bluuebunny/crossref_metadata_2025_split huggingface dataset:
Developing a Housing Adaptation Genome Project
Authors: Heywood Frances , Awang Darren 
Published: May 2011

Evidence about the effectiveness of housing adaptations is unsystematic, leaving large gaps in knowledge. The evidence that exists is not sufficiently compelling to attract substantial investment, and its weakness impedes evidence-based practice. In order to fill the gaps, a more systematic approach to adaptation research is needed. A housing adaptation genome project is proposed to address this problem by mapping, planning and coordinating future research. This opinion piece sets out the rationale and potential value of developing a housing adaptation genome project. It invites all stakeholders to become involved and to help to shape a more powerful approach to housing adaptation research.
Reducing Sensitive Survey Response Bias in Research on Adolescents: A Comparison of Web-Based and Paper-and-Pencil Administration
Authors: Wyrick David L. , Bond Lloyd 
Published: May 2011

Purpose. Using the Problem Oriented Screening Instrument for Teenagers (POSIT), the effect of mode of administration on (1) students' willingness to disclose sensitive information and (2) response rates was investigated. Design. A2 × 2 unequal N factorial analysis of variance (ANOVA) design was employed. Mode of administration (paper-and-pencil vs. Web-based) was crossed with grade level (middle vs. high school). Setting. The study was conducted in two middle and two high schools. Subjects. A total of 628 middle and high school students completed the survey. Measures. The POSIT is a self-report measure with 139 yes/no items that identifies stressors in 10 functional areas (e.g., Substance Use). Analysis. An unequal N 2 (mode) × 2 (grade level) factorial ANOVA was employed. Results. No statistically significant differences were found for self-reported risk across modes of administration. Students completing the Web-based version of the survey were four times more likely to skip an item. Conclusions. Effect of Mode on Reporting of Sensitive Information—Students completed the Web-based surveys in computer labs with other students. The intent of the Web-based survey was to increase perceived privacy but the environment likely negated any effect. Effect of Mode on Response Rates—The higher response rate for the paper-and-pencil survey was the opposite of what was expected and revealed that students were more likely to skip sensitive items on the Web survey. (Am J Health Promot 2011;25[5]:349-352.)
Effects of TV in the Bedroom on Young Hispanic Children
Authors: Feng Du , Reed Debra B. , Esperat M. Christina , Uchida Mitsue 
Published: May 2011

Purpose. The main purposes of this study were to assess TV viewing among Hispanic young children and to examine effects of having a TV in the child's bedroom (TVIB). Design and Setting. A quasi-experimental design was used to evaluate an intervention program that is collecting longitudinal data in West Texas. However, the current report uses only the baseline data of the ongoing study. Subjects. Predominantly low-income and Hispanic parents/guardians (N = 315) and their children of 5 to 9 years (N = 597). Measures. Children's anthropometric measures were obtained. Their overweight status was determined based on age- and gender-adjusted body mass index. A demographic questionnaire, acculturation scale (brief version of Acculturation Rating Scale for Mexican Americans II), and family survey were used among parents. Analysis. Descriptive statistics, t-tests, X2 tests, and logistic regressions were used. Results. Most children (70%) have TVIB; more than 30% were or were at risk of overweight. Demographic characteristics did not significantly predict TVIB. Children with TVIB spent .93 hours more daily watching TV/DVD (t = 3.07; df = 283; p = .003), and children (at one site) ate more fast food (X2 = 5.46; df = 1; p = .019), compared with children without TVIB whose parents better supported physical activity (t = 2.11; df = 275; p = .039). Conclusion. Most children in this low-income and Hispanic sample have TVIB, which is associated with unhealthy behaviors. (Am J Health Promot 2011;25[5]:310-318.)
Environmental Changes to Control Obesity: A Randomized Controlled Trial in Manufacturing Companies
Authors: Brehm Bonnie J. , Gates Donna M. , Singler Mary , Succop Paul A. , D'Alessio David A. 
Published: May 2011

Purpose: To determine the effects of an environmental intervention on obesity, disease risk factors, and dietary intake in an employee population. Design: Randomized controlled community trial. Setting: Eight manufacturing companies in Kentucky with ~ 150 to 350 employees each. Subjects: Randomly selected employees. Intervention: Multicomponent environmental intervention that included employee advisory committees, point-of-decision prompts, walking paths, cafeteria/vending changes, and educational materials. Measures: Height; weight; body fat; blood pressure; fasting lipids, glucose and insulin; and dietary intake were assessed prior to and 3, 6, and 12 months after initiation of the intervention. Analysis: Mixed-model repeat-measure analyses of covariance were used to analyze data collected over the study period. Categorical data were analyzed in contingency tables. A p value of .05 was used to judge statistical significance. Results: There were no intervention effects for outcome variables, with the exception of lower intake of saturated fat and dietary cholesterol in the intervention group compared to the control group. Over the course of the study, changes in anthropometry and biomeasures were similar in both groups. Conclusions: Findings indicate that subtle environmental changes alone may not impact employees' weight and health; however, such institutional-level approaches may be essential to support healthy lifestyle habits that are initiated by more intensive efforts. Academic researchers should continue to partner with employers and practitioners to develop, implement, and evaluate innovative health promotion strategies including environmental interventions. (Am J Health Promot 2011;25[5]:334-340.)
Awareness of Canada's Physical Activity Guide to Healthy Active Living in a Large Community Sample
Authors: Plotnikoff Ronald C. , Lippke Sonia , Johnson Steven T. , Hugo Kylie , Rodgers Wendy , Spence John C. 
Published: May 2011

Purpose. Determine the proportion of adults aware of Canada's Physical Activity Guide to Healthy Active Living (Guide) and its specific recommendations (objective 1); whether key demographic factors (objective 2a) and physical activity behavior (objective 2b) are associated with awareness and specific familiarity with the Guide; and if changes in awareness and specific recommendations with the Guide occurred over a 1-year period (objective 3a and 3b). Design. Random selection with computer-assisted telephone interviewing. Setting. Edmonton, Alberta, Canada. Subjects. A total of 2803 adults 18 years or older completed interviews from 4831 telephone contacts (response rate, 58.0%), and after 1 year, 1423 individuals (55%) completed interviews. Measures. Demographic, physical activity, Guide awareness. Analysis. Chi-square, analysis of variance. Results. At baseline, 27.3% were aware of the Guide, and 15.6% were familiar with the Guide's specific recommendations. Younger individuals (p = .01), women (p < .001), and those with a higher education (p < .001) were more likely to be generally aware of the Guide, and women were also more specifically aware (p = .01). Physical activity levels were positively associated with the general (p < .001) and specific (p < .001) awareness of the Guide. Changes in general familiarity and specific recommendations over 1 year were observed. Conclusions. The majority of those surveyed were not familiar with the Guide. Men, individuals with a lower education, and older individuals may need to be specifically targeted. (Am J Health Promot 2011;25[5]:294-297.)
Correlates of Park-Based Physical Activity among Children in Diverse Communities: Results from an Observational Study in Two Cities
Authors: Spengler John O. , Floyd Myron F. , Maddock Jason E. , Gobster Paul H. , Suau Luis J. , Norman Gregory J. 
Published: May 2011

Purpose. This study examined correlates of park-based physical activity (PA) among children in neighborhood parks. Design. Direct observation was used to assess PA among children. Setting. Public parks in Tampa, Florida (n = 10), and Chicago, Illinois (n = 18), from low income and high income and racially/ethnically diverse communities. Subjects. Children (n = 3410), coded as anyone who appeared to be 10 years or younger, observed at parks in Tampa and Chicago. Measures. Physical activity was measured by a modified version of the System for Observing Play and Leisure Among Youth (SOPLAY). Analysis. Descriptive statistics and multilevel regression models were used in data analysis. Results. At the activity observation level, children's PA was positively related to temperature and unstructured activities in Tampa and Chicago parks. Among park activity area predictors, type of activity area was significantly related to PA. In Tampa, more PA was observed on courts, and less PA was observed in shelter areas compared with open space areas. In Chicago, less PA was observed on courts and fields compared with open space areas. Neighborhood income was associated with lower PA in Tampa parks. Neighborhood race/ethnicity was not a significant predictor of children's PA in either city. Conclusions. Children's PA was linked to modifiable social and environmental features within parks. Strategies to increase PA among children in parks should promote courts, playgrounds, informal activities, and free play. (Am J Health Promot 2011;25[5]:e1-e9.)
Computer Use, Internet Access, and Online Health Searching among Harlem Adults
Authors: Cohall Alwyn T. , Nye Andrea , Moon-Howard Joyce , Kukafka Rita , Dye Bonnie , Vaughan Roger D. , Northridge Mary E. 
Published: May 2011

Purpose. Computer use, Internet access, and online searching for health information were assessed toward enhancing Internet use for health promotion. Design. Cross-sectional random digit dial landline phone survey. Setting. Eight zip codes that comprised Central Harlem/Hamilton Heights and East Harlem in New York City. Subjects. Adults 18 years and older (N = 646). Measures. Demographic characteristics, computer use, Internet access, and online searching for health information. Analysis. Frequencies for categorical variables and means and standard deviations for continuous variables were calculated and compared with analogous findings reported in national surveys from similar time periods. Results. Among Harlem adults, ever computer use and current Internet use were 77% and 52%, respectively. High-speed home Internet connections were somewhat lower for Harlem adults than for U.S. adults overall (43% vs. 68%). Current Internet users in Harlem were more likely to be younger, white vs. black or Hispanic, better educated, and in better self-reported health than non-current users (p < .01). Of those who reported searching online for health information, 74% sought information on medical problems and thought that information found on the Internet affected the way they eat (47%) or exercise (44%). Conclusions. Many Harlem adults currently use the Internet to search for health information. High-speed connections and culturally relevant materials may facilitate health information searching for underserved groups. (Am J Health Promot 2011;25[5]:325-333.)
Associations between Youth Assets and Sexual Intercourse by Household Income
Authors: Bensyl Diana M. , Vesely Sara K. , Tolma Eleni L. , Oman Roy F. , Aspy Cheryl 
Published: May 2011

Purpose. Evaluate youth assets or potential strengths and sexual intercourse associations by household income. Design. Data consisted of youth and parent responses from randomly selected households from a cross-sectional study and wave one of a longitudinal extension of that study. Youth assets and sexual intercourse were compared for four income categories. Setting. Midwestern racially diverse, inner-city neighborhoods. Subjects. One adolescent (12–19 years) and one parent (2335 pairs). Measures. Adjusted odds ratios (ORs) were calculated using logistic regression. Variables assessed included parent and youth demographics, youth sexual intercourse, and youth assets (adult and peer role models, family communication, use of time [religion or sports], community involvement, future aspirations, responsible choices, and health practices). Results. Youths' mean age was 14.9 (6 1.8) years, and 52% were female; 44% of respondents were white. Use of time (religion) was significantly associated with never having sex for all but the lowest income youth (OR range = 1.79-2.64). The variable peer role models was significant for the lowest income (OR = 2.01) and two upper income groups (ORs = 2.52 and 4.27, respectively). The variable future aspirations was significant for the lowest income youth (OR = 1.77). Conclusion. The youth asset variable future aspirations was critical for the lowest income households. Other asset variables, such as peer role models and use of time (religion) were critical regardless of income. (Am J Health Promot 2011;25[5]:301-309.)
The Effects of Target Behavior Choice and Self-Management Skills Training on Compliance with Behavioral Self-Monitoring
Authors: Olson Ryan , Schmidt Sara , Winkler Carrie , Wipfli Brad 
Published: May 2011

Purpose. The purpose of this study was to evaluate two potential methods for increasing participant compliance with behavioral self-monitoring (BSM). Design. A randomized 2 × 2 factorial design was used to evaluate the effects of target behavior choice (choice vs. assigned) and self-management skills training (training vs. no-training) on BSM compliance. In the choice manipulation, participants either chose or were assigned one of seven types of healthful or safe behaviors to self-monitor. In the training manipulation, participants either completed computer-based self-management skills training or received no training. Participants were then asked to complete daily BSM for 2 weeks. Setting. The study was conducted at a university and teaching hospital. Subjects. Participants (N = 60) were predominantly university and hospital employees. Measures. The primary dependent measure was percent compliance with BSM. Analysis. A factorial analysis of variance of compliance scores was performed. Results. Mean compliance with prescribed BSM was 52.6% (SD = 31.8). The main effect for choice was significant, with choice participants showing 18% higher BSM compliance than those in no-choice conditions (d = .59; p < .05). The effects of self-management skills training and the interaction term were both nonsignificant. Conclusion. Although self-management skills training did not appear to affect BSM compliance, offering individuals a choice in target behavior substantially increased both BSM compliance and self-reported behavior change. (Am J Health Promot 2011;25[5]:319-324.)
Using “Point of Decision” Messages to Intervene on College Students' Eating Behaviors
Authors: Reed Julian A. , Powers Alicia , Greenwood Melissa , Smith Whitney , Underwood Robert 
Published: May 2011

Purpose. Examine the impact of “point of decision” messages on fruit selection in a single dining hall setting. Setting. Competitive undergraduate liberal arts college in the southeastern United States. Intervention. “Point of decision” messages were compiled into a 35-slide multimedia PowerPoint presentation. Messages were displayed on a computer screen at a “point of decision” between the cookie and fruit stations during lunch for a total of 9 days. Measures. Baseline cookie and fruit consumption was measured 9 days prebaseline and 9 days postbaseline. A random sample of students completed surveys 1 week after the intervention. Analysis. t-tests were used to examine differences between prelevels of fruit consumption and levels measured simultaneously during “point of decision” messages. Descriptive statistics were used to examine perceptions of survey items 1 week postintervention. Results. A significant mean difference in daily fruit consumption was found following the slide presentation (df-8, t = − 2.800; p = .023). Average daily fruit consumption at baseline was 408 (SD = 73.43). Postbaseline average daily fruit consumption significantly increased (533; SD = 102). No significant prebaseline and postbaseline cookie differences were found (p = .226). Approximately 71% of women and 68% of men noticed the “point of decision” messages. Nineteen percent of women and 10% of males reported modifying their food selection as a result of viewing the messages. Conclusion. The “point of decision” messaging significantly influenced fruit selection in a single dining hall setting. (Am J Health Promot 2011;25[5]:298-300.)
Perceived Environmental Correlates of Physical Activity and Walking in African Young Adults
Authors: Oyeyemi Adewale L. , Adegoke Babatunde O. A. , Oyeyemi Adetoyeje Y. , Sallis James F. 
Published: May 2011

Purpose. Evidence on environmental correlates of physical activity (PA) conducted in Western developed countries may not be generalizable to Africa. This study examined the associations between perception of the neighborhood environment and PA and walking in African young adults. Design. Cross-sectional analysis of self-reported survey. Setting. University of Ibadan, in the capital city of Oyo State, Nigeria. Subjects. A representative sample of undergraduates of a Nigerian university, age 16 to 39 years and 50.7% female. Measures. Total walking activity and PA were measured with the short version of the International Physical Activity Questionnaire. Sixteen perceived neighborhood environmental variables were measured using the Physical Activity Neighborhood Environment Scale (PANES), which was used to assess environmental correlates of PA that are internationally relevant. Outcomes were meeting health-related guidelines for sufficient PA and walking activity. Results. After adjustments for demographics and dormitory site, the proximity of bus/transit stop (odds ratio [OR] = 1.41), traffic as not a problem (OR = .45; unexpected direction), and not many four-way intersections (OR = .72; unexpected direction) were significantly associated with sufficient PA. Low crime rate at night (OR = 1.53), many interesting things to look at (OR = 1.90), and seeing many people active (OR = .59; unexpected direction) were significantly associated with sufficient walking. Inconsistent patterns were also observed in gender-specific analyses. Conclusion. Few neighborhood environment correlates of PA or walking reported in the international literature were replicated with African young adults. Environmental measures need to be developed that are tailored to low- and middle-income countries, such as those in Africa, so that research in understudied regions can advance. (Am J Health Promot 2011;25[5]:e10-e19.)
Combination of Maintenance Hemodialysis with Hemoperfusion: A Safe and Effective Model of Artificial Kidney
Authors: Chen Shun-Jie , Jiang Geng-Ru , Shan Jian-Ping , Lu Wei , Huang Hai-Dong , Ji Gang , Wu Ping , Wu Gu-Feng , Wang Wei , Zhu Chun , Bian Fan 
Published: May 2011

Objective To investigate whether the combination of maintenance hemodialysis (MHD) with hemoperfusion (HP) could improve the clearance rate of middle and large molecule uremic toxins so as to improve the quality of life of MHD patients and reduce their mortality rate. Methods This study was a prospective, randomized, controlled clinical trial. 100 MHD patients were selected and then randomly divided into two groups after four weeks of run-in period. Group 1 received HD alone 2 times a week and the combined treatment of HD with HP (HD+HP) once a week, whereas Group 2 was given HD alone 3 times a week. This study was followed up for a mean of 2 years. The primary outcome was the death of patients. Secondary end points included normal clinical data, leptin, high sensitive C-reactive protein (hsCRP), interleukin-6 (IL-6), β2 microglobulin (β2-MG), immunoreactive parathyroid hormone (iPTH), tumor necrosis factor-α (TNF-α) and the index of dimensions of Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36 Chinese Edition). Results At the end of the two-year observation, the serum concentration of leptin, hsCRP, iPTH, IL-6, β2-MG and TNF-α, systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), cardiothoracic ratio, left ventricular mass index (LVMI), the EPO doses and the types of antihypertensive drugs used were lower with Group 1 than with Group 2 (p<0.05); Group 1 had higher hemoglobin (Hb), ejection fraction (EF), and body mass index (BMI) (p<0.05). No statistical difference between the two groups was observed in terms of serum albumin, serum iron (SI), total iron binding capacity (TIBC), cardiac output (CO), Kt/V, early/atrial mitral inflow velocities (E/A) (p>0.05). Besides, the SF-36 indicated that the total score of overall dimentions of Group 1 was higher than Group 2 (p<0.05) and the quality of life of Group 1 was evidently better than Group 2. The Kaplan-Meier Survival Curves for the 2-year observation period showed that patients in Group 1 had obvious survival advantage while Log-rank test results showed p<0.05. No serious adverse incidents occurred during the HD+HP treatment. Conclusions HD+HP was superior to HD in regularly eliminating middle and large molecule uremic toxins accumulated in the body. These findings suggest a potential role for HD+HP in the treatment to improve the quality of life and survival rate of MHD patients.
Clinical Evaluation of the Air Removal Characteristics of an Oxygenator with Integrated Arterial Filter in a Minimized Extracorporeal Circuit
Authors: Stehouwer Marco C. , Boers Chris , de Vroege Roel , Kelder Johannes C. , Yilmaz Alaaddin , Bruins Peter 
Published: May 2011

The use of minimized extracorporeal circuits (MECC) in cardiac surgery is an important measure to increase the biocompatibility of cardiopulmonary bypass during coronary artery bypass grafting (CABG). These circuits eliminate volume storage reservoirs and bubble traps to minimize the circuit. However, the reduction in volume may increase the risk of gaseous microemboli (GME). The MECC system as used by our group consists of a venous bubble trap, centrifugal pump, and an oxygenator. To further reduce the risk of introducing GME, an oxygenator with an integrated arterial filter was developed based on the concept of minimal volume and foreign surface. We studied the air removal characteristics of this oxygenator with and without integrated arterial filter. The quantity and volume of GME were measured with precision at both the inlet and outlet of the devices. Our results showed that integration of an arterial filter into this oxygenator increased GME reducing capacity from 69.2% to 92%. Moreover, we were able to obtain data on the impact of an arterial filter on the exact size-distribution of GME entering the arterial line. The present study demonstrates that an MECC system and oxygenator with integrated arterial filter significantly reduces the volume and size of GME. The use of an integrated arterial filter in an MECC system may protect the patient from the deleterious effects of CPB and may further improve patient safety.