The Relationship between Substance Abuse and Suicide among Adolescents

Suicide, prominent in adolescents, presents a major public health problem. This study examined the relationship between substance abuse and suicide among adolescents after adjusting for socio-demographic, interpersonal violence, and mental health variables. Data were drawn from the Youth Risk Behavior Survey. Suicidal measures included ideation, plan, attempts, and severe attempts. Substance abuse, depression, purging, and forced sex were the major predictors. Our findings may be of value to educators, providers, and policymakers in helping to target teens contemplating suicide. To curb incidence of suicidal thoughts and behavior among teens, routine screenings for substance abuse in schools is recommended

The Relationship of Sexual Health Education and Sexual Health Risk Behavioral Outcomes among Florida Teens

We examined the relationship between sexual health education and sexual health risk behavioral outcomes among adolescents in Florida using Youth Risk Behavior Survey data from 2001 to 2013. Sexual health risk behavioral outcomes (reported condom use and alcohol and/or drug use during last intercourse) were first examined as a function of sexual health education. Multiple logistic regression analysis was then used to adjust for individual characteristics and behavioral risk factors when associating sexual health education with sexual health risk behavioral outcomes. Reported condom use was strongly associated with sexual education. However, the impact of sexual education was attenuated after adjusting for individual characteristics and behavioral risk factors. Alcohol and/or drug use during last intercourse was strongly associated with behavioral risk factors: forced sex and being sad/hopeless. Those receiving sexual education were 44% less likely to use alcohol and/or drugs. The results may be of value to policy makers in helping to profile and target teens at risk for sexually transmitted infections. These findings have important sexual health education implications and shed light on the role that individual health behaviors play in the health outcomes of adolescents

School Bullying and Health Risk Behavior Outcomes among Adolescents in Florida

Background: School bullying is a major social and public health threat as it presents a variety of developmental and psychological adolescent hazards that stretch into adulthood problems. Bullying victimization has been linked with a plethora of adverse health risk behavior outcomes. Purpose: To examine the association between bullying (in-person and electronic) and health risk behaviors related to school violence, mental and sexual health risks, substance abuse, and weight control practices. Methods: Data were drawn from the Florida Youth Risk Behavior Survey (YRBS). A 4-level variable was generated using the in-person and electronic bullying questions resulting in four mutually exclusive bullying categories. Logistic regression analyses, stratified by sex, examined the relationship between bullying and health risk behaviors related to violence, mental health, substance abuse, and weight-related factors after adjusting for race and grade. Results: Rates of victimization among students varied; 6.4% of students reported being bullied both in-person and electronically, 7.6% reported in-person bullying only, 4.4% reported being electronically bullied only, and 81.6% were uninvolved. Bullying was associated with almost all the health risk behavior outcomes studied with a few exceptions. Experiencing both kinds of bullying was most strongly associated with forced sexual intercourse for female adolescents as compared to suicide attempts for male adolescents. Discussion: Schools should provide safe and supportive environments and implement policies to prevent the long-term harmful effects of bullying

Sexual Hookups via Dating Apps: A Qualitative Study Exploring the Experiences of Black Men Who Have Sex with Men in Florida

Background: Sexual hookups via social media dating apps have been understudied among Black men who have sex with men (BMSM). Purpose: The objective of this qualitative study was to explore the role of dating apps on hookup culture and to describe the sexual experiences among BMSM in Florida. Specifically, this research delves into various sexual hookup themes. Methods: Seventeen semi-structured interviews were conducted with BMSM participants aged 18 to 25 in Florida who self-identified as frequent dating app users. A grounded theory approach was applied to thematically analyze the hookup encounters and the factors that drive these perceptions and experiences among BMSM. QSR NVIVO 12 was used to code, categorize, and collect emergent themes. Results: Three major themes emerged depicting the complexities of hookup culture using social media dating applications among BMSM. 1. Positive hookup experiences were linked to feelings of “no strings attached” to some participants, while others associated this positive experience to the use of alcohol and drugs; 2. Negative hookup experiences revolved around miscommunication on sexual roles, catfishing, and disclosure of HIV status; 3. Psychological aspects of hookups were centered on feelings of regret, disbelief, and disgust after a sexual hookup encounter. Discussion: Understanding BMSM hookup culture could aid in the development of prioritized evidence-based interventions for behavioral change to improve safer sexual health encounters among this vulnerable populatio

Adaptation of a Community Health Advisor Intervention to Increase Colorectal Cancer Screening Among African Americans in the Southern United States

Community health advisor (CHA) interventions increase colorectal cancer (CRC) screening rates. Focus groups and learner verification were used to adapt National Cancer Institute CRC screening educational materials for delivery by a CHA to African American community health center patients. Such academic-community collaboration improves adoption of evidence-based interventions. This short article describes the adaptation of an evidence-based cancer education intervention for implementation in an African American community

Predictors of discharge against medical advices from US general hospitals, 1988-2006.

Predictors of discharge against medical advices from US general hospitals, 1988-2006

Racial Differences in Length of Stay for Patients Who Leave Against Medical Advice from U.S. General Hospitals

There is a paucity of published literature on the length of hospital stays (LOS) for patients who leave against medical advice (AMA) and on the factors that predict their LOS. The purpose of the study is to examine the relationship between race and the LOS for AMA patients after adjusting for patient and hospital characteristics. National Hospital Discharge Survey (NHDS) data were used to describe LOS for AMA patients aged 18 years or older. Patient characteristics included age, sex, race, marital status, insurance, and diagnosis (ICD-9-CM). Hospital characteristics consisted of ownership, region and bed size. LOS was the major outcome measure. Using data from all years 1988–2006, the expected time to AMA discharge was first examined as a function of race, then adjusting for year terms, patient and hospital characteristics, and major medical diagnoses and mental illness. The unadjusted effect of race on the expected time of leaving AMA was about twice the adjusted effect. After controlling for the other covariates, the expected time to AMA discharge is 20% shorter for Blacks than Whites. The most significant predictors included age, insurance coverage, mental illness, gender, and region. Factors identified in this study offer insights into directions for evidence based- health policy to reduce AMA discharges

Differences in Colorectal Cancer Outcomes by Race and Insurance

Colorectal cancer (CRC) is the second most common cancer among African American women and the third most common cancer for African American men. The mortality rate from CRC is highest among African Americans compared to any other racial or ethnic group. Much of the disparity in mortality is likely due to diagnosis at later stages of the disease, which could result from unequal access to screening. The purpose of this study is to determine the impact of race and insurance status on CRC outcomes among CRC patients. Data were drawn from the Surveillance, Epidemiology, and End Results database. Logistic regressions models were used to examine the odds of receiving treatment after adjusting for insurance, race, and other variables. Cox proportional hazard models were used to measure the risk of CRC death after adjusting for sociodemographic and tumor characteristics when associating race and insurance with CRC-related death. Blacks were diagnosed at more advanced stages of disease than whites and had an increased risk of death from both colon and rectal cancers. Lacking insurance was associated with an increase in CRC related-deaths. Findings from this study could help profile and target patients with the greatest disparities in CRC health outcomes