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71.
Abstract Objective: To estimate and compare the prevalence of overweight and obesity among self-identified lesbian, bisexual, and heterosexual college age women. Methods: A secondary analysis of the Spring 2006 National College Health Assessment was conducted with 31,500 female college students (aged 18 to 25 years) to compare body mass index (calculated from self-reported height and weight) among lesbian, bisexual and heterosexual college women. Results: Compared to heterosexuals female college students, lesbians and bisexual women were both significantly more likely to be overweight or obese. Lesbians were also less likely to be underweight compared to heterosexual college women. Conclusions: Self-identified lesbian and bisexual college women were more likely to be overweight or obese than their heterosexual counterparts. Health care professionals and educators should target these high-risk populations for obesity prevention programs. This study highlights the need for additional research examining the potential risk factors for overweight and obesity among young sexual minority women. 相似文献
72.
MICHAELA A. DINAN BS JOËLLE Y. FRIEDMAN MPA JENNIFER S. ALLSBROOK BSPH JULIE GOTTLIEB MA KEVIN A. SCHULMAN MD 《Accountability in research》2013,20(4):325-342
The authors reviewed the conflict of interest policies of 9 academic medical centers in the United States and interviewed members of the Institutional Review Boards (IRBs) and Conflict of Interest Committees (COICs) at those institutions. They found that many institutions used processes for reporting and managing conflicts of interest that were more decentralized than the processes described in their policies. Also, most institutions had no clear and comprehensive policy to guide investigators regarding disclosure of conflicts of interest to potential research participants. Considerable differences in understanding of conflict of interest policies were observed between IRB and COIC officials. 相似文献
73.
Brian A. Primack MD PhD Kevin H. Kim PhD Ariel Shensa MA Jaime E. Sidani PhD Tracey E. Barnett PhD Galen E. Switzer PhD 《Journal of American college health : J of ACH》2013,61(5):374-386
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. 相似文献
74.
75.
Janet L. Thomas PhD LP Larry An MD Xianghua Luo PhD Robyn M. Scherber BS MPH Carla J. Berg PhD Dave Golden BA 《Journal of American college health : J of ACH》2013,61(4):365-372
Abstract Objective: To conduct and evaluate Quit & Win contests at 2 2-year college and 2 4-year university campuses. Participants: During Spring semester, 2006, undergraduates (N = 588) interested in quitting smoking signed up for a Quit & Win 30-day cessation contest for a chance to win a lottery prize. Methods: Participants (N = 588) completed a baseline survey, provided a urine sample to verify smoking status before joining the contest, and completed a follow-up survey at contest end to assess abstinence. Participants reporting continuous 30-day abstinence were surveyed again 2 weeks post contest to assess relapse. Results: Participants smoked an average of 9.8 ± 6.7 cigarettes/day on 26.7 ± 5.7 days/month. Among participants completing a follow-up survey (74%), 72.1% reported abstinence during the entire contest period (Intent-to-Treat Analysis = 53.2%). 55.3% of those abstinent at the end of contest had resumed smoking 2 weeks post contest. Conclusions: Campus Quit & Win contests appear feasible, acceptable, and effective at facilitating short-term abstinence. Further research is needed to identify strategies to prevent postcontest relapse. 相似文献
76.
Kamal Harb MPH Myra Lappin MD MPH Jon Colbert RN MSN 《Journal of American college health : J of ACH》2013,61(6):283-288
Abstract After a needs assessment indicated that male students underutilized campus health services, the San Francisco State University Student Health Service developed a coordinated complement of outpatient health services for men. The authors review their experience in developing, implementing, operating, and evaluating this ongoing clinical service. The needs assessment and subsequent program evaluation data suggest that male students on a large, culturally diverse, urban campus would respond favorably to targeted, multidisciplinary health initiatives that incorporate the principles of health promotion and disease prevention. 相似文献
77.
Normality and independence of error terms are typical assumptions for partial linear models. However, these assumptions may be unrealistic in many fields, such as economics, finance and biostatistics. In this paper, a Bayesian analysis for partial linear model with first-order autoregressive errors belonging to the class of the scale mixtures of normal distributions is studied in detail. The proposed model provides a useful generalization of the symmetrical linear regression model with independent errors, since the distribution of the error term covers both correlated and thick-tailed distributions, and has a convenient hierarchical representation allowing easy implementation of a Markov chain Monte Carlo scheme. In order to examine the robustness of the model against outlying and influential observations, a Bayesian case deletion influence diagnostics based on the Kullback–Leibler (K–L) divergence is presented. The proposed method is applied to monthly and daily returns of two Chilean companies. 相似文献
78.
Rhonda H. Luckey MSPH Jo Sweet MD Blaine Knupp MSL MBA 《Journal of American college health : J of ACH》2013,61(1):6-10
Abstract With the advent of the Internet, college health professionals have available to them a new setting in which to network. The Internet provides opportunities for immediate communication with a large and diverse community of colleagues. Through both the Student Health Service (SHS) Discussion Group and numerous health-related databases, the Internet serves as a powerful research tool for program development and improvement. Answers to queries about practice options, solutions for local problems, and support of innovative policies can be received almost instantaneously from college health professionals from across the United States and Canada. In this article, the authors summarize the history and current use of the SHS Discussion Group, provide a brief overview of Internet basics, and identify more advanced uses of the Internet by college health professionals. 相似文献
79.
R. Jake Jacobs MPA Sammy Saab MD MPH Allen S. Meyerhoff MS 《Journal of American college health : J of ACH》2013,61(6):227-236
Abstract Hepatitis B immunization is recommended for all American children, and hepatitis A immunization is recommended for children who live in areas with elevated disease rates. Because hepatitis A and B occur most commonly in young adults, the authors examined the cost effectiveness of college-based vaccination. They developed epidemiologic models to consider infection risks and disease progression and then compared the cost of vaccination with economic, longevity, and quality of life benefits. Immunization of 100,000 students would prevent 1,403 acute cases of hepatitis A, 929 cases of hepatitis B, and 144 cases of chronic hepatitis B. Hepatitis B vaccination would cost the health system $7,600 per quality-adjusted life year (QALY) gained but would reduce societal costs by 6%. Hepatitis A/B vaccination would cost the health system $8,500 per QALY but would reduce societal costs by 12%. Until childhood and adolescent vaccination can produce immune cohorts of young adults, college-based hepatitis immunization can reduce disease transmission in a cost-effective manner. 相似文献
80.
William A. Christmas MD 《Journal of American college health : J of ACH》2013,61(6):493-501
Abstract Over the past 70 years a legend has evolved that the first college health program in the United States was established at Amherst College in 1861. Although the program at Amherst was innovative in its day and served as a model for the field of college health, several other institutions prior to 1860 appropriated funds, hired staff, and established on-campus programs to improve the health of their students. The military academies led the way, and the first of these early programs to become operational was located at the US Military Academy at West Point, New York, in 1830. 相似文献