The State of Health Insurance in California: Findings From the 2003 California Health Interview Survey

Provides an overview of the shift from job-based health insurance to enrollment in public insurance programs, and discusses the advantages and disadvantages of key public policy options to extend coverage to California's uninsured residents

The State of Health Insurance in California: Findings from the 2005 California Health Interview Survey

Finds that eight in ten of the state's uninsured are employed, and that job-based health insurance coverage in California continues to decline

Partisan endorsement experiments do not affect mass opinion on COVID-19

The partisan politics and polarized messaging surrounding COVID-19 have attracted wide interest. We present the findings of a novel survey experiment, fielded March 21-23, 2020, on a nationally-representative sample of Americans. We found no statistically significant effects of partisan endorsements or messaging from President Trump on a wide range of health behaviors and policy attitudes. We speculate on potential explanations for these null results, such as America’s saturated media environment or heterogeneous effects by party. Our results suggest that priming experiments face serious obstacles when implemented at the same time as a national crisis is unfolding

Breathing Limited Air Situational Training Masks (BlastMask) Versus Self-Contained Breathing Apparatus (SCBA) for Firefighters: A Pilot Study

International Journal of Exercise Science 12(6): 941-949, 2019. Despite maintaining high levels of fitness, firefighters’ performance may be negatively impacted by the use of a Self-Contained Breathing Apparatus (SCBA), an essential piece of safety equipment worn during structural firefighting. Routine training with SCBAs can be cost-prohibitive and inefficient. The Breathing Limited Air Situational Training Mask (BlastMask) was developed as a training aid used to simulate the SCBA. The purpose of this study was to examine physiological and perceptual responses elicited by firefighters during steady state exercise when using the BlastMask compared to the SCBA. Current staff male firefighters (n = 10; mean age = 29.5 ± 7.7; mean BMI = 26.9 ± 2.7) performed two separate 10-minute steady state treadmill exercise sessions: one using an SCBA and one using a BlastMask. Paired-samples t-tests were conducted to determine differences between mean heart rate (HR), mean pulse oximetry, post-exercise perceived stress, rate of perceived exertion of the session (S-RPE-), and for each minute of breathing (B-RPE) across the two trials. There were no significant differences between SCBA and BlastMask for HR (p = .07), pulse oximetry (p = .67), S-RPE (p = .08), or post-exercise perceived stress (p = .32); though firefighters reported greater B-RPE (p \u3c .001) when using the BlastMask. Mean HR was strongly correlated between both sessions (r = .89). Based on these initial findings, the use of the BlastMask appears to elicit similar physiological and perceptual responses during steady state exercise when compared to the SCBA. The BlastMask may therefore be an appropriate supplemental, cost-effective training aid for firefighters, though more research is recommended

Partisanship, health behavior, and policy attitudes in the early stages of the COVID-19 pandemic

ObjectiveTo study the U.S. public's health behaviors, attitudes, and policy opinions about COVID-19 in the earliest weeks of the national health crisis (March 20-23, 2020).MethodWe designed and fielded an original representative survey of 3,000 American adults between March 20-23, 2020 to collect data on a battery of 38 health-related behaviors, government policy preferences on COVID-19 response and worries about the pandemic. We test for partisan differences COVID-19 related policy attitudes and behaviors, measured in three different ways: party affiliation, intended 2020 Presidential vote, and self-placed ideological positioning. Our multivariate approach adjusts for a wide range of individual demographic and geographic characteristics that might confound the relationship between partisanship and health behaviors, attitudes, and preferences.ResultsWe find that partisanship-measured as party identification, support for President Trump, or left-right ideological positioning-explains differences in Americans across a wide range of health behaviors and policy preferences. We find no consistent evidence that controlling for individual news consumption, the local policy environment, and local pandemic-related deaths erases the observed partisan differences in health behaviors, beliefs, and attitudes. In further analyses, we use a LASSO regression approach to select predictors, and find that a partisanship indicator is the most commonly selected predictor across the 38 dependent variables that we study.ConclusionOur analysis of individual self-reported behavior, attitudes, and policy preferences in response to COVID-19 reveals that partisanship played a central role in shaping individual responses in the earliest months of the COVID-19 pandemic. These results indicate that partisan differences in responding to a national public health emergency were entrenched from the earliest days of the pandemic

Is Fitspiration Truly an Inspiration? Relationships between Fitspiration, Exercise, and Body Image

Young adults across the United States struggle to meet physical activity recommendations and consume healthy diets, and they often suffer from issues related to body image. Social media influencers dedicated to fitspiration (i.e., fitness inspiration) are purported to have a goal of inspiring others to lead healthier lifestyles. The purpose of this study was to explore the relationships between fitspiration and exercise and body image perceptions amongst college students. Participants (n = 361, mean age = 20.2 years, 78% female) completed surveys that included sociodemographic information, social media usage, fitspiration content engagement, exercise, and body satisfaction. An independent samples t-test assessed differences in exercise by fitspiration viewership, and a chi-square analysis determined relationships between fitspiration and body satisfaction. Participants were routinely active on social media (91% use it for \u3e 1 hour per day), and 61.5% were exposed to fitspiration content. Approximately 41% of respondents have followed exercise advice from fitspiration influencers, though only 11% reported having purchased products. No relationships were reported between following fitspiration and days per week of exercise (M∆ = .02(.20), p = .91). Participants that followed fitspiration were more likely to be dissatisfied with their bodies, X2 (1, n = 316) =7.77, p = .005, compared to participants who did not. Findings demonstrate fitspiration was not related to exercise and was related to poorer body image perceptions among college students. These results are supported by previous findings and indicate a critical misalignment between the purported purpose of fitspiration and the outcome of its viewing

Surface functionalization with polyethylene glycol and polyethyleneimine improves the performance of graphene-based materials for safe and efficient intracellular delivery by laser-induced photoporation

Nanoparticle mediated laser-induced photoporation is a physical cell membrane disruption approach to directly deliver extrinsic molecules into living cells, which is particularly promising in applications for both adherent and suspension cells. In this work, we explored surface modifications of graphene quantum dots (GQD) and reduced graphene oxide (rGO) with polyethylene glycol (PEG) and polyethyleneimine (PEI) to enhance colloidal stability while retaining photoporation functionality. After photoporation with FITC-dextran 10 kDa (FD10), the percentage of positive HeLa cells (81% for GQD-PEG, 74% for rGO-PEG and 90% for rGO-PEI) increased approximately two-fold compared to the bare nanomaterials. While for Jurkat suspension cells, the photoporation efficiency with polymer-modified graphene-based nanomaterial reached as high as 80%. Cell viability was >80% in all these cases. In addition, polymer functionalization proved to be beneficial for the delivery of larger macromolecules (FD70 and FD500) as well. Finally, we show that rGO is suitable for photoporation using a near-infrared laser to reach 80% FD10 positive HeLa cells at 80% cell viability. We conclude that modification of graphene-based nanoparticles with PEG and especially PEI provide better colloidal stability in cell medium, resulting in more uniform transfection and overall increased efficiency

Body Composition Estimation and Satisfaction in College Students

College students are at an elevated risk for engaging in unhealthy lifestyle behaviors, including disordered eating and low levels of exercise. Evidence also suggests that college students inaccurately estimate their weight status (e.g., reporting they are overweight when they are at a normal weight) and report high levels of body dissatisfaction. Efforts to promote healthy behavior change and body satisfaction first require an accurate perception of the problem. The purpose of this study was to 1) determine the accuracy with which college students estimate their weight and body composition, and 2) better understand the relationship between body composition and body satisfaction. Methods: Forty-five college students (males = 21 and females = 24), between 18 and 30 years of age, completed a survey with items assessing demographic characteristics, weight status estimation, body composition estimation, and the Body Part Satisfaction Scale (BPSS). Body composition was assessed using Dual x-ray absorptiometry (DXA). Paired samples t-tests were used to compare means between participant’s objective measurements and their estimated measurements. Bivariate analyses were used to determine relationships between body part dissatisfaction and body composition. Results: Males and females accurately estimated their weight (d =-.16, SD = 2.56, t(44) = -.414, p = 0.68), but significantly underestimated their body fat percentage (d =-4.37, SD = 7.62, t(44) = -3.85), p = 0.001). Greater body dissatisfaction was associated with a higher body fat percentage (r =. 353), but not body fat percentage estimation (r = .164). In the trunk region, a higher body fat percentage in that region was significantly associated with greater dissatisfaction for abdomen size (r = .323); higher body fat percentage in the arms and legs were mildly associated with greater dissatisfaction in the respective areas (r = .268; r = .260), though not statistically significant. Conclusions: Although college students accurately estimated their weight, they significantly underestimated their fat mass, indicating a misunderstanding regarding the proportion of their body weight composed of fat tissue. As expected, greater fat mass in specific body parts (e.g., arms, legs, and truck) was related with greater dissatisfaction in those specific areas. Future research should continue to investigate these relationships and body composition estimation accuracy in more diverse samples. Health promotion initiatives should aim to educate students on body composition and continue to promote healthy behavior change along with body satisfaction

Associations of Objectively Measured Light-Intensity Activity on Metabolic Risk Factors in Female Adults

Metabolic syndrome (MetSy) has been defined as a collection of metabolic irregularities that increase the risk of cardiovascular disease, type 2 diabetes, and all-cause mortality. Women are at an even greater risk for developing MetSy when compared to men with prevalence increasing with age. Moderate to vigorous physical activity (MVPA) has shown consistent association with decreases in risk of MetSy; however, light physical activity (LPA) has been studied less often in comparison. PURPOSE: The purpose of this study was to examine relationships between accelerometer-determined LPA and MetSy risk factors (waist circumference (WC), glucose, high density lipoprotein (HDL), triglycerides, systolic blood pressure (SBP), and diastolic blood pressure (DPB)) across women of different age groups. METHODS: A cross-sectional study design was used to examine 68 female participants, ages 20-65, employed in sedentary careers working in an urban area in the south central United States. Venous blood samples were taken from the antecubital area of the arm from all participants who had fasted at least eight hours prior to their scheduled appointment times. Physical activity data was collected for seven days via hip-worn accelerometers with LPA being measured based on Freedson cut-points (100-1951 counts per minute). MetSy was diagnosed based on the criteria set forth by the National Cholesterol Education Program in 2002. Data were analyzed using regression analysis with SPSS version 20.0. Between-subject analysis was conducted for four age groups (group1=20-35; group2=36-45; group3=46-55; group4=55 and older) using LPA, WC, glucose, HDL, triglycerides, SBP, and DPB. RESULTS: Between-subject regression analysis showed HDL as a significant MetSy risk factor in a full model (p=0.02) and a model with age groups as the only independent variable (p=0.00). Post-hoc Tukey tests showed significance differences in HDL among groups 4 and 2 (confidence interval (CI): 4.03, 35.92; p=0.00), and groups 4 and 3 (CI: 6.06, 39.63; p=0.00). Significance dropped below the apriori level of 0.05 in a model based on LPA. Post-hoc Tukey tests revealed non-significant (α\u3e0.05) associations between LPA levels (high, medium, low) and all MetSy values. CONCLUSION: The relationship between LPA and MetSy risk factors has been studied less frequently than MVPA in relation to MetSy risk factors. Based on these findings LPA is not significantly related with these risk factors. Future studies should continue to explore the relationship between LPA and MetSy risk factors among both men and woman, and in different settings