ASSOCIATIONS BETWEEN FAMILY AND PARENTAL FACTORS AND CHILDHOOD OBESITY

Background: Obesity is a complex health issue, which results from the interaction between many determinants: genetics, physical environments, society, economy, and culture. Data indicate that about 19% of American children (2 to 19 years) have obesity, a condition that considerably affects physical and mental health and that usually continues into adulthood. Aside from its direct physical and mental effects, there is strong evidence that childhood obesity is strongly associated with early onset and adult cardiovascular diseases and diabetes. Family and parental factors, which have both genetics and environmental components, have long been implicated in previous research as major forces in the development of childhood obesity. This study delved deeper into the relationship between family and parental factors and childhood obesity. Methods: Data examined in this study is from the Centers for Disease Control and Prevention (CDC) National Survey for Child Health collected during 2013-2015. In total, 42,121 subjects were included in this representative sample. Multiple logistic regression models were run to determine association between family and parental factors (access to the children’s health insurance programs (CHIP), low birth weight (LBW), poverty, family size, and location of residence) with obesity (defined as a body mass index at or above the 95th percentile for the same age and sex). The model was adjusted for possible confounders such as demographics (age, sex and race) and emotional status. SAS v 9.4 was used for analysis. Results: After adjusting for all covariates, there was a significant association determined between childhood obesity and CHIP, poverty, LBW, the number of children in a family and family location. The odds of being obese decreased significantly with an increase in the number of children in each family (Odds Ratio (95% confidence interval) (OR): 0.877 (0.875-0.879), P Conclusion: Family and parental factors such as access to CHIP, family poverty, family size, LBW and location heavily affect the prevalence of childhood obesity in America. Further studies are needed to understand how family structure, dynamics, and parental influences impact rates of obesity in children

An educational campaign to increase chiropractic intern advising roles on patient smoking cessation

BACKGROUND: Tobacco use, particularly smoking, is the most preventable cause of death in the United States. More than 400,000 premature deaths are associated with its use and the health care costs are in the billions. All health care provider groups should be concerned with patients who continue to smoke and use tobacco. The US Preventive Services Taskforce and Health People 2010 guidelines encourage providers to counsel smokers on cessation. Current studies, though limited regarding chiropractic advising practices indicate a low engagement rate when it comes to providing cessation information. OBJECTIVE: To test a campaign regarding initial impact aimed at increasing chiropractic interns advising on cessation and delivery of information to smokers on cessation. DISCUSSION: Chiropractic interns do engage patients on smoking status and can be encouraged to provide more cessation messages and information to patients. The initial impact assessment of this campaign increased the provision of information to patients by about 25%. The prevalence of smoking among chiropractic patients, particularly at teaching clinics may be lower than the national averages. CONCLUSION: Chiropractic interns can and should be encouraged to advise smokers about cessation. A systematic method of intake information on smoking status is needed and a standardized education protocol for chiropractic colleges is needed. Chiropractic colleges should assess the adequacy of their advising roles and implement changes to increase cessation messages to their patients as soon as possible

A Macrolevel Examination of County-Level Risk Factors for Underage Drinking Prevention: Intervention Opportunities to Protect Youth in the State of Georgia

Introduction: Underage drinking can have profoundly negative impacts on childhood development. This study compares 4 categories of known underage drinking risk factors with alcohol consumption. The social indicators in these categories will be compared in the 10 most-at-risk (MAR) counties and the 10 least-at-risk (LAR) counties identified in Georgia. Methods: Independent 2-tailed t-tests were conducted to compare group means among MAR and LAR counties for all identified risk factors. Results: Significant differences were observed in all factors included in the poverty and alcohol outlet density categories. Discussion. The findings underscore the importance of better understanding youth drinking, poverty, and alcohol outlet density. However, our findings, supported by previous individual and aggregated level research, support strategies for researchers and policy makers to more proactively respond to poverty-stricken and high-density alcohol outlet indicators. The current ecological evaluation of underage drinking risk assessed on a macrolevel offers insights into the demographic features, social structures, and cultural patterns of counties that potentially predispose youth to greater health risks specifically associated with underage drinking

Strategic Insight on Gaining Admittance to Graduate Study

Applying to graduate school involves strategic planning and preparation. There is an array of considerations and factors that can influence the decision to pursue masters- level education and beyond. A brief synopsis of the graduate school application process is provided so that individuals pursuing a higher level of academia can gain insight on how to optimize their chance of attaining acceptance into programs of choice

Screening for Elder Mistreatment among Older Adults Seeking Legal Assistance Services

Introduction: The aging population is a rapidly growing demographic in the United States. Isolation, limited autonomy, and declining physical and mental health render many older adults vulnerable to elder mistreatment (EM). The purpose of this study was to assess the prevalence and correlates of EM among a sample of older adults using legal assistance services in Atlanta, Georgia. Methods: Researchers administered surveys to consenting older adults (aged 60þ) in 5 metro Atlanta community centers that hosted legal assistance information sessions as part of the Elderly Legal Assistance Program. The surveys screened for risk factors and prevalence of EM risk using valid and reliable measures and included additional questions regarding demographics characteristics and healthcare use behaviors. Results: Surveys were completed by 112 participants. Findings reveal that 32 (28.6%) respondents met the criteria for elder abuse / neglect risk; 17 (15.2%) respondents met criteria for depression; and 105 (93.7%) had visited a healthcare provider during the past 6 months. Conclusion: The rates of EM risk in this sample were higher than those previously reported in research. Findings support continued examination of unique risks that may be present among older adults who may be possibly facing legal issues. Additionally, the reported frequency of healthcare visits among participants reveals a promising opportunity to examine development of a more widespread EM screening approach to be conducted in non-emergency settings. Interdisciplinary collaboration is required to inform screening approaches that account for complexities that EM cases present. [West J Emerg Med. 2013;14(4):309–315.] INTRODUCTIO

The Added Value of Water, Sanitation, and Hygiene Interventions to Mass Drug Administration for Reducing the Prevalence of Trachoma: A Systematic Review Examining

Trachoma is the leading cause of infectious blindness worldwide. The SAFE strategy, the World Health Organization-recommended method to eliminate blinding trachoma, combines developments in water, sanitation, surgery, and antibiotic treatment. Current literature does not focus on the comprehensive effect these components have on one another. The present systematic review analyzes the added benefit of water, sanitation, and hygiene education interventions to preventive mass drug administration of azithromycin for trachoma. Trials were identified from the PubMed database using a series of search terms. Three studies met the complete criteria for inclusion. Though all studies found a significant change in reduction of active trachoma prevalence, the research is still too limited to suggest the impact of the “F” and “E” components on trachoma prevalence and ultimately its effects on blindness

An Examination of Bullying in Georgia Schools: Demographic and School Climate Factors Associated with Willingness to Intervene in Bullying Situations

Introduction: Research dedicated to identification of precursors to cases of aggravated bullying in schools has led to enhanced knowledge of risk factors for both victimization and perpetration. However, characteristics among those who are more likely to intervene in such situations are less understood. The purpose of this study is to examine the associations between demographic characteristics, school climate and psychosocial factors, and willingness to intervene in a bullying situation among middle and high school students in Georgia. Methods: We computed analyses using cross-sectional data from the Georgia Student Health Survey II (GSHS 2006) administered to public school students in grades 6, 8, 10, and 12 (n¼175,311). We used logistic regression analyses to determine the demographic, school climate and psychosocial factors associated with a willingness to intervene in a bullying situation. Results: Students who were white and who were girls were most likely to report willingness to intervene in bullying situations. Several school-climate factors, such as feeling safe at school, liking school, feeling successful at school and perceiving clear rules at school, were associated with willingness to intervene, while youth who reported binge drinking were less willing to intervene. Conclusion: These findings, while preliminary, indicate that girls, students who are white, and students who experience a relatively positive school climate and adaptive psychosocial factors are more likely to report that they would intervene in bullying situations. These findings may guide how bullying is addressed in schools and underscore the importance of safe school climates. [West J Emerg Med. 2013;14(4):324–328.

Visual Communication: A Preparatory Guide for Using Posters as a Medium for Scientific Dialogue

Abstract Poster presentations are an effective method of conveying scientific information in an interactive and nonthreatening format. They are also a means of increasing authors' visibility and recognition in their field. The authors have presented a preparatory guide to minimize stress and increase poster presentation savvy at professional conferences for either the novice or seasoned professional. © 2005 Californian Journal of Health Promotion. All rights reserved. Keywords: Poster, professional presentation, visual communication, scientific dialogue A professional conference is a venue for the exchange of scholarly ideas that are of valued importance to the sponsoring organization and its members Abstract Development When writing an abstract for conference submission, one of the first issues is to determine the purpose of the potential presentation. What precisely do you want the audience to know as a result of your presentation? Inevitably, having this in mind will guide your writing and preliminary ideas about poster construction. Next, before even putting words to paper, consider the word limit or word count. Many abstracts have a limit of no more than 250 words and it is imperative that authors adhere to these specifications. Often there are guidelines concerning the content and composition of the abstract. These include a background, methods, results, and conclusion section. Even if there is no specific requirement of including these headings, they remind the author of the structural elements that should be included in a thorough, yet concise abstract. Other issues related to abstract acceptance, although not directly related to the actual writing of the work, include data sharing and author notification. As a courtesy, if you are not the originator of the work (i.e., someone else is the principal investigator or was provided the funding to conduct the research) it is a professional gesture to ensure that you have permission to potentially publish an abstract 6

Feasibility Study of Social Media to Reduce Intimate Partner Violence Among Gay Men in Metro Atlanta, Georgia

Intimate Partner Violence (IPV) is a major public health issue occurring in the United States and globally. While little is known in general about IPV, understanding about the prevalence of physical IPV among gay men is even more obscure. There is a clear disparity in violence research attention focused on this vulnerable segment of society. This cross-sectional survey study was conducted to examine the feasibility of enrolling 100 gay men from Atlanta into an IPV survey study. The survey was administered via Facebook. Ninety-nine usable surveys were collected. Chi-square tests reveal that minority ethnic status, illicit drug use, and non-disclosed orientation status were all significantly associated with positive IPV reports--in terms of both victimization as well as perpetration. Overall, the majority of the study sample indicated that they believe IPV is a health problem in the Atlanta gay community. These findings bear importance for the Atlanta gay community and public health professionals who must address this nearly invisible yet increasing public health issue. [West J Emerg Med. 2012;13(3):298-304.

Pre-Teen Alcohol Use as a Risk Factor for Victimization and Perpetration of Bullying among Middle and High School Students in Georgia

Objective: We examined the association between pre-teen alcohol use initiation and the victimization and perpetration of bullying among middle and high school students in Georgia. Methods: We computed analyses using data from the 2006 Georgia Student Health Survey (N=175,311) of students in grades 6, 8, 10 and 12. The current analyses were limited to students in grades 8, 10 and 12 (n=122,434). We used multilogistic regression analyses to determine the associations between early alcohol use and reports of both victimization and perpetration of bullying, perpetration only, victimization only, and neither victimization or perpetration, while controlling for demographic characteristics, other substance use, peer drinking and weapon carrying. Results: Pre-teen alcohol use initiation was significantly associated with both bullying perpetration and victimization relative to non drinkers in bivariate analyses (OR=3.20 95%CI:3.03-3.39). The association was also significant between pre-teen alcohol use initiation and perpetration and victimization of bullying in analyses adjusted for confounders (Adj.OR=1.74; 95%CI:1.61-1.89). Overall, findings were similar for boys and girls. Conclusion: Pre-teen alcohol use initiation is an important risk factor for both the perpetration and victimization of bullying among boys and girls in Georgia. Increased efforts to delay and reduce early alcohol use through clinical interventions, education and policies may also positively impact other health risk behaviors, including bullying. [West J Emerg Med. 2011;12(3):305-309.