{"title":"Racial and Ethnic Disparities in Access to Care during the Early Years of Affordable Care Act Implementation in California.","authors":"S. Charles, A. McEligot","doi":"10.32398/CJHP.V16I1.2122","DOIUrl":"https://doi.org/10.32398/CJHP.V16I1.2122","url":null,"abstract":"Background and Purpose\u0000Following the Affordable Care Act (ACA) health insurance expansions, this study asks: did racial/ethnic group disparities in access to care remain? And specifically, did Latinos experience worse access to care after the ACA expansions compared to other racial/ethnic groups?\u0000\u0000\u0000Methods\u0000Dataset: 2015 California Health Interview Survey (n=21,034; N=29,083,000). Participants: Adults, ages 18 and older, in California. Analyses: Bivariate chi-square tests and logistic multivariate regressions, including stratification by insurance.\u0000\u0000\u0000Results\u0000Bivariate tests showed associations between racial/ethnic group and access to care. Latinos had lowest rates of having a usual source of care among uninsured (49.5%) and job-based coverage (85.2%). One-fifth of uninsured non-Latino whites (21%) report foregoing needed care. In the multivariate models, non-Latino whites had significantly higher odds of having a usual source of care (OR=1.32; p<0.05), but also of foregoing needed care (OR=1.43; p<0.05), than Latinos. Asian Americans had significantly lower odds of visiting a doctor in the past year (OR=0.65; p<0.05) than Latino adults.\u0000\u0000\u0000Conclusion\u0000Following the ACA, disparities among racial/ethnic groups have become more complex. While Latino adults still have lower rates of having a usual source of care, Asian American adults have low rates of visiting a doctor, and non-Latino whites have high rates of foregoing needed care. Further research into the causes of difficulties in accessing care is needed, as health insurance expansions did not create health equity in solving access to care problems.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"1 1","pages":"36-45"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80409029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association between Caffeine Consumption and Depression in NHANES 2009-2010.","authors":"J. Pogoda, Galilea Patricio, A. McEligot","doi":"10.32398/CJHP.V16I1.2120","DOIUrl":"https://doi.org/10.32398/CJHP.V16I1.2120","url":null,"abstract":"Background and Purpose\u0000Caffeine is ubiquitous in foods, supplements, and medications and has been hypothesized to be associated with several health-related outcomes, including mental health disorders such as anxiety. We explored a possible relationship between caffeine consumption and depression using data from the National Health and Nutrition Examination Survey (NHANES).\u0000\u0000\u0000Methods\u0000Data from 1,342 adult NHANES participants were included. Statistical software for complex survey sample designs was used to perform two multivariable logistic regressions with a binary indicator of depression as the dependent variable: one using dietary caffeine consumption and one using the caffeine metabolite AAMU as the independent variable. Both analyses were adjusted for gender, race/ethnicity, smoking status, and use of anti-depressants.\u0000\u0000\u0000Results\u0000We observed a descriptive, albeit non-significant (p = 0.12), pattern of increasing odds of depression with increasing levels of the AAMU caffeine metabolite.\u0000\u0000\u0000Conclusion\u0000Our finding of a possible association between caffeine metabolite level and depression is compelling because it is independent of self-reported caffeine consumption. Prospective studies are warranted to further explore the temporal relationship.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"27 1","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74873927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Can Multimedia Tools Promote Big Data Learning and Knowledge in a Diverse Undergraduate Student Population?","authors":"S. Mitra, A. McEligot","doi":"10.32398/CJHP.V16I1.2124","DOIUrl":"https://doi.org/10.32398/CJHP.V16I1.2124","url":null,"abstract":"Background and Purpose\u0000Multimedia tools are an integral part of teaching and learning in today's technology-driven world. The present study explored the role of a newly-developed video introducing the emerging field of big data to a diverse undergraduate student population. Particularly, we investigated whether introduction of a multimedia tool would influence students' self-perceived knowledge related to various big data concepts and future interest in pursuing the field, and what factors influence these.\u0000\u0000\u0000Methods\u0000Students (n = 331) completed a survey on-line after viewing the video, consisting of Likert-type and quantitative questions about students' learning experience, future interest in big data, and background. The dataset was analyzed via ANOVA and multiple linear regression methods.\u0000\u0000\u0000Results\u0000Gender, major, and intended degree were significantly associated with students' learning experience and future interest in big data. Moreover, students who had no prior exposure to big data reported a better learning experience, although they also reported less likelihood to pursue it in the future.\u0000\u0000\u0000Conclusion\u0000Multimedia tools may serve as an effective learning tool in introducing and creating interest in a diverse group of students related to introductory big data science concepts. Both similarities and differences were observed regarding such behaviors among different student sub-groups.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"30 1","pages":"54-65"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83361779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kristine Z. Jankovitz, A. Ventura, Trevor M. Curry, Victoria B. Howarth, Caitlin C. Moran, Robin M. Mertens, Leland A. Bailey, Kristen Thompson, K. McGaughey
{"title":"Prevalence and Correlates of Overweight and Obesity among Preschool-Aged Children in San Luis Obispo County, 2006-2014","authors":"Kristine Z. Jankovitz, A. Ventura, Trevor M. Curry, Victoria B. Howarth, Caitlin C. Moran, Robin M. Mertens, Leland A. Bailey, Kristen Thompson, K. McGaughey","doi":"10.32398/CJHP.V16I1.2125","DOIUrl":"https://doi.org/10.32398/CJHP.V16I1.2125","url":null,"abstract":"Background and Purpose: National prevalence of overweight and obesity (OW/OB) among children remains high; surveillance of OW/OB at state- and local-levels is needed. This study determines the prevalence and sociodemographic predictors of OW/OB among preschool-age children in San Luis Obispo (SLO) County. Methods: Cross-sectional convenience samples of Head Start, California State, and private preschools were surveyed in 2006 (n=482), 2009/10 (n=559), and 2014 (n=442). At all waves, preschool children aged 3-5 years were measured for height and weight using standardized stadiometer and digital scale protocols. In 2014, parents completed a demographics questionnaire. Results: Children assessed in 2009/10 and 2014 were more likely to be OW/OB than those assessed in 2006 (p=0.016). Unadjusted, bivariate odds ratios illustrated increased risk for OW/OB was associated with Hispanic ethnicity, residing in a lower income household, attending preschool in southern SLO County, and participation in a Head Start preschool. In the adjusted, multivariable model, increased risk for OW/OB was associated with attending preschool in SLO City and participation in a California State or Head Start preschool. Conclusion: OW/OB trends in SLO County are similar to national trends. Programs to continue to monitor and reduce socioeconomic disparity in OW/OB prevalence among young children are needed.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88935340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. McEligot, Shaina Sta. Cruz, S. Gonzalez, J. Pogoda
{"title":"The Association between Total Folate Intakes and Depression amongst Three Racial/Ethnic Groups.","authors":"A. McEligot, Shaina Sta. Cruz, S. Gonzalez, J. Pogoda","doi":"10.32398/CJHP.V16I1.2119","DOIUrl":"https://doi.org/10.32398/CJHP.V16I1.2119","url":null,"abstract":"Background and Purpose\u0000Low dietary folate intake has been associated with depression outcomes, but few studies have been reported on the association in diverse populations. Using data from the National Health and Nutrition Examination Survey (NHANES), we examined the relationship between depression and folate intake from diet and supplementation in non-Hispanic whites, Hispanics and African Americans.\u0000\u0000\u0000Methods\u00003,687 adult respondents from the 2009-2010 NHANES cycle were included. Statistical methods for analyzing data from complex survey sample designs were used to assess differences by race/ethnicity in demographic, behavioral, dietary and depression variables and to assess the relationship between depression and folate, adjusting for confounding variables using multivariable logistic regression.\u0000\u0000\u0000Results\u0000We observed significant (p < 0.01) differences by race/ethnicity for all demographic, behavioral, dietary and depression variables, except for physical activity. The relationship between dietary folate and depression significantly differed by race/ethnicity (p = 0.03), with an inverse and significant association in Hispanics only (OR= 0.25; 95% CI= 0.09 - 0.70.; p for trend = 0.02).\u0000\u0000\u0000Conclusion\u0000These data suggest that a diet high in folate, such as from dark green leafy vegetables, may be associated with a reduced odds for depression, and specifically, Hispanics may benefit from nutrition education to potentially reduce depression in the population.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"13 1","pages":"6-15"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85878106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Kruger, Jennifer Glassman, K. Knippen, Tavis J Glassman, D. Kruger
{"title":"Drunchies Hangover","authors":"J. Kruger, Jennifer Glassman, K. Knippen, Tavis J Glassman, D. Kruger","doi":"10.32398/cjhp.v16i1.2127","DOIUrl":"https://doi.org/10.32398/cjhp.v16i1.2127","url":null,"abstract":"Background and Purpose: Alcohol intoxication affects college students' eating patterns. Yet, little is known about dietary habits on the day after heavy alcohol consumption. The purpose of this study was to examine college students’ dietary choices during alcohol consumption and on the following day by gender and level of alcohol consumption (including none). Methods: Ethnically diverse undergraduates (N = 286; 52% male, 48% female, M age = 19, SD age = 1) at a public university in the Midwest completed an anonymous on-line survey. The survey included Behavioral Risk Factor Surveillance System nutrition items, items on consumption of \"empty calorie foods,\" and open-ended response items on dietary choices that were coded by a nutritionist. Results: Participants reported differences in the likelihoods of consuming non-nutrient dense foods after drinking alcohol both before sleeping and the next day compared to at other times when they were not consuming alcohol. Conclusion: College students are more likely to eat after drinking alcohol and tend to consume less healthy foods. These dietary practices necessitate the need for customized interventions focusing on the dietary influences of alcohol consumption.","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87734776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Rusmevichientong, S. Mitra, A. McEligot, Emma E. Navajas
{"title":"Association between Types of Soda Consumption and Overall Diet Quality","authors":"P. Rusmevichientong, S. Mitra, A. McEligot, Emma E. Navajas","doi":"10.32398/cjhp.v16i1.2121","DOIUrl":"https://doi.org/10.32398/cjhp.v16i1.2121","url":null,"abstract":"Background and Purpose: Daily soda consumption may lead to high energy intake and poor diet quality. Although diet sodas contain no calories, they lack healthful nutrients. The study examined different types of soda consumption [regular (sugar-sweetened) sodas, diet sodas, and non-sodas] associated with overall diet quality. Methods: Cross sectional, 24-hour dietary recall data from the National Health and Nutrition Examination Survey (NHANES) from 2005-2012 were utilized for the study. Majority of the participants (n = 4,427) were female (57%), adults aged 19-55 years (51%), and non-Hispanic whites (67%). Nutritional Quality Index (NQI) was calculated as an indicator of diet quality. Multiple linear regression models were used to estimate the significant association between types of soda consumption and NQI stratified by body mass index. Results: Regular soda drinkers had lower NQI than diet soda drinkers, but only for overweight (","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80760526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pimbucha Rusmevichientong, Sinjini Mitra, Archana J McEligot, Emma Navajas
{"title":"The Association between Types of Soda Consumption and Overall Diet Quality: Evidence from National Health and Nutrition Examination Survey (NHANES).","authors":"Pimbucha Rusmevichientong, Sinjini Mitra, Archana J McEligot, Emma Navajas","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background and purpose: </strong>Daily soda consumption may lead to high energy intake and poor diet quality. Although diet sodas contain no calories, they lack healthful nutrients. The study examined different types of soda consumption [regular (sugar-sweetened) sodas, diet sodas, and non-sodas] associated with overall diet quality.</p><p><strong>Methods: </strong>Cross sectional, 24-hour dietary recall data from the National Health and Nutrition Examination Survey (NHANES) from 2005-2012 were utilized for the study. Majority of the participants (n = 4,427) were female (57%), adults aged 19-55 years (51%), and non-Hispanic whites (67%). Nutritional Quality Index (NQI) was calculated as an indicator of diet quality. Multiple linear regression models were used to estimate the significant association between types of soda consumption and NQI stratified by body mass index.</p><p><strong>Results: </strong>Regular soda drinkers had lower NQI than diet soda drinkers, but only for overweight (<i>β</i> =-9.72; p=0.031) and obese (<i>β</i> =-7.06; p<0.002) individuals. Non-soda drinkers had higher NQI compared to diet soda drinkers in normal weight (<i>β</i> =12.38; p=0.006) and obese (<i>β</i> =6.19; p<0.000) individuals.</p><p><strong>Conclusion: </strong>Nutrition intervention programs, therefore, should target overweight and obese soda drinkers, emphasizing reduction in soda consumption, which may improve nutrient density in their diets and subsequently impact long-term health outcomes.</p>","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"16 1","pages":"24-35"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428592/pdf/nihms-1015398.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37084980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Racial and Ethnic Disparities in Access to Care during the Early Years of Affordable Care Act Implementation in California.","authors":"Shana Alex Charles, Archana J McEligot","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background and purpose: </strong>Following the Affordable Care Act (ACA) health insurance expansions, this study asks: did racial/ethnic group disparities in access to care remain? And specifically, did Latinos experience worse access to care after the ACA expansions compared to other racial/ethnic groups?</p><p><strong>Methods: </strong><i>Dataset</i>: 2015 California Health Interview Survey (n=21,034; N=29,083,000). <i>Participants</i>: Adults, ages 18 and older, in California. <i>Analyses</i>: Bivariate chi-square tests and logistic multivariate regressions, including stratification by insurance.</p><p><strong>Results: </strong>Bivariate tests showed associations between racial/ethnic group and access to care. Latinos had lowest rates of having a usual source of care among uninsured (49.5%) and job-based coverage (85.2%). One-fifth of uninsured non-Latino whites (21%) report foregoing needed care. In the multivariate models, non-Latino whites had significantly higher odds of having a usual source of care (OR=1.32; p<0.05), but also of foregoing needed care (OR=1.43; p<0.05), than Latinos. Asian Americans had significantly lower odds of visiting a doctor in the past year (OR=0.65; p<0.05) than Latino adults.</p><p><strong>Conclusion: </strong>Following the ACA, disparities among racial/ethnic groups have become more complex. While Latino adults still have lower rates of having a usual source of care, Asian American adults have low rates of visiting a doctor, and non-Latino whites have high rates of foregoing needed care. Further research into the causes of difficulties in accessing care is needed, as health insurance expansions did not create health equity in solving access to care problems.</p>","PeriodicalId":87431,"journal":{"name":"Californian journal of health promotion","volume":"16 1","pages":"36-45"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6428587/pdf/nihms-1016951.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37084981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}