Perceived social support networks and prosocial outcomes among Latino/a youth in the United States

This study examines Latino/a adolescents’ perceived sources and types of social support, and links between social support and prosocial tendencies. Latino/a adolescents (N=126) in Midwestern United States participated in the study. Respondents of higher generational status reported broader social support networks and a higher amount of overall social support compared to peers of lower generational status. Youth perceived the highest amount of social support from immediate family, followed by extended family, and lastly from non-kin individuals. Path analysis indicated that overall social support was directly and positively associated with altruistic prosocial tendencies, and directly and negatively associated with public prosocial tendencies. Social support was indirectly related to altruistic, public, dire and emotional prosocial tendencies variably mediated by empathy, perspective taking and self-efficacy. La percepción de las redes de apoyo social y resultados prosociales entre Latino / a jóvenes en los Estados Unidos de América: Resumen: Este estudio examin los fuentes y tipos de apollo social entre adolescentes Latinos/Latinas en los Estados Unidos, y la relación entre apollo social y tendencias prosociales. Los adolescentes Latinos (N=126) participaron en el estudio. Los encuestados de un estado generacional más alto reportaron redes de apollo social que eran más extensos y más apollo social en general que sus compañeros de un estado generacional más bajo. Adolescentes percibieron lo más apollo social de la familia inmediata, seguido por la familia extendida, y por ultimo de las personas en no eran de la familia. Un análisis de ruto demostró que apollo social en general se asoció directamente y positivamente con las tendencias altruistas de conductas prosociales, y se asoció directamente y negativamente con tendencias prosociales en pública. Apollo social se asoció indirectamente con tendencias prosociales de altruismo, pública, tendencias horrendas, y emoción y son mediados por empatía, toma de perspectiva, y auto-eficacia

Rural Hispanic Youths\u27 Perceptions of Positive Youth Development Experiences

An exploratory study examined rural Latino youths\u27 perceptions regarding positive youth development (PYD), particularly related to aspects such as the definition of PYD, potential benefits of PYD, and motivations for participating in PYD activities. A total of 28 self-identified Hispanic youths participated in focus groups. Findings suggest that participants identified key components of PYD (e.g., skills gained through participation) that are generally consistent with broader research on the topic. Youths\u27 motivations for participating in PYD programs included familial encouragement, availability of the programs, and the engaging/enjoyable nature of the programs. Potential implications for Extension professionals are discussed

Evaluation of the Health Rocks! Program: The Association of Youth Engagement with Program Outcomes

This evaluation research examined the relationship between program process and program outcome, specifically, youth engagement in the national 4-H Council Health Rocks! program and their program outcomes.  Based on program evaluation surveys completed after the program by participants, youths’ engagement in the program was associated with their gains in knowledge and skills about substance use, and personal assets related to avoiding risks.  When youth participants find a program interesting, are actively engaged in the program, and find the program staff friendly, they benefit more from the program.  Findings underscore the importance of engaging curriculum and friendly staff to the success of extension or afterschool youth programs. The evaluation method may offer an example of balancing rigor of evaluation design and feasibility of implementing an evaluation

Youths’ Perspectives of Experiential Learning Delivery: Findings from a Multistate 4-H Youth Program

Youths’ perspectives are often unexplored in youth program development and implementation. This article examined youths’ perspectives of a 4-H youth prevention program called “Health Rocks!” that is designed to promote healthful decision-making skills, stress coping, and socioemotional skills related to substance use. Qualitative and quantitative data were collected and analyzed. Qualitative findings reveal that participants appreciated the fun and engaging curriculum, valued program staff who were interactive, and enjoyed the hands-on program activities. Participants also reported that the program positively impacted their knowledge and skills. Quantitative results show that participants who perceived the program as fun were significantly more likely to report engagement in the program, and participants who had positive views towards the program staff were significantly more likely to report knowledge after the program and engagement in Health Rocks! Findings have broader implications for future youth prevention program development, illustrating the need for engaging adult leaders and program activities to enhance the overall program experience for youth participants

Mapping Quality of Life in Nebraska: Migration Rates

KEY POINTS AND IMPLICATIONS Nebraska is a state that is not often viewed as affected significantly by mobility and migration. As a state, the net migration rate of 1.1 from 2015 to 2016 is fairly low compared to others like Florida (16.0) or Nevada (14.4). However, data from this report suggests that there is, in fact, substantial movement of people moving in and moving out; as well as pockets within the state where there is higher than average influx of both domestic and international migrants. In general, migration trends in the state mirror national trends of “rural flight” where people are moving out of the rural counties and moving into suburban or metropolitan areas. In fact, 69 of the 93 counties had a negative net migration. This is most likely due to greater economic opportunities associated with urban areas (Harris & Todaro, 1970). However, the population leaving is being offset by international migrants who do come to suburban and rural counties (e.g., Colfax, Dakota, Dawson). Thus, overall the state net migration rate has been minimal with a slight increase. Below are other key points of this fact sheet. • The foreign-born population is highest in the metropolitan counties, particularly in Douglas (48,909) and in Lancaster (21,888). However, the highest concentration of foreign-born is found in micropolitan areas with lower overall population (i.e., at least 10,000 but less than 50,000), such as Dakota, Dawson, and Hall. Most likely, specific industries (e.g., meatpacking plants, industrial plants) in these areas are attracting migrant workers. This is consistent with recent scholars’ recognition of the importance of micropolitan areas in economic and social revitalization of states (e.g., Cantrell, 2007). • The maps of overall net migration rates and domestic migration rates are almost identical. This suggests that domestic migration accounts for much of the population change compared to international migration. Nonetheless, caution must be used in interpreting this pattern. In fact, it may seem that Nebraska has few international migrants. However, international migrants are counted as domestic migrants when they moved within the state in the last 12 months. Thus, it is important to note that the numbers of international migrants are not similar to the numbers of the foreign-born population. • Counties with high numbers of international migrants, particularly the metropolitan areas in the southeast part of the state, also have high numbers of ethnic minorities (e.g., Douglas, Lancaster, Sarpy). Although there are migrants from all over the world who come to Nebraska, the numbers suggest that most of the migrants identify as ‘ethnic minorities’ or non-White (see Population Distribution by Race, Ethnicity, and Age by Taylor et al., 2017). • International migrants are a diverse group and come to Nebraska for different reasons, such as to work and/or to study. The numbers presented above also include refugees, individuals who have been forced to leave their country to escape war, persecution, or natural disaster. Approximately 5,415 refugees from FY 2000 to FY 2010, and 818 refugees in FY 2010 settled in Nebraska. Additionally, as the census does not ask for immigration status, the migration rates and foreign-born population may also include undocumented immigrants, foreign-born individuals who do not have a legal right to live or remain in the country. Overall, this report presents the migration rates and foreign-born population in Nebraska. Data and information in this report intend to inform policymakers and practitioners as they design guidelines and services that are sensitive to current migration trends and responsive to the characteristics of the population

Mapping Quality of Life in Nebraska: Population Distribution by Race, Ethnicity, and Age

KEY POINTS This section details key points from the data on racial, ethnic, and age groups across Nebraska. RACIAL AND ETHNIC MINORITIES IN NEBRASKA • The proportions of Nebraska’s racial and ethnic minority populations tend to be smaller by 4% (i.e., Asian) to 8% (i.e., Black or African American, Hispanic/Latino) than those of the US, except for the Hawaiian and Pacific Islander and American Indian and Alaska Native populations (i.e., smaller only by 0.1% to 0.2%). • Nebraska’s urban areas, which comprise 73.1% of the Nebraska population, have higher numbers of racial and ethnic minorities than suburban or rural areas. However, when the relative concentration of racial and ethnic minorities is taken into account, many of the lowest populated counties often have the highest relative concentrations of racial and ethnic minority groups, particularly Hawaiian and Pacific Islanders, American Indian and Alaska Natives, and Hispanic/Latinos, compared to the other counties. • Counties across the central part of the state, as well as the northeast corner, tend to have the highest relative concentrations of racial and ethnic minorities. NEBRASKA YOUNG CHILD AND YOUTH POPULATIONS • Counties in northeast Nebraska have the highest relative concentrations of young children and youth compared to the relative number of young children and youth in the entire state. • Other counties with high relative concentrations of young children and youth tend to be the state’s higher populated counties. NEBRASKA ELDERLY POPULATION • Counties with higher relative elderly concentrations tend to be in rural areas, specifically in western Nebraska and along the Nebraska-Kansas border. • Counties with high relative elderly concentrations tend to be counties with lower relative concentrations of young child and youth populations. INTERSECTIONS OF NEBRASKA RACIAL, ETHNIC, AND AGE GROUPS • Counties with high relative concentrations of young children and youth tend to be the ones that also have high relative concentrations of racial and ethnic minority populations, specifically Hispanic/Latinos and American Indian and Alaska Natives (e.g., Thurston, Platte, Colfax, Dakota, and Dawson counties). • Most counties in Nebraska with high racial/ ethnic minority concentrations have lower relative elderly concentrations, suggesting a low relative concentration of minority elders in these counties

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Allergic Rhinitis and its Impact on Asthma (ARIA) Phase 4 (2018) : Change management in allergic rhinitis and asthma multimorbidity using mobile technology

Allergic Rhinitis and its Impact on Asthma (ARIA) has evolved from a guideline by using the best approach to integrated care pathways using mobile technology in patients with allergic rhinitis (AR) and asthma multimorbidity. The proposed next phase of ARIA is change management, with the aim of providing an active and healthy life to patients with rhinitis and to those with asthma multimorbidity across the lifecycle irrespective of their sex or socioeconomic status to reduce health and social inequities incurred by the disease. ARIA has followed the 8-step model of Kotter to assess and implement the effect of rhinitis on asthma multimorbidity and to propose multimorbid guidelines. A second change management strategy is proposed by ARIA Phase 4 to increase self-medication and shared decision making in rhinitis and asthma multimorbidity. An innovation of ARIA has been the development and validation of information technology evidence-based tools (Mobile Airways Sentinel Network [MASK]) that can inform patient decisions on the basis of a self-care plan proposed by the health care professional.Peer reviewe

Adherence to treatment in allergic rhinitis using mobile technology. The MASK Study

Background: Mobile technology may help to better understand the adherence to treatment. MASK-rhinitis (Mobile Airways Sentinel NetworK for allergic rhinitis) is a patient-centred ICT system. A mobile phone app (the Allergy Diary) central to MASK is available in 22 countries. Objectives: To assess the adherence to treatment in allergic rhinitis patients using the Allergy Diary App. Methods: An observational cross-sectional study was carried out on all users who filled in the Allergy Diary from 1 January 2016 to 1 August 2017. Secondary adherence was assessed by using the modified Medication Possession Ratio (MPR) and the Proportion of days covered (PDC) approach. Results: A total of 12143 users were registered. A total of 6949 users reported at least one VAS data recording. Among them, 1887 users reported >= 7 VAS data. About 1195 subjects were included in the analysis of adherence. One hundred and thirty-six (11.28%) users were adherent (MPR >= 70% and PDC = 70% and PDC = 1.50) and 176 (14.60%) were switchers. On the other hand, 832 (69.05%) users were non-adherent to medications (MPR Conclusion and clinical relevance: Adherence to treatment is low. The relative efficacy of continuous vs on-demand treatment for allergic rhinitis symptoms is still a matter of debate. This study shows an approach for measuring retrospective adherence based on a mobile app. This also represents a novel approach for analysing medication-taking behaviour in a real-world setting.Peer reviewe