Cigarette smoking and cessation among trade or technical school students in Texas

Although students enrolled in trade or technical colleges are at an elevated risk for tobacco use, virtually no information exists regarding their smoking behaviors. OBJECTIVE AND PARTICIPANTS: In the present study, the authors examined (1) the prevalence of smoking and quitting among 617 students in 2 trade or technical colleges in East Texas and (2) on-campus media exposure to antitobacco messages. METHODS: Students voluntary completed the 42-item Texas Trade and Technical School Tobacco Survey during a required introductory-level class. RESULTS: Of the participating students, 34% reported past-30-day smoking (current smoking). Of current smokers, 74% reported a previous quit attempt and 64% wanted to quit before graduation. Although most current smokers expressed a desire to quit smoking, the antitobacco message they were least likely to see on campus was that regarding how to quit. Current smokers cited their own health as the most likely reason to quit smoking, and most reported wanting to quit on their own, without the use of resources. However, of the 9 listed resources, students were most likely to report the possible use of medication. CONCLUSIONS: Given that most smoking students desire to quit smoking--and that they are enrolled in trade or technical schools for an extended period of time--additional research should examine how successful interventions can be delivered at the trade or technical school itself.     

Cigarette Smoking and Cessation Among Trade or Technical School Students in Texas

Although students enrolled in trade or technical colleges are at an elevated risk for tobacco use, virtually no information exists regarding their smoking behaviors. Objective and Participants: In the present study, the authors examined (1) the prevalence of smoking and quitting among 617 students in 2 trade or technical colleges in East Texas and (2) on-campus media exposure to antitobacco messages. Methods: Students voluntary completed the 42-item Texas Trade and Technical School Tobacco Survey during a required introductory-level class. Results: Of the participating students, 34% reported past-30-day smoking (current smoking). Of current smokers, 74% reported a previous quit attempt and 64% wanted to quit before graduation. Although most current smokers expressed a desire to quit smoking, the antitobacco message they were least likely to see on campus was that regarding how to quit. Current smokers cited their own health as the most likely reason to quit smoking, and most reported wanting to quit on their own, without the use of resources. However, of the 9 listed resources, students were most likely to report the possible use of medication. Conclusions: Given that most smoking students desire to quit smoking—and that they are enrolled in trade or technical schools for an extended period of time—additional research should examine how successful interventions can be delivered at the trade or technical school itself.     

The Social Networks of Leaders in More and Less Viable Rural Communities1

Abstract The relationship between the social networks of leaders and community viability is examined in a comparative study of leaders (N = 75) in five rural communities (population range, 1,000 to 2,500). The analysis looks at leaders' connections to organizations outside of their communities and at different kinds of linkages between leaders within their respective communities. Leaders in more and less viable communities do not differ much in characteristics such as age, education, and occupations, but the presence of women in leadership positions is associated with community viability. In addition, there is some support for the expectation that leaders in more viable communities are more likely to have formal linkages to statewide and national networks. The most important finding, however, is that the way in which leaders relate to each other in instrumental tasks within their respective communities is associated with community viability.     

A national evaluation of community-based youth cessation programs: design and implementation

Although widely available, little is known about the effectiveness of youth cessation treatments delivered in real-world settings. The authors recruited a nonprobability sample of 41 community-based group-format programs that treated at least 15 youth per year and included evidence-based treatment components. Data collection included longitudinal surveys of youth participants (n = 878); posttreatment surveys of program leaders (n = 77); and one-time surveys of organizational leaders (n = 64)and community leaders in education, health, and juvenile justice (n = 94). Information about smoking-related ordinances was collected at the state and local levels. The framework, evaluation design, and implementation strategies described in this article provide a template for large-scale real-world program evaluations.     

The Social Networks of Leaders in More or Less Viable Communities Six Years Later: A Research Note1

Abstract Using 1995 data, this study re-examines the social networks of leaders in five more and less viable rural communities in Missouri which were originally studied in 1989 (O'Brien et al. 1991; O'Brien and Hassinger 1992). In the six year period between the 1989 and 1995 surveys, four of the five communities were impacted by major events, including the introduction of corporate hog production in two places and flooding in two others. However, despite these events, there is a high degree of continuity in the relative viability scores of the five places in the two surveys. Leaders in more viable places continue to work with a larger number of fellow leaders and to be more involved in community development organizations than their counterparts in less viable places. These findings show the importance of social capital for rural community viability.     

The role of consumer and business sentiment in forecasting telecommunications traffic

The objective of this study is to investigate the relevance of consumer and business sentiment surveys in forecasting international telecommunications traffic. The components of telecommunications data used in the study relate to total telephone traffic outgoing from Australia and its social and business telephone sub-categories. Three sentiment surveys are considered: one consumer survey conducted by the University of Melbourne, and two business surveys, each conducted by a business association and major bank. The above data series are available on a quarterly basis from the first quarter of 1973. The approach employed consists of the application of transfer function modelling techniques to the traffic and various indexes measuring consumer and business sentiment. A major finding of this study is that sentiment series are correlated with international telephone traffic, and that in all but one case, the relationship can be modelled by some form of transfer function. The forecasts of the estimated models satisfactorily incorporate directional swings in the traffic.     

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.     

Tobacco Control and Smoking Cessation Efforts in an Inner-City African American Community

This paper describes the conceptual framework that guided the development and implementation of a large-scale, community-based health initiative to lower the prevalence of smoking in an urban African American community. This project developed culturally-sensitive approaches to reducing smoking in the community and to promoting tobacco control efforts developed and implemented by community members. A randomized clinical-trial methodology was used to test the efficacy of the culturally-sensitivey community-developed smoking cessation interventions in lowering smoking rates as compared with a self-help approach. Two theoretical models guided the intervention strategies: a macro-level model applicable to the community as a whole, and a psychological process model applicable to individuals. The community model was based on community systems theory and incorporated the Readiness for Change Model which was applied in both the individual and organizational models. In addition, culturally-sensitive data collection methods were developed to improve the reliability and validity of project data, especially in determining the smoking prevalence rates and smoking behaviors of hard-to-reach, inner-city African Americans. Since the health of individuals is related to the health of their communities, smoking cessation and tobacco control activities that are integrated into the framework of the community (Le., churches, city-council, housing developments, community organizations), and incorporate culturally-relevant and specific interventions can be effective methods for achieving behavioral and societal change.     

Tobacco control and smoking cessation efforts in an inner-city African American community

This paper describes the conceptual framework that guided the development and implementation of a large-scale, community-based health initiative to lower the prevalence of smoking in an urban African American community. This project developed culturally-sensitive approaches to reducing smoking in the community and to promoting tobacco control efforts developed and implemented by community members. A randomized clinical-trial methodology was used to test the efficacy of the culturally-sensitive, community-developed smoking cessation interventions in lowering smoking rates as compared with a self-help approach. Two theoretical models guided the intervention strategies: a macro-level model applicable to the community as a whole, and a psychological process model applicable to individuals. The community model was based on community systems theory and incorporated the Readiness for Change Model, which was applied in both the individual and organizational models. In addition, culturally-sensitive data collection methods were developed to improve the reliability and validity of project data, especially in determining the smoking prevalence rates and smoking behaviors of hard-to-reach, inner-city African Americans. Since the health of individuals is related to the health of their communities, smoking cessation and tobacco control activities that are integrated into the framework of the community (i.e., churches, city-council, housing developments, community organizations), and incorporate culturally-relevant and specific interventions can be effective methods for achieving behavioral and societal change.     

The Influence of Tobacco Countermarketing Ads on College Students’ Knowledge,Attitudes, and Beliefs

Abstract

Objective: To determine which antitobacco messages were perceived effective in changing college students’ knowledge, attitudes, and beliefs about tobacco use. Participants: College students (n = 1,020) were surveyed before and after viewing 4 30-second antitobacco advertisements in 1 of 3 theme categories—social norms, health consequences, or tobacco industry manipulation. Methods: An independent samples t test was used to test for differences in the mean responses to the knowledge, attitude, and belief questions at posttest by smoking status and gender. Results: Health consequences ads significantly increased overall knowledge and negative attitudes and beliefs. Conclusion: Findings from this study may help health educators who work in college settings and other young adult settings to include media messages as part of a comprehensive tobacco control program.     

Measuring community mobilization in the Seattle Minority Youth Health Project.

This article assesses the validity and reliability of the approach used to measure community mobilization in the Seattle Minority Youth Health Project (MY Health), a neighborhood-based program to prevent drug use, violence, teen pregnancy, and sexually transmitted diseases (STDs). Two constructs were measured: neighborhood cooperation in solving problems, and sense of pride and identification with the neighborhood. The convergent validity of the measurement approach was assessed by comparing several independent measures of community mobilization generated from surveys of key neighborhood leaders, youth, and parents. For the neighborhood cooperation construct, correlations were uniformly positive across measures from different surveys and statistically significant about a quarter of the time. The correlations for the neighborhood pride construct were weaker and generally not statistically significant. Interrater reliability was low for all of the surveys, possibly reflecting varying ideas about what community mobilization meant among survey respondents.     

The golden cage--Cubans in Miami

The experience of Cuban immigrants in Florida is examined. The authors suggest that the reported success of this immigrant community has been greatly exaggerated. The social and other problems they face are described, and an assessment is made of their needs. (SUMMARY IN FRE AND SPA)     

The complexity of diversity and importance for equitable philanthropy

The current U.S. climate of racial and social injustice has prompted a renewed call for diverse and equitable ways to rethink community philanthropy. Community foundations are vehicles for community philanthropy which offer vast benefits for social improvement and community development. The board of directors ensures these organizations fulfill their mission, making decisions on funding priorities and holding the organization functionally and fiscally responsible. Drawing on constructs of diversity and representative bureaucracy and a case study of Florida community foundations, we suggest that diversity is understood in different ways and the presence of diverse board members may be linked to advancing the interests of diverse communities and in achieving outcomes that assist in the needs of certain social groups. Increased understanding of diversity can improve foundation and philanthropic effectiveness and bring broader social change by promoting equity and social justice among community‐based philanthropic organizations.     

THE ROAD TO GERMAN UNINY: MASS SENTIMENT IN EAST AND WEST GERMANY

This article explores mass sentiment about the pursuit of unificationin both East and West Germany from early 1989 to spring 1991,when formal unification was achieved and the first all-Germangovernment had been installed. Public opinion data from varioussources show that the German masses were supportive but alsosomewhat reluctant with regard to quick and comprehensive unification.The strong push for unification by the political leadershipwas not a response to grass roots sentiment but quite the contrary:the masses followed their leaders. Considerations of economicgains seem to be more important than idealistic pan-German sentimentsor national chauvinism. While the East Germans displayed moreenthusiasm early on, their disappointment steadily rose afterthe fact. As of early 1991, there are some warning signs oflooming internal strife. However, as long as the West Germaneconomy continues to prosper, there seems to be no imminentthreat to political continuity and stability in the united Germany.     

What do we mean by Human-Centered Design of Life-Critical Systems?

Human-centered design is not a new approach to design. Aerospace is a good example of a life-critical systems domain where participatory design was fully integrated, involving experimental test pilots and design engineers as well as many other actors of the aerospace engineering community. This paper provides six topics that are currently part of the requirements of the Ph.D. Program in Human-Centered Design of the Florida Institute of Technology (FIT.) This Human-Centered Design program offers principles, methods and tools that support human-centered sustainable products such as mission or process control environments, cockpits and hospital operating rooms. It supports education and training of design thinkers who are natural leaders, and understand complex relationships among technology, organizations and people. We all need to understand what we want to do with technology, how we should organize ourselves to a better life and finally find out whom we are and have become. Human-centered design is being developed for all these reasons and issues.     

Community Attachment Among Leaders in Five Rural Communities1

Abstract The relationship between the different ways leaders may relate to rural communities and their ability to relate to extracommunity individuals and organizations is examined. Drawing from the insights of Merton (1957) into local and cosmopolitan influentials and a newer literature on community attachment, two dimensions of attachment to the local community are identified. A survey of 75 leaders in five midwestern rural communities provides evidence that sociodemographic and social-network characteristics of leaders have different relationships to the two dimensions. Implications of the findings for understanding the effectiveness of leadership in rural communities are discussed.     

Counting the uninsured: a comparison of national surveys

This Issue Brief reviews surveys that provide estimates of the uninsured population in the United States. It includes a discussion of why the estimates from the various surveys differ. It is important to understand the differences in the estimates of the uninsured population. The projected cost of implementing policy proposals depends on the estimates of the number of people affected by the proposals; for instance, the allocation of funding for the State Children's Health Insurance Program (S-CHIP) depends heavily on the available estimates. In addition, the estimated effectiveness of policy proposals to reduce the uninsured population will be accurate only if the correct count is known and the precise make-up of the uninsured population is understood. Currently, seven surveys can be used to make nationally representative estimates of the number of people without health insurance coverage. Some of the surveys collect health insurance information in the context of obtaining general information on health care, while other surveys are focused on other topics such as labor force participation and public assistance program participation. The most widely used survey that collects information on health insurance coverage is the Current Population Survey (CPS), conducted by the Census Bureau. The most recent estimates from the CPS suggests that 44.3 million Americans were uninsured in 1998. Besides the CPS, a number of other surveys collect information on the uninsured population. They include the Survey of Income and Program Participation (SIPP), Behavioral Risk Factor Surveillance System (BRFSS), Community Tracking Study (CTS), Medical Expenditure Panel Survey (MEPS), National Health Interview Survey (NHIS), and the National Survey of America's Families (NSAF). Estimates of the uninsured from these surveys range from 19 million to 44 million and vary depending on the time frame the survey covers. A number of states have started to question the validity of the uninsured estimates from the CPS, and other surveys, because of the small sample size in many states. As a result, some states have begun to conduct their own surveys to determine the number of uninsured residents. States that regularly conduct their own surveys include Florida, Massachusetts, Minnesota, New Mexico, Oregon, Vermont, and Wisconsin. Unfortunately, the various state surveys are not easily comparable. Research needs to continue to increase understanding of the differences among the surveys and to improve on methodologies to count the uninsured, as the future of public programs, such as S-CHIP and other state and local initiatives to expand health insurance coverage, depends on the accuracy of these estimates. Whatever survey is used, the results show that a substantial number of Americans do not have any health insurance coverage, and the number has been growing.     

Elder Abuse: Risk Factors and Use of Case Data to Improve Policy and Practice

ABSTRACT

Countering the generally reactive community approach to prevention and treatment of elder abuse, this study employs analysis of local elder abuse case data to estimate the incidence of elder abuse, neglect, and exploitation and to measure the risk factors, including co-location of other forms of abuse, that predict elder abuse in Miami-Dade County, Florida. The authors also compare the model of intervention used in Florida and elsewhere to best practice models that incorporate elements of domestic violence treatment models. They present a series of specific recommendations for improving local abuse data-collection, analysis, and training so that local policy makers, planners, and practitioners can make proactive, community-specific, culturally-sensitive preventive efforts effective. The findings and recommendations have direct relevance for policy and practice in any community in the United States.     

Missile attacks and nursing staff: impact of the Gulf War.

Missile attacks on Israel during the Gulf War created an expected atmosphere of fear and anxiety among hospital nursing staff. There seems to be little doubt that staff group sessions were helpful in alleviating these feelings. The group members openly expressed this sentiment, and it was also the clear impression of the group leaders. The groups were also helpful in dealing with the prevalent theme of conflicting loyalties of the nurses, ie, their profession versus their families. The desire for and benefit from group sessions decreased secondary to a shift in the perceived threat. As the external threat receded, stress became largely due to prolonged hours in close quarters with other staff. It is too early to be aware of any long-term consequences on nursing staff from the recent war situation. Assessments in this regard are intended in the future, most likely in the form of written evaluation and personal interviews.     

Schools must include faculty and staff in sexual violence prevention efforts

Creating a normative campus environment intolerant to sexual violence is important for prevention. While prevention initiatives focusing on students are vital, faculty and staff have a central role in supporting and sustaining a comprehensive strategy for preventing campus sexual violence. Nationwide, colleges and universities recently implemented campus climate surveys. At Emory, we decided to survey faculty and staff as well as students, motivated by our use of an ecological framing of campus sexual violence. Faculty and staff are long-term members of the community, and can provide stability and continuity that reinforces prevention efforts prioritized for students. We recommend that schools use a trauma-informed approach to guide the involvement of faculty and staff in prevention. We encourage colleges and universities to consider the experiences and needs of their faculty and staff, as professionals who serve as leaders on campus and as those who guide students through their academic experiences.