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Factors Associated with Condom Use among Community College Students 社区学院学生使用安全套的相关因素
Pub Date : 2024-01-25 DOI: 10.47779/ajhs.2023.754
Danielle Colayco, Sarah Baron, Jason C. Immekus, David Riess, Jose Caballero, Mataalofa Hubbard, Ann Hong, Erika McPhetridge, Lisa Villanueva, Janie Ashley
The incidence and prevalence of sexually transmitted infections (STIs) have increased over the past decade, with half of all new diagnoses occurring in young people ages 15-24 years. Despite the risk, college students report low rates of condom use during sex. This study investigated factors associated with condom use in college students with the intent to inform health education strategies. In this cross-sectional study, a 40-item survey was administered to a random sample of classes at a community college in Central California. A total of 883 students participated. A multivariate logistic regression model identified factors associated with condom use, controlling for demographics, knowledge, and perceptions about sexually transmitted infections (STIs) and condoms.Hispanic/Latino respondents had higher rates of condom use compared to non-Hispanic/Latinos, as did non-White respondents compared to White respondents, non-females, and individuals who were not in a relationship. Regression results revealed that assertive negotiation (i.e., directly requesting to use condoms) was the most significant influencer of condom use. STI knowledge was not associated with condom use, nor was perceived seriousness or susceptibility to STIs.While traditional health promotion programs focus on knowledge and access to condoms, these results suggest that additional factors influence condom use, including the ability to directly request condom use with partners. In addition to topics such as STIs, contraception, and pregnancy, comprehensive sexual health education should also include communication and negotiation strategies between partners, through a lens that includes all sexualities and gender identities.
在过去的十年中,性传播感染(STI)的发病率和流行率都有所上升,所有新确诊病例中有一半发生在 15-24 岁的年轻人身上。尽管存在风险,但大学生在性生活中使用安全套的比例却很低。本研究调查了大学生使用安全套的相关因素,旨在为健康教育策略提供参考。在这项横断面研究中,我们对加利福尼亚州中部一所社区大学的班级进行了随机抽样,共进行了 40 个项目的调查。共有 883 名学生参与了调查。与非西班牙裔/拉丁裔受访者相比,非西班牙裔/拉丁裔受访者使用安全套的比例更高;与白人受访者相比,非白人受访者使用安全套的比例更高;与非女性受访者相比,非女性受访者使用安全套的比例更高;与没有恋爱关系的受访者相比,没有恋爱关系的受访者使用安全套的比例更高。回归结果显示,主动协商(即直接要求使用安全套)是影响安全套使用的最重要因素。虽然传统的健康促进项目侧重于安全套的知识和获取途径,但这些结果表明,还有其他因素会影响安全套的使用,包括与伴侣直接要求使用安全套的能力。除了性传播感染、避孕和怀孕等主题外,全面的性健康教育还应包括伴侣之间的沟通和协商策略,并将所有性取向和性别认同纳入其中。
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引用次数: 0
Exploring Career Motivations and Concerns of Registered Nurses in New York State 探索纽约州注册护士的职业动机和关注点
Pub Date : 2024-01-25 DOI: 10.47779/ajhs.2023.753
Phoebe M. Massimino, I. Carillo, Anthony J. Santella
Given the central role of nurses in our healthcare system for quality medical care, patient safety and ensuring optimal patient outcomes, it is important to understand their career motivations and work-related concerns. While the profession has been in existence for centuries, exploring current career motivations and work-related concerns is a key aspect of keeping the profession staffed and satisfied. A cross-sectional online survey was conducted with a convenience sample of 211 Registered Nurses (RNs) in New York State. This study sought to identify the motivation to pursue a career in nursing, including a career as an RN, as well as current work-related concerns in their primary nursing position. Personal motivators (predominantly the desire to help others) ranked as the principal reason for choosing the profession (63.8%) among respondents. Employment motivators (including job security, benefits and monetary reasons) ranked second (28.2%), and Lifestyle motivators (including hours and schedules) ranked third (8.0%). Statistical analysis examined the associations between variables of interest. Results revealed consistency across subgroups of RNs for both career motivations and current work concerns. Analyses were conducted to determine whether nurse career motivations and current work concerns differ by: demographics; education and training; licensure and employment. In consideration of the current and worsening nursing shortage, nurse attrition and retention strategies were explored within the context of nurse motivations and concerns. Understanding the career motivations and work concerns of RNs can advise both academia and healthcare employers regarding recruitment and retention strategies to ensure proper staffing for these essential healthcare workers.
鉴于护士在我们的医疗保健系统中扮演着提供优质医疗服务、保障患者安全和确保患者获得最佳治疗效果的核心角色,了解他们的职业动机和工作相关问题就显得尤为重要。虽然护士行业已经存在了几个世纪,但探索当前的职业动机和工作相关问题是保持该行业人员充足和满意度的一个关键方面。我们对纽约州的 211 名注册护士(RNs)进行了横截面在线调查。这项研究旨在确定从事护理职业(包括注册护士职业)的动机,以及目前在主要护理岗位上与工作相关的问题。个人动机(主要是希望帮助他人)是受访者选择护理职业的主要原因(63.8%)。就业动机(包括工作保障、福利和金钱原因)排名第二(28.2%),生活方式动机(包括工作时间和日程安排)排名第三(8.0%)。统计分析研究了相关变量之间的关联。结果显示,不同亚组的护士对职业动机和当前工作的关注点具有一致性。分析还确定了护士的职业动机和当前工作关注点是否因人口统计学、教育和培训、执照和就业而有所不同。考虑到当前日益严重的护士短缺问题,研究人员结合护士的职业动机和工作顾虑,探讨了护士流失和留用策略。了解注册护士的职业动机和工作顾虑可以为学术界和医疗保健雇主提供有关招聘和留用策略的建议,以确保为这些重要的医疗保健工作者提供适当的人员配备。
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引用次数: 0
Geographic Coterminous of COVID-19 Case and Vaccination Centers in the Greater Accra Metropolitan Area, Ghana 加纳大阿克拉都会区 COVID-19 病例和疫苗接种中心的地理位置相似性
Pub Date : 2024-01-25 DOI: 10.47779/ajhs.2023.752
Clement kwang, A. Owusu, I. Sarfo, Emmanuel Yeboah
Ghana was the first country globally to receive about 600,000 Oxford-AstraZeneca vaccine doses from the WHO-backed Covax program in February 2021. Ghana’s initial plan was to vaccinate about two-thirds of its adult population by the end of October 2021. This necessitated the selection of vaccination centers across the country. This study analyzed vaccination centers location against other factors, including COVID-19 cases, population density, and poverty level to assess the efficiency of each center's location in Greater Accra Metropolitan Area (GAMA). Our study applied spatial-analytical techniques to access the spatial coterminous distribution of COVID-19 cases with vaccination centers within GAMA. Hotspot analysis of cases was performed using kernel density tool and compared to hotspots of vaccination centers. Nearest neighbor analysis and error differential ellipse were performed to access the spatial pattern of the distribution of COVID-19 vaccination centers within the GAMA. This study revealed three local clusters of COVID-19 cases in Tema East municipality, Ayawaso Central, and Ablekuma West; three vaccination hotspots, found in Ashaiman, Madina, and AyawasoCentral localities. COVID-19 case clusters are not coterminous with vaccination centers. The top three vaccination clusters were found in Ashiaman, Madina-La Nkwantanan, and Kpone-Katamanso which are inhabited by indigenous populations and also recorded the lowest COVID-19 cases. Tema East and Ayawaso East, which have the highest number of COVID-19 cases, recorded the lowest number of vaccination centers. We conclude that need-based allocation is lacking in the distribution of vaccination centers, which partly affects the equitable access and spatial distribution of COVID-19 vaccines.
2021 年 2 月,加纳成为全球第一个从世界卫生组织支持的 Covax 计划中接种约 600,000 剂牛津-阿斯利康疫苗的国家。加纳最初的计划是在 2021 年 10 月底之前为约三分之二的成年人口接种疫苗。这就需要在全国范围内选择疫苗接种中心。本研究针对其他因素(包括 COVID-19 病例、人口密度和贫困程度)分析了疫苗接种中心的位置,以评估大阿克拉都市区(GAMA)各中心位置的效率。我们的研究采用了空间分析技术,以了解 COVID-19 病例与大阿克拉都市区内疫苗接种中心的空间同位分布情况。使用核密度工具对病例进行了热点分析,并与疫苗接种中心的热点进行了比较。通过近邻分析和误差差分椭圆来了解 COVID-19 疫苗接种中心在 GAMA 中的空间分布模式。这项研究揭示了特马东市、阿亚瓦索中部和阿伯库马西部的三个 COVID-19 病例地方集群;在阿沙曼、麦地那和阿亚瓦索中部地区发现了三个疫苗接种热点。COVID-19 病例集群与疫苗接种中心不在同一地点。前三大疫苗接种集群分别位于阿希曼、麦地那-拉恩宽塔南和克波内-卡塔曼索,这些地方都是土著居民居住区,也是 COVID-19 病例最少的地方。特马东区和阿亚瓦索东区的 COVID-19 病例数最多,但疫苗接种中心的数量却最少。我们的结论是,疫苗接种中心的分配缺乏按需分配的原则,这在一定程度上影响了 COVID-19 疫苗的公平获取和空间分布。
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引用次数: 0
Symptom Screenings and Surveillance Testing for COVID-19 in University Athletes 大学运动员的症状筛查和 COVID-19 监测检测
Pub Date : 2024-01-25 DOI: 10.47779/ajhs.2023.736
Michelle D. Boyd, Joseph D. Visker, Carol Cox
The Coronavirus disease (COVID-19) pandemic presented prevention, screening, and mitigation challenges for public and primary healthcare, including university athletics. During 2020-21, student-athletes at a medium-sized university were required to undergo a COVID-19 screening program [symptom screening/surveillance testing] as a condition of athletic participation.To determine the effectiveness of the screening program in identifying athletes in this population with a COVID-19 diagnosi, prior to every athletic encounter, all 334 student-athlete participants reported any COVID-19 symptoms to the athletic training staff, body temperature was measured, and participants from three teams were randomly selected for an additional anosmia screening. All participants were subject to COVID-19 surveillance testing. For each participant, results of each element of the screening and testing processes were recorded in their electronic medical record and cross-referenced with any positive COVID-19 medical diagnosis. From 2025 surveillance tests conducted, only 32 participants tested positive. Of those, 25 (78%) experienced and reported COVID-19 symptoms to the athletic trainer immediately before testing. Onlyseven (.035%) were captured as pre-symptomatic positive tests. One hundred ten athletes who experienced symptoms, however, did not participate in an athletic encounter that day but instead self-admitted to the university health center for testing. All 110 tested positive at the health center. Experiencing and reporting COVID-19 symptoms appeared effective, and COVID-19 surveillance testing appeared ineffective, as detection measures in this study. Due to the extensive and costly resources needed, the decision to continue to implement these processes in the future will be difficult.
冠状病毒病(COVID-19)大流行给公共和初级医疗保健(包括大学体育)带来了预防、筛查和缓解方面的挑战。在 2020-21 年期间,一所中等规模大学的学生运动员必须接受 COVID-19 筛查计划(症状筛查/监测测试),作为参加体育运动的条件之一。为了确定该筛查计划在识别该人群中患有 COVID-19 诊断的运动员方面的有效性,在每次运动前,所有 334 名学生运动员参与者都要向体育训练人员报告任何 COVID-19 症状,测量体温,并从三支队伍中随机抽取参与者进行额外的嗅觉筛查。所有参与者都接受了 COVID-19 监测测试。每名参与者的电子病历中都记录了筛查和检测过程中每个环节的结果,并与任何阳性 COVID-19 医学诊断进行了交叉比对。在进行的 2025 次监控检测中,只有 32 名参与者的检测结果呈阳性。其中 25 人(78%)在检测前立即向运动教练报告了 COVID-19 症状。只有 7 人(0.035%)在检测前出现阳性症状。然而,110 名出现症状的运动员当天并未参加运动,而是自行前往大学健康中心接受检测。所有 110 人在健康中心的检测结果均呈阳性。在本研究中,作为检测措施,出现并报告 COVID-19 症状似乎有效,而 COVID-19 监测检测似乎无效。由于需要大量昂贵的资源,今后是否继续实施这些程序将很难做出决定。
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引用次数: 0
Sensitive Issues in Agri-health: Training Agents in Academic Detailing to Engage Farm Families on Rural Health During the Opioid Crisis 农业卫生中的敏感问题:阿片类药物危机期间让农场家庭参与农村卫生的学术细节培训代理人
Pub Date : 2023-02-15 DOI: 10.47779/ajhs.2022.717
Marion W Evans, Mary Nelson Robinson, Eki Wari, D. Buys
Farm stress and opioid misuse is common in rural agricultural communities. This study assessed an education program to train Cooperative Extension agents to recognize and engage farm families on topics such as opioid misuse and mental health using academic detailing; a medical and health-based education tool. Although a majority (>75%) had not heard of this method prior, agents agreed they had used similar methods in the past and felt confident they could employ these methods related to academic detailing in the future. Academic detailing should be considered a useful tool in training agents on engaging clients on topics considered sensitive in nature.
农业压力和阿片类药物滥用在农村农业社区很常见。本研究评估了一项教育计划,该计划旨在培训合作推广人员,利用学术细节识别阿片类药物滥用和心理健康等主题,并使农场家庭参与其中;医疗和健康教育工具。虽然大多数人(约75%)之前没有听说过这种方法,但代理人同意他们过去使用过类似的方法,并且相信他们将来可以使用这些与学术细节相关的方法。学术细节应被视为一种有用的工具,用于培训代理人就被认为是敏感的主题吸引客户。
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引用次数: 0
Exploring the Motivations of Nursing Students in New York State 探究纽约州护理专业学生的学习动机
Pub Date : 2023-02-15 DOI: 10.47779/ajhs.2022.716
I. Carillo, Phoebe M. Massimino, A. Santella
The purpose of this study was to examine if eating pathology was associated with attitudes towards obesity among undergraduate health professions students. Undergraduates (n = 222) completed the Eating Pathology Symptom Inventory and measures of attitudes toward appearance. Multiple linear regressions were used to examined effects of eating pathology dimensions on attitudes toward obesity. Significant predictors of negative obesity attitudes were purging, binge eating, muscle building behaviors, and cognitive restraint. Study implications include development of screenings for health professions students to identify those at risk of eating pathology, as unhealthy attitudes toward eating and appearance which may influence patient interactions.
本研究的目的是研究饮食病理学是否与健康专业本科生对肥胖的态度有关。222名大学生完成了进食病理症状量表和外貌态度量表。多元线性回归用于检验饮食病理维度对肥胖态度的影响。负面肥胖态度的显著预测因子是排毒、暴饮暴食、增肌行为和认知约束。研究的意义包括对卫生专业学生进行筛查,以识别那些有饮食病理风险的人,因为对饮食和外表的不健康态度可能会影响患者的互动。
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引用次数: 0
Attitudes toward Obesity and Eating Pathology among Health Professions Students 卫生专业学生对肥胖和饮食病理的态度
Pub Date : 2023-02-15 DOI: 10.47779/ajhs.2022.713
S. Blackstone, Lynn Katherine Hermann, Diana García
The purpose of this study was to examine if eating pathology was associated with attitudes towards obesity among undergraduate health professions students. Undergraduates (n = 222) completed the Eating Pathology Symptom Inventory and measures of attitudes toward appearance. Multiple linear regressions were used to examined effects of eating pathology dimensions on attitudes toward obesity. Significant predictors of negative obesity attitudes were purging, binge eating, muscle building behaviors, and cognitive restraint. Study implications include development of screenings for health professions students to identify those at risk of eating pathology, as unhealthy attitudes toward eating and appearance which may influence patient interactions.
本研究的目的是研究饮食病理学是否与健康专业本科生对肥胖的态度有关。222名大学生完成了进食病理症状量表和外貌态度量表。多元线性回归用于检验饮食病理维度对肥胖态度的影响。负面肥胖态度的显著预测因子是排毒、暴饮暴食、增肌行为和认知约束。研究的意义包括对卫生专业学生进行筛查,以识别那些有饮食病理风险的人,因为对饮食和外表的不健康态度可能会影响患者的互动。
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引用次数: 0
Local Michigan Government Leaders’ Perceptions of K-12 Schools on the Opioid Crisis 密歇根州当地政府领导人对K-12学校对阿片类药物危机的看法
Pub Date : 2023-02-15 DOI: 10.47779/ajhs.2022.721
Justin Kumbal, Michael K. Dzordzormenyoh
As opioid misuse has become one of the leading causes of death among young people in the United States, research shows that state and local government leaders have increased efforts at combating the epidemic, largely focused on treatment and recovery services. Using data on local officials’ opinions and perspectives on the problems with opioid from the Center for Local, State, and Urban Policy (CLOSUP) at the University of Michigan, this study examined the extent to which local K-12 schools were associated with the perceived state of the opioid crisis. Results of a proportional odds model showed little evidence that the odds of the opioid crisis being better in a jurisdiction were higher when K-12 schools are perceived to be actively addressing the opioid issue. The findings of the study demonstrate the need for collaboration from stakeholders for both prevention and treatment to combat the opioid epidemic.
由于阿片类药物滥用已成为美国年轻人死亡的主要原因之一,研究表明,州和地方政府领导人加大了防治这一流行病的努力,主要侧重于治疗和康复服务。本研究利用密歇根大学地方、州和城市政策中心(CLOSUP)关于当地官员对阿片类药物问题的看法和观点的数据,研究了当地K-12学校与阿片类药物危机感知状态的关联程度。比例赔率模型的结果显示,几乎没有证据表明,当K-12学校被认为积极解决阿片类药物问题时,司法管辖区发生阿片类药物危机的几率会更高。研究结果表明,需要利益攸关方在预防和治疗方面进行合作,以打击阿片类药物的流行。
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引用次数: 0
Enhancing Life through Fitness for Aging Individuals: An Interview Study 通过健身改善老年人生活:一项访谈研究
Pub Date : 2022-06-30 DOI: 10.47779/ajhs.2021.698
C. E. Nikitopoulos, Ivy K. Ho
As individuals age from midlife, proactive health behaviors are essential for healthy aging. A fitness community can provide an experience which not only taps into physical and psychological health, but also into social well-being. Interviews took place with 30 members of fitness communities that adhere to a popular fitness regimen. Participants were over the age of 40, lived in New England, and were fitness community members for greater than one year. Twelve themes emerged from interviews, with the most prominent being a focus on physical and mental health as one ages. The strength developed through their fitness community membership provides the ability to participate in other physical activity and the mental strength is transferredto other aspects of life. The intensity of the workouts and the microcosm of the community provide a unique opportunity which might parallel other life aspects. Future research and programming should consider these findings in engaging aging individuals in fitness communities to provide a forum for physical activity increase
随着个人从中年开始衰老,积极主动的健康行为对健康衰老至关重要。健身社区不仅可以提供身心健康的体验,还可以提供社会福利。采访了30名坚持流行健身养生法的健身社区成员。参与者年龄超过40岁,居住在新英格兰,是一年以上的健身社区成员。采访中出现了12个主题,其中最突出的是关注一个年龄段的身心健康。通过他们的健身社区成员培养的力量提供了参与其他体育活动的能力,而精神力量则转移到生活的其他方面。锻炼的强度和社区的缩影提供了一个独特的机会,可能与生活的其他方面相类似。未来的研究和规划应考虑这些发现,让老年人参与健身社区,为增加体育活动提供论坛
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引用次数: 0
Body Satisfaction among Overweight Mid-life Women: Pre- and Post- Intervention 中年超重妇女的身体满意度:干预前后
Pub Date : 2022-06-30 DOI: 10.47779/ajhs.2021.699
J. Yoo, L. Funderburk
The goal of the study was to identify the effect of a reduced-calorie diet combined with exercise on weight preoccupation, self-objectification, and body satisfaction among mid-life women who were either obese or overweight. Participants were women with an average age of 51.5 years, with 50% being overweight and 50% obese. A total of 34 usable data were obtained twice, before and after the 12-week intervention program. Body satisfaction was significantly improved, suggesting that the reduced calorie regime with exercise effectively improves body image. The results provide the utilization of a successful intervention program to help alleviate body image stress.
这项研究的目的是确定在肥胖或超重的中年女性中,低热量饮食与锻炼相结合对体重专注、自我客体化和身体满意度的影响。参与者是平均年龄51.5岁的女性,其中50%超重,50%肥胖。在为期12周的干预计划之前和之后,共两次获得34个可用数据。身体满意度显著提高,这表明通过运动减少热量可以有效地改善身体形象。研究结果提供了一个成功的干预方案来帮助缓解身体形象压力。
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引用次数: 0
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American journal of health studies
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