Preenrollment Immunization Policies of American Colleges: An Assessment of the Need for Policy Implementation

Abstract

Alcohol abuse among college students is prevalent, yet few instruments with sound reliability and validity are available to assess these problems in this population. As part of a large, baseline assessment battery for a prospective study of offspring of alcoholics, the 27-item Young Adult Alcohol Problems Screening Test (YAAPST) was given to 490 freshmen at a large mid western university; approximately 9 months later, 482 subjects completed the scale again. In addition to asking about such traditional problems as experiencing blackouts and driving while intoxicated, the YAAPST included specific items relating to college experiences (eg, getting into sexual situations that were later regretted, missing classes, and receiving lower grades than usual). The YAAPST was designed to assess these drinking consequences over two different time frames, lifetime and past year, and also to indicate the frequency of occurrence during the past year. Results indicated that the YAAPST is a unidimensional scale with good psychometric properties (good internal consistency and test-retest reliability). Three different approaches were used to demonstrate the validity of the YAAPST. Findings supported criterion validity (with interview-based alcohol abuse/dependence diagnoses as the criterion), concurrent validity (comparing the YAAPST with other drinking measures), and construct validity (correlating the YAAPST with etiologically relevant personality, motivational, and peer influence variables). The YAAPST is a promising screening instrument for alcohol problems in college students. It has excellent psychometric properties and the potential to provide a range of useful information to the clinician or researcher.     

Conflict and Aggression as Stressors in the Work Environment of Nursing Assistants:

Elder abuse and mistreatment occuring in institutional settings is a phenomenon that is as yet poorly understood. In considering the context in which elder abuse and mistreatment may arise, understanding the caregivers' work environment is an important variable. As front line staff, nursing assistants are subject to multiple stressors that underscore the highly interpersonal nature of caregiving. This paper describes the results of a Canadian study that examined conflict, aggression, and burn-out in one group of nursing assistants. Nursing assistant burn-out scores were similar to scores reported for other health-care workers. Subjects reported that conflict with residents most commonly related to the resident wanting to go outside the facility or personal hygiene. An analysis of incident reports indicated that less than 0.3% of the physical and verbal aggression nursing assistants endure from residents is formally acknowledged. On average, a nursing assistant in this health care facility may expect to be physically assaulted by residents 9.3 times per month and verbally assaulted 11.3 times per month. Findings indicate a slight correlation between burn-out and conflict and also between burn-out and reported aggression from residents. A statistically significant relationship was noted between conflicts with residents and resident aggression from residents.     

Cancer Screening Barriers for Community-based Older Hispanics and Caucasians

Despite advances in screening and early detection, ethnic minority populations, ages 65 and older, are less likely than Caucasians to participate in cancer screening services. Empirical research indicates that older ethnic minorities have cultural values that influence their behaviors. Addressing culturally relevant communication to better understand those values may increase participation in cancer screening. The study reported is a secondary analysis of qualitative data gathered from focus groups. Utilizing an interdisciplinary analytical lens, we compared older Hispanic and Caucasian's cultural values and their screening behaviors. Suggested psychosocial interventions are discussed to assist providers in their ongoing efforts to promote cancer screening.     

Proactive Screening for Health Needs in United Way's 2-1-1 Information and Referral Service

ABSTRACT

Cancer disproportionately affects the underserved. United Way 2-1-1 is an information and referral system that links underserved populations to community services. This study explores the feasibility of integrating proactive screening and referral to health services into 2-1-1. A cancer risk assessment was administered to callers (n = 297), measuring their need for 6 cancer control services. A subset of respondents was randomized to receive generic or tailored referrals to needed services. Nearly all participants (85%) needed at least one of the services. Those who received tailored referrals were more likely to make appointments. Future research will explore approaches to address and eliminate health disparities through 2-1-1.     

Selection procedures based on normal and nonnormal variables with single and multiple characters

The performance of selection procedures using a single screening variable are assessed in the presence of nonnormality, in particular mixtures of bivariate normal distributions and the bivariate Edgeworth series distribution.

Screening with multiple characters in the normal situation is studied using principal components.     

The optimal allocation combination for the two-sided sequential screening procedure based on the individual misclassification error

In this paper, the expected total costs (ETCs) of three kinds of quality cost functions for the two-sided sequential screening procedure (SQSP) based on the individual misclassification error are obtained, where the ETC is the sum of the expected cost of inspection, the expected cost of rejection and the expected cost of quality. The general formulas for all the desired probabilities and three ETCs when k screening variables are allocated into r-stages are derived. The optimal allocation combination for each ETC is determined based on the criterion of minimum ETC. Finally, we give two examples to illustrate the selection of the optimal allocation combination for the SQSP.     

The social work services in screening process of compulsory treatment interventions in addicts in Iran: A content analysis study

Compulsory treatment has had a detrimental impact on drug abuse treatment policies and programs in Iran. Physicians are currently required to conduct initial treatment screening. Social workers are a part of the treatment team but have no authority to initiate a compulsory drug treatment plan. For this reason, the present article investigates social work service participation in the process of compulsory drug treatment. The study methodology is content analysis. Nine social workers participated in seven focus group discussions. Overall, 110 codes were extracted from the sessions and were categorized into five main themes: interview and initial assessment; referral; investigation of ineligibility criteria; report to judicial authority; and follow‐up and advocacy. The results of this research suggest amending executive bylaws based on a social work approach to the screening process for compulsory drug treatment.     

Screening Adolescents for Health Risks Using Interactive Voice Response Technology

ABSTRACT

This report presents an evaluation of an interactive voice response telecommunications system developed for adolescent health risk screening. The technology provides a means to screen adolescents for general health risks and to score self-reported risk immediately. Adolescents listen to a series of prerecorded risk questions on standard touch-tone telephones and respond by pressing the appropriate keys on the keyboard. Health care workers are provided immediate feedback in the form of a summary fax report. The fax report indicates the adolescent's risk level and suggested interventions. This paper reports on an evaluation of this technology to collect self-reported risk data for 116 adolescents seen in an urban family practice center in Cleveland, Ohio. Clinical impressions of the new technology are reported for a pilot cohort of 22 physicians. The authors examine the process of using this technology to implement screening guidelines in various settings.     

On the performance of three-stage group screening experiments

This paper examines the performance of three-stage group screening in terms of the mean number of tests needed; and the proportion of active factors correctly detected by the screening plan, A linear cost function is also proposed, To evaluate performance, random grouping and a constant signa1-to -noise ratio for all active factors, are assumed.