcohol both before sleeping and the next day compared to at other times when they were not consuming alcohol. Conclusion: College students are more likely to eat after drinking alcohol and tend to consume less healthy foods. These dietary practices necessitate the need for customized interventions focusing on the dietary influences of alcohol consumption.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87734776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Association between Types of Soda Consumption and Overall Diet Quality 汽水消费类型与整体饮食质量之间的关系

Californian journal of health promotion

Pub Date : 2018-06-01 DOI: 10.32398/cjhp.v16i1.2121

P. Rusmevichientong, S. Mitra, A. McEligot, Emma E. Navajas

Background and Purpose: Daily soda consumption may lead to high energy intake and poor diet quality. Although diet sodas contain no calories, they lack healthful nutrients. The study examined different types of soda consumption [regular (sugar-sweetened) sodas, diet sodas, and non-sodas] associated with overall diet quality. Methods: Cross sectional, 24-hour dietary recall data from the National Health and Nutrition Examination Survey (NHANES) from 2005-2012 were utilized for the study. Majority of the participants (n = 4,427) were female (57%), adults aged 19-55 years (51%), and non-Hispanic whites (67%). Nutritional Quality Index (NQI) was calculated as an indicator of diet quality. Multiple linear regression models were used to estimate the significant association between types of soda consumption and NQI stratified by body mass index. Results: Regular soda drinkers had lower NQI than diet soda drinkers, but only for overweight (

背景与目的:每天饮用苏打水可能导致高能量摄入和不良饮食质量。虽然无糖汽水不含卡路里，但它们缺乏健康的营养。该研究调查了不同类型的苏打水的消费量[普通苏打水(含糖的)，无糖苏打水和非苏打水]与整体饮食质量的关系。方法:采用2005-2012年全国健康与营养检查调查(NHANES)的24小时膳食回忆数据进行研究。大多数参与者(n = 4,427)为女性(57%)，19-55岁的成年人(51%)和非西班牙裔白人(67%)。计算营养品质指数(NQI)作为日粮质量的指标。使用多元线性回归模型估计苏打饮料消费类型与身体质量指数分层NQI之间的显著相关性。结果:经常喝苏打水的人的NQI低于喝无糖苏打水的人，但仅限于超重的人。

引用次数: 1

Factors Associated with Food Insecurity and Food Assistance Program Participation among University Students 大学生粮食不安全与粮食援助计划参与的相关因素

Californian journal of health promotion

Pub Date : 2018-06-01 DOI: 10.32398/CJHP.V16I1.2126

Ashley K. Simon, K. Goto, J. Breed, Stephanie Bianco

Background and Significance: Food insecurity is an emerging issue among college students. It impacts the lives of many university students due to financial reasons. There is limited information about factors that affect food insecurity in that population. This cross-sectional study aimed to examine factors associated with food insecurity and food assistance program participation among college students. Methods: Food security status was determined using the short form of the USDA’s Food Security Survey Module. Results: Out of 116 students, 50 students (43.1%) were food insecure. Food insecurity was inversely associated with self-reported cumulative grade point averages. Only 24% of food insecure students participated in food assistance programs. Students who were involved in campus activities were significantly more likely to participate in food assistance programs. University-level policies and programs that help students combat food insecurity need to be considered. Conclusion: The inverse association between food insecurity and academic success indicates the importance of addressing food insecurity issues to foster their academic and professional success among university students. More research on strategies for promoting food assistance programs to college students is warranted. © 2018 Californian Journal of Health Promotion. All rights reserved.

背景与意义:食品不安全是大学生面临的一个新兴问题。由于经济原因，它影响了许多大学生的生活。关于影响这些人口粮食不安全的因素的信息有限。本横断面研究的目的是检查与粮食不安全和粮食援助计划的大学生参与有关的因素。方法:使用美国农业部食品安全调查模块的简短形式确定食品安全状况。结果:116名学生中有50人(43.1%)存在食物不安全问题。食物不安全与自我报告的累积平均成绩呈负相关。只有24%的缺粮学生参加了食品援助项目。参与校园活动的学生更有可能参与食品援助计划。需要考虑帮助学生解决粮食不安全问题的大学政策和项目。结论:食物不安全与学业成功之间的负相关关系表明，解决食物不安全问题对于促进大学生学业和职业成功的重要性。有必要对促进大学生食品援助计划的策略进行更多的研究。©2018加州健康促进杂志。版权所有。

{"title":"Factors Associated with Food Insecurity and Food Assistance Program Participation among University Students","authors":"Ashley K. Simon, K. Goto, J. Breed, Stephanie Bianco","doi":"10.32398/CJHP.V16I1.2126","DOIUrl":"https://doi.org/10.32398/CJHP.V16I1.2126","url":null,"abstract":"Background and Significance: Food insecurity is an emerging issue among college students. It impacts the lives of many university students due to financial reasons. There is limited information about factors that affect food insecurity in that population. This cross-sectional study aimed to examine factors associated with food insecurity and food assistance program participation among college students. Methods: Food security status was determined using the short form of the USDA’s Food Security Survey Module. Results: Out of 116 students, 50 students (43.1%) were food insecure. Food insecurity was inversely associated with self-reported cumulative grade point averages. Only 24% of food insecure students participated in food assistance programs. Students who were involved in campus activities were significantly more likely to participate in food assistance programs. University-level policies and programs that help students combat food insecurity need to be considered. Conclusion: The inverse association between food insecurity and academic success indicates the importance of addressing food insecurity issues to foster their academic and professional success among university students. More research on strategies for promoting food assistance programs to college students is warranted. © 2018 Californian Journal of Health Promotion. All rights reserved.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81356342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

The Association between Types of Soda Consumption and Overall Diet Quality: Evidence from National Health and Nutrition Examination Survey (NHANES). 汽水消费类型与整体饮食质量之间的关系:来自国家健康与营养检查调查(NHANES)的证据。

Californian journal of health promotion

Pub Date : 2018-01-01

Pimbucha Rusmevichientong, Sinjini Mitra, Archana J McEligot, Emma Navajas

Background and purpose: Daily soda consumption may lead to high energy intake and poor diet quality. Although diet sodas contain no calories, they lack healthful nutrients. The study examined different types of soda consumption [regular (sugar-sweetened) sodas, diet sodas, and non-sodas] associated with overall diet quality.

Methods: Cross sectional, 24-hour dietary recall data from the National Health and Nutrition Examination Survey (NHANES) from 2005-2012 were utilized for the study. Majority of the participants (n = 4,427) were female (57%), adults aged 19-55 years (51%), and non-Hispanic whites (67%). Nutritional Quality Index (NQI) was calculated as an indicator of diet quality. Multiple linear regression models were used to estimate the significant association between types of soda consumption and NQI stratified by body mass index.

Results: Regular soda drinkers had lower NQI than diet soda drinkers, but only for overweight (β =-9.72; p=0.031) and obese (β =-7.06; p<0.002) individuals. Non-soda drinkers had higher NQI compared to diet soda drinkers in normal weight (β =12.38; p=0.006) and obese (β =6.19; p<0.000) individuals.

Conclusion: Nutrition intervention programs, therefore, should target overweight and obese soda drinkers, emphasizing reduction in soda consumption, which may improve nutrient density in their diets and subsequently impact long-term health outcomes.

背景与目的:每天饮用苏打水可能导致高能量摄入和不良饮食质量。虽然无糖汽水不含卡路里，但它们缺乏健康的营养。该研究调查了不同类型的苏打水的消费量[普通苏打水(含糖的)，无糖苏打水和非苏打水]与整体饮食质量的关系。方法:采用2005-2012年全国健康与营养检查调查(NHANES)的24小时膳食回忆数据进行研究。大多数参与者(n = 4,427)为女性(57%)，19-55岁的成年人(51%)和非西班牙裔白人(67%)。计算营养品质指数(NQI)作为日粮质量的指标。使用多元线性回归模型估计苏打饮料消费类型与身体质量指数分层NQI之间的显著相关性。结果:经常喝苏打水的人的NQI低于无糖苏打水的人，但仅限于超重的人(β =-9.72;P =0.031)和肥胖(β =-7.06;pβ= 12.38;P =0.006)和肥胖(β =6.19;结论:因此，营养干预计划应该针对超重和肥胖的碳酸饮料饮用者，强调减少碳酸饮料的消费，这可能会改善他们饮食中的营养密度，从而影响长期的健康结果。

{"title":"The Association between Types of Soda Consumption and Overall Diet Quality: Evidence from National Health and Nutrition Examination Survey (NHANES).","authors":"Pimbucha Rusmevichientong, Sinjini Mitra, Archana J McEligot, Emma Navajas","doi":"","DOIUrl":"","url":null,"abstract":"Background and purpose: Daily soda consumption may lead to high energy intake and poor diet quality. Although diet sodas contain no calories, they lack healthful nutrients. The study examined different types of soda consumption [regular (sugar-sweetened) sodas, diet sodas, and non-sodas] associated with overall diet quality.Methods: Cross sectional, 24-hour dietary recall data from the National Health and Nutrition Examination Survey (NHANES) from 2005-2012 were utilized for the study. Majority of the participants (n = 4,427) were female (57%), adults aged 19-55 years (51%), and non-Hispanic whites (67%). Nutritional Quality Index (NQI) was calculated as an indicator of diet quality. Multiple linear regression models were used to estimate the significant association between types of soda consumption and NQI stratified by body mass index.Results: Regular soda drinkers had lower NQI than diet soda drinkers, but only for overweight (β =-9.72; p=0.031) and obese (β =-7.06; p<0.002) individuals. Non-soda drinkers had higher NQI compared to diet soda drinkers in normal weight (β =12.38; p=0.006) and obese (β =6.19; p<0.000) individuals.Conclusion: Nutrition intervention programs, therefore, should target overweight and obese soda drinkers, emphasizing reduction in soda consumption, which may improve nutrient density in their diets and subsequently impact long-term health outcomes.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"16 1","pages":"24-35"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428592/pdf/nihms-1015398.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37084980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Racial and Ethnic Disparities in Access to Care during the Early Years of Affordable Care Act Implementation in California. 在加州平价医疗法案实施的早期，种族和民族在获得医疗服务方面的差异。

Californian journal of health promotion

Pub Date : 2018-01-01

Shana Alex Charles, Archana J McEligot

Background and purpose: Following the Affordable Care Act (ACA) health insurance expansions, this study asks: did racial/ethnic group disparities in access to care remain? And specifically, did Latinos experience worse access to care after the ACA expansions compared to other racial/ethnic groups?

Methods: Dataset: 2015 California Health Interview Survey (n=21,034; N=29,083,000). Participants: Adults, ages 18 and older, in California. Analyses: Bivariate chi-square tests and logistic multivariate regressions, including stratification by insurance.

Results: Bivariate tests showed associations between racial/ethnic group and access to care. Latinos had lowest rates of having a usual source of care among uninsured (49.5%) and job-based coverage (85.2%). One-fifth of uninsured non-Latino whites (21%) report foregoing needed care. In the multivariate models, non-Latino whites had significantly higher odds of having a usual source of care (OR=1.32; p<0.05), but also of foregoing needed care (OR=1.43; p<0.05), than Latinos. Asian Americans had significantly lower odds of visiting a doctor in the past year (OR=0.65; p<0.05) than Latino adults.

Conclusion: Following the ACA, disparities among racial/ethnic groups have become more complex. While Latino adults still have lower rates of having a usual source of care, Asian American adults have low rates of visiting a doctor, and non-Latino whites have high rates of foregoing needed care. Further research into the causes of difficulties in accessing care is needed, as health insurance expansions did not create health equity in solving access to care problems.

背景和目的:随着平价医疗法案(ACA)医疗保险的扩大，本研究提出了这样一个问题:在获得医疗服务方面，种族/族裔群体的差异是否仍然存在?具体来说，与其他种族/族裔群体相比，在ACA扩大后，拉美裔人获得医疗服务的机会是否更差?方法:数据集:2015年加州健康访谈调查(n= 21034;N = 29083000)。参与者:加利福尼亚州18岁及以上的成年人。分析:双变量卡方检验和logistic多变量回归，包括保险分层。结果:双变量检验显示种族/民族群体与获得护理之间存在关联。拉丁美洲人在无保险人群中拥有常规医疗来源的比例最低(49.5%)，以工作为基础的覆盖率最低(85.2%)。五分之一没有保险的非拉丁裔白人(21%)报告说，他们没有必要的治疗。在多变量模型中，非拉丁裔白人拥有常规护理来源的几率显著更高(OR=1.32;结论:ACA之后，种族/族裔群体之间的差异变得更加复杂。拉丁裔成年人接受常规医疗服务的比例仍然较低，亚裔美国成年人看医生的比例很低，而非拉丁裔白人接受必要医疗服务的比例很高。需要进一步研究难以获得保健服务的原因，因为扩大医疗保险并没有在解决获得保健服务的问题方面创造保健公平。

{"title":"Racial and Ethnic Disparities in Access to Care during the Early Years of Affordable Care Act Implementation in California.","authors":"Shana Alex Charles, Archana J McEligot","doi":"","DOIUrl":"","url":null,"abstract":"Background and purpose: Following the Affordable Care Act (ACA) health insurance expansions, this study asks: did racial/ethnic group disparities in access to care remain? And specifically, did Latinos experience worse access to care after the ACA expansions compared to other racial/ethnic groups?Methods: Dataset: 2015 California Health Interview Survey (n=21,034; N=29,083,000). Participants: Adults, ages 18 and older, in California. Analyses: Bivariate chi-square tests and logistic multivariate regressions, including stratification by insurance.Results: Bivariate tests showed associations between racial/ethnic group and access to care. Latinos had lowest rates of having a usual source of care among uninsured (49.5%) and job-based coverage (85.2%). One-fifth of uninsured non-Latino whites (21%) report foregoing needed care. In the multivariate models, non-Latino whites had significantly higher odds of having a usual source of care (OR=1.32; p<0.05), but also of foregoing needed care (OR=1.43; p<0.05), than Latinos. Asian Americans had significantly lower odds of visiting a doctor in the past year (OR=0.65; p<0.05) than Latino adults.Conclusion: Following the ACA, disparities among racial/ethnic groups have become more complex. While Latino adults still have lower rates of having a usual source of care, Asian American adults have low rates of visiting a doctor, and non-Latino whites have high rates of foregoing needed care. Further research into the causes of difficulties in accessing care is needed, as health insurance expansions did not create health equity in solving access to care problems.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"16 1","pages":"36-45"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428587/pdf/nihms-1016951.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37084981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0