scholarly journals A pilot study to implement and sustain the US PHS clinical practice guidelines for treating tobacco use and dependence in free clinics, a safety net care setting for the uninsured

2019 ◽  
Vol 15 (1) ◽  
pp. 14-22
Author(s):  
Kristie L. Foley ◽  
Eunyoung Y Song ◽  
Jessica Pockey ◽  
Cindy Jones ◽  
John G. Spangler ◽  
...  
Keyword(s):  
Tobacco Use ◽  
Care Setting ◽  
Safety Net ◽  
Free Clinics ◽  
Community Partner ◽  
Cross Sectional Survey ◽  
Uninsured Patients ◽  
Cross Sectional ◽  
Community Partners ◽  
The Us

AbstractIntroductionUninsured patients are more likely than the general population to use tobacco and less likely to quit.AimsTo determine if the mode of delivering the PHS Guidelines influenced the effectiveness of smoking cessation among patients in a safety net setting.MethodsSix free clinics were randomly assigned to a training program delivered by an academic physician or community partner plus video support. A repeated cross-sectional survey of patients was conducted at three waves to assess effectiveness to promote quitting.ResultsTobacco use was triple the rate of the US population: 57.7% (Wave 1), 44.7% (Wave 2), and 48.9% (Wave 3). Patients were more likely to report receipt of at least one evidence-based strategy to promote quitting at Wave 2 (AOR = 2.33, 95% CI (1.18–4.58)). Patients treated in clinics trained by the community partner were significantly more likely to report receiving cessation assistance at Wave 2 (AOR 2.54, 95%CI 1.29–5.00) and the trend was similar, but not significant at Wave 3. Patients in the community partner-led arm were significantly less likely to report tobacco use at Wave 3 (AOR 0.59, 95% CI 0.35–0.99).ConclusionsImplementation of the PHS Guidelines in free clinics demonstrates preliminary efficacy, with delivery by community partners offering greater scalability.

scholarly journals Oral Hygiene and Tobacco Use Practices in Rural Villages of Jhapa District, Nepal

2020 ◽  
Vol 18 (1) ◽  
pp. 59-63
Author(s):  
Bishal Babu Basnet ◽  
Khem Raj Sharma
Keyword(s):  
Oral Health ◽  
Tobacco Use ◽  
Smokeless Tobacco ◽  
Oral Hygiene ◽  
Educational Status ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sociodemographic Variables ◽  
Dental Floss ◽  
Rural Villages

Background: Smoking and use of smokeless tobacco affect oral as well as general health. People are reluctant to achieve good oral health in lieu of the avoidance of deleterious habits. The objective of this study was to analyze two contrasting health behaviors; the oral hygiene practices against tobacco use in a sample from eastern Terai.Methods: This is questionnaire-based cross-sectional survey carried out in Jhapa district located in eastern Nepal. In this report, practice of toothbrushing, use of fluoridated toothpaste, frequency of using tobacco related products (paan, gutkha, chilim, cigarette, bidi, hukkah) was assessed. Association of health behavior to sociodemographic variables were tested with regression analysis at 95% confidence limits.Results: A total of 1178 respondents (response rate = 96.8%) completed the interview, among them 80.8% were males. Mean age was 52.21 years (SD = 15.943). Overall 72.6% used fluoridated toothpaste and toothbrush for cleaning teeth, 58.8% consumed tobacco related products. Interdental aids utilization was very less (1.2% using dental floss). Age was significantly related to both toothbrushing and tobacco-consuming. Educational status was related significantly to toothbrushing (p<0.05). Other sociodemographic variables (marital status, ethnicity, educational status) were not related to consumption of deleterious products (p>0.05).Conclusions: Our results showed that consumption of tobacco related products is moderately high in Terai village and oral health practice was found to be influenced by educational status. More such studies to identify status of oral health and impact of tobacco are recommended.Keywords: Oral health; smokeless tobacco; smoking; tobacco

Risk factors for foot ulcers—A cross sectional survey from a primary care setting in Brazil

2014 ◽  
Vol 8 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Maira Sayuri Sakay Bortoletto ◽  
Selma Maffei de Andrade ◽  
Tiemi Matsuo ◽  
Maria do Carmo Lourenço Haddad ◽  
Alberto Durán González ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Care Setting ◽  
Primary Care Setting ◽  
Foot Ulcers ◽  
Cross Sectional Survey ◽  
Cross Sectional

Distance to slaughter, markets and feed sources used by small-scale food animal operations in the United States

2015 ◽  
Vol 31 (1) ◽  
pp. 49-59 ◽  
Author(s):  
A.L. Beam ◽  
D.D. Thilmany ◽  
R.W. Pritchard ◽  
L.P. Garber ◽  
D.C. Van Metre ◽  
...  
Keyword(s):  
Animal Health ◽  
Direct Marketing ◽  
The United States ◽  
Small Scale ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Implications ◽  
Food Animal ◽  
The Us ◽  
Systematic Sample

AbstractDistances to common production and marketing supply chain destinations may vary, and this has economic and animal health implications for small-scale food animal operations. Proximity to these destinations can affect the economic viability and marketing decisions of small-scale operations and may represent significant barriers to sustainability. Data were collected using a cross-sectional survey conducted by the US Department of Agriculture's (USDA) National Animal Health Monitoring System in 2011 using a stratified systematic sample of 16,000 small-scale (gross annual farm sales between US$10,000 and 499,999) operations from all 50 states. A total of 7925 food-animal operations were asked about the farthest one-way distance (in miles) to slaughter facilities, destinations where they sold animals or products, and feed sources. Across all small-scale operations, 95% of operations reported the farthest distance animals or products were transported for sale was 241 km (150 miles) or less. For distance to slaughter facilities, 95% of operations reported the farthest distance was 145 km (90 miles) or less. For feed shipped by a supplier, 95% of operations reported the farthest distance was 322 km (200 miles) or less. The 95th percentile for distance increased as farm sales increased, indicating larger operations were more likely to travel long distances. The results of this study are an important benchmark for understanding the economic and animal health implications of long transportation distances for operations that are small and/or focused on direct marketing.

scholarly journals Multicenter Study of Human Papillomavirus and the Human Papillomavirus Vaccine: Knowledge and Attitudes among People of African Descent

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Elizabeth Blackman ◽  
Natalie Thurman ◽  
Darron Halliday ◽  
Raleigh Butler ◽  
Dorita Francis ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
African Descent ◽  
Vaccine Uptake ◽  
Human Papillomavirus Vaccine ◽  
Medical Provider ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
The Us ◽  
The Caribbean

Objective. To compare knowledge and attitudes of human papillomavirus (HPV) and the vaccine between different cultures of African descent.Methods. A cross-sectional survey of 555 African-Americans and Afro-Caribbeans residing in the US and the Bahamas (BHM) was conducted.Results. General knowledge about HPV and the HPV vaccine differed between the two countries significantly. Bahamian respondents were less likely to have higher numbers of correct knowledge answers when compared to Americans (Adjusted Odds Ratio [Adj. OR] 0.47, 95% Confidence Interval [CI] 0.30–0.75). Older age, regardless of location, was also associated with answering fewer questions correctly (Adj. OR 0.61, 95% CI 0.40–0.92). Attitudes related to HPV vaccination were similar between the US and BHM, but nearly 80% of BHM respondents felt that children should not be able to receive the vaccine without parental consent compared to 57% of American respondents.Conclusions. Grave lack of knowledge, safety and cost concerns, and influence of parental restrictions may negatively impact vaccine uptake among African-American and Afro-Caribbean persons. Interventions to increase the vaccine uptake in the Caribbean must include medical provider and parental involvement. Effective strategies for education and increasing vaccine uptake in BHM are crucial for decreasing cervical cancer burden in the Caribbean.

scholarly journals The assessment of food security in homeless individuals: a comparison of the Food Security Survey Module and the Household Food Insecurity Access Scale

2011 ◽  
Vol 14 (12) ◽  
pp. 2254-2259 ◽  
Author(s):  
Anna C Holland ◽  
Matthew C Kennedy ◽  
Stephen W Hwang
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Homeless Population ◽  
Household Food Insecurity ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Household Food ◽  
The Us ◽  
Food Insecurity Access

AbstractObjectiveTo compare the Household Food Insecurity Access Scale (HFIAS), the US Food Security Survey Module (US FSSM) and a modified version of the US FSSM in which references to buying food were changed to references to getting food, in terms of their classification of food security levels among homeless individuals, and to determine which of these instruments was most preferred by homeless individuals.DesignA cross-sectional survey.SettingRecruitment of participants took place at seven shelters and from three drop-in programmes that serve homeless individuals in Toronto, Canada.SubjectsFifty individuals who were ≥18 years of age, able to communicate in English and currently homeless.ResultsThe modified US FSSM assigned 20 % of participants to a lower ordinal food security category compared with the US FSSM, and only 8 % to a higher food security category. The HFIAS assigned 30 % of participants to a lower food security category compared with either the US FSSM or the modified US FSSM, and only 10–16 % of participants to a higher food security category. When asked to compare all three instruments, the majority of respondents (62 %) selected the HFIAS as the best instrument for people who are homeless.ConclusionsA majority of homeless individuals selected the HFIAS as the best food security instrument for people who are homeless. Our findings suggest that the HFIAS is a more appropriate instrument than the US FSSM for measuring food security in the homeless population.

Factors associated with nurses’ opinions and practices regarding information and consent

2013 ◽  
Vol 21 (3) ◽  
pp. 299-313 ◽  
Author(s):  
Francesca Ingravallo ◽  
Emma Gilmore ◽  
Luca Vignatelli ◽  
Ada Dormi ◽  
Grazia Carosielli ◽  
...  
Keyword(s):  
Care Setting ◽  
University Education ◽  
Professional Experience ◽  
Work Setting ◽  
Main Difficulty ◽  
Invasive Procedures ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
University Degree

This cross-sectional survey aimed to investigate nurses’ opinions and practices regarding information and consent in the context of a large Italian teaching hospital and to explore potential influences of gender, age, university education, length of professional experience, and care setting. A questionnaire was administered to 282 nurses from six different care settings (Emergency Room, Emergency Medicine, Surgery, Hematology–Oncology, Geriatrics, and Internal Medicine). Overall, 84% (n = 237) of nurses returned the questionnaire (men: 24%; mean age: 36.2 ± 8 years; university degree: 35%; mean length of professional experience: 12 ± 8.2 years). Most respondents regularly informed patients about medications and nursing procedures and asked for consent prior to invasive procedures, but some provided information to relatives instead of patients. Lack of time or opportunity was the main difficulty in informing patients. The work setting was the foremost factor significantly associated with participants’ opinions and practices. Further investigations are needed to confirm these findings in similar and other care settings.

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