Engaging Communities to Enhance Physical Activity among Urban Youth

As part of a USDA multi-year grant, this project has used community-based participatory strategies to help overcome barriers to eating more fruits and vegetables and increasing physical activity, and ultimately sparking youth to create healthy communities for a lifetime. The project supports teams of community and school partners in limited income neighborhoods. Obesity is a multifaceted, complex problem, but a sedentary lifestyle is a major contributor to this national health issue. Approximately one-third of children nationwide are overweight or obese; and minority children and those with a low socioeconomic status have the highest prevalence rates. Urban youth have been shown to be less physically active than rural youth. Supportive physical activity environments (understood as the geography, observations, and perceptions of features such as recreational facilities, sidewalks, bike lanes, traffic patterns, etc.) have been positively associated with adolescent physical activity behaviors within urban settings. As part of a socio-ecological intervention to improve physical activity behavior, the Physical Activity Resource Assessment (PARA), the Active Neighborhood Checklist (ANC), and focus groups to assess the physical activity influences within an urban middle school and surrounding community were completed. The assessments suggested that lack of parks, lack of walkability in the streets, perceptions of crime, lack of school programs, and parental and peer influences were all barriers to physical activity opportunities. The ANC, PARA and focus groups each added valuable information for program planning to improve adolescent physical activity behavior. From our initial experiences, environmental audits and focus groups are relatively easy to conduct by Extension professionals, working in partnership with a school and community team, and support a socio-ecological approach to improving physical activity with an urban setting.AUTHOR AFFILIATION: Susan Zies, Educator, The Ohio State University Extension, [email protected] (Corresponding Author); Tandalayo Kidd, Extension Specialist, Kansas State University Extension; Kendra Kattelmann, Professor, South Dakota State University; Dan Remley, Field Specialist, Food, Nutrition and Wellness, The Ohio State University Extension; Erika Lindshield, Extension Associate/Project Coordinator, Kansas State University; Nancy Muturi, Professor, Kansas State University; Koushik Adhikari, Assistant Professor, University of Georgia; Beth Stefura, Educator, The Ohio State University Extension; Marcia Jess, Program Coordinator, The Ohio State University Extension; Shannon Smith, Program Assistant, The Ohio State University Extension.A physical activity environmental assessment using the Physical Activity Resource Assessment and the Active Neighborhood Checklist instruments was completed as part of a United States Department of Agriculture grant targeting obesity in sixth- to eighth-grade students in an urban middle school. The assessments provided baseline data about the physical environments such as recreational facilities, sidewalk, bike lanes, and traffic patterns, in the neighborhood around the urban middle school identified in the project. Focus groups were conducted with adults and with youth to determine perceptions of physical activity in the neighborhood. The focus group data added valuable insight beyond the physical activity environmental assessment. Crime was a major concern among focus group participants as well as lack of non-competitive physical activity opportunities

'I take my tablets with the whiskey':A qualitative study of alcohol and medication use in mid to later life

Background Concurrent alcohol and medication use can result in significant problems especially in mid to later life. Alcohol is often used instead of medication for a number of health-related conditions. This novel qualitative study explored concurrent alcohol and medication use, as well as the use of alcohol for medicinal purposes, in a sample of individuals in mid to later life. Methods Twenty-four interviews (12 men/12 women, ages 51–90 years) and three focus groups (n = 27, 6 men/21 women, ages 50–95 years) from three branches of Age UK and two services for alcohol problems in North East England. Results Older people in this study often combined alcohol and medication, frequently without discussing this with their family doctor. However, being prescribed medication could act as a motivating factor to stop or reduce alcohol consumption. Participants also used alcohol to self-medicate, to numb pain, aid sleep or cope with stress and anxiety. Some participants used alcohol to deal with depression although alcohol was also reported as a cause of depression. Women in this study reported using alcohol to cope with mental health problems while men were more likely to describe reducing their alcohol consumption as a consequence of being prescribed medication. Conclusions As older people often combine alcohol and medication, health professionals such as family doctors, community nurses, and pharmacists should consider older patients’ alcohol consumption prior to prescribing or dispensing medication and should monitor subsequent drinking. In particular, older people should be informed of the dangers of concurrent alcohol and medication use

Evaluating the Sampling Design of a Long-Term Community-Based Estuary Monitoring Program

Community-based monitoring programs (CBMPs) are a cost-effective option to collect the long-term data required to effectively monitor estuaries. Data quality concerns have caused some CBMP datasets, which could fill knowledge gaps for aquatic ecosystems, to go unused. The Community Aquatic Monitoring Program (CAMP) is a CBMP that has collected littoral nekton assemblage data from estuaries in the southern Gulf of St. Lawrence since 2003. Concerns with the CAMP sampling design (station placement and numbers) have prevented decision-makers from using the data to inform estuary health assessments. This study tested if CAMP’s sampling design that accommodates volunteer participation provides similar information as a scientific sampling approach. Six CAMP stations and six stations selected using a stratified random design were sampled at ten estuaries. A permutational-MANOVA revealed nekton assemblages were generally not significantly different between the two sampling designs. The current six CAMP stations are sufficient to detect the larger differences in species abundances that may indicate differences in estuary condition. The predicted increase in precision (2%) with twelve stations is not substantive enough to warrant an increased sampling effort. CAMP’s scientific utility is not limited by station selection bias or numbers. Furthermore, well-designed CBMPs can produce comparable data to scientific studies.Department of Fisheries and Oceans’ Gulf Fisheries Centre|| Prince Edward Island estuaries||CAM

The influence of ethnic group composition on focus group discussions.

BACKGROUND: Focus groups are commonly used to explore participants' experiences in health and social care research. Although it is suggested that having demographically homogenous groups may help put participants at ease, the evidence is sparse.The aims of the paper are to: explore the impact of relative ethnic homogeneity and heterogeneity of focus group participants on the group discussions; improve understanding of homogeneity and heterogeneity in focus groups; suggest ways to operationalise concepts such as being 'more comfortable' with other focus group participants. METHOD: Digitally recorded focus groups were undertaken with family carers of stroke survivors and were later transcribed and analysed using framework analysis. Groups were designated as more or less ethnically homogenous. More homogenous groups included, for example, only White British or Asian Indian participants whilst more heterogeneous groups comprised a mixture of, for example, Asian, White British and Black Caribbean participants. RESULTS: Forty-one carers participated in seven focus groups. Analysis revealed differences in discussions around ethnicity between the more or less ethnically homogenous groups. For example, participants in more ethnically homogenous focus groups were more likely to say ethnicity might influence perceptions of social care services. On the other hand, more heterogeneous groups emphasised similarity in carers' experiences, irrespective of ethnicity. Participants in the more homogenous groups were also more likely to make potentially controversial comments relating to ethnic differences. Additionally they appeared to be more at ease with each other discussing the topic. For example, they spontaneously mentioned ethnic differences earlier in these groups.In contrast, analysis of topics not specifically related to ethnicity, such as the difficult experiences of being a carer, produced no discernible patterns when comparing more and less homogenous focus groups. CONCLUSION: Considerations around focus group participant demographic homogeneity and heterogeneity are complex and these terms may be most usefully applied only in relative terms. Data derived from more homogenous groups complement data from more heterogeneous groups providing different perspectives. Depending on the focus of the discussion, having characteristics in common, such as being a carer can override other differences

Sediment geochemistry influences infaunal invertebrate community composition and population abundances

Infaunal invertebrate communities are structured by various factors, including predation, resource availability, and environmental conditions. Given that these invertebrates live within sediment, it is not surprising that sediment properties play a critical role in many infaunal behaviours. When models explaining spatial and temporal variation in infaunal community composition are constructed using physical, biophysical, environmental, and sediment properties (salinity, detrital cover, elevation, particle size distribution, organic and water content, redox conditions, and penetrability), a considerable portion of the variation in the data is typically unaccounted for. This suggests that we do not fully understand all the variables that influence infaunal invertebrate communities. One suite of under-explored variables is the elemental composition/concentration of the sediments themselves. As such, we evaluated if sediment geochemistry improved model performance of the spatial variation in infaunal invertebrate communities on three intertidal mudflats in northern British Columbia, Canada. We observed that models including geochemistry data outperformed models that only included physical, biophysical, and environmental properties. Our results therefore suggest that some of the observed, and previously unaccounted for spatial variation in infaunal community composition may be a product of variation in sediment geochemistry. As such, sediment geochemistry should be accounted for when studying infaunal communities and assessing human impacts upon intertidal systems

Autoantibody Epitope Spreading in the Pre-Clinical Phase Predicts Progression to Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a prototypical autoimmune arthritis affecting nearly 1% of the world population and is a significant cause of worldwide disability. Though prior studies have demonstrated the appearance of RA-related autoantibodies years before the onset of clinical RA, the pattern of immunologic events preceding the development of RA remains unclear. To characterize the evolution of the autoantibody response in the preclinical phase of RA, we used a novel multiplex autoantigen array to evaluate development of the anti-citrullinated protein antibodies (ACPA) and to determine if epitope spread correlates with rise in serum cytokines and imminent onset of clinical RA. To do so, we utilized a cohort of 81 patients with clinical RA for whom stored serum was available from 1–12 years prior to disease onset. We evaluated the accumulation of ACPA subtypes over time and correlated this accumulation with elevations in serum cytokines. We then used logistic regression to identify a profile of biomarkers which predicts the imminent onset of clinical RA (defined as within 2 years of testing). We observed a time-dependent expansion of ACPA specificity with the number of ACPA subtypes. At the earliest timepoints, we found autoantibodies targeting several innate immune ligands including citrullinated histones, fibrinogen, and biglycan, thus providing insights into the earliest autoantigen targets and potential mechanisms underlying the onset and development of autoimmunity in RA. Additionally, expansion of the ACPA response strongly predicted elevations in many inflammatory cytokines including TNF-α, IL-6, IL-12p70, and IFN-γ. Thus, we observe that the preclinical phase of RA is characterized by an accumulation of multiple autoantibody specificities reflecting the process of epitope spread. Epitope expansion is closely correlated with the appearance of preclinical inflammation, and we identify a biomarker profile including autoantibodies and cytokines which predicts the imminent onset of clinical arthritis

Pan-Canadian review of community-based monitoring projects and their capacity to enhance environmental monitoring programs for cumulative effects assessments

While community-based monitoring (CBM) can support meaningful participation of the public in environmental decision-making, it remains unclear if and how CBM can support western science approaches to biophysical studies within cumulative effects assessment (CEA). We scored 40 Canadian CBM projects on their ability to enhance CEA's western science approaches to environmental monitoring. We used multivariate analyses to determine if the highest-scoring projects shared characteristics that could inform the design of CBMs to support CEA. Cluster analysis and non-metric multi-dimensional scaling ordination revealed that highest-scoring projects were distinct from lower scoring projects, and the Similarity Percentages Routine identified characteristics that differentiated these projects. The highest-scoring projects involved non-profit organizations as bridging organizations that coordinated community participation and received funding and in-kind support from provincial/territorial government agencies. Participants in these projects collected measurements and samples using standardized protocols described in training manuals. Their data were publicly accessible in georeferenced databases and were used for baseline studies and resource management. There are existing CBM projects in Canada that thus appear well positioned to enhance western science approaches to CEA. Further study is required to identify how CBM projects can be designed to braid Indigenous and western science approaches to mutually enhance CEA methods

Northern Ireland vegetable crops 1995

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