Influenza-Like Illness Among University Students: Symptom Severity and Duration Due to Influenza Virus Infection Compared to Other Etiologies

Abstract

Objective: University students with influenza-like illness (ILI) were assessed to determine whether symptom severity, duration, or missed days of school or work varied according to etiology. Participants: Sixty persons presenting to a university health clinic with ILI symptoms during 3 consecutive influenza seasons completed baseline survey and viral testing; 51 (85%) completed follow-up. Methods: Influenza viral culture and polymerase chain reaction and respiratory virus immunofluorescence assay testing were performed. Information collected at baseline and follow-up included symptom occurrence, severity, duration, and numbers of days of work and school missed. Results: Influenza virus was confirmed in 63% of participants. Influenza-positive individuals were no more likely to report any symptom or miss more days of school or work. Self-reported severity and durations of symptoms were similar between groups. Conclusions: Students with influenza-associated ILI were similar to those with noninfluenza ILI with respect to severity, duration, and numbers of days of school and work missed.     

School contextual factors and race differences in adolescent sexual behaviors

Abstract

Although there exist a voluminous number of studies examining predictors of adolescent sexual behavior, few studies have explored the role of the school social context in influencing teen sexual activity generally and specifically, the role that school contextual factors play in helping understand race differences in risky sexual behaviors. Using data from a nationally representative school-based survey of American youth in Grades 7–12, we find support for our core hypothesis that school contextual factors are associated with risky sexual behavior, number of sexual partners, and ever having sex, albeit it nuanced ways and that such factors cannot account for much of the race gap in adolescent sexual behavior. We interpret these findings to be more supportive of a social contagion model (versus a school climate model).     

DSM-5 substance use disorders among college-age young adults in the United States: Prevalence,remission and treatment

Abstract

Objective: To determine the prevalence, remission, and treatment associated with DSM-5 substance use disorders (SUDs) among young adults based on college attendance. Participants: The population-based sample included 2,057 young adults aged 19–23 in college/school and 1,213 not currently attending college/school who participated from April 2012 through June 2013. Methods: Face-to-face interviews were conducted as part of a cross-sectional national survey. Results: The prevalence of any past-year DSM-5 SUD was 39.6% among young adults in college and 44.5% among those not attending college. Past-year tobacco use disorder and multiple DSM-5 SUDs were more prevalent among those not attending college. Among those with prior-to-past-year SUDs, abstinent remission was low among college (1.0%) and noncollege (1.9%) young adults. Conclusions: Approximately two in five U.S. college students had at least one past-year DSM-5 SUD. Sustained abstinent remission from SUDs is extremely rare (1–2%) and the majority of those with SUDs do not receive treatment.     

Variability in measures of health and health behavior among emerging adults 1 year after high school according to college status

Objective: To examine changes in health behaviors among US emerging adults 1 year after high school. Participants: The national sample of participants (N = 1,927), including those attending 4-year college/university (n = 884), 2-year colleges/technical schools (n = 588), and no college (n = 455), participated in annual spring surveys 2013–2014. Methods: Health behaviors were assessed the last year of high school and first year of college; differences by college status controlling for previous-year values were estimated using regression analyses. Results: Relative to 4-year college attendees, those attending technical school/community college were less likely to binge drink (odds ratio [OR] = 0.57, confidence interval [CI] = 0.38–0.86) but more likely to speed (OR = 1.26, CI = 1.0–2.84), consume sodas (OR = 1.57, CI = 1.0–2.47), and report lower family satisfaction (p < .01), with marginally more physical and depressive symptoms. College nonattendees reported more DWI (driving while intoxicated; OR = 1.60, CI = 1.05–2.47), soda drinking (OR = 2.51, CI = 1.76–3.59), oversleeping (OR = 4.78, CI = 3.65–8.63), and less family satisfaction (p < .04). Conclusions: Health risk behaviors among emerging adults varied by college status.     

Caregiver Engagement in Religious Urban Elementary Schools

ABSTRACT

This article examines how school leaders in a religious school serving traditionally marginalized students improve their school communities through constructing space for caregiver engagement. This study suggests how counter-narratives of critical care can inform social justice leadership in schools. The results, from a case study of a Catholic urban elementary school that uses innovative and effective strategies to engage caregivers, show that educational leaders create spaces for engaging caregivers by developing relationships with them and systematically reducing barriers to their participation in the school community. Analyzing these results through the critical care theory lens illuminates how these spaces value diverse forms of social and cultural capital are strengthened by alliances with nontraditional support structures. This research contributes to our evolving understanding of caregiver engagement by presenting a textured analysis of a case study as viewed through a critical care conceptual framework.     

Victimization at school and attitides toward violence among early adolescents (1)

Previous research and theory on the impact of criminal victimization upon attitudes toward defensive violence are inconsistent, both within the school context and in society at large. While theory suggests that victims may become more positive toward defensive violence because of their victimization experiences, the data are inconclusive. One flaw in prior research is its cross‐sectional nature. This research utilizes a longitudinal design in which change in attitudes toward violence from 6th to 7th grade is compared to victims and non‐victims of robbery and theft at school. There is no difference in the pattern of change for victims and non‐victims, although both groups become more approving of interpersonal violence as they move from the 6th to the 7th grades.     

Church and Sect or Church and Ascetic Protestantism: Ernst Troeltsch's Problem

Abstract

For approximately one decade after the 1954 Brown v. Topeka decision, there were few governmental pressures censuring school systems which maintained racial segregation. The Civil Rights Act of 1964 and a variety of encompassing federal court decisions in the late 1960s challenged and overturned the dual school system in the South and many segregationist practices in the North.

Quantitative data concerning the within-district racial segregation of teachers and students in 143 school systems are examined. The governmental activities integrated teaching staffs and greatly reduced the segregation of black students from white. Changes were more substantial within the South and, by 1972, racial segregation was less within southern school systems than those in other regions.

Because of the residential segregation of the races, schools in many central cities have a different racial composition than those in neighboring suburbs. If the only integration is within a specific school district, present demographic trends may produce a resegregation of students in many metropolises.     

Suicide risk among urban children

ObjectiveThis study examines how socio-demographic and clinical characteristics influence suicide risk among a large, urban sample of children (ages 12 and younger) receiving Psychiatric Emergency Services (PES).MethodsBivariate and binomial logistic regression analyses were employed to analyze data for a sample of 951 urban children presenting for pediatric PES.ResultsApproximately 17.2% of patients presented had a history of suicidal thought and behavior. Despite the larger number of black children presenting for PES, we found no significant difference in suicide risk across ethnic group, though the prevalence rates were increasingly higher in Whites, Latinos, and Black respectively. Of those presenting with suicidality: 65.1% were diagnosed with a behavioral disorder, 26.3% were diagnosed with a mood disorder, 3.8% with a psychotic disorder, and 4.8% with another disorder. About one in ten suicidal cases admitted to prior child abuse. Furthermore, patients admitted to the hospital for suicidality were more likely to be female, to have a mood disorder, and to be appropriately discharged to an inpatient setting following initial hospital care.ConclusionsThe study points to the importance of screening publically insured (Medicaid) urban children experiencing psychological distress regardless of ethnicity and age for suicide risk. Clinicians should consider these findings when working with children in psychiatric crisis.     

Creating Culturally Grounded Videos for Substance Abuse Prevention

ABSTRACT

This article describes and critiques the pilot phase of a project in which an ethnically diverse group of students from a large southwestern urban high school created culturally based substance abuse prevention videos for urban middle school students. The rationale evolved from research that suggested that a peer-created, culturally-specific approach to drug abuse prevention would be more effective than would programming created by adults operating from a “so-called” culturally-neutral” perspective. The dual perspective of this article includes both the field experiment per se and the data collected, using a case study perspective. Overarching themes of culture and power are discussed, as are the elements of age and gender. Implications extending beyond the pilot offer insights for researchers and practitioners.     

Increased Family Involvement in School Predicts Improved Child–Teacher Relationships and Feelings About School for Low-Income Children

ABSTRACT

Family involvement in school, children's relationships with their teachers, and children's feelings about school were examined longitudinally from kindergarten through fifth grade for an ethnically diverse, low-income sample (N = 329). Within-families analyses indicated that changes in family involvement in school were directly associated with changes in children's relationships with their teachers and indirectly associated with changes in children's feelings about school, with student–teacher relationships mediating this latter association. Increases in family involvement in school predicted improvements in student–teacher relationships, and, in turn, these improvements in student–teacher relationships predicted improvements in children's perceptions of competency in literacy and mathematics as well as improvements in children's attitudes toward school, more generally. These results are consistent with systems theories of child development and help answer why family educational involvement matters for low-income children. This research was supported by a grant to the authors from the National Institute of Child Health and Human Development (5R03HD052858-02). Principal investigators of the School Transitions Study were Deborah Stipek, Heather Weiss, Penny Hauser-Cram, Walter Secada, and Jennifer Greene, who were supported in part by grants from the John D. and Catherine T. MacArthur Foundation, The Foundation for Child Development, and the William T. Grant Foundation.     

Varicella immunization requirements for US colleges: 2014–2015 academic year

ABSTRACT

Objective: To obtain information on varicella prematriculation requirements in US colleges for undergraduate students during the 2014–2015 academic year. Participants: Health care professionals and member schools of the American College Health Association (ACHA). Methods: An electronic survey was sent to ACHA members regarding school characteristics and whether schools had policies in place requiring that students show proof of 2 doses of varicella vaccination for school attendance. Results: Only 27% (101/370) of schools had a varicella prematriculation requirement for undergraduate students. Only 68% of schools always enforced this requirement. Private schools, 4-year schools, northeastern schools, those with <5,000 students, and schools located in a state with a 2-dose varicella vaccine mandate were significantly more likely to have a varicella prematriculation requirement. Conclusions: A small proportion of US colleges have a varicella prematriculation requirement for varicella immunity. College vaccination requirements are an important tool for controlling varicella in these settings.     

How Parents and Teachers View Their School Communities

ABSTRACT

This study examines the perceptions of more than 11,000 parents and 1,500 teachers about their schools, themselves, and their relationships with each other within their school communities. It provides insights into the health of our public schools, their reservoirs of social capital, and the context they provide for student learning. The nature and strength of relationships within school communities is assayed through examination of parents' and teachers' perceptions about their roles, the roles of students, school–home communication, the common experience and climate of the school, and their face-to-face association with one another. Teachers' perceptions are compared with those of parents, and the perceptions of White, non-Hispanic, Black, non-Hispanic, and Hispanic parents are compared with each other.     

Epidemic Mycoplasma Pneumoniae Infection at a College for the Deaf

Abstract

An outbreak of Mycoplasma pneumoniae infection affected up to 110 students and employees at a college for deaf students (Gallaudet). After the introduction of M. pneumoniae onto the campus in late August 1977, the disease spread slowly among the students; the last documented case occurred in mid-December. A thorough review of chart records, mail surveys, a dormitory survey, and a three-month surveillance of the student health service provided an intensive look at the epidemiology and clinical spectrum of a mild to moderately severe disease in the epidemic setting. A matched-pair analysis demonstrated a more serious clinical illness among patients with M. pneumoniae than other patients presenting with febrile respiratory illness. Appropriate antimicrobial therapy appeared to suppress a high antibody response to M. pnuemoniae. A follow-up serosurvey one year after this outbreak demonstrated diagnostic titers to M. pneumoniae in 11 of 30 patients with confirmed infection in the original epidemic.     

Tobacco,Marijuana, and Alcohol Use in University Students: A Cluster Analysis

Abstract

Objective: Segmentation of populations may facilitate development of targeted substance abuse prevention programs. The authors aimed to partition a national sample of university students according to profiles based on substance use. Participants: The authors used 2008–2009 data from the National College Health Assessment from the American College Health Association. The sample consisted of 111,245 individuals from 158 institutions. Methods: The sample was partitioned using cluster analysis according to current substance use behaviors. The association of cluster membership with individual and institutional characteristics was examined. Results: Cluster analysis yielded 6 distinct clusters. Three individual factors—gender, year in school, and fraternity/sorority membership—were the most strongly associated with cluster membership. Conclusions: In a large sample of university students, the authors were able to identify 6 distinct patterns of substance abuse. It may be valuable to target specific populations of college-aged substance users based on individual factors. However, comprehensive intervention will require a multifaceted approach.     

Effects of urbanism,race, and class on happiness and physical health

The joint effects of urbanism, race, and socioeconomic status on self reported health and happiness are studied. Relationships of “neighborhood fear” and unemployment with health and happiness are also studied within different urban/rural race‐class categories. It is hypothesized that 1) lower socioeconomic status (SES) blacks residing in central cities will report the poorest health and lowest happiness and 2) “neighborhood fear” and unemployment will be most strongly related to health and happiness among central city lower SES blacks. The sample is pooled data from the 1972–1983 National Opinion Research Center (NORC) General Social Surveys. Findings indicate that urbanism has a modest negative relationship to happiness, but low SES urban blacks are not uniquely low in happiness. Contrary to the central city hypothesis, neighborhood fear is most strongly related to health among suburban blacks with less than high school or high school graduation attainment. A relative deprivation explanation is advanced. Unemployment negatively relates to the happiness of blacks and whites in a variety of urban‐SES‐race categories.     

The Prevalence of Sexual Abuse by K-12 School Personnel in Canada, 1997–2017

ABSTRACT

Studies surrounding the sexual abuse of children by school personnel in Canadian contexts are infrequent and often limited in their scope. The present study addresses this drawback with a contribution of data gathered from disciplinary decisions of educator misconduct, media reports, and published case law concerning child/student sexual abuse cases (between 1997 and 2017) that involved any individual employed (or formerly employed) in a Canadian K-12 school. The study revealed a number of interesting points about the larger student victim and offender demographic patterns and characteristics across Canada. The study found 750 cases involving a minimum of 1,272 students and 714 offenders, 87% of which were male. Moreover, 86% of all offenders were certified teachers, and offenders employed grooming as the main tactic in 70% of the cases. Of the child/student victims, 75% were female, 55% were sexually abused on school property, and more than two-thirds of all victims were in high school at the time the offense was committed. The study also found that excluding Ontario and B.C., the media was the sole source of information for 50–86% of all cases depending on the province/territory. Finally, almost three-quarters of offenders from the study were charged with at least one criminal offense, and of the cases that proceeded to trial, 70% resulted in findings of guilt.     

Implementing an Early Intervention Program for Residential Students Who Present With Suicide Risk: A Case Study

Abstract

Objective: This case study examined the effects of an early intervention program designed to respond to residential college students demonstrating risk for suicide. Participants: Participants were 108 undergraduates at a large northeastern public university referred to an early intervention program subsequent to presenting with risk factors for suicide between Fall 2004 and Spring 2011. Methods: Data were collected from archival records to examine quality of early intervention services, student retention, and grade point average (GPA) during the semesters prior to, during, and subsequent to the referral incident. Results: Program implementation was timely and responsive to student needs; students successfully completing the early intervention program remained in school and demonstrated small but significant rebounds in GPA the semester subsequent to the incident. Conclusions: There are benefits associated with the implementation of early intervention programs designed to respond to students manifesting risk for suicide, such as connecting the student to vital services and support networks.     

Active transportation to support diabetes prevention: Expanding school health promotion programming in an Indigenous community

BackgroundSchool-based physical activity (PA) interventions, including school active transportation (AT), provide opportunities to increase daily PA levels, improves fitness, and reduces risk of diseases, such as type 2 diabetes. Based on a community-identified need, the Kahnawake Schools Diabetes Prevention Project, within an Indigenous community, undertook school travel planning to contribute to PA programming for two elementary schools.MethodsUsing community-based participatory research, the Active & Safe Routes to School’s School Travel Planning (STP) process was undertaken in two schools with an STP-Committee comprised of community stakeholders and researchers. STP activities were adapted for local context including: school profile form, family survey, in-class travel survey, pedestrian-traffic observations, walkability checklist, and student mapping.ResultsSTP data were jointly collected, analyzed and interpreted by researchers and community. Traffic-pedestrian observations, walkability and parent surveys identified key pedestrian-traffic locations, helped develop safe/direct routes, and traffic calming strategies. In-class travel and mapping surveys identified a need and student desire to increase school AT. The STP-Committee translated findings into STP-action plans for two schools, which were implemented in 2014–2015 school year.ConclusionsCombining CBPR with STP merges community and researcher expertise. This project offered evidence-informed practice for active living promotions. Experience and findings could benefit Indigenous and non-Indigenous communities.     

Technology and School Social Work Services: Introducing Technology in an Alternative School

SUMMARY

The public school system, one of the largest human service institutions in our nation, is continuously engaged in a struggle to balance the needs of a growing and diverse population with continuing threats of budget cuts. Under these conditions, it becomes even more critical that school social workers understand and appreciate the role of technology in delivering and evaluating services. To assess the effectiveness of school social work services, evaluation will have to be planned for, and systems of data collection and processing will have to be conducted on an ongoing basis.

This paper outlines the process whereby school social workers in a local school district proceeded to introduce technology into their service delivery regimen. Secondly, the paper shows how such technology was, and may be, used to evaluate the services provided by school social workers in an alternative school.