Socioeconomic Status and Health Disparity in the United States

Abstract

Low socioeconomic status (SES) has been associated with high rates of many chronic diseases. This study was a cluster analysis of data from 9,830 adults in the 1994-96 Continuing Survey of Food Intakes by the Individuals (1994-96 CSFII) in order to characterize more fully the biologic and social factors that might be associated with chronic diseases. The study employed cluster analysis to define three SES groups (low, middle, and high) based on income, education, age, gender, and race. A significant increase was found in self-reported diabetes, hypertension, heart disease, obesity, and stroke across these groups, being highest in the lowest SES group. Results revealed that health disparity in the U.S. may be substantial, with some population groups bearing a disproportionate burden of chronic diseases.     

The relationship between faculty diversity and graduation rates in higher education

This study examines the relationship between faculty racial/ethnic diversity and graduation rates of undergraduate students, in particular those from underrepresented racial and ethnic minority populations. Using IPEDS data, the researchers calculated a Diversity Score for each institution. Findings suggest U.S. faculty diversity is lower than in the U.S. national population. Overall graduation rates for underrepresented minority students of all races/ethnicities are positively affected by increased diversity of their faculty.     

Dealing with diversity in internationalised higher education institutions

While the economic benefits created by international education export are well documented, few systematic and qualitative analysis studies have been conducted to examine how academic staff perceive the presence of international students in their institutions. Using interview data from 80 academic staff from different disciplines in one higher institution in Australia, this study examines whether the presence of international students has an impact on staff teaching practice. Some of the academic staff reported that they made no adjustments to their teaching. They treated all students as one student group. Other staff members said that there have been changes in their teaching in response to the presence of international students in their classroom. The paper discusses some of the underlying causes of these responses, and implications for the practice of international education. The discussion of the findings is informed by Bennett’s Developmental Model of Intercultural Sensitivity, which helps us understand how people respond to cultural differences.     

Using the wellness inventory to assess health and well-being in college students at the end of the semester

Abstract

Objective: The authors examined the end of semester outcomes (December, 2017) on the Wellness Inventory and demographics among college students taking a Physical Education (PED 101) course at a university in the southeast United States. Participants: College students were assessed at the end of the semester for health and well-being outcomes according to the Wellness Inventory. Results: Results showed that there were few gender or age differences for the dimensions of well-being. However, there were significant differences for most of the dimensions of health and well-being between frequent exercisers and infrequent exercisers. There were also significant differences between students who reported being in excellent health versus students who reported being in fair or poor health. Conclusions: Consistent exercise throughout the week may play a role in overall health and well-being. The results from this study warrant further investigation into the relationship between the exercise frequency and the dimensions of health and well-being.     

Performance evaluation and enrollment quota allocation for higher education institutions in China

Higher education has always played an important role in promoting economic and social progress. With the rapid development of economy, China's higher education has entered a new stage and made a series of extraordinary achievements. However, the uneven development of higher education has become a critical factor restricting China’s overall progress. In this paper, we propose Data Envelopment Analysis (DEA) approach to evaluate the performance of higher education resource utilization from the perspective of provincial level. In addition, we assess productivity changes of each province with the help of Malmquist Productivity Index (MPI). Further, by considering the enrollment quota as a special kind of resource, we construct a more reasonable allocation scheme, while keeping the total number of newly added enrollment quota unchanged in the next year. Finally, according to the results, some suggestions are put forward to help the Chinese government better solve the unbalanced development of higher education among provinces.     

Hepatitis B virus seroconversion rates among health sciences students in the southeastern United States

ABSTRACT

Objective: To investigate the hepatitis B virus (HBV) seroconversion rate among health sciences students. Participants: The study included pharmacy, doctor of nursing, and medical students over 18 years of age enrolled at the University of South Carolina between 2007 and 2011. Methods: The primary end point was HBV seroconversion rates among students at the initial reporting period. Seroconversion was defined as hepatitis B surface antibody (anti-HBs) level greater than or equal to 10 mIU/mL. Multivariate regression analysis was used to determine predictive factors of seroconversion. Results: Of 777 records, data were available for 709 students. An 83.9% seroconversion rate was observed after a mean of 10 years between vaccine receipt and anti-HBs evaluation. Students with incomplete HBV vaccine series and longer time between initial series and evaluation were less likely to exhibit antibody response. Conclusions: These data highlight the importance of assessment and documentation of HBV vaccination series among health sciences students prior to direct patient care activities.     

Emergency Contraceptive Pill (ECP) Use and Experiences at College Health Centers in the Mid-Atlantic United States: Changes Since ECP Went Over-the-Counter

Abstract

Objective: To investigate the availability of emergency contraceptive pills (ECPs) at college health centers since ECP went over-the-counter (OTC) in 2006. Related issues, such as distribution procedure, existence of a written protocol, personnel involved, contraindications, follow-up procedures, methods of advertising, and staff attitudes, were examined. Participants: The sample included 135 college and university health centers in the mid-Atlantic region of the United States. Methods: Data were collected via telephone survey with the use of a 42-item survey instrument. Results: Forty-three percent of schools reported distributing ECPs, for an average of 10.6 years. Major changes in ECP distribution and usage since ECP went OTC related primarily to protocol in ECP distribution, advertising for ECP services, and ECP accessibility to university students. Conclusions: College health centers are responding to the OTC status of ECP in a number of ways, primarily relating to their distribution procedures and advertising techniques.     

Vaginal Douching Among University Women in the Southeastern United States

Objective: The authors assessed the knowledge, beliefs about, and practices of vaginal douching among women attending 2 universities in the southeastern United States. Participants: There were 416 participants in this study; 46.9% were black and 44.5% were white. Methods: The authors administered a 30-item questionnaire to women enrolled in health-related and social science courses at 2 southeastern universities. Results: Approximately 38% of participants reported vaginal douching, mostly for hygienic reasons (70.7%). Most women first learned about douching from their mother. Douching was more common and more frequent among black women (48%) than among white women (27%). Age of first douche correlated positively with age of first sexual intercourse and age of first period. Conclusion: Women who had been informed not to douche by a healthcare professional were less likely to have douched within the past 6 months than were women who were not given this information. Misconceptions about douching are common and should be addressed by healthcare professionals.     

Prevention efforts underlying decreases in binge drinking at institutions of higher education

Analyses of 94 Fund for the Improvement of Post-Secondary Education (FIPSE)-sponsored drug-prevention programs and their outcomes used the Core Survey to identify 34 institutions where college students' binge drinking increased (M = 5.44%) and 60 institutions where it decreased (M = -4.59%) during 2 years of program operation. The authors used an inductively derived taxonomy of prevention program elements, student variables, student substance use, use-related variables, and institutional variables to compare the 2 groups of institutions. Only prevention program elements discriminated between groups. Factor analysis of discriminating elements identified 8 prevention factors that improved base-rate prediction of institutional decrease in binge drinking by 28.1%. Factor synthesis yielded a 3-construct binge-drinking prevention model based on student participation and involvement strategies, educational and informational processes, and campus regulatory and physical change efforts. This model improved base-rate prediction of decreased binge drinking by 33.2%.     

Importance of tobacco cessation services at higher education public institutions in Texas

While rates of tobacco use on university campuses rose over the past decade, little is known about what institutions are doing to address this rising concern. Health center directors at public institutions of higher education across the state of Texas were surveyed (n = 42) regarding the perceived importance of smoking cessation, prevalence of interventions on their campuses, and perceived success of intervening efforts. While most health center directors regarded smoking cessation as important, over half of the directors indicated that their sites did not offer tobacco cessation services of any kind. Furthermore, of those offering smoking cessation, most believed that their smoking cessation programs were only somewhat or not at all effective. Findings revealed that there is a noticeable gap between perceived importance and actual implementation of smoking cessation programs within university-based health centers. Recommendations include implementing innovative cessation methods, such as those that are Web-based and highly accessible to students.     

Concepts of choice and motivation in the discourse on the globalization of higher education

This paper reviews the findings of a participatory research project conducted with Nepali high school and university students. It examines the feelings and motivations of those students who leave the country in pursuit of higher education, and those who intentionally, or due to circumstances, stay in Nepal. An analysis of the latter is particularly important to the shifting discourse on higher education to the global South. This study promotes the inclusion of those students, and institutions, of higher education in developing nations who have been excluded from the discourse on globalization.     

Unhealthy behavior clustering and mental health status in United States college students

Abstract

Objective: Examine the association of health risk behavior clusters with mental health status among US college students. Participants: 105,781?US college students who completed the Spring 2011 National College Health Assessment. Methods: We utilized the latent class analysis to determine clustering of health risk behaviors (alcohol binge drinking, cigarette/marijuana use, insufficient physical activity, and fruit/vegetable consumption), and chi-square and ANOVA analyses to examine associations between the class membership and mental health (mental health diagnoses, psychological symptoms, and self-injurious thoughts/behaviors). Results: Three classes were identified with differing rates of binge drinking, substance use, and insufficient physical activity but similar rates of insufficient fruit/vegetable consumption. Students classified with the highest rates of binge drinking and cigarette/marijuana use had the highest rates across all mental health variables compared to other classes. Conclusions: Students who reported engaging in multiple health risk behaviors, especially high alcohol and cigarette/marijuana use, were also more likely to report poorer mental health.     

Social work doctoral education in the United States: examining the past,preparing for the future

The relevance of doctoral education is being questioned across a wide spectrum of disciplines, and social work is no exception. An examination of the history of social work education in the United States provides a backdrop to the current challenges in doctoral education in the field. The historical role of research and teaching in social work education, the structure of doctoral social work education in the United States including the Ph.D. vs. the DSW, and the growth of doctoral programs are all examined. Current issues explored include: the interdisciplinary nature of practice; increased institutional focus on funded research; support for underrepresented doctoral students; and the need for doctoral students to be trained in pedagogy. Suggestions on how to address these issues are provided in order to enhance social work’s mission of teaching, research and service.     

Promotion of Sexual Health in the United States

Abstract

The United States has been experiencing a severe sexual health crisis in the last decade. This paper reviews these sexual health challenges and discusses a major initiative and a “Call to Action” that was launched by the U.S. Surgeon General in 2001 to promote sexual health. This led to several initiatives to overcome obstacles that were preventing the development of a sound, scientifically based public health policy to promote sexual health. This paper specifically outlines the components of the Sexual Health Program housed at the Morehouse School of Medicine's National Center for Primary Care, including the National Advisory Council and the National Consensus Process.     

The impact of a health education intervention on health behaviors and mental health among Chinese college students

Abstract

Objective: This study aimed to assess the impact of a health education intervention on health behaviors, self-efficacy, and well-being among college students. Participants: Between March and October 2016, a total of 532 undergraduates participated. Methods: A theory-based intervention was conducted at Wuhan University, China. Participants were assigned to a control or intervention group (IG). The IG attended a 7-week health education class on knowledge, attitude, and practice of health behaviors. Results: Participants in the IG, compared with those in the control group (CG), reported significantly increased prevalence of high physical activity and regular breakfast, as well as lower screen time, sugar beverage intake, and Internet addiction tendency. Furthermore, intervention students improved in health behavior scores (p?=?0.040), compared with the CG, while the changes in subjective well-being and self-efficacy remained similar between the two groups. Conclusions: Health education may promote health behaviors among Chinese college students.     

Asian images portrayed in the websites of US higher education institutions

Using a purposive sample of 265 US colleges and universities, the analysis identified 378 Asian models from 8,319 human models. Results showed Asian students to be under-represented on the web compared to their proportion in the student body, whereas African Americans were proportionately represented. Instead of stereotypical portrayals, Asians appeared neutral in terms of power positions.     

Responding to student mental health concerns in social work education: reflective questions for social work educators

In this paper, we explore ways in which social work educators might respond to students who report that mental health issues underlie their difficulty in meeting core competencies, or otherwise use the language of mental health to describe their struggles to succeed in social work programs. We discuss various trends in policy responses in Canada, the US, the UK, and Ireland. While there are general policy trends, it is clear that responding to these kinds of issues requires the development of highly flexible and situated policy processes that can respond to student realities, concern for students’ rights and privacy, and an awareness of potential discrimination against students. These processes also need to meet the specificities of practicums, particular institutional policies, the mandates of relevant professional bodies, and the precise local legislative framework that shapes these situations. Given these varying contexts, in this conceptual paper, we used a framework on disability that is informed by critical theory to engage existing school policies and propose a set of reflective questions that can guide schools of social work to create an overall responsive environment. These reflective questions are designed to help social work educators balance the rights and needs of students with the professional and institutional demands that students meet core competencies in their education.     

Economic Status of Older Asians in the United States

Data from the 5-percent Census 2000 Public Use Microdata were utilized to examine the economic status of six Asian-only groups in the United States aged 65 and older. Japanese Americans’ economic status emulated that of older Whites; whereas, older Korean and Vietnamese economic status more closely resembled that of older Blacks. Regression results indicated that education, household size, and duration of immigration were significantly and positively related to household income for most of the Asian-only groups, supporting the theory that human capital, structural barriers, and acculturation all play a role in determination of household income for older Asian Americans.

Dimensions of Job Quality,Mechanisms, and Subjective Well‐Being in the United States

How does job quality predict subjective well‐being in the United States? Prior research suggests that various job quality dimensions such as job security and individual task discretion affect subjective well‐being, but the theoretical mechanisms are implied rather than tested and aspects of job quality are rarely tested together. I use structural equation modeling and General Social Survey data to assess the impact of five job quality dimensions—individual task discretion, monetary compensation, job security, low work intensity, and safe work conditions—on subjective well‐being. Then, I show that job quality influences subjective well‐being by improving social life, altering class identification, affecting physical health, and increasing amounts of leisure time. Finally, while I find that job quality dimensions do have statistically significant effects on subjective well‐being, the way in which job quality affects subjective well‐being differs by job dimension. In other words, job quality has a statistically significant impact on subjective well‐being, but different job quality domains are connected to subjective well‐being in different ways.