Collective health behavior and face mask utilization during the COVID-19 pandemic in Oklahoma, USA

BackgroundFace mask use offers an important public health tool for reducing the spread of coronavirus disease 2019 (COVID-19), yet the politicization of COVID-19 has resulted in uneven adherence. This study assesses the effects of setting characteristics and the sociodemographic composition of crowds on group-level masking rates.MethodsWe conducted 123 site observations of masking behavior at public locations across Oklahoma (USA) between June and September 2020. We used analyses of variance and t-tests to examine variation in masking and ordinary least squares regression to model the effect of setting and sociodemographic characteristics on site-level masking rates.ResultsThe masking rate across all sites averaged 34% but varied widely. Site-level masking rates were higher at metropolitan sites and sites with a store or municipal masking mandate. The masking rate at sites where women or older adults (60+) were the predominant group did not differ significantly from other sites. Ethnically diverse sites exhibited significantly higher masking rates compared with predominantly white sites. Findings indicate that setting characteristics explained a greater amount of variation in collective masking rates than sociodemographic differences.ConclusionsThis study underscores the importance of place and policy for mask adherence. In the absence of state-level mandates, masking policies at a more local level may be effective.This work was supported by a University of Oklahoma Vice President for Research and Partnerships COVID-19 Rapid Response Seed Grant.Ye

Development of a health education intervention strategy using an implementation research method to control taeniasis and cysticercosis in Burkina Faso

Background: Taeniasis and cysticercosis are two diseases caused by Taenia solium, a parasite transmitted between humans and pigs, leading to considerable economic loss and disabilities. Transmission of the parasite is linked to environmental and behavioural factors such as inadequate sanitation and hygiene, poor pig management, and consumption of infected pork. This study used implementation research method to design a health education intervention strategy for reducing T. solium infections in Burkina Faso, a country endemic for the parasite. Methods: Eighteen group discussions were conducted with 8-18 participants each in three villages. In addition, structured interviews were conducted among 4 777 participants and 2 244 pig owners, who were selected through cluster random sampling in 60 villages of three provinces of Burkina Faso. Both approaches assessed knowledge and practices related to T. solium. The information obtained was used to develop a community-adapted health education intervention strategy to control taeniasis and cysticercosis in Burkina Faso. Results: The group discussions revealed that participants had a poor quality of life due to the diseases as well as inadequate access to latrines, safe water, and healthcare services. In addition, it was found that pig production was an important economic activity, especially for women. Furthermore, financial and knowledge constraints were important limitations to improved pig management and latrine construction. The survey data also showed that open defecation and drinking unboiled water were common behaviours, enhanced by a lack of knowledge regarding the transmission of the parasite, perceived financial barriers to the implementation of control measures, lack of public sensitization, as well as a lack of self-efficacy towards control of the parasite. Nevertheless, the perceived financial benefits of controlling porcine cysticercosis could be emphasized by an education program that discourages open defecation and encourages drinking safe water. The final intervention strategy included a Participatory Hygiene and Sanitation Transformation (PHAST) approach, as well as a 52-min film and an accompanying comic booklet. Conclusions: The main problem in the study communities regarding the transmission of T. solium cysticercosis is the random disposal of human faeces, which can be contaminated with parasite eggs. Prevention of open defecation requires the building of latrines, which can be quite problematic in economically challenged settings. Providing the community with the skills to construct durable latrines using low-cost locally available materials would likely help to resolve this problem. Further studies are required to implement and evaluate the T. solium control strategy developed in this study

Domesticating the Exotic? An Online Survey of Attitudes towards the International Wildlife Pet Trade

There are a variety of perspectives on wildlife management and conservation, necessitating interdisciplinary research to develop better management strategies. We answered the call to action provided by Teel et al. (2018) to integrate social sciences into conservation and explored an important but understudied issue: views on the international pet-trade of exotic animals. Some pet owners advocate the pet trade as a means to promote conservation, where removing wild animals from their natural habitat could protect them from degraded environments. To gauge how prevalent this attitude is in a cross-national sample, we conducted an online survey that asked 882 participants worldwide to evaluate the pet trade and its relationship with biological conservation. Overall, our survey results showed regional patterns and indicated that younger respondents were more likely to consider international pet trade as a form of acceptable conservation practice compared to older respondents. Education also played a role in shaping views on the pet-trade and indicated that respondents with higher education degrees were less prone to accept pet trade as a substitute for conservation practices. Our research provides novel insights applicable to education programmes and international conservation efforts while highlighting variation in attitudes even among professionals with formal training in natural sciences and ecology

Food environments and gut microbiome health: availability of healthy foods, alcohol, and tobacco in a rural Oklahoma tribal community

Background Prior research suggests that dysbiotic gut microbiomes may contribute to elevated health risks among American Indians. Diet plays a key role in maintaining a healthy gut microbiome, yet suboptimal food environments within American Indian communities make obtaining nutritious food difficult.Objective This project characterizes the retail food environment within a rural tribal community, focused on the availability of foods that enhance the health and diversity of the gut microbiome, as well as products that reduce microbiome health (alcohol and tobacco).Design Audits were conducted of all retail stores that sell food within nine communities within the Cheyenne & Arapaho Tribal Jurisdictional Area in western Oklahoma.Main measures Freedman Grocery Store Survey.Key results Alcohol and tobacco were generally far more available in stores than foods that support a healthy gut microbiome, including fruits, vegetables, lean meats, and whole grain bread. Out of the four store types identified in the study area, only supermarkets and small grocers offered a wide variety of healthy foods needed to support microbiota diversity. Supermarkets sold the greatest variety of healthy foods but could only be found in the larger communities. Convenience stores and dollar stores made up 75% of outlets in the study area and offered few options for maintaining microbiome health. Convenience stores provided the only food source in one-third of the communities. With the exception of small grocers, alcohol and tobacco products were widely stocked across all store types.Conclusions The retail food environment in the Cheyenne & Arapaho Tribal Jurisdictional Area offered limited opportunities for maintaining a healthy and diverse microbiome, particularly within smaller rural communities. Additional research is needed to explore the relationship between food environment, dietary intake, and microbiome composition. Interventions are called for to increase the availability of “microbe-friendly” foods (e.g., fresh produce, plant protein, fermented and high fiber foods) in stores.Ye

Perceptions of the crowded sky as assessed through response to aerial infrastructure

Ever increasing numbers of wind turbines, communication towers, power lines, and aerial vehicles are clear evidence of our growing reliance on infrastructure in the lower aerosphere. As this infrastructure expands, it is important to understand public perceptions of an increasingly crowded sky. To gauge tolerance for aerial crowding, 251 participants from across the US completed a survey where they rated tolerance for a series of aerial infrastructure images (i.e., towers, turbines, and airborne vehicles) in four landscapes with varying degrees of pre-existing ground-level infrastructure that approximated rural, suburban, and urban settings. We predicted lower tolerance for aerial infrastructure 1) in more natural scenes and 2) among rural residents. In general, participants preferred an open aesthetic with relatively little aerial infrastructure across all landscape types. No clear association was found between infrastructure tolerance and natural scenes nor rural residency, with participants slightly less tolerant of infrastructure in the suburban scene. Tolerance scores were generally similar across age, income levels, and political affiliations. Women indicated less crowding tolerance than men, with this effect driven by a disproportionate number of women with zero tolerance for aerial infrastructure. African Americans and Asians had higher tolerance scores than other racial/ethnic groups, but these trends may have been affected by low sample sizes of non-white participants. Our survey revealed fewer differences in crowding tolerance across demographic groups than might be expected given widely reported political and geographic polarization in the U.S. Attitudes toward aerial infrastructure were varied with few associations with demographic parameters suggesting that public opinion has not yet solidified with regard to this issue, making possible opportunities for consensus building with regard to responsible development of aerial infrastructure

An imperfect refuge: : life in an 'old folk's home' for younger residents with psychiatric disorders

Residents under age 65 comprise a small, but not insignificant, segment of the US nursing home population--a segment about which very little is known. This article explores the meaningful constitution of nursing home experience among younger, psychiatrically disabled residents of an urban nursing home. Residents' "behavior problems", the difficulties imposed by institutional life, and American age norms emerged as key dynamics in residents' understandings of nursing home life. In addition to these factors, the nursing home was evaluated in relation to previous life experiences, perceived alternatives, and expectations of personal freedom. Ultimately, most younger residents found the nursing home to be a refuge, albeit an imperfect one.Nursing home Institutions Chronic mental illness Psychiatric disorder Age norms Adults USA