Preventive medicine
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Preventive medicine · Feb 2021
Views on the need to implement restriction policies to be able to address COVID-19 in the United States.
Several restriction policies implemented in many states in the United States have demonstrated their effectiveness in mitigating the spread of the coronavirus disease (COVID-19), but less is known about the differences in views on the restriction policies among different population segments. This study aimed to understand which different population groups of adults in the United States consider several key restriction policies as necessary to combat COVID-19. Survey data from Wave 64 (March 19-24, 2020) of the Pew Research Center's American Trends Panel (n=10,609) and logistic regression were used to evaluate the association between socioeconomic and demographic characteristics, employment status, political party affiliation, news exposure, census region, and opinions about COVID-19 restriction policies. ⋯ Regardless of population segments, those who followed news closely or considered themselves Democrat/lean Democrat were more likely to consider all the policies as necessary than those not following the news closely or those who considered themselves Republican/lean Republican. The effectiveness of key COVID-19 restriction policies is likely to vary substantially across population groups given that views on the need to implement these policies vary widely. Tailored health messages may be needed for some population segments given divergent views on COVID-19 restriction policies.
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Preventive medicine · Feb 2021
Workers at long-term care facilities and their risk for severe COVID-19 illness.
Given the high concentration of COVID-19 cases in long-term care (LTC) facilities in the United States, individuals working in these facilities are at heightened risk of SARS-CoV-2 exposure. Using data from the nationally-representative 2017 and 2018 National Health Interview Surveys on adults who reported working in LTC facilities, this study examines the extent to which LTC workers are also at increased risk or potentially at increased risk for severe illness from COVID-19 including hospitalization, intubation, or death. We used the Centers for Disease Control and Prevention's list of conditions placing individuals in these risk categories to the extent possible. ⋯ There were few significant differences in demographic characteristics between risk groups, though those at increased risk had lower educational attainment and recent trouble affording prescription medications. Despite the high degree of vulnerability of both LTC residents and workers to severe illness from COVID-19, many LTC facilities still have inadequate supplies of personal protective equipment and COVID-19 tests. Given that state budget deficits due to the COVID-19 pandemic limit the potential for state actions, enhanced federal efforts are needed to protect LTC residents and staff from COVID-19.
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Preventive medicine · Feb 2021
Emotional and physical symptoms after gun victimization in the United States, 2009-2019.
Interpersonal firearm violence is a major public health problem in the United States. The objective of this study was to determine the effects of gun victimization on the likelihood of post emotional and physical symptoms as reported by victims. We focused on non-fatal violent crimes reported to the National Crime Victimization Surveys for 2009-2019 and ran a set of binary logistic regressions. ⋯ We controlled for demographics of the victim, as well as other aspects of the crime (e.g., age, race, sex of victim, multiple offenders, type of violent crime). Victims of crimes in which the offender used a gun were most likely to report both emotional and physical symptoms, followed by victims of crimes in which the offender used other weapons, and lastly by victims of unarmed offenders. Our findings suggest that the presence of a firearm during a violent crime results in an increased likelihood of subsequent emotional and physical repercussions.
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Preventive medicine · Jan 2021
Disentangling individual, school, and neighborhood effects on screen time among adolescents and young adults in the United States.
To examine the association between individual, neighborhood, and school-level influences on individual screen time among adolescents and young adults (AYAs) in the National Longitudinal Study of Adolescent to Adult Health. ⋯ We found that individual-level factors most influence youth screen time, with smaller contributions from school factors.
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Preventive medicine · Jan 2021
Randomized Controlled TrialGiven a choice between self-sampling at home for HPV testing and standard of care screening at the clinic, what do African American women choose? Findings from a group randomized controlled trial.
The goals of this study were to: (1) evaluate adherence to cervical cancer screening using a patient-centered approach that provided a choice of self-sampling at home for human papillomavirus (HPV) testing or standard of care screening at the local health department ('Choice') versus only standard of care screening at the local health department ('SCS') among un/under-screened African-American women; and (2) examine whether women given a choice were more likely to choose and adhere to self-sampling for HPV testing. We conducted a group randomized trial among un/under-screened African-American women in the Mississippi Delta, with "town" as the unit of randomization (12 towns). Both interventions (i.e., 'Choice' versus 'SCS') were delivered by Community Health Workers (CHWs) through a door-to-door approach. ⋯ Women in the 'Choice' arm were significantly more likely to choose (76%) and adhere to self-sampling at home for HPV testing (48% adherence) compared to standard of care screening at the local health department (7.5% adherence). A theory-driven, CHW-led intervention can effectively promote cervical cancer screening among un/under-screened African-American women in a rural setting when women are provided with a choice between two screening modalities. Clinical Trials Registration: NCT03713710.