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Sample records for health survey ecrhs

  1. International variations in asthma treatment compliance: the results of the European Community Respiratory Health Survey (ECRHS).

    PubMed

    Cerveri, I; Locatelli, F; Zoia, M C; Corsico, A; Accordini, S; de Marco, R

    1999-08-01

    Noncompliance to medication is a major barrier to effective asthma management. Its real extent and geographical variation throughout the world are not yet known. The data on compliance, collected in the framework of the European Community Respiratory Health Survey (ECRHS) on 1771 subjects (aged 20-44 yrs) with current asthma identified in 14 countries, offer a unique opportunity to assess the extent of noncompliance and its variation across countries. The median percentage of current asthmatics who had received a medical prescription at least once was 95%. The compliance of those patients who had received a medical prescription was found to be low in all countries (median 67%) but with wide variations, the rate ranging from 40% (USA) to 78% (Iceland). During exacerbations patients' rate of compliance increased to 72%. Age was the only variable which influenced compliance to treatment. A significant, although weak, negative correlation was found between patients' compliance and rate of hospital casualty department or emergency room admissions. This study documents that compliance to the treatment of asthma is poor worldwide and that there are large variations between countries. These results emphasize the necessity for further efforts to improve patients' education and to promulgate the international guidelines.

  2. Inhalation Incidents and Respiratory Health: Results From the European Community Respiratory Health Survey

    PubMed Central

    Mirabelli, Maria C.; Olivieri, Mario; Kromhout, Hans; Norbäck, Dan; Radon, Katja; Torén, Kjell; van Sprundel, Marc; Villani, Simona; Zock, Jan-Paul

    2009-01-01

    Background Inhalation incidents are an important cause of acute respiratory symptoms, but little is known about how these incidents affect chronic respiratory health. Methods We assessed reported inhalation incidents among 3,763 European Community Respiratory Health Survey (ECRHS) participants with and without cough, phlegm, asthma, wheezing or bronchial hyperresponsiveness. We then examined whether inhalation incidents during the 9-year ECRHS follow-up period were associated with a new onset of any of these respiratory outcomes among 2,809 participants who were free of all five outcomes at the time of the baseline ECRHS survey. Results Inhalation incidents were reported by 5% of participants, with higher percentages reported among individuals with asthma-related outcomes at the time of the baseline survey. Among participants without symptoms at baseline, our analyses generated non-statistically significant elevated estimates of the risk of cough, phlegm, asthma and wheezing and a non-statistically significant inverse estimate of the risk of bronchial hyperresponsiveness among participants who reported an inhalation incident compared to those without such an event reported. Discussion Our findings provide limited evidence of an association between inhalation incidents and asthma-related symptoms. These data could be affected by differences in the reporting of inhalation incidents according to symptom status at the time of the baseline survey; they should thus be interpreted with caution. PMID:18942122

  3. ECRH in tandem mirror machines

    SciTech Connect

    Stallard, B.W.

    1983-05-27

    The thermal barrier concept and the use of ECRH to generate the several electron populations required to establish confinement are discussed. Important physics issues related to the microwave heating are discussed. Fokker-Planck calculations which model the heating processes are presented, followed by recent experimental data on hot electron heating.

  4. Population prevalence of asthma and its determinants based on European Community Respiratory Health Survey in the United Arab Emirates

    PubMed Central

    2012-01-01

    Background No population study has explored the population distribution of adult asthma in the United Arab Emirates (UAE). The objective is to estimate asthma prevalence in general population in UAE. Methods Using standard European Community Respiratory Health Survey (ECRHS) questionnaires and tools, this is a cross-sectional assessment of a random sample of the population in established quotas of the seven Emirates in the UAE. We surveyed 1,220 participants, of which 63.2% were male, and 20.1% were UAE Nationals, with a mean (SD) age of 32.9 (14.1) years. Results Prevalence of individual respiratory symptoms from the ECRHS screening questionnaire in all participants were generally ranging 8 - 10%, while participants 20-44 years presented lower prevalence in all symptoms (p < 0.05). The expected male:female ratio of reported wheezing and asthma attacks and its treatment by age was not observed. Participating women reported more individual symptoms than men. Overall, there were 15.4% (95% C.I. 13.5 - 17.5) participants who fulfilled our screening criteria for asthma, while for consistency with ECRHS, there were 12.1% (95% C.I. 10.4 - 14.1) participants who fulfilled the ECRHS asthma definition, being 9.8% (95% C.I. 7.8 - 12.2) of those 20-44 years, that is 8.6% of male and 11.8% of female young adults participating. Conclusion We conclude that asthma is common in the UAE, and gender differences are not observed in reported asthma symptoms in young adults. This being the first population based study exploring the prevalence of asthma and its determinants in the United Arab Emirates based on the ECRHS. PMID:22340199

  5. Population prevalence of asthma and its determinants based on European Community Respiratory Health Survey in the United Arab Emirates.

    PubMed

    Mahboub, Bassam H; Al-Hammadi, Suleiman; Rafique, Mohamed; Sulaiman, Nabil; Pawankar, Ruby; Al Redha, Abdulla I; Mehta, Atul C

    2012-02-16

    No population study has explored the population distribution of adult asthma in the United Arab Emirates (UAE). The objective is to estimate asthma prevalence in general population in UAE. Using standard European Community Respiratory Health Survey (ECRHS) questionnaires and tools, this is a cross-sectional assessment of a random sample of the population in established quotas of the seven Emirates in the UAE. We surveyed 1,220 participants, of which 63.2% were male, and 20.1% were UAE Nationals, with a mean (SD) age of 32.9 (14.1) years. Prevalence of individual respiratory symptoms from the ECRHS screening questionnaire in all participants were generally ranging 8 - 10%, while participants 20-44 years presented lower prevalence in all symptoms (p < 0.05). The expected male:female ratio of reported wheezing and asthma attacks and its treatment by age was not observed. Participating women reported more individual symptoms than men. Overall, there were 15.4% (95% C.I. 13.5 - 17.5) participants who fulfilled our screening criteria for asthma, while for consistency with ECRHS, there were 12.1% (95% C.I. 10.4 - 14.1) participants who fulfilled the ECRHS asthma definition, being 9.8% (95% C.I. 7.8 - 12.2) of those 20-44 years, that is 8.6% of male and 11.8% of female young adults participating. We conclude that asthma is common in the UAE, and gender differences are not observed in reported asthma symptoms in young adults. This being the first population based study exploring the prevalence of asthma and its determinants in the United Arab Emirates based on the ECRHS.

  6. Metalworking exposures and persistent skin symptoms in the ECRHS II and SAPALDIA 2 cohorts

    PubMed Central

    Mirabelli, Maria C.; Zock, Jan-Paul; Bircher, Andreas J.; Jarvis, Debbie; Keidel, Dirk; Kromhout, Hans; Norbäck, Dan; Olivieri, Mario; Plana, Estel; Radon, Katja; Schindler, Christian; Schmid-Grendelmeier, Peter; Torén, Kjell; Villani, Simona; Kogevinas, Manolis

    2009-01-01

    Background Diseases of the skin are important and often preventable conditions occurring among workers with dermal exposures to irritant and sensitizing agents. Objective We conducted this analysis to assess the associations between metalworking exposures and current, persistent skin symptoms among male and female participants in two population-based epidemiologic studies. Methods We pooled data from the European Community Respiratory Health Survey II (ECRHS II) and the Swiss Cohort Study on Air Pollution and Lung and Heart Disease in Adults 2 (SAPALDIA 2), two prospective cohort studies in Europe. Participants each completed interviewer-administered questionnaires to provide information about symptoms and exposures related to selected occupations, including metalworking, during the follow-up periods. We assessed associations between skin symptoms and the frequency of metalworking exposures among 676 ECRHS II/SAPALDIA 2 respondents. Results Current skin symptoms were reported by 10% of metalworkers and were associated with frequent use, defined as 4+days/week, of oil-based metalworking fluids (prevalence ratio (PR): 1.76, 95% confidence interval (CI): 1.25, 2.49) and organic solvent degreasing agents (PR: 2.06, 95% CI: 1.21, 3.50). Conclusions Skin symptom prevalence is associated with increasing frequency of oil-based metalworking fluid and degreasing agent use. Our findings justify assessing strategies for reducing the frequency of metal-related exposures. PMID:19397617

  7. Large Scale CW ECRH Systems: Some considerations

    NASA Astrophysics Data System (ADS)

    Erckmann, V.; Kasparek, W.; Plaum, B.; Lechte, C.; Petelin, M. I.; Braune, H.; Gantenbein, G.; Laqua, H. P.; Lubiako, L.; Marushchenko, N. B.; Michel, G.; Turkin, Y.; Weissgerber, M.

    2012-09-01

    Electron Cyclotron Resonance Heating (ECRH) is a key component in the heating arsenal for the next step fusion devices like W7-X and ITER. These devices are equipped with superconducting coils and are designed to operate steady state. ECRH must thus operate in CW-mode with a large flexibility to comply with various physics demands such as plasma start-up, heating and current drive, as well as configurationand MHD - control. The request for many different sophisticated applications results in a growing complexity, which is in conflict with the request for high availability, reliability, and maintainability. `Advanced' ECRH-systems must, therefore, comply with both the complex physics demands and operational robustness and reliability. The W7-X ECRH system is the first CW- facility of an ITER relevant size and is used as a test bed for advanced components. Proposals for future developments are presented together with improvements of gyrotrons, transmission components and launchers.

  8. National Health Care Survey

    Cancer.gov

    This survey encompasses a family of health care provider surveys, including information about the facilities that supply health care, the services rendered, and the characteristics of the patients served.

  9. Validation of the Korean version of the European Community Respiratory Health Survey screening questionnaire for use in epidemiologic studies for adult asthma

    PubMed Central

    Song, Woo-Jung; Lee, So-Hee; Kang, Min-Gyu; Kim, Ju-Young; Kim, Mi-Young; Jo, Eun-Jung; Lee, Suh-Young; Lee, Seung-Eun; Kim, Min-Hye; Yang, Min-Suk; Kim, Sae-Hoon; Kang, Hye-Ryun; Park, Hye-Kyung; Park, Heung-Woo; Chang, Yoon-Seok; Kim, Sun-Sin; Lee, Jong-Myung; Min, Kyung-Up

    2015-01-01

    Background Standardized questionnaire is one of key instruments for general population surveys. Objective The present study aimed to develop and validate the Korean version of the European Community Respiratory Health Survey (ECRHS) screening questionnaire for adult asthma surveys. Methods The ECRHS screening questionnaire was translated into Korean language according to the international criteria. Study participants were prospectively recruited from six referral hospitals and one health check-up center. Comprehensibility of the translation was tested in a pilot study of 10 patients. The reliability was evaluated by internal consistency and test-retest repeatability. Validity was assess with regard to physician-diagnosed asthma. Results A total of 100 adult asthma patients and 134 volunteers were recruited. Reliability was examined for 10 items in 100 asthmatics; Cronbach α coefficients were 0.84, and test-retest repeatability was good (Cohen κ coefficient, 0.71-1.00). Validity was assessed for 8 items in 234 participants; in particular, 'recent wheeze' showed a high sensitivity (0.89) for physician-diagnosed asthma. 'Recent asthma attack' and 'current asthma medication' showed high specificity (0.96-0.98). Conclusion The present study demonstrated that the Korean version of the ECRHS screening questionnaire was comprehensible, reliable and valid. We suggest the questionnaire to be utilized in further epidemiological studies for asthma in Korean adult populations. PMID:25653917

  10. Health Occupations Survey.

    ERIC Educational Resources Information Center

    Willett, Lynn H.

    A survey was conducted to determine the need for health occupations personnel in the Moraine Valley Community College district, specifically to: (1) describe present employment for selected health occupations; (2) project health occupation employment to 1974; (3) identify the supply of applicants for the selected occupations; and (4) identify…

  11. The Personal Health Survey

    ERIC Educational Resources Information Center

    Thorne, Frederick C.

    1978-01-01

    The Personal Health Survey (PHS) is a 200-item inventory designed to sample symptomatology as subjective experiences from the 12 principal domains of organ system and psychophysiological functioning. This study investigates the factorial validity of the empirically constructed scales. (Author)

  12. Smoking and occupation from the European Community Respiratory Health Survey

    PubMed Central

    McCurdy, S; Sunyer, J; Zock, J; Anto, J; Kogevinas, M; European, C

    2003-01-01

    Background: Smoking is among the most important personal and modifiable risk factors for adverse health outcomes. The workplace offers a potentially effective venue for tobacco prevention programmes; identifying occupational groups with high smoking prevalence may assist in targeting such programmes. Aims: To examine smoking prevalence among occupational groups in the European Union. Methods: The European Community Respiratory Health Survey (ECRHS), a cross sectional health survey conducted in 1992–93, was used to examine smoking prevalence by occupation among 14 565 subjects from 30 centres in 14 participating countries. Results: There was an approximately twofold range in smoking prevalence by occupation. For occupational groups with at least 50 subjects, the highest smoking prevalence was seen in metal making and treating for men (54.3%) and cleaners for women (50.7%). Increased smoking prevalence by occupation persisted after adjustment for age, country, and age at completion of education. Smoking was also increased among occupations with high exposure to mineral dust and gas or fumes. Conclusions: Smoking rates vary significantly by occupation. Prevention efforts in the workplace should focus on occupations with high smoking prevalence and large employment bases. PMID:12937184

  13. ECRH and ECCD Experiments at the Wendelstein7-X Stellarator

    NASA Astrophysics Data System (ADS)

    Laqua, Heinrich; Braune, Harald; Hirsch, Matthias; Hoefel, Udo; Marsen, Stefan; Moseev, Dmitry; Stange, Torsten; Wolf, Robert; Wauters, Tom; W7-X Team

    2016-10-01

    Plasmas in the first operation phase OP1.1 of W7-X were exclusively heated by ECRH. 6 gyrotrons with up to 4.3 MW power at 140 GHz and a quasi-optical transmission line generated plasma start-up, heating and wall conditioning with a very high reliability. The central ECRH power deposition enabled highly peaked electron temperature (Te) profiles with a peak Te above 8 keV, ne of 41019m-3 and flat ion temperatures profiles reaching 2 keV. By off-axis ECRH, the absence of core Te profile resilience in W7-X was demonstrated. With ECRH-power modulation heat waves for transport analysis have been generated on a regular basis. First ECCD experiments demonstrated a strong sensitivity of the confinement with sawtooth-like crashes of the central Te profile when central ECCD was applied. The high Te enabled successful demonstration of ECRH in O2-mode only. This scenario is foreseen for high-density operation above the X2-mode cut-off density in the next operation phase. The density control could be recovered by ECRH discharges in helium, which substituted glow discharge when the supra-conducting field coils were charged. The efficiency of ECRH absorption was monitored by diagnostics that measured the unabsorbed part of the ECRH. These also served as plasma interlock, preventing damages by unabsorbed ECRH power.

  14. Experiment of Fundamental ECRH in the GAMMA 10 Central Cell

    SciTech Connect

    Tatematsu, Y.; Saito, T.; Ikegami, H.; Sekine, T.; Nagai, D.; Nozaki, K.; Ishii, K.; Kohagura, J.; Nakashima, Y.; Kubo, S.; Shimozuma, T.; Cho, T.

    2005-01-15

    As an improvement of the central-cell ECRH (C-ECRH) system in GAMMA 10, an ellipsoidal mirror was installed instead of a cylindrical mirror. With this replacement, the microwave beam for ECRH is converged to the GAMMA 10 axis on the resonance surface and Poynting flux reaching the plasma core region becomes about five times larger than the previous one. Effectiveness of this system has been shown in the initial stage of experiment. Finite increment of soft X-ray signal during ECRH operation indicates an increase of the electron temperature. As more improvement, designing a new antenna is now under way.

  15. Control of sawtooth via ECRH on EAST tokamak

    NASA Astrophysics Data System (ADS)

    Yuan, Yi; Hu, Liqun; Xu, Liqing; Wang, Xiaoguang; Wang, Xiaojie; Xu, Handong; Luo, Zhengping; Chen, Kaiyun; Lin, Shiyao; Duan, Yanmin; Chang, Pengxiang; Zhao, Hailin; He, Kaiyang; Liang, Yunfeng

    2016-06-01

    Localized electron heating produced by electron cyclotron resonant heating (ECRH) system has been proven to be powerful tools for controlling sawtooth instabilities, because such system allows to directly modify the local plasma parameters that determine the evolution of sawtooth periods. In this paper, we present the experimental results carried out on experimental advanced superconducting tokamak (EAST) with regard to sawtooth period control via ECRH. The electron cyclotron heating system on EAST was capable of inject electron cyclotron wave toward certain locations inside or outside q = 1 magnetic surface on the poloidal cross section, which renders us able to investigate the evolution of sawtooth period against the ECRH deposition position. It is found that when ECRH deposition position is inside the q = 1 surface, the sawtooth oscillation is destabilized (characterized by reduced sawtooth period). So far, inside the q = 1 surface, there are not enough EAST experiment data that can reveal more detailed information about the relation between ECRH deposition position and sawtooth period. When ECRH deposition is outside the q = 1 surface, the sawtooth oscillation is stabilized (characterized by prolonged sawtooth period), and the sawtooth periods gradually decrease as ECRH deposition position sweeps away from q = 1 surface. The sawtooth periods reach maximum when ECRH deposition position falls around q = 1 surface. The magnetic shear at q = 1 surface is calculated to offer insights for the temporal evolution of sawtooth. The result has been found consistent with the Porcelli model.

  16. Feedback control of ECRH polarization on LHD

    NASA Astrophysics Data System (ADS)

    Felici, F.; Shimozuma, T.; Kubo, S.; Yoshimura, Y.; Takahashi, H.; Igami, H.; Goodman, T. P.; Seki, T.; Tsuchiya, H.; Ito, S.; Mizuno, Y.; Sauter, O.; Mutoh, T.; LHD Experiment Group

    2010-10-01

    The polarization of electron cyclotron resonance heating (ECRH) waves, set by the orientation of a pair of corrugated mirror polarizers in the transmission line, determines the degree of coupling to O- and X-modes in the plasma and has an important effect on the first-pass absorption. Existing methods for determining the required polarization have been found adequate in most experiments. However, as the pulse length is increased it becomes increasingly important to maximize the first-pass absorption while the plasma or injection conditions change or when there can be significant O- to X-mode power coupling during propagation, particularly in the edge plasma region of a stellarator. This has motivated the development of a dedicated feedback control system which is able to adjust the polarizers' angles settings during the discharge in order to maintain the highest possible absorption. An extremum seeking controller is shown to successfully recover the optimum polarization setting during long-pulse ECRH experiments on the Large Helical Device (LHD). Corrections were made to this article on 02 September 2010. 'The' was removed before LHD in several places.

  17. Thai physicians health survey.

    PubMed

    Wattanasirichaigoon, Somkiat; Ruksakom, Hansa; Polboon, Navapun; Sithisarankul, Pornchai; Visanuyothin, Taweesin

    2004-10-01

    Physicians often conduct research on other occupations' health or general populations' health, but their health has hardly been studied systematically. The authors conducted a cross-sectional descriptive survey on 440 physicians systematically selected from their medical license numbers. The response rate was 86.4% (380 out of 440). Two-hundred and twenty-nine were male, and 151 were female. Their average age was 40.8 years (range: 22-74). Most of them were Buddhists (93.9%), specialists (64.2%), married only once and still lived with their spouses (59.5%), and concurrently practiced medicine (95.5%). Their overall satisfaction as physicians was 60.2% high, and 37.2% moderate. Their average sleep time was 6-8 hours per night for 58.9%. Most had eye problems (74.9%) and most were refractive errors such as myopia. Most (63.8%) of them did not have any prevalent diseases. Whereas those who had diseases had (in order) allergy, hypertension, asthma, diabetes, and cancer. Their current illnesses included respiratory tract infection. Most physicians did not smoke (94.2%) nor drink alcohol (70.5%). Most of them were not vegetarians (60.4%), did not eat fast food (99.2%). Interestingly, 41.4% of them were accounted for spending less than twice per week for exercise. As expected, 23.7% of them were exposed to blood, 14.5% to respiratory tract secretion, and 13.7% to pus/secretion from wounds. This study serves as a basis for health promotion approach to medical community and does create awareness of health among Thai physicians.

  18. Status of ECRH project on EAST Tokamak

    SciTech Connect

    Wang, Xiaojie; Liu, Fukun; Shan, Jiafang; Xu, Handong; Wu, Dajun; Li, Bo; Zhang, Jiang; Huang, Yiyun; Tang, Yunying; Xu, Weiye; Hu, Huaichuan; Wang, Jian; Xu, Li; Wei, Wei

    2014-02-12

    A 140GHz electron cyclotron resonance heating and current drive (EC H and CD) project for EAST Tokamak is launched in 2011 with a total power of 4MW and pulse length of 100 s. The main objectives of the system are to provide central H and CD, assist start-up and control of MHD activities. The system comprises four gyrotrons each with nominal output power of 1MW at 140GHz. The RF power, transmitted through four evacuated corrugated waveguides will be injected into plasma from the low field side (radial port). The front steering equatorial launcher directs the RF beam over ±25° toroidally and scans over 38° poloidally. At present, the construction of the first 1MW system is undergoing for the expected campaign in the end of 2013. In this paper, the current status of the development and the design of the 140-GHz ECRH system are presented.

  19. Large Scale CW ECRH Systems: Meeting a Challenge

    SciTech Connect

    Erckmann, V.; Braune, H.; Laqua, H. P.; Marushchenko, N. B.; Michel, G.; Kasparek, W.; Plaum, B.; Lechte, C.; Stuttgart, IPF; Petelin, M. I.; Lubiako, L.; Bruschi, A.; D'Arcangelo, O.; Bin, W.; Van Den Braber, R.; Doelman, N.; Gantenbein, G.; Thumm, M.

    2011-12-23

    Electron Cyclotron Resonance Heating (ECRH) systems for next step-fusion devices like W7-X and ITER operate in CW-mode and provide a large flexibility to comply with various physics demands such as plasma start-up, heating and current drive, as well as configuration and MHD control. The request for many different sophisticated applications results in a growing complexity of the systems. This is in conflict with the request for high availability, reliability, and maintainability, which arises from DEMO demands. 'Advanced' ECRH-components must, therefore, comply with both the complex physics demands and operational robustness and reliability. The W7-X ECRH system is the first CW facility of an ITER relevant size and is used as a test bed for such components. Results on improvements of gyrotrons, transmission components and launchers are presented together with proposals for future developments.

  20. ECRH/EBWH SYSTEM FOR NSTX-U

    SciTech Connect

    G. Taylor, R.A. Ellis, R.W. Harvey, J.C. Hosea and A.P. Smirnov

    2012-05-01

    The National Spherical Torus Experiment Upgrade (NSTX-U) will operate at an axial toroidal field of up to 1 T, about twice the field available on NSTX. A 28 GHz electron cylotron resonance heating (ECRH) system is currently being planned for NSTX-U. A 1 MW 28 GHz gyrotron will be employed. Intially the system will use short, 10-50 ms, 1 MW pulses for ECRH-assisted discharge start-up. Later the pulse length will be extended to 1-5 s to study electron Bernstein wave heating (EBWH) during the plasma current flat top. A mirror launcher will be used to couple microwave power to the plasma via O-mode to the slow X-mode to EBW (O-X-B) double mode conversion. This paper presents a pre-conceptual design for the ECRH/EBWH system proposed for NSTX-U and includes ray tracing and Fokker-Planck modeling results for 28 GHz ECRH during plasma start-up and EBW heating and current drive during the plasma current flattop of a NSTX-U advanced H-mode plasma scenario

  1. Instrumentation and control system architecture of ECRH SST1

    NASA Astrophysics Data System (ADS)

    Patel, Harshida; Patel, Jatin; purohit, Dharmesh; Shukla, B. K.; Babu, Rajan; Mistry, Hardik

    2017-07-01

    The Electron Cyclotron Resonance Heating (ECRH) system is an important heating system for the reliable start-up of tokamak. The 42GHz and 82.6GHz Gyrotron based ECRH systems are used in tokomaks SST-1 and Aditya to carry out ECRH related experiments. The Gyrotrons are high power microwave tubes used as a source for ECRH systems. The Gyrotrons need to be handled with optimum care right from the installation to its Full parameter control operation. The Gyrotrons are associated with the subsystems like: High voltage power supplies (Beam voltage and anode voltage), dedicated crowbar system, magnet, filament and ion pump power supplies and cooling system. The other subsystems are transmission line, launcher and dummy load. A dedicated VME based data acquisition & control (DAC) system is developed to operate and control the Gyrotron and its associated sub system. For the safe operation of Gyrotron, two level interlocks with fail-safe logic are developed. Slow signals that are operated in scale of millisecond range are programmed through software and hardware interlock in scale of microsecond range are designed and developed indigenously. Water-cooling and the associated interlock are monitored and control by data logger with independent human machine interface.

  2. ECRH: A Tool To Control Disruptions In Tokamaks

    NASA Astrophysics Data System (ADS)

    Granucci, G.; Esposito, B.; Maraschek, M.; Nowak, S.; Martin-Solis, J. R.; Bin, W.; Botrugno, A.; Gabellieri, L.; Lazzaro, E.; Pautasso, G.; Romano, A.; Smeulders, P.; Stober, J.; Treutterer, W.; Tudisco, O.; Urso, L.; Volpe, F.; Zohm, H.

    2009-11-01

    ECRH is suited for MHD control in tokamaks and this is well known since the several pioneering experiments investigating MHD stabilization either for confinement increase or for avoidance of disruptions originated by such instabilities. The first of these objectives has been strongly pursued up to the design of a system for neoclassical tearing mode stabilization in ITER based on the use of ECRH/ECCD, whereas the second one has been mostly neglected, despite the initial good results obtained on small tokamaks (RTP, T-10 and JFT-2M) in which ECRH was used to avoid disruptions originated by MHD limits or strong gas puffing. In the last years ECRH has been used again for disruption control on the Frascati Tokamak Upgrade (FTU) and on ASDEX Upgrade (AUG). Disruptions have been obtained by density limit and by impurity injection and an accurate power deposition scan has been performed. Full avoidance has been demonstrated on both tokamaks, confirming the need of a precise power localization and of the existence of a power threshold. The results of past experiments will be reviewed on the basis of the results recently obtained in FTU and AUG, together with a preliminary analysis of the applicability of this disruption control technique to ITER, by extrapolation of the power thresholds found in AUG and FTU.

  3. Feasibility study of ECRH in NSTX-U startup plasma

    NASA Astrophysics Data System (ADS)

    Lopez, N. A.; Poli, F.; Taylor, G.; Harvey, R.; Petrov, Yu.

    2016-10-01

    A key mission goal of the National Spherical Torus eXperiment Upgrade (NSTX-U) is the demonstration of fully non-inductive startup and operation. In part to accomplish this, a 1MW, 28 GHz ECRH system is presently being developed for implementation on NSTX-U in 2018. Like most spherical tokamaks, NSTX-U operates in the overdense regime (fpe>fce) , which limits traditional ECRH to the early startup phase. An extensive modelling effort of the propagation and absorption of EC waves in the evolving plasma is thus required to define the most effective window of operation, and to optimize the launcher geometry for maximal heating and for current drive during this window. In fact, the ECRH system will play an important role in preparing a target plasma for subsequent injection of IC waves and NBI. Here we assess the feasibility of O1-mode ECRH in NSTX-U startup plasma at full field of 1T through time-dependent simulations performed with the transport solver TRANSP. Linear ray-tracing calculations conducted by GENRAY are coupled into the TRANSP framework, allowing the plasma equilibrium and the temperature profiles to evolve self-consistently in response to the injected microwave power. Furthermore, we investigate additional possibilities of heating and current drive made available through coupling the injected O-mode power to the electrostatic EBW via the slow X-mode as an intermediary.

  4. ECRH microwave beam broadening in the edge turbulent plasma

    SciTech Connect

    Sysoeva, E. V.; Gusakov, E. Z.; Popov, A. Yu.; Silva, F. da; Heuraux, S.

    2014-02-12

    The influence of turbulent plasma density fluctuations on angular and spatial beam width is treated analytically in the framework of WKB based eikonal method. Reasonable agreement of analytical and numerical treatment results is demonstrated within the domain of quasi-optical approximation validity. Significant broadening of microwave beams is predicted for future ECRH experiments at ITER.

  5. Associations of ECP (eosinophil cationic protein)-gene polymorphisms to allergy, asthma, smoke habits and lung function in two Estonian and Swedish sub cohorts of the ECRHS II study.

    PubMed

    Jönsson, Ulla-Britt; Håkansson, Lena Douhan; Jõgi, Rain; Janson, Christer; Venge, Per

    2010-06-09

    The Eosinophil Cationic Protein (ECP) is a potent multifunctional protein. Three common polymorphisms are present in the ECP gene, which determine the function and production of the protein. The aim was to study the relationship of these ECP gene polymorphisms to signs and symptoms of allergy and asthma in a community based cohort (The European Community Respiratory Health Survey (ECRHS)). Swedish and Estonian subjects (n = 757) were selected from the larger cohort of the ECRHS II study cohort. The prevalence of the gene polymorphisms ECP434(G>C) (rs2073342), ECP562(G>C) (rs2233860) and ECP c.-38(A>C) (rs2233859) were analysed by DNA sequencing and/or real-time PCR and related to questionnaire-based information of allergy, asthma, smoking habits and to lung functions. Genotype prevalence showed both ethnic and gender differences. Close associations were found between the ECP434(G>C) and ECP562(G>C) genotypes and smoking habits, lung function and expression of allergic symptoms. Non-allergic asthma was associated with an increased prevalence of the ECP434GG genotype. The ECP c.-38(A>C) genotypes were independently associated to the subject being atopic. Our results show associations of symptoms of allergy and asthma to ECP-genotypes, but also to smoking habits. ECP may be involved in impairment of lung functions in disease. Gender, ethnicity and smoking habits are major confounders in the evaluations of genetic associations to allergy and asthma.

  6. Performance comparison of Likert and binary formats of SF-36 version 1.6 across ECRHS II adults populations.

    PubMed

    Grassi, Mario; Nucera, Andrea; Zanolin, Elisabetta; Omenaas, Ernst; Anto, Josep M; Leynaert, Bénédicte

    2007-01-01

    To evaluate a binary response structure of SF-36 items assessing scaling assumptions, reliability, and validity of questionnaire. An optimal scaling accounting for the nonmetric properties of the data was used to reduce SF-36 Likert item responses to give a binary coding. The binary recoding was compared with the original format regarding item analysis, underlying latent components and know-groups clinical validity using ordered correlation/regression methods. Data from the European Community Respiratory Health Survey Follow-up (ECRHS II) of 8854 subjects from 25 centers were analyzed to cross-validate the binary coding proposal. Overall, the testing comparison produces results indicating that the binary recoding of the SF-36 scales meets at least similar standards without jeopardizing the underling structure of the original format. Internal binary consistency shows comparable values with the Likert ones and these are always higher than the minimum suggested. The Principal Component structure was well replicated and know-groups validity gives similar research findings for symptomatic, long-term illness and depression differences. Although there is lost of information due to the reduction of response's chance, our results indicate that the SF-36 binary recoding gives the possibility to suggest a new version of smarter and easier methodology of administration, compilation, score calculation, and data processing. Consequently, it may be an alternative to the existing shorter versions, suitable in administering in clinical setting and clinical trials, in subjects with serious diseases, and by telephone.

  7. A Navajo health consumer survey.

    PubMed

    Stewart, T; May, P; Muneta, A

    1980-12-01

    The findings of a health consumer survey of 309 Navajo families in three areas of the Navajo Reservation are reported. The survey shows that access to facilities and lack of safe water and sanitary supplies are continuing problems for these families. The families show consistent use of Indian Health Service providers, particularly nurses, pharmacists and physicians, as well as traditional Navajo medicine practitioners. Only incidental utilization of private medical services is reported. Extended waiting times and translation from English to Navajo are major concerns in their contacts with providers. A surprisingly high availability of third-party insurance is noted. Comparisons are made between this data base and selected national and regional surveys, and with family surveys from other groups assumed to be disadvantaged in obtaining health care. The comparisons indicate somewhat lower utilization rates and more problems in access to care for this Navajo sample. The discussion suggests that attitudes regarding free health care eventually may be a factor for Navajo people and other groups, that cultural considerations are often ignored or accepted as truisms in delivering care, and that the Navajo Reservation may serve as a unique microcosm of health care in the U.S.

  8. MHD-Stabilization of Axisymmetric Mirror Systems Using Pulsed ECRH

    SciTech Connect

    Post, R F

    2009-11-20

    This paper, part of a continuing study of means for the stabilization of MHD interchange modes in axisymmertric mirror-based plasma confinement systems, is aimed at a preliminary look at a technique that would employ a train of plasma pressure pulses produced by ECRH to accomplish the stabilization. The purpose of using sequentially pulsed ECRH rather than continuous-wave ECRH is to facilitate the localization of the heated-electron plasma pulses in regions of the magnetic field with a strong positive field-line curvature, e. g. in the 'expander' region of the mirror magnetic field, outside the outermost mirror, or in other regions of the field with positive field-line curvature. The technique proposed, of the class known as 'dynamic stabilization,' relies on the time-averaged effect of plasma pressure pulses generated in regions of positive field-line curvature to overcome the destabilizing effect of plasma pressure in regions of negative field-line curvature within the confinement region. As will also be discussed in the paper, the plasma pulses, when produced in regions of the confining having a negative gradient, create transient electric potentials of ambipolar origin, an effect that was studied in 1964 in The PLEIDE experiment in France. These electric fields preserve the localization of the hot-electron plasma pulses for a time determined by ion inertia. It is suggested that it may be possible to use this result of pulsed ECRH not only to help to stabilize the plasma but also to help plug mirror losses in a manner similar to that employed in the Tandem Mirror.

  9. ECRH launching scenario in FFHR-d1

    NASA Astrophysics Data System (ADS)

    Yanagihara, Kota; Kubo, Shin; Shimozuma, Takashi; Yoshimura, Yasuo; Igami, Hiroe; Takahashi, Hiromi; Tsujimura, Tohru; Makino, Ryohhei

    2016-10-01

    ECRH is promising as a principal heating system in a prototype helical reactor FFHR-d1 where the heating power of 80 MW is required to bring the plasma parameter to break even condition. To generate the plasma and bring it to ignition condition in FFHR-d1, it is effective to heat the under/over-dense plasma with normal ECRH or Electron Bernstein Wave (EBW). Normal ECRH is well established but heating via EBW need sophisticated injection control. EBW can be excited via the O(ordinary)-X(extraordinary)-B(EBW) mode conversion process by launching the ordinary wave from the low field side to plasma cut-off layer with optimum injection angle, and the range of injection angle to get high OXB mode conversion rate is called OXB mode conversion window. Since the window position can change as the plasma parameter, it is necessary to optimize the injection angle so as to aim the window in response to the plasma parameters. Candidates of antenna positions are determined by optimum injection points on the plasma facing wall calculated by the injection angle. Given such picked up area, detailed analysis using ray-tracing calculations and engineering antenna design will be performed.

  10. Hybrid Transmission Line for ECRH in the Helically Symmetric Experiment

    NASA Astrophysics Data System (ADS)

    Radder, J. W.; Likin, K. M.; Anderson, F. S. B.; Anderson, D. T.

    2008-04-01

    The HSX oversized, mode-converting ECRH transmission line has been upgraded to a hybrid system to increase launched microwave power and reduce electrical arcing. Filtering of high-order, spurious modes ensures efficient coupling to a Gaussian beam for optimal electron heating. A Vlasov mode converter and two phase-correcting ellipsoidal mirrors convert the TE02 gyrotron output mode to a symmetric, linearly polarized, microwave beam. A swappable twist reflector plate rotates beam polarization for 2nd-harmonic X-mode or fundamental O-mode ECRH. Long distances are traversed by coupling the beam to a dual-mode (TE11 + TM11), smooth, circular cross-section waveguide. This system has been successfully tested without arcing for 50 ms pulses and over 100 kW of launched power. Analysis of the microwave beam for 50 kW, 2 ms microwave pulses reveals agreement with predicted beam shapes at two beam locations. The new system has also demonstrated increased plasma stored energy for ECRH plasmas with equal launched power.

  11. A pooling-based genome-wide analysis identifies new potential candidate genes for atopy in the European Community Respiratory Health Survey (ECRHS)

    PubMed Central

    2009-01-01

    Background Asthma and atopy are complex phenotypes with shared genetic component. In this study we attempt to identify genes related to these traits performing a two-stage DNA pooling genome-wide analysis in order to reduce costs. First, we assessed all markers in a subset of subjects using DNA pooling, and in a second stage we evaluated the most promising markers at an individual level. Methods For the genome-wide analysis, we constructed DNA pools from 75 subjects with atopy and asthma, 75 subjects with atopy and without asthma and 75 control subjects without atopy or asthma. In a second stage, the most promising regions surrounding significant markers after correction for false discovery rate were replicated with individual genotyping of samples included in the pools and an additional set of 429 atopic subjects and 222 controls from the same study centres. Results Homo sapiens protein kinase-like protein SgK493 (SGK493) was found to be associated with atopy. To lesser extent mitogen-activated protein kinase 5 (MAP3K5), collagen type XVIII alpha 1 (COL18A1) and collagen type XXIX alpha 1 (COL29A1) were also found to be associated with atopy. Functional evidences points out a role for MAP3K5, COL18A1 and COL29A1 but the function of SGK493 is unknown. Conclusion In this analysis we have identified new candidate regions related to atopy and suggest SGK493 as an atopy locus, although these results need further replication. PMID:19961619

  12. A pooling-based genome-wide analysis identifies new potential candidate genes for atopy in the European Community Respiratory Health Survey (ECRHS).

    PubMed

    Castro-Giner, Francesc; Bustamante, Mariona; Ramon González, Juan; Kogevinas, Manolis; Jarvis, Deborah; Heinrich, Joachim; Antó, Josep-Maria; Wjst, Matthias; Estivill, Xavier; de Cid, Rafael

    2009-12-06

    Asthma and atopy are complex phenotypes with shared genetic component. In this study we attempt to identify genes related to these traits performing a two-stage DNA pooling genome-wide analysis in order to reduce costs. First, we assessed all markers in a subset of subjects using DNA pooling, and in a second stage we evaluated the most promising markers at an individual level. For the genome-wide analysis, we constructed DNA pools from 75 subjects with atopy and asthma, 75 subjects with atopy and without asthma and 75 control subjects without atopy or asthma. In a second stage, the most promising regions surrounding significant markers after correction for false discovery rate were replicated with individual genotyping of samples included in the pools and an additional set of 429 atopic subjects and 222 controls from the same study centres. Homo sapiens protein kinase-like protein SgK493 (SGK493) was found to be associated with atopy. To lesser extent mitogen-activated protein kinase 5 (MAP3K5), collagen type XVIII alpha 1 (COL18A1) and collagen type XXIX alpha 1 (COL29A1) were also found to be associated with atopy. Functional evidences points out a role for MAP3K5, COL18A1 and COL29A1 but the function of SGK493 is unknown. In this analysis we have identified new candidate regions related to atopy and suggest SGK493 as an atopy locus, although these results need further replication.

  13. Building dampness and mold in European homes in relation to climate, building characteristics and socio-economic status: The European Community Respiratory Health Survey ECRHS II.

    PubMed

    Norbäck, D; Zock, J-P; Plana, E; Heinrich, J; Tischer, C; Jacobsen Bertelsen, R; Sunyer, J; Künzli, N; Villani, S; Olivieri, M; Verlato, G; Soon, A; Schlünssen, V; Gunnbjörnsdottir, M I; Jarvis, D

    2017-09-01

    We studied dampness and mold in homes in relation to climate, building characteristics and socio-economic status (SES) across Europe, for 7127 homes in 22 centers. A subsample of 3118 homes was inspected. Multilevel analysis was applied, including age, gender, center, SES, climate, and building factors. Self-reported water damage (10%), damp spots (21%), and mold (16%) in past year were similar as observed data (19% dampness and 14% mold). Ambient temperature was associated with self-reported water damage (OR=1.63 per 10°C; 95% CI 1.02-2.63), damp spots (OR=2.95; 95% CI 1.98-4.39), and mold (OR=2.28; 95% CI 1.04-4.67). Precipitation was associated with water damage (OR=1.12 per 100 mm; 95% CI 1.02-1.23) and damp spots (OR=1.11; 95% CI 1.02-1.20). Ambient relative air humidity was not associated with indoor dampness and mold. Older buildings had more dampness and mold (P<.001). Manual workers reported less water damage (OR=0.69; 95% CI 0.53-0.89) but more mold (OR=1.27; 95% CI 1.03-1.55) as compared to managerial/professional workers. There were correlations between reported and observed data at center level (Spearman rho 0.61 for dampness and 0.73 for mold). In conclusion, high ambient temperature and precipitation and high building age can be risk factors for dampness and mold in homes in Europe. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  14. National health surveys and health policy: impact of the Jamaica Health and Lifestyle Surveys and the Reproductive Health Surveys.

    PubMed

    Ferguson, T S; Tulloch-Reid, M K; Gordon-Strachan, G; Hamilton, P; Wilks, R J

    2012-07-01

    Over the last six decades, comprehensive national health surveys have become important data-gathering mechanisms to inform countries on their health status and provide information for health policy and programme planning. Developing countries have only recently begun such surveys and Jamaica has been at the forefront of this effort. Jamaica's Reproductive Health Surveys and programme response to their findings have resulted in an almost 50% reduction infertility rates over three decades as well as a 40% reduction in unmet contraceptive needs and a 40% reduction in unplanned pregnancies over the last two decades. The Jamaica Health and Lifestyle Surveys have served to reinforce the major burden that non-communicable diseases place on the society and the extent to which these are driven by unhealthy lifestyles. These surveys have shown that obesity, hypertension, diabetes and dyslipidaemia affect approximately 50%, 25%, 10% and 10% of the adult population, respectively. These surveys have documented low rates of treatment and control for these chronic non-communicable diseases despite two major policy initiatives, the National Programme for the Promotion of Healthy Lifestyles and the creation of the National Health Fund which subsidizes healthcare provision for chronic diseases. In order to maximize the uptake of the findings of future surveys into effective health policy, there will need to be effective collaborations between academia, policy-makers, regional and international health agencies, non-government organizations and civil society. Such collaborations should take into account the social, political and economic issues, thus ensuring a more comprehensive approach to health policy and result in improvement of the nation's health status and by extension national development.

  15. Young women's reproductive health survey.

    PubMed

    Lewis, H

    1987-08-12

    A survey of reproductive health issues was conducted on 15 year old Hutt Valley secondary school girls by means of a self-administered anonymous questionnaire. The prevalence of sexual intercourse in the sample was 29%. Sixteen percent of the sexually active respondents used no method of contraception. Knowledge of reproductive health facts and contraception was poor both amongst sexually experienced and inexperienced respondents. Twenty-six percent relied on peers for this information, with mothers, teachers and books being other important sources cited. Respondents requested more information on sexually transmitted diseases, contraception and sexual relationships. Most would like this information more readily accessible. Preferred sources of information mentioned were: parents, books, films/videos, family planning clinics and friends.

  16. First results from protective ECRH diagnostics for Wendelstein 7-X

    NASA Astrophysics Data System (ADS)

    Marsen, S.; Corre, Y.; Laqua, H. P.; Moncada, V.; Moseev, D.; Niemann, H.; Preynas, M.; Stange, T.; The W7-X Team

    2017-08-01

    Wendelstein 7-X (W7-X) is a steady state capable optimised stellarator. The main heating system is electron cyclotron resonance heating (ECRH) operating at 140 GHz providing up to 9 MW microwave power. The power is launched into the machine by front steerable quasi-optical launchers in X- or O-mode. While in X-mode the first pass absorption is 99%, it is only 40... 70% in O-mode. O2-mode heating is forseen for high density operation above the X2 cutoff density of 1.2\\centerdot {{10}20} m-3. A set of diagnostics has been developed to protect the machine from non absorbed ECRH power which can easily damage in vessel components. The non absorbed power hitting the inner wall is measured by waveguides embedded in the first wall (ECA diagnostic). In order to prevent the inner wall from overheating or arcing, a near-infra red sensitive video diagnostic with a dynamic range of 450...1200 °C was integrated in the ECRH launchers. Thermal calculations for the carbon tiles predict a temperature increase above the detection threshold for scenarios of plasma start-up failure or poor absorption on a time scale of 50 ms. However, the temperature increase measured by an IR camera in experiments with failed break down, i.e. no ECRH absorption for up to 50 ms, was only Δ T≈ 70{{~}\\circ} C. In discharges with ≈ 5% transmission the measured temperature increase was comparable. The stray radiation level inside the machine is measured by so called sniffer probes resembling microwave diode detectors which were designed to collect all radiation approaching the probing surface independent of incident angle and polarization. Five sniffer probes are installed at different toroidal positions. They were integrated in the ECRH interlock system. During the first operational phase of W7-X this was the only available plasma interlock system. The signal quality proofed to be high enough for a reliable termination in case of poor absorption. After a breakdown phase of 10 ms, the sniffer

  17. The National Adolescent Student Health Survey: Survey Replication Booklet.

    ERIC Educational Resources Information Center

    American School Health Association, Kent, OH.

    The National Adolescent Student Health Survey (NASHS), initiated in 1985, is conducted to examine the health-related knowledge, practices, and attitudes of the nation's youth in the following health areas: AIDS; Nutrition; Consumer Health; Sexually Transmitted Disease; Drug and Alcohol Use; Suicide; Injury Prevention; and Violence. Findings…

  18. Calorimetric power measurements in the EAST ECRH system

    NASA Astrophysics Data System (ADS)

    Xu, Weiye; Xu, Handong; Liu, Fukun; Wang, Jian; Wang, Xiaojie; Hou, Yongzhong

    2017-10-01

    In this paper, the measurement method of calorimetric power for an electron cyclotron resonance heating (ECRH) system for EAST is presented. This method requires measurements of the water flow through the cooling circuits and the input and output water temperatures in each cooling circuit. Usually, the inlet water temperature stability is controlled to obtain more accurate results. The influence of the inlet water temperature change on the measurement results is analyzed for the first time in this paper. Also, a novel temperature calibration method is proposed. This kind of calibration method is accurate and effective, and can be easily implemented.

  19. The W7-X ECRH Plant: Recent Achievements

    SciTech Connect

    Erckmann, V.; Braune, H.; Laqua, H. P.; Michel, G.; Weissgerber, M.; Brand, P.; Kasparek, W.; Dammertz, G.; Gantenbein, G.; Schmid, M.; Thumm, M.

    2007-09-28

    The 10 MW, 140 GHz, CW ECRH-plant for W7-X is in an advanced state of commissioning and the installation was used to investigate advanced applications for extended heating- and current drive scenarios. The operation of the TED gyrotrons was recently extended to a 2nd frequency of 103.6 GHz at reduced output power and first results are presented. An improved collector sweep system for the W7-X gyrotrons with enhanced power capability and smooth power distribution was developed, results are reported.

  20. ECRH and ICRH in the TMX-U tandem mirror

    SciTech Connect

    Stallard, B.W.; Cummins, W.F.; Molvik, A.W.; Poulsen, P.; Simonen, T.C.; Falabella, S.; Barter, J.D.; Christensen, T.; Dimonte, G.; Romesser, T.E.

    1984-03-15

    In the Tandem Mirror Experiment Upgrade (TMX-U), the formation of a thermal barrier and the potential plugging of ion end loss were achieved at central-cell densities up to 2 x 10/sup 12/ cm/sup -3/. The presence of a thermal barrier was confirmed by direct measurement, and ion axial-confinement times in the range 50 to 100 ms were measured. The ECRH in the end cells (a) initiates plasma startup, (b) generates hot, mirror-confined electrons to form thermal barriers, and (c) creates the plugging potential for central-cell ions. The ECRH system consists of four 200 kW, 28 GHz gyrotrons each feeding power to a separate heating location (two in each end plug). Fundamental heating is used at the potential plug, and second harmonic is used in the thermal barrier. Hot-electron plasmas are produced at total end-cell antenna power levels up to 300 kW. Strong single-pass absorption and net hot-electron heating efficiencies exceeding 40% are observed. Hot-electron parameters achieved are: n/sub eh//n/sub et/ up to 0.8, volume-average beta <..beta..> approx. = 0.15, and T/sub x/ (x-ray tail above 40 keV) in the range 75 to 200 keV.

  1. ELM behaviour and linear MHD stability of edge ECRH heated ASDEX Upgrade plasmas

    NASA Astrophysics Data System (ADS)

    Burckhart, A.; Dunne, M.; Wolfrum, E.; Fischer, R.; McDermott, R.; Viezzer, E.; Willensdorfer, M.; the ASDEX Upgrade Team

    2016-05-01

    In order to test the peeling-ballooning ELM model, ECRH heating was applied to the edge of ASDEX Upgrade type-I ELMy H-mode plasmas to alter the pedestal pressure and current density profiles. The discharges were analysed with respect to ideal MHD stability. While the ELM frequency increased and the pedestal gradients relaxed with edge ECRH, the MHD stability boundary did not change. The results indicate that the peeling-ballooning model is insufficient to fully explain the triggering of ELM instabilities in the presence of edge ECRH heating.

  2. National Health Interview Survey (NHIS)

    EPA Pesticide Factsheets

    The NHIS collects data on a broad range of health topics through personal household interviews. The results of NHIS provide data to track health status, health care access, and progress toward achieving national health objectives.

  3. Washington State Survey of Adolescent Health Behaviors.

    ERIC Educational Resources Information Center

    Washington State Dept. of Social and Health Services, Olympia.

    The 1992 Washington State Survey of Adolescent Health Behaviors (WSSAHB) was created to collect information regarding a variety of adolescent health behaviors among students in the state of Washington. It expands on two previous administrations of a student tobacco, alcohol, and other drug survey and includes questions about medical care, safety,…

  4. Employer Survey in the Health Technologies.

    ERIC Educational Resources Information Center

    Bounds, Stuart M.

    In order to obtain information on the current and future job market for 12 health technology occupations, a random sample of area physicians and 100% of 9 distinct types of health occupations employers were surveyed. The major employers, hospitals and nursing homes, were interviewed by college nursing faculty; all other employers were surveyed by…

  5. Estimating health expenditure shares from household surveys

    PubMed Central

    Brooks, Benjamin PC; Hanlon, Michael

    2013-01-01

    Abstract Objective To quantify the effects of household expenditure survey characteristics on the estimated share of a household’s expenditure devoted to health. Methods A search was conducted for all country surveys reporting data on health expenditure and total household expenditure. Data on total expenditure and health expenditure were extracted from the surveys to generate the health expenditure share (i.e. fraction of the household expenditure devoted to health). To do this the authors relied on survey microdata or survey reports to calculate the health expenditure share for the particular instrument involved. Health expenditure share was modelled as a function of the survey’s recall period, the number of health expenditure items, the number of total expenditure items, the data collection method and the placement of the health module within the survey. Data exists across space and time, so fixed effects for territory and year were included as well. The model was estimated by means of ordinary least squares regression with clustered standard errors. Findings A one-unit increase in the number of health expenditure questions was accompanied by a 1% increase in the estimated health expenditure share. A one-unit increase in the number of non-health expenditure questions resulted in a 0.2% decrease in the estimated share. Increasing the recall period by one month was accompanied by a 6% decrease in the health expenditure share. Conclusion The characteristics of a survey instrument examined in the study affect the estimate of the health expenditure share. Those characteristics need to be accounted for when comparing results across surveys within a territory and, ultimately, across territories. PMID:23825879

  6. Fukushima Health Management Survey and Related Issues.

    PubMed

    Yasumura, Seiji; Abe, Masafumi

    2017-03-01

    After the Great East Japan Earthquake on March 11, 2011, the Tokyo Electric Power Company Fukushima Daiichi Nuclear Power Plant accident occurred. The Fukushima prefectural government decided to launch the Fukushima Health Management Survey; Fukushima Medical University was entrusted to design and implement the survey. The survey process and development is described from the standpoint of its background and aim. An overview of the basic survey and 4 detailed surveys is briefly provided. Issues related to the survey are discussed from the perspective of supporting the Fukushima residents.

  7. New Frequency Step-Tunable Ecrh System for Asdex Upgrade

    NASA Astrophysics Data System (ADS)

    Wagner, D.; Leuterer, F.; Manini, A.; Monaco, F.; Münich, M.; Ryter, F.; Schütz, H.; Zohm, H.; Franke, T.; Heidinger, R.; Thumm, M.; Kasparek, W.; Gantenbein, G.; Litvak, A. G.; Popov, L. G.; Nichiporenko, V. O.; Myasnikov, V. E.; Denisov, G. G.; Tai, E. M.; Solyanova, E. A.; Malygin, S. A.

    2006-02-01

    A new broadband ECRH (Electron Cyclotron Resonance Heating) system is currently under construction at the ASDEX Upgrade tokamak. This system will employ multi-frequency gyrotrons step-tunable in the range 105 140 GHz. In its final stage the system will consist of 4 gyrotrons with a total power of 4 MW and a pulse length of 10 s. It employs a fast steerable launcher for feedback controlled deposition that allows for poloidal steering of 10° within 100 ms. Transmission line elements, such as corrugated waveguides, polarizer mirrors and vacuum windows, are designed to cope for this frequency band.

  8. Low-threshold parametric decay of the ordinary wave in ECRH experiments at toroidal devices

    NASA Astrophysics Data System (ADS)

    Gusakov, E. Z.; Popov, A. Yu; Saveliev, A. N.; Sysoeva, E. V.

    2017-07-01

    In this paper we analyse low-threshold parametric decay instability (PDI) of the ordinary wave in first harmonic O-mode ECRH experiments at toroidal devices. The corresponding expressions for the PDI power threshold and its growth rate are derived analytically and evaluated numerically for the conditions of the ECRH experiments on the W7-A stellarator. The possibility of low-threshold parametric decay of the pump ordinary wave on the FTU tokamak is also considered.

  9. The capacity for health promotion survey.

    PubMed

    Maujean, Annick; Kendall, Elizabeth; Ehrlich, Carolyn; Kisely, Steve

    2014-01-01

    The objective was to develop and examine the psychometric properties of the Capacity for Health Promotion Survey designed to assess the practice of health promotion in the area of severe mental illness. Seven hundred and eighty-five health professionals in Queensland, Australia, completed the survey. A principal component analysis was used to assess the factor structure of the scale and investigations of internal consistency, interitem correlation and item-discriminant validity were conducted to establish the reliability and validity of the survey. The final survey is a 22-item scale comprising five subscales: Beliefs about Behavior Change, Intention to Promote Health, Health Promotion Skills, Effectiveness of Health Promotion and Health Promoting Norms. The survey demonstrated satisfactory internal consistency for the five subscales. Items were more strongly correlated within their own subscales than with other subscales, providing evidence of discriminant validity. The Capacity for Health Promotion Survey is a psychometrically sound measure to assess the practice of health promotion in the area of severe mental illness. Copyright © 2014 Elsevier Inc. All rights reserved.

  10. The 2013 Canadian Forces Mental Health Survey

    PubMed Central

    Bennett, Rachel E.; Boulos, David; Garber, Bryan G.; Jetly, Rakesh; Sareen, Jitender

    2016-01-01

    Objective: The 2013 Canadian Forces Mental Health Survey (CFMHS) collected detailed information on mental health problems, their impacts, occupational and nonoccupational determinants of mental health, and the use of mental health services from a random sample of 8200 serving personnel. The objective of this article is to provide a firm scientific foundation for understanding and interpreting the CFMHS findings. Methods: This narrative review first provides a snapshot of the Canadian Armed Forces (CAF), focusing on 2 key determinants of mental health: the deployment of more than 40,000 personnel in support of the mission in Afghanistan and the extensive renewal of the CAF mental health system. The findings of recent population-based CAF mental health research are reviewed, with a focus on findings from the very similar mental health survey done in 2002. Finally, key aspects of the methods of the 2013 CFMHS are presented. Results: The findings of 20 peer-reviewed publications using the 2002 mental health survey data are reviewed, along with those of 25 publications from other major CAF mental health research projects executed over the past decade. Conclusions: More than a decade of population-based mental health research in the CAF has provided a detailed picture of its mental health and use of mental health services. This knowledge base and the homology of the 2013 survey with the 2002 CAF survey and general population surveys in 2002 and 2012 will provide an unusual opportunity to use the CFMHS to situate mental health in the CAF in a historical and societal perspective. PMID:27270738

  11. [European Community Respiratory Health Survey: The main results so far with special reference to Iceland.].

    PubMed

    Gíslason, Davíð; Bjœrnsdóttir, Unnur Steina; Blœndal, Thornorsteinn; Gíslason, Thornórarinn

    2002-12-01

    The European Community Respiratory Health Survey (ECRHS) was the first project embarked on extensive study of geographical difference between countries with regards to asthma and atopy incidence in a young adult population. The same methodology and definitions were used at all study sites. The purpose of this article is to review the published results of the ECRHS with a special emphasis on the findings from the Icelandic population, and compare these results with those from the participants from the other nations and study sites. Compiled results from all study sites participating in the ECHRS hereto published were reviewed. The compiled data are derived from approximately 140.000 individuals aged 20-44 (birth-years 1946-71) from 22 nations and 48 study sites. The Icelandic population was chosen from the greater Reykjavik metropolitan area. Subjects responded to seven questions on respiratory symptoms, diagnosis of asthma and use of asthma medications. In the latter part of the investigation, 800 individuals were randomly selected from each study site. They were asked to respond to a detailed questionnaire. Subsequently spirometry, methacholine challange and skin prick testing to 11-12 common aeroallergens was performed. Additionally, allergen specific IgE and total IgE was measured. Somewhat fewer sites participated in this latter part: 17 nations and 37 study sites. The findings are presented from two angles: the compiled data from all study sites and the results from the Icelandic population; specifically comparing the Icelandic data with the participants from the other nations. The study showed a geographical difference in the incidence of asthma, bronchial hyper- responsiveness and other respiratory symptoms. In the first part of the study, an eight-fold difference in wheezing, six-fold difference in asthma, ten-fold difference in physician- diagnosed asthma and a four-fold difference in the prevalence of allergic rhinitis was found between the study sites

  12. Pregnancy and Birth Survey of the Fukushima Health Management Survey.

    PubMed

    Ishii, Kayoko; Goto, Aya; Ota, Misao; Yasumura, Seiji; Fujimori, Keiya

    2017-03-01

    The Pregnancy and Birth Survey was started by Fukushima Medical University as part of the Fukushima Health Management Survey in 2011 in order to assess the physical and mental health of mothers and provide parenting support (telephone counseling) for those in need. The present study reviewed the major findings from 4 annual surveys conducted from 2011 to 2014. Overall proportions of preterm deliveries, low birth weight infants, and congenital anomalies in the first year were almost the same as those in national surveillance data. The prevalence of depressive symptoms among the mothers held steady at about 25% over the 4 years. Regarding the content of parenting counseling, the proportion of mothers who voiced concerns about radiation decreased each year. This survey should be continued to provide support to mothers in Fukushima.

  13. The Cardiff health survey: teaching survey methodology by participation.

    PubMed

    Lewis, P A; Charny, M

    1987-01-01

    Medical students were taught survey methodology by participating in all phases of a large community survey. The survey examined health beliefs, knowledge and behaviour in a sample of 5150 people drawn from the electoral register of the City of Cardiff. The study achieved several educational objectives for the medical students: they met well people in their own homes and had an opportunity to get to know a community; by taking part in a study from the initial phases to the conclusion they could appreciate the context of the theoretical teaching they were being given concurrently in their undergraduate course; they learnt to analyse raw data and produce reports; and they gained insights into the health knowledge, behaviour, attitudes and beliefs of a population. In addition, the survey produced a substantial quantity of valuable data which staff and students are analysing and intend to publish.

  14. Occupational exposures and uncontrolled adult-onset asthma in the European Community Respiratory Health Survey II.

    PubMed

    Le Moual, Nicole; Carsin, Anne-Elie; Siroux, Valérie; Radon, Katja; Norback, Dan; Torén, Kjell; Olivieri, Mario; Urrutia, Isabel; Cazzoletti, Lucia; Jacquemin, Bénédicte; Benke, Geza; Kromhout, Hans; Mirabelli, Maria C; Mehta, Amar J; Schlünssen, Vivi; Sigsgaard, Torben; Blanc, Paul D; Kogevinas, Manolis; Antó, Josep M; Zock, Jan-Paul

    2014-02-01

    Occupational exposure is a well-recognised modifiable risk factor for asthma, but the relationship between occupational exposure and asthma control has not been studied. We aimed to study this association among working-age adults from the European Community Respiratory Health Survey (ECRHS). Data were available for 7077 participants (mean age 43 years, 45% never-smokers, 5867 without asthma and 1210 with current asthma). Associations between occupational exposure to specific asthmagens and asthma control status (33% with uncontrolled asthma, based on the Global Initiative for Asthma guidelines) were evaluated using logistic and multinomial regressions, adjusted for age, sex and smoking status, with study areas included as a random effect. Statistically significant positive associations were observed between uncontrolled adult-onset asthma and both past 12-month and 10-year exposure to any occupational asthmagens (OR (95% CI) 1.6 (1.0-2.40) and 1.7 (1.2-2.5), respectively); high (1.7 (1.0-2.8) and 1.9 (1.3-2.9), respectively) and low (1.6 (1.0-2.7) and 1.8 (1.2-2.7), respectively) molecular weight agents; and cleaning agents (2.0 (1.1-3.6) and 2.3 (1.4-3.6), respectively), with stronger associations for long-term exposures. These associations were mainly explained by the exacerbation domain of asthma control and no associations were observed between asthmagens and partly controlled asthma. These findings suggest that occupational exposure to asthmagens is associated with uncontrolled adult-onset asthma. Occupational risk factors should be quickly identified to prevent uncontrolled asthma.

  15. Multidisciplinary eHealth Survey Evaluation Methods

    ERIC Educational Resources Information Center

    Karras, Bryant T.; Tufano, James T.

    2006-01-01

    This paper describes the development process of an evaluation framework for describing and comparing web survey tools. We believe that this approach will help shape the design, development, deployment, and evaluation of population-based health interventions. A conceptual framework for describing and evaluating web survey systems will enable the…

  16. Hispanic Health Care Survey of Southeastern Wisconsin.

    ERIC Educational Resources Information Center

    Kvasnica, Barbara; And Others

    The results of a study on the health care needs and utilization patterns of Hispanic (primarily Mexican American) families in southeastern Wisconsin are presented in this report. The methodology of the study, which included two surveys in a 9 county area, is described. Findings of the two studies, one focusing on health services utilization by…

  17. Ethical Issues in School Health: A Survey.

    ERIC Educational Resources Information Center

    Richardson, Glenn E.; Jose, Nancy

    1983-01-01

    The need for a code of ethics for health educators is discussed, and results of a survey of school health educators' opinions on curriculum-related ethical issses are reported. Ethical issues of concern include use of scare tactics, efforts to change behavior and attitudes, and appropriate subject matter. (PP)

  18. California Community Colleges Health Services Survey.

    ERIC Educational Resources Information Center

    McIntyre, Chuck

    In 1990, a telephone survey was conducted of health services offered by California's community colleges. Statewide, 42 of the 71 districts in California levied a health service fee, 18 districts offered services without charge, and 11 offered no service. Districts operating programs collected an average of $15.81 in student fees per credit average…

  19. [Current situation of health surveys in Spain].

    PubMed

    Requena, María Luisa; Suárez, Mónica; Pérez, Óscar

    2013-01-01

    To describe the evolution of health interview surveys in Spain (as of 01/01/2012), whether national or regional, its main characteristics and methodology, and in the case of general health surveys (GHIS), its contents. An adapted version of Eurostat quality control template European Health Interview Survey Technical and Methodological Report was filled in by those responsible for GHIS in each region (autonomous communities) and at the national level. The first part (11 questions) gathers general information about health surveys, both GHIS and surveys targeted to specific populations or health problems (SHIS). The second part (109 questions) asks about methodological characteristics of most recent GHIS. 1) regional or supra-regional scope; 2) for the second part, GHIS currently active series. Quality control was performed using double data entry and validated by informants.100 HIS were identified. 16 were GHIS and 84 SHIS. 32 (38%) of the latter were national and 52 (62%) regional. Nutrition 21 (25%), drug use 10 (12%), opinion polls 7 (9%) and dental health 7 (9%) were the most frequent topics in SHIS. Highest GHIS density was reached after year 2000, with several surveys on field at a time (mode=3). 11 GHIS (2 national, 9 regional) met inclusion criteria for the second part. All complied with general quality benchmarks. Few differences were observed in content.GHIS show more similarities than differences in objectives, methods and content. Rationalization and harmonization are needed. Physical activity, alcohol consumption, quality of life and mental health instruments are not yet consensual. Valid and comparable data are required on health status and its determinants to inform health policy.

  20. Survey of health planning proposals.

    PubMed

    Krakauer, R S

    1994-02-01

    It is important that physicians participate in the debate and planning process that will ultimately guide how we reform the way health care is financed and delivered in the United States. Herein is offered a perspective on the problem, one which is not necessarily appreciated by health planners. While we deliver the best quality of care in the world to most of our population, our system has been severely criticized because we fail to provide for access to a substantial minority of our population. Additionally, the cost of the product is considerably greater than that in comparable countries. Attempts to control costs without diminishing quality have introduced expensive complexities into our system without any real success in cutting costs. Several proposals have been advanced to address the issues of cost and access. One of these is a single payer system, common in Europe and Canada, whereby a single agent or group of agents finances all health care through universal rules and means. A system operating in Hawaii is a simple employer mandate to provide health insurance. A uniquely American plan is the Jackson Hole Plan or Managed Competition (now called "Managed Cooperation"). This system is currently popular among national health planners, and involves a defined minimum managed health plan offered by various groups of providers to employees and individuals through health plan purchasing cooperatives. This plan is interesting, but has not been implemented in any jurisdiction, and it is not certain it would accomplish its goals in practice since it is difficult to predict behavior of all parties to such a system.

  1. Second ECRH system and upgraded ECE on HSX

    NASA Astrophysics Data System (ADS)

    Weir, G. M.; Likin, K. M.; Anderson, F. S. B.; Anderson, D. T.; Radder, J. W.

    2010-11-01

    A second 200 kW/ 28 GHz ECRH system has been installed on the HSX stellarator. The Varian gyrotron VGA-8050M has a multimode output. The TE02 waveguide mode is dominant (about 90% of total power) in the power spectrum. To maximize the RF power that can be delivered to the torus over a pure wave guide transmission line, a hybrid transmission line has been implemented to deliver power to the plasma with correct polarization (O1/X2) and as a well-focused beam. The line consists of a Vlasov mode converter with a set of focusing mirrors, a polarizer, 4'' and 2.5'' dual-mode waveguides, and a launcher. The antenna is a steerable focusing mirror within the HSX vessel that allows power deposition studies, specifically the effect of power deposition on ITB formation in the stellarator. The power from the second gyrotron can be modulated to facilitate local thermal diffusivity measurements using the ECE diagnostic. Upgrades to the 16-channel ECE radiometer will also be discussed.

  2. Ray tracing and ECRH absorption modeling in the HSX stellarator

    NASA Astrophysics Data System (ADS)

    Weir, G. M.; Likin, K. M.; Marushchenko, N. B.; Turkin, Y.

    2015-09-01

    To increase flexibility in ECRH experiments on the helically symmetric experiment (HSX), a second gyrotron and transmission line have been installed. The second antenna includes a steerable mirror for off-axis heating, and the launched power may be modulated for use in heat pulse propagation experiments. The extraordinary wave at the second harmonic of the electron gyrofrequency or the ordinary wave at the fundamental resonance are used for plasma start-up and heating on HSX. The tracing visualized ray tracing code (Marushchenko et al 2007 Plasma Fusion Res. 2 S1129) is used to estimate single-pass absorption and to model multi-pass wave damping in the three-dimensional HSX geometry. The single-pass absorption of the ordinary wave at the fundamental resonance is calculated to be as high as 30%, while measurements of the total absorption indicate that 45% of the launched power is absorbed. A multi-pass ray tracing model correctly predicts the experimental absorption and indicates that the launched power is absorbed within the plasma core (r/a≤slant 0.2 ).

  3. Frequency jump phenomena of e-fishbone mode during high-power ECRH on HL-2A

    NASA Astrophysics Data System (ADS)

    Yu, L. M.; Ding, X. T.; Chen, W.; Chen, S. Y.; Dong, Y. B.; Ji, X. Q.; Zhang, Y. P.; Shi, Z. B.; Liu, Yi.; Li, J. X.; Li, Y. G.; Zhou, Y.; Huang, Y.; Zhou, J.; Huan, M.; Rao, J.; Cao, J. Y.; Lei, G. J.; Zhong, W. L.; Cui, Z. Y.; Dong, J. Q.; Yang, Q. W.; Duan, X. R.; the HL-2A Team

    2013-05-01

    Fishbone instability excited by energetic electrons during electron cyclotron resonant heating (ECRH) is identified on HL-2A. With high-power ECRH, periodic frequency jump phenomena are observed by soft x-ray arrays. Soft x-ray tomography shows that the poloidal and toroidal mode numbers are 1/1 and 2/2 with the frequency jump. There is an ECRH power threshold for the frequency jump phenomena, which is generally about 0.9 MW. The frequencies of the two modes increase with the ECRH power. Experiments show that trapped particles are dominant in the low-density high-power ECRH plasma. The precessional frequency of the energetic trapped electrons is calculated with different discharge parameters. The results indicate that the energy of resonant electrons is in agreement with the hard x-ray measurement.

  4. Feasibility of AN Ecrh System for Jet:. High Voltage Power Supplies Requirements and Proposed Structure

    NASA Astrophysics Data System (ADS)

    Braune, H.; Giruzzi, G.; Hay, J.; Khilar, P.; Lennholm, M.; Moreira, L.; Parkin, A.; Vadgama, A.

    2011-02-01

    The future JET programme, after the installation of the ITER-like wall, will be mainly focused on the consolidation of the physics basis of the three main ITER scenarios. These scenarios will make substantial use of Electron Cyclotron (EC) waves, for heating as well as for control of both the MHD activity and the current density profile. Therefore, a programme for preparation, validation and optimization of the ITER scenarios in present tokamaks would strongly benefit from an ECRH/ECCD system. A study has been conducted to evaluate the feasibility of installing an ECRH system on the JET tokamak. An important intention of the study was to investigate the feasibility to utilise some unused conventional NBI - power supplies for the ECRH project.

  5. Longterm follow-up in European respiratory health studies - patterns and implications.

    PubMed

    Johannessen, Ane; Verlato, Giuseppe; Benediktsdottir, Bryndis; Forsberg, Bertil; Franklin, Karl; Gislason, Thorarinn; Holm, Mathias; Janson, Christer; Jögi, Rain; Lindberg, Eva; Macsali, Ferenc; Omenaas, Ernst; Real, Francisco Gomez; Saure, Eirunn Waatevik; Schlünssen, Vivi; Sigsgaard, Torben; Skorge, Trude Duelien; Svanes, Cecilie; Torén, Kjell; Waatevik, Marie; Nilsen, Roy Miodini; de Marco, Roberto

    2014-04-16

    Selection bias is a systematic error in epidemiologic studies that may seriously distort true measures of associations between exposure and disease. Observational studies are highly susceptible to selection bias, and researchers should therefore always examine to what extent selection bias may be present in their material and what characterizes the bias in their material. In the present study we examined long-term participation and consequences of loss to follow-up in the studies Respiratory Health in Northern Europe (RHINE), Italian centers of European Community Respiratory Health Survey (I-ECRHS), and the Italian Study on Asthma in Young Adults (ISAYA). Logistic regression identified predictors for follow-up participation. Baseline prevalence of 9 respiratory symptoms (asthma attack, asthma medication, combined variable with asthma attack and/or asthma medication, wheeze, rhinitis, wheeze with dyspnea, wheeze without cold, waking with chest tightness, waking with dyspnea) and 9 exposure-outcome associations (predictors sex, age and smoking; outcomes wheeze, asthma and rhinitis) were compared between all baseline participants and long-term participants. Bias was measured as ratios of relative frequencies and ratios of odds ratios (ROR). Follow-up response rates after 10 years were 75% in RHINE, 64% in I-ECRHS and 53% in ISAYA. After 20 years of follow-up, response was 53% in RHINE and 49% in I-ECRHS. Female sex predicted long-term participation (in RHINE OR (95% CI) 1.30(1.22, 1.38); in I-ECRHS 1.29 (1.11, 1.50); and in ISAYA 1.42 (1.25, 1.61)), as did increasing age. Baseline prevalence of respiratory symptoms were lower among long-term participants (relative deviations compared to total baseline population 0-15% (RHINE), 0-48% (I-ECRHS), 3-20% (ISAYA)), except rhinitis which had a slightly higher prevalence. Most exposure-outcome associations did not differ between long-term participants and all baseline participants, except lower OR for rhinitis among ISAYA

  6. Demographic and health surveys: a profile.

    PubMed

    Corsi, Daniel J; Neuman, Melissa; Finlay, Jocelyn E; Subramanian, S V

    2012-12-01

    Demographic and Health Surveys (DHS) are comparable nationally representative household surveys that have been conducted in more than 85 countries worldwide since 1984. The DHS were initially designed to expand on demographic, fertility and family planning data collected in the World Fertility Surveys and Contraceptive Prevalence Surveys, and continue to provide an important resource for the monitoring of vital statistics and population health indicators in low- and middle-income countries. The DHS collect a wide range of objective and self-reported data with a strong focus on indicators of fertility, reproductive health, maternal and child health, mortality, nutrition and self-reported health behaviours among adults. Key advantages of the DHS include high response rates, national coverage, high quality interviewer training, standardized data collection procedures across countries and consistent content over time, allowing comparability across populations cross-sectionally and over time. Data from DHS facilitate epidemiological research focused on monitoring of prevalence, trends and inequalities. A variety of robust observational data analysis methods have been used, including cross-sectional designs, repeated cross-sectional designs, spatial and multilevel analyses, intra-household designs and cross-comparative analyses. In this profile, we present an overview of the DHS along with an introduction to the potential scope for these data in contributing to the field of micro- and macro-epidemiology. DHS datasets are available for researchers through MEASURE DHS at www.measuredhs.com.

  7. Extension of high T{sub e} regime with upgraded ECRH system in the LHD

    SciTech Connect

    Takahashi, H.; Shimozuma, T.; Kubo, S.; Yoshimura, Y.; Igami, H.; Ito, S.; Kobayashi, S.; Mizuno, Y.; Okada, K.; Mutoh, T.; Nagaoka, K.; Osakabe, M.; Yamada, I.; Nakano, H.; Yokoyama, M.; Ido, T.; Shimizu, A.; Seki, R.; Ida, K.; Yoshinuma, M.; and others

    2014-02-12

    Enhancement of the output power per gyrotron has been planned in the Large Helical Device (LHD). Three 77-GHz gyrotrons with an output power of more than 1 MW have been operated. In addition, a high power gyrotron with the frequency of 154 GHz (1 MW/5 s, 0.5 MW/CW) was newly installed in 2012 and the total injection power of ECRH reached 4.6 MW. The operational regime of ECRH plasma on the LHD has been extended due to the upgraded ECRH system such as the central electron temperature T{sub e0} = 13.5 keV with n{sub e} = 1×10{sup 19}m{sup −3}. In the LHD, an electron-internal-transport barrier (e-ITB) related to the production of high T{sub e} plasmas has been realized by strongly centre-focused ECRH. The electron thermal confinement clearly improved inside the e-ITB. The radial electric field was measured using the heavy ion beam probe. The formation of the positive E{sub r} was observed in the core region, which well agreed with the prediction of the neoclassical transport theory. The energy confinement characteristics have been investigated in the ECRH plasmas. It was found that higher plasma stored energy and lower radiation power was realized in the outward configuration. The plasma stored energy of 530 kJ with n{sub e} = 3.2×10{sup 19}m{sup −3}, which is the 1.7 times larger than the previous record in the ECRH plasma in the LHD, has been successfully achieved.

  8. Health Physics Enrollents and Degrees Survey, 2006 Data

    SciTech Connect

    Oak Ridge Institute for Science and Education

    2007-03-31

    This annual survey collects 2006 data on the number of health physics degrees awarded as well as the number of students enrolled in health physics academic programs. Thirty universities offer health physics degrees; all responded to the survey.

  9. Denver American Indian Mental Health Needs Survey.

    ERIC Educational Resources Information Center

    King, Jeff

    1999-01-01

    A survey of 374 Denver American Indians, mostly unemployed and low-income, examined substance abuse, psychological problems, and personal trauma for self and household; Native community mental health problems (including youth problems); counselor preferences; opinions about school testing of American Indian children; and Native community needs for…

  10. Colorado Health Occupations Manpower Survey, 1972.

    ERIC Educational Resources Information Center

    Colorado State Dept. of Employment, Denver. Research and Analysis Section.

    This study was conducted to supply information for vocational education planners concerning the employment needs of the health services industry in Colorado. It should also provide some indication of the demand for trained workers in the occupations surveyed by coordinating expected company expansion and replacement needs with the number to be…

  11. Korea Community Health Survey Data Profiles.

    PubMed

    Kang, Yang Wha; Ko, Yun Sil; Kim, Yoo Jin; Sung, Kyoung Mi; Kim, Hyo Jin; Choi, Hyung Yun; Sung, Changhyun; Jeong, Eunkyeong

    2015-06-01

    In 2008, Korea Centers for Disease Control and Prevention initiated the first nationwide survey, Korea Community Health Survey (KCHS), to provide data that could be used to plan, implement, monitor, and evaluate community health promotion and disease prevention programs. This community-based cross-sectional survey has been conducted by 253 community health centers, 35 community universities, and 1500 interviewers. The KCHS standardized questionnaire was developed jointly by the Korea Centers for Disease Control and Prevention staff, a working group of health indicators standardization subcommittee, and 16 metropolitan cities and provinces with 253 regional sites. The questionnaire covers a variety of topics related to health behaviors and prevention, which is used to assess the prevalence of personal health practices and behaviors related to the leading causes of disease, including smoking, alcohol use, drinking and driving, high blood pressure control, physical activity, weight control, quality of life (European Quality of Life-5 Dimensions, European Quality of Life-Visual Analogue Scale, Korean Instrumental Activities of Daily Living ), medical service, accident, injury, etc. The KCHS was administered by trained interviewers, and the quality control of the KCHS was improved by the introduction of a computer-assisted personal interview in 2010. The KCHS data allow a direct comparison of the differences of health issues among provinces. Furthermore, the provinces can use these data for their own cost-effective health interventions to improve health promotion and disease prevention. For users and researchers throughout the world, microdata (in the form of SAS files) and analytic guidelines can be downloaded from the KCHS website (http://KCHS.cdc.go.kr/) in Korean.

  12. Social surveys and health policy implications for national health insurance.

    PubMed Central

    Aday, L A; Andersen, R; Anderson, O W

    1977-01-01

    The authors explore the utility of applying social survey data (a) to evaluate the impact of existing health programs and (b) to rank-order priorities concerning future health care policies. Based on national survey data from 1963, 1970, and 1976, they concluded that although Medicare and Medicaid have enabled more people to see a physician than ever before, a large proportion of the population still registers dissatisfaction with the health care they received--particularly with respect to their out-of-pocket costs for obtaining it. However, national health insurance options favored by the majority of the population--particularly those who can best afford the cost of care--suggest preferences for programs that incorporate some mix of existing modes of financing rather than those that provide for substantial restructuring of the current system. PMID:337340

  13. Quasi-optical 140 GHz ECRH system on the advanced W VII-AS stellarator

    SciTech Connect

    Henle, W.; Kasparek, W.; Kumric, H.; Mueller, G.A.; Schueller, P.G.; Thumm, M. ); Erckmann, V. )

    1989-07-01

    A design is presented of a 140 GHz 2nd harmonic electron cyclotron resonance heating (ECRH) system to be used on the advanced stellarator W VII-AS at IPP Garching. The primary objectives of these ECRH experiments will be (1) to extend the density range for ECRH and for combined heating (NBI and/or ICRH), (2) to investigate the local electron heat transport in high density plasmas by the heat-wave technique, (3) to develop new millimeter-wave transmission line concepts and antenna systems for reactor-compatible multi-megawatt heating of future large-size stellarators. The planned 140 GHz ECRH facility will use a 200 kW/100 to 200 ms TEO3-mode gyrotron from KfK Karlsruhe combined with a quasi-optical fundamental Gaussian-mode transmission system employing focusing metallic mirrors as phase correcting elements. The unpolarized gyrotron output mode will be converted directly into the linearly polarized Gaussian free-space beam with the help of a quasi-optical coupler. A universal quasi-optical polarizer will provide the optimum polarization state in order to get the best accessibility conditions to the plasma.

  14. Experimental characterization of plasma start-up using ECRH in preparation of W7-X operation

    NASA Astrophysics Data System (ADS)

    Preynas, M.; Aßmus, D.; Igami, H.; Kado, S.; Kobayashi, S.; Kubo, S.; Laqua, H. P.; Mutoh, T.; Nagasaki, K.; Otte, M.; Shimozuma, T.; Stange, T.; Yoshimura, Y.

    2015-03-01

    The upcoming operation of Wendelstein 7-X (W7-X) will be supported by an Electron Cyclotron Resonance Heating (ECRH) system working at 140 GHz in second harmonic at the nominal magnetic field of 2.5T. Because the optimization of the plasma breakdown is crucial to ensure a successful plasma build-up, dedicated plasma start-up experiments were performed on three stellarator/heliotron devices: Heliotron J, LHD and WEGA. Start-up behavior and dependencies on ECRH injected power, neutral gas pressure and rotational transform were obtained in X2 heating. Plasma start-up delay time decreases with the increase in ECRH input power. However, this behavior saturates when low pre-fill neutral gas pressure conditions are met. Both the delay time and the electron density are an increasing function of the gas pressure. On Heliotron J and WEGA devices, the higher the rotational transform is, the faster the start-up and the higher the plasma density are. Analysis of the temporal evolution of the plasma start-up shows that plasma start-up on stellarators is a two-step process. In addition, off-axis heating experiments are characterized by a longer plasma start-up duration compared to on-axis heating discharges. Third harmonic in X-mode has been attempted on LHD for different neutral gas puffing settings but no plasma breakdown was achieved. This multi-machine study was useful to define ECRH start-up scenarios for W7-X.

  15. ECRH and ECCD at W7-AS, prospects for W7-X

    SciTech Connect

    Erckmann, V.; Laqua, H. P.; Maassberg, H.; Dammertz, G.; Thumm, M.; Kasparek, W.

    1999-09-20

    ECRH is the main heating method for both the W7-AS stellarator, which is operational, and W7-X, which is under construction. An overview on physics studies on Electron Cyclotron Resonance Heating (ECRH) and ECCurrent Drive (ECCD) in an extended parameter range at W7-AS is presented. Experiments were performed with an upgraded ECRH power of up to 1.3 MW at 140 GHz. Electron temperatures of up to 5.7 keV were measured, which can only be explained by the beneficial effect of positive radial electric fields ('electron root'). ECCD experiments at high power density are discussed, where the assumptions of quasi-linear theory are violated. The results from W7-AS establish the experimental and technological basis for W7-X, which aimes at demonstrating the inherent steady state capabality of stellarators at reactor relevant plasma parameters. The status of the design and construction of the ECRH system for W7-X is presented.

  16. Virtual reality for health care: a survey.

    PubMed

    Moline, J

    1997-01-01

    This report surveys the state of the art in applications of virtual environments and related technologies for health care. Applications of these technologies are being developed for health care in the following areas: surgical procedures (remote surgery or telepresence, augmented or enhanced surgery, and planning and simulation of procedures before surgery); medical therapy; preventive medicine and patient education; medical education and training; visualization of massive medical databases; skill enhancement and rehabilitation; and architectural design for health-care facilities. To date, such applications have improved the quality of health care, and in the future they will result in substantial cost savings. Tools that respond to the needs of present virtual environment systems are being refined or developed. However, additional large-scale research is necessary in the following areas: user studies, use of robots for telepresence procedures, enhanced system reality, and improved system functionality.

  17. Human and animal health surveys among pastoralists.

    PubMed

    Schelling, E; Greter, H; Kessely, H; Abakar, M F; Ngandolo, B N; Crump, L; Bold, B; Kasymbekov, J; Baljinnyam, Z; Fokou, G; Zinsstag, J; Bonfoh, B; Hattendorf, J; Béchir, M

    2016-11-01

    Valid human and livestock health surveys, including longitudinal follow-up, are feasible among mobile pastoralists and provide fundamental information to agencies for interventions that are responsive to realities and effective in addressing the needs of pastoralists. However, pastoralists are often excluded from studies, surveillance systems and health programmes. The occurrence of preventable and treatable diseases such as perinatal tetanus, measles and tuberculosis are indicative of limited access to health providers and information. It is difficult for health services to include effective outreach with their available financial and human resources. One consequence is that maternal mortality rates among pastoralists are unacceptably high. Environmental determinants such as the quality of water and the pasture ecosystems further influence the morbidity of pastoralists. In the Sahel, the nutritional status of pastoralist children is seasonally better than that of settled children; but pastoralist women tend to have higher acute malnutrition rates. Pastoralist women are more vulnerable than men to exclusion from health services for different context-specific reasons. Evidence-based control measures can be assessed in cluster surveys with simultaneous assessments of health among people and livestock, where data on costs of disease and interventions are also collected. These provide important arguments for governmental and non-governmental agencies for intervention development. New, integrated One Health surveillance systems making use of mobile technology and taking into account local concepts and the experiences and priorities of pastoralist communities, combined with sound field data, are essential to develop and provide adapted human and animal health services that are inclusive for mobile pastoralist communities and allow them to maintain their mobile way of life.

  18. Design and Analysis of Steerable ECRH Launcher for SST-1 Tokamak

    NASA Astrophysics Data System (ADS)

    Mistry, Hardik; Shukla, B. K.

    2017-07-01

    In the tokamaks ECRH system is used for pre-ionization, start up, heating, current drive and suppression of NTMs (Neo Classical Tearing Modes). A Standard ECRH system consists of high power microwave source Gyrotron, circular corrugated waveguide based transmission line and launcher. The Focused ECH power is launched into plasma through launcher. The microwave beam emerges out from circular corrugated waveguide and propagates freely in air with finite divergence. So focusing and plane mirror combination is used to launch focused beam in plasma. Thus an ECRH launcher consists of metallic profiled and plane mirror, UHV compatible vacuum barrier window and a UHV gate valve. One 42 GHz gyrotron capable of delivering 500 kW of power for 500 ms and other 82 GHz gyrotron capable of delivering 200 kW of power for 1000s are used for SST-1 ECRH system. The launcher design consists of mirror design, design of supports and design of steering mechanism to provide suitable movements with minimum backless error. The whole assembly is UHV compatible. The launcher is capable of steering the beams by ±20° in both toroidal and poloidal directions. Mirrors are given motion by means of one rotary and one linear feedthrough. For 82 GHz launcher active cooling is provided, whereas for 42 GHz launcher no active cooling is provided. A detailed analysis is carried out for the mirrors of the high power launcher. The heat load for the 82 GHz launcher is 2 kW ( 1% absorption) and for 42 GHz launcher it is 5 kW. For 82 GHz launcher, the maximum steady state surface temperatures of focusing and reflecting mirrors are 315K and 323K and von-mises stresses are within 10 MPa. Similarly for 42 GHz launcher maximum temperatures observed during 500 ms pulse are 301K and 303K for focusing and reflecting mirrors respectively. This paper explains the mechanical and thermal design and analysis of the launcher for the ECRH system.

  19. [Health services access survey for Colombian households].

    PubMed

    Arrivillaga, Marcela; Aristizabal, Juan Carlos; Pérez, Mauricio; Estrada, Victoria Eugenia

    The aim of this study was to design and validate a health services access survey for households in Colombia to provide a methodological tool that allows the country to accumulate evidence of real-life access conditions experienced by the Colombian population. A validation study with experts and a pilot study were performed. It was conducted in the municipality of Jamundi, located in the department of Valle del Cauca, Colombia. Probabilistic, multistage and stratified cluster sampling was carried out. The final sample was 215 households. The survey was composed of 63 questions divided into five modules: socio-demographic profile of the head of the household or adult informant, household socioeconomic profile, access to preventive services, access to curative and rehabilitative services and household out of pocket expenditure. In descriptive terms, the promotion of preventive services only reached 44%; the use of these services was always highest among children younger than one year old and up to the age of ten. The perceived need for emergency medical care and hospitalisation was between 82% and 85%, but 36% perceived the quality of care to be low or very low. Delays were experienced in medical visits with GPs and specialists. The designed survey is valid, relevant and representative of access to health services in Colombia. Empirically, the pilot showed institutional weaknesses in a municipality of the country, indicating that health coverage does not in practice mean real and effective access to health services. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  20. [Acknowledgement and satisfaction survey on mental health].

    PubMed

    Pedraza, María S; Noriega, Nicolás H

    2015-01-01

    Knowing patients opinion about mental healthcare services is highly important in clinical daily work settings, especially in the interior regions of the country. Since information on the subject is very scarce, gathering further data would be helpful to design active policies in this field. With this aim in mind, a work team composed of a Psychologist and an Immunologist of the city of Villa Marí in Córdoba, Argentina, conducted a survey to enquire about the population's knowledge regarding mental health care services and their degree of satisfaction. This survey was done using a database from a healthcare consultancy, and data collection was carried out by means of electronic mails, which contained mostly closed questions. Two conclusions were drawn as relevant information; the first one was that only 1% of the subjects answered the survey, which would reveal little interest in it. The second conclusion was that, in spite of the investigators assumptions, most of the population surveyed (over 50%), had thorough knowledge of the use of mental healthcare services.

  1. Survey-related experiential and attitudinal correlates of future health survey participation: results of a statewide survey.

    PubMed

    Beebe, Timothy J; Jenkins, Sarah M; Anderson, Kari J; Davern, Michael E

    2008-12-01

    To determine the survey-related experiential and attitudinal correlates of future health-related survey participation. From July 21, 2005, through October 25, 2005, we conducted a mixed-mode mail and telephone survey of 1636 noninstitutionalized Minnesota residents aged 18 years or older. The overall response rate was 49%. We examined the unadjusted effect of each independent variable on the likelihood of future participation in health-related surveys using univariate logistic regression and discerned the relative contribution of the different variables with multivariate logistic regression analysis. Respondents were asked to complete an average of 4.5 different surveys in the year before the current survey; approximately a quarter of the respondents perceived these surveys to be burdensome. The likelihood of future participation in health-related surveys was negatively related to good health status, a busy schedule, and perceptions that the surveys were too long. Respondents were more than twice as likely to indicate that they would participate in a future health-related survey if they knew the organization doing the survey. For health-related surveys, investigators should remain mindful of people's busy schedules and keep their surveys as short as possible. Further research is needed to clarify whether the decision to participate in a survey hinges more on knowing the organization paying to have a survey performed (the sponsor) or the survey vendor collecting the data.

  2. TMX-U (Tandem Mirror Experiment Upgrade) ECRH (Electron Cyclotron Resonant Heating) system operations summary

    SciTech Connect

    Heefner, J.W.; Brooksby, C.A.; Lauze, R.R.; Karsner, P.G.

    1987-10-07

    The TMX-U ECRH System underwent many extensive changes during the last two years of physics operations. These changes included extensive use of fiber optics and computer control to add flexibility to the system and eliminate noise problems, upgrades to Varian Model VGA-8050M long pulse gyrotron tubes, the addition of gyrotron anode-modulation for better control of individual gyrotrons, and the installation of a fifth gyrotron socket that was used to simultaneously heat both the east and west inner 10 KG locations. This paper discusses the different modifications made to the system and their effects on the overall performance of the entire ECRH system. The paper also discusses the system as it presently exists and possible modifications that would be made if the future modifications were to be performed. 3 refs., 2 figs.

  3. Design and application of a new control system for tokamak ECRH power supply

    NASA Astrophysics Data System (ADS)

    Hao, Xu; Zhang, Jian; Huang, Yiyun

    2016-03-01

    The biggest challenge of designing and building tokamak electron cyclotron resonance heating (ECRH) pulse step modulation (PSM) power supply is satisfying its required output voltage rising time to be less than 100 µs while suppressing the voltage overshoot to be no more than 1%. To fulfill the two requirements, a new control strategy with startup time in microsecond range is proposed in this paper, and a new control system to realize the control strategy is introduced. The control system was built and tested on 60 kV/50 A ECRH power supply. The experimental results indicate that the control system can restrain the overshoot effectively, increase response speed, and obviously improve the dynamic characteristics of the PSM power supply system. Thus, the proposed control system helps the PSM power supply to meet the design specifications.

  4. Minimization of the Ohmic Loss of Grooved Polarizer Mirrors in High-Power ECRH Systems

    NASA Astrophysics Data System (ADS)

    Wagner, D.; Leuterer, F.; Kasparek, W.; Stober, J.

    2017-02-01

    A set of two corrugated polarizer mirrors is typically used in high-power electron cyclotron resonance heating (ECRH) systems to provide the required polarization of the ECRH output beam. The ohmic losses of these mirrors can significantly exceed the losses of plane mirrors depending on the polarization of the incident beam with respect to the orientation of the grooves. Since polarizer mirrors incorporated into miter bends of a corrugated waveguide line are limited in size, active water cooling can become critical in high-power cw systems like the one for ITER. The ohmic loss of polarizer mirrors has been investigated experimentally at high power. A strategy to minimize the losses for given mirror geometries has been found.

  5. Fusion plasma theory. Task 3: ECRH and transport modeling in tandem mirrors and divertor physics

    NASA Astrophysics Data System (ADS)

    Emmert, G. A.

    1984-06-01

    The research performed under Tank II of this contact has focused on: (1) the coupling of an ECRH ray tracing and absorption code to a tandem mirror transport code in order to self-consistently model the temporal and spatial evolution of the plasma, and (2) the further development of semi-analytical models for plasma flow in divertors and pumped limiters. Work on these topics is briefly summarized.

  6. ECRH on ASDEX Upgrade - System Status, Feed-Back Control, Plasma Physics Results -

    NASA Astrophysics Data System (ADS)

    Stober, J.; Bock, A.; Höhnle, H.; Reich, M.; Sommer, F.; Treutterer, W.; Wagner, D.; Gianone, L.; Herrmann, A.; Leuterer, F.; Monaco, F.; Marascheck, M.; Mlynek, A.; Müller, S.; Münich, M.; Poli, E.; Schubert, M.; Schütz, H.; Zohm, H.; Kasparek, W.; Stroth, U.; Meier, A.; Scherer, Th.; Strauβ, D.; Vaccaro, A.; Flamm, J.; Thumm, M.; Litvak, A.; Denisov, G. G.; Chirkov, A. V.; Tai, E. M.; Popov, L. G.; Nichiporenko, V. O.; Myasnikov, V. E.; Soluyanova, E. A.; Malygin, S. A.

    2012-09-01

    The ASDEX Upgrade (AUG) ECRH system now delivers a total of 3.9 MW to the plasma at 140 GHz. Three new units are capable of 2-frequency operation and may heat the plasma alternatively with 2.1 MW at 105 GHz. The system is routinely used with X2, O2, and X3 schemes. For Bt = 3.2 T also an ITER-like O1-scheme can be run using 105 GHz. The new launchers are capable of fast poloidal movements necessary for real-time control of the location of power deposition. Here real-time control of NTMs is summarized, which requires a fast analysis of massive data streams (ECE and Mirnov correlation) and extensive calculations (equilibria, ray-tracing). These were implemented at AUG using a modular concept of standardized real-time diagnostics. The new realtime capabilities have also been used during O2 heating to keep the first reflection of the non-absorbed beam fraction on the holographic reflector tile which ensures a well defined second pass of the beam through the central plasma. Sensors for the beam position are fast thermocouples at the edge of the reflector tile. The enhanced ECRH power was used for several physics studies related to the unique feature of pure electron heating without fueling and without momentum input. As an example the effect of the variation of the heating mix in moderately heated H-modes is demonstrated using the three available heating systems, i.e. ECRH, ICRH and NBI. Keeping the total input power constant, strong effects are seen on the rotation, but none on the pedestal parameters. Also global quantities as the stored energy are hardly modified. Still it is found that the central ion temperature drops as the ECRH fraction exceeds a certain threshold.

  7. Avoidance of disruptions at high βN in ASDEX Upgrade with off-axis ECRH

    NASA Astrophysics Data System (ADS)

    Esposito, B.; Granucci, G.; Maraschek, M.; Nowak, S.; Gude, A.; Igochine, V.; Lazzaro, E.; McDermott, R.; Poli, E.; Stober, J.; Suttrop, W.; Treutterer, W.; Zohm, H.; Brunetti, D.; ASDEX Upgrade Team

    2011-08-01

    Experiments on disruption avoidance have been carried out in H-mode ASDEX Upgrade plasmas: the localized perpendicular injection of ECRH (1.5 MW ~ 0.2Ptot) onto the q = 2 resonant surface has led to the delay and/or complete avoidance of disruptions in a high βN scenario (Ip = 1 MA, Bt = 2.1 T, q95 ~ 3.6, with NBI ~7.5 MW). In these discharges (at low q95 and low density) neoclassical tearing modes (NTMs) are excited: the growth and locking of the m/n = 2/1 mode leads to the disruption. The scheme of the experiment is successfully applied in the same way as in previous disruption avoidance experiments in FTU and ASDEX Upgrade. As soon as the disruption precursor signal (the locked mode detector and/or the loop voltage) reaches the preset threshold, the ECRH power is triggered by real-time control. A poloidal scan in deposition location (ρdep) has been carried out by setting the poloidal launching mirrors at different angles in each discharge. The results depend on ρdep: complete disruption avoidance can be achieved when the power is injected close to or onto the 2/1 island. When ECRH is injected outside the island (either at radii inside or outside the q = 2 surface), the discharge is disrupted as in the reference case.

  8. Bacteriological survey of sixty health foods.

    PubMed Central

    Andrews, W H; Wilson, C R; Poelma, P L; Romero, A; Mislivec, P B

    1979-01-01

    A bacteriological survey was performed on 1,960 food samples encompassing 60 types of health foods available in the Baltimore-Washington, D.C., metropolitan area. No consistent bacteriological distinction (aerobic plate counts, total coliform and fecal coliform most probable numbers) was observed between foods labeled as organic (raised on soil with compost or nonchemical fertilizer and without application of pesticides, fungicides, and herbicides) and their counterpart food types bearing no such label. Types and numbers of samples containing Salmonella were: sunflower seeds, 4; soy flour, 3; soy protein powder, 2; soy milk powder, 1; dried active yeast, 1; brewers' years, 1; rye flour, 1; brown rice, 1; and alfalfa seeds,1. The occurrence of this pathogen in three types of soybean products should warrant further investigation of soybean derivatives as potentially significant sources of Salmonella. PMID:572198

  9. Bacteriological survey of sixty health foods.

    PubMed

    Andrews, W H; Wilson, C R; Poelma, P L; Romero, A; Mislivec, P B

    1979-03-01

    A bacteriological survey was performed on 1,960 food samples encompassing 60 types of health foods available in the Baltimore-Washington, D.C., metropolitan area. No consistent bacteriological distinction (aerobic plate counts, total coliform and fecal coliform most probable numbers) was observed between foods labeled as organic (raised on soil with compost or nonchemical fertilizer and without application of pesticides, fungicides, and herbicides) and their counterpart food types bearing no such label. Types and numbers of samples containing Salmonella were: sunflower seeds, 4; soy flour, 3; soy protein powder, 2; soy milk powder, 1; dried active yeast, 1; brewers' years, 1; rye flour, 1; brown rice, 1; and alfalfa seeds,1. The occurrence of this pathogen in three types of soybean products should warrant further investigation of soybean derivatives as potentially significant sources of Salmonella.

  10. School-Based Health Care State Policy Survey. Executive Summary

    ERIC Educational Resources Information Center

    National Assembly on School-Based Health Care, 2012

    2012-01-01

    The National Assembly on School-Based Health Care (NASBHC) surveys state public health and Medicaid offices every three years to assess state-level public policies and activities that promote the growth and sustainability of school-based health services. The FY2011 survey found 18 states (see map below) reporting investments explicitly dedicated…

  11. Research on long pulse ECRH system of EAST in support of ITER

    SciTech Connect

    Wang, Xiaojie Liu, Fukun; Shan, Jiafang; Xu, Handong; Wu, Dajun; Li, Bo; Tang, Yunying; Zhang, Liyuan; Xu, Weiye; Hu, Huaichuan; Wang, Jiang; Yang, Yong; Xu, Li; Ma, Wendong; Feng, Jianqiang; Wei, Wei

    2015-12-10

    Experimental Advanced Superconducting Tokamak (EAST), as a fully superconducting tokamak in China, aims to achieve high performance plasma under steady-state operation. To fulfill the physical objectives of EAST, a program of 4-MW long pulse electron cyclotron resonance heating and current drive (EC H&CD) system, which would offer greater flexibility for plasma shape and plasma stabilization has been launched on EAST since 2011. The system, composed of 4 gyrotrons with nominal 1MW output power and 1000s pulse length each, is designed with the feature of steerable power handling capabilities at 140 GHz, using second harmonic of the extraordinary mode(X2). The missions of the ECRH system are to provide plasma heating, current drive, plasma profile tailoring and control of magneto-hydrodynamic (MHD) instabilities. Presently, the first two 140-GHz 1-MW gyrotrons, provided by GYCOM and CPI, respectively, have been tested at long pulse operation. The tubes, the associated power supplies, cooling system, cryogenic plant, 2 transmission lines and an equatorial launcher are now installed at EAST. The power generated from each tube will be transmitted by an evacuated corrugated waveguide transmission line and injected into plasma from the low field side (radial port) through a front steering equatorial launcher. Considering the diverse applications of the EC system, the beam’s launch angles can be continuously varied with the optimized scanning range of over 30° in poloidal direction and ±25° in toroidal, as well as the polarization could be adjusted during the discharge by the orientations of a pair of polarizers in the transmission line to maintain the highest absorption for different operational scenarios. The commissioning of the first 2MW ECRH plant for EAST is under way. The design, R&D activities and recent progress of the long pulse 140-GHz ECRH system are presented in this paper. As the technological requirements for EAST ECRH have many similarities with ITER

  12. Research on long pulse ECRH system of EAST in support of ITER

    NASA Astrophysics Data System (ADS)

    Wang, Xiaojie; Liu, Fukun; Shan, Jiafang; Xu, Handong; Wu, Dajun; Li, Bo; Wei, Wei; Tang, Yunying; Zhang, Liyuan; Xu, Weiye; Hu, Huaichuan; Wang, Jiang; Yang, Yong; Xu, Li; Ma, Wendong; Feng, Jianqiang

    2015-12-01

    Experimental Advanced Superconducting Tokamak (EAST), as a fully superconducting tokamak in China, aims to achieve high performance plasma under steady-state operation. To fulfill the physical objectives of EAST, a program of 4-MW long pulse electron cyclotron resonance heating and current drive (EC H&CD) system, which would offer greater flexibility for plasma shape and plasma stabilization has been launched on EAST since 2011. The system, composed of 4 gyrotrons with nominal 1MW output power and 1000s pulse length each, is designed with the feature of steerable power handling capabilities at 140 GHz, using second harmonic of the extraordinary mode(X2). The missions of the ECRH system are to provide plasma heating, current drive, plasma profile tailoring and control of magneto-hydrodynamic (MHD) instabilities. Presently, the first two 140-GHz 1-MW gyrotrons, provided by GYCOM and CPI, respectively, have been tested at long pulse operation. The tubes, the associated power supplies, cooling system, cryogenic plant, 2 transmission lines and an equatorial launcher are now installed at EAST. The power generated from each tube will be transmitted by an evacuated corrugated waveguide transmission line and injected into plasma from the low field side (radial port) through a front steering equatorial launcher. Considering the diverse applications of the EC system, the beam's launch angles can be continuously varied with the optimized scanning range of over 30° in poloidal direction and ±25° in toroidal, as well as the polarization could be adjusted during the discharge by the orientations of a pair of polarizers in the transmission line to maintain the highest absorption for different operational scenarios. The commissioning of the first 2MW ECRH plant for EAST is under way. The design, R&D activities and recent progress of the long pulse 140-GHz ECRH system are presented in this paper. As the technological requirements for EAST ECRH have many similarities with ITER

  13. Virginia agricultural health and safety survey.

    PubMed

    Mariger, S C; Grisso, R D; Perumpral, J V; Sorenson, A W; Christensen, N K; Miller, R L

    2009-01-01

    This comprehensive study was conducted primarily to identify the common causes of agricultural injuries on active Virginia farms and to identify hazardous agricultural operations, exposure duration, and injuries associated with each hazardous operation. In addition, the influences of factors such as general health status of farmers, age, weight, and alcohol and tobacco use on injury were examined. This information will be used for the development of educational programs that will improve the safety of agricultural operations. The sample selected for the study included farms of 28 ha or more, operating on a full- or part-time basis. This stipulation was to ensure that all farms in the sample are active and that participants generated a major portion of their income from the farm. Of the 26,000 farms meeting this requirement, 1,650 were selected to participate in the study. A survey instrument was mailed to the farmers selected to collect the information needed for meeting the established objectives of the study. Approximately 19% of the surveys were returned. In terms of percentage injuries, livestock handling was the primary cause. This was followed by working in elevated locations, operating and repairing agricultural machinery, and heavy lifting. The activities carried out most frequently by the participants were: operating farm tractors, operating trucks/automobiles, using hand and power tools, and working with agricultural chemicals. The overall injury rate was 5.6 injuries per 100,000 h. The exposure to agricultural hazards appeared to have minimal or no effect on the health status of Virginia farmers. Farm workers in the 45 to 64 age group sustained the most injuries. Older, more experienced farmers reported fewer injuries because of limited exposure to hazards and work experience. The average age of Virginia farmers surveyed was 60. This is expected to rise because most respondents reported no plans to retire during the next five years. Based on the results

  14. Occupational health survey of farm workers by camp health aides.

    PubMed

    Cameron, L; Lalich, N; Bauer, S; Booker, V; Bogue, H O; Samuels, S; Steege, A L

    2006-05-01

    Little is known about the magnitude of occupational health problems among migrant farm workers. A community-based cross-sectional survey was conducted in two migrant farm worker communities: Homestead, Florida, and Kankakee, Illinois. Camp Health Aides (CHAs) interviewed 425 workers about job tasks, personal protective equipment (PPE), field sanitation, work exposures, and selected health conditions. Limited provision of personal protective equipment was reported among those reporting early re-entry tasks: 35% in Kankakee and 42% in Homestead were provided gloves, and 22% in Homestead and 0% in Kankakee were provided protective clothing. About two-thirds were provided toilet facilities and water for hand-washing. Workers reported high prevalences of health conditions consistent with exposure to ergonomic hazards and pesticides. The prevalence of back pain in the past 12 months was 39% in Homestead and 24% in Kankakee. Among Homestead participants, 35% experienced eye symptoms, while 31% reported skin symptoms. These symptoms were less prevalent among Kankakee participants (16% for both eye and skin symptoms). Specific areas of concern included back pain associated with heavy lifting and ladder work; eye and skin irritation associated with fertilizer application tasks and with working in fields during or after spraying of chemicals, especially early re-entry of sprayed fields; and skin irritation associated with a lack of access to hand-washing facilities. In both Kankakee and Homestead, better adherence to safety standards is needed, as well as greater efforts to implement solutions that are available to help prevent work-related musculoskeletal problems.

  15. A review of national health surveys in India.

    PubMed

    Dandona, Rakhi; Pandey, Anamika; Dandona, Lalit

    2016-04-01

    Several rounds of national health surveys have generated a vast amount of data in India since 1992. We describe and compare the key health information gathered, assess the availability of health data in the public domain, and review publications resulting from the National Family Health Survey (NFHS), the District Level Household Survey (DLHS) and the Annual Health Survey (AHS). We highlight issues that need attention to improve the usefulness of the surveys in monitoring changing trends in India's disease burden: (i) inadequate coverage of noncommunicable diseases, injuries and some major communicable diseases; (ii) modest comparability between surveys on the key themes of child and maternal mortality and immunization to understand trends over time; (iii) short time intervals between the most recent survey rounds; and (iv) delays in making individual-level data available for analysis in the public domain. We identified 337 publications using NFHS data, in contrast only 48 and three publications were using data from the DLHS and AHS respectively. As national surveys are resource-intensive, it would be prudent to maximize their benefits. We suggest that India plan for a single major national health survey at five-year intervals in consultation with key stakeholders. This could cover additional major causes of the disease burden and their risk factors, as well as causes of death and adult mortality rate estimation. If done in a standardized manner, such a survey would provide useable and timely data to inform health interventions and facilitate assessment of their impact on population health.

  16. Investigation of impurity transport using laser blow-off technique in the HL-2A Ohmic and ECRH plasmas

    NASA Astrophysics Data System (ADS)

    Kai, Zhang; Zheng-Ying, Cui; Ping, Sun; Chun-Feng, Dong; Wei, Deng; Yun-Bo, Dong; Shao-Dong, Song; Min, Jiang; Yong-Gao, Li; Ping, Lu; Qing-Wei, Yang

    2016-06-01

    Impurity transports in two neighboring discharges with and without electron cyclotron resonance heating (ECRH) are studied in the HL-2A tokamak by laser blow-off (LBO) technique. The progression of aluminium ions as the trace impurity is monitored by soft x-ray (SXR) and bolometer detector arrays with good temporal and spatial resolutions. Obvious difference in the time trace of the signal between the Ohmic and ECRH L-mode discharges is observed. Based on the numerical simulation with one-dimensional (1D) impurity transport code STRAHL, the radial profiles of impurity diffusion coefficient D and convective velocity V are obtained for each shot. The result shows that the diffusion coefficient D significantly increases throughout the plasma minor radius for the ECRH case with respect to the Ohmic case, and that the convection velocity V changes from negative (inward) for the Ohmic case to partially positive (outward) for the ECRH case. The result on HL-2A confirms the pump out effect of ECRH on impurity profile as reported on various other devices.

  17. Selection within households in health surveys

    PubMed Central

    Alves, Maria Cecilia Goi Porto; Escuder, Maria Mercedes Loureiro; Claro, Rafael Moreira; da Silva, Nilza Nunes

    2014-01-01

    OBJECTIVE To compare the efficiency and accuracy of sampling designs including and excluding the sampling of individuals within sampled households in health surveys. METHODS From a population survey conducted in Baixada Santista Metropolitan Area, SP, Southeastern Brazil, lowlands between 2006 and 2007, 1,000 samples were drawn for each design and estimates for people aged 18 to 59 and 18 and over were calculated for each sample. In the first design, 40 census tracts, 12 households per sector, and one person per household were sampled. In the second, no sampling within the household was performed and 40 census sectors and 6 households for the 18 to 59-year old group and 5 or 6 for the 18 and over age group or more were sampled. Precision and bias of proportion estimates for 11 indicators were assessed in the two final sets of the 1000 selected samples with the two types of design. They were compared by means of relative measurements: coefficient of variation, bias/mean ratio, bias/standard error ratio, and relative mean square error. Comparison of costs contrasted basic cost per person, household cost, number of people, and households. RESULTS Bias was found to be negligible for both designs. A lower precision was found in the design including individuals sampling within households, and the costs were higher. CONCLUSIONS The design excluding individual sampling achieved higher levels of efficiency and accuracy and, accordingly, should be first choice for investigators. Sampling of household dwellers should be adopted when there are reasons related to the study subject that may lead to bias in individual responses if multiple dwellers answer the proposed questionnaire. PMID:24789641

  18. A health survey of radiologic technologists

    SciTech Connect

    Boice, J.D. Jr.; Mandel, J.S.; Doody, M.M.; Yoder, R.C.; McGowan, R. )

    1992-01-15

    A health survey of more than 143,000 radiologic technologists is described. The population was identified from the 1982 computerized files of the American Registry of Radiologic Technologists, which was established in 1926. Inactive members were traced to obtain current addresses or death notifications. More than 6000 technologists were reported to have died. For all registrants who were alive when located, a detailed 16-page questionnaire was sent, covering occupational histories, medical conditions, and other personal and lifestyle characteristics. Nonrespondents were contacted by telephone to complete an abbreviated questionnaire. More than 104,000 responses were obtained. Most technologists were female (76%), white (93%), and employed for an average of 12 years; 37% attended college, and approximately 50% never smoked cigarettes. Radiation exposure information was sought from employer records and commercial dosimetry companies. Technologists employed for the longest times had the highest estimated cumulative exposures, with approximately 9% with exposures greater than 5 cGy. There was a high correlation between cumulative occupational exposure and personal exposure to medical radiographs, related, in part, to the association of both factors with attained age. It is interesting that 10% of all technologists allowed others to practice taking radiographs on them during their training. Nearly 4% of the respondents reported having some type of cancer, mainly of the skin (1517), breast (665), and cervix (726). Prospective surveys will monitor cancer mortality rates through use of the National Death Index and cancer incidence through periodic mailings of questionnaires. This is the only occupational study of radiation employees who are primarily women and should provide new information on the possible risks associated with relatively low levels of exposure.

  19. Health sciences library building projects: 1995 survey.

    PubMed

    Ludwig, L

    1996-07-01

    The Medical Library Association's fifth annual survey of recent health sciences library building projects identified twenty-five libraries planning, expanding, or constructing new library facilities. None of the fifteen new library projects are free standing structures; however, several occupy a major portion of the project space. Ten projects involve renovation of or addition to existing space. Information regarding size, cost of project, type of construction, completion date, and other factual data was provided for twelve projects. The remaining identified projects are in pre-design or early-design stages, or are awaiting funding approval. Library building projects for three hospital libraries, three academic medical libraries, and an association library are described. Each illustrates how considerations of economics and technology are changing the traditional library model from a centrally stored information depository housing a wide range of information under one roof where users come to the information, into an electronic model gradually shifting from investment in the physical presence of resources to investment in creating work space for creditible information specialists who help in-house and distanced users to obtain information electronically from any place and at any time. This new model includes a highly skilled library team to manage, filter, and package the information to users trained by these resident experts.

  20. Worksite Health Promotion Activities. 1992 National Survey. Summary Report.

    ERIC Educational Resources Information Center

    Public Health Service (DHHS), Rockville, MD. Office of Disease Prevention and Health Promotion.

    The survey reported in this document examined worksite health promotion and disease prevention activities in 1,507 private worksites in the United States. Specificlly, the survey assessed policies, practices, services, facilities, information, and activities sponsored by employers to improve the health of their employees, and assessed health…

  1. HARRISBURG TRI-COUNTY HEALTH MANPOWER SURVEY REPORT. PRELIMINARY.

    ERIC Educational Resources Information Center

    RATNER, MURIEL

    THE HARRISBURG AREA COMMUNITY COLLEGE COOPERATED WITH TWO HOSPITALS IN A SURVEY OF THE AREA'S NEEDS FOR HEALTH TECHNICIANS. DATA, COLLECTED BY QUESTIONNAIRE SURVEYS OF DOCTORS AND DENTISTS AND BY INTERVIEWS WITH ADMINISTRATORS OF HOSPITALS, NURSING HOMES AND PROFESSIONAL ORGANIZATIONS, INDICATED THAT (1) A 60-PERCENT INCREASE IN HEALTH MNAPOWER…

  2. Survey on Continuing Education Needs for Health Professionals: Report.

    ERIC Educational Resources Information Center

    System Development Corp., Santa Monica, CA.

    The report documents the results of a 1967 survey of health professionals in the four-State Western Interstate Commission for Higher Education (WICHE) Mountain States Regional Medical Program (MS/RMP). Addressed to health professionals in each of the four States--Idaho, Montana, Nevada, and Wyoming--the survey focuses primarily on the…

  3. [Colombia. Prevalence, Demography and Health Survey 1990].

    PubMed

    1991-06-01

    Colombia's 1990 Survey of Prevalence, Demography, and Health (EPDS) was intended to provide data on the total population and on the status of women's and children's health for use in planning and in formulating health and family planning policy. 7412 household interviews and 8647 individual interviews with women aged 15-49 years were completed. This document provides a brief description of the questionnaire, sample design, data processing, and survey results. More detailed works on each topic are expected to follow. After weighing, 74.8% of respondents were urban and 25.2% rural. 3.2% were illiterate, 36.6% had some primary education, 50.2% had secondary educations, and 9.9% had high higher educations. Among all respondents and respondents currently in union respectively, 98.2% and 997% knew some contraceptive method, 94.1% and 97.9% knew some source of family planning, 57.6% and 86.0% had ever used a method, and 39.9% and 66.1% were currently using a method. Among all respondents and respondents currently in union respectively, 52.2% and 78.9% had ever used a modern method and 33.0% and 54.6% were currently using a modern method. Among women in union, 14.1% currently used pills, 12.4% IUDs, 2.2% injectables, 1.7% vaginal methods, 2.9% condoms, 20.9% female sterilization, .5% vasectomy, 11.5% some tradition method, 6.1% periodic abstinence, 4.8% withdrawal, and .5% others. Equal proportions of rural and urban women were sterilized. The prevalence of female sterilization declined with education and increased with family size. Modern methods were used by 57.5% of urban and 47.7% of rural women, 44.0% of illiterate women, 51.8% of women with primary and 57.8% with secondary educations. Among women in union, 10.9% wanted a child soon, 19.7% wanted 1 eventually, 3.6% were undecided, 42.6% did not want 1, 21.4% were sterilized, and 1.2% were infertile. Among women giving birth in the past 5 years, the proportion having antitetanus vaccinations increased from 39% in 1986

  4. An overview of the energetic electron induced instabilities with high-power ECRH on HL-2A

    NASA Astrophysics Data System (ADS)

    Ding, X. T.; Chen, W.; Yu, L. M.; Chen, S. Y.; Dong, J. Q.; Ji, X. Q.; Shi, Z. B.; Zhou, Y.; Dong, Y. B.; Huang, X. L.; Li, J. X.; Zhang, Y. P.; Song, X. Y.; Song, X. M.; Zhou, J.; Rao, J.; Cao, J. Y.; Huang, M.; Feng, B. B.; Cui, Z. Y.; Huang, Y.; Liu, Yi.; Yan, L. W.; Yang, Q. W.; Duan, X. R.; Liu, Y.

    2013-04-01

    In this paper, an overview of the magnetohydrodynamic instabilities induced by energetic electrons on HL-2A is given and some new phenomena with high-power electron cyclotron resonance heating (ECRH) are presented. A toroidal Alfvén eigenmode with frequency from 200 to 350 kHz is identified during powerful ECRH. In the lower frequency range from 10 to 35 kHz, which is in the beta-induced Alfvén eigenmode frequency range, the coexistence of multi-mode is found during the high-power ECRH for the first time. The spectra become wide when the power is sufficiently high. The frequencies of the modes increase with and are much lower than the Alfvén frequency. The relationship between the mode frequency and (7/4 + Te/Ti)1/2 (Ti)1/2 can be obtained by statistical data analysis. Between the two previous frequency ranges, a group of new modes with frequencies from 50 to 180 kHz is observed with high-power ECRH and neutral beam injection heating together. The modes have clear frequency chirping within several milliseconds or several tens of milliseconds, which are identified as energetic particle mode like instabilities. The new features of the fishbone instability excited by energetic electrons are identified. It is interesting to find the frequency jump phenomena in the high-power ECRH. The difference between the low and high frequencies increases with ECRH power. The frequency jumps between 8 and 15 kHz within about 25 ms periodically, when the power is 1.2 MW.

  5. Brief 75 Health Physics Enrollments and Degrees Survey, 2014 Data

    SciTech Connect

    None, None

    2015-03-05

    The 2014 survey includes degrees granted between September 1, 2013 and August 31, 2014. Enrollment information refers to the fall term 2014. Twenty-two academic programs were included in the survey universe, with all 22 programs providing data. Since 2009, data for two health physics programs located in engineering departments are also included in the nuclear engineering survey. The enrollments and degrees data includes students majoring in health physics or in an option program equivalent to a major.

  6. Brief 73 Health Physics Enrollments and Degrees Survey, 2013 Data

    SciTech Connect

    None, None

    2014-02-15

    The survey includes degrees granted between September 1, 2012 and August 31, 2013. Enrollment information refers to the fall term 2013. Twenty-two academic programs were included in the survey universe, with all 22 programs providing data. Since 2009, data for two health physics programs located in engineering departments are also included in the nuclear engineering survey. The enrollments and degrees data includes students majoring in health physics or in an option program equivalent to a major.taoi_na

  7. Efficiency of workplace surveys conducted by Finnish occupational health services.

    PubMed

    Savinainen, Minna; Oksa, Panu

    2011-07-01

    In Finland, workplace surveys are used to identify and assess health risks and problems caused by work and make suggestions for continuous improvement of the work environment. With the aid of the workplace survey, occupational health services can be tailored to a company. The aims of this study were to determine how occupational health professionals gather data via the workplace survey and the effect survey results have on companies. A total of 259 occupational health nurses and 108 occupational health physicians responded to the questionnaire: 84.2% were women and 15.8% were men. The mean age of the respondents was 48.8 years (range, 26 to 65 years). Usually occupational health nurses and foremen and sometimes occupational health physicians and occupational safety and health representatives initiate the workplace survey. More than 90% of the surveys were followed by action proposals, and about 50% of these were implemented. The proposals implemented most often concerned personal protective equipment and less often leadership. Survey respondents should have both the opportunity and the authority to affect resources, the work environment, work arrangements, and tools. Teamwork among occupational health and safety professionals, management, and employees is vital for cost-effectively solving today's complex problems at workplaces around the globe. Copyright 2011, SLACK Incorporated.

  8. The 10 MW ECRH and CD System for W7-X

    NASA Astrophysics Data System (ADS)

    Erckmann, V.; Braune, H.; Laqua, H. P.; Michel, G.; Dammertz, G.; Thumm, M.; Gantenbein, G.; Kasparek, W.; Mueller, G. A.

    2003-12-01

    Electron Cyclotron Resonance Heating (ECRH) is the main heating method for the Wendelstein 7-X Stellarator (W7-X), which is the next step device in the stellarator line of IPP and is presently under construction in the Greifswald branch of IPP. The experiment aims at demonstrating the inherent steady state capability of stellarators at reactor relevant plasma parameters. W7-X (major radius 5.5 m, minor radius 0.55 m) is equipped with a superconducting coil system operating at 3 T for steady state operation and a divertor for 10 MW steady state heat removal. A 10 MW ECRH plant with CW-capability at 140 GHz is under construction to meet the scientific objectives. The microwave power is generated by 10 gyrotrons with 1 MW each. A European R&D program aiming at the development of a prototype gyrotron for W7-X has been successfully terminated by fall of 2002. A prototype gyrotron with the same specifications was developed for W7-X at CPI (USA). Test results and limitations are reported. The distinct microwave beams from each gyrotron are combined and transmitted to the W7-X Stellarator ports by an open quasi-optical transmission system with high transmission efficiency, which runs at normal pressure and consists of water cooled imaging mirrors. Cold tests of a full size, uncooled prototype line and the related RF-diagnostics are presented. The microwave power is launched to the plasma through 10 synthetic diamond barrier windows and in-vessel quasi-optical plug-in launchers, which allow an independent steering of each beam. The commissioning of the ECRH plant is well under way and the status is presented.

  9. 2011 Health Related Behaviors Survey of Active Duty Military Personnel

    DTIC Science & Technology

    2013-02-01

    to be sociable (33.4%). The most commonly ES-8 Executive Summary to the 2011 Health Related Behaviors Survey of Active Duty Military Personnel 20...standards and current best practices in the field of survey research. Although the target population and the topics addressed in the 2011 HRB were...enlisted, active duty military personnel to identify any items or survey instructions that were unclear. It is a best practice to pretest the survey

  10. 75 FR 32191 - National Health and Nutrition Examination Survey (NHANES) DNA Samples: Guidelines for Proposals...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-07

    ... HUMAN SERVICES Centers for Disease Control and Prevention National Health and Nutrition Examination...: The National Health and Nutrition Examination Survey (NHANES) is a program of periodic surveys... Health and Nutrition Examination Surveys, National Center for Health Statistics, Centers for Disease...

  11. The Kaiser Permanente Northern California Adult Member Health Survey

    PubMed Central

    Gordon, Nancy; Lin, Teresa

    2016-01-01

    Introduction The Kaiser Permanente Northern California (KPNC) Member Health Survey (MHS) is used to describe sociodemographic and health-related characteristics of the adult membership of this large, integrated health care delivery system to monitor trends over time, identify health disparities, and conduct research. Objective To provide an overview of the KPNC MHS and share findings that illustrate how survey statistics and data have been and can be used for research and programmatic purposes. Methods The MHS is a large-scale, institutional review board-approved survey of English-speaking KPNC adult members. The confidential survey has been conducted by mail triennially starting in 1993 with independent age-sex and geographically stratified random samples, with an option for online completion starting in 2005. The full survey sample and survey data are linkable at the individual level to Health Plan and geocoded data. Respondents are assigned weighting factors for their survey year and additional weighting factors for analysis of pooled survey data. Results Statistics from the 1999, 2002, 2005, 2008, and 2011 surveys show trends in sociodemographic and health-related characteristics and access to the Internet and e-mail for the adult membership aged 25 to 79 years and for 6 age-sex subgroups. Pooled data from the 2008 and 2011 surveys show many significant differences in these characteristics across the 5 largest race/ethnic groups in KPNC (non-Hispanic whites, blacks, Latinos, Filipinos, and Chinese). Conclusion The KPNC MHS has yielded unique insights and provides an opportunity for researchers and public health organizations outside of KPNC to leverage our survey-generated statistics and collaborate on epidemiologic and health services research studies. PMID:27548806

  12. The Kaiser Permanente Northern California Adult Member Health Survey.

    PubMed

    Gordon, Nancy; Lin, Teresa

    2016-01-01

    The Kaiser Permanente Northern California (KPNC) Member Health Survey (MHS) is used to describe sociodemographic and health-related characteristics of the adult membership of this large, integrated health care delivery system to monitor trends over time, identify health disparities, and conduct research. To provide an overview of the KPNC MHS and share findings that illustrate how survey statistics and data have been and can be used for research and programmatic purposes. The MHS is a large-scale, institutional review board-approved survey of English-speaking KPNC adult members. The confidential survey has been conducted by mail triennially starting in 1993 with independent age-sex and geographically stratified random samples, with an option for online completion starting in 2005. The full survey sample and survey data are linkable at the individual level to Health Plan and geocoded data. Respondents are assigned weighting factors for their survey year and additional weighting factors for analysis of pooled survey data. Statistics from the 1999, 2002, 2005, 2008, and 2011 surveys show trends in sociodemographic and health-related characteristics and access to the Internet and e-mail for the adult membership aged 25 to 79 years and for 6 age-sex subgroups. Pooled data from the 2008 and 2011 surveys show many significant differences in these characteristics across the 5 largest race/ethnic groups in KPNC (non-Hispanic whites, blacks, Latinos, Filipinos, and Chinese). The KPNC MHS has yielded unique insights and provides an opportunity for researchers and public health organizations outside of KPNC to leverage our survey-generated statistics and collaborate on epidemiologic and health services research studies.

  13. A review of national health surveys in India

    PubMed Central

    Pandey, Anamika; Dandona, Lalit

    2016-01-01

    Abstract Several rounds of national health surveys have generated a vast amount of data in India since 1992. We describe and compare the key health information gathered, assess the availability of health data in the public domain, and review publications resulting from the National Family Health Survey (NFHS), the District Level Household Survey (DLHS) and the Annual Health Survey (AHS). We highlight issues that need attention to improve the usefulness of the surveys in monitoring changing trends in India’s disease burden: (i) inadequate coverage of noncommunicable diseases, injuries and some major communicable diseases; (ii) modest comparability between surveys on the key themes of child and maternal mortality and immunization to understand trends over time; (iii) short time intervals between the most recent survey rounds; and (iv) delays in making individual-level data available for analysis in the public domain. We identified 337 publications using NFHS data, in contrast only 48 and three publications were using data from the DLHS and AHS respectively. As national surveys are resource-intensive, it would be prudent to maximize their benefits. We suggest that India plan for a single major national health survey at five-year intervals in consultation with key stakeholders. This could cover additional major causes of the disease burden and their risk factors, as well as causes of death and adult mortality rate estimation. If done in a standardized manner, such a survey would provide useable and timely data to inform health interventions and facilitate assessment of their impact on population health. PMID:27034522

  14. Asian American Field Survey: Re-Analysis of Health Data.

    ERIC Educational Resources Information Center

    Ito, Karen L.; So, Alvin

    Data from the Asian American Field Survey of 1973 were examined to determine health problems, methods of seeking and paying for health services, health insurance coverage, and frequency of medical examinations among Japanese, Chinese, Filipino, Korean, and Samoan families in the United States. The analysis indicated that the Chinese reported the…

  15. Theory of anomalous backscattering in second harmonic X-mode ECRH experiments

    NASA Astrophysics Data System (ADS)

    Gusakov, E. Z.; Popov, A. Yu.

    2016-08-01

    A quantitative model explaining generation of the anomalous backscattering signal in the second harmonic X-mode electron cyclotron resonance heating (ECRH) experiments at TEXTOR tokamak as a secondary nonlinear process which accompanies a primary low-threshold parametric decay instability (PDI) leading to excitation of two—upper hybrid (UH)—plasmons trapped in plasma is developed. The primary absolute PDI enhancing the UH wave fluctuations from the thermal noise level is supposed to be saturated due to a cascade of secondary low-threshold decays of the daughter UH wave leading to excitation of the secondary UH waves down-shifted in frequency and the ion Bernstein wave. A set of equations describing the cascade is derived and solved numerically. The results of numerical modelling are shown to be in agreement with the analytical estimations of the growth rate of the initial and secondary parametric decays and the saturation level. The generation of backscattering signal is explained by coupling of the daughter UH waves. The fine details of the frequency spectrum of the anomalously reflected extraordinary wave and the absolute value of the observed backscattering signal in the second harmonic X-mode ECRH experiments at TEXTOR are reproduced.

  16. Theory of anomalous backscattering in second harmonic X-mode ECRH experiments

    SciTech Connect

    Gusakov, E. Z.; Popov, A. Yu.

    2016-08-15

    A quantitative model explaining generation of the anomalous backscattering signal in the second harmonic X-mode electron cyclotron resonance heating (ECRH) experiments at TEXTOR tokamak as a secondary nonlinear process which accompanies a primary low-threshold parametric decay instability (PDI) leading to excitation of two—upper hybrid (UH)—plasmons trapped in plasma is developed. The primary absolute PDI enhancing the UH wave fluctuations from the thermal noise level is supposed to be saturated due to a cascade of secondary low-threshold decays of the daughter UH wave leading to excitation of the secondary UH waves down-shifted in frequency and the ion Bernstein wave. A set of equations describing the cascade is derived and solved numerically. The results of numerical modelling are shown to be in agreement with the analytical estimations of the growth rate of the initial and secondary parametric decays and the saturation level. The generation of backscattering signal is explained by coupling of the daughter UH waves. The fine details of the frequency spectrum of the anomalously reflected extraordinary wave and the absolute value of the observed backscattering signal in the second harmonic X-mode ECRH experiments at TEXTOR are reproduced.

  17. The features of the global GAM in OH and ECRH plasmas in the T-10 tokamak

    NASA Astrophysics Data System (ADS)

    Melnikov, A. V.; Eliseev, L. G.; Perfilov, S. V.; Lysenko, S. E.; Shurygin, R. V.; Zenin, V. N.; Grashin, S. A.; Krupnik, L. I.; Kozachek, A. S.; Solomatin, R. Yu.; Elfimov, A. G.; Smolyakov, A. I.; Ufimtsev, M. V.; The HIBP Team

    2015-06-01

    Zonal flows and their high-frequency counterpart, the geodesic acoustic modes (GAMs) are considered as a possible mechanism of the plasma turbulence self-regulation. In the T-10 tokamak GAMs have been studied by the heavy ion beam probing and multipin Langmuir probes. The wide range of the regimes with Ohmic, on-axis and off-axis electron cyclotron resonance heating (ECRH) were studied (Bt = 1.5-2.4 T, Ip = 140-300 kA, \\bar{{n}}e = (0.6{--}6.0) × 1019 m-3 , PEC < 1.2 MW). It was shown that GAM has radially homogeneous structure and poloidal m = 0 for potential perturbations. The local theory predicts that fGAM ˜ \\sqrt {T/mi} /R , that means the frequency increases with the decrease of the minor radius. In contrast, the radial distribution of experimental frequency of the plasma potential and density oscillations, associated to GAM, is almost uniform over the whole plasma radius, suggesting the features of the nonlocal (global) eigenmodes. The GAM amplitude in the plasma potential also tends to be uniform along the radius. GAMs are more pronounced during ECRH, when the typical frequencies are seen in the narrow band from 22 to 27 kHz for the main peak and 25-30 kHz for the higher frequency satellite. GAM characteristics and the range of GAM existence are presented as functions of Te, density, magnetic field and PEC.

  18. Impurity transport studies of intrinsic Mo and injected Ge in high temperature ECRH heated FTU tokamak plasmas

    SciTech Connect

    Bracco, F; Crisanti, M; Finkenthal, M; Fournier, K; Gabellieri, G; Granucci, G; Leigheb, L; Marinucci, O; Mattioli, M; May, M; Pacella, D; Zerbini, M

    1999-06-01

    FTU plasmas reached a peak electron temperature up to 11 keV with ECRH heating during the current ramp up phase. For these plasmas X-ray emission of highly ionized molybdenum, the dominant intrinsic impurity, are presented in section II, and VUV spectra of injected germanium are presented in section III. In section IV the conclusions are discussed.

  19. Challenges and Innovations in Surveying the Governmental Public Health Workforce.

    PubMed

    Leider, Jonathon P; Shah, Gulzar; Rider, Nikki; Beck, Angela; Castrucci, Brian C; Harris, Jenine K; Sellers, Katie; Varda, Danielle; Ye, Jiali; Erwin, Paul C; Brownson, Ross C

    2016-11-01

    Surveying governmental public health practitioners is a critical means of collecting data about public health organizations, their staff, and their partners. A greater focus on evidence-based practices, practice-based systems research, and evaluation has resulted in practitioners consistently receiving requests to participate in myriad surveys. This can result in a substantial survey burden for practitioners and declining response rates for researchers. This is potentially damaging to practitioners and researchers as well as the field of public health more broadly. We have examined recent developments in survey research, especially issues highly relevant for public health practice. We have also proposed a process by which researchers can engage with practitioners and practitioner groups on research questions of mutual interest.

  20. Challenges and Innovations in Surveying the Governmental Public Health Workforce

    PubMed Central

    Shah, Gulzar; Rider, Nikki; Beck, Angela; Castrucci, Brian C.; Harris, Jenine K.; Sellers, Katie; Varda, Danielle; Ye, Jiali; Erwin, Paul C.; Brownson, Ross C.

    2016-01-01

    Surveying governmental public health practitioners is a critical means of collecting data about public health organizations, their staff, and their partners. A greater focus on evidence-based practices, practice-based systems research, and evaluation has resulted in practitioners consistently receiving requests to participate in myriad surveys. This can result in a substantial survey burden for practitioners and declining response rates for researchers. This is potentially damaging to practitioners and researchers as well as the field of public health more broadly. We have examined recent developments in survey research, especially issues highly relevant for public health practice. We have also proposed a process by which researchers can engage with practitioners and practitioner groups on research questions of mutual interest. PMID:27715307

  1. ADHD and Health Services Utilization in the National Health Interview Survey

    ERIC Educational Resources Information Center

    Cuffe, Steven P.; Moore, Charity G.; McKeown, Robert

    2009-01-01

    Objective: Describe the general health, comorbidities and health service use among U.S. children with ADHD. Method: The 2001 National Health Interview Survey (NHIS) contained the Strengths and Difficulties Questionnaire (SDQ; used to determine probable ADHD), data on medical problems, overall health, and health care utilization. Results: Asthma…

  2. ADHD and Health Services Utilization in the National Health Interview Survey

    ERIC Educational Resources Information Center

    Cuffe, Steven P.; Moore, Charity G.; McKeown, Robert

    2009-01-01

    Objective: Describe the general health, comorbidities and health service use among U.S. children with ADHD. Method: The 2001 National Health Interview Survey (NHIS) contained the Strengths and Difficulties Questionnaire (SDQ; used to determine probable ADHD), data on medical problems, overall health, and health care utilization. Results: Asthma…

  3. Study protocol for the Fukushima Health Management Survey.

    PubMed

    Yasumura, Seiji; Hosoya, Mitsuaki; Yamashita, Shunichi; Kamiya, Kenji; Abe, Masafumi; Akashi, Makoto; Kodama, Kazunori; Ozasa, Kotaro

    2012-01-01

    The accidents that occurred at the Fukushima Daiichi Nuclear Power Plant after the Great East Japan Earthquake on 11 March 2011 have resulted in long-term, ongoing anxiety among the residents of Fukushima, Japan. Soon after the disaster, Fukushima Prefecture launched the Fukushima Health Management Survey to investigate long-term low-dose radiation exposure caused by the accident. Fukushima Medical University took the lead in planning and implementing this survey. The primary purposes of this survey are to monitor the long-term health of residents, promote their future well-being, and confirm whether long-term low-dose radiation exposure has health effects. This report describes the rationale and implementation of the Fukushima Health Management Survey. This cohort study enrolled all people living in Fukushima Prefecture after the earthquake and comprises a basic survey and 4 detailed surveys. The basic survey is to estimate levels of external radiation exposure among all 2.05 million residents. It should be noted that internal radiation levels were estimated by Fukushima Prefecture using whole-body counters. The detailed surveys comprise a thyroid ultrasound examination for all Fukushima children aged 18 years or younger, a comprehensive health check for all residents from the evacuation zones, an assessment of mental health and lifestyles of all residents from the evacuation zones, and recording of all pregnancies and births among all women in the prefecture who were pregnant on 11 March. All data have been entered into a database and will be used to support the residents and analyze the health effects of radiation. The low response rate (<30%) to the basic survey complicates the estimation of health effects. There have been no cases of malignancy to date among 38 114 children who received thyroid ultrasound examinations. The importance of mental health care was revealed by the mental health and lifestyle survey and the pregnancy and birth survey. This long

  4. Study Protocol for the Fukushima Health Management Survey

    PubMed Central

    Yasumura, Seiji; Hosoya, Mitsuaki; Yamashita, Shunichi; Kamiya, Kenji; Abe, Masafumi; Akashi, Makoto; Kodama, Kazunori; Ozasa, Kotaro

    2012-01-01

    Background The accidents that occurred at the Fukushima Daiichi Nuclear Power Plant after the Great East Japan Earthquake on 11 March 2011 have resulted in long-term, ongoing anxiety among the residents of Fukushima, Japan. Soon after the disaster, Fukushima Prefecture launched the Fukushima Health Management Survey to investigate long-term low-dose radiation exposure caused by the accident. Fukushima Medical University took the lead in planning and implementing this survey. The primary purposes of this survey are to monitor the long-term health of residents, promote their future well-being, and confirm whether long-term low-dose radiation exposure has health effects. This report describes the rationale and implementation of the Fukushima Health Management Survey. Methods This cohort study enrolled all people living in Fukushima Prefecture after the earthquake and comprises a basic survey and 4 detailed surveys. The basic survey is to estimate levels of external radiation exposure among all 2.05 million residents. It should be noted that internal radiation levels were estimated by Fukushima Prefecture using whole-body counters. The detailed surveys comprise a thyroid ultrasound examination for all Fukushima children aged 18 years or younger, a comprehensive health check for all residents from the evacuation zones, an assessment of mental health and lifestyles of all residents from the evacuation zones, and recording of all pregnancies and births among all women in the prefecture who were pregnant on 11 March. All data have been entered into a database and will be used to support the residents and analyze the health effects of radiation. Conclusions The low response rate (<30%) to the basic survey complicates the estimation of health effects. There have been no cases of malignancy to date among 38 114 children who received thyroid ultrasound examinations. The importance of mental health care was revealed by the mental health and lifestyle survey and the pregnancy

  5. "The Health Educator" Readership Survey, 2011: Reporting the Results

    ERIC Educational Resources Information Center

    Bliss, Kadi; Ogletree, Roberta J.; Liefer, Maureen

    2011-01-01

    Readership surveys can help editors assess satisfaction with a journal as well as identify potential modifications to be made. The editorial staff of "The Health Educator" conducted an online readership survey in the summer of 20 11. After a five-week data solicitation and collection period, a total of 504 Eta Sigma Gamma (ESG) members responded.…

  6. French Frigate Shoals reef health survey

    USGS Publications Warehouse

    Work, Thierry M.; Coles, Steve L.; Rameyer, Robert

    2002-01-01

    French Frigate Shoals consists of a large (31 nm) fringing reef partially enclosing a lagoon. A basalt pinnacle (La Perouse Pinnacle) arises approximately halfway between the two ends of the arcs of the fringing reefs. Tern Island is situated at the northern end of the lagoon and is surrounded by a dredged ship channel. The lagoon becomes progressively shallower from west to east and harbors a variety of marine life including corals, fish, marine mammals, and sea turtles (Amerson 1971). In 2000, an interagency survey of the northwestern Hawaiian Islands was done to document the fauna and flora in FFS (Maragos and Gulko, 2002). During that survey, 38 stations were examined, and 41 species of stony corals were documented, the most of any of the NW Hawaiian islands (Maragos and Gulko 2002). In some of these stations, corals with abnormalities were observed. The present study aimed to expand on the 2000 survey to evaluate the lesions in areas where they were documented.

  7. New Mexico Adolescent Health Risks Survey.

    ERIC Educational Resources Information Center

    Antle, David

    To inform students of health risks (posed by behavior, environment, and genetics) and provide schools with collective risk appraisal information as a basis for planning/evaluating health and wellness initiatives, New Mexico administered the Teen Wellness Check in 1985 to 1,573 ninth-grade students from 7 New Mexico public schools. Subjects were…

  8. Health sciences library building projects, 1998 survey.

    PubMed

    Bowden, V M

    1999-10-01

    Twenty-eight health sciences library building projects are briefly described, including twelve new buildings and sixteen additions, remodelings, and renovations. The libraries range in size from 2,144 square feet to 190,000 gross square feet. Twelve libraries are described in detail. These include three hospital libraries, one information center sponsored by ten institutions, and eight academic health sciences libraries.

  9. New Mexico Adolescent Health Risks Survey.

    ERIC Educational Resources Information Center

    Antle, David

    To inform students of health risks (posed by behavior, environment, and genetics) and provide schools with collective risk appraisal information as a basis for planning/evaluating health and wellness initiatives, New Mexico administered the Teen Wellness Check in 1985 to 1,573 ninth-grade students from 7 New Mexico public schools. Subjects were…

  10. The California Health Interview Survey 2001: translation of a major survey for California's multiethnic population.

    PubMed Central

    Ponce, Ninez A.; Lavarreda, Shana Alex; Yen, Wei; Brown, E. Richard; DiSogra, Charles; Satter, Delight E.

    2004-01-01

    The cultural and linguistic diversity of the U.S. population presents challenges to the design and implementation of population-based surveys that serve to inform public policies. Information derived from such surveys may be less than representative if groups with limited or no English language skills are not included. The California Health Interview Survey (CHIS), first administered in 2001, is a population-based health survey of more than 55,000 California households. This article describes the process that the designers of CHIS 2001 underwent in culturally adapting the survey and translating it into an unprecedented number of languages: Spanish, Chinese, Vietnamese, Korean, and Khmer. The multiethnic and multilingual CHIS 2001 illustrates the importance of cultural and linguistic adaptation in raising the quality of population-based surveys, especially when the populations they intend to represent are as diverse as California's. PMID:15219795

  11. [National Health and Nutrition Survey 2012: design and coverage].

    PubMed

    Romero-Martínez, Martín; Shamah-Levy, Teresa; Franco-Núñez, Aurora; Villalpando, Salvador; Cuevas-Nasu, Lucía; Gutiérrez, Juan Pablo; Rivera-Dommarco, Juan Ángel

    2013-01-01

    To describe the design and population coverage of the National Health and Nutrition Survey 2012 (NHNS 2012). The design of the NHNS 2012 is reported, as a probabilistic population based survey with a multi-stage and stratified sampling, as well as the sample inferential properties, the logistical procedures, and the obtained coverage. Household response rate for the NHNS 2012 was 87%, completing data from 50,528 households, where 96 031 individual interviews selected by age and 14,104 of ambulatory health services users were also obtained. The probabilistic design of the NHNS 2012 as well as its coverage allowed to generate inferences about health and nutrition conditions, health programs coverage, and access to health services. Because of their complex designs, all estimations from the NHNS 2012 must use the survey design: weights, primary sampling units, and stratus variables.

  12. National Natality Survey/National Maternal and Infant Health Survey (NMIHS)

    Cancer.gov

    The survey provides data on socioeconomic and demographic characteristics of mothers, prenatal care, pregnancy history, occupational background, health status of mother and infant, and types and sources of medical care received.

  13. Oral health activities of U.S. children: results of a national health interview survey.

    PubMed

    Gift, H C; Newman, J F

    1992-10-01

    Data from the 1989 National Health Interview Survey show oral health activities for U.S. children aged 2-17. Key population subgroups neither received optimal preventive care nor visited a dentist regularly.

  14. Health sciences library building projects, 1998 survey.

    PubMed Central

    Bowden, V M

    1999-01-01

    Twenty-eight health sciences library building projects are briefly described, including twelve new buildings and sixteen additions, remodelings, and renovations. The libraries range in size from 2,144 square feet to 190,000 gross square feet. Twelve libraries are described in detail. These include three hospital libraries, one information center sponsored by ten institutions, and eight academic health sciences libraries. Images PMID:10550027

  15. Observation and Calculation of the ECRH Effect on the Tracer Impurity Accumulation in LHD

    NASA Astrophysics Data System (ADS)

    Tamura, Naoki

    2016-10-01

    In a magnetic confinement fusion reactor various Z impurities will exist inside the plasma. When the amount of the impurities exceeds the acceptable level by an accumulation, this will lead to impermissible plasma performance degradation due to the radiation losses and plasma dilution. Therefore, it is crucially important to develop effective schemes for controlling the impurities in the core plasma and to understand the underlying physical mechanisms of such schemes. Recent LHD experiments show the ability of ECRH to control the impurity accumulation. Experiments on the LHD have used a tracer-encapsulated solid pellet (TESPEL), which is embedded with vanadium, to introduce the extrinsic and non-recycling impurity directly inside the last-closed flux surface (LCFS) region. Therefore, the confinement time of the vanadium impurity can be directly evaluated from the time history of highly ionized vanadium ion. In cases where the collisionality between the impurity ions and the bulk ion is in the Banana-Plateau regime (but close to the collisional Pfirsch-Schlüter (PS) regime), the impurities in the LHD plasma are strongly accumulated into the core plasma. When the 1.5 MW 154 GHz ECRH is applied for such plasma just after the TESPEL injection, the accumulation of the vanadium ions was almost completely suppressed. This result indicates that applying ECRH changes the direction of the radial vanadium particle flux from the inward to the outward. Although the neoclassical ambipolar radial electric field in stellarators has a stronger impact on the transport, particularly on the impurity transport, than in tokamaks, there is no conclusive data regarding a radial electric field measured with a charge exchange spectroscopy diagnostic to support the view that the change in the radial electric field would be attributed to the outward flow of the vanadium ions in the LHD plasma. In this contribution, the results of ongoing evaluations of the neoclassical (e.g., PENTA/DKES that

  16. The Illinois 9th Grade Adolescent Health Survey. Full Report.

    ERIC Educational Resources Information Center

    Illinois State Board of Education, Springfield.

    A survey was conducted in Illinois to identify the risk of certain health problems among adolescents; to determine the health status of Illinois youth in relation to the Surgeon General's "Healthy People 2000 Objectives" and monitor progress toward national and state goals; and to help those working at national, state, and local levels…

  17. Student Opinions About Health Services at Miami. Survey Report.

    ERIC Educational Resources Information Center

    Keller, Michael J.

    A random sample of Miami University undergraduate and graduate students were surveyed to determine their opinions about health care at the university. Most of the questions dealt with the university's student health service and satisfaction with the quality of medical treatment at the facility, perception of the staff's performance and interest in…

  18. Health Research Facilities: A survey of Doctorate-Granting Institutions.

    ERIC Educational Resources Information Center

    Atelsek, Frank J.; Gomberg, Irene L.

    The survey data cover three broad categories: (1) the status of existing health research facilities at doctorate-granting institutions (including their current value, adequacy, and condition); (2) the volume of new construction in progress; and (3) the additions to health research facilities anticipated during the next 5 years…

  19. Taking the Pulse of Undergraduate Health Psychology: A Nationwide Survey

    ERIC Educational Resources Information Center

    Brack, Amy Badura; Kesitilwe, Kutlo; Ware, Mark E.

    2010-01-01

    We conducted a random national survey of 100 doctoral, 100 comprehensive, and 100 baccalaureate institutions to determine the current state of the undergraduate health psychology course. We found clear evidence of a maturing course with much greater commonality in name (health psychology), theoretical foundation (the biopsychosocial model), and…

  20. Licensed Practical Nurses in Occupational Health. An Initial Survey.

    ERIC Educational Resources Information Center

    Lee, Jane A.; And Others

    The study, conducted in 1971, assessed characteristics of licensed practical nurses (LPN's) who worked in occupational health nursing. The survey instrument, a questionnaire, was returned by 591 LPN's in occupational health and provided data related to: personal characteristics, work and setting, administrative and professional functioning,…

  1. Taking the Pulse of Undergraduate Health Psychology: A Nationwide Survey

    ERIC Educational Resources Information Center

    Brack, Amy Badura; Kesitilwe, Kutlo; Ware, Mark E.

    2010-01-01

    We conducted a random national survey of 100 doctoral, 100 comprehensive, and 100 baccalaureate institutions to determine the current state of the undergraduate health psychology course. We found clear evidence of a maturing course with much greater commonality in name (health psychology), theoretical foundation (the biopsychosocial model), and…

  2. The Teaching of Undergraduate Health Psychology: A National Survey

    ERIC Educational Resources Information Center

    Panjwani, Aliza A.; Gurung, Regan A. R.; Revenson, Tracey A.

    2017-01-01

    We conducted an online national survey to examine how undergraduate health psychology is taught, offer information about course design and content, and provide a needs analysis. Health psychology instructors (N = 126) answered questions about course format, teaching tools, importance of covering specific topics, and needed resources. A principal…

  3. Urban Forest Health Needs Assessment Survey: Results and Recommendations

    Treesearch

    Jill D. Pokorny

    1998-01-01

    The survey was designed to query urban forestry professionals in the 20 northeastern and Midwest States and the District of Columbia, which are served by the Northeastern Area, to learn about their attitudes toward the general issue of urban forest health, identify specific training and information needs in the area of urban tree health management, and discover...

  4. A comprehensive Laboratory Services Survey of State Public Health Laboratories.

    PubMed

    Inhorn, Stanley L; Wilcke, Burton W; Downes, Frances Pouch; Adjanor, Oluwatosin Omolade; Cada, Ronald; Ford, James R

    2006-01-01

    In November 2004, the Association of Public Health Laboratories (APHL) conducted a Comprehensive Laboratory Services Survey of State Public Health Laboratories (SPHLs) in order to establish the baseline data necessary for Healthy People 2010 Objective 23-13. This objective aims to measure the increase in the proportion of health agencies that provide or assure access to comprehensive laboratory services to support essential public health services. This assessment addressed only SPHLs and served as a baseline to periodically evaluate the level of improvement in the provision of laboratory services over the decade ending 2010. The 2004 survey used selected questions that were identified as key indicators of provision of comprehensive laboratory services. The survey was developed in consultation with the Centers for Disease Control and Prevention National Center for Health Statistics, based on newly developed data sources. Forty-seven states and one territory responded to the survey. The survey was based on the 11 core functions of SPHLs as previously defined by APHL. The range of performance among individual laboratories for the 11 core functions (subobjectives) reflects the challenging issues that have confronted SPHLs in the first half of this decade. APHL is now working on a coordinated effort with other stakeholders to create seamless state and national systems for the provision of laboratory services in support of public health programs. These services are necessary to help face the threats raised by the specter of terrorism, emerging infections, and natural disasters.

  5. National health and optometry--a survey of public attitudes.

    PubMed

    Allen, D C; Levi, D M

    1975-04-01

    A stratified probability sample of the Houston, Texas population was interviewed to assess public opinion of national health care and public awareness of vision care and its role in a national health care system. Over 80% of the population surveyed are in favor of a national health care bill, with a large percentage of the population favoring inclusion of vision care. Demographic trends are reported as they relate to various questions in the survey, and comparisons are made to a similar questionnaire one year earlier.

  6. Development and Implementation of Culturally Tailored Offline Mobile Health Surveys

    PubMed Central

    2016-01-01

    Background In low and middle income countries (LMICs), and other areas with low resources and unreliable access to the Internet, understanding the emerging best practices for the implementation of new mobile health (mHealth) technologies is needed for efficient and secure data management and for informing public health researchers. Innovations in mHealth technology can improve on previous methods, and dissemination of project development details and lessons learned during implementation are needed to provide lessons learned to stakeholders in both the United States and LMIC settings. Objective The aims of this paper are to share implementation strategies and lessons learned from the development and implementation stages of two survey research projects using offline mobile technology, and to inform and prepare public health researchers and practitioners to implement new mobile technologies in survey research projects in LMICs. Methods In 2015, two survey research projects were developed and piloted in Puerto Rico and pre-tested in Costa Rica to collect face-to-face data, get formative evaluation feedback, and to test the feasibility of an offline mobile data collection process. Fieldwork in each setting involved survey development, back translation with cultural tailoring, ethical review and approvals, data collector training, and piloting survey implementation on mobile tablets. Results Critical processes and workflows for survey research projects in low resource settings were identified and implemented. This included developing a secure mobile data platform tailored to each survey, establishing user accessibility, and training and eliciting feedback from data collectors and on-site LMIC project partners. Conclusions Formative and process evaluation strategies are necessary and useful for the development and implementation of survey research projects using emerging mHealth technologies in LMICs and other low resource settings. Lessons learned include: (1) plan

  7. Summary Health Statistics for U.S. Children: National Health Interview Survey, 1999.

    ERIC Educational Resources Information Center

    Blackwell, Debra L.; Tonthat, Luong

    This report presents statistics from the 1999 National Health Interview Survey (NHIS) on selected health measures for children under 18 years of age, classified by sex, age, race/ethnicity, family structure, parent education, family income, poverty status, health insurance coverage, place of residence, region, and current health status. The NHIS…

  8. Dual pricing of health sciences periodicals: a survey.

    PubMed Central

    Miller, D R; Jensen, J E

    1980-01-01

    A survey of dual pricing practices among publishers of health-related journals identified 281 periodicals with an average price differential of over 100% between individual and institutional subscription rates. Both the practice itself and the amount of the differential are increasing, indicating that journal subscriptions of health sciences libraries increasingly provide the financial support necessary for the publication of health sciences journals. Dual pricing is also correlated with copyright royalties. The problems that dual pricing creates for health sciences libraries' budgets are due in part to uncritical purchasing by libraries. Increased consumerism on the part of health science librarians is recommended. PMID:7437588

  9. Results from the 2010 National Survey on Drug Use and Health: Mental Health Findings

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration, 2012

    2012-01-01

    This report presents results pertaining to mental health from the 2010 National Survey on Drug Use and Health (NSDUH), an annual survey of the civilian, noninstitutionalized population of the United States aged 12 years old or older. This report presents national estimates of the prevalence of past year mental disorders and past year mental health…

  10. Status, Operation, and Extension of the ECRH System at ASDEX Upgrade

    NASA Astrophysics Data System (ADS)

    Wagner, D.; Stober, J.; Leuterer, F.; Monaco, F.; Müller, S.; Münich, M.; Rapson, C. J.; Reich, M.; Schubert, M.; Schütz, H.; Treutterer, W.; Zohm, H.; Thumm, M.; Scherer, T.; Meier, A.; Gantenbein, G.; Jelonnek, J.; Kasparek, W.; Lechte, C.; Plaum, B.; Goodman, T.; Litvak, A. G.; Denisov, G. G.; Chirkov, A.; Zapevalov, V.; Malygin, V.; Popov, L. G.; Nichiporenko, V. O.; Myasnikov, V. E.; Tai, E. M.; Solyanova, E. A.; Malygin, S. A.

    2016-01-01

    The upgraded electron cyclotron resonance heating (ECRH) system at ASDEX Upgrade (AUG) has been routinely used with eight gyrotrons during the last experimental campaign. A further upgrade will replace the existing system of four short-pulse (140 GHz, 2 s, 500 kW) gyrotrons. The final goal is to have around 6.5-7 MW at 140 GHz (or 5.5 MW at 105 GHz) from eight units available in the plasma during the whole AUG discharge (10 s). The system operates at 140 and 105 GHz with X2, O2 and X3 schemes. For B > 3 T also an ITER-like O1-scenario can be run using the 105 GHz option. Four of the eight launching antennas are capable of fast poloidal movements necessary for real-time control of the location of power deposition.

  11. Objectives, physics requirements and conceptual design of an ECRH system for JET

    NASA Astrophysics Data System (ADS)

    Giruzzi, G.; Lennholm, M.; Parkin, A.; Aiello, G.; Bellinger, M.; Bird, J.; Bouquey, F.; Braune, H.; Bruschi, A.; Butcher, P.; Clay, R.; de la Luna, E.; Denisov, G.; Edlington, T.; Fanthome, J.; Farina, D.; Farthing, J.; Figini, L.; Garavaglia, S.; Garcia, J.; Gardener, M.; Gerbaud, T.; Granucci, G.; Hay, J.; Henderson, M.; Hotchin, S.; Ilyin, V. N.; Jennison, M.; Kasparek, W.; Khilar, P.; Kirneva, N.; Kislov, D.; Knipe, S.; Kuyanov, A.; Litaudon, X.; Litvak, A. G.; Moro, A.; Nowak, S.; Parail, V.; Plaum, B.; Saibene, G.; Sozzi, C.; Späh, P.; Strauss, D.; Trukhina, E.; Vaccaro, A.; Vagdama, A.; Vdovin, V.; EFDA Contributors, JET

    2011-06-01

    A study has been conducted to evaluate the feasibility of installing an electron cyclotron resonance heating (ECRH) and current drive system on the JET tokamak. The main functions of this system would be electron heating, sawtooth control, neoclassical tearing mode control to access high beta regimes and current profile control to access and maintain advanced plasma scenarios. This paper presents an overview of the studies performed in this framework by an EU-Russia project team. The motivations for this major upgrade of the JET heating systems and the required functions are discussed. The main results of the study are summarized. The usefulness of a 10 MW level EC system for JET is definitely confirmed by the physics studies. Neither feasibility issues nor strong limitations for any of the functions envisaged have been found. This has led to a preliminary conceptual design of the system.

  12. Startup experience with the MFTF-B ECRH 100 kV dc power supply

    SciTech Connect

    Bishop, S.R.; Goodman, R.A.; Wilson, J.H.

    1983-11-30

    One of the 24 Accel dc Power Supplies (ADCPS) originally intended for the Mirror Fusion Test Facility (MFTF-B) Neutral Beam Power Supply (NBPS) System has been converted to provide negative polarity output at 90 kV with a load current of 64 A dc. The load duty cycle is a pulse of 30-seconds duration with a pulse repetition period of five minutes. A new control system has been built which will serve as a prototype for the MFTF-B ADCPS controls, and a test setup was built which will be used to test the ADCPS. The Electron Cyclotron Resonance Heating (ECRH) dc Power Supply (DCPS) has been tested under both no-load and dummy-load conditions, under remote control, without notable problems. Test results indicate that the power supply should be reliable and safe to operate, and will meet the load duty requirements.

  13. Survey of Health Sciences CAI Materials.

    ERIC Educational Resources Information Center

    Kamp, Martin

    A project to develop an automated index of information about existing computerized instruction in the health sciences is reported and described. Methods of obtaining and indexing materials for the catalog are detailed. Entry and recovery techniques and selection of descriptors are described. Results to date show that the data base contains…

  14. Experiences in Rural Mental Health. I: Surveys.

    ERIC Educational Resources Information Center

    Bentz, Willard K.; And Others

    Based on a North Carolina feasibility study (1967-73 in Vance and Franklin Counties) which focused on development of a pattern for providing comprehensive mental health services to rural people, this booklet is the first in a series of nine and deals with methods of gathering preliminary information. Basically, this booklet presents information…

  15. Experiences in Rural Mental Health. I: Surveys.

    ERIC Educational Resources Information Center

    Bentz, Willard K.; And Others

    Based on a North Carolina feasibility study (1967-73 in Vance and Franklin Counties) which focused on development of a pattern for providing comprehensive mental health services to rural people, this booklet is the first in a series of nine and deals with methods of gathering preliminary information. Basically, this booklet presents information…

  16. Public health financial management needs: report of a national survey.

    PubMed

    Costich, Julia F; Honoré, Peggy A; Scutchfield, F Douglas

    2009-01-01

    The work reported here builds on the identification of public health financial management practice competencies by a national expert panel. The next logical step was to provide a validity check for the competencies and identify priority areas for educational programming. We developed a survey for local public health finance officers based on the public health finance competencies and field tested it with a convenience sample of officials. We asked respondents to indicate the importance of each competency area and the need for training to improve performance; we also requested information regarding respondent education, jurisdiction size, and additional comments. Our local agency survey sample drew on the respondent list from the National Association of County and City Health Officials 2005 local health department survey, stratified by agency size and limited to jurisdiction populations of 25,000 to 1,000,000. Identifying appropriate respondents was a major challenge. The survey was fielded electronically, yielding 112 responses from 30 states. The areas identified as most important and needing most additional training were knowledge of budget activities, financial data interpretation and communication, and ability to assess and correct the organization's financial status. The majority of respondents had some postbaccalaureate education. Many provided additional comments and recommendations. Health department finance officers demonstrated a high level of general agreement regarding the importance of finance competencies in public health and the need for training. The findings point to a critical need for additional training opportunities that are accessible, cost-effective, and targeted to individual needs.

  17. The RAND 36-Item Health Survey 1.0.

    PubMed

    Hays, R D; Sherbourne, C D; Mazel, R M

    1993-10-01

    Recently, Ware and Sherbourne published a new short-form health survey, the MOS 36-Item Short-Form Health Survey (SF-36), consisting of 36 items included in long-form measures developed for the Medical Outcomes Study. The SF-36 taps eight health concepts: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, general mental health, social functioning, energy/fatigue, and general health perceptions. It also includes a single item that provides an indication of perceived change in health. The SF-36 items and scoring rules are distributed by MOS Trust, Inc. Strict adherence to item wording and scoring recommendations is required in order to use the SF-36 trademark. The RAND 36-Item Health Survey 1.0 (distributed by RAND) includes the same items as those in the SF-36, but the recommended scoring algorithm is somewhat different from that of the SF-36. Scoring differences are discussed here and new T-scores are presented for the 8 multi-item scales and two factor analytically-derived physical and mental health composite scores.

  18. School-based survey participation: oral health and BMI survey of Ohio third graders.

    PubMed

    Detty, Amber M R

    2013-09-01

    During the 2009-2010 school year, the Ohio Department of Health conducted a statewide oral health and body mass index (BMI) screening survey among 3rd grade children. This marked the fifth school-based survey regarding the oral health of Ohio children since 1987. At 50 %, the participation rate of the 2009-2010 oral health and BMI survey was at the lowest level ever experienced. This study aimed to identify the factors associated with participation rates in a school-based survey. A stratified, random sample of 377 schools was drawn from the list of 1,742 Ohio public elementary schools with third grade students. All third grade children in the sampled schools with parent or guardian consent received an oral health screening and height/weight measurement by trained health professionals. Participation rates at the school level were then combined with data on school characteristics and survey implementation. Predictors of school form return, participation, and refusal rates were assessed by generalized linear modeling (GLM). High student mobility and larger school size were associated with lower form return (p = 0.000 and p = 0.001, respectively) and lower participation rates (p = 0.000 and p = 0.005, respectively). Surveying in the fall or spring (as opposed to winter) significantly decreased form return (p = 0.001 and p = 0.016, respectively) and participation rates (p = 0.008 and p = 0.002, respectively), while being surveyed by internal staff (versus external screeners) significantly increased form return (p = 0.003) and participation rates (p = 0.001). Efforts to increase participation should focus more on schools with higher student mobility and larger size. Additionally, participation could be improved by using internal staff and surveying during winter.

  19. EPIDEMIOLOGY and Health Care Reform The National Health Survey of 1935-1936

    PubMed Central

    2011-01-01

    The National Health Survey undertaken in 1935 and 1936 was the largest morbidity survey until that time. It was also the first national survey to focus on chronic disease and disability. The decision to conduct a survey of this magnitude was part of the larger strategy to reform health care in the United States. The focus on morbidity allowed reformers to argue that the health status of Americans was poor, despite falling mortality rates that suggested the opposite. The focus on chronic disease morbidity proved to be an especially effective way of demonstrating the poor health of the population and the strong links between poverty and illness. The survey, undertaken by a small group of reform-minded epidemiologists led by Edgar Sydenstricker, was made possible by the close interaction during the Depression of agencies and actors in the public health and social welfare sectors, a collaboration which produced new ways of thinking about disease burdens. PMID:21233434

  20. European Health Examination Survey--towards a sustainable monitoring system.

    PubMed

    Tolonen, Hanna; Koponen, Päivikki; Mindell, Jennifer; Männistö, Satu; Kuulasmaa, Kari

    2014-04-01

    Health examination surveys (HESs), including both questionnaire and physical measurements, and in most cases also collection of biological samples, can provide objective health indicators. This information complements data from health interview surveys and administrative registers, and is important for evidence-based planning of health policies and prevention activities. HESs are valuable data sources for research. The first national HESs in Europe were conducted in the late 1950s and early 1960s. They have recently been carried out in an increasing number of countries, but there has been no joint standardization between the countries. The European Health Examination Survey Pilot Project was conducted in 2009-2012. The European Health Examination Survey Pilot Reference Centre was established and pilot surveys were conducted in 12 countries.  European standardized protocols for key measurements on main chronic disease risk factors (height, weight, waist circumference, blood pressure, blood lipids and fasting glucose or HbA1c) were prepared. European-level training and external quality assessment were organized. Although the level of earlier experience, infrastructures, economic status and cultural settings varied between the pilot countries, it was possible to standardize measurements of HESs across the populations. Obtaining high participation rates was challenging.  HESs provide high-quality and representative population data to support policy decisions and research. For future national HESs, centralized coordination, training and external quality assessment are needed to ensure comparability of the results. Further studies on effects of different survey methods on comparability of the results and on recruitment and motivation of survey participants are needed.

  1. Rural mental health workforce needs assessment - a national survey.

    PubMed

    Thomas, Daniel; Macdowell, Martin; Glasser, Michael

    2012-01-01

    A variety of studies have indicated that rural communities have fewer mental health services and professionals than their urban counterparts. This study will examine the shortages of mental health professionals in rural communities as well as the impact of inadequate mental health services access on rural hospitals. A sample frame of 1162 rural hospitals was compiled, and a two-page survey was mailed to each hospital Chief Executive Officer (CEO). Of the 1162 surveys mailed, 228 were returned. The majority of CEOs agreed that there was a shortage of mental health professionals, that referral centers were too distant, and that there were many barriers to care including infrastructure, poverty, and substance abuse. Solutions offered by CEOs included telemedicine and residency training programs. This study shows that many rural areas have great need for more mental health professional recruitment and retention.

  2. A survey on wearable biosensor systems for health monitoring.

    PubMed

    Pantelopoulos, Alexandros; Bourbakis, Nikolaos

    2008-01-01

    Wearable biosensor systems for health monitoring are an emerging trend and are expected to enable proactive personal health management and better treatment of various medical conditions. These systems, comprising various types of small physiological sensors, transmission modules and processing capabilities, promise to change the future of health care, by providing low-cost wearable unobtrusive solutions for continuous all-day and any-place health, mental and activity status monitoring. This paper presents a comprehensive survey on the research and development done so far on wearable biosensor systems for health-monitoring, by comparing a variety of current system implementations and approaches and identifying their technological shortcomings. A set of significant features, that best describe the functionality and the characteristics of wearable biosensor systems, has been selected to derive a thorough study. The aim of this survey is not to criticize, but to serve as a reference for current achievements and their maturity level and to provide direction for future research improvements.

  3. Creating a Screening Measure of Health Literacy for the Health Information National Trends Survey.

    PubMed

    Champlin, Sara; Mackert, Michael

    2015-03-25

    Purpose . Create a screening measure of health literacy for use with the Health Information National Trends Survey (HINTS). Design . Participants completed a paper-based survey. Items from the survey were used to construct a health literacy screening measure. Setting . A population-based survey conducted in geographic areas of high and low minority frequency and in Central Appalachia. Subjects . Two thousand nine hundred four English-speaking participants were included in this study: 66% white, 93% completed high school, mean age = 52.53 years (SD = 16.24). Measures . A health literacy screening measure was created using four items included in the HINTS survey. Scores could range from 0 (no questions affirmative/correct) to 4 (all questions answered affirmatively/correctly). Analysis . Multiple regression analysis was used to determine whether demographic variables known to predict health literacy were indeed associated with the constructed health literacy screening measure. Results . The weighted average health literacy score was 2.63 (SD = 1.00). Those who were nonwhite (p = .0005), were older (p < .0005), or had not completed high school (p < .0001) tended to have lower health literacy screening measure scores. Conclusion . This study highlights the need to assess health literacy in national surveys, but also serves as evidence that screening measures can be created within existing datasets to give researchers the ability to consider the impact of health literacy.

  4. Creating a Screening Measure of Health Literacy for the Health Information National Trends Survey.

    PubMed

    Champlin, Sara; Mackert, Michael

    2016-03-01

    Create a screening measure of health literacy for use with the Health Information National Trends Survey (HINTS). Participants completed a paper-based survey. Items from the survey were used to construct a health literacy screening measure. A population-based survey conducted in geographic areas of high and low minority frequency and in Central Appalachia. Two thousand nine hundred four English-speaking participants were included in this study: 66% white, 93% completed high school, mean age = 52.53 years (SD = 16.24). A health literacy screening measure was created using four items included in the HINTS survey. Scores could range from 0 (no questions affirmative/correct) to 4 (all questions answered affirmatively/correctly). Multiple regression analysis was used to determine whether demographic variables known to predict health literacy were indeed associated with the constructed health literacy screening measure. The weighted average health literacy score was 2.63 (SD = 1.00). Those who were nonwhite (p = .0005), were older (p < .0005), or had not completed high school (p < .0001) tended to have lower health literacy screening measure scores. This study highlights the need to assess health literacy in national surveys, but also serves as evidence that screening measures can be created within existing datasets to give researchers the ability to consider the impact of health literacy. © The Author(s) 2016.

  5. Health literacy of Dutch adults: a cross sectional survey.

    PubMed

    van der Heide, Iris; Rademakers, Jany; Schipper, Maarten; Droomers, Mariël; Sørensen, Kristine; Uiters, Ellen

    2013-02-27

    Relatively little knowledge is available to date about health literacy among the general population in Europe. It is important to gain insights into health literacy competences among the general population, as this might contribute to more effective health promotion and help clarify socio-economic disparities in health. This paper is part of the European Health Literacy Survey (HLS-EU). It aims to add to the body of theoretical knowledge about health literacy by measuring perceived difficulties with health information in various domains of health, looking at a number of competences. The definition and measure of health literacy is still topic of debate and hardly any instruments are available that are applicable for the general population. The objectives were to obtain an initial measure of health literacy in a sample of the general population in the Netherlands and to relate this measure to education, income, perceived social status, age, and sex. The HLS-EU questionnaire was administered face-to-face in a sample of 925 Dutch adults, during July 2011. Perceived difficulties with the health literacy competences for accessing, understanding, appraising and applying information were measured within the domains of healthcare, disease prevention and health promotion. Multiple linear regression analyses were applied to explore the associations between health literacy competences and education, income, perceived social status, age, and sex. Perceived difficulties with health information and their association with demographic and socio-economic variables vary according to the competence and health domain addressed. Having a low level of education or a low perceived social status or being male were consistently found to be significantly related to relatively low health literacy scores, mainly for accessing and understanding health information. Perceived difficulties with health information vary between competences and domains of health. Health literacy competences are

  6. Health literacy of Dutch adults: a cross sectional survey

    PubMed Central

    2013-01-01

    Background Relatively little knowledge is available to date about health literacy among the general population in Europe. It is important to gain insights into health literacy competences among the general population, as this might contribute to more effective health promotion and help clarify socio-economic disparities in health. This paper is part of the European Health Literacy Survey (HLS-EU). It aims to add to the body of theoretical knowledge about health literacy by measuring perceived difficulties with health information in various domains of health, looking at a number of competences. The definition and measure of health literacy is still topic of debate and hardly any instruments are available that are applicable for the general population. The objectives were to obtain an initial measure of health literacy in a sample of the general population in the Netherlands and to relate this measure to education, income, perceived social status, age, and sex. Methods The HLS-EU questionnaire was administered face-to-face in a sample of 925 Dutch adults, during July 2011. Perceived difficulties with the health literacy competences for accessing, understanding, appraising and applying information were measured within the domains of healthcare, disease prevention and health promotion. Multiple linear regression analyses were applied to explore the associations between health literacy competences and education, income, perceived social status, age, and sex. Results Perceived difficulties with health information and their association with demographic and socio-economic variables vary according to the competence and health domain addressed. Having a low level of education or a low perceived social status or being male were consistently found to be significantly related to relatively low health literacy scores, mainly for accessing and understanding health information. Conclusions Perceived difficulties with health information vary between competences and domains of

  7. [Colombia 2015 National Mental Health Survey. Study Protocol].

    PubMed

    Gómez-Restrepo, Carlos; de Santacruz, Cecilia; Rodriguez, María Nelcy; Rodriguez, Viviana; Tamayo Martínez, Nathalie; Matallana, Diana; Gonzalez, Lina M

    2016-12-01

    The 2015 National Mental Health Survey (NMHS) is the fourth mental survey conducted in Colombia, and is part of the National System of Surveys and Population Studies for health. A narrative description is used to explain the background, references, the preparation, and characteristics of the 2015 NMHS. The 2015 NMHS and its protocol emerge from the requirements that support the national and international policies related to mental health. Together with the Ministry of Health and Social Protection, the objectives, the collection tools, the sample, and the operational plan are defined. The main objective was to obtain updated information about the mental health, mental problems and disorders, accessibility to health services, and an evaluation of health conditions. Participants were inhabitants from both urban and rural areas, over 7 years old, and in whom the comprehension of social determinants and equity were privileged. An observational cross-sectional design with national, regional and age group representativity, was used. The age groups selected were 7-11, 12-17, and over 18 years old. The regions considered were Central, Orient, Atlantic, Pacific, and Bogota. The calculated sample had a minimum of 12,080 and a maximum of 14,496 participants. A brief summary of the protocol of the 2015 NMHS is presented. The full document with all the collection tools can be consulted on the Health Ministry webpage. Copyright © 2016. Publicado por Elsevier España.

  8. Our environment, our health: a community-based participatory environmental health survey in Richmond, California.

    PubMed

    Cohen, Alison; Lopez, Andrea; Malloy, Nile; Morello-Frosch, Rachel

    2012-04-01

    This study presents a health survey conducted by a community-based participatory research partnership between academic researchers and community organizers to consider environmental health and environmental justice issues in four neighborhoods of Richmond, California, a low-income community of color living along the fence line of a major oil refinery and near other industrial and mobile sources of pollution. The Richmond health survey aimed to assess local concerns and perceptions of neighborhood conditions, health problems, mobile and stationary hazards, access to health care, and other issues affecting residents of Richmond. Although respondents thought their neighborhoods were good places to live, they expressed concerns about neighborhood stressors and particular sources of pollution, and identified elevated asthma rates for children and long-time Richmond residents. The Richmond health survey offers a holistic, community-centered perspective to understanding local environmental health issues, and can inform future environmental health research and organizing efforts for community-university collaboratives.

  9. National Health and Nutrition Examination Survey: National Youth Fitness Survey Estimation Procedures, 2012.

    PubMed

    Johnson, Clifford L; Dohrmann, Sylvia M; Kerckove, Van de; Diallo, Mamadou S; Clark, Jason; Mohadjer, Leyla K; Burt, Vicki L

    2014-11-01

    The National Health and Nutrition Examination Survey's (NHANES) National Youth Fitness Survey (NNYFS) was conducted in 2012 by the Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS). NNYFS collected data on physical activity and fitness levels to evaluate the health and fitness of children aged 3-15 in the United States. The survey comprised three levels of data collection: a household screening interview (or screener), an in-home personal interview, and a physical examination. The screener's primary objective was to determine whether any children in the household were eligible for the interview and examination. Eligibility was determined by preset selection probabilities for desired sex-age subdomains. After selection, the in-home personal interview collected demographic, health, physical activity, and nutrition information about the child as well as information about the household. The examination included physical measurements and fitness tests. This report provides background on the NNYFS program and summarizes the survey's sample design specifications. The report presents NNYFS estimation procedures, including the methods used to calculate survey weights for the full sample as well as a combined NHANES/NNYFS sample for 2012 (accessible only through the NCHS Research Data Center). The report also describes appropriate variance estimation methods. Documentation of the sample selection methods, survey content, data collection procedures, and methods to assess nonsampling errors are reported elsewhere. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  10. [Vaginal citology. Prevention and good health. Survey].

    PubMed

    Ordonez Gomez, M

    1995-06-01

    A 1993 survey of knowledge, attitudes and practices related to sexually transmitted diseases and other conditions included a series of questions for women on vaginal cytology. The survey was based on a subsample of the PROFAMILIA master sample. 15,080 persons were interviewed, including 6949 women 18-69 years old. The section on vaginal cytology began with a description of the procedure before the questions were asked. Among the total sample, 66.2% reported having undergone cervical cytology while 33.8% had not. 4.8% did not request the results. For the 61.4% of the sample that requested the results, 49.4% were normal, 11.1% were abnormal, and 0.9% did not know or were not given their results. Of those with abnormal results, 9.3% returned for another consultation and 1.8% did not. The proportion of women having cervical cytology exceeded 80% for women 30-49 years old. 69.9% of urban and 54.2% of rural women had been tested. 28.9% underwent the most recent test due to a personal decision, 24.7% on medical recommendation, 23.2% because of symptoms, 12.0% to prevent cancer, 3.2% for safety, 2.0% because a year had passed since the last test, 2.0% in response to a campaign, 1.6% because a friend suggested it, and 1.1% because they had never had it done. The symptoms that motivated the test were a discharge for 31.4%, pain for 30.0%, bleeding for 11.8%, itching for 5.5%, postpartum problems for 2.8%, burning for 2.5%, and cyst for 1.9%. Abnormal results were obtained in 40% of the women who had the test because of symptoms. The average number of times in the past 5 years that the test was done was 2.8. 9% of respondents had not had a test in the past 5 years, 26% had 1, 18% had 2, 12% had 3, 7% had 4, 16% had 5, and 11% had 6 or more. 64.4% of women under 25 and 39% over 60 had never had vaginal cytology. Rural women and the less educated were less likely to have had the procedure.

  11. Health literacy among young adults: a short survey tool for public health and health promotion research.

    PubMed

    Abel, Thomas; Hofmann, Karen; Ackermann, Sabine; Bucher, Sabine; Sakarya, Sibel

    2015-09-01

    Health literacy (HL) is context-specific. In public health and health promotion, HL in the private realm refers to individuals' knowledge and skills to prevent disease and to promote health in everyday life. However, there is a scarcity of measurement tools explicitly geared to private realm contexts. Our aim was to develop and test a short survey tool that captures different dimensions of HL in the context of family and friends. We used cross-sectional data from the Swiss Federal Surveys of Adolescents from 2010 to 2011, comprising 7983 males and 366 females between 18 and 25 years. HL was assessed through a set of eight items (self-reports). We used principal component analysis to explore the underlying factor structure among these items in the male sample and confirmatory factor analysis to verify the factor structure in the female sample. The results showed that the tested item set represented dimensions of functional, interactive and critical HL. Two sub-dimensions, understanding versus finding health-relevant information, denoted functional HL. Interactive and critical HL were each represented with two items. A sum score based on all eight items (Cronbach's α: 0.64) showed expected positive associations with own and parental education among males and females (p < 0.05). The short item set appears to be a feasible measurement tool to assess HL in the private realm. Its broader application in survey studies may help to improve our understanding of how this form of HL is distributed in the general population. © The Author (2014). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  12. Geochemical surveys in the United States in relation to health.

    USGS Publications Warehouse

    Tourtelot, H.A.

    1979-01-01

    Geochemical surveys in relation to health may be classified as having one, two or three dimensions. One-dimensional surveys examine relations between concentrations of elements such as Pb in soils and other media and burdens of the same elements in humans, at a given time. The spatial distributions of element concentrations are not investigated. The primary objective of two-dimensional surveys is to map the distributions of element concentrations, commonly according to stratified random sampling designs based on either conceptual landscape units or artificial sampling strata, but systematic sampling intervals have also been used. Political units have defined sample areas that coincide with the units used to accumulate epidemiological data. Element concentrations affected by point sources have also been mapped. Background values, location of natural or technological anomalies and the geographic scale of variation for several elements often are determined. Three-dimensional surveys result when two-dimensional surveys are repeated to detect environmental changes. -Author

  13. Survey of northern informal and formal mental health practitioners

    PubMed Central

    O'Neill, Linda; George, Serena; Sebok, Stefanie

    2013-01-01

    Background This survey is part of a multi-year research study on informal and formal mental health support in northern Canada involving the use of qualitative and quantitative data collection and analysis methods in an effort to better understand mental health in a northern context. Objective The main objective of the 3-year study was to document the situation of formal and informal helpers in providing mental health support in isolated northern communities in northern British Columbia, northern Alberta, Yukon, Northwest Territories and Nunavut. The intent of developing a survey was to include more participants in the research and access those working in small communities who would be concerned regarding confidentiality and anonymity due to their high profile within smaller populations. Design Based on the in-depth interviews from the qualitative phase of the project, the research team developed a survey that reflected the main themes found in the initial qualitative analysis. The on-line survey consisted of 26 questions, looking at basic demographic information and presenting lists of possible challenges, supports and client mental health issues for participants to prioritise. Results Thirty-two participants identified various challenges, supports and client issues relevant to their mental health support work. A vast majority of the respondents felt prepared for northern practice and had some level of formal education. Supports for longevity included team collaboration, knowledgeable supervisors, managers, leaders and more opportunities for formal education, specific training and continuity of care to support clients. Conclusion For northern-based research in small communities, the development of a survey allowed more participants to join the larger study in a way that protected their identity and confidentiality. The results from the survey emphasise the need for team collaboration, interdisciplinary practice and working with community strengths as a way to

  14. Brief 77 Health Physics Enrollments and Degrees Survey, 2015 Data

    SciTech Connect

    None, None

    2016-03-15

    The 2015 Health Physics Enrollments and Degrees Survey reports degrees granted between September 1, 2014 and August 31, 2015. Enrollment information refers to the fall term 2015. Twenty-two academic programs were included in the survey universe, with all 22 programs providing data. The enrollments and degrees information comprises students majoring in health physics or in an option program equivalent to a major. The report includes enrollment information on undergraduate students and graduate students and information by degree level for post-graduation plans.

  15. Promises and Pitfalls of Anchoring Vignettes in Health Survey Research

    PubMed Central

    Verdes-Tennant, Emese; McEniry, Mary; Ispány, Márton

    2016-01-01

    Data harmonization is a topic of growing importance to demographers, who increasingly conduct domestic or international comparative research. Many self-reported survey items cannot be directly compared across demographic groups or countries because these groups differ in how they use subjective response categories. Anchoring vignettes, already appearing in numerous surveys worldwide, promise to overcome this problem. However, many anchoring vignettes have not been formally evaluated for adherence to the key measurement assumptions of vignette equivalence and response consistency. This article tests these assumptions in some of the most widely fielded anchoring vignettes in the world: the health vignettes in the World Health Organization (WHO) Study on Global AGEing and Adult Health (SAGE) and World Health Survey (WHS) (representing 10 countries; n = 52,388), as well as similar vignettes in the Health and Retirement Study (HRS) (n = 4,528). Findings are encouraging regarding adherence to response consistency, but reveal substantial violations of vignette equivalence both cross-nationally and across socioeconomic groups. That is, members of different sociocultural groups appear to interpret vignettes as depicting fundamentally different levels of health. The evaluated anchoring vignettes do not fulfill their promise of providing interpersonally comparable measures of health. Recommendations for improving future implementations of vignettes are discussed. PMID:26335547

  16. Promises and Pitfalls of Anchoring Vignettes in Health Survey Research.

    PubMed

    Grol-Prokopczyk, Hanna; Verdes-Tennant, Emese; McEniry, Mary; Ispány, Márton

    2015-10-01

    Data harmonization is a topic of growing importance to demographers, who increasingly conduct domestic or international comparative research. Many self-reported survey items cannot be directly compared across demographic groups or countries because these groups differ in how they use subjective response categories. Anchoring vignettes, already appearing in numerous surveys worldwide, promise to overcome this problem. However, many anchoring vignettes have not been formally evaluated for adherence to the key measurement assumptions of vignette equivalence and response consistency. This article tests these assumptions in some of the most widely fielded anchoring vignettes in the world: the health vignettes in the World Health Organization (WHO) Study on Global AGEing and Adult Health (SAGE) and World Health Survey (WHS) (representing 10 countries; n = 52,388), as well as similar vignettes in the Health and Retirement Study (HRS) (n = 4,528). Findings are encouraging regarding adherence to response consistency, but reveal substantial violations of vignette equivalence both cross-nationally and across socioeconomic groups. That is, members of different sociocultural groups appear to interpret vignettes as depicting fundamentally different levels of health. The evaluated anchoring vignettes do not fulfill their promise of providing interpersonally comparable measures of health. Recommendations for improving future implementations of vignettes are discussed.

  17. Health inequalities in Armenia - analysis of survey results”

    PubMed Central

    2012-01-01

    Introduction Prevailing sociopolitical and economic obstacles have been implicated in the inadequate utilization and delivery of the Armenian health care system. Methods A random survey of 1,000 local residents, from all administrative regions of Armenia, concerned with health care services cost and satisfaction was conducted. Participation in the survey was voluntary and the information was collected using anonymous telephone interviews. Results The utilization of health care services was low, particularly in rural areas. This under-utilization of services correlated with low income of the population surveyed. The state funded health care services are inadequate to ensure availability of free-of-charge services even to economically disadvantaged groups. Continued reliance on direct out-of pocket and illicit payments, for medical services, are serious issues which plague healthcare, pharmaceutical and medical technology sectors of Armenia. Conclusions Restructuring of the health care system to implement a cost-effective approach to the prevention and treatment of diseases, especially disproportionately affect the poor, should be undertaken. Public payments, increasing the amount of subsidies for poor and lower income groups through a compulsory health insurance system should be evaluated and included as appropriate in this health system redesign. Current medical services reimbursement practices undermine the principle of equity in financing and access. Measures designed to improve healthcare access and affordability for poor and disadvantaged households should be enacted. PMID:22695079

  18. Cohort profile: the Boston Area Community Health (BACH) survey.

    PubMed

    Piccolo, Rebecca S; Araujo, Andre B; Pearce, Neil; McKinlay, John B

    2014-02-01

    The Boston Area Community Health (BACH) Survey is a community-based, random sample, epidemiologic cohort of n = 5502 Boston (MA) residents. The baseline BACH Survey (2002-05) was designed to explore the mechanisms conferring increased health risks on minority populations with a particular focus on urologic signs/symptoms and type 2 diabetes. To this end, the cohort was designed to include adequate numbers of US racial/ethnic minorities (Black, Hispanic, White), both men and women, across a broad age of distribution. Follow-up surveys were conducted ∼5 (BACH II, 2008) and 7 (BACH III, 2010) years later, which allows for both within- and between-person comparisons over time. The BACH Survey's measures were designed to cover the following seven broad categories: socio-demographics, health care access/utilization, lifestyles, psychosocial factors, health status, physical measures and biochemical parameters. The breadth of measures has allowed BACH researchers to identify disparities and quantify contributions to social disparities in a number of health conditions including urologic conditions (e.g. nocturia, lower urinary tract symptoms, prostatitis), type 2 diabetes, obesity, bone mineral content and density, and physical function. BACH I data are available through the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Central Repositories (www.niddkrepository.org). Further inquiries can be made through the New England Research Institutes Inc. website (www.neriscience.com/epidemiology).

  19. Extension of operational regime in high-temperature plasmas and effect of ECRH on ion thermal transport in the LHD

    NASA Astrophysics Data System (ADS)

    Takahashi, H.; Nagaoka, K.; Murakami, S.; Osakabe, M.; Nakano, H.; Ida, K.; Tsujimura, T. I.; Kubo, S.; Kobayashi, T.; Tanaka, K.; Seki, R.; Takeiri, Y.; Yokoyama, M.; Maeta, S.; Nakata, M.; Yoshinuma, M.; Yamada, I.; Yasuhara, R.; Ido, T.; Shimizu, A.; Tsuchiya, H.; Tokuzawa, T.; Goto, M.; Oishi, T.; Morita, S.; Suzuki, C.; Emoto, M.; Tsumori, K.; Ikeda, K.; Kisaki, M.; Shimozuma, T.; Yoshimura, Y.; Igami, H.; Makino, R.; Seki, T.; Kasahara, H.; Saito, K.; Kamio, S.; Nagasaki, K.; Mutoh, T.; Kaneko, O.; Morisaki, T.; the LHD Experiment Group

    2017-08-01

    A simultaneous high ion temperature (T i) and high electron temperature (T e) regime was successfully extended due to an optimized heating scenario in the LHD. Such high-temperature plasmas were realized by the simultaneous formation of an electron internal transport barrier (ITB) and an ion ITB by the combination of high power NBI and ECRH. Although the ion thermal confinement was degraded in the plasma core with an increase of T e/T i by the on-axis ECRH, it was found that the ion thermal confinement was improved at the plasma edge. The normalized ion thermal diffusivity {χ\\text{i}}/T\\text{i}1.5 at the plasma edge was reduced by 70%. The improvement of the ion thermal confinement at the edge led to an increase in T i in the entire plasma region, even though the core transport was degraded.

  20. Saskatchewan public health nursing survey. Perceptions of roles and activities.

    PubMed

    Schoenfeld, Bonnie M; MacDonald, Mary B

    2002-01-01

    To explore perceived roles and activities of Saskatchewan public health nurses (PHNs). This replication study surveyed Saskatchewan PHNs using the instrument developed by the Hamilton-Wentworth Social and Public Health Services Division in a 1992 survey of Ontario PHNs. This instrument is based on the roles and activities for community/public health nurses described by the Canadian Public Health Association (1990). Descriptive statistics were used to analyze the 124 responses received. Most of the nurses perceived that they were at least somewhat prepared for all of the roles. The activities of: caring for individuals and families; immunizing; educating individuals, families, and groups; acting as a resource person for clients and lay helpers; linking those needing services to appropriate community resources; and using marketing strategies were carried out most often by PHNs. Activities within the roles of community developer, policy formulator, researcher and evaluator, and resource manager/planner/coordinator were carried out to a much lesser degree. The roles and activities being done less often were also the ones PHNs felt less prepared to do. It is important, as health authorities begin to support a more preventive approach to health care, that PHNs are competent in the roles outlined by the Canadian Public Health Association. As well as preparing new graduates for these roles, it is essential to provide continuing education for practicing PHNs. Public health administrators must also support public health nurses in carrying out these roles.

  1. Quantifying bias in a health survey: modeling total survey error in the national immunization survey.

    PubMed

    Molinari, NoelleAngelique M; Wolter, Kirk M; Skalland, Benjamin; Montgomery, Robert; Khare, Meena; Smith, Philip J; Barron, Martin L; Copeland, Kennon; Santos, Kathleen; Singleton, James A

    2011-02-28

    Random-digit-dial telephone surveys are experiencing both declining response rates and increasing under-coverage due to the prevalence of households that substitute a wireless telephone for their residential landline telephone. These changes increase the potential for bias in survey estimates and heighten the need for survey researchers to evaluate the sources and magnitudes of potential bias. We apply a Monte Carlo simulation-based approach to assess bias in the NIS, a land-line telephone survey of 19-35 month-old children used to obtain national vaccination coverage estimates. We develop a model describing the survey stages at which component nonsampling error may be introduced due to nonresponse and under-coverage. We use that model and components of error estimated in special studies to quantify the extent to which noncoverage and nonresponse may bias the vaccination coverage estimates obtained from the NIS and present a distribution of the total survey error. Results indicated that the total error followed a normal distribution with mean of 1.72 per cent(95 per cent CI: 1.71, 1.74 per cent) and final adjusted survey weights corrected for this error. Although small, the largest contributor to error in terms of magnitude was nonresponse of immunization providers. The total error was most sensitive to declines in coverage due to cell phone only households. These results indicate that, while response rates and coverage may be declining, total survey error is quite small. Since response rates have historically been used to proxy for total survey error, the finding that these rates do not accurately reflect bias is important for evaluation of survey data. Published in 2011 by John Wiley & Sons, Ltd.

  2. The Public Health Workforce Interests and Needs Survey: The First National Survey of State Health Agency Employees

    PubMed Central

    Sellers, Katie; Leider, Jonathon P.; Harper, Elizabeth; Castrucci, Brian C.; Bharthapudi, Kiran; Liss-Levinson, Rivka; Jarris, Paul E.; Hunter, Edward L.

    2015-01-01

    Context: Public health practitioners, policy makers, and researchers alike have called for more data on individual worker's perceptions about workplace environment, job satisfaction, and training needs for a quarter of a century. The Public Health Workforce Interests and Needs Survey (PH WINS) was created to answer that call. Objective: Characterize key components of the public health workforce, including demographics, workplace environment, perceptions about national trends, and perceived training needs. Design: A nationally representative survey of central office employees at state health agencies (SHAs) was conducted in 2014. Approximately 25 000 e-mail invitations to a Web-based survey were sent out to public health staff in 37 states, based on a stratified sampling approach. Balanced repeated replication weights were used to account for the complex sampling design. Setting and Participants: A total of 10 246 permanently employed SHA central office employees participated in PH WINS (46% response rate). Main Outcome Measures: Perceptions about training needs; workplace environment and job satisfaction; national initiatives and trends; and demographics. Results: Although the majority of staff said they were somewhat or very satisfied with their job (79%; 95% confidence interval [CI], 78-80), as well as their organization (65%; 95% CI, 64-66), more than 42% (95% CI, 41-43) were considering leaving their organization in the next year or retiring before 2020; 4% of those were considering leaving for another job elsewhere in governmental public health. The majority of public health staff at SHA central offices are female (72%; 95% CI, 71-73), non-Hispanic white (70%; 95% CI, 69-71), and older than 40 years (73%; 95% CI, 72-74). The greatest training needs include influencing policy development, preparing a budget, and training related to the social determinants of health. Conclusions: PH WINS represents the first nationally representative survey of SHA employees. It

  3. The Public Health Workforce Interests and Needs Survey: The First National Survey of State Health Agency Employees.

    PubMed

    Sellers, Katie; Leider, Jonathon P; Harper, Elizabeth; Castrucci, Brian C; Bharthapudi, Kiran; Liss-Levinson, Rivka; Jarris, Paul E; Hunter, Edward L

    2015-01-01

    Public health practitioners, policy makers, and researchers alike have called for more data on individual worker's perceptions about workplace environment, job satisfaction, and training needs for a quarter of a century. The Public Health Workforce Interests and Needs Survey (PH WINS) was created to answer that call. Characterize key components of the public health workforce, including demographics, workplace environment, perceptions about national trends, and perceived training needs. A nationally representative survey of central office employees at state health agencies (SHAs) was conducted in 2014. Approximately 25,000 e-mail invitations to a Web-based survey were sent out to public health staff in 37 states, based on a stratified sampling approach. Balanced repeated replication weights were used to account for the complex sampling design. A total of 10,246 permanently employed SHA central office employees participated in PH WINS (46% response rate). Perceptions about training needs; workplace environment and job satisfaction; national initiatives and trends; and demographics. Although the majority of staff said they were somewhat or very satisfied with their job (79%; 95% confidence interval [CI], 78-80), as well as their organization (65%; 95% CI, 64-66), more than 42% (95% CI, 41-43) were considering leaving their organization in the next year or retiring before 2020; 4% of those were considering leaving for another job elsewhere in governmental public health. The majority of public health staff at SHA central offices are female (72%; 95% CI, 71-73), non-Hispanic white (70%; 95% CI, 69-71), and older than 40 years (73%; 95% CI, 72-74). The greatest training needs include influencing policy development, preparing a budget, and training related to the social determinants of health. PH WINS represents the first nationally representative survey of SHA employees. It holds significant potential to help answer previously unaddressed questions in public health

  4. The China Mental Health Survey: II. Design and field procedures.

    PubMed

    Liu, Zhaorui; Huang, Yueqin; Lv, Ping; Zhang, Tingting; Wang, Hong; Li, Qiang; Yan, Jie; Yu, Yaqin; Kou, Changgui; Xu, Xiufeng; Lu, Jin; Wang, Zhizhong; Qiu, Hongyan; Xu, Yifeng; He, Yanling; Li, Tao; Guo, Wanjun; Tian, Hongjun; Xu, Guangming; Xu, Xiangdong; Ma, Yanjuan; Wang, Linhong; Wang, Limin; Yan, Yongping; Wang, Bo; Xiao, Shuiyuan; Zhou, Liang; Li, Lingjiang; Tan, Liwen; Chen, Hongguang; Ma, Chao

    2016-11-01

    China Mental Health Survey (CMHS), which was carried out from July 2013 to March 2015, was the first national representative community survey of mental disorders and mental health services in China using computer-assisted personal interview (CAPI). Face-to-face interviews were finished in the homes of respondents who were selected from a nationally representative multi-stage disproportionate stratified sampling procedure. Sample selection was integrated with the National Chronic Disease and Risk Factor Surveillance Survey administered by the National Centre for Chronic and Non-communicable Disease Control and Prevention in 2013, which made it possible to obtain both physical and mental health information of Chinese community population. One-stage design of data collection was used in the CMHS to obtain the information of mental disorders, including mood disorders, anxiety disorders, and substance use disorders, while two-stage design was applied for schizophrenia and other psychotic disorders, and dementia. A total of 28,140 respondents finished the survey with 72.9% of the overall response rate. This paper describes the survey mode, fieldwork organization, procedures, and the sample design and weighting of the CMHS. Detailed information is presented on the establishment of a new payment scheme for interviewers, results of the quality control in both stages, and evaluations to the weighting.

  5. 75 FR 62636 - Proposed Information Collection (Veterans Health Benefits Handbook Satisfaction Survey) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ... AFFAIRS Proposed Information Collection (Veterans Health Benefits Handbook Satisfaction Survey) Activity... benefits information contained in Veterans Health Benefits handbook. DATES: Written comments and... forms of information technology. Title: Veterans Health Benefits Handbook Satisfaction Survey, VA Form...

  6. Health impact assessment – A survey on quantifying tools

    SciTech Connect

    Fehr, Rainer; Mekel, Odile C.L.; Fintan Hurley, J.; Mackenbach, Johan P.

    2016-02-15

    Integrating human health into prospective impact assessments is known to be challenging. This is true for both approaches: dedicated health impact assessments (HIA) as well as inclusion of health into more general impact assessments. Acknowledging the full range of participatory, qualitative, and quantitative approaches, this study focuses on the latter, especially on computational tools for quantitative health modelling. We conducted a survey among tool developers concerning the status quo of development and availability of such tools; experiences made with model usage in real-life situations; and priorities for further development. Responding toolmaker groups described 17 such tools, most of them being maintained and reported as ready for use and covering a wide range of topics, including risk & protective factors, exposures, policies, and health outcomes. In recent years, existing models have been improved and were applied in new ways, and completely new models emerged. There was high agreement among respondents on the need to further develop methods for assessment of inequalities and uncertainty. The contribution of quantitative modeling to health foresight would benefit from building joint strategies of further tool development, improving the visibility of quantitative tools and methods, and engaging continuously with actual and potential users. - Highlights: • A survey investigated computational tools for health impact quantification. • Formal evaluation of such tools has been rare. • Handling inequalities and uncertainties are priority areas for further development. • Health foresight would benefit from tool developers and users forming a community. • Joint development strategies across computational tools are needed.

  7. Mental Health Training and the Hospice Community: A National Survey.

    ERIC Educational Resources Information Center

    Garfield, Charles A.; And Others

    1982-01-01

    Summarizes a national survey of the hospice community. Results indicated that the hospice community is attempting to meet the mental health training needs of its paid staff members and volunteers. However, more than half expressed a need for further training and a more systematic and comprehensive curriculum. (Author)

  8. Imperial County baseline health survey potential impact of geothermal energy

    SciTech Connect

    Deane, M.

    1981-06-01

    The survey purpose, methods, and statistical methods are presented. Results are discussed according to: area differences in background variables, area differences in health variables, area differences in annoyance reactions, and comparison of symptom frequencies with age, smoking, and drinking. Included in appendices are tables of data, enumeration forms, the questionnaire, interviewer cards, and interviewer instructions. (MHR)

  9. Health sciences libraries building survey, 1999–2009

    PubMed Central

    Ludwig, Logan

    2010-01-01

    Objective: A survey was conducted of health sciences libraries to obtain information about newer buildings, additions, remodeling, and renovations. Method: An online survey was developed, and announcements of survey availability posted to three major email discussion lists: Medical Library Association (MLA), Association of Academic Health Sciences Libraries (AAHSL), and MEDLIB-L. Previous discussions of library building projects on email discussion lists, a literature review, personal communications, and the author's consulting experiences identified additional projects. Results: Seventy-eight health sciences library building projects at seventy-three institutions are reported. Twenty-two are newer facilities built within the last ten years; two are space expansions; forty-five are renovation projects; and nine are combinations of new and renovated space. Six institutions report multiple or ongoing renovation projects during the last ten years. Conclusions: The survey results confirm a continuing migration from print-based to digitally based collections and reveal trends in library space design. Some health sciences libraries report loss of space as they move toward creating space for “community” building. Libraries are becoming more proactive in using or retooling space for concentration, collaboration, contemplation, communication, and socialization. All are moving toward a clearer operational vision of the library as the institution's information nexus and not merely as a physical location with print collections. PMID:20428277

  10. Health Education as a Component of an Epidemiologic Survey.

    ERIC Educational Resources Information Center

    Calkins, Beverly; Williams, Phyllis M.

    1983-01-01

    Health education was an important part of the screening phase of a large epidemiological survey of school children's blood pressure. After children's height, weight, and blood pressure were measured, they were directed to displays of educational materials which explained the cardiovascular system and stressed the importance of blood pressure…

  11. Health Education as a Component of an Epidemiologic Survey.

    ERIC Educational Resources Information Center

    Calkins, Beverly; Williams, Phyllis M.

    1983-01-01

    Health education was an important part of the screening phase of a large epidemiological survey of school children's blood pressure. After children's height, weight, and blood pressure were measured, they were directed to displays of educational materials which explained the cardiovascular system and stressed the importance of blood pressure…

  12. Health sciences libraries building survey, 1999-2009.

    PubMed

    Ludwig, Logan

    2010-04-01

    A survey was conducted of health sciences libraries to obtain information about newer buildings, additions, remodeling, and renovations. An online survey was developed, and announcements of survey availability posted to three major email discussion lists: Medical Library Association (MLA), Association of Academic Health Sciences Libraries (AAHSL), and MEDLIB-L. Previous discussions of library building projects on email discussion lists, a literature review, personal communications, and the author's consulting experiences identified additional projects. Seventy-eight health sciences library building projects at seventy-three institutions are reported. Twenty-two are newer facilities built within the last ten years; two are space expansions; forty-five are renovation projects; and nine are combinations of new and renovated space. Six institutions report multiple or ongoing renovation projects during the last ten years. The survey results confirm a continuing migration from print-based to digitally based collections and reveal trends in library space design. Some health sciences libraries report loss of space as they move toward creating space for "community" building. Libraries are becoming more proactive in using or retooling space for concentration, collaboration, contemplation, communication, and socialization. All are moving toward a clearer operational vision of the library as the institution's information nexus and not merely as a physical location with print collections.

  13. U.S. Naval Unit Behavioral Health Needs Assessment Survey, Overview of Survey Items and Measures

    DTIC Science & Technology

    2014-05-20

    stress, coping behaviors , alcohol use, and sleep . The scores for each issue were trichotomized by risk level, as green, yellow, or orange/red. The...military efforts. The Naval Unit Behavioral Health Needs Assessment Survey (NUBHNAS) will undertake the surveillance of Navy and Marine Corps personnel in... Behavioral health issues, including depression and posttraumatic stress disorder (PTSD), are an ongoing problem for U.S. military forces. Rates of diagnosed

  14. Profiling health-care accreditation organizations: an international survey.

    PubMed

    Shaw, Charles D; Braithwaite, Jeffrey; Moldovan, Max; Nicklin, Wendy; Grgic, Ileana; Fortune, Triona; Whittaker, Stuart

    2013-07-01

    To describe global patterns among health-care accreditation organizations (AOs) and to identify determinants of sustainability and opportunities for improvement. Web-based questionnaire survey. Organizations offering accreditation services nationally or internationally to health-care provider institutions or networks at primary, secondary or tertiary level in 2010. s) External relationships, scope and activity public information. Forty-four AOs submitted data, compared with 33 in a survey 10 years earlier. Of the 30 AOs that reported survey activity in 2000 and 2010, 16 are still active and stable or growing. New and old programmes are increasingly linked to public funding and regulation. While the number of health-care AOs continues to grow, many fail to thrive. Successful organizations tend to complement mechanisms of regulation, health-care funding or governmental commitment to quality and health-care improvement that offer a supportive environment. Principal challenges include unstable business (e.g. limited market, low uptake) and unstable politics. Many organizations make only limited information available to patients and the public about standards, procedures or results.

  15. Adult Dental Health Survey 2009: implications of findings for clinical practice and oral health policy.

    PubMed

    Watt, R G; Steele, J G; Treasure, E T; White, D A; Pitts, N B; Murray, J J

    2013-01-01

    This is the final paper in a series reporting on the results of the 2009 Adult Dental Health Survey. Since 1968 national adult surveys have been repeated every decade with broadly similar methods providing a unique overview of trends in oral health over a 40-year period. This paper aims to explore the implications for dentists and oral health policy of the key results from the Adult Dental Health Survey 2009. Although repeat, cross-sectional, epidemiological surveys provide very valuable data on trends in disease patterns, they do not provide answers to test causal relationships and therefore cannot identify the causes for the significant improvements in oral health over the last 40 years. Evidence would indicate, however, that broad societal shifts in population norms and behaviours, combined with changes in clinical diagnostic criteria, treatment planning and clinical procedures are the main reasons for the changes that have taken place. Key implications of the survey results include the need to monitor, support and maintain the good state of oral health of the increasing proportion of younger adults with relatively simple treatment needs. A smaller number of young and middle aged adults but a significant proportion of older adults will have far more complex treatment needs requiring advanced restorative and periodontal care. Future oral health policy will need to address oral health inequalities, encourage skill mix and promote and facilitate the dental profession to deliver appropriate and high quality care relevant to the needs of their local population.

  16. Are Lower Response Rates Hazardous to Your Health Survey? An Analysis of Three State Telephone Health Surveys

    PubMed Central

    Davern, Michael; McAlpine, Donna; Beebe, Timothy J; Ziegenfuss, Jeanette; Rockwood, Todd; Call, Kathleen Thiede

    2010-01-01

    Objective To examine the impact of response rate variation on survey estimates and costs in three health telephone surveys. Data Source Three telephone surveys of noninstitutionalized adults in Minnesota and Oklahoma conducted from 2003 to 2005. Study Design We examine differences in demographics and health measures by number of call attempts made before completion of the survey or whether the household initially refused to participate. We compare the point estimates we actually obtained with those we would have obtained with a less aggressive protocol and subsequent lower response rate. We also simulate what the effective sample sizes would have been if less aggressive protocols were followed. Principal Findings Unweighted bivariate analyses reveal many differences between early completers and those requiring more contacts and between those who initially refused to participate and those who did not. However, after making standard poststratification adjustments, no statistically significant differences were observed in the key health variables we examined between the early responders and the estimates derived from the full reporting sample. Conclusions Our findings demonstrate that for the surveys we examined, larger effective sample sizes (i.e., more statistical power) could have been achieved with the same amount of funding using less aggressive calling protocols. For some studies, money spent on aggressively pursuing high response rates could be better used to increase statistical power and/or to directly examine nonresponse bias. PMID:20579127

  17. Consumer support for health information exchange and personal health records: a regional health information organization survey.

    PubMed

    Patel, Vaishali N; Dhopeshwarkar, Rina V; Edwards, Alison; Barrón, Yolanda; Sparenborg, Jeffrey; Kaushal, Rainu

    2012-06-01

    In order to characterize consumer support for electronic health information exchange (HIE) and personal health records (PHRs) in a community where HIE is underway, we conducted a survey of English speaking adults who visited primary care practices participating in a regional community-wide clinical data exchange, during August, 2008. Amongst the 117 respondents, a majority supported physicians' use of HIE (83%) or expressed interest in potentially using PHRs (76%). Consumers' comfort sending personal information electronically over the Internet and their perceptions regarding the potential benefits of HIE were independently associated with their support for HIE. Consumers' prior experience using the Internet to manage their healthcare, perceptions regarding the potential benefits of PHRs and college education were independently associated with potential PHR use. Bolstering consumer support for HIE and PHRs will require addressing privacy and security concerns, demonstrating clinical benefits, and reaching out to those who are less educated and computer literate.

  18. Implementation of the European health interview survey (EHIS) into the German health update (GEDA).

    PubMed

    Lange, C; Finger, J D; Allen, J; Born, S; Hoebel, J; Kuhnert, R; Müters, S; Thelen, J; Schmich, P; Varga, M; von der Lippe, E; Wetzstein, M; Ziese, T

    2017-01-01

    This methodological paper describes the integration of the 'European Health Interview Survey wave 2' (EHIS 2) into the 'German Health Update' 2014/2015 (GEDA 2014/2015-EHIS). GEDA 2014/2015-EHIS is a cross-sectional health survey. A two-stage stratified cluster sampling approach was used to recruit persons aged 15 years and older with permanent residence in Germany. Two different modes of data collection were used, self-administered web questionnaire and self-administered paper questionnaire. The survey instrument implemented the EHIS 2 modules on health status, health care use, health determinants and social background variables and additional national questions. Data processing was conducted according to the quality and validation rules specified by Eurostat. In total, 24,824 questionnaires were completed. The response rate was 27.6%. The two-stage cluster sample method seems to have been successful in achieving a sample with high representativeness. The final micro data file was inspected, approved and certified by Eurostat. Access to micro data of the EHIS 2 can be provided by Eurostat via research contract and to the GEDA 2014/2015-EHIS public use file by the Research Data Centre of the Robert Koch Institute. First EHIS 2 results are available at the Eurostat website. Integrating a multinational health survey into an existing national health monitoring system was a challenge in Germany. The national survey methodology for conducting the survey had to be further developed in order to meet the overarching goal of harmonizing the health information from national statistical offices and public health research institutes across the European Union. The harmonized EHIS 2 data source will profoundly impact international public health research in the near future. The next EHIS wave 3 will be conducted around 2019.

  19. Public health ethics: teaching survey and critical review.

    PubMed

    Kessel, Anthony S

    2003-04-01

    The last decade has witnessed development of the new field of public health ethics, as well as growing emphasis on the importance of ethics education to both students and graduates of the health care professions. Using a topic-based interpretation of public health ethics this paper presents a questionnaire survey of the nature and content of teaching of public health ethics to medical undergraduates and public health postgraduate students in the United Kingdom. Completed questionnaires were returned by 76.9% (20/26) of medical schools and 76.7% (23/30) of institutions teaching postgraduate public health courses. Public health ethics was described as being taught in 75% of medical schools and 52% of institutions providing postgraduate education. However, in both types of location the content and nature of teaching was patchy and often minimal. If medical schools and postgraduate institutions are serious about improving the discussion and teaching of ethical issues in public health, there will need to be considerable investment and commitment, accompanied by creativity and imagination. In parallel, the debate about the meaning of, and approaches to, public health ethics needs to be broadened and enriched. The topic-based interpretation of public health ethics has limitations. Alternatives are explored and critically reviewed.

  20. A Survey of Health-Related Activities on Second Life

    PubMed Central

    Beard, Leslie; Wilson, Kumanan; Morra, Dante

    2009-01-01

    Background Increasingly, governments, health care agencies, companies, and private groups have chosen Second Life as part of their Web 2.0 communication strategies. Second Life offers unique design features for disseminating health information, training health professionals, and enabling patient education for both academic and commercial health behavior research. Objectives This study aimed to survey and categorize the range of health-related activities on Second Life; to examine the design attributes of the most innovative and popular sites; and to assess the potential utility of Second Life for the dissemination of health information and for health behavior change. Methods We used three separate search strategies to identify health-related sites on Second Life. The first used the application’s search engine, entering both generic and select illness-specific keywords, to seek out sites. The second identified sites through a comprehensive review of print, blog, and media sources discussing health activities on Second Life. We then visited each site and used a snowball method to identify other health sites until we reached saturation (no new health sites were identified). The content, user experience, and chief purpose of each site were tabulated as well as basic site information, including user traffic data and site size. Results We found a wide range of health-related activities on Second Life, and a diverse group of users, including organizations, groups, and individuals. For many users, Second Life activities are a part of their Web 2.0 communication strategy. The most common type of health-related site in our sample (n = 68) were those whose principle aim was patient education or to increase awareness about health issues. The second most common type of site were support sites, followed by training sites, and marketing sites. Finally, a few sites were purpose-built to conduct research in SL or to recruit participants for real-life research. Conclusions Studies

  1. Survey of reproductive health in young adults, greater Santiago, 1988.

    PubMed

    Valenzuela, M S; Herold, J M; Morris, L; López, I

    1991-01-01

    This article reports the results of an interview survey with 1,665 residents of Metropolitan Santiago 15-24 years old. The survey, which dealt with various aspects of reproductive health, indicated that the sex education received by 75% of the subjects generally failed to convey an accurate knowledge of the basic concepts of sexuality; that use of contraceptive methods was very limited; that approximately 25% of the 865 women interviewed had been pregnant at some time; and that 40% of all the pregnancies were unplanned. These findings demonstrate a need to begin effective sex education programs and to provide adolescent services commensurate with the circumstances of modern life.

  2. Lifestyle Assessment: Part 4. The Halton Health Promotion Survey

    PubMed Central

    Simpson, R.; Albert, W.; Wilson, D. M. C.; Ciliska, D.; Evans, C. E.

    1984-01-01

    In the Region of Halton, a health promotion data base was developed to assist with planning for local services and programs. Three data sources were used: preventable mortality, preventable morbidity, and the prevalence of modifiable risk among community members. Existing information was used for the first two sources, and the community was surveyed for the last. A survey version of the FANTASTIC Lifestyle Checklist was mailed to a random sample of 1,200 households. FANTASTIC showed itself to be a reliable lifestyle construct with two major factors: a group of psychosocial behaviors, and a set of “bad habits”.

  3. Reliability and Validity of a New Survey to Assess Global Health Competencies of Health Professionals

    PubMed Central

    Veras, Mirella; Pottie, Kevin; Welch, Vivian; Labonte, Ron; Eslava-Schmalbach, Javier; Borkhoff, Cornelia M.; Kristjansson, Elizabeth A.; Tugwell, Peter

    2013-01-01

    Objective: Health professionals are paying increased attention to issues of global health. However, there are no current competency assessment tools appropriate for evaluating their competency in global health. This study aims to assess the validity and reliability of a global health competency survey for different health disciplines. Methods: A total of 429 students participated in the Global Health Competency Survey, drawn from family medicine residency, nursing, physiotherapy and occupational therapy programs of five universities in Ontario, Canada. The surveys were evaluated for face and content validity and reliability. Results: Factor analysis was used to identify the main factors to be included in the reliability analysis. Content validity was supported with one floor effect in the “racial/ethnic disparities” variable (36.1%), and few ceiling effects. Seven of the twenty-two variables performed the best (between 34% and 59.6%). For the overall rating score, no participants had floor or ceiling effects. Five factors were identified which accounted for 95% of the variance. Cronbach’s alpha was >0.8 indicating that the survey items had good internal consistency and represent a homogeneous construct. Conclusion: The Global Health Competency Survey demonstrated good internal consistency and validity. PMID:23283032

  4. Recovery practice in community mental health teams: national survey.

    PubMed

    Leamy, M; Clarke, E; Le Boutillier, C; Bird, V; Choudhury, R; MacPherson, R; Pesola, F; Sabas, K; Williams, J; Williams, P; Slade, M

    2016-10-01

    There is consensus about the importance of 'recovery' in mental health services, but the link between recovery orientation of mental health teams and personal recovery of individuals has been underresearched. To investigate differences in team leader, clinician and service user perspectives of recovery orientation of community adult mental health teams in England. In six English mental health National Health Service (NHS) trusts, randomly chosen community adult mental health teams were surveyed. A random sample of ten patients, one team leader and a convenience sample of five clinicians were surveyed from each team. All respondents rated the recovery orientation of their team using parallel versions of the Recovery Self Assessment (RSA). In addition, service users also rated their own personal recovery using the Questionnaire about Processes of Recovery (QPR). Team leaders (n = 22) rated recovery orientation higher than clinicians (n = 109) or patients (n = 120) (Wald(2) = 7.0, P = 0.03), and both NHS trust and team type influenced RSA ratings. Patient-rated recovery orientation was a predictor of personal recovery (b = 0.58, 95% CI 0.31-0.85, P<0.001). Team leaders and clinicians with experience of mental illness (39%) or supporting a family member or friend with mental illness (76%) did not differ in their RSA ratings from other team leaders or clinicians. Compared with team leaders, frontline clinicians and service users have less positive views on recovery orientation. Increasing recovery orientation may support personal recovery. © The Royal College of Psychiatrists 2016.

  5. The Trojan Lifetime Champions Health Survey: Development, Validity, and Reliability

    PubMed Central

    Sorenson, Shawn C.; Romano, Russell; Scholefield, Robin M.; Schroeder, E. Todd; Azen, Stanley P.; Salem, George J.

    2015-01-01

    Context Self-report questionnaires are an important method of evaluating lifespan health, exercise, and health-related quality of life (HRQL) outcomes among elite, competitive athletes. Few instruments, however, have undergone formal characterization of their psychometric properties within this population. Objective To evaluate the validity and reliability of a novel health and exercise questionnaire, the Trojan Lifetime Champions (TLC) Health Survey. Design Descriptive laboratory study. Setting A large National Collegiate Athletic Association Division I university. Patients or Other Participants A total of 63 university alumni (age range, 24 to 84 years), including former varsity collegiate athletes and a control group of nonathletes. Intervention(s) Participants completed the TLC Health Survey twice at a mean interval of 23 days with randomization to the paper or electronic version of the instrument. Main Outcome Measure(s) Content validity, feasibility of administration, test-retest reliability, parallel-form reliability between paper and electronic forms, and estimates of systematic and typical error versus differences of clinical interest were assessed across a broad range of health, exercise, and HRQL measures. Results Correlation coefficients, including intraclass correlation coefficients (ICCs) for continuous variables and κ agreement statistics for ordinal variables, for test-retest reliability averaged 0.86, 0.90, 0.80, and 0.74 for HRQL, lifetime health, recent health, and exercise variables, respectively. Correlation coefficients, again ICCs and κ, for parallel-form reliability (ie, equivalence) between paper and electronic versions averaged 0.90, 0.85, 0.85, and 0.81 for HRQL, lifetime health, recent health, and exercise variables, respectively. Typical measurement error was less than the a priori thresholds of clinical interest, and we found minimal evidence of systematic test-retest error. We found strong evidence of content validity, convergent

  6. 76 FR 72417 - National Health and Nutrition Examination Survey (NHANES) DNA Samples

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-23

    ... National Health and Nutrition Examination Survey (NHANES) DNA Samples AGENCY: Centers for Disease Control... National Health and Nutrition Examination Survey (NHANES) will not be receiving DNA proposals in 2012... of Health and Nutrition Examination Surveys, National Center for Health Statistics, Centers for...

  7. National Survey of Yoga Practitioners: Mental and Physical Health Benefits

    PubMed Central

    Ross, Alyson; Friedmann, Erika; Bevans, Margaret; Thomas, Sue

    2013-01-01

    Summary Objectives to describe yoga practice and health characteristics of individuals who practice yoga, and to explore their beliefs regarding the effects of their yoga practice on their health. Design a cross-sectional design with anonymous online surveys Setting 4307 randomly selected individuals from 15 US Iyengar yoga studios (n = 18,160), representing 41 states; 1087 individuals responded, with 1045 (24.3%) surveys completed. Outcome Measures Freiberg Mindfulness Inventory, Mental Health Continuum (subjective well-being), Multi-factor Screener (diet), PROMIS sleep disturbance, fatigue, and social support, International Physical Activity Questionnaire. Results Age: 19 to 87 years (M = 51.7 ± 11.7), 84.2% female, 89.2% white, 87.4% well educated (≥ bachelor’s degree). Mean years of yoga practice = 11.4 (± 7.5). BMI = 12.1–49.4 (M = 23.1 ± 3.9). Levels of obesity (4.9%), smoking (2%), and fruit and vegetable consumption (M = 6.1 ± 1.1) were favorable compared to national norms. 60% reported at least one chronic/serious health condition, yet most reported very good (46.3%) or excellent (38.8%) general health. Despite high levels of depression (24.8 %), nearly all were moderately mentally healthy (55.2%) or flourishing (43.8%). Participants agreed yoga improved: energy (84.5%), happiness (86.5%), social relationships (67%), sleep (68.5%), and weight (57.3%), and beliefs did not differ substantially according to race or gender. The more they practiced yoga, whether in years or in amount of class or home practice, the higher their odds of believing yoga improved their health. Conclusions Individuals who practice yoga are not free of health concerns, but most believe their health improved because of yoga. Yoga might be beneficial for a number of populations including elderly women and those with chronic health conditions. PMID:23876562

  8. Who cares about health inequalities? Cross-country evidence from the World Health Survey

    PubMed Central

    King, Nicholas B; Harper, Sam; Young, Meredith E

    2013-01-01

    Reduction of health inequalities within and between countries is a global health priority, but little is known about the determinants of popular support for this goal. We used data from the World Health Survey to assess individual preferences for prioritizing reductions in health and health care inequalities. We used descriptive tables and regression analysis to study the determinants of preferences for reducing health inequalities as the primary health system goal. Determinants included individual socio-demographic characteristics (age, sex, urban residence, education, marital status, household income, self-rated health, health care use, satisfaction with health care system) and country-level characteristics [gross domestic product (GDP) per capita, disability-free life expectancy, equality in child mortality, income inequality, health and public health expenditures]. We used logistic regression to assess the likelihood that individuals ranked minimizing inequalities first, and rank-ordered logistic regression to compare the ranking of other priorities against minimizing health inequalities. Individuals tended to prioritize health system goals related to overall improvement (improving population health and health care responsiveness) over those related to equality and fairness (minimizing inequalities in health and responsiveness, and promoting fairness of financial contribution). Individuals in countries with higher GDP per capita, life expectancy, and equality in child mortality were more likely to prioritize minimizing health inequalities. PMID:23059735

  9. Who cares about health inequalities? Cross-country evidence from the World Health Survey.

    PubMed

    King, Nicholas B; Harper, Sam; Young, Meredith E

    2013-08-01

    Reduction of health inequalities within and between countries is a global health priority, but little is known about the determinants of popular support for this goal. We used data from the World Health Survey to assess individual preferences for prioritizing reductions in health and health care inequalities. We used descriptive tables and regression analysis to study the determinants of preferences for reducing health inequalities as the primary health system goal. Determinants included individual socio-demographic characteristics (age, sex, urban residence, education, marital status, household income, self-rated health, health care use, satisfaction with health care system) and country-level characteristics [gross domestic product (GDP) per capita, disability-free life expectancy, equality in child mortality, income inequality, health and public health expenditures]. We used logistic regression to assess the likelihood that individuals ranked minimizing inequalities first, and rank-ordered logistic regression to compare the ranking of other priorities against minimizing health inequalities. Individuals tended to prioritize health system goals related to overall improvement (improving population health and health care responsiveness) over those related to equality and fairness (minimizing inequalities in health and responsiveness, and promoting fairness of financial contribution). Individuals in countries with higher GDP per capita, life expectancy, and equality in child mortality were more likely to prioritize minimizing health inequalities.

  10. Use of High-Power Combiners and Fast Directional Switches in ECRH Systems

    SciTech Connect

    Bruschi, A.; Bin, W.; D'Arcangelo, O.; Muzzini, V.; Kasparek, W.; Plaum, B.; Erckmann, V.; Petelin, M.; Lubyako, L.

    2009-11-26

    The new generation of compact devices for the combination and the fast switching of high-power millimeter-wave beams [1] for Electron Cyclotron Heating (ECH) gives the possibility to switch the power (in tens of microseconds) between two lines (or two ECH launchers, even modulating it between them) and combine two gyrotron sources (or in principle even more) in one single transmission line, for doubling the transmitted power. This is useful in many respects in order to: 1){approx}double the efficiency in modulated EC for neoclassical Tearing Modes (NTM) stabilization, 2) avoid to switch-off gyrotrons in conventional (slow) switching, 3) electronically control the power sharing between different applications (heating/current-drive or NTM stabilization), 4) upgrade the existing ECH systems to twice the power without adding complete transmission lines and launchers, 5) test components at a power doubled with respect to the power capability of the available sources. This opens the way to the development of a more effective 'active' real-time control of the ECRH power routing and generally to more flexible and powerful ECH systems. The development of different devices and the advantages for (and in view of) ITER are addressed.

  11. Electron temperature response to ECRH on FTU tokamak in transient conditions.

    NASA Astrophysics Data System (ADS)

    Jacchia, A.; Bruschi, A.; Cirant, S.; Granucci, G.; Sozzi, C.; de Luca, F.; Amadeo, P.; Bracco, G.; Tudisco, O.

    2001-10-01

    Steady-state electron heat transport analysis of FTU high density plasmas under Electron Cyclotron Heating (ECRH) shows "stiff" electron temperature profiles [1,2,3]. Plasma response to off-axis EC heating, in fact, exibits a lower limit to electron temperature gradient length, Lc , below which electron thermal conductivity switches to higher values. Stiffness, however, is attenuated in the plasma core of saw-tooth free discharges with flat-hollow temperature profile and during current ramp-up [3,4,5], in which cases the temperature gradient length can be brought to very low values by means of on-axis ECH. Steady and current ramp-up discharges probed by steady and modulated ECH are analyzed in terms of stiffnes. Critical gradient length dependence on local features of computed current density profile is discussed. [1] Sozzi, C. et al., Paper EXP5/13, Plasma Phys. Contr. Fus. Res., Proc.18th IAEA Conf., Sorrento, 2000. [2] Jacchia, A. et al. Topical Conference on Radio Frequency Power in Plasmas, Oxnard, USA, (2001). [3] Cirant, S. et al. Topical Conference on Radio Frequency Power in Plasmas, Oxnard, USA, (2001). [4] Sozzi, C. et al., EPS, Madeira 2001. [5] Bracco, G. et al.,Plasma Phys. Contr. Fus. Res., Proc.18th IAEA Conf., Sorrento, 2000.

  12. Advanced Optics for a Full Quasi-Optical Front Steering ECRH Upper Launcher for ITER

    SciTech Connect

    Moro, A.; Alessi, E.; Bruschi, A.; Platania, P.; Sozzi, C.; Chavan, R.; Collazos, A.; Goodman, T. P.; Udintsev, V. S.; Henderson, M. A.

    2009-11-26

    A full quasi-optical setup for the internal optics of the Front Steering Electron Cyclotron Resonance Heating (ECRH) Upper Launcher for ITER was designed, proving to be feasible and favorable in terms of additional flexibility and cost reduction with respect to the former design. This full quasi-optical solution foresees the replacement of the mitre-bends in the final section of the launcher with dedicated free-space mirrors to realize the last changes of directions in the launcher. A description of the launcher is given and its advantages presented. The parameters of the expected output beams as well as preliminary evaluations of truncation effects with the physical optics GRASP code are shown. Moreover, a study of mitre-bends replacement with single mirrors for multiple beams is described. In principle it could allow the beams to be larger at the mirror locations (with a further decrease of the peak power density due to partial overlapping) and has the additional advantage to get a larger opening with compressed beams to avoid conflicts with side-walls port. Constraints on the setup, arising both from the resulting beam characteristics in the space of free parameters and from mechanical requirements are taken into account in the analysis.

  13. The Third National Health and Nutrition Examination Survey: Contributing Data on Aging and Health.

    ERIC Educational Resources Information Center

    Burt, Vicki L.; Harris, Tamara

    1994-01-01

    Describes third National Health and Nutrition Examination Survey (NHANES III), noting that upper age limit was removed and that older black, Mexican American, and white populations were oversampled. Sees NHANES III component for older adults providing multidimensional overview of physical and functional health status (osteoporosis; arthritis;…

  14. Health Education Programs Developed in Suffolk Schools. A Survey of Locally Developed Health Education Materials.

    ERIC Educational Resources Information Center

    Keough, John J.; And Others

    This report is a summary of the results of a questionnaire survey of locally developed health education materials. This guide has been prepared to assist school districts in the planning and initiation or expansion of local health programs. It reports on the current status of locally developed programs in the county. Hopefully, this information…

  15. The Third National Health and Nutrition Examination Survey: Contributing Data on Aging and Health.

    ERIC Educational Resources Information Center

    Burt, Vicki L.; Harris, Tamara

    1994-01-01

    Describes third National Health and Nutrition Examination Survey (NHANES III), noting that upper age limit was removed and that older black, Mexican American, and white populations were oversampled. Sees NHANES III component for older adults providing multidimensional overview of physical and functional health status (osteoporosis; arthritis;…

  16. Our Environment, Our Health: A Community-Based Participatory Environmental Health Survey in Richmond, California

    ERIC Educational Resources Information Center

    Cohen, Alison; Lopez, Andrea; Malloy, Nile; Morello-Frosch, Rachel

    2012-01-01

    This study presents a health survey conducted by a community-based participatory research partnership between academic researchers and community organizers to consider environmental health and environmental justice issues in four neighborhoods of Richmond, California, a low-income community of color living along the fence line of a major oil…

  17. Report of a Resident Health-Medical Care Survey. Southwest New Mexico Community Health Education Systems.

    ERIC Educational Resources Information Center

    Poulsen, Roger L.

    This survey was conducted to provide informational inputs for planning and establishing a community health education system in southwest New Mexico. Information was gathered concerning the opinions of typical area residents regarding needed health-medical care facilities, personnel training needs, services, personnel requisite to their well-being,…

  18. Our Environment, Our Health: A Community-Based Participatory Environmental Health Survey in Richmond, California

    ERIC Educational Resources Information Center

    Cohen, Alison; Lopez, Andrea; Malloy, Nile; Morello-Frosch, Rachel

    2012-01-01

    This study presents a health survey conducted by a community-based participatory research partnership between academic researchers and community organizers to consider environmental health and environmental justice issues in four neighborhoods of Richmond, California, a low-income community of color living along the fence line of a major oil…

  19. Australian academic primary health-care careers: a scoping survey.

    PubMed

    Barton, Christopher; Reeve, Joanne; Adams, Ann; McIntyre, Ellen

    2016-01-01

    This study was undertaken to provide a snapshot of the academic primary health-care workforce in Australia and to provide some insight into research capacity in academic primary health care following changes to funding for this sector. A convenience sample of individuals self-identifying as working within academic primary health care (n=405) completed an anonymous online survey. Respondents were identified from several academic primary health-care mailing lists. The survey explored workforce demographics, clarity of career pathways, career trajectories and enablers/barriers to 'getting in' and 'getting on'. A mix of early career (41%), mid-career (25%) and senior academics (35%) responded. Early career academics tended to be female and younger than mid-career and senior academics, who tended to be male and working in 'balanced' (teaching and research) roles and listing medicine as their disciplinary background. Almost three-quarters (74%) indicated career pathways were either 'completely' or 'somewhat unclear', irrespective of gender and disciplinary backgrounds. Just over half (51%) had a permanent position. Males were more likely to have permanent positions, as were those with a medical background. Less than half (43%) reported having a mentor, and of the 57% without a mentor, more than two-thirds (69%) would like one. These results suggest a lack of clarity in career paths, uncertainty in employment and a large number of temporary (contract) or casual positions represent barriers to sustainable careers in academic primary health care, especially for women who are from non-medicine backgrounds. Professional development or a mentoring program for primary health-care academics was desired and may address some of the issues identified by survey respondents.

  20. Brazil 1986: results from the Demographic and Health Survey.

    PubMed

    1988-01-01

    The Brazil Demographic and Health Survey (DHS) was conducted by the Society for the Welfare of the Family in Brazil within the framework of the DHS Program of the Institute for Resource Development of Westinghouse. The survey is national in scope, covering 95% of the population. Data were collected in 8519 households and complete interviews were conducted with 5892 women aged 15-44. Fieldwork for the survey took place between May and August, 1986. The summary statistics presented here were taken from the Brazil First Country Report, with exceptions as noted. The summary statistics include: population characteristics, fertility patterns, fertility preferences, current contraceptive use, contraception knowledge, nuptiality and exposure-to-conception status, postpartum variables, infant mortality, disease prevention and treatment, and nutritional status.

  1. Survey of safety and health care in British medical laboratories.

    PubMed Central

    Harrington, J M; Shannon, H S

    1977-01-01

    A retrospective postal survey of 24 000 medical laboratory workers in England, Wales, and Scotland showed highly variable standards of safety and health care. Pre-employment health screening was offered to two-thirds of employees, the physicians being the least likely to be examined (15%). Scottish laboratories provided better safety control than English and Welsh laboratories, while Public Health Service Laboratories had a better record than National Health Service establishments. Mouth pipetting is still practised in 65% of English and Welsh laboratories, and the use of protective clothing is rarely compulsory. The servicing of safety cabinets is often inadequate. Known and suspected carcinogens are still apparently used in a few laboratories (2-10%). In view of the wide variation in standards among laboratories, urgent consideration should be given to establishing regulations for codes of safe practice rather than relying merely on recommendations as at present. PMID:843842

  2. Bolivia 1998: results from the Demographic and Health Survey.

    PubMed

    2000-09-01

    This document presents the results of the Bolivia Demographic and Health Survey (DHS), or Encuesta Nacional de Demografia y Salud 1998, conducted by the Instituto Nacional de Estadistica, La Paz, Bolivia, within the framework of the DHS Program of Macro International. Data were collected from 12,109 households and complete interviews were conducted with 11,187 women aged 15-49. A male survey was also conducted, which collected data from 3780 men aged 15-64. The information collected include the following: 1) general characteristics of the population, 2) fertility, 3) fertility preferences, 4) current contraceptive use, 5) contraception, 6) marital and contraceptive status, 7) postpartum variables, 8) infant mortality, 9) health: disease prevention and treatment, and 10) nutritional status: anthropometric measures.

  3. [Methodological design of the National Health and Nutrition Survey 2016].

    PubMed

    Romero-Martínez, Martín; Shamah-Levy, Teresa; Cuevas-Nasu, Lucía; Gómez-Humarán, Ignacio Méndez; Gaona-Pineda, Elsa Berenice; Gómez-Acosta, Luz María; Rivera-Dommarco, Juan Ángel; Hernández-Ávila, Mauricio

    2017-01-01

    Describe the design methodology of the halfway health and nutrition national survey (Ensanut-MC) 2016. The Ensanut-MC is a national probabilistic survey whose objective population are the inhabitants of private households in Mexico. The sample size was determined to make inferences on the urban and rural areas in four regions. Describes main design elements: target population, topics of study, sampling procedure, measurement procedure and logistics organization. A final sample of 9 479 completed household interviews, and a sample of 16 591 individual interviews. The response rate for households was 77.9%, and the response rate for individuals was 91.9%. The Ensanut-MC probabilistic design allows valid statistical inferences about interest parameters for Mexico´s public health and nutrition, specifically on overweight, obesity and diabetes mellitus. Updated information also supports the monitoring, updating and formulation of new policies and priority programs.

  4. Health literacy and barriers to health information seeking: A nationwide survey in South Korea.

    PubMed

    Jeong, Seok Hee; Kim, Hyun Kyung

    2016-11-01

    To identify the level of health literacy and barriers to information seeking and to explore the predictors of health literacy. A cross-sectional descriptive design was used. A total of 1000 Korean adults were recruited through proportional quota sampling. Health literacy, barriers to health information seeking, sociodemographics, and health-related characteristics were surveyed. Descriptive statistics and binary logistic regression were performed for data analysis. About 61% of participants were classified as inadequately health literate. "No health fairs/activities near home" was the most frequently reported barrier. Older age, lower education, living in the capital city, barriers regarding how to get information and access to expensive books and magazines were predictors of inadequate health literacy. Strategies for improving health literacy and reducing barriers to health information seeking should be designed. Education on how to access health-related information with easily accessible sources either free or inexpensive could be a way to help adults with limited health literacy. Health care professionals should assess clients' health literacy levels, particularly amongst those who are older or have less education. They should provide clients with information on how to access credible and readily available sources of health-related information, considering their health literacy level. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  5. Summary health statistics for the U.S. population: National Health Interview Survey, 2012.

    PubMed

    Adams, Patricia F; Kirzinger, Whitney K; Martinez, Michael

    2013-12-01

    This report presents both age-adjusted and unadjusted health statistics from the 2012 National Health Interview Survey (NHIS) for the civilian noninstitutionalized population of the United States. Estimates are disaggregated by sex, age, race, Hispanic origin, education, family income, poverty status, health insurance coverage (where appropriate), place of residence, and region of residence. The topics covered are respondent-assessed health status, limitations in activities, injury and poisoning episodes, health care access and utilization, and health insurance coverage. NHIS is a household, multistage probability sample survey conducted annually by interviewers of the U.S. Census Bureau for the Centers for Disease Control and Prevention's National Center for Health Statistics. In 2012, household interviews were completed for 108,131 persons living in 42,366 households. Nearly 7 in 10 persons were in excellent or very good health in 2012. About 40 million persons (12%) were limited in their usual activities due to one or more chronic health conditions. About 5 million persons (2%) required the help of another person with activities of daily living, and about 10 million persons (4%) required the help of another person with instrumental activities of daily living. Among persons under age 65, about 45 million (17%) did not have any health insurance coverage. The most common reason for lacking health insurance was cost, followed by a change in employment. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  6. Vignettes and differential health reporting: results from the Japanese World Health Survey.

    PubMed

    Tareque, Md Ismail; Ikeda, Nayu; Koshio, Atsushi; Hasegawa, Toshihiko

    2017-08-07

    We examined the factors associated with the evaluation of health description vignettes and how Japanese people make decisions related to the eight health dimensions (mobility, emotions, pain, relationship with others, sleep and energy, vision, recognition/remembering abilities, and self-care). We investigated a dataset of 4,959 respondents (≥ 18 years) from the Japanese World Health Survey. Ordered probit models were used to identify factors associated with all health dimensions. On all dimensions, older people appraised extreme problems as less problematic than young people did. Compared with men, women reported greater severity in the case of extreme problems on three health dimensions: emotion, pain, and sleep/energy. The study also found negative effects of alcohol consumption in almost all dimensions. Doctors and other health care workers should be careful when assessing severity of health problems in older individuals; in this population, health problems may be more severe than reported.

  7. A survey of dental public health specialists on current dental public health competencies.

    PubMed

    Mascarenhas, Ana Karina; Altman, Donald

    2016-09-01

    In preparation to update the Dental Public Health specialty competencies, the Expert Panel determined that a needs assessment be conducted. A nine item open and close ended survey developed by the Expert Panel was used to collect data on the Diplomates current work environment, the utility of the current set of Dental Public Health competencies, and to identify any gaps in the current competencies. In 2015, the survey was administered to all active Diplomates of the American Board of Dental Public Health. One hundred and nine Diplomates responded. Diplomates overwhelmingly reported that each of the ten current competencies were still relevant for Dental Public Health specialists in the 21(st) Century, but needed to be updated to be more contemporary. Domains suggested to achieve this were interprofessional care, cultural competency, health literacy, and evidence-based dentistry.

  8. Indonesia 1997: results from the Demographic and Health Survey.

    PubMed

    1999-09-01

    The Indonesia Demographic and Health Survey (DHS) was conducted by the Central Bureau of Statistics, State Ministry of Population/National Family Planning Coordinating Board, and Ministry of Health, Jakarta, Indonesia, within the framework of the DHS Program of Macro International. Data from the DHS were collected from 34,255 households and complete interviews were conducted with 28,810 women aged 15-49. The interviews took place between September 1, 1997 and December 31, 1997. The summary statistics presented were taken from the Indonesia country report with exception as noted. Included in this article are table and charts presenting valuable data on Indonesia general characteristics of the population, fertility, contraceptive use, and knowledge about contraception, marital and contraceptive status, infant mortality, and health.

  9. Recovery practice in community mental health teams: national survey

    PubMed Central

    Leamy, M.; Clarke, E.; Le Boutillier, C.; Bird, V.; Choudhury, R.; MacPherson, R.; Pesola, F.; Sabas, K.; Williams, J.; Williams, P.; Slade, M.

    2016-01-01

    Background There is consensus about the importance of ‘recovery’ in mental health services, but the link between recovery orientation of mental health teams and personal recovery of individuals has been underresearched. Aims To investigate differences in team leader, clinician and service user perspectives of recovery orientation of community adult mental health teams in England. Method In six English mental health National Health Service (NHS) trusts, randomly chosen community adult mental health teams were surveyed. A random sample of ten patients, one team leader and a convenience sample of five clinicians were surveyed from each team. All respondents rated the recovery orientation of their team using parallel versions of the Recovery Self Assessment (RSA). In addition, service users also rated their own personal recovery using the Questionnaire about Processes of Recovery (QPR). Results Team leaders (n = 22) rated recovery orientation higher than clinicians (n = 109) or patients (n = 120) (Wald(2) = 7.0, P = 0.03), and both NHS trust and team type influenced RSA ratings. Patient-rated recovery orientation was a predictor of personal recovery (b = 0.58, 95% CI 0.31–0.85, P<0.001). Team leaders and clinicians with experience of mental illness (39%) or supporting a family member or friend with mental illness (76%) did not differ in their RSA ratings from other team leaders or clinicians. Conclusions Compared with team leaders, frontline clinicians and service users have less positive views on recovery orientation. Increasing recovery orientation may support personal recovery. PMID:27340113

  10. The American Community Survey and Health Insurance Coverage Estimates: Possibilities and Challenges for Health Policy Researchers

    PubMed Central

    Davern, Michael; Quinn, Brian C; Kenney, Genevieve M; Blewett, Lynn A

    2009-01-01

    Objective To introduce the American Community Survey (ACS) and its measure of health insurance coverage to researchers and policy makers. Data Sources/Study Setting We compare the survey designs for the ACS and Current Population Survey (CPS) that measure insurance coverage. Study Design We describe the ACS and how it will be useful to health policy researchers. Principal Findings Relative to the CPS, the ACS will provide more precise state and substate estimates of health insurance coverage at a point-in-time. Yet the ACS lacks the historical data and detailed state-specific coverage categories seen in the CPS. Conclusions The ACS will be a critical new resource for researchers. To use the new data to the best advantage, careful research will be needed to understand its strengths and weaknesses. PMID:19040425

  11. American Thoracic Society Member Survey on Climate Change and Health

    PubMed Central

    Bloodhart, Brittany; Ewart, Gary; Thurston, George D.; Balmes, John R.; Guidotti, Tee L.; Maibach, Edward W.

    2015-01-01

    The American Thoracic Society (ATS), in collaboration with George Mason University, surveyed a random sample of ATS members to assess their perceptions of, clinical experiences with, and preferred policy responses to climate change. An e-mail containing an invitation from the ATS President and a link to an online survey was sent to 5,500 randomly selected U.S. members; up to four reminder e-mails were sent to nonrespondents. Responses were received from members in 49 states and the District of Columbia (n = 915); the response rate was 17%. Geographic distribution of respondents mirrored that of the sample. Survey estimates’ confidence intervals were ±3.5% or smaller. Results indicate that a large majority of ATS members have concluded that climate change is happening (89%), that it is driven by human activity (68%), and that it is relevant to patient care (“a great deal”/“a moderate amount”) (65%). A majority of respondents indicated they were already observing health impacts of climate change among their patients, most commonly as increases in chronic disease severity from air pollution (77%), allergic symptoms from exposure to plants or mold (58%), and severe weather injuries (57%). A larger majority anticipated seeing these climate-related health impacts in the next 2 decades. Respondents indicated that physicians and physician organizations should play an active role in educating patients, the public, and policy makers on the human health effects of climate change. Overall, ATS members are observing that human health is already adversely affected by climate change and support responses to address this situation. PMID:25535822

  12. American Thoracic Society member survey on climate change and health.

    PubMed

    Sarfaty, Mona; Bloodhart, Brittany; Ewart, Gary; Thurston, George D; Balmes, John R; Guidotti, Tee L; Maibach, Edward W

    2015-02-01

    The American Thoracic Society (ATS), in collaboration with George Mason University, surveyed a random sample of ATS members to assess their perceptions of, clinical experiences with, and preferred policy responses to climate change. An e-mail containing an invitation from the ATS President and a link to an online survey was sent to 5,500 randomly selected U.S. members; up to four reminder e-mails were sent to nonrespondents. Responses were received from members in 49 states and the District of Columbia (n = 915); the response rate was 17%. Geographic distribution of respondents mirrored that of the sample. Survey estimates' confidence intervals were ±3.5% or smaller. Results indicate that a large majority of ATS members have concluded that climate change is happening (89%), that it is driven by human activity (68%), and that it is relevant to patient care ("a great deal"/"a moderate amount") (65%). A majority of respondents indicated they were already observing health impacts of climate change among their patients, most commonly as increases in chronic disease severity from air pollution (77%), allergic symptoms from exposure to plants or mold (58%), and severe weather injuries (57%). A larger majority anticipated seeing these climate-related health impacts in the next 2 decades. Respondents indicated that physicians and physician organizations should play an active role in educating patients, the public, and policy makers on the human health effects of climate change. Overall, ATS members are observing that human health is already adversely affected by climate change and support responses to address this situation.

  13. Status of simulation in health care education: an international survey

    PubMed Central

    Qayumi, Karim; Pachev, George; Zheng, Bin; Ziv, Amitai; Koval, Valentyna; Badiei, Sadia; Cheng, Adam

    2014-01-01

    Simulation is rapidly penetrating the terrain of health care education and has gained growing acceptance as an educational method and patient safety tool. Despite this, the state of simulation in health care education has not yet been evaluated on a global scale. In this project, we studied the global status of simulation in health care education by determining the degree of financial support, infrastructure, manpower, information technology capabilities, engagement of groups of learners, and research and scholarly activities, as well as the barriers, strengths, opportunities for growth, and other aspects of simulation in health care education. We utilized a two-stage process, including an online survey and a site visit that included interviews and debriefings. Forty-two simulation centers worldwide participated in this study, the results of which show that despite enormous interest and enthusiasm in the health care community, use of simulation in health care education is limited to specific areas and is not a budgeted item in many institutions. Absence of a sustainable business model, as well as sufficient financial support in terms of budget, infrastructure, manpower, research, and scholarly activities, slows down the movement of simulation. Specific recommendations are made based on current findings to support simulation in the next developmental stages. PMID:25489254

  14. Status of simulation in health care education: an international survey.

    PubMed

    Qayumi, Karim; Pachev, George; Zheng, Bin; Ziv, Amitai; Koval, Valentyna; Badiei, Sadia; Cheng, Adam

    2014-01-01

    Simulation is rapidly penetrating the terrain of health care education and has gained growing acceptance as an educational method and patient safety tool. Despite this, the state of simulation in health care education has not yet been evaluated on a global scale. In this project, we studied the global status of simulation in health care education by determining the degree of financial support, infrastructure, manpower, information technology capabilities, engagement of groups of learners, and research and scholarly activities, as well as the barriers, strengths, opportunities for growth, and other aspects of simulation in health care education. We utilized a two-stage process, including an online survey and a site visit that included interviews and debriefings. Forty-two simulation centers worldwide participated in this study, the results of which show that despite enormous interest and enthusiasm in the health care community, use of simulation in health care education is limited to specific areas and is not a budgeted item in many institutions. Absence of a sustainable business model, as well as sufficient financial support in terms of budget, infrastructure, manpower, research, and scholarly activities, slows down the movement of simulation. Specific recommendations are made based on current findings to support simulation in the next developmental stages.

  15. Surveys on sexual health: recent developments and future directions

    PubMed Central

    Wellings, K.; Cleland, J.

    2001-01-01

    The increasingly widespread adoption of the term sexual health reflects a move away from the medicalisation of this specialty. The focus has shifted from clinical practice to lifestyle and behaviour; from clinician to client, and from treatment to prevention. This article discusses these themes, identifying their implications for sexual health research. Recent times have seen, for example, a growing number of studies combining biological and behavioural measures conducted by interdisciplinary teams able to combine biomedical measurements of morbidity with insights into the subjective interpretations of symptoms and consequences. Considerable progress has been made, too, in mounting community based studies, and much has been achieved in gaining compliance and refining sampling methods. Integrated sexual health services, encompassing more than contraceptive or prophylactic service provision, have provided the impetus to investigation of the costs and benefits of coordinated family planning and genitourinary medicine services. Despite its broader focus, there remain opportunities for sexual health research to expand its remit. Studies to date may have focused too narrowly on pathological, to the neglect of health enhancing, consequences of sexual behaviour. Key Words: surveys; sexual health PMID:11463921

  16. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU)

    PubMed Central

    Pelikan, Jürgen M.; Röthlin, Florian; Ganahl, Kristin; Slonska, Zofia; Doyle, Gerardine; Fullam, James; Kondilis, Barbara; Agrafiotis, Demosthenes; Uiters, Ellen; Falcon, Maria; Mensing, Monika; Tchamov, Kancho; van den Broucke, Stephan; Brand, Helmut

    2015-01-01

    Background: Health literacy concerns the capacities of people to meet the complex demands of health in modern society. In spite of the growing attention for the concept among European health policymakers, researchers and practitioners, information about the status of health literacy in Europe remains scarce. This article presents selected findings from the first European comparative survey on health literacy in populations. Methods: The European health literacy survey (HLS-EU) was conducted in eight countries: Austria, Bulgaria, Germany, Greece, Ireland, the Netherlands, Poland and Spain (n = 1000 per country, n = 8000 total sample). Data collection was based on Eurobarometer standards and the implementation of the HLS-EU-Q (questionnaire) in computer-assisted or paper-assisted personal interviews. Results: The HLS-EU-Q constructed four levels of health literacy: insufficient, problematic, sufficient and excellent. At least 1 in 10 (12%) respondents showed insufficient health literacy and almost 1 in 2 (47%) had limited (insufficient or problematic) health literacy. However, the distribution of levels differed substantially across countries (29–62%). Subgroups within the population, defined by financial deprivation, low social status, low education or old age, had higher proportions of people with limited health literacy, suggesting the presence of a social gradient which was also confirmed by raw bivariate correlations and a multivariate linear regression model. Discussion: Limited health literacy represents an important challenge for health policies and practices across Europe, but to a different degree for different countries. The social gradient in health literacy must be taken into account when developing public health strategies to improve health equity in Europe. PMID:25843827

  17. Test and Commissioning of 82.6 GHz ECRH system on SST-1

    NASA Astrophysics Data System (ADS)

    Bora, D.; Sathyanarayana, K.; Shukla, B. K.; Chattopadhyay, Prabal; Srinivas, Y. S. S.; Khilar, P. L.; Kushwah, Mahesh; Rajnish, Kumar; Sugandhi, Ritesh; Singh, Manoj; Babu, Rajan; P, Jatin; G, Agrajit; Biswas, Prabal; D, Pragnesh; Kadia, B. R.; V, Chetan; Patel, Harshida; P, Dharmesh; Kirit, P.; Parmar, K. G.; Makwana, A. R.; Harsha, M.; Soni, Jignesh; Yadav, Vipin; Shmelev, M.; Belousov, V.; Kurbatov, V.; Belov, Yu; Tai, E.

    2005-01-01

    Electron Cyclotron Resonance Heating (ECRH) system will play an important role in plasma formation, heating and current drive in the Superconducting Steady state Tokamak (SST-1). Commissioning activity of the machine has been initiated. Many of the sub-systems have been prepared for the first plasma discharge. A radial and a top port have been allotted for low field side (LFS) and high field side (HFS) launch of O and X- modes in the plasma. The system is based on a gyrotron source operating at a frequency of 82.6±0.1GHz (GLGD-82.6/0.2) and capable of delivering 0.2 MW / 1000s with 17% duty cycle. The transmission line consisting of ~15 meters length 63.5mm corrugated wave guide, DC break, wave guide switch, mitre bend, polariser, bellows that terminates with a vacuum barrier CVD window. A beam launching system used to steer the microwave beam in the plasma volume is connected between the end of the transmission line and the tokamak radial and top ports. A VME based real time data acquisition and control (DAC) system is used for monitoring, acquisition and control. Hard-wired interlock operates a rail-gap based crowbar system in less than 10µs under any fault condition. Burn patterns are recorded at various stages in the transmission line. The gyrotron is tested for ~200 kW / 1000s operation on a water dummy load. Transmission line is tested at various power levels for long pulse operation. The paper highlights the experimental results of successful commissioning of the system.

  18. Tracking Psychosocial Health in Adults with Epilepsy—Estimates from the 2010 National Health Interview Survey

    PubMed Central

    Kobau, R; Cui, W; Kadima, N; Zack, MM; Sajatovic, M; Kaiboriboon, K; Jobst, B

    2015-01-01

    Objective This study provides population-based estimates of psychosocial health among U.S. adults with epilepsy from the 2010 National Health Interview Survey. Methods Multinomial logistic regression was used to estimate the prevalence of the following measures of psychosocial health among adults with and those without epilepsy: 1) the Kessler-6 scale of Serious Psychological Distress; 2) cognitive limitation; the extent of impairments associated with psychological problems; and work limitation; 3) Social participation; and 4) the Patient Reported Outcome Measurement Information System Global Health scale. Results Compared with adults without epilepsy, adults with epilepsy, especially those with active epilepsy, reported significantly worse psychological health, more cognitive impairment, difficulty in participating in some social activities, and reduced health-related quality of life (HRQOL). Conclusions These disparities in psychosocial health in U.S. adults with epilepsy serve as baseline national estimates of their HRQOL, consistent with Healthy People 2020 national objectives on HRQOL. PMID:25305435

  19. Socioeconomic inequality in domains of health: results from the World Health Surveys

    PubMed Central

    2012-01-01

    Background In all countries people of lower socioeconomic status evaluate their health more poorly. Yet in reporting overall health, individuals consider multiple domains that comprise their perceived health state. Considered alone, overall measures of self-reported health mask differences in the domains of health. The aim of this study is to compare and assess socioeconomic inequalities in each of the individual health domains and in a separate measure of overall health. Methods Data on 247,037 adults aged 18 or older were analyzed from 57 countries, drawn from all national income groups, participating in the World Health Survey 2002-2004. The analysis was repeated for lower- and higher-income countries. Prevalence estimates of poor self-rated health (SRH) were calculated for each domain and for overall health according to wealth quintiles and education levels. Relative socioeconomic inequalities in SRH were measured for each of the eight health domains and for overall health, according to wealth quintiles and education levels, using the relative index of inequality (RII). A RII value greater than one indicated greater prevalence of self-reported poor health among populations of lower socioeconomic status, called pro-rich inequality. Results There was a descending gradient in the prevalence of poor health, moving from the poorest wealth quintile to the richest, and moving from the lowest to the highest educated groups. Inequalities which favor groups who are advantaged either with respect to wealth or education, were consistently statistically significant in each of the individual domains of health, and in health overall. However the size of these inequalities differed between health domains. The prevalence of reporting poor health was higher in the lower-income country group. Relative socioeconomic inequalities in the health domains and overall health were higher in the higher-income country group than the lower-income country group. Conclusions Using a common

  20. Socioeconomic inequality in domains of health: results from the World Health Surveys.

    PubMed

    Hosseinpoor, Ahmad Reza; Stewart Williams, Jennifer Anne; Itani, Lynn; Chatterji, Somnath

    2012-03-19

    In all countries people of lower socioeconomic status evaluate their health more poorly. Yet in reporting overall health, individuals consider multiple domains that comprise their perceived health state. Considered alone, overall measures of self-reported health mask differences in the domains of health. The aim of this study is to compare and assess socioeconomic inequalities in each of the individual health domains and in a separate measure of overall health. Data on 247,037 adults aged 18 or older were analyzed from 57 countries, drawn from all national income groups, participating in the World Health Survey 2002-2004. The analysis was repeated for lower- and higher-income countries. Prevalence estimates of poor self-rated health (SRH) were calculated for each domain and for overall health according to wealth quintiles and education levels. Relative socioeconomic inequalities in SRH were measured for each of the eight health domains and for overall health, according to wealth quintiles and education levels, using the relative index of inequality (RII). A RII value greater than one indicated greater prevalence of self-reported poor health among populations of lower socioeconomic status, called pro-rich inequality. There was a descending gradient in the prevalence of poor health, moving from the poorest wealth quintile to the richest, and moving from the lowest to the highest educated groups. Inequalities which favor groups who are advantaged either with respect to wealth or education, were consistently statistically significant in each of the individual domains of health, and in health overall. However the size of these inequalities differed between health domains. The prevalence of reporting poor health was higher in the lower-income country group. Relative socioeconomic inequalities in the health domains and overall health were higher in the higher-income country group than the lower-income country group. Using a common measurement approach, inequalities in

  1. Development of a Web-Based Survey for Monitoring Daily Health and its Application in an Epidemiological Survey

    PubMed Central

    Ohkusa, Yasushi; Akahane, Manabu; Sano, Tomomi; Okabe, Nobuhiko; Imamura, Tomoaki

    2011-01-01

    Background Early detection of symptoms arising from exposure to pathogens, harmful substances, or environmental changes is required for timely intervention. The administration of Web-based questionnaires is a potential method for collecting information from a sample population. Objective The objective of our study was to develop a Web-based daily questionnaire for health (WDQH) for symptomatic surveillance. Methods We adopted two different survey methods to develop the WDQH: an Internet panel survey, which included participants already registered with an Internet survey company, and the Tokyo Consumers’ Co-operative Union (TCCU) Internet survey, in cooperation with the Japanese Consumers’ Co-operative Union, which recruited participants by website advertising. The Internet panel survey participants were given a fee every day for providing answers, and the survey was repeated twice with modified surveys and collection methods: Internet Panel Survey I was conducted every day, and Internet Panel Survey II was conducted every 3 days to reduce costs. We examined whether the survey remained valid by reporting health conditions on day 1 over a 3-day period, and whether the response rate would vary among groups with different incentives. In the TCCU survey, participants were given a fee only for initially registering, and health information was provided in return for survey completion. The WDQH included the demographic details of participants and prompted them to answer questions about the presence of various symptoms by email. Health information collected by the WDQH was then used for the syndromic surveillance of infection. Results Response rates averaged 47.3% for Internet Panel Survey I, 42.7% for Internet Panel Survey II, and 40.1% for the TCCU survey. During a seasonal influenza epidemic, the WDQH detected a rapid increase in the number of participants with fever through the early aberration reporting system. Conclusions We developed a health observation method

  2. The feasibility and desirability of public health credentialing: a survey of public health leaders.

    PubMed Central

    Livingood, W C; Woodhouse, L D; Godin, S W

    1995-01-01

    OBJECTIVES. The goal of this study was to provide insight concerning the potential of credentialing public health workers through an exploratory examination of public health leaders' perceptions. METHODS. Qualitative and quantitative procedures were used. Credentialing issues were identified through the literature and through open-ended interviews with leaders and experts. A 74-item Likert-type survey was used to quantify perceptions. Key informants and survey participants were identified through pertinent organizations. RESULTS. The public health leaders leaned toward consensus on some benefits of and concerns about credentialing. There was no consensus related to a specific form of desired credentialing, although national certification was supported by a plurality. State licensing and an emphasis on the master's in public health (MPH) degree were opposed by large margins. Public health leadership survey results were similar to results of a survey of credentialing experts. CONCLUSIONS. The lack of consensus and the vehemence of some opposing positions indicate that movements toward credentialing should proceed cautiously. However, many of the response patterns indicate that the issue merits further exploration. PMID:7762707

  3. A survey of oral health, Qalyub Project, Egypt*

    PubMed Central

    Wheatcroft, M. G.; Klimt, C. R.

    1959-01-01

    This report presents the results of an oral health survey of 4324 individuals in three villages near Cairo, Egypt. The results show that the incidence of dental decay (expressed as the number of carious teeth per individual) in this group of Egyptians was lower than that reported for the over-all population of the USA, and that the prevalence of periodontal disease in the group studied was about three times as high as that reported in the USA. There was a statistically significant relationship between the occurrence of asymptomatic enlargement of the parotid glands and the occurrence of angular cheilosis in the same individuals. Other forms of oral disease were observed infrequently. Water samples from the survey area were assayed for fluorides and were shown to contain fluoride levels below that considered to give protection against dental caries. PMID:13638795

  4. A survey of oral health, Qalyub project, Egypt.

    PubMed

    WHEATCROFT, M G; KLIMT, C R

    1959-01-01

    This report presents the results of an oral health survey of 4324 individuals in three villages near Cairo, Egypt.The results show that the incidence of dental decay (expressed as the number of carious teeth per individual) in this group of Egyptians was lower than that reported for the over-all population of the USA, and that the prevalence of periodontal disease in the group studied was about three times as high as that reported in the USA.There was a statistically significant relationship between the occurrence of asymptomatic enlargement of the parotid glands and the occurrence of angular cheilosis in the same individuals. Other forms of oral disease were observed infrequently.Water samples from the survey area were assayed for fluorides and were shown to contain fluoride levels below that considered to give protection against dental caries.

  5. A survey of health-fitness evaluation centers.

    PubMed Central

    Maud, P J; Longmuir, G E

    1983-01-01

    Twenty-three medically oriented private health-fitness evaluation centers in the United States were surveyed to determine the types of tests available, protocols used, the availability of exercise prescriptions, qualifications of employees, and facility use. All centers administered an electrocardiogram exercise tolerance test, but great variability existed with regard to the number and type of other tests given and services available. Questions in the survey explored the availability of cardiovascular, pulmonary function, musculoskeletal, body composition, and lifestyle evaluations. Some centers were restricted to testing solely for cardiovascular function, while others were complete wellness centers. The centers had a range of 8 to 325 patrons per month, and in general, they tested more men than women. PMID:6828634

  6. Survey of Ambient Air Pollution Health Risk Assessment Tools.

    PubMed

    Anenberg, Susan C; Belova, Anna; Brandt, Jørgen; Fann, Neal; Greco, Sue; Guttikunda, Sarath; Heroux, Marie-Eve; Hurley, Fintan; Krzyzanowski, Michal; Medina, Sylvia; Miller, Brian; Pandey, Kiran; Roos, Joachim; Van Dingenen, Rita

    2016-09-01

    Designing air quality policies that improve public health can benefit from information about air pollution health risks and impacts, which include respiratory and cardiovascular diseases and premature death. Several computer-based tools help automate air pollution health impact assessments and are being used for a variety of contexts. Expanding information gathered for a May 2014 World Health Organization expert meeting, we survey 12 multinational air pollution health impact assessment tools, categorize them according to key technical and operational characteristics, and identify limitations and challenges. Key characteristics include spatial resolution, pollutants and health effect outcomes evaluated, and method for characterizing population exposure, as well as tool format, accessibility, complexity, and degree of peer review and application in policy contexts. While many of the tools use common data sources for concentration-response associations, population, and baseline mortality rates, they vary in the exposure information source, format, and degree of technical complexity. We find that there is an important tradeoff between technical refinement and accessibility for a broad range of applications. Analysts should apply tools that provide the appropriate geographic scope, resolution, and maximum degree of technical rigor for the intended assessment, within resources constraints. A systematic intercomparison of the tools' inputs, assumptions, calculations, and results would be helpful to determine the appropriateness of each for different types of assessment. Future work would benefit from accounting for multiple uncertainty sources and integrating ambient air pollution health impact assessment tools with those addressing other related health risks (e.g., smoking, indoor pollution, climate change, vehicle accidents, physical activity). © 2016 Society for Risk Analysis.

  7. The health information national trends survey: research from the baseline.

    PubMed

    Hesse, Bradford W; Moser, Richard P; Rutten, Lila J Finney; Kreps, Gary L

    2006-01-01

    The decades surrounding the turn of the millennium will be remembered as a time of extraordinary opportunity in cancer communication. In 1990, the number of age-adjusted deaths due to cancer in the U.S. population began a slow steady decline after a century of disparaging increase. Reasons for this decline have been attributed to long-awaited successes in primary prevention, especially related to tobacco, and early detection for cervical, breast, prostate, and colorectal cancers, as well as advances in treatment. This was also a time of unparalleled change in the cancer communication environment. Scientific health discoveries escalated with the completion of the Human Genome project in 2003, and penetration of the Internet made health information available directly to consumers. To seize the opportunity afforded by these changes, the National Cancer Institute (NCI) launched the Health Information National Trends Survey (HINTS). Fielded for the first time in 2003, the HINTS is a nationally representative, general population survey of noninstitutionalized adults in the United States 18 years and older. This supplement contains a compilation of original research conducted using the data generated by the first administration of the HINTS telephone interviews. Covering topics in cancer knowledge, cancer cognition, risk perception, and information seeking, the articles represent an interdisciplinary view of cancer communication at the turn of the millennium and offer insight into the road ahead.

  8. The China Health and Nutrition Survey, 1989-2011.

    PubMed

    Zhang, B; Zhai, F Y; Du, S F; Popkin, B M

    2014-01-01

    The China Health and Nutrition Survey (CHNS) began in 1989 with the goal of creating a multilevel method of data collection from individuals and households and their communities to understand how the wide-ranging social and economic changes in China affect a wide array of nutrition and health-related outcomes. Initiated with a partial sample in 1989, the full survey runs from 1991 to 2011, and this issue documents the CHNS history. The CHNS cohort includes new household formation and replacement communities and households; all household members are studied. Furthermore, in-depth community data are collected. The sample began with eight provinces and added a ninth, Heilongjiang, in 1997 and three autonomous cities, Beijing, Shanghai, and Chongqing, in 2011. The in-depth community contextual measures have allowed us to create a unique measure of urbanicity that captures major dimensions of modernization across all 288 communities currently in the CHNS sample. The standardized, validated urbanicity measure captures the changes in 12 dimensions: population density; economic activity; traditional markets; modern markets; transportation infrastructure; sanitation; communications; housing; education; diversity; health infrastructure; and social services. Each is based on numerous measures applicable to each dimension. They are used jointly and separately in hundreds of studies.

  9. International survey of occupational health nurses' roles in multidisciplinary teamwork in occupational health services.

    PubMed

    Rogers, Bonnie; Kono, Keiko; Marziale, Maria Helena Palucci; Peurala, Marjatta; Radford, Jennifer; Staun, Julie

    2014-07-01

    Access to occupational health services for primary prevention and control of work-related injuries and illnesses by the global workforce is limited (World Health Organization [WHO], 2013). From the WHO survey of 121 (61%) participating countries, only one-third of the responding countries provided occupational health services to more than 30% of their workers (2013). How services are provided in these countries is dependent on legal requirements and regulations, population, workforce characteristics, and culture, as well as an understanding of the impact of workplace hazards and worker health needs. Around the world, many occupational health services are provided by occupational health nurses independently or in collaboration with other disciplines' professionals. These services may be health protection, health promotion, or both, and are designed to reduce health risks, support productivity, improve workers' quality of life, and be cost-effective. Rantanen (2004) stated that basic occupational health services must increase rather than decline, especially as work becomes more complex; workforces become more dynamic and mobile, creating new models of work-places; and jobs become more precarious and temporary. To better understand occupational health services provided by occupational health nurses globally and how decisions are made to provide these services, this study examined the scope of services provided by a sample of participating occupational health nurses from various countries. Copyright 2014, SLACK Incorporated.

  10. A score for measuring health risk perception in environmental surveys.

    PubMed

    Marcon, Alessandro; Nguyen, Giang; Rava, Marta; Braggion, Marco; Grassi, Mario; Zanolin, Maria Elisabetta

    2015-09-15

    In environmental surveys, risk perception may be a source of bias when information on health outcomes is reported using questionnaires. Using the data from a survey carried out in the largest chipboard industrial district in Italy (Viadana, Mantova), we devised a score of health risk perception and described its determinants in an adult population. In 2006, 3697 parents of children were administered a questionnaire that included ratings on 7 environmental issues. Items dimensionality was studied by factor analysis. After testing equidistance across response options by homogeneity analysis, a risk perception score was devised by summing up item ratings. Factor analysis identified one latent factor, which we interpreted as health risk perception, that explained 65.4% of the variance of five items retained after scaling. The scale (range 0-10, mean ± SD 9.3 ± 1.9) had a good internal consistency (Cronbach's alpha 0.87). Most subjects (80.6%) expressed maximum risk perception (score = 10). Italian mothers showed significantly higher risk perception than foreign fathers. Risk perception was higher for parents of young children, and for older parents with a higher education, than for their counterparts. Actual distance to major roads was not associated with the score, while self-reported intense traffic and frequent air refreshing at home predicted higher risk perception. When investigating health effects of environmental hazards using questionnaires, care should be taken to reduce the possibility of awareness bias at the stage of study planning and data analysis. Including appropriate items in study questionnaires can be useful to derive a measure of health risk perception, which can help to identify confounding of association estimates by risk perception. Copyright © 2015 Elsevier B.V. All rights reserved.

  11. Mail Survey Return Rates Published in Health Education Journals: An Issue of External Validity

    ERIC Educational Resources Information Center

    Price, James H.; Murnan, Judy; Dake, Joseph A.; Dimmig, Jaime; Hayes, Mary

    2004-01-01

    This study assessed mail survey return rates published in seven general health education journals for the 13-year period, 1990-2002: "American Journal of Health Behavior," "American Journal of Health Education," "American Journal of Health Promotion," "Health Education & Behavior," "Health Education Research," "Journal of American College Health,"…

  12. Imbalances in the health labour force: an assessment using data from three national health facility surveys.

    PubMed

    Barden-O'Fallon, Janine; Angeles, Gustavo; Tsui, Amy

    2006-03-01

    Accurate knowledge of the characteristics of the health labour force that can affect health care production is of critical importance to health planners and policymakers. This study uses health facility survey data to examine characteristics of the primary health care labour force in Nicaragua, Tanzania and Bangladesh. The characteristics examined are those that are likely to affect service provision, including urban/rural distribution, demographic characteristics, and experience and in-service training, for three types of providers (physicians, nurses and auxiliary nurses). The profiles suggest a pattern of urban/rural imbalances in Nicaragua and Tanzania. The Bangladesh facility survey did not include hospitals, thereby making concrete conclusions on the supply and distribution of providers difficult to make. Multivariate logistic regressions are used to assess the relationship between the urban/rural placement of providers by health need, population demand and facility characteristics. Health need, as measured by child mortality rates, does not have a significant association with the placement of providers in either country, unlike population size and annual growth rates. The mean number of years providers have worked at a facility is significantly associated with a decreased likelihood of rural placement for the three types of providers in Nicaragua. The mean age and percentage of female providers at each facility has a negative association with the placement of rural providers in Tanzania. The use of health facility data to profile the health care labour force is also discussed.

  13. Private Health Care Coverage in the Brazilian population, according to the 2013 Brazilian National Health Survey.

    PubMed

    Malta, Deborah Carvalho; Stopa, Sheila Rizzato; Pereira, Cimar Azeredo; Szwarcwald, Célia Landmann; Oliveira, Martha; Reis, Arthur Chioro Dos

    2017-01-01

    This study aims to present the percentages of the Brazilian population holding health insurance plans, itemized by social-demographic characteristics, based on the data of the National Health Survey carried out in 2013, and to compare this information with the administrative data of the National Supplementary Health Agency for the same year. Data from the National Health Survey, and from the Beneficiaries Information System of the National Health Agency for the year 2013, were used. The percentage of people having a health plan was described according to stratification for: all of Brazil, urban/rural, Brazilian official Regions, Brazilian States and state capitals, gender, age group, level of schooling, position in the workforce, ethnic classification, and self-assessed state of health. Results include the following: The percentage of people saying they had some health plan in Brazil was 27.9% (CI 95%: 27.1-28.8). A significant difference was found relating to level of schooling - the percentage being highest for those who stated they had complete secondary education (68.8% CI 95%: 67.2-70.4) and for those who said they were currently in work (32.5% CI 95%: 31.5-33.5). The increase in health plan coverage in the Brazilian population reflects the improvement of the suply of employment and the growth in the country's economy.

  14. Workplace Violence in Mental Health: A Victorian Mental Health Workforce Survey.

    PubMed

    Tonso, Michael A; Prematunga, Roshani Kanchana; Norris, Stephen J; Williams, Lloyd; Sands, Natisha; Elsom, Stephen J

    2016-10-01

    The international literature suggests workplace violence in mental health settings is a significant issue, yet little is known about the frequency, nature, severity and health consequences of staff exposure to violence in Australian mental health services. To address this gap, we examined these aspects of workplace violence as reported by mental health services employees in Victoria, Australia. The project used a cross-sectional, exploratory descriptive design. A random sample of 1600 Health and Community Services Union members were invited to complete a survey investigating exposure to violence in the workplace, and related psychological health outcomes. Participants comprised employees from multiple disciplines including nursing, social work, occupational therapy, psychology and administration staff. A total of 411 members responded to the survey (26% response rate). Of the total sample, 83% reported exposure to at least one form of violence in the previous 12 months. The most frequently reported form of violence was verbal abuse (80%) followed by physical violence (34%) and then bullying/mobbing (30%). Almost one in three victims of violence (33%) rated themselves as being in psychological distress, 54% of whom reported being in severe psychological distress. The more forms of violence to which victims were exposed, the greater the frequency of reports of psychological distress. Workplace violence is prevalent in mental health facilities in Victoria. The nature, severity and health impact of this violence represents a serious safety concern for mental health employees. Strategies must be considered and implemented by healthcare management and policy makers to reduce and prevent violence.

  15. Adjusting for nonresponse bias in a health examination survey.

    PubMed Central

    Rowland, M L; Forthofer, R N

    1993-01-01

    There is a potential for nonresponse bias in most population studies using health examinations. This is true of the Mexican American portion of the Hispanic Health and Nutrition Examination Survey (HHANES), conducted by the National Center for Health Statistics, in which unit nonresponse to the examination accounted for 24 percent of the sample. Even though the full effect of nonresponse can never be really known, ancillary information from the interview sample can be used in an attempt to adjust for bias in estimates. Two techniques for nonresponse bias adjustment are presented and illustrated using health status level and hypertension status from published studies based on the HHANES of 1982-84. The first approach uses conditional probabilities and the second approach uses direct standardization. The examples examine whether or not an adjustment for socioeconomic status, sex, and age--variables related to both response status and the conditions under study--changes the prevalence estimates of (a) Mexican Americans who report poor, fair, or good health status and (b) hypertension among Mexican Americans. PMID:8497577

  16. Perspectives on global health amongst obstetrician gynecologists: A national survey.

    PubMed

    Easter, Sarah Rae; Raglan, Greta B; Little, Sarah E; Schulkin, Jay; Robinson, Julian N

    2016-08-25

    To characterize contemporary attitudes toward global health amongst board-certified obstetricians-gynecologists (Ob-Gyns) in the US. A questionnaire was mailed to members of the American College of Obstetricians and Gynecologists. Respondents were stratified by interest and experience in global health and group differences were reported. A total of 202 of 400 (50.5%) surveys were completed; and 67.3% (n = 136) of respondents expressed an interest in global health while 25.2% (n = 51) had experience providing healthcare abroad. Personal safety was the primary concern of respondents (88 of 185, 47.6%), with 44.5% (57 of 128) identifying 2 weeks as an optimal period of time to spend abroad. The majority (113 of 186, 60.8%) cited hosting of local physicians in the US as the most valuable service to developing a nation's healthcare provision. Despite high interest in global health, willingness to spend significant time abroad was limited. Concerns surrounding personal safety dovetailed with the belief that training local physicians in the US provides the most valuable service to international efforts. These attitudes and concerns suggest novel solutions will be required to increase involvement of Ob-Gyns in global women's health. © The Author(s) 2016.

  17. Smart Health – Potential and Pathways: A Survey

    NASA Astrophysics Data System (ADS)

    Arulananthan, C.; Hanifa, Sabibullah Mohamed

    2017-08-01

    Healthcare is an imperative key field of research, where individuals or groups can be engaged in the self-tracking of any kind of biological, physical, behavioral, or environmental information. In a massive health care data, the valuable information is hidden. The quantity of the available unstructured data has been expanding on an exponential scale. The newly developing Disruptive Technologies can handle many challenges that face data analysis and ability to extract valuable information via data analytics. Connected Wellness in Healthcare would retrieve patient’s physiological, pathological and behavioral parameters through sensors to perform inner workings of human body analysis. Disruptive technologies can take us from a reactive illness-driven to a proactive wellness-driven system in health care. It is need to be strive and create a smart health system towards wellness-driven instead of being illness-driven, today’s biggest problem in health care. Wellness-driven-analytics application help to promote healthiest living environment called “Smart Health”, deliver empower based quality of living. The contributions of this survey reveals and opens (touches uncovered areas) the possible doors in the line of research on smart health and its computing technologies.

  18. Health and morbidity survey, Seychelles, 1956-57

    PubMed Central

    Spitz, A. J. W.

    1960-01-01

    Adequate knowledge of existing health and morbidity conditions is the basis for all planning of future health services. For this reason, a health and morbidity survey of the population of the Seychelles was carried out in 1956-57 under the joint auspices of the Seychelles Government and the World Health Organization. Statistical sampling methods were used and the information was obtained by the household interview method. Health, morbidity and relevant demographic data were thus disclosed for the first time for Seychelles. Basic information was obtained on: general morbidity of the population, including dental and nutritional status, malnutrition, incidence of intestinal diseases and other easily diagnosable conditions; growth and weight curves of children up to the age of 16; haemoglobin levels; erythrocyte sedimentation rates; general living conditions such as housing and overcrowding, social status and latrine arrangements; the connexion of soil pollution with the incidence of amoebiasis and helminthiasis; and lastly, the incidence of the sickle cell trait, eosinophilia and positive serological reactions to the Chediak test (for manifest or latent syphilis). The findings are presented with a minimum of remarks and interpretation. PMID:13833401

  19. Posttraumatic stress disorder in the World Mental Health Surveys.

    PubMed

    Koenen, K C; Ratanatharathorn, A; Ng, L; McLaughlin, K A; Bromet, E J; Stein, D J; Karam, E G; Meron Ruscio, A; Benjet, C; Scott, K; Atwoli, L; Petukhova, M; Lim, C C W; Aguilar-Gaxiola, S; Al-Hamzawi, A; Alonso, J; Bunting, B; Ciutan, M; de Girolamo, G; Degenhardt, L; Gureje, O; Haro, J M; Huang, Y; Kawakami, N; Lee, S; Navarro-Mateu, F; Pennell, B-E; Piazza, M; Sampson, N; Ten Have, M; Torres, Y; Viana, M C; Williams, D; Xavier, M; Kessler, R C

    2017-10-01

    Traumatic events are common globally; however, comprehensive population-based cross-national data on the epidemiology of posttraumatic stress disorder (PTSD), the paradigmatic trauma-related mental disorder, are lacking. Data were analyzed from 26 population surveys in the World Health Organization World Mental Health Surveys. A total of 71 083 respondents ages 18+ participated. The Composite International Diagnostic Interview assessed exposure to traumatic events as well as 30-day, 12-month, and lifetime PTSD. Respondents were also assessed for treatment in the 12 months preceding the survey. Age of onset distributions were examined by country income level. Associations of PTSD were examined with country income, world region, and respondent demographics. The cross-national lifetime prevalence of PTSD was 3.9% in the total sample and 5.6% among the trauma exposed. Half of respondents with PTSD reported persistent symptoms. Treatment seeking in high-income countries (53.5%) was roughly double that in low-lower middle income (22.8%) and upper-middle income (28.7%) countries. Social disadvantage, including younger age, female sex, being unmarried, being less educated, having lower household income, and being unemployed, was associated with increased risk of lifetime PTSD among the trauma exposed. PTSD is prevalent cross-nationally, with half of all global cases being persistent. Only half of those with severe PTSD report receiving any treatment and only a minority receive specialty mental health care. Striking disparities in PTSD treatment exist by country income level. Increasing access to effective treatment, especially in low- and middle-income countries, remains critical for reducing the population burden of PTSD.

  20. Transfer of information from personal health records: a survey of veterans using My HealtheVet.

    PubMed

    Turvey, Carolyn L; Zulman, Donna M; Nazi, Kim M; Wakefield, Bonnie J; Woods, Susan S; Hogan, Timothy P; Weaver, Frances M; McInnes, Keith

    2012-03-01

    Personal health records provide patients with ownership of their health information and allow them to share information with multiple healthcare providers. However, the usefulness of these records relies on patients understanding and using their records appropriately. My HealtheVet is a Web-based patient portal containing a personal health record administered by the Veterans Health Administration. The goal of this study was to explore veterans' interest and use of My HealtheVet to transfer and share information as well as to identify opportunities to increase veteran use of the My HealtheVet functions. Two waves of data were collected in 2010 through an American Customer Satisfaction Index Web-based survey. A random sample of veterans using My HealtheVet was invited to participate in the survey conducted on the My HealtheVet portal through a Web-based pop-up browser window. Wave One results (n=25,898) found that 41% of veterans reported printing information, 21% reported saving information electronically, and only 4% ever sent information from My HealtheVet to another person. In Wave Two (n=18,471), 30% reported self-entering medication information, with 18% sharing this information with their Veterans Affairs (VA) provider and 9.6% sharing with their non-VA provider. Although veterans are transferring important medical information from their personal health records, increased education and awareness are needed to increase use. Personal health records have the potential to improve continuity of care. However, more research is needed on both the barriers to adoption as well as the actual impact on patient health outcomes and well-being.

  1. Advantages and limitations of web-based surveys: evidence from a child mental health survey.

    PubMed

    Heiervang, Einar; Goodman, Robert

    2011-01-01

    Web-based surveys may have advantages related to the speed and cost of data collection as well as data quality. However, they may be biased by low and selective participation. We predicted that such biases would distort point-estimates such as average symptom level or prevalence but not patterns of associations with putative risk-factors. A structured psychiatric interview was administered to parents in two successive surveys of child mental health. In 2003, parents were interviewed face-to-face, whereas in 2006 they completed the interview online. In both surveys, interviews were preceded by paper questionnaires covering child and family characteristics. The rate of parents logging onto the web site was comparable to the response rate for face-to-face interviews, but the rate of full response (completing all sections of the interview) was much lower for web-based interviews. Full response was less frequent for non-traditional families, immigrant parents, and less educated parents. Participation bias affected point estimates of psychopathology but had little effect on associations with putative risk factors. The time and cost of full web-based interviews was only a quarter of that for face-to-face interviews. Web-based surveys may be performed faster and at lower cost than more traditional approaches with personal interviews. Selective participation seems a particular threat to point estimates of psychopathology, while patterns of associations are more robust.

  2. Social Media in Health Science Education: An International Survey

    PubMed Central

    Cutts, Emily; Kavikondala, Sushma; Salcedo, Alejandra; D'Souza, Karan; Hernandez-Torre, Martin; Anderson, Claire; Tiwari, Agnes; Ho, Kendall; Last, Jason

    2017-01-01

    Background Social media is an asset that higher education students can use for an array of purposes. Studies have shown the merits of social media use in educational settings; however, its adoption in health science education has been slow, and the contributing reasons remain unclear. Objective This multidisciplinary study aimed to examine health science students’ opinions on the use of social media in health science education and identify factors that may discourage its use. Methods Data were collected from the Universitas 21 “Use of social media in health education” survey, distributed electronically among the health science staff and students from 8 universities in 7 countries. The 1640 student respondents were grouped as users or nonusers based on their reported frequency of social media use in their education. Results Of the 1640 respondents, 1343 (81.89%) use social media in their education. Only 462 of the 1320 (35.00%) respondents have received specific social media training, and of those who have not, the majority (64.9%, 608/936) would like the opportunity. Users and nonusers reported the same 3 factors as the top barriers to their use of social media: uncertainty on policies, concerns about professionalism, and lack of support from the department. Nonusers reported all the barriers more frequently and almost half of nonusers reported not knowing how to incorporate social media into their learning. Among users, more than one fifth (20.5%, 50/243) of students who use social media “almost always” reported sharing clinical images without explicit permission. Conclusions Our global, interdisciplinary study demonstrates that a significant number of students across all health science disciplines self-reported sharing clinical images inappropriately, and thus request the need for policies and training specific to social media use in health science education. PMID:28052842

  3. Social Media in Health Science Education: An International Survey.

    PubMed

    O'Sullivan, Elizabeth; Cutts, Emily; Kavikondala, Sushma; Salcedo, Alejandra; D'Souza, Karan; Hernandez-Torre, Martin; Anderson, Claire; Tiwari, Agnes; Ho, Kendall; Last, Jason

    2017-01-04

    Social media is an asset that higher education students can use for an array of purposes. Studies have shown the merits of social media use in educational settings; however, its adoption in health science education has been slow, and the contributing reasons remain unclear. This multidisciplinary study aimed to examine health science students' opinions on the use of social media in health science education and identify factors that may discourage its use. Data were collected from the Universitas 21 "Use of social media in health education" survey, distributed electronically among the health science staff and students from 8 universities in 7 countries. The 1640 student respondents were grouped as users or nonusers based on their reported frequency of social media use in their education. Of the 1640 respondents, 1343 (81.89%) use social media in their education. Only 462 of the 1320 (35.00%) respondents have received specific social media training, and of those who have not, the majority (64.9%, 608/936) would like the opportunity. Users and nonusers reported the same 3 factors as the top barriers to their use of social media: uncertainty on policies, concerns about professionalism, and lack of support from the department. Nonusers reported all the barriers more frequently and almost half of nonusers reported not knowing how to incorporate social media into their learning. Among users, more than one fifth (20.5%, 50/243) of students who use social media "almost always" reported sharing clinical images without explicit permission. Our global, interdisciplinary study demonstrates that a significant number of students across all health science disciplines self-reported sharing clinical images inappropriately, and thus request the need for policies and training specific to social media use in health science education.

  4. Health Status of Children: A Review of Surveys, 1963-1972.

    ERIC Educational Resources Information Center

    Chabot, Marion Johnson; And Others

    This overview of health and illness among children and youth in the United States is based on national studies conducted between 1963 and 1972. Major sources of data were four on-going surveys of health conducted by the National Center for Health Statistics (DHEW): (1) the health interview survey relies on household interviews for information on…

  5. Nicaragua 1998: results from the Demographic and Health Survey.

    PubMed

    2000-06-01

    This article presents summary statistics gathered from the 1998 Nicaragua Demographic and Health Survey (Encuesta Nicaraguense de Demografia y Salud 1998, ENDESA-98). Data from the nationally representative ENDESA-98 were collected from 11,528 households. Interviews were conducted with 13,634 women aged 15-49 years and 2912 men aged 15-59 years between December 1, 1997, and May 31, 1998. The statistics presented were on fertility trends, fertility differentials, age-specific fertility, fertility preferences, current contraceptive use, contraception, marital and contraceptive status, differentials in median age at first birth, postpartum variables, and infant mortality. In addition, statistical data on the health and nutritional status of children were also presented.

  6. A Survey of Current Rotorcraft Propulsion Health Monitoring Technologies

    NASA Technical Reports Server (NTRS)

    Delgado, Irebert R.; Dempsey, Paula J.; Simon, Donald L.

    2012-01-01

    A brief review is presented on the state-of-the-art in rotorcraft engine health monitoring technologies including summaries on current practices in the area of sensors, data acquisition, monitoring and analysis. Also, presented are guidelines for verification and validation of Health Usage Monitoring System (HUMS) and specifically for maintenance credits to extend part life. Finally, a number of new efforts in HUMS are summarized as well as lessons learned and future challenges. In particular, gaps are identified to supporting maintenance credits to extend rotorcraft engine part life. A number of data sources were consulted and include results from a survey from the HUMS community, Society of Automotive Engineers (SAE) documents, American Helicopter Society (AHS) papers, as well as references from Defence Science & Technology Organization (DSTO), Civil Aviation Authority (CAA), and Federal Aviation Administration (FAA).

  7. A telephone survey of factors affecting willingness to participate in health research surveys.

    PubMed

    Glass, D C; Kelsall, H L; Slegers, C; Forbes, A B; Loff, B; Zion, D; Fritschi, L

    2015-10-05

    In recent years, reduced participation has been encountered across all epidemiological study designs, both in terms of non-response as well as refusal. A low response rate may reduce the statistical power but, more importantly, results may not be generalizable to the wider community. In a telephone survey of 1413 randomly selected members of the Australian general population and of 690 participants sourced from previous studies, we examined factors affecting people's stated willingness to participate in health research. The majority of participants (61 %) expressed willingness to participate in health research in general but the percentage increased when provided with more specific information about the research. People were more willing if they have personal experience of the disease under study, and if the study was funded by government or charity rather than pharmaceutical companies. Participants from previous studies, older people and women were the groups most willing to participate. Younger men preferred online surveys, older people a written questionnaire, and few participants in any age and sex groups preferred a telephone questionnaire. Despite a trend toward reduced participation rates, most participants expressed their willingness to participate in health research. However, when seeking participants, researchers should be concrete and specific about the nature of the research they want to carry out. The preferred method of recommended contact varies with the demographic characteristics.

  8. Gardening is beneficial for adult mental health: Scottish Health Survey, 2012-2013.

    PubMed

    Shiue, Ivy

    2016-07-01

    Gardening has been reported as being beneficial for mental well-being for vulnerable populations since 2000. However, little is known concerning its role in the general population. Therefore, the aim of the present study was to investigate the relationship of gardening and mental health in adults in a countrywide and population-based setting. Data was retrieved from and analysed in the Scottish Health Survey, 2012-2013. Information on demographics, lifestyle factors, gardening engagement, and adult mental health by General Health Questionnaire was obtained by household interview. Statistical analyses including chi-square test, t-test and survey-weighted logistic and multi-nominal regression modelling were performed. Of 9709 Scottish adults aged 16-99, 5 531 (57.0%) people did not do any gardening or building work in the last four weeks. A total of 888 (9.2%) people reported poor self-rated health. Gardening was associated with adult mental health in people both with or without heart conditions including ability to concentrate, feeling playing a useful part in things, feeling capable of making decisions, thinking of self as worthless, feeling reasonably happy, etc. General adults with or without heart conditions could benefit from engaging with gardening or building work. Future public health programmes promoting such activity should be encouraged in order to optimise adult mental health.

  9. Survey of research activity among multidisciplinary health professionals.

    PubMed

    Marshall, Andrea P; Roberts, Shelley; Baker, Mark J; Keijzers, Gerben; Young, Jessica; Stapelberg, N J Chris; Crilly, Julia

    2016-02-01

    Objective The aim of the present study was to describe the research activities being undertaken by health service employees within one Australian health service and explore their experiences with undertaking research.Methods The present mixed-methods study was conducted across one health service in Queensland, Australia, and included a cross-sectional online survey and interviews with healthcare service employees. The anonymous survey was a self-administered online questionnaire, distributed to all 6121 employees at the health service via email, asking about research activity and engagement. Willing participants were also interviewed on their perceptions and experiences with research and capacity building.Results In all, 151 participants responded to the survey and 22 participated in interviews. Three-quarters of respondents reported actively participating in research over the past 6 years and several research outputs, such as publications, conference presentations and competitive grant funding, were displayed. Four concepts emerged from interview findings, namely collaborative partnerships, skilled mentorship, embedding research and organisational support, which represented the overall theme 'opportunities for a research-infused health service'.Conclusion Employees of the health service recognised the importance of research and had a range of research skills, knowledge and experience. They also identified several opportunities for building research capacity in this service.What is known about the topic? Building research capacity among healthcare professionals is important for enabling the conduct of high-quality research in healthcare institutions. However, building research capacity is complex and influenced by the uniqueness of organisational context. In order to successfully build research capacity among employees at any health service, current research activity, skills and experience, as well as staff perceptions around building research capacity in that

  10. U.S. Army Health Services Command Inspector General Organizational Climate Survey

    DTIC Science & Technology

    1991-08-01

    SERVICES COMMAND INSPECTOR GENERAL ORGANIZATIONAL CLIMATE SURVEY A. David Mangelsdorff, Ph.D., M.P.H. U.S. Army Health Care Studies and Clinical... Climate Survey 5 ANNEX HSC Inspector General Organizational Climate Survey 6 U.S. ARMY HEALTH SERVICES COMMAND INSPECTOR GENERAL ORGANIZATIONAL CLIMATE SURVEY...10 Category Military 22 65 8 4 1 Civilian 1 11 5 4 13 Table 2 Mean Values of HQ HSC IG Organizational Climate Survey Rated Items Mil Civ Mil Civ Mil

  11. National Health and Nutrition Examination Survey: national youth fitness survey plan, operations, and analysis, 2012.

    PubMed

    Borrud, Lori; Chiappa, Michele M; Burt, Vicki L; Gahche, Jaime; Zipf, George; Johnson, Clifford L; Dohrmann, Sylvia M

    2014-04-01

    In October 2008, the federal government issued its first-ever Physical Activity Guidelines for Americans to provide science-based guidance on the types and amounts of physical activity that provide substantial health benefits for Americans (1). Guidelines for children and adolescents recommend 60 minutes or more of aerobic, muscle-strengthening, or bone-strengthening physical activity daily (1). While the number of children in the United States who meet the recommendations in the Physical Activity Guidelines is unknown, the percentage that is physically active in the United States may be declining. No recent national data exist on the fitness levels of children and adolescents. The National Health and Nutrition Examination Survey's (NHANES) National Youth Fitness Survey (NNYFS) was conducted in 2012 and collected data on physical activity and fitness levels for U.S. children and adolescents aged 3-15 years. The objective of NNYFS was to provide national-level estimates of the physical activity and fitness levels of children, based on interview and physical examination data. Results from the survey are intended to contribute to the development of policies and programs to improve youth fitness nationally. The data also may be used in the development of national reference standards for measures of fitness and physical activity. Methods The NNYFS survey design used the design for NHANES, which is a multistage probability sample of the civilian noninstitutionalized resident population of the United States. NNYFS consisted of a household interview and a physical activity and fitness examination in a mobile examination center. A total of 1,640 children and adolescents aged 3-15 were interviewed, and 1,576 were examined. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  12. Development and Preliminary Commissioning Results of a Long Pulse 140 GHz ECRH System on EAST Tokamak (Invited)

    NASA Astrophysics Data System (ADS)

    Xu, Handong; Wang, Xiaojie; Liu, Fukun; Zhang, Jian; Huang, Yiyun; Shan, Jiafang; Wu, Dajun; Hu, Huaichuan; Li, Bo; Li, Miaohui; Yang, Yong; Feng, Jianqiang; Xu, Weiye; Tang, Yunying; Wei, Wei; Xu, Liqing; Liu, Yong; Zhao, Hailin; Lohr, J.; A. Gorelov, Y.; P. Anderson, J.; Ma, Wendong; Wu, Zege; Wang, Jian; Zhang, Liyuan; Guo, Fei; Sun, Haozhang; Yan, Xinsheng; East Team

    2016-04-01

    A long pulse electron cyclotron resonance heating (ECRH) system has been developed to meet the requirements of steady-state operation for the EAST superconducting tokamak, and the first EC wave was successfully injected into plasma during the 2015 spring campaign. The system is mainly composed of four 140 GHz gyrotron systems, 4 ITER-Like transmission lines, 4 independent channel launchers and corresponding power supplies, a water cooling, control & inter-lock system etc. Each gyrotron is expected to deliver a maximum power of 1 MW and be operated at 100-1000 s pulse lengths. The No.1 and No.2 gyrotron systems have been installed. In the initial commissioning, a series of parameters of 1 MW 1 s, 900 kW 10 s, 800 kW 95 s and 650 kW 753 s have been demonstrated successfully on the No.1 gyrotron system based on calorimetric dummy load measurements. Significant plasma heating and MHD instability suppression effects were observed in EAST experiments. In addition, high confinement (H-mode) discharges triggered by ECRH were obtained. supported by the National Magnetic Confinement Fusion Science Program of China (Nos. 2011GB102000, 2012GB103000 and 2015GB103000)

  13. H-mode characterisation for dominant ECRH and comparison to dominant NBI or ICRF heating at ASDEX Upgrade

    SciTech Connect

    Sommer, F.; Stober, J.; Angioni, C.; Fable, E.; Bernert, M.; Burckhart,; Bobkov, V.; Fischer, R.; Fuchs, C.; McDermott, R. M.; Suttrop, W.; Viezzer, E.; Collaboration: ASDEX Upgrade Team

    2014-02-12

    At ASDEX Upgrade the ECRH system has been upgraded to provide up to 4 MW of heating power at 140 GHz (or 2.2 MW at 105 GHz). The power at 140 GHz exceeds the minimum H-mode power threshold for typical high I{sub p}, B{sub t} conditions by approximately a factor of two. The upgrade allows H-modes with dominant electron heating and significant electron-ion heat exchange to be studied, i.e. the situation expected in ITER. This paper reports on systematic studies varying the heating mix with NBI, ICRF and ECRH and its effect on pedestal parameters and core transport. The H-mode pedestal is hardly affected by the choice of heating mix, but the ion temperature in the plasma center is found to vary significantly. The ion channel dominates heat transport and ion temperature gradient modes (ITG) are found to be the most unstable microinstability in all the scenarios considered. R/L{sub Ti} at half radius reduces by a factor of two when T{sub e}/T{sub i} increases from 0.9 to 1.5. TGLF modelling of the electron and ion temperature and electron density profiles shows very good agreement with the experimental data when applying a realistic sawtooth model.

  14. Correlates of consumer trust in online health information: findings from the health information national trends survey.

    PubMed

    Ye, Yinjiao

    2011-01-01

    The past few decades have witnessed a dramatic increase in consumers seeking health information online. However, the quality of such information remains questionable, and the trustworthiness of online health information has become a hot topic, whereas little attention has been paid to how consumers evaluate online health information credibility. This study builds on theoretical perspectives of trust such as personal-capital-based, social-capital-based, and transfer-based, and it examines various correlates of consumer trust in online health information. The author analyzed the 2007 Health Information National Trends Survey data (N = 7,674). Results showed that consumer trust in online health information did not correlate with personal capital such as income, education, and health status. Social capital indicated by visiting social networking Web sites was not associated with trust in online health information either. Nevertheless, trust in online health information transferred from traditional mass media and government health agencies to the Internet, and it varied by such information features as easiness to locate and to understand. Age appeared to be a key factor in understanding the correlates of trust in online health information. Theoretical and empirical implications of the results are discussed.

  15. Lessons from the 2006 Louisiana health and population survey.

    PubMed

    Stone, Gregory S; Henderson, Alden K; Davis, Stephanie I; Lewin, Michael; Shimizu, Iris; Krishnamurthy, Ramesh; Bisgard, Kris; Lee, Robin; Jumaan, Aisha; Marziale, Erin; Bryant, Miranda; Williams, Clayton; Mason, Karen; Sirois, Maria; Hori, Makiko; Chapman, Jonathan; Bowman, David J

    2012-04-01

    The 2005 hurricane season caused extensive damage and induced a mass migration of approximately 1.1 million people from southern Louisiana in the United States. Current and accurate estimates of population size and demographics and an assessment of the critical needs for public services were required to guide recovery efforts. Since forecasts using pre-hurricane data may produce inaccurate estimates of the post-hurricane population, a household survey in 18 hurricane-affected parishes was conducted to provide timely and credible information on the size of these populations, their demographics and their condition. This paper describes the methods used, the challenges encountered, and the key factors for successful implementation. This post-disaster survey was unique because it identified the needs of the people in the affected parishes and quantified the number of people with these needs. Consequently, this survey established new population and health indicator baselines that otherwise would have not been available to guide the relief and recovery efforts in southern Louisiana. © 2012 The Author(s). Disasters © Overseas Development Institute, 2012.

  16. Characteristics of effective health and safety committees: survey results.

    PubMed

    Morse, Tim; Bracker, Anne; Warren, Nicholas; Goyzueta, Jeanette; Cook, Matthew

    2013-02-01

    Although perhaps the most common worker-management structure, there has been surprisingly little research on describing and evaluating the characteristics of health and safety committees. A survey of 380 health and safety committee members from 176 manufacturing workplaces was supplemented with administrative data and compared with reported workers' compensation rates. Survey respondents also reported perceptions of overall safety, committee, effectiveness, committee activities, and "best practices." Extensive descriptive data is presented, including a mean of 8.7 members per committee spending 1,167 hr per year on committee business for an estimate of $40,500 worth of time per committee. Higher speed to correct action items, a focus on ergonomics, and planning for safety training was associated with lower injury rates. The discrepancy between managers and hourly committee members in estimating overall safety was strongly positively associated with injury rates. Communications and worker involvement may be important to address discrepancy issues. Prospective studies are needed to distinguish directionality of associations. Copyright © 2012 Wiley Periodicals, Inc.

  17. USE OF ORTHODONTIC TREATMENT NEEDS INDICES FOR ORAL HEALTH SURVEY

    PubMed Central

    Nakas, Enita; Tiro, Alisa; Vrazalica, Lejla Redzepagic; Hadzihasanovic, Dzana; Dzemidzic, Vildana

    2016-01-01

    Aim: The aim of our study is to compare incidence of orthodontic malocclusion based on occlusal indices and Index of Orthodontic Treatment Need (IOTN), and to evaluate the most commonly used method among the dentists for orthodontic treatment in Sarajevo. Material and Methods: The sample consisted of 110 (31 female and 79 male)subjects older than 16 years with complete permanent dentition. Subjects were examined according to Occlusal Index (Angle classification of malocclusion, overjet, overbite, dental arch crowding and tooth rotation) and IOTN index. We conduct survey regarding which indexes are used in deciding on orthodontic treatment need, among primary health care and Orthodontist. Results: The present study show differences between the presence of malocclusion and treatment need as assessed by these two used indices. Based on the survey that we conduct all primary health care doctors use Occlusal Index to decide need for orthodontic treatment, more than 95% of orthodontic specialist use Occlusal Index for treatment need estimation. Conclusion: When measuring and grading treatment needs we should rely on Index of orthodontic treatment need. In such high demand for orthodontic treatment need it is necessary to establish need for the orthodontic treatment as fundamental, so that individuals with greatest treatment need can be assigned priority. PMID:27147922

  18. General health in Timor-Leste: self-assessed health in a large household survey.

    PubMed

    Earnest, Jaya; Finger, Robert P

    2009-08-01

    Timor-Leste is one of the world's newest nations and became a democracy in 2002. Ranked 150 out of 177 in the 2007 UNDP Human Development Index, the country has the worst health indicators in the Asia-Pacific region. The objective of this study was to collect and analyse data on subjectively assessed general health, health service use, migration and mobility patterns. The data collection involved recording self-reported status of general health using a structured questionnaire. The survey was administered to 1,213 Timorese households in six districts using a multi-stage random cluster sampling procedure. Basic descriptive statistical analyses were performed on all variables with SPSS version 13. More than a quarter (27%) of respondents reported a health problem at the time of the survey. Only approximately half of respondents assessed their health to be good (53%) or average (38%). Barriers reported in the uptake of healthcare services were no felt needed; difficulty in accessing services and unavailability of service. Results reveal that Timor-Leste needs a more decentralised provision of healthcare through primary healthcare centres or integrated health services. Trained traditional healers, who are familiar with the difficult terrain and understand cultural contexts and barriers, can be used to improve uptake of public health services. An adult literacy and community health education program is needed to further improve the extremely poor health indicators in the country. Key lessons that emerged were the importance of understanding cultural mechanisms in areas of protracted conflict and the need for integrated health services in communities.

  19. Summary health statistics for the U.S. population: National Health Interview Survey, 1998.

    PubMed

    Blackwell, Debra L; Tonthat, Luong

    2002-10-01

    This report presents health statistics from the 1998 National Health Interview Survey (NHIS) for the civilian, noninstitutionalized population of the United States, classified by age, sex, race and Hispanic origin, poverty status, family income, education, place of residence, region of residence, and, where appropriate, health insurance coverage. The topics covered are health status and limitations of activity, injuries and poisonings, health care access and utilization, and health insurance coverage. The NHIS is a multistage probability sample survey conducted annually by interviewers of the U.S. Census Bureau for the National Center for Health Statistics, Centers for Disease Control and Prevention, and is representative of the civilian noninstitutionalized U.S. population. Data are collected during face-to-face interviews with adults present at the time of interview. Information about children and absent adults is obtained from an adult proxy respondent. Nearly 40% of Americans reported having excellent health in 1998, while almost 9% reported having either fair or poor health. Fifteen percent of the U.S. population did not have any health insurance coverage in 1998. Nineteen percent of non-Hispanic black persons and 33% of Hispanics were uninsured in 1998, as opposed to 11% of non-Hispanic white persons. Further, 46% of poor Hispanics and 44% of near-poor Hispanics under age 65 years were uninsured; percents of uninsurance among poor and near poor non-Hispanic white and black persons under age 65 years were much lower. Lastly, 80% of non-Hispanic white persons under age 65 years had private health insurance coverage, as opposed to 55% of non-Hispanic black persons and 49% of Hispanics in this same age category.

  20. Summary health statistics for the U.S. population: National Health Interview Survey, 1999.

    PubMed

    Blackwell, Debra L; Tonthat, Luong

    2003-08-01

    This report presents health statistics from the 1999 National Health Interview Survey (NHIS) for the civilian noninstitutionalized population of the United States, classified by age, sex, race and Hispanic origin, poverty status, family income, education, place of residence, region of residence, and, where appropriate, health insurance coverage. The topics covered are health status and limitations of activity, injuries and poisonings, health care access and utilization, and health insurance coverage. The NHIS is a multistage probability sample survey conducted annually by interviewers of the U.S. Census Bureau for the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC), and is representative of the civilian noninstitutionalized U.S. population. Data are collected during face-to-face interviews with adults present at the time of interview. Information about children and absent adults is obtained from an adult proxy respondent. Nearly 40% of Americans reported having excellent health in 1999, while almost 9% reported having either fair or poor health. Fourteen percent of the U.S. population did not have any health insurance coverage in 1999. Eighteen percent of single race non-Hispanic black persons and 32% of Hispanics were uninsured in 1999, compared with 11% of single race non-Hispanic white persons. Further, 47% of poor Hispanics and 43% of near poor Hispanics under age 65 years were uninsured; percents of uninsurance among poor and near poor single race non-Hispanic white and black persons under age 65 years were much lower. Eighty percent of single race non-Hispanic white persons under age 65 years had private health insurance coverage, compared with 57% of single race non-Hispanic blacks and 49% of Hispanics in this same age category.

  1. Defining Arthritis for Public Health Surveillance: Methods and Estimates in Four US Population Health Surveys.

    PubMed

    Murphy, Louise B; Cisternas, Miriam G; Greenlund, Kurt J; Giles, Wayne; Hannan, Casey; Helmick, Charles G

    2017-03-01

    To determine the variability of arthritis prevalence in 4 US population health surveys. We estimated annualized arthritis prevalence in 2011-2012, among adults age ≥20 years, using 2 definition methods, both based on self-report: 1) doctor-/health care provider-diagnosed arthritis in the Behavioral Risk Factor Surveillance Survey (BRFSS), National Health and Nutrition Examination Survey (NHANES), National Health Interview Survey (NHIS), and Medical Expenditure Panel Survey (MEPS); and 2) three arthritis definitions based on International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) criteria in MEPS (National Arthritis Data Workgroup on Arthritis and Other Rheumatic Conditions [NADW-AORC], Clinical Classifications Software [CCS], and Centers for Disease Control and Prevention [CDC]). Diagnosed arthritis prevalence percentages using the surveys were within 3 points of one another (BRFSS 26.2% [99% confidence interval (99% CI) 26.0-26.4], MEPS 26.1% [99% CI 25.0-27.2], NHIS 23.5% [99% CI 22.9-24.1], NHANES 23.0% [99% CI 19.2-26.8]), and those using ICD-9-CM were within 5 percentage points of one another (CCS 25.8% [99% CI 24.6-27.1]; CDC 28.3% [99% CI 27.0-29.6]; and NADW-AORC 30.7% [99% CI 29.4-32.1]). The variation in the estimated number (in millions) affected with diagnosed arthritis was 7.8 (BRFSS 58.5 [99% CI 58.1-59.1], MEPS 59.3 [99% CI 55.6-63.1], NHANES 51.5 [99% CI 37.2-65.5], and NHIS 52.6 [99% CI 50.9-54.4]), and using ICD-9-CM definitions it was 11.1 (CCS 58.7 [99% CI 54.5-62.9], CDC 64.3 [99% CI 59.9-68.6], and NADW 69.9 [99% CI 65.2-74.5]). Most (57-70%) reporting diagnosed arthritis also reported ICD-9-CM arthritis; respondents reporting diagnosed arthritis were older than those meeting ICD-9-CM definitions. Proxy response status affected arthritis prevalence differently across surveys. Public health practitioners and decision makers are frequently charged with choosing a single number to represent arthritis

  2. A comparison of the impact of central ECRH and central ICRH on the tungsten behaviour in ASDEX Upgrade H-mode plasmas

    NASA Astrophysics Data System (ADS)

    Angioni, C.; Sertoli, M.; Bilato, R.; Bobkov, V.; Loarte, A.; Ochoukov, R.; Odstrcil, T.; Pütterich, T.; Stober, J.; The ASDEX Upgrade Team

    2017-05-01

    A comparison of the impact of additional central electron cyclotron resonance heating (ECRH) and ion cyclotron resonance heating (ICRH) on the behaviour of the tungsten (W) density in the core of H-mode plasmas heated with neutral beam injection (NBI) is performed in ASDEX Upgrade. Both localized and broad profiles of the power density of the ECRH have been obtained, where broad profiles reproduce the profile shape of the ICRH power density, which is applied with a hydrogen minority heating scheme. In contrast to ECRH, which produces direct electron heating only, ICRH eventually heats both electrons and ions in almost equal fractions. It is found that both additional RF heating systems reduce the peaking of the W density profile with increasing central RF heating power. Approximately the same values of W density peaking are obtained when the same values of electron heating are produced by the two RF heating systems, which implies that less total heating power is required with ECRH than with ICRH to reduce the W density peaking. A related modelling activity shows that an important ingredient to explain the experimentally observed trend is the variation of the turbulent W diffusion as a function of the electron to ion heat flux ratio. Additional effects are connected with the more favorable W neoclassical transport convection in the presence of ICRH, produced by the combination of stronger central ion temperature gradients and the impact of the H minority on the W poloidal density asymmetry.

  3. Factors influencing the effectiveness of mailed health surveys.

    PubMed Central

    Gilbert, G H; Longmate, J; Branch, L G

    1992-01-01

    The authors investigated sources of bias in health surveys by examining responses to their 1989 questionnaire mailed to 1,255 Massachusetts men who were eligible for dental care provided by the Department of Veterans Affairs. After a maximum of three mailings and one telephone call to nonrespondents, a total of 1,049 veterans had responded out of 1,228 finally determined to be eligible, a response rate of 85 percent. The investigators found that small differences in univariate estimates would have occurred had the field phase been terminated after the first mailing, which had a response rate of 61 percent. To evaluate multivariate distributions, they duplicated their previously published logistic regression model for sources of dental care, using only those who responded to the first and second mailings. Although model fits would have been substantively the same had the field phase been terminated after the first or the second mailings, analysis of parameter estimates and their statistical significances suggested bias that would have led to different substantive conclusions, in some instances. Another potential source of bias in surveys was found to be item omission. Fifty-eight percent of respondents answered all 46 survey questions, and 90 percent answered at least 91 percent of the questions. Fewer questions were answered by those whose responses were received last, but trends regarding missing data by age or education were not statistically significant. Although the survey using this methodology met all objectives, subject nonresponses, the ineligibility of potential respondents, item nonresponses, and skewed distributions of outcome variables combined to reduce the statistical power to detect differences among groups or to alter the analysis of the differences.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:1410240

  4. Comparing two survey methods of measuring health-related indicators: Lot Quality Assurance Sampling and Demographic Health Surveys.

    PubMed

    Anoke, Sarah C; Mwai, Paul; Jeffery, Caroline; Valadez, Joseph J; Pagano, Marcello

    2015-12-01

    Two common methods used to measure indicators for health programme monitoring and evaluation are the demographic and health surveys (DHS) and lot quality assurance sampling (LQAS); each one has different strengths. We report on both methods when utilised in comparable situations. We compared 24 indicators in south-west Uganda, where data for prevalence estimations were collected independently for the two methods in 2011 (LQAS: n = 8876; DHS: n = 1200). Data were stratified (e.g. gender and age) resulting in 37 comparisons. We used a two-sample two-sided Z-test of proportions to compare both methods. The average difference between LQAS and DHS for 37 estimates was 0.062 (SD = 0.093; median = 0.039). The average difference among the 21 failures to reject equality of proportions was 0.010 (SD = 0.041; median = 0.009); among the 16 rejections, it was 0.130 (SD = 0.010, median = 0.118). Seven of the 16 rejections exhibited absolute differences of <0.10, which are clinically (or managerially) not significant; 5 had differences >0.10 and <0.20 (mean = 0.137, SD = 0.031) and four differences were >0.20 (mean = 0.261, SD = 0.083). There is 75.7% agreement across the two surveys. Both methods yield regional results, but only LQAS provides information at less granular levels (e.g. the district level) where managerial action is taken. The cost advantage and localisation make LQAS feasible to conduct more frequently, and provides the possibility for real-time health outcomes monitoring. © 2015 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

  5. [A health survey in the workers of municipality].

    PubMed

    Göktalay, Tuğba; Şakar Coşkun, Ayşın; Havlucu, Yavuz; Akdemir, Selim Erkan; Datlı, Utku; Gümeli, Filiz; Yorgancıoğlu, Arzu

    2013-01-01

    Internal and external air pollution that is gradually increasing due to urbanization and industrialization has a negative impact on the lung health. A health survey has been applied to evaluate the respiratory symptoms, respiration functions and smoking habbits of the workers of Izmir Konak Municipality whom have been reported to have a high rate of smoking habbit and be affected by the external air pollution due to their being working in the field by the Municipality's doctor. Questionnaire that are composed of the topics of work anamnesis, environmental anamnesis, curriculum vitae, symptoms (coughing, sputum, wheezing, dyspnea, hemoptysis) and smoking have been executed to 301 workers by face to face interview and their chest X-rays have been reviewed. Dyspnea on exertion, sputum in the morning, wheezing and morning cough have been the most frequently observed complaints (respectively 37.2%, 32.2%, 27.9% and 24.9%). Sanitary workers have reported sputum in the morning more while maintanance shop workers have reported wheezing more (p values respectively 0.009, 0.008). No significance has been observed while the workers are evaluated one by one regarding to their work groups. No significant difference was identified between the addiction of smoking and nicotin addiction or pulmonary function test and chest X-rays (p> 0.05) but active smoking was much more seen in drivers (p= 0.047). Although working on the hazardous work branch does not institute a sharp distinction, it becomes significant to trace and lead the workers in order to obtain their lung health protection in long term. Informing and influencing the workers about the harms of smoking and the ways to quit has been the most considerable acquisition of this survey.

  6. [Health, life style and living conditions in Greenland. The 1993-1994 Greenland health survey].

    PubMed

    Bjerregaard, P; Curtis, T; Senderovitz, F; Christensen, U; Pars, T

    1999-03-15

    Existing knowledge about the disease pattern in Greenland does not include the Greenlanders' own perception of their health. Consequently, the Greenland Home Rule Government initiated a countrywide health interview survey which was carried out during 1993-1994. A total of 1728 adults were interviewed and filled in a questionnaire. Self-rated health varied with age, gender and socioeconomic conditions. Only few of those bothered by symptoms had contacted the health care services. Musculoskeletal diseases were by far the most frequent cause of symptoms. Suicidal thoughts were frequent; 48% had experienced the suicide of a relative or friend. The life style is characterized by a high consumption of marine mammals and fish, a decreasing but still high alcohol consumption and an 80% prevalence of smoking among both men and women. The health care services are often staffed by Danish physicians and nurses. Occasionally this gives rise to communication problems and dissatisfaction.

  7. [Storytelling in Health Journalism: Online Survey of Health Journalists on Definition and Use].

    PubMed

    Heimes, S

    2016-12-01

    Background: Although health information is of great interest and plays an important role in almost all media, there are very few studies on the actual work of health journalists. Methods: A quantitative online survey with qualitative elements on the definition and use of storytelling in health journalism was carried out among members of various professional journalists' associations (n=86). Results: The results suggest that health journalists understand storytelling especially as a term used when an article has a dramatic construction, and the story is about real people. As reasons for using storytelling, health journalists primarily name the understandable and clear presentation of medical issues. They see better chances for identification and establishing a relationship to the readers' lives. Of particular importance seems to be that narrative elements do not distort the facts and protect the privacy rights of persons mentioned in case reports. © Georg Thieme Verlag KG Stuttgart · New York.

  8. Maternal autonomy and child health care utilization in India: results from the National Family Health Survey.

    PubMed

    Malhotra, Chetna; Malhotra, Rahul; Østbye, Truls; Subramanian, S V

    2014-07-01

    The objective of this study was to examine the association of maternal autonomy with preventive and curative child health care utilization in India. Data from the National Family Health Survey 2005-2006 were used to ascertain association of maternal autonomy (in 3 dimensions: decision making, access to financial resources, freedom of movement) with child's primary immunization status (indicative of preventive health care use) and treatment seeking for child's acute respiratory infection (indicative of curative health care use). Low maternal freedom of movement was associated with higher odds of incomplete primary immunization of the child and for not seeking treatment for the child's acute respiratory infection. Low maternal financial access was associated with increased odds for incomplete primary immunization of the child. The findings show that improvement in autonomy of Indian mothers, especially their freedom of movement, may help improve utilization of health care for their children. © 2012 APJPH.

  9. National databases and rheumatology research II: the National Health and Nutrition Examination Surveys.

    PubMed

    Sokka, Tuulikki; Krishnan, Eswar

    2004-11-01

    Three National Health and Nutrition Examination Surveys were conducted in the United States between 1971 and 1994 to provide data on the nutritional and health status of the population and on specific target conditions. This article describes features of the surveys and provides examples of research on musculoskeletal disorders that used the survey data.

  10. Health Status and Health Care Experiences among Homeless Patients in Federally Supported Health Centers: Findings from the 2009 Patient Survey

    PubMed Central

    Lebrun-Harris, Lydie A; Baggett, Travis P; Jenkins, Darlene M; Sripipatana, Alek; Sharma, Ravi; Hayashi, A Seiji; Daly, Charles A; Ngo-Metzger, Quyen

    2013-01-01

    Objective To examine health status and health care experiences of homeless patients in health centers and to compare them with their nonhomeless counterparts. Data Sources/Study Setting Nationally representative data from the 2009 Health Center Patient Survey. Study Design Cross-sectional analyses were limited to adults (n = 2,683). We compared sociodemographic characteristics, health conditions, access to health care, and utilization of services among homeless and nonhomeless patients. We also examined the independent effect of homelessness on health care access and utilization, as well as factors that influenced homeless patients' health care experiences. Data Collection Computer-assisted personal interviews were conducted with health center patients. Principal Findings Homeless patients had worse health status—lifetime burden of chronic conditions, mental health problems, and substance use problems—compared with housed respondents. In adjusted analyses, homeless patients had twice the odds as housed patients of having unmet medical care needs in the past year (OR = 1.98, 95 percent CI: 1.24–3.16) and twice the odds of having an ED visit in the past year (OR = 2.00, 95 percent CI: 1.37–2.92). Conclusions There is an ongoing need to focus on the health issues that disproportionately affect homeless populations. Among health center patients, homelessness is an independent risk factor for unmet medical needs and ED use. PMID:23134588

  11. Population Health Considerations for Pediatric Asthma: Findings from the 2011-2012 California Health Interview Survey.

    PubMed

    Shaikh, Ulfat; Byrd, Robert S

    2016-04-01

    Childhood asthma is a prevalent and costly chronic condition. Optimal management enables secondary and tertiary prevention. The goal was to identify population health considerations for pediatric asthma in California to inform the development of quality improvement interventions. California Health Interview Survey 2011-2012 is a random-digit dial telephone survey conducted in 5 languages. It includes 44,000 households from all 58 counties in California. This study assessed factors related to symptom control and health care use in children ages 2-11 years with asthma. An estimated 492,385 (9.6%) of children in California currently have asthma. Urban and rural residents face comparable asthma disease burdens. School-age male children as well as Asian and African American children are disproportionately affected. Asthma causes significant morbidity, with poorer health status, high utilization of emergency care, and the need for daily medication use. Only 38% of children with asthma have a recent asthma management plan. Half of all children with asthma did not receive influenza immunization in the past year, although this reflects the overall low rate of influenza vaccination. Parents of children with asthma frequently utilize the Internet for health information and communication with their child's health care provider. Children with asthma in California face several population-level challenges, including poor health status, low influenza vaccination rates, high use of emergency care, and suboptimal use of health literacy tools. Focusing on improved care coordination and preventive care for high-risk groups is especially urgent given the expansion of public health insurance and impending shortages in the primary care workforce. (Population Health Management 2016;19:145-151).

  12. Oral health survey and oral health questionnaire for high school students in Tibet, China

    PubMed Central

    2014-01-01

    Objectives The aim of this study is to identify the oral health status as well as oral health practices and access for care of graduating senior high school Tibetan students in Shannan prefecture of Tibet. Methods Based on standards of the 3rd Chinese National Oral Epidemiological Survey and WHO Oral Health Surveys, 1907 graduating students from three senior high schools were examined for caries, periodontitis, dental fluorosis, and oral hygiene status. The questionnaire to the students addressed oral health practices and present access to oral medical services. Results Dental caries prevalence (39.96%) and mean DMFT (0.97) were high in Tibetan students. In community periodontal indexes, the detection rate of gingivitis and dental calculus were 59.50% and 62.64%, respectively. Oral hygiene index-simplified was 0.69, with 0.36 and 0.33 in debris index-simplified and calculus index-simplified, respectively. Community dental fluorosis index was 0.29, with 8.13% in prevalence rate. The questionnaire showed students had poor oral health practices and unawareness for their needs for oral health services. It was also noted that the local area provides inadequate oral medical services. Conclusions Tibetan students had higher prevalence of dental diseases and lower awareness of oral health needs. The main reasons were geographical environment, dietary habit, students’ attitude to oral health, and lack of oral health promotion and education. Oral health education and local dentists training should be strengthened to get effective prevention of dental diseases. PMID:24884668

  13. [National survey on eyelash extensions and their related health problems].

    PubMed

    Amano, Yuki; Nishiwaki, Yuji

    2013-01-01

    Eyelash extensions involve the attachment of synthetic eyelashes made of chemical fibers or other materials individually onto natural lashes. However, there are no uniform or well-established guidelines for this procedure. Consultations with ophthalmologists and local consumer centers regarding eyelash-extension-related skin and eye disorders have been increasing yearly throughout Japan. This study was conducted to obtain epidemiologic data on eyelash extensions and their related health problems among the Japanese. A web-based survey was prepared and conducted with questions regarding the basic characteristics of the study participants, their experience with eyelash extensions (including the number of procedures, frequency of extension, year of first extension, and years since the first extension), and any extension-related health problems. Data from 2000 women, aged 15 to 59 years and randomly selected from across the country in accordance with the demographic composition of Japan, were included in the analysis. In total, 205 (10.3%) respondents reported having experienced eyelash extensions (average, 6.2 procedures; median, 3.0), with a peak among those aged 25 to 29 years and a larger proportion of those living in urban areas than in rural areas. Of these women, 55 (26.8%) experienced health problems such as ocular hyperemia, pain, and itchy swollen eyelids. Multivariate analysis revealed that short intervals of extensions were associated with health problems (multiadjusted odds ratio (95% confidence interval); 2.88 (1.09-7.61)). Eyelash extensions are a popular procedure, especially among urban, young women. However, attention must be paid to the potential health risks of the procedure.

  14. [Preliminary survey of a school health program implementation in Guinea].

    PubMed

    Montresor, A; Urbani, C; Camara, B; Bha, A B; Albonico, M; Savioli, L

    1997-01-01

    The Sectorial Adjustment Education Program implemented in Guinea by the Ministry of Pre-University Education in 1995 includes health-related measures. An important part is the fight against parasitosis and in particular against intestinal helminth infection which has been shown to impair cognitive function in school children. In order to obtain data for this purpose, a survey was carried out in 7 subprefectures across the country. A total of 1,649 children were examined to determine the prevalence in each school of macroscopic hematuria-related schistosomiasis and of various intestinal helminthiasis in stools. In 1468 of these children blood tests were also made to measure hemoglobin levels and detect malarial hematozoons. Overall prevalence rates were 60.0% for soil-transmitted nematodes, 9.1% for urinary schistosomiasis, 57.6% for blood plasmodium, and 57.0% for anemia. Hemoglobin levels were lower in children presenting plasmodium, multiple parasitic infection, and high ankylostoma burdens. Prevalence rates varied widely between regions indicating differences in therapeutic measures. In two villages more than 200 children not attending school who had been informed by school children were treated. This word-of-mouth effect shows that school health programs are also useful to reach children outside the school health system.

  15. A Survey on Ambient Intelligence in Health Care.

    PubMed

    Acampora, Giovanni; Cook, Diane J; Rashidi, Parisa; Vasilakos, Athanasios V

    2013-12-01

    Ambient Intelligence (AmI) is a new paradigm in information technology aimed at empowering people's capabilities by the means of digital environments that are sensitive, adaptive, and responsive to human needs, habits, gestures, and emotions. This futuristic vision of daily environment will enable innovative human-machine interactions characterized by pervasive, unobtrusive and anticipatory communications. Such innovative interaction paradigms make ambient intelligence technology a suitable candidate for developing various real life solutions, including in the health care domain. This survey will discuss the emergence of ambient intelligence (AmI) techniques in the health care domain, in order to provide the research community with the necessary background. We will examine the infrastructure and technology required for achieving the vision of ambient intelligence, such as smart environments and wearable medical devices. We will summarize of the state of the art artificial intelligence methodologies used for developing AmI system in the health care domain, including various learning techniques (for learning from user interaction), reasoning techniques (for reasoning about users' goals and intensions) and planning techniques (for planning activities and interactions). We will also discuss how AmI technology might support people affected by various physical or mental disabilities or chronic disease. Finally, we will point to some of the successful case studies in the area and we will look at the current and future challenges to draw upon the possible future research paths.

  16. A Survey on Ambient Intelligence in Health Care

    PubMed Central

    Acampora, Giovanni; Cook, Diane J.; Rashidi, Parisa; Vasilakos, Athanasios V.

    2013-01-01

    Ambient Intelligence (AmI) is a new paradigm in information technology aimed at empowering people’s capabilities by the means of digital environments that are sensitive, adaptive, and responsive to human needs, habits, gestures, and emotions. This futuristic vision of daily environment will enable innovative human-machine interactions characterized by pervasive, unobtrusive and anticipatory communications. Such innovative interaction paradigms make ambient intelligence technology a suitable candidate for developing various real life solutions, including in the health care domain. This survey will discuss the emergence of ambient intelligence (AmI) techniques in the health care domain, in order to provide the research community with the necessary background. We will examine the infrastructure and technology required for achieving the vision of ambient intelligence, such as smart environments and wearable medical devices. We will summarize of the state of the art artificial intelligence methodologies used for developing AmI system in the health care domain, including various learning techniques (for learning from user interaction), reasoning techniques (for reasoning about users’ goals and intensions) and planning techniques (for planning activities and interactions). We will also discuss how AmI technology might support people affected by various physical or mental disabilities or chronic disease. Finally, we will point to some of the successful case studies in the area and we will look at the current and future challenges to draw upon the possible future research paths. PMID:24431472

  17. Overview of Findings from the 2002 National Survey on Drug Use and Health.

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration (DHHS/PHS), Rockville, MD. Office of Applied Studies.

    This report presents the first information from the 2002 National Survey on Drug Use and Health (NSDUH), an annual survey of the civilian, noninstitutionalized population of the United States aged 12 years old or older. Prior to 2002, the survey was called the National Household Survey on Drug Abuse (NHSDA). This brief Overview report provides a…

  18. Prayer for Health and Primary Care: Results From the 2002 National Health Interview Survey

    PubMed Central

    Wilkinson, Joanne E.; Saper, Robert B.; Rosen, Amy K.; Welles, Seth L.; Culpepper, Larry

    2009-01-01

    Background and Objectives Prayer for health (PFH) is common; in 2002, 35% of US adults prayed for their health. We examined the relationship of PFH and primary care visits, with a special focus on African American women, using data from the 2002 National Health Interview Survey (NHIS). Methods We used chi-square analyses to compare the demographic (age group, gender, race, region, marital status, educational level, ethnicity) and health-related covariates (alcohol use, smoking status, and selected medical conditions) between individuals who did and did not pray for their health in the past year. Univariate associations between PFH and visit to primary care provider (PCP), with Mantel-Haenszel adjustment for confounding, were determined. Multivariate regression was used to determine independent factors associated with PFH and PCP visit, with SUDAAN to adjust for the clustered survey design. Results Subjects who prayed were more likely to be female, older than 58, Black, Southern, separated, divorced or widowed, and nondrinkers. Subjects who prayed were also more likely to have seen a PCP within the past year. Black women who prayed were also more likely to see a PCP. Conclusions These findings suggest that people who pray for their health do so in addition to, not instead of, seeking primary care. This finding is maintained but with a smaller effect size, in Black women. PMID:18830839

  19. Using Smartphones and Health Apps to Change and Manage Health Behaviors: A Population-Based Survey.

    PubMed

    Ernsting, Clemens; Dombrowski, Stephan U; Oedekoven, Monika; O Sullivan, Julie L; Kanzler, Melanie; Kuhlmey, Adelheid; Gellert, Paul

    2017-04-05

    Chronic conditions are an increasing challenge for individuals and the health care system. Smartphones and health apps are potentially promising tools to change health-related behaviors and manage chronic conditions. The aim of this study was to explore (1) the extent of smartphone and health app use, (2) sociodemographic, medical, and behavioral correlates of smartphone and health app use, and (3) associations of the use of apps and app characteristics with actual health behaviors. A population-based survey (N=4144) among Germans, aged 35 years and older, was conducted. Sociodemographics, presence of chronic conditions, health behaviors, quality of life, and health literacy, as well as the use of the Internet, smartphone, and health apps were assessed by questionnaire at home visit. Binary logistic regression models were applied. It was found that 61.25% (2538/4144) of participants used a smartphone. Compared with nonusers, smartphone users were younger, did more research on the Internet, were more likely to work full-time and more likely to have a university degree, engaged more in physical activity, and less in low fat diet, and had a higher health-related quality of life and health literacy. Among smartphone users, 20.53% (521/2538) used health apps. App users were younger, less likely to be native German speakers, did more research on the Internet, were more likely to report chronic conditions, engaged more in physical activity, and low fat diet, and were more health literate compared with nonusers who had a smartphone. Health apps focused on smoking cessation (232/521, 44.5%), healthy diet (201/521, 38.6%), and weight loss (121/521, 23.2%). The most common app characteristics were planning (264/521, 50.7%), reminding (188/521, 36.1%), prompting motivation (179/521 34.4%), and the provision of information (175/521, 33.6%). Significant associations were found between planning and the health behavior physical activity, between feedback or monitoring and physical

  20. Using Smartphones and Health Apps to Change and Manage Health Behaviors: A Population-Based Survey

    PubMed Central

    Dombrowski, Stephan U; Oedekoven, Monika; O´Sullivan, Julie L; Kanzler, Melanie; Kuhlmey, Adelheid; Gellert, Paul

    2017-01-01

    Background Chronic conditions are an increasing challenge for individuals and the health care system. Smartphones and health apps are potentially promising tools to change health-related behaviors and manage chronic conditions. Objective The aim of this study was to explore (1) the extent of smartphone and health app use, (2) sociodemographic, medical, and behavioral correlates of smartphone and health app use, and (3) associations of the use of apps and app characteristics with actual health behaviors. Methods A population-based survey (N=4144) among Germans, aged 35 years and older, was conducted. Sociodemographics, presence of chronic conditions, health behaviors, quality of life, and health literacy, as well as the use of the Internet, smartphone, and health apps were assessed by questionnaire at home visit. Binary logistic regression models were applied. Results It was found that 61.25% (2538/4144) of participants used a smartphone. Compared with nonusers, smartphone users were younger, did more research on the Internet, were more likely to work full-time and more likely to have a university degree, engaged more in physical activity, and less in low fat diet, and had a higher health-related quality of life and health literacy. Among smartphone users, 20.53% (521/2538) used health apps. App users were younger, less likely to be native German speakers, did more research on the Internet, were more likely to report chronic conditions, engaged more in physical activity, and low fat diet, and were more health literate compared with nonusers who had a smartphone. Health apps focused on smoking cessation (232/521, 44.5%), healthy diet (201/521, 38.6%), and weight loss (121/521, 23.2%). The most common app characteristics were planning (264/521, 50.7%), reminding (188/521, 36.1%), prompting motivation (179/521 34.4%), and the provision of information (175/521, 33.6%). Significant associations were found between planning and the health behavior physical activity

  1. Resource allocation in public health practice: a national survey of local public health officials.

    PubMed

    Baum, Nancy M; DesRoches, Catherine; Campbell, Eric G; Goold, Susan Dorr

    2011-01-01

    The purpose of this study was to gain an empirical understanding of the types of allocation decisions local health officials (LHOs) make and the factors that influence those allocation decisions. We conducted a national survey of LHOs in the United States in 2008 to 2009. The sample was stratified by the size of the population served by the department. We merged our data with data from the 2008 National Association of County and City Health Officials Profile survey. Descriptive statistics were generated using weighted data. Our final sample size was 608 respondents, with an average of 10 years experience. The LHOs reported little shifting of resources among population groups but greater capacity to redirect staffing time. Less than half of LHOs reported using economic analyses or conducting needs assessments when setting priorities. Having sole provider status in a community strongly influenced LHOs' allocation decisions. In addition, the effectiveness of activities, previous budget allocations, and input from boards of health were influential factors in allocation decisions. Public expectations were moderately to very influential, but direct public input had a low impact on allocation decisions. Survey findings provide a clearer understanding of how LHOs fulfill their obligations as stewards of public health resources and ensure effective activities and access to needed services. It may be useful to assess the value of more structured allocation methods (eg, decision frameworks) in the allocation process. Expanding opportunities for public engagement in priority setting may also be valuable for difficult allocation decisions.

  2. HIV testing in national population-based surveys: experience from the Demographic and Health Surveys.

    PubMed Central

    Mishra, Vinod; Vaessen, Martin; Boerma, J. Ties; Arnold, Fred; Way, Ann; Barrere, Bernard; Cross, Anne; Hong, Rathavuth; Sangha, Jasbir

    2006-01-01

    OBJECTIVES: To describe the methods used in the Demographic and Health Surveys (DHS) to collect nationally representative data on the prevalence of human immunodeficiency virus (HIV) and assess the value of such data to country HIV surveillance systems. METHODS: During 2001-04, national samples of adult women and men in Burkina Faso, Cameroon, Dominican Republic, Ghana, Mali, Kenya, United Republic of Tanzania and Zambia were tested for HIV. Dried blood spot samples were collected for HIV testing, following internationally accepted ethical standards. The results for each country are presented by age, sex, and urban versus rural residence. To estimate the effects of non-response, HIV prevalence among non-responding males and females was predicted using multivariate statistical models for those who were tested, with a common set of predictor variables. RESULTS: Rates of HIV testing varied from 70% among Kenyan men to 92% among women in Burkina Faso and Cameroon. Despite large differences in HIV prevalence between the surveys (1-16%), fairly consistent patterns of HIV infection were observed by age, sex and urban versus rural residence, with considerably higher rates in urban areas and in women, especially at younger ages. Analysis of non-response bias indicates that although predicted HIV prevalence tended to be higher in non-tested males and females than in those tested, the overall effects of non-response on the observed national estimates of HIV prevalence are insignificant. CONCLUSIONS: Population-based surveys can provide reliable, direct estimates of national and regional HIV seroprevalence among men and women irrespective of pregnancy status. Survey data greatly enhance surveillance systems and the accuracy of national estimates in generalized epidemics. PMID:16878227

  3. Social capital and its relationship to self-perceived health: National health survey in Colombia 2007

    PubMed Central

    Amed-Salazar, Eustorgio José

    2014-01-01

    Objective: To analyze the self-reported perceived health related to socio-demographic characteristics, social health inequalities and social capital in Colombia. Methods: This study is a cross-sectional design; data was obtained from the National Health Survey of Colombia 2007. Independent variables: socio-demographic characteristics; component variables: social health inequality and social capital. Dependent variable: self-reported health. Analysis of the relationship used logistic regression through OR and its confidence interval. Results: The determinant factors for a negative health perceptions are related to being a female (OR: 0.49 [0.47 to 0.52]), and in both genders being older than 37 years of age (OR: 0.72 [0.61 to 0.85]), living without a partner, black ethnicity, indigenous women (0.80 [0.69 to 0.94] and low economic incomes. Discussion: The relationship between social determinants and social capital in the perception of health shows inequities and indirectly reflects the level of health. Given the policies and the model of health, requires a rational adjustment of the goals, programs, and national and regional strategies with the object of improving the demand and quality of services. PMID:24970954

  4. Using the Internet for Surveys and Health Research

    PubMed Central

    Eysenbach, Gunther; Wyatt, Jeremy

    2002-01-01

    This paper concerns the use of the Internet in the research process, from identifying research issues through qualitative research, through using the Web for surveys and clinical trials, to pre-publishing and publishing research results. Material published on the Internet may be a valuable resource for researchers desiring to understand people and the social and cultural contexts within which they live outside of experimental settings, with due emphasis on the interpretations, experiences, and views of `real world' people. Reviews of information posted by consumers on the Internet may help to identify health beliefs, common topics, motives, information, and emotional needs of patients, and point to areas where research is needed. The Internet can further be used for survey research. Internet-based surveys may be conducted by means of interactive interviews or by questionnaires designed for self-completion. Electronic one-to-one interviews can be conducted via e-mail or using chat rooms. Questionnaires can be administered by e-mail (e.g. using mailing lists), by posting to newsgroups, and on the Web using fill-in forms. In "open" web-based surveys, selection bias occurs due to the non-representative nature of the Internet population, and (more importantly) through self-selection of participants, i.e. the non-representative nature of respondents, also called the `volunteer effect'. A synopsis of important techniques and tips for implementing Web-based surveys is given. Ethical issues involved in any type of online research are discussed. Internet addresses for finding methods and protocols are provided. The Web is also being used to assist in the identification and conduction of clinical trials. For example, the web can be used by researchers doing a systematic review who are looking for unpublished trials. Finally, the web is used for two distinct types of electronic publication. Type 1 publication is unrefereed publication of protocols or work in progress (a `post

  5. Barriers to mental health care in Japan: Results from the World Mental Health Japan Survey.

    PubMed

    Kanehara, Akiko; Umeda, Maki; Kawakami, Norito

    2015-09-01

    The reasons for accessing and maintaining access to mental health services in Japan may be different to those in other countries. Using the World Health Organization World Mental Health Japan survey data, this study investigated the prevalence of sociodemographic correlates of barriers for the use of, reasons for delayed access to, and reasons for dropping out from mental health care in a Japanese community-based sample. An interview survey was conducted with a random sample of residents living in 11 communities across Japan during the years 2002-2006. Data from 4130 participants were analyzed. The most frequently reported reason for not seeking mental health care was a low perceived need (63.9%). The most common reason for delaying access to help was the wish to handle the problem on one's own (68.8%), while the most common reason for dropping out of care was also a low perceived need (54.2%). Being a woman and of younger age were key sociodemographic barriers to the use of mental health services. Low perceived need was a major reason for not seeking, delay in using, and dropout from mental health services in Japan. In addition, low perceived need and structural barriers were more frequently reported than attitudinal barriers, with the exception of a desire to handle the problem on one's own. These findings suggest that improving therapist-patient communication and quality of mental health care, as well as mental health literacy education in the community, might improve access to care in Japan. © 2014 The Authors. Psychiatry and Clinical Neurosciences © 2014 Japanese Society of Psychiatry and Neurology.

  6. Barriers to mental health care in Japan: results from the World Mental Health Japan Survey

    PubMed Central

    Kanehara, Akiko; Umeda, Maki; Kawakami, Norito

    2014-01-01

    Aim The reasons for accessing and maintaining access to mental health services in Japan may be unique in those of other countries. Using the World Health Organization World Mental Health Japan survey data, this study investigated the prevalence of sociodemographic correlates of barriers for the use of, reasons for delayed access to, and reasons for dropping out from mental health care in a Japanese community-based sample. Methods An interview survey was conducted with a random sample of residents living in 11 communities across Japan during the years 2002–2006. Data from 4,130 participants were analyzed. Results The most frequently reported reason for not seeking mental health care was a low perceived need (63.9%). The most common reason for delaying access to help was the wish to handle the problem on one's own (68.8%), while the most common reason for dropping out of care was also a low perceived need (54.2%). Being a woman and of younger age were key sociodemographic barriers to the use of mental health services. Conclusion Low perceived need was a major reason for not seeking, delay in using, and dropout from mental health services in Japan. In addition, low perceived need and structural barriers were more frequently reported than attitudinal barriers, with the exception of a desire to handle the problem on one's own. These findings suggest that to improve therapist-patient communication and quality of mental health care, as well as mental health literacy education in the community, might improve access to care in Japan. PMID:25523280

  7. Health equity in the New Zealand health care system: a national survey

    PubMed Central

    2011-01-01

    Introduction In all countries people experience different social circumstances that result in avoidable differences in health. In New Zealand, Māori, Pacific peoples, and those with lower socioeconomic status experience higher levels of chronic illness, which is the leading cause of mortality, morbidity and inequitable health outcomes. Whilst the health system can enable a fairer distribution of good health, limited national data is available to measure health equity. Therefore, we sought to find out whether health services in New Zealand were equitable by measuring the level of development of components of chronic care management systems across district health boards. Variation in provision by geography, condition or ethnicity can be interpreted as inequitable. Methods A national survey of district health boards (DHBs) was undertaken on macro approaches to chronic condition management with detail on cardiovascular disease, chronic obstructive pulmonary disease, congestive heart failure, stroke and diabetes. Additional data from expert informant interviews on program reach and the cultural needs of Māori and Pacific peoples was sought. Survey data were analyzed on dimensions of health equity relevant to strategic planning and program delivery. Results are presented as descriptive statistics and free text. Interviews were transcribed and NVivo 8 software supported a general inductive approach to identify common themes. Results Survey responses were received from the majority of DHBs (15/21), some PHOs (21/84) and 31 expert informants. Measuring, monitoring and targeting equity is not systematically undertaken. The Health Equity Assessment Tool is used in strategic planning but not in decisions about implementing or monitoring disease programs. Variable implementation of evidence-based practices in disease management and multiple funding streams made program implementation difficult. Equity for Māori is embedded in policy, this is not so for other ethnic groups or

  8. 1991 survey of recent health sciences library building projects.

    PubMed

    Ludwig, L T

    1992-04-01

    Twenty health sciences libraries reported building planning, expansion, or construction of new facilities in the association's second annual survey of recent building projects. Six projects are new, freestanding structures in which the library occupies all or a major portion of the space. Six other projects are part of new construction for separately administered units in which the library is a major tenant. The final eight projects involve additions to or renovations of existing space. Seven of these twenty libraries were still in projected, predesign, or design stages of awaiting funding approval; of those seven, five were not prepared to release the requested information. Six projects are reported here as illustrative of current building projects.

  9. Physicians' attitudes towards health telematics--an empirical survey.

    PubMed

    Langer, B; Wetter, T

    2000-01-01

    Telemedical networks and services have received high attention in professional and scientific media in the recent past. In Germany some institutions and few physicians volunteer in experimenting with diverse telemedical service offerings. However, much is speculated but little is known about attitudes and expectations of the majority of physicians in local offices towards this new medium. Therefore we conducted an empirical survey using a random regional sample to poll the respective opinions. Encouraged by a high response rate to our paper questionnaire, we offer as conclusion: that physicians are surprisingly realistic about costs and benefits and can therefore be expected to subscribe as soon as benefits become obvious; that this trend increases with offices being taken over or newly established by younger physicians; and that the establishment of networks of comprehensive care offered by health care professionals from different disciplines is regarded as essential future advantage of telemedical networks.

  10. A survey of health care benefits in the apparel industry.

    PubMed

    Moore, W B

    1985-09-01

    Each day as Americans prepare to begin their days, many put on their clothing often without a thought as to how or where it was manufactured. The manufacture of clothing in the United States is a labor intensive industry pressed by competition in foreign countries where labor is abundant and less expensive; therefore, the manufacturers must look for every opportunity to reduce their costs. The survey presented here reviews the health benefit plans in the apparel industry and current initiatives for cost reduction. The results are interesting, for they give the hospital administrator vital information on the types of programs that might be in place in local manufacturers and the method of cost containment expected in this industry.

  11. Reproductive health risk behavior survey of Colombian high school students.

    PubMed

    Becher, J C; Garcia, J G; Kaplan, D W; Gil, A R; Li, J; Main, D; Herrera, J A; Arias, L; Bromet, A

    1999-03-01

    To establish rates of potentially risky sexual behaviors among Colombian adolescent students. A total of 230 9th and 11th graders at a Colombian high school (69% of enrolled students) were anonymously surveyed about selected reproductive health behaviors using the Centers for Disease Control and Prevention's self-administered Youth Risk Behavior Survey. The response rate was >90%. The group was demographically representative of students. Twenty-nine percent of the group had engaged in intercourse (13% of 9th and 43% of 11th graders). Male gender [beta = 0.7873; odds ratio (OR) = 2.09; 95% confidence interval (CI) = 1.57-3.08] and increasing age (beta = 0.3413; OR = 1.41; 95% CI = 1.02-1.93) were each significantly correlated with prior sexual activity. Compared with females, males initiated intercourse at a significantly earlier age (beta = 0.284; p < .001) but did not report significantly more partners (means 2.1 vs. 1.4; chi2 = 1.25; p = .262). Forty-eight percent of respondents used contraception during their last encounter. Sixty-three percent used oral contraceptives or condoms, while the remainder used less effective methods. Contraceptive use did not correlate with gender or age. Age was significantly and positively correlated with use of alcohol prior to sexual activity (B = 1.28; OR = 3.6; 95% CI = 1.49-8.44). Compared with U.S. populations of similar ages, the Colombian group surveyed had fewer sexually active members, reported fewer partners, and used contraception with lower frequency.

  12. U.S. HEALTH AND NUTRITION: SAS SURVEY PROCEDURES AND NHANES

    USDA-ARS?s Scientific Manuscript database

    The National Health and Nutrition Examination Survey (NHANES) is used to evaluate the health and nutrition of the United States. It is composed of cross-sectional, nationally representative health examination surveys of the U.S. civilian, non-institutionalized population. A complex, stratified, mult...

  13. 76 FR 67459 - Agency Information Collection Activities; Proposed Collection; Comment Request; Survey of “Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ... Collection; Comment Request; Survey of ``Health Care Providers' Responses to Medical Device Labeling'' AGENCY... collection ``Health Care Providers' Responses to Medical Device Labeling.'' DATES: Submit either electronic... appropriate, and other forms of information technology. Survey of ``Health Care Providers' Responses to...

  14. Identifying Sedentary Subgroups: The NCI Health Information National Trends Survey

    PubMed Central

    Atienza, Audie A.; Yaroch, Amy L.; Mâsse, Louise C.; Moser, Richard P.; Hesse, Bradford W.; King, Abby C.

    2007-01-01

    Background Developing effective interventions for the 24%–28% of U.S. adults who are sedentary requires a better understanding of the factors related to sedentary lifestyles as well as the communication channels to reach various subgroups. This study identified key sociodemographic and health communication characteristics of various subgroups with high rates of inactivity using signal detection methodology (SDM). Methods The sample from the nationally representative Health Information National Trends Survey 2003 (HINTS; N=6369) was randomly split into two samples. Exploratory analyses (conducted 2004–2005) were employed on the first sample to identify various subgroups, and the stability of inactivity rates in those subgroups was examined in the second sample. Results Eight subgroups with varying levels of inactivity were identified. Three subgroups had inactivity levels ≥40%, while the lowest subgroup had a level of <15%. The highest inactivity subgroup consisted of individuals with at least some college education who were in fair/poor health and who watched 4+ hours of television/day. The second highest inactivity subgroup was composed of those without a college education who tended not to utilize nor attend to many communication channels. The third highest inactive subgroup consisted of those without a college education who read the newspaper and were obese. Levels of subgroup inactivity in the second independent sample were not significantly different from those found in the exploratory sample. Conclusions This study identified empirically-based, physically inactive subgroups that differed on sociodemographic and health communication characteristics. This information should be useful in creating future evidence-based, targeted, and tailored intervention strategies. PMID:17046409

  15. Tuberous sclerosis complex: a survey of health care resource use and health burden.

    PubMed

    Rentz, Anne M; Skalicky, Anne M; Liu, Zhimei; Wheless, James W; Dunn, David W; Frost, Michael D; Nakagawa, JoAnne; Magestro, Matthew; Prestifilippo, Judith

    2015-04-01

    Tuberous sclerosis complex (TSC) is a multiorgan, autosomal-dominant genetic disorder with incomplete penetrance. This analysis of a web-based survey focuses on the clinical presentation, management, and associated burden of patients with TSC in the United States. A total of 676 TSC patients or caregivers responded. Both pediatric and adult patient groups experienced skin lesions (77% and 44%), seizures (77% and 24%), and kidney complications (33% and 25%) as well as other manifestations. Patient groups averaged 22 visits to a physician, nine procedures/tests, two emergency room visits, and two hospital admissions in the past year. Standardized tests were administered for health-related quality of life and TSC patients reported significantly worse mental health scores and better physical health scores compared to a normative sample of cancer patients. Results demonstrate that TSC is associated with significant clinical burden, resource utilization, and decreased mental health well-being. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. Health system responsiveness after health sector evolution plan (HSEP): An inpatient survey in Kermanshah in 2015.

    PubMed

    Najafi, Farid; Karami-Matin, Behzad; Rezaei, Satar; Rajabi-Gilan, Nader; Soofi, Moslem

    2016-01-01

    Responsiveness is one of the three main goals of the health system introduced by World Health Organization. This study aimed at examining health system responsiveness after Health Sector Evolution Plan in Kermanshah, Western Iran. A sample of 335 hospitalized patients was selected using proportionate allocation to population size method in the city of Kermanshah (Iran) in 2015. World Health Survey (WHS) questionnaire was used to collect data. Data were analyzed using descriptive statistics and principal component analysis by STATA 12. The overall health system responsiveness score was 72.6. The best and worst performance for domains of dignity and autonomy were 82.2 and 62.5, respectively. Socio-demographic variables of the patients had no significant effect on the total health system responsiveness score. The principal component analysis findings indicated that 68% of the variance of the overall responsiveness score was explained by four components. The overall responsiveness score of each of the domains was higher than that of other similar previous studies in Iran. Although it is difficult to reach a conclusion, our findings may show better responsiveness of the health system compared to the previous reports.

  17. Health system responsiveness after health sector evolution plan (HSEP): An inpatient survey in Kermanshah in 2015

    PubMed Central

    Najafi, Farid; Karami-Matin, Behzad; Rezaei, Satar; Rajabi-Gilan, Nader; Soofi, Moslem

    2016-01-01

    Background: Responsiveness is one of the three main goals of the health system introduced by World Health Organization. This study aimed at examining health system responsiveness after Health Sector Evolution Plan in Kermanshah, Western Iran. Methods: A sample of 335 hospitalized patients was selected using proportionate allocation to population size method in the city of Kermanshah (Iran) in 2015. World Health Survey (WHS) questionnaire was used to collect data. Data were analyzed using descriptive statistics and principal component analysis by STATA 12. Results: The overall health system responsiveness score was 72.6. The best and worst performance for domains of dignity and autonomy were 82.2 and 62.5, respectively. Socio-demographic variables of the patients had no significant effect on the total health system responsiveness score. The principal component analysis findings indicated that 68% of the variance of the overall responsiveness score was explained by four components. Conclusion: The overall responsiveness score of each of the domains was higher than that of other similar previous studies in Iran. Although it is difficult to reach a conclusion, our findings may show better responsiveness of the health system compared to the previous reports PMID:27493931

  18. Public Health Staff Development Needs in Informatics: Findings From a National Survey of Local Health Departments.

    PubMed

    Massoudi, Barbara L; Chester, Kelley; Shah, Gulzar H

    2016-01-01

    Public health practice is information-intensive and information-driven. Public health informatics is a nascent discipline, and most public health practitioners lack necessary skills in this area. To describe the staff development needs of local health departments (LHDs) related to informatics. Data came from the 2015 Informatics Capacity and Needs Assessment Survey, conducted by Georgia Southern University in collaboration with the National Association of County & City Health Officials. A total of 324 LHDs from all 50 states completed the survey (response rate: 50%). Outcome measures included LHDs' specific staff development needs related to informatics. Predictors of interest included jurisdiction size and governance type. Areas of workforce development and improvement in informatics staff of LHDs included using and interpreting quantitative data, designing and running reports from information systems, using and interpreting qualitative data, using statistical or other analytical software, project management, and using geographical information systems. Significant variation in informatics training needs exists depending on the size of the LHD population and governance type. Substantial training needs exist for LHDs across many areas of informatics ranging from very basic to specialized skills and are related to the size of LHD population and governance type.

  19. Public Health Staff Development Needs in Informatics: Findings From a National Survey of Local Health Departments

    PubMed Central

    Chester, Kelley; Shah, Gulzar H.

    2016-01-01

    Context: Public health practice is information-intensive and information-driven. Public health informatics is a nascent discipline, and most public health practitioners lack necessary skills in this area. Objective: To describe the staff development needs of local health departments (LHDs) related to informatics. Design: Data came from the 2015 Informatics Capacity and Needs Assessment Survey, conducted by Georgia Southern University in collaboration with the National Association of County & City Health Officials. Participants: A total of 324 LHDs from all 50 states completed the survey (response rate: 50%). Main Outcome Measure(s): Outcome measures included LHDs' specific staff development needs related to informatics. Predictors of interest included jurisdiction size and governance type. Results: Areas of workforce development and improvement in informatics staff of LHDs included using and interpreting quantitative data, designing and running reports from information systems, using and interpreting qualitative data, using statistical or other analytical software, project management, and using geographical information systems. Significant variation in informatics training needs exists depending on the size of the LHD population and governance type. Conclusion: Substantial training needs exist for LHDs across many areas of informatics ranging from very basic to specialized skills and are related to the size of LHD population and governance type. PMID:27684619

  20. Explaining health care expenditure variation: large-sample evidence using linked survey and health administrative data.

    PubMed

    Ellis, Randall P; Fiebig, Denzil G; Johar, Meliyanni; Jones, Glenn; Savage, Elizabeth

    2013-09-01

    Explaining individual, regional, and provider variation in health care spending is of enormous value to policymakers but is often hampered by the lack of individual level detail in universal public health systems because budgeted spending is often not attributable to specific individuals. Even rarer is self-reported survey information that helps explain this variation in large samples. In this paper, we link a cross-sectional survey of 267 188 Australians age 45 and over to a panel dataset of annual healthcare costs calculated from several years of hospital, medical and pharmaceutical records. We use this data to distinguish between cost variations due to health shocks and those that are intrinsic (fixed) to an individual over three years. We find that high fixed expenditures are positively associated with age, especially older males, poor health, obesity, smoking, cancer, stroke and heart conditions. Being foreign born, speaking a foreign language at home and low income are more strongly associated with higher time-varying expenditures, suggesting greater exposure to adverse health shocks. Copyright © 2013 John Wiley & Sons, Ltd.

  1. Older women's health priorities and perceptions of care delivery: results of the WOW health survey

    PubMed Central

    Tannenbaum, Cara; Mayo, Nancy; Ducharme, Francine

    2005-01-01

    Background As women get older, their health priorities change. We surveyed a sample of older Canadian women to investigate what health priorities are of concern to them, their perceptions about the care delivered to address these priorities and the extent to which priorities and perceptions of care differ across age groups and provinces. Methods The WOW (What Older women Want) cross-sectional health survey was mailed in October 2003 to 5000 community-dwelling women aged 55–95 years from 10 Canadian provinces. Women were asked questions on 26 health priorities according to the World Health Organization's International Classification of Functioning, Disability and Health, and their perceptions of whether these priorities were being addressed by health care providers through screening or counselling. Differences in priorities and perceptions of care delivery were examined across age groups and provinces. Results The response rate was 52%. The mean age of the respondents was 71 (standard deviation 7) years. The health priorities identified most frequently by the respondents were preventing memory loss (88% of the respondents), learning about the side effects of medications (88%) and correcting vision impairment (86%). Items least frequently selected were counselling about community programs (28%), counselling about exercise (33%) and pneumonia vaccination (33%). Up to 97% of the women recalled being adequately screened for heart disease and stroke risk factors, but as little as 11% reported receiving counselling regarding concerns about memory loss or end-of-life issues. Women who stated that specific priorities were of great concern or importance to them were more than twice as likely as those who stated that they were not of great concern or importance to perceive that these priorities were being addressed: osteoporosis (odds ratio [OR] 2.6, 95% confidence interval [CI] 2.1–3.2), end-of-life care (OR 2.6, 95% CI 2.0–3.4), anxiety reduction (OR 2.2, 95% CI 1.8

  2. Older women's health priorities and perceptions of care delivery: results of the WOW health survey.

    PubMed

    Tannenbaum, Cara; Mayo, Nancy; Ducharme, Francine

    2005-07-19

    As women get older, their health priorities change. We surveyed a sample of older Canadian women to investigate what health priorities are of concern to them, their perceptions about the care delivered to address these priorities and the extent to which priorities and perceptions of care differ across age groups and provinces. The WOW (What Older women Want) cross-sectional health survey was mailed in October 2003 to 5000 community-dwelling women aged 55-95 years from 10 Canadian provinces. Women were asked questions on 26 health priorities according to the World Health Organization's International Classification of Functioning, Disability and Health, and their perceptions of whether these priorities were being addressed by health care providers through screening or counselling. Differences in priorities and perceptions of care delivery were examined across age groups and provinces. The response rate was 52%. The mean age of the respondents was 71 (standard deviation 7) years. The health priorities identified most frequently by the respondents were preventing memory loss (88% of the respondents), learning about the side effects of medications (88%) and correcting vision impairment (86%). Items least frequently selected were counselling about community programs (28%), counselling about exercise (33%) and pneumonia vaccination (33%). Up to 97% of the women recalled being adequately screened for heart disease and stroke risk factors, but as little as 11% reported receiving counselling regarding concerns about memory loss or end-of-life issues. Women who stated that specific priorities were of great concern or importance to them were more than twice as likely as those who stated that they were not of great concern or importance to perceive that these priorities were being addressed: osteoporosis (odds ratio [OR] 2.6, 95% confidence interval [CI] 2.1- 3.2), end-of-life care (OR 2.6, 95% CI 2.0-3.4), anxiety reduction (OR 2.2, 95% CI 1.8-2.6), fall prevention (OR 2.1, 95

  3. Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese

    PubMed Central

    Liu, Yong-Bing; Liu, Liu; Li, Yan-Fei; Chen, Yan-Li

    2015-01-01

    Background: Despite the large volume of research dedicated to health-related behavior change, chronic disease costs continue to rise, thus creating a major public health burden. Health literacy, the ability to seek, understand, and utilize health information, has been identified as an important factor in the course of chronic conditions. Little research has been conducted on the relationship between health literacy and health-related behaviors and health status in elderly Chinese. The aim of this study was to elucidate the relationship between health literacy and health-related behaviors and health status in China. Methods: The subjects enrolled in this study were selected based on a stratified cluster random sampling design. Information involving >4500 older adults in 44 pension institutions in Urumqi, Changji, Karamay, and Shihezi of Xinjiang between September 2011 and June 2012 was collected. The Chinese Citizen Health Literacy Questionnaire (China Health Education Centre, 2008) and a Scale of the General Status were administered and the information was obtained through face-to-face inquiries by investigators. A total of 1452 respondents met the inclusion criteria. A total of 1452 questionnaires were issued and the valid response rate was 96.14% (1396 of 1452). Factors affecting health literacy and the relationship to health literacy were identified by one-way ANOVA and a multiple linear regression model. Results: The average health literacy level of the elderly in nursing homes was relatively low (71.74 ± 28.35 points). There were significant differences in the health literacy score among the factors of age, gender, race, education level, household income, marital conditions, and former occupation (p < 0.001). The health literacy score was significantly associated with smoking, drinking, physical exercise, and health examination (p < 0.001). The elderly with higher health literacy scores were significantly less likely to have risky behaviors (smoking, regular

  4. 77 FR 34387 - National Health and Nutrition Examination Survey (NHANES) DNA Samples

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... HUMAN SERVICES Centers for Disease Control and Prevention National Health and Nutrition Examination... Health and Human Services (DHHS). ACTION: Notice. SUMMARY: The National Health and Nutrition Examination...: Geraldine McQuillan, Ph.D., Division of Health and Nutrition Examination Surveys, National Center for Health...

  5. NATO survey of mental health training in army recruits.

    PubMed

    Adler, Amy B; Delahaij, Roos; Bailey, Suzanne M; Van den Berge, Carlo; Parmak, Merle; van Tussenbroek, Barend; Puente, José M; Landratova, Sandra; Kral, Pavel; Kreim, Guenter; Rietdijk, Deirdre; McGurk, Dennis; Castro, Carl Andrew

    2013-07-01

    To-date, there has been no international review of mental health resilience training during Basic Training nor an assessment of what service members perceive as useful from their perspective. In response to this knowledge gap, the North Atlantic Treaty Organization (NATO) Human Factors & Medicine Research & Technology Task Group "Mental Health Training" initiated a survey and interview with seven to twenty recruits from nine nations to inform the development of such training (N = 121). All nations provided data from soldiers joining the military as volunteers, whereas two nations also provided data from conscripts. Results from the volunteer data showed relatively consistent ranking in terms of perceived demands, coping strategies, and preferences for resilience skill training across the nations. Analysis of data from conscripts identified a select number of differences compared to volunteers. Subjects also provided examples of coping with stress during Basic Training that can be used in future training; themes are presented here. Results are designed to show the kinds of demands facing new recruits and coping methods used to overcome these demands to develop relevant resilience training for NATO nations.

  6. Radon awareness and mitigation in Vermont: a public health survey.

    PubMed

    Riesenfeld, Erik P; Marcy, Theodore W; Reinier, Kyndaron; Mongeon, Joan A; Trumbo, Craig W; Wemple, Brian E; Kaminsky, David A

    2007-05-01

    Radon exposure is associated with an increased incidence of lung cancer, and elevated levels may be found in as many as 1 out of 15 homes. The U.S. EPA recommends testing homes for radon and mitigating over the advisory level of 4 picocuries per liter (4 pCi L(-1), or 148 Bq m(-3)). A sample population from a list of Vermont residents who had tested their residence for radon through the Vermont Department of Health and who had elevated levels were mailed a survey to assess demographic characteristics, knowledge about radon, mitigation rates, types of mitigation, as well as barriers to mitigation. The response rate was 63%. Forty-three percent of respondents mitigated. Roughly half were not completely knowledgeable of radon based upon the ability to associate radon exposure with lung cancer risk. Reasons not to mitigate radon levels in homes were cost and lack of concern over elevated levels. A multivariate logistic regression analysis revealed factors associated with mitigating: an education level of college or higher (p = 0.02), concern that a high radon level would affect real estate value (p = 0.04), and home age less than 10 y (p = 0.05). In summary, less than half of Vermonters with elevated radon levels participating in the Department of Health program mitigated. We identify factors associated with radon mitigation that may lead to improved radon education and mitigation practice.

  7. 75 FR 20999 - Proposed Collection; Comment Request; Survey of Health Care Professionals' Awareness and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-22

    ... Professionals' Awareness and Perceptions of the National Cancer Institute's Intramural Clinical Trials (NCI... Collection: Title: The Survey of Health Care Professionals' Awareness and Perceptions of the National...

  8. National nutrition surveys in Asian countries: surveillance and monitoring efforts to improve global health.

    PubMed

    Song, SuJin; Song, Won O

    2014-01-01

    Asian regions have been suffering from growing double burden of nutritional health problems, such as undernutrition and chronic diseases. National nutrition survey plays an essential role in helping to improve both national and global health and reduce health disparities. The aim of this review was to compile and present the information on current national nutrition surveys conducted in Asian countries and suggest relevant issues in implementation of national nutrition surveys. Fifteen countries in Asia have conducted national nutrition surveys to collect data on nutrition and health status of the population. The information on national nutrition survey of each country was obtained from government documents, international organizations, survey website of governmental agencies, and publications, including journal articles, books, reports, and brochures. The national nutrition survey of each country has different variables and procedures. Variables of the surveys include sociodemographic and lifestyle variables; foods and beverages intake, dietary habits, and food security of individual or household; and health indicators, such as anthropometric and biochemical variables. The surveys have focused on collecting data about nutritional health status in children aged under five years and women of reproductive ages, nutrition intake adequacy and prevalence of obesity and chronic diseases for all individuals. To measure nutrition and health status of Asian populations accurately, improvement of current dietary assessment methods with various diet evaluation tools is necessary. The information organized in this review is important for researchers, policy makers, public health program developers, educators, and consumers in improving national and global health.

  9. [A descriptive national survey of 166 Alzheimer health networks].

    PubMed

    Nubukpo, Philippe; Le Bruchec, Marianne; Clément, Jean-Pierre

    2005-05-14

    Assess and describe the organization, operation, and aims of Alzheimer health networks in France. Questionnaire sent by post or handed to physicians in France identified as involved in management of Alzheimer patients by Novartis Pharma sales representatives. 166 networks managing Alzheimer's disease (2/3 primarily gerontological and 1/3 specializing specifically in Alzheimer's). In 61.9% of the cases, the physician supervising the network was a hospital staff physician, often a geriatrician (48%). The other member physicians were essentially general practitioners. Several paramedics and social workers also participated. Most networks were organized as not-for-profit organizations. Financial support most often came from the relevant ministries and the health insurance funds. The number of active cases handled by the networks could not be globally assessed. The operating tools for the networks included membership charters, management guidelines and protocols, and shared medical files, but fewer than 30% of the networks used any one of these. The networks had as their primary objectives training and information, patient follow-up and gerontological coordination. These aims were consistent with the goals they felt that had come closest to attaining, i.e., improving the quality and organization of care, sharing information with and training other health professionals, and providing information to the public. Barely one third of the networks had developed an assessment procedure. Among the obstacles to network operations were the participants' lack of availability, the absence of collaboration between professionals, and financial problems. Despite the disparity in the quality and exhaustiveness of the data collected, our survey confirmed the diversity and dynamism, but also the lack of formal structure and the difficulties confronted by the Alzheimer networks in France.

  10. Health and Behavioral Survey of over 8000 Finnish Cats

    PubMed Central

    Vapalahti, Katariina; Virtala, Anna-Maija; Joensuu, Tara A.; Tiira, Katriina; Tähtinen, Jaana; Lohi, Hannes

    2016-01-01

    A comprehensive feline health survey was conducted to reveal breed-specific inheritable diseases in Finnish pedigree cats for genetic research. Prevalence of 19 disease categories and 227 feline diseases were defined in a study population of 8175 cats belonging to 30 breeds. Dental and oral diseases, with a prevalence of 28%, and dental calculus and gingivitis (21 and 8%, respectively) were the most prevalent disease category and diseases among all cats and in most of the breeds. An exception was Korats, which were more often affected by the diseases of the respiratory tract (23%) and asthma (19%). Other prevalent disease categories affected various organ systems, such as the skin (12%), the urinary system (12%), the digestive tract (11%), eyes (10%), the musculoskeletal system (10%), and genitals of female cats (17%). Prevalent health or developmental issues included repetitive vomiting (4%), tail kink (4%), feline odontoclastic resorption lesion (4%), urinary tract infections (4%), as well as cesarean section (6%) and stillborn kittens (6%) among female cats. We found 57 breed-specific conditions by Fisher’s exact tests and logistic regression analyses, including 32 previously described and 19 new breed-specific diseases. The genetic defect has already been found in six of them: polycystic kidney disease, progressive retinal atrophy, hypertrophic cardiomyopathy, and three types of tail malformations. Behavioral profiling revealed breed-specific traits, such as an increased human avoidance in British Short and Longhairs and a higher level of aggression in Turkish vans. Our epidemiological study reveals the overall health profile in Finnish pure and mixed breed cats and identifies many breed-specific conditions without molecular identity for genetic research. PMID:27622188

  11. Mental health literacy about depression: a survey of portuguese youth.

    PubMed

    Loureiro, Luís M; Jorm, Anthony F; Mendes, Aida C; Santos, José C; Ferreira, Ricardo O; Pedreiro, Ana T

    2013-05-07

    Depression is a common disorder in adolescents and young adults, but help seeking is low. Mental health literacy about depression is a key concept to plan interventions for improving help seeking. This study aimed to evaluate youth mental literacy about depression in order to design school-based interventions. During 2012, a survey was conducted with a stratified cluster sample of 4938 Portuguese young people between 14 and 24 years of age. Following the presentation of a vignette describing depression, a series of questions was asked concerning: recognition of the disorder; knowledge of professional help and treatments available; knowledge of effective self-help strategies; knowledge and skills to give first aid and support to others; and knowledge of how to prevent this disorder. In response to an open-ended question, around a quarter of the participants failed to recognize depression in the vignette. When asked about the potential helpfulness of various people, most of the participants considered mental health professionals, family and friends to be helpful. However, teachers, social workers and a helpline were less likely to be considered as helpful. With regard to medications, vitamins received more positive views than psychotropics. Some interventions were frequently rated as likely to be helpful, whereas for others there was a lack of knowledge about their effectiveness. A positive finding is that alcohol and tobacco consumption were seen as harmful. When asked about mental health first aid strategies, participants supported the value of listening to the person in the vignette and advising professional help, but some unhelpful strategies were commonly endorsed as well. Deficits were found in some aspects of depression literacy in Portuguese youth. Therefore intervention in this area is needed.

  12. Workforce implications of injury among home health workers: evidence from the National Home Health Aide Survey.

    PubMed

    McCaughey, Deirdre; McGhan, Gwen; Kim, Jungyoon; Brannon, Diane; Leroy, Hannes; Jablonski, Rita

    2012-08-01

     The direct care workforce continues to rank as one of the most frequently injured employee groups in North America. Occupational health and safety studies have shown that workplace injuries translate into negative outcomes for workers and their employers. The National Institute for Occupational Safety and Health (NIOSH) Organization of Work and Occupational Safety and Health framework is used to examine (a) relationships between injuries and work outcomes as reported by home health aides (HHAs) and (b) the likely efficacy of employee training and supervisor support in reducing worker risk for injury.   Data for this analysis were drawn from the 2007 National Home Health Aide Survey, a nationally representative survey. Ordinary least squares regression and multinomial logistic regression were used to examine relationships between worker injury and (a) worker outcomes and (b) organizational outcomes and to examine ratings of training and supervisory support relative to risk of injury.   Injured aides had lower job satisfaction, higher turnover intent, and poor employment and care quality perceptions. HHA perceptions of poor training and poor supervisory support were significantly related to higher risk for workplace injuries.   The current study suggests that workplace training has an important role in helping reduce direct care worker injuries, thereby decreasing organizational expenses related to injury, such as workers' compensation, sick time, and turnover. The NIOSH Organization of Work and Occupational Safety and Health framework offers a mechanism by which occupational health and safety interventions may be derived to reduce incidents of injury.

  13. MHD Structure Analysis by Singular Value Decomposition as a Tool for ECRH RT-Control of Instabilities on FTU

    SciTech Connect

    Marchetto, C.; Cirant, S.; Granucci, G.; Lazzaro, E.; Gandini, F.; Esposito, B.

    2009-11-26

    In this work we present the results obtained applying Singular Value Decomposition (SVD) on a Mirnov coil array in FTU discharges where experiments on MHD stabilization or disruption avoidance via ECRH were performed. In these shots the mode analysis has been consolidated off line by means of FFT and SXR-tomography. Although the Mirnov setting was not necessarily optimised, results show that the algorithm based on SVD is able to detect the mode with a precision equal or better than the FFT, while acting on a smaller time interval. The short execution time required, even in the present preliminary form, suggests that this analysis can be a suitable tool to be implemented in a real time control chain.

  14. High power system for ECRH at 140Ghz, 2MW, 0.5s on FTU tokamak

    SciTech Connect

    Sozzi, C.; Bozzi, R.; Bruschi, A.; Cirant, S.; Gandini, F.; Granucci, G.; Mellera, V.; Muzzini, V.; Nardone, A.; Simonetto, A.; Spinicchia, N.; Berardi, B.; Ciccone, G.; DiGiovenale, S.; Iannone, F.; Lupini, S.; Mantovani, S.; Pesci, E.

    1999-09-20

    The 140GHz, 2MW, 0.5s ECRH system on FTU tokamak integrates closed waveguide transmission lines ({approx_equal}30 m) with quasi optical systems at both ends for efficient coupling from the 4 gyrotrons to the 4 waveguides and from these to the plasma through a single access port. Poloidal and toroidal control of the beam's launching angles and polarization is performed without movable components close to the plasma. Most of the components of each generation and transmission system were designed to operate at a power level higher than 0.5 MW, and a possible up-grade to a full 1 MW, 0.5 s capability is discussed.

  15. The Health and Health Care of US Prisoners: Results of a Nationwide Survey

    PubMed Central

    Woolhandler, Steffie; Boyd, J. Wesley; Lasser, Karen E.; McCormick, Danny; Bor, David H.; Himmelstein, David U.

    2009-01-01

    Objectives. We analyzed the prevalence of chronic illnesses, including mental illness, and access to health care among US inmates. Methods. We used the 2002 Survey of Inmates in Local Jails and the 2004 Survey of Inmates in State and Federal Correctional Facilities to analyze disease prevalence and clinical measures of access to health care for inmates. Results. Among inmates in federal prisons, state prisons, and local jails, 38.5% (SE = 2.2%), 42.8% (SE = 1.1%), and 38.7% (SE = 0.7%), respectively, suffered a chronic medical condition. Among inmates with a mental condition ever treated with a psychiatric medication, only 25.5% (SE = 7.5%) of federal, 29.6% (SE = 2.8%) of state, and 38.5% (SE = 1.5%) of local jail inmates were taking a psychiatric medication at the time of arrest, whereas 69.1% (SE = 4.8%), 68.6% (SE = 1.9%), and 45.5% (SE = 1.6%) were on a psychiatric medication after admission. Conclusions. Many inmates with a serious chronic physical illness fail to receive care while incarcerated. Among inmates with mental illness, most were off their treatments at the time of arrest. Improvements are needed both in correctional health care and in community mental health services that might prevent crime and incarceration. PMID:19150898

  16. Self-perceived health status of hostel residents: use of the SF-36D health survey questionnaire. Hanover Project Team.

    PubMed

    Usherwood, T; Jones, N

    1993-12-01

    As part of a project to assess the health needs of homeless people in Sheffield, a survey of hostel residents was undertaken with the aim of measuring self-perceived health and health service use among respondents. The survey instrument incorporated the SF-36D short-form health survey questionnaire. One hundred and four (56 per cent) adult hostel residents responded. Respondents reported high levels of health service use, and poor average perceived health in comparison with the general population. Three-quarters of respondents were identified as being at risk of major depressive illness. There was a strong association between risk of major depression and recent hospital contact, current use of prescribed medication, and low scores on the social function, mental health, energy/vitality, pain and general health dimensions of the SF-36. The implications of these findings are discussed.

  17. Suitability of the National Health Care Surveys to Examine Behavioral Health Services Associated with Polycystic Ovary Syndrome.

    PubMed

    Sanchez, Ninive

    2016-12-13

    The National Institutes of Health, Office of Disease Prevention, has described polycystic ovary syndrome (PCOS) as a major public health problem for women in the USA. This study examines the suitability of the National Health Care Surveys, collected by the Centers for Disease Control and Prevention, to understand patient demographics and behavioral health services associated with PCOS-related medical visits. Data were from the 2005-2010 National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey. PCOS-related medical visits were identified using the International Classification of Diseases, 9th Revision, Clinical Modification code 256.4. Items on mental health and health education ordered or provided did not meet the National Center for Health Statistics criteria necessary to produce reliable national estimates (i.e., at least 30 unweighted records and a relative standard error <30%). Findings underscore the need to strengthen national surveillance to further understand behavioral health care for patients with PCOS.

  18. Assessing health care in Canada's North: what can we learn from national and regional surveys?

    PubMed Central

    Young, T. Kue; Ng, Carmina; Chatwood, Susan

    2015-01-01

    Background Health surveys are a rich source of information on a variety of health issues, including health care. Objectives This article compares various national and regional surveys in terms of their geographical coverage with respect to the Canadian North, especially their Aboriginal population, and the comparability of the survey contents relating to health care. Methods Three surveys were selected as providing some information on health care, with separate estimates for the North and its Aboriginal populations. They are the Canadian Community Health Survey (CCHS), Aboriginal Peoples Survey (APS) and the First Nations Regional Health Survey (RHS). Results Different surveys focus on different categories of Aboriginal people, and no single survey has covered all categories of Aboriginal people in the North consistently. RHS is targeted at the on-reserve First Nations population only. APS and CCHS sample the off-reserve First Nations population as well as Métis and Inuit. To achieve adequate sample size for North–South comparisons and comparisons among Aboriginal groups within the North, several cycles of the biennial/annual CCHS can be merged, producing a large data set with consistent coverage of topics using comparable questions. The content areas of the 3 surveys can be broadly categorized as health status, health determinants and health care. Substantial variation exists across surveys in the domains covered. There are also changes over time in terms of definitions, questions and even basic concepts. The available health care content of the 3 surveys focus on access to different types of health services, contact with different categories of health professionals, unmet health needs and the use of preventive services. Many important dimensions of health care are not covered. Not all these basic indicators are available for the North or its Aboriginal populations. Conclusions A comprehensive survey of health care in the North with sufficient sample size to

  19. Dietary Screener Questionnaire in the National Health Interview Survey Cancer Control Supplement 2010: Overview

    Cancer.gov

    The National Health Interview Survey (NHIS) Cancer Control Supplement (CCS) is administered every five years and focuses on knowledge, attitudes, and practices in cancer-related health behaviors, screening, and risk assessment.

  20. Factored Scales for the Personal Health Survey with Schizophrenics, Alcoholics, Felons, Unmarried Mothers, and College Students

    ERIC Educational Resources Information Center

    Pishkin, Vladimir; Thorne, Frederick C.

    1978-01-01

    Employed the Personal Health Survey (PHS) to study patterns of symptomology related to physical and mental health in a population of 730 Ss, which consisted of five groups: felons, hospitalized alcoholics, unmarried mothers, college students and institutionalized schizophrenics. (Editor)

  1. Dietary Screener Questionnaire in the National Health Interview Survey Cancer Control Supplement 2015

    Cancer.gov

    The National Health Interview Survey (NHIS) Cancer Control Supplement (CCS) is administered every five years and focuses on knowledge, attitudes, and practices in cancer-related health behaviors, screening, and risk assessment.

  2. Measuring population health: costs of alternative survey approaches in the Nouna Health and Demographic Surveillance System in rural Burkina Faso

    PubMed Central

    Lietz, Henrike; Lingani, Moustapha; Sié, Ali; Sauerborn, Rainer; Souares, Aurelia; Tozan, Yesim

    2015-01-01

    Background There are more than 40 Health and Demographic Surveillance System (HDSS) sites in 19 different countries. The running costs of HDSS sites are high. The financing of HDSS activities is of major importance, and adding external health surveys to the HDSS is challenging. To investigate the ways of improving data quality and collection efficiency in the Nouna HDSS in Burkina Faso, the stand-alone data collection activities of the HDSS and the Household Morbidity Survey (HMS) were integrated, and the paper-based questionnaires were consolidated into a single tablet-based questionnaire, the Comprehensive Disease Assessment (CDA). Objective The aims of this study are to estimate and compare the implementation costs of the two different survey approaches for measuring population health. Design All financial costs of stand-alone (HDSS and HMS) and integrated (CDA) surveys were estimated from the perspective of the implementing agency. Fixed and variable costs of survey implementation and key cost drivers were identified. The costs per household visit were calculated for both survey approaches. Results While fixed costs of survey implementation were similar for the two survey approaches, there were considerable variations in variable costs, resulting in an estimated annual cost saving of about US$45,000 under the integrated survey approach. This was primarily because the costs of data management for the tablet-based CDA survey were considerably lower than for the paper-based stand-alone surveys. The cost per household visit from the integrated survey approach was US$21 compared with US$25 from the stand-alone surveys for collecting the same amount of information from 10,000 HDSS households. Conclusions The CDA tablet-based survey method appears to be feasible and efficient for collecting health and demographic data in the Nouna HDSS in rural Burkina Faso. The possibility of using the tablet-based data collection platform to improve the quality of population health

  3. Measuring population health: costs of alternative survey approaches in the Nouna Health and Demographic Surveillance System in rural Burkina Faso.

    PubMed

    Lietz, Henrike; Lingani, Moustapha; Sié, Ali; Sauerborn, Rainer; Souares, Aurelia; Tozan, Yesim

    2015-01-01

    There are more than 40 Health and Demographic Surveillance System (HDSS) sites in 19 different countries. The running costs of HDSS sites are high. The financing of HDSS activities is of major importance, and adding external health surveys to the HDSS is challenging. To investigate the ways of improving data quality and collection efficiency in the Nouna HDSS in Burkina Faso, the stand-alone data collection activities of the HDSS and the Household Morbidity Survey (HMS) were integrated, and the paper-based questionnaires were consolidated into a single tablet-based questionnaire, the Comprehensive Disease Assessment (CDA). The aims of this study are to estimate and compare the implementation costs of the two different survey approaches for measuring population health. All financial costs of stand-alone (HDSS and HMS) and integrated (CDA) surveys were estimated from the perspective of the implementing agency. Fixed and variable costs of survey implementation and key cost drivers were identified. The costs per household visit were calculated for both survey approaches. While fixed costs of survey implementation were similar for the two survey approaches, there were considerable variations in variable costs, resulting in an estimated annual cost saving of about US$45,000 under the integrated survey approach. This was primarily because the costs of data management for the tablet-based CDA survey were considerably lower than for the paper-based stand-alone surveys. The cost per household visit from the integrated survey approach was US$21 compared with US$25 from the stand-alone surveys for collecting the same amount of information from 10,000 HDSS households. The CDA tablet-based survey method appears to be feasible and efficient for collecting health and demographic data in the Nouna HDSS in rural Burkina Faso. The possibility of using the tablet-based data collection platform to improve the quality of population health data requires further exploration.

  4. The National Survey on Drug Use and Health Mental Health Surveillance Study: calibration analysis.

    PubMed

    Aldworth, Jeremy; Colpe, Lisa J; Gfroerer, Joseph C; Novak, Scott P; Chromy, James R; Barker, Peggy R; Barnett-Walker, Kortnee; Karg, Rhonda S; Morton, Katherine B; Spagnola, Katherine

    2010-06-01

    The Mental Health Surveillance Study (MHSS) is an ongoing initiative by the Substance Abuse and Mental Health Services Administration to develop and implement methods for measuring the prevalence of serious mental illness (SMI) among adults in the USA. The 2008 MHSS used data from clinical interviews administered to a sub-sample of respondents to calibrate mental health screening scale data from the National Survey on Drug Use and Health (NSDUH) for estimating the prevalence of SMI in the full NSDUH sample. The mental health scales included the K6 screening scale of psychological distress (administered to all respondents) along with two measures of functional impairment (each administered to a random half-sample of respondents): the World Health Organization Disability Assessment Schedule (WHODAS) and the Sheehan Disability Scale (SDS). The Structured Clinical Interview for DSM-IV (SCID) was administered to a sub-sample of 1506 adult NSDUH respondents within 4 weeks of completing the NSDUH interview. Results indicate that while SMI prediction accuracy of the K6 is improved by adding either the WHODAS or the SDS to the prediction equation, the models with the WHODAS are more robust. The results of the calibration study and methods used to derive prevalence estimates of SMI are presented.

  5. Test-retest reliability of health behavior items in the Community Health Survey in South Korea

    PubMed Central

    Han, Jin A; Kim, Young Hwa; Kim, Su Young; Lee, Hun Je; Oh, In Hwan; Lee, Jakyoung

    2015-01-01

    OBJECTIVES: Responses to health-related items on the Community Health Survey (CHS) provide evidence that is used to develop community-based health policy. This study aimed to assess the test-retest reliability of selected health behavioral items on the CHS according to item category, response period, and response scale. METHODS: A sample of 159 men and women 20 to 69 years of age participated in a test-retest with an interval of 14 to 21 days. A total of 28 items relating to smoking, alcohol consumption, diet and weight control, and mental health were selected. We evaluated the test-retest reliability of the items using kappa statistics. RESULTS: Kappa values ranged from 0.44 to 0.93. Items concerning habits had higher kappa values (mean, 0.7; standard error, 0.05) than items concerning awareness or attitudes (p=0.012). The kappa value of items with two- to four-point scales was 0.63, which was higher than the value of 0.59 for items with scales involving five or more points, although this difference was not statistically significant. Different kappa values were observed for each reference period, but no statistically significant differences were noted. CONCLUSIONS: The test-retest reliability of the CHS items that we studied was associated with item category. Further study of the relationship between item category and reliability in domains other than health behaviors is required. PMID:26493776

  6. Summary Health Statistics for U.S. Adults: National Health Interview Survey, 2009. Data from the National Health Interview Survey. Vital and Health Statistics. Series 10, Number 249. DHHS Publication No. (PHS) 2011-1577

    ERIC Educational Resources Information Center

    Pleis, J. R.; Ward, B. W.; Lucas, J. W.

    2010-01-01

    Objectives: This report presents health statistics from the 2009 National Health Interview Survey (NHIS) for the civilian noninstitutionalized adult population, classified by sex, age, race and ethnicity, education, family income, poverty status, health insurance coverage, marital status, and place and region of residence. Estimates are presented…

  7. Secondary Data Analysis of National Surveys in Japan Toward Improving Population Health.

    PubMed

    Ikeda, Nayu

    2016-01-01

    Secondary data analysis of national health surveys of the general population is a standard methodology for health metrics and evaluation; it is used to monitor trends in population health over time and benchmark the performance of health systems. In Japan, the government has established electronic databases of individual records from national surveys of the population's health. However, the number of publications based on these datasets is small considering the scale and coverage of the surveys. There appear to be two major obstacles to the secondary use of Japanese national health survey data: strict data access control under the Statistics Act and an inadequate interdisciplinary research environment for resolving methodological difficulties encountered when dealing with secondary data. The usefulness of secondary analysis of survey data is evident with examples from the author's previous studies based on vital records and the National Health and Nutrition Surveys, which showed that (i) tobacco smoking and high blood pressure are the major risk factors for adult mortality from non-communicable diseases in Japan; (ii) the decrease in mean blood pressure in Japan from the late 1980s to the early 2000s was partly attributable to the increased use of antihypertensive medication and reduced dietary salt intake; and (iii) progress in treatment coverage and control of high blood pressure is slower in Japan than in the United States and Britain. National health surveys in Japan are an invaluable asset, and findings from secondary analyses of these surveys would provide important suggestions for improving health in people around the world.

  8. Adult Dental Health Survey 2009: transformations in British oral health 1968-2009.

    PubMed

    Steele, J G; Treasure, E T; O'Sullivan, I; Morris, J; Murray, J J

    2012-11-01

    This series of four papers reports and interprets the findings of the Adult Dental Health Survey (ADHS), 2009, published in early 2011. This is the fifth in a series of surveys repeated every decade since 1968. The evolution of the surveys and the way the supporting methodology has changed to meet the changing needs and circumstances over the last 40 years is described. In 1968, 37% of adults in England and Wales were edentate. By 2009, only 6% of the combined population of England, Wales and Northern Ireland were edentate. Among the dentate in 1968, there were a mean of 21.9 teeth. By 2009, not only had the dentate increased by 30 percentage points as a fraction of the population, but the number of teeth in this group had also increased by nearly four teeth on average to 25.7. There were significant variations in oral health according to geography and social variables and smaller differences according to sex. The retention of 21 or more teeth is widely used as a way of defining a minimum functional dentition. The proportion of adults with 21+ teeth increased from 73% in 1978 to 86% in 2009. Further huge improvements are projected as younger generations age, assuming future tooth loss continues at current low rates. We might expect that over 90% of those aged 35-44 in 2009 have a realistic prospect of retaining a functional natural dentition of 21 or more teeth by age 80.

  9. How do government health departments in Australia access health economics advice to inform decisions for health? A survey.

    PubMed

    Madden, Lynne; King, Lesley; Shiell, Alan

    2009-04-09

    Government anticipates that health economic analysis will contribute to evidence-based policy development. Early examples in Australia where this expectation has been met include the economic evaluations of breast and cervical screening. However, the level of integration of health economics within health services that require this advice appears uneven. We sought to describe how government health departments in Australia use specialist health economic advice to inform policy and planning and the mechanisms through which they access this advice. Information describing the arrangements for gaining health economics input into health decision-making was sought through interviews with a purposeful sample of economists and non-economists employed by all departments of health in Australia (state, territories and national). The survey was undertaken in August 2004. To aid interpretation of the results eight health economic functions were identified. As a comparison, four other government departments in NSW provided information about their access to economic advice. All health departments except one reported being current users of health economics expertise. A variety of arrangements were described to source this, from building organisational capacity with self-sufficient in-house units to forging links with external sources. However, specialist positions for economists or health economists employed within health were few. A framework mapping these arrangements for sourcing advice with the eight common health economic functions to be met is presented. All other non-health government departments approached accessed economic advice, with three having in-house units. A small health economics capacity in Australia has been established over the past 30 years through a variety of structural and strategic mechanisms. Health departments value health economic advice and use a variety of arrangements to obtain this. These arrangements have strengths and weaknesses depending upon the

  10. How do government health departments in Australia access health economics advice to inform decisions for health? A survey

    PubMed Central

    Madden, Lynne; King, Lesley; Shiell, Alan

    2009-01-01

    Background Government anticipates that health economic analysis will contribute to evidence-based policy development. Early examples in Australia where this expectation has been met include the economic evaluations of breast and cervical screening. However, the level of integration of health economics within health services that require this advice appears uneven. We sought to describe how government health departments in Australia use specialist health economic advice to inform policy and planning and the mechanisms through which they access this advice. Methods Information describing the arrangements for gaining health economics input into health decision-making was sought through interviews with a purposeful sample of economists and non-economists employed by all departments of health in Australia (state, territories and national). The survey was undertaken in August 2004. To aid interpretation of the results eight health economic functions were identified. As a comparison, four other government departments in NSW provided information about their access to economic advice. Results All health departments except one reported being current users of health economics expertise. A variety of arrangements were described to source this, from building organisational capacity with self-sufficient in-house units to forging links with external sources. However, specialist positions for economists or health economists employed within health were few. A framework mapping these arrangements for sourcing advice with the eight common health economic functions to be met is presented. All other non-health government departments approached accessed economic advice, with three having in-house units. Discussion A small health economics capacity in Australia has been established over the past 30 years through a variety of structural and strategic mechanisms. Health departments value health economic advice and use a variety of arrangements to obtain this. These arrangements have

  11. Assessing the potential to combine attitude tracking and health campaign evaluation surveys.

    PubMed

    Hollier, Lauren P; Pettigrew, Simone; Minto, Carolyn; Slevin, Terry; Strickland, Mark

    2016-04-06

    Issue addressed: Online surveys are becoming increasingly popular in health research because of the low cost and fast completion time. A large proportion of online survey costs are allocated to setup and administration expenses, which suggests that conducting fewer, longer surveys would be a cost-effective approach. The current study assessed whether the incorporation of a health campaign evaluation survey within a longitudinal attitudes and behaviours tracking survey produced different outcomes compared with the separate administration of the evaluation survey.Methods: Data were collected via an online panel, with 688 respondents completing the combined survey and 657 respondents completing the evaluation-only survey. Regression analyses were conducted to examine whether survey type was related to the campaign evaluation results.Results: Those who completed the combined survey perceived the campaign advertisement to be more personally relevant than those completing the evaluation-only survey. There were no differences in results relating to campaign awareness and reported behavioural change as a result of campaign exposure.Conclusions: There were minimal differences between results obtained from combining an attitude/behaviour tracking survey with a campaign evaluation survey. Any priming or order effects were limited to respondents' cognitive responses to the advertisement.So what?: The results suggest that health practitioners with limited resources available for tracking and evaluation research may be able to maximise outcomes by administering fewer, longer surveys.

  12. A survey of the governance capacity of national public health associations to enhance population health.

    PubMed

    Chauvin, James; Shukla, Mahesh; Rice, James; Rispel, Laetitia

    2016-03-11

    National public health associations (PHAs) are key partners with governments and communities to improve, protect and promote the public's health. Governance and organizational capacity are among the key determinants of a PHA's effectiveness as an advocate for appropriate public health policies and practice. During 2014, the World Federation of Public Health Associations (WFPHA) conducted an on-line survey of its 82 PHA members, to identify the state of organizational governance of national public health associations, as well as the factors that influence optimal organizational governance. The survey consisted of 13 questions and focused on the main elements of organizational governance: cultivating accountability; engaging stakeholders; setting shared direction; stewarding resources; and, continuous governance enhancement. Four questions included a qualitative open-ended response for additional comments. The survey data were analyzed using Microsoft Excel. The qualitative data was analyzed using thematic content analysis Responses were received from 62 PHAs, constituting a 75.6 % response rate. The two most important factors that support governance effectiveness were a high degree of integrity and ethical behavior of the PHA's leaders (77 %) and the competence of people serving on the PHA's governing body (76 %). The lack of financial resources was considered as the most important factor that negatively affected organizational governance effectiveness (73 %). The lack of mentoring for future PHA leaders; ineffective or incompetent leadership; lack of understanding about good governance practices; and lack of accurate information for strategic planning were identified as factors influencing PHA governance effectiveness. Critical elements for PHA sustainability included diversity, gender-responsiveness and inclusive governance practices, and strategies to build the future generation of public health leaders. National PHA have a responsibility to put into place

  13. A two-phase sampling survey for nonresponse and its paradata to correct nonresponse bias in a health surveillance survey.

    PubMed

    Santin, G; Bénézet, L; Geoffroy-Perez, B; Bouyer, J; Guéguen, A

    2017-02-01

    The decline in participation rates in surveys, including epidemiological surveillance surveys, has become a real concern since it may increase nonresponse bias. The aim of this study is to estimate the contribution of a complementary survey among a subsample of nonrespondents, and the additional contribution of paradata in correcting for nonresponse bias in an occupational health surveillance survey. In 2010, 10,000 workers were randomly selected and sent a postal questionnaire. Sociodemographic data were available for the whole sample. After data collection of the questionnaires, a complementary survey among a random subsample of 500 nonrespondents was performed using a questionnaire administered by an interviewer. Paradata were collected for the complete subsample of the complementary survey. Nonresponse bias in the initial sample and in the combined samples were assessed using variables from administrative databases available for the whole sample, not subject to differential measurement errors. Corrected prevalences by reweighting technique were estimated by first using the initial survey alone and then the initial and complementary surveys combined, under several assumptions regarding the missing data process. Results were compared by computing relative errors. The response rates of the initial and complementary surveys were 23.6% and 62.6%, respectively. For the initial and the combined surveys, the relative errors decreased after correction for nonresponse on sociodemographic variables. For the combined surveys without paradata, relative errors decreased compared with the initial survey. The contribution of the paradata was weak. When a complex descriptive survey has a low response rate, a short complementary survey among nonrespondents with a protocol which aims to maximize the response rates, is useful. The contribution of sociodemographic variables in correcting for nonresponse bias is important whereas the additional contribution of paradata in

  14. Periodic health evaluation of adults: a survey of family physicians.

    PubMed

    Luckmann, R; Melville, S K

    1995-06-01

    The routine periodic health evaluation (PHE) is a popular format in primary care practice for the delivery of clinical preventive services to adults, but knowledge of the current pattern of use and of the content of the PHE is limited. We surveyed a random sample of 567 family physicians (response rate, 60.1%) in New England regarding their approach to and attitudes about the PHE of adults. Family physicians reported spending a mean of 35.2% (11.6 hours per week) of their total ambulatory care time on adult PHEs, which were usually scheduled for 20 to 30 minutes each. All respondents recommended a PHE to men > or = 50 years old and to women > or = 40 years old, and more than 90% recommended a PHE to younger patients. Most physicians (80.7%) reported that the PHE is their primary mechanism for delivering preventive services, and 90.6% believed that the PHE should include a comprehensive physical examination. The mean number of physical examination items performed during the PHE was 11.6 to 13.9, depending on patient age and sex. As part of the PHE, most physicians (71.6% to 90.7%, depending on patient age and sex) ordered one or more screening laboratory tests not recommended by the US Preventive Services Task Force. Utilization of fewer laboratory tests was associated with residency training, employment in a health maintenance organization (HMO), and limited concern about malpractice suits. Family physicians reported spending a substantial amount of time on the PHE of adults, performing extensive screening physical examinations and many screening laboratory tests of unknown effectiveness. Among family physicians, there is considerable unexplained variation in the form and content of the PHE.

  15. Global Health Education in Gastroenterology Fellowship: A National Survey.

    PubMed

    Jirapinyo, Pichamol; Hunt, Rachel S; Tabak, Ying P; Proctor, Deborah D; Makrauer, Frederick L

    2016-12-01

    Interest in global health (GH) education is increasing across disciplines. To assess exposure to and perception of GH training among gastroenterology fellows and program directors across the USA. Design: Electronic survey study. The questionnaire was circulated to accredited US gastroenterology fellowship programs, with the assistance of the American Gastroenterological Association. Gastroenterology program directors and fellows. The questionnaire was returned by 127 respondents (47 program directors, 78 fellows) from 55 training programs (36 % of all training programs). 61 % of respondents had prior experience in GH. 17 % of programs offered GH curriculum with international elective (13 %), didactic (9 %), and research activity (7 %) being the most common. Fellows had adequate experience managing hepatitis B (93 %), cholangiocarcinoma (84 %), and intrahepatic duct stones (84 %). 74, 69 and 68 % reported having little to no experience managing hepatitis E, tuberculosis mesenteritis, or epidemic infectious enteritis, respectively. Most fellows would participate in an elective in an underserved area locally (81 %) or a 4-week elective abroad (71 %), if available. 44 % of fellows planned on working or volunteering abroad after fellowship. Barriers to establishing GH curriculum included funding (94 %), scheduling (88 %), and a lack of standardized objectives (78 %). Lack of interest, however, was not a concern. Fellows (49 %), more than faculty (29 %) (χ (2) = 21.9; p = 0.03), believed that GH education should be included in fellowship curriculum. Program directors and trainees recognize the importance of GH education. However, only 17 % of ACGME-approved fellowship programs offer the opportunity. Global health curriculum may enhance gastroenterology training.

  16. Health Physics Enrollments and Degrees Survey, 2008 Data

    SciTech Connect

    Analysis and Evaluation, Science Education Programs

    2009-03-30

    The survey includes degrees granted between September 1, 2007 and August 31, 2008. Enrollment information refers to the fall term 2008. Twenty-six academic programs were included in the survey universe, and all 26 programs provided data.

  17. [Analysis of the new health module of the National Socioeconomic Characterization Survey 2000].

    PubMed

    Jadue, Liliana; Delgado, Iris; Sandoval, Hernán; Cabezas, Lidia; Vega, Jeanette

    2004-06-01

    The National Socioeconomic Characterization Survey (CASEN) was modified in the year 2000, to include an assessment of the inequalities in the access to health services. To analyze the health issues of year 2000 survey database. During 2000, 38338 urban and 26698 rural dwellings were surveyed, totaling 240000 people analyzing ascription to public or private health services and the need demand and use of these services. A higher risk population (lower income, higher age and women) is ascribed to public health services. Sixty five percent of the population self perceives their health as good, this figure decreases along with age and women have a worse self perception than men. In the 30 days prior to the survey, 13% of the population had a health related event; this figure was higher among women and the lower income quintiles. Expressed health demand was higher among women and lower income quintiles. A multivariate analysis identified an age below 14 years, pertaining to a minority ethnic group, ascription to private health services, residing in rural areas, pertaining to the lower income quintile and male sex, as factors associated to a lack access to health care. In the adjusted model, pertaining to the National Health Fund (a public system) is a protective factor to receive health services. The significant inequalities in the access to health care should be corrected with the new Health Reform. The new module incorporated to the National Socioeconomic Characterization Survey, is useful to assess the access to health care in Chile.

  18. Health Physics Enrollments and Degrees Survey, 2003 Data

    SciTech Connect

    Oak Ridge Institute for Science and Education

    2004-03-01

    The survey includes degrees granted between September 1, 2002 and August 31, 2003. Enrollment information refers to the fall term 2003. Thirty-four academic programs at 33 different institutions were included in the survey universe with all responding (100% response rate). Several of the programs did not have any degrees awarded during the time period. Two programs included in the 2002 survey were either discontinued or out-of-scope and not included in 2003 survey.

  19. Health Physics Enrollments and Degrees Survey, 2002 Data

    SciTech Connect

    Oak Ridge Institute for Science and Education

    2003-10-01

    The survey includes degrees granted between July 1, 2001 and June 30, 2002. Enrollment information refers to the fall term 2002. Thirty-six academic programs at 35 different institutions were in the survey universe and all responded (100% response rate). Several of these programs did not have any degrees awarded during the time period. Five programs included in the 2001 survey were either discontinued or out-of-scope and not included in 2002 survey.

  20. Sexual minorities in England have poorer health and worse health care experiences: a national survey.

    PubMed

    Elliott, Marc N; Kanouse, David E; Burkhart, Q; Abel, Gary A; Lyratzopoulos, Georgios; Beckett, Megan K; Schuster, Mark A; Roland, Martin

    2015-01-01

    The health and healthcare of sexual minorities have recently been identified as priorities for health research and policy. To compare the health and healthcare experiences of sexual minorities with heterosexual people of the same gender, adjusting for age, race/ethnicity, and socioeconomic status. Multivariate analyses of observational data from the 2009/2010 English General Practice Patient Survey. The survey was mailed to 5.56 million randomly sampled adults registered with a National Health Service general practice (representing 99 % of England's adult population). In all, 2,169,718 people responded (39 % response rate), including 27,497 people who described themselves as gay, lesbian, or bisexual. Two measures of health status (fair/poor overall self-rated health and self-reported presence of a longstanding psychological condition) and four measures of poor patient experiences (no trust or confidence in the doctor, poor/very poor doctor communication, poor/very poor nurse communication, fairly/very dissatisfied with care overall). Sexual minorities were two to three times more likely to report having a longstanding psychological or emotional problem than heterosexual counterparts (age-adjusted for 5.2 % heterosexual, 10.9 % gay, 15.0 % bisexual for men; 6.0 % heterosexual, 12.3 % lesbian and 18.8 % bisexual for women; p < 0.001 for each). Sexual minorities were also more likely to report fair/poor health (adjusted 19.6 % heterosexual, 21.8 % gay, 26.4 % bisexual for men; 20.5 % heterosexual, 24.9 % lesbian and 31.6 % bisexual for women; p < 0.001 for each). Adjusted for sociodemographic characteristics and health status, sexual minorities were about one and one-half times more likely than heterosexual people to report unfavorable experiences with each of four aspects of primary care. Little of the overall disparity reflected concentration of sexual minorities in low-performing practices. Sexual minorities suffer both poorer health and worse healthcare

  1. World Health Organization approaches for surveys of health behaviour among schoolchildren and for health-promoting schools.

    PubMed

    Honkala, Sisko

    2014-01-01

    Adolescents make up about one-sixth of the world's population. Most of the healthy and detrimental habits are adopted during childhood and adolescence. In the mid 1980s, a cross-national Health Behaviour in School-Aged Children (HBSC) survey was created to increase information about the well-being, health behaviours and social context of young people by using standard school-based questionnaires adopted by the World Health Organization (WHO) European office. The European Network of Health-Promoting Schools (HPS) was commenced in 1992, followed by the establishment of the WHO Global School Health Initiative in 1995. The initiative aims to improve the health of students, school personnel, families and other members of the community through schools by mobilizing and strengthening health promotion and educational activities at local, national, regional and global levels. The HBSC and HPS programmes have been accepted as activity areas for the WHO Collaborating Centre for Primary Oral Health Care in Kuwait. This article describes the HBSC and the HPS programmes and discusses the importance of establishing these programmes in Kuwait.

  2. Abortion practice in Mexico: a survey of health care providers.

    PubMed

    Dayananda, Ila; Walker, Dilys; Atienzo, Erika E; Haider, Sadia

    2012-03-01

    Little is known about abortion practice in Mexico postlegalization of abortion in Mexico City in 2007. In 2009, we anonymously surveyed 418 Mexican health care providers at the Colegio Mexicano de Especialistas en Ginecologia y Obstetricia meeting using audio computer-assisted self-interview technology. The majority of respondents were obstetrician gynecologists (376, 90%), Catholic (341, 82%), 35-60 years old (332, 79%) and male (222, 53%) and worked with trainees (307, 74%). Prior to 2007, 11% (46) and 17% (71) provided medical and surgical abortions; now, 15% (62) and 21% (86) provide these services, respectively. Practitioners from Mexico City were more likely to provide services than those from other areas. Most medical abortion providers (50, 81%) used ineffective protocols. Surgical abortion providers mainly used either manual vacuum aspiration (39, 45%) or sharp curettage (27, 32%). Most abortion providers were trained in residency and wanted more training in medical (54, 87%) and surgical (59, 69%) abortion. Among nonproviders, 49% (175) and 27% (89) expressed interest in learning to perform medical and surgical abortion, respectively. Given the interest in learning to provide safe abortion services and the prevalent use of ineffective medical abortion regimens and sharp curettage, abortion training in Mexico should be strengthened. Copyright © 2012 Elsevier Inc. All rights reserved.

  3. Calcium intake by adolescents: a population-based health survey.

    PubMed

    de Assumpção, Daniela; Dias, Marcia Regina Messaggi Gomes; de Azevedo Barros, Marilisa Berti; Fisberg, Regina Mara; de Azevedo Barros Filho, Antonio

    2016-01-01

    To analyze calcium intake in adolescents according to sociodemographic variables, health-related behaviors, morbidities, and body mass index. This was a cross-sectional population-based study, with a two-stage cluster sampling that used data from a survey conducted in Campinas, São Paulo, Brazil, between 2008 and 2009. Food intake was assessed using a 24-hour dietary recall. The study included 913 adolescents aged 10-19 years. Average nutrient intake was significantly lower in the segment with lower education of the head of the family and lower per capita family income, in individuals from other cities or states, those who consumed fruit less than four times a week, those who did not drink milk daily, those who were smokers, and those who reported the occurrence of headaches and dizziness. Higher mean calcium intake was found in individuals that slept less than seven hours a day. The prevalence of calcium intake below the recommendation was 88.6% (95% CI: 85.4-91.2). The results alert to an insufficient calcium intake and suggest that certain subgroups of adolescents need specific strategies to increase the intake of this nutrient. Copyright © 2015 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

  4. Multiple race reporting for children in a national health survey.

    PubMed

    Parker, J D; Lucas, J B

    2000-01-01

    The 1997 standard for race and ethnicity data from the Office of Management and Budget requires the collection of data for multiple race groups. The aims of this study were to compare characteristics of multiple race children and describe race reporting for children within interracial and multiple race families. Descriptive statistics were estimated using the 1993-1995 National Health Interview Surveys. In this time period, 2.6% of children had more than one race reported. Multiple race children were a diverse group who differed from each other and their single race counterparts. For example, the percent of children reported as both Black and White who lived in a two-parent household (58.9%), was significantly less than the corresponding percents for other multiple race children (65.8%-79.6%), and between the corresponding percents for single race Black (42.7%) and single race White children (83.2%). The relationships between parental race and child's race varied. Although 3.1% of children in two-parent households lived with interracial parents, fewer than half of these children had more than one race reported. Sociodemographic variables were not associated with child's reported race among interracial families. These findings indicate that generalizations about multiple race children for research or policy purposes will be problematic.

  5. Health Insurance Coverage and Hypertension Control in China: Results from the China Health and Nutrition Survey.

    PubMed

    Liao, Yi; Gilmour, Stuart; Shibuya, Kenji

    2016-01-01

    China has rapidly expanded health insurance coverage over the past decade but its impact on hypertension control is not well known. We analyzed factors associated with hypertension and the impact of health insurance on the management of hypertension in China from 1991 to 2009. We used individual-level data from the China Health and Nutrition Survey (CHNS) for blood pressure, BMI, and other socio-economic variables. We employed multi-level logistic regression models to estimate the factors associated with prevalence and management of hypertension. We also estimated the effects of health insurance on management of hypertension using propensity score matching. We found that prevalence of hypertension increased from 23.8% (95% CI: 22.5-25.1%) in 1991 to 31.5% (28.5-34.7%) in 2009. The proportion of hypertensive patients aware of their condition increased from 31.7% (28.7-34.9%) to 51.1% (45.1-57.0%). The proportion of diagnosed hypertensive patients in treatment increased by 35.5% in the 19 years, while the proportion of those in treatment with controlled blood pressure remained low. Among diagnosed hypertensives, health insurance increased the probability of receiving treatment by 28.7% (95% CI: 10.6-46.7%) compared to propensity-matched individuals not covered by health insurance. Hypertension continues to be a major health threat in China and effective control has not improved over time despite large improvements in awareness and treatment access. This suggests problems in treatment quality, medication adherence and patient understanding of the condition. Improvements in hypertension management, quality of medical care for those at high risk, and better health insurance packages are needed.

  6. Usefulness of a Survey on Underage Drinking in a Rural American Indian Community Health Clinic

    ERIC Educational Resources Information Center

    Gilder, David A.; Luna, Juan A.; Roberts, Jennifer; Calac, Daniel; Grube, Joel W.; Moore, Roland S.; Ehlers, Cindy L.

    2013-01-01

    This study examined the usefulness of a survey on underage drinking in a rural American Indian community health clinic. One hundred ninety-seven youth (90 male, 107 female; age range 8-20 years) were recruited from clinic waiting rooms and through community outreach. The study revealed that the usefulness of the survey was twofold: Survey results…

  7. Vision Test Validation Study for the Health Examination Survey Among Youths 12-17 years.

    ERIC Educational Resources Information Center

    Roberts, Jean

    A validation study of the vision test battery used in the Health Examination Survey of 1966-1970 was conducted among 210 youths 12-17 years-old who had been part of the larger survey. The study was designed to discover the degree of correspondence between survey test results and clinical examination by an opthalmologist in determining the…

  8. Work and Home: Data from the National Health Interview Survey on Disability. Research/Practice.

    ERIC Educational Resources Information Center

    Gilmore, Dana Scott; Butterworth, John

    This issue brief provides a national profile of individuals with developmental disabilities based on the National Health Interview Survey on Disability, Phase 1. This in-depth survey of 107,400 individuals uses a complex sampling strategy which is designed to provide national incidence estimates for each survey item. Data are reported which were…

  9. Adolescent Health in North Dakota: Findings of the 1992 Youth Risk Behavior Survey. Summary.

    ERIC Educational Resources Information Center

    McDonough, Stephen L.

    An anonymous survey of health and sexual behavior statistics from adolescents in North Dakota is presented in this document. Seventeen thousand students from North Dakota schools in grades 9-12 participated in the survey. Survey questions were taken from the following categories: (1) safety; (2) suicide; (3) tobacco, alcohol and other drugs; (4)…

  10. [Socioeconomic differentials in health and health related behaviors: findings from the Korea Youth Panel Survey].

    PubMed

    Khang, Young-Ho; Cho, Sung-Il; Yang, Seungmi; Lee, Moo-Song

    2005-11-01

    This study examined the socioeconomic differentials for the health and health related behaviors among South Korean middle school students. A nationwide cross-sectional interview survey of 3,449 middle school second-grade students and their parents was conducted using a stratified multi-stage cluster sampling method. The response rate was 93.3%. The socioeconomic position indicators were based on self-reported information from the students and their parents: parental education, father's occupational class, monthly family income, out-of-pocket expenditure for education, housing ownership, educational expectations, educational performance and the perceived economic hardships. The outcome variables that were measured were also based on the self-reported information from the students. The health measures included self-rated health conditions, psychological or mental problems, the feelings of loneliness at school, the overall satisfaction of life and the perceived level of stress. The health related behaviors included were smoking, alcohol drinking, sexual intercourse, violence, bullying and verbal and physical abuse by parents. Socioeconomic differences for the health and health related behaviors were found among the eighth grade boys and girls of South Korea. However, the pattern varied with gender, the socioeconomic position indicators and the outcome measures. The prevalence rates of the overall dissatisfaction with life for both genders differed according to most of the eight socioeconomic position indicators. All the health measures were significantly different according to the perceived economic hardship. However, the socioeconomic differences in the self-rated health conditions and the psychosocial or mental problems were not clear. The students having higher socioeconomic position tended to be a perpetrator of bullying while those students with lower socioeconomic position were more likely to be a victim. The perceived economic hardships predicted the health

  11. Uses of Youth Risk Behavior Survey and School Health Profiles Data: Applications for Improving Adolescent and School Health

    ERIC Educational Resources Information Center

    Foti, Kathryn; Balaji, Alexandra; Shanklin, Shari

    2011-01-01

    Background: To monitor priority health risk behaviors and school health policies and practices, respectively, the Centers for Disease Control and Prevention (CDC) developed the Youth Risk Behavior Surveillance System (YRBSS) and the School Health Profiles (Profiles). CDC is often asked about the use and application of these survey data to improve…

  12. Mental Health Services for the Elderly: Report on a Survey of Community Mental Health Centers. Volume III.

    ERIC Educational Resources Information Center

    Flemming, Arthur S.; And Others

    This is the third volume of a three-volume report on the Community Mental Health Center (CMHC) survey project undertaken to assess the impact of the Alcohol, Drug Abuse, and Mental Health Services (ADMS) block grant program on the delivery of mental health services to older persons. This volume presents results from a 2-year follow-up survey…

  13. Uses of Youth Risk Behavior Survey and School Health Profiles Data: Applications for Improving Adolescent and School Health

    ERIC Educational Resources Information Center

    Foti, Kathryn; Balaji, Alexandra; Shanklin, Shari

    2011-01-01

    Background: To monitor priority health risk behaviors and school health policies and practices, respectively, the Centers for Disease Control and Prevention (CDC) developed the Youth Risk Behavior Surveillance System (YRBSS) and the School Health Profiles (Profiles). CDC is often asked about the use and application of these survey data to improve…

  14. Mental Health Issues Facing a Diverse Sample of College Students: Results from the College Student Mental Health Survey

    ERIC Educational Resources Information Center

    Soet, Johanna; Sevig, Todd

    2006-01-01

    Over the past 5 years there has been increased attention given to mental health issues on college and university campuses across the country. However, few research efforts have been conducted to systematically investigate the mental health of college students. The College Student Mental Health Survey was undertaken as a first step towards gaining…

  15. Mental Health Issues Facing a Diverse Sample of College Students: Results from the College Student Mental Health Survey

    ERIC Educational Resources Information Center

    Soet, Johanna; Sevig, Todd

    2006-01-01

    Over the past 5 years there has been increased attention given to mental health issues on college and university campuses across the country. However, few research efforts have been conducted to systematically investigate the mental health of college students. The College Student Mental Health Survey was undertaken as a first step towards gaining…

  16. The Relationship between Health Survey and Medical Chart Review Results in a Rural Population

    ERIC Educational Resources Information Center

    Voaklander, Donald C.; Thommasen, Harvey V.; Michalos, Alex C.

    2006-01-01

    The objective of this study was to understand the relationship between health survey and medical chart based information. The study population consisted of adult patients (17 years of age and older) attending the Bella Coola Medical Clinic who also completed a detailed Health and Quality of Life Survey. A total of 674 adults completed the Health…

  17. Mental Health and Firearms in Community-Based Surveys: Implications for Suicide Prevention

    ERIC Educational Resources Information Center

    Sorenson, Susan B.; Vittes, Katherine A.

    2008-01-01

    Suicide rates are higher among those who own or live in a household with a hand gun. This article examines the association between hand gun ownership and mental health, another risk factor for suicide. Data from the General Social Survey, a series of surveys of U.S. adults, are analyzed to compare general emotional and mental health, sadness and…

  18. 2009 National Survey on Drug Use and Health. Highlights. Fact Sheet

    ERIC Educational Resources Information Center

    Office of National Drug Control Policy, 2010

    2010-01-01

    The National Survey on Drug Use and Health (NSDUH) is the primary source of information on the prevalence, patterns, and consequences of substance abuse among people age 12 and older. The survey is conducted every year by the Substance Abuse and Mental Health Services Administration (SAMHSA). The 2009 NSDUH, released September 16, 2010, shows…

  19. Mental Health and Firearms in Community-Based Surveys: Implications for Suicide Prevention

    ERIC Educational Resources Information Center

    Sorenson, Susan B.; Vittes, Katherine A.

    2008-01-01

    Suicide rates are higher among those who own or live in a household with a hand gun. This article examines the association between hand gun ownership and mental health, another risk factor for suicide. Data from the General Social Survey, a series of surveys of U.S. adults, are analyzed to compare general emotional and mental health, sadness and…

  20. The Relationship between Health Survey and Medical Chart Review Results in a Rural Population

    ERIC Educational Resources Information Center

    Voaklander, Donald C.; Thommasen, Harvey V.; Michalos, Alex C.

    2006-01-01

    The objective of this study was to understand the relationship between health survey and medical chart based information. The study population consisted of adult patients (17 years of age and older) attending the Bella Coola Medical Clinic who also completed a detailed Health and Quality of Life Survey. A total of 674 adults completed the Health…

  1. Alaska Youth Risk Behavior Survey, 1999 and Alaska School Health Education Profile, 1998.

    ERIC Educational Resources Information Center

    Green, Tammy; Schumacher, Catherine; Middaugh, John; Asay, Elvin; Campbell, Terri; Shober, Beth

    This report describes the methods and results of the 1999 Alaska Youth Risk Behavior Survey (YRBS) and the 1998 School Health Education Profile (SHEP). Each survey is intended to provide a better understanding of health and related programs within school settings. The YRBS asks students to report their behaviors in the six major areas of health…

  2. [Organizational well-being in public health. Climate survey in a Piedmont public health organization].

    PubMed

    Agnelli, Ileana; Saglietti, Daniele; Zotti, Anna Maria

    2010-01-01

    More and more Italian and European directives refers to organizational health promotion in work placements. As a matter of fact, organization well-being implies important benefits for individuals and improves business efficiency/efficacy. Improving factors involve listening tools aimed to analyze critical situations and needs, focus on working teams and communication development. In this respect, in a public health organization in Piedmont a research was devised for planning interventions of organizational health promotion and improvement, relying on climate analysis. The research process was supported by General Direction and involved the head of physicians and the departments CPSE (Coordinatore Professionale Sanitario Esperto: Professional Health Coordinator). The survey was carried out on the organizational population, focusing on teambuilding, which is the core of daily work life. Team Climate Inventory Questionnaire (TCI) was employed and administered on-line. Beyond the 5 original factorial scales, 6 item groups related to the individuals feeling in working team and consistent with the research interests were identified. 75.42% (n=1264) of employees answered the provided questionnaire. The data highlighted average scores--expressing organizational climate--over other public health organization data. The subjects also showed a good organizational climate perception. Elderly workers appeared more satisfied than the young ones. Furthermore, higher educated subjects took more advantage of technical and organizational supports.

  3. National Surveys of Population Health: Big Data Analytics for Mobile Health Monitors.

    PubMed

    Schatz, Bruce R

    2015-12-01

    At the core of the healthcare crisis is fundamental lack of actionable data. Such data could stratify individuals within populations to predict which persons have which outcomes. If baselines existed for all variations of all conditions, then managing health could be improved by matching the measuring of individuals to their cohort in the population. The scale required for complete baselines involves effective National Surveys of Population Health (NSPH). Traditionally, these have been focused upon acute medicine, measuring people to contain the spread of epidemics. In recent decades, the focus has moved to chronic conditions as well, which require smaller measures over longer times. NSPH have long utilized quality of life questionnaires. Mobile Health Monitors, where computing technologies eliminate manual administration, provide richer data sets for health measurement. Older technologies of telephone interviews will be replaced by newer technologies of smartphone sensors to provide deeper individual measures at more frequent timings across larger-sized populations. Such continuous data can provide personal health records, supporting treatment guidelines specialized for population cohorts. Evidence-based medicine will become feasible by leveraging hundreds of millions of persons carrying mobile devices interacting with Internet-scale services for Big Data Analytics.

  4. Nutrition screening for seniors in health care facilities: a survey of health professionals.

    PubMed

    Villalon, Lita; Laporte, Manon; Carrier, Natalie

    2011-01-01

    Several studies show that malnutrition is prevalent in health care facilities, especially among elderly patients and nursing home residents. Although validated screening tools exist, little evidence exists on the feasibility of implementing nutrition screening in health care facilities. We examined New Brunswick health care professionals' perceptions of and practices involving nutrition screening in elderly clients, as well as barriers to screening. A survey was conducted with questionnaires intended for physicians, nurses, and dietitians. Participants were 457 health care professionals (physicians, 34.6%; nurses, 50.3%; dietitians, 15.1%). Perceptions of nutrition screening varied. For example, most nurses (94.7%) and dietitians (98.5%) indicated that screening was important/very important, while only 63.5% of physicians indicated this. Screening methods also differed among professionals and few used a screening tool. Several barriers to implementing nutrition screening were reported, such as lack of time, lack of professional resources, and clients' short stays. These findings will help professionals address the feasibility of implementing standardized screening tools in health care facilities. A more consistent and systematic approach for detecting populations at high nutritional risk may result.

  5. [Health inequalities on adolescents' risk behavior indicators in Mexico: analysis of two national health surveys].

    PubMed

    Gutiérrez, Juan Pablo; García-Saisó, Sebastián; Espinosa-de la Peña, Rodrigo; Balandrán, Dulce Alejandra

    2016-01-01

    To document socioeconomic health inequalities on adolescents' risk behaviors in Mexico using gap and gradient measures. Analysis of the national health surveys 2000 and 2012 measuring absolute and relative gaps as well as the slope index of inequality for risk behavior indicators on adolescents using socioeconomic indicators and also measuring gaps for sex, urban/rural residency, and indigenous/non-indigenous population. For sexual risk behaviors, inequalities are reflected in a lower probability of using protection at the first sexual intercourse among those living in households with lower income for women and men as well as higher probability of ever being pregnant for adolescents of lower income. For tobacco and alcohol consumption and for violence related health problems, inequalities imply higher probability of consumption among those in household with larger incomes. Socioeconomic health inequalities are a relevant challenge for adolescents' wellbeing in Mexico, with a complex scenario where resource scarcity is related to increasing risk behaviors that may compromise their future. A better understanding of health inequalities is needed to design effective interventions.

  6. [Health inequality on results and access indicators for children in Mexico: analysis of national health surveys].

    PubMed

    Gutiérrez, Juan Pablo; García-Saisó, Sebastián; Espinosa-de la Peña, Rodrigo; Balandrán, Dulce Alejandra

    2016-01-01

    To analyze inequalities in health care indicators of children 0 to 9 years old in Mexico reporting gap and gradient measures. Cross-sectional analysis of national health surveys in 2000, 2006 and 2012, measuring absolute and relative gap measures as well as the Slope Index of Inequality for four health care indicators (vaccination, care for acute respiratory infections, care for acute diarrheal diseases, and care for accidents) with socioeconomic stratification, as well as absolute gaps by sex, urbanicity and ethnic background. Between 2000 and 2012, immunological equity was reached in Mexico, as well as elimination in the socioeconomic gap related to care for accidents; nevertheless, there is a persistent socioeconomic gap of care for acute respiratory infections that is also there regarding rural residence and indigenous population. In Mexico, there is a trend to the elimination of socioeconomic differences in the probability of receiving adequate health care among children, although some socioeconomic gaps remain in particular related to provision of services that require more participation of health personnel. There is a need to ensure homogenous access to effective services for all.

  7. National Surveys of Population Health: Big Data Analytics for Mobile Health Monitors

    PubMed Central

    Schatz, Bruce R.

    2015-01-01

    Abstract At the core of the healthcare crisis is fundamental lack of actionable data. Such data could stratify individuals within populations to predict which persons have which outcomes. If baselines existed for all variations of all conditions, then managing health could be improved by matching the measuring of individuals to their cohort in the population. The scale required for complete baselines involves effective National Surveys of Population Health (NSPH). Traditionally, these have been focused upon acute medicine, measuring people to contain the spread of epidemics. In recent decades, the focus has moved to chronic conditions as well, which require smaller measures over longer times. NSPH have long utilized quality of life questionnaires. Mobile Health Monitors, where computing technologies eliminate manual administration, provide richer data sets for health measurement. Older technologies of telephone interviews will be replaced by newer technologies of smartphone sensors to provide deeper individual measures at more frequent timings across larger-sized populations. Such continuous data can provide personal health records, supporting treatment guidelines specialized for population cohorts. Evidence-based medicine will become feasible by leveraging hundreds of millions of persons carrying mobile devices interacting with Internet-scale services for Big Data Analytics. PMID:26858915

  8. Data Resource Profile: The Korea National Health and Nutrition Examination Survey (KNHANES)

    PubMed Central

    Kweon, Sanghui; Kim, Yuna; Jang, Myoung-jin; Kim, Yoonjung; Kim, Kirang; Choi, Sunhye; Chun, Chaemin; Khang, Young-Ho; Oh, Kyungwon

    2014-01-01

    The Korea National Health and Nutrition Examination Survey (KNHANES) is a national surveillance system that has been assessing the health and nutritional status of Koreans since 1998. Based on the National Health Promotion Act, the surveys have been conducted by the Korea Centers for Disease Control and Prevention (KCDC). This nationally representative cross-sectional survey includes approximately 10 000 individuals each year as a survey sample and collects information on socioeconomic status, health-related behaviours, quality of life, healthcare utilization, anthropometric measures, biochemical and clinical profiles for non-communicable diseases and dietary intakes with three component surveys: health interview, health examination and nutrition survey. The health interview and health examination are conducted by trained staff members, including physicians, medical technicians and health interviewers, at a mobile examination centre, and dieticians’ visits to the homes of the study participants are followed up. KNHANES provides statistics for health-related policies in Korea, which also serve as the research infrastructure for studies on risk factors and diseases by supporting over 500 publications. KCDC has also supported researchers in Korea by providing annual workshops for data users. KCDC has published the Korea Health Statistics each year, and microdata are publicly available through the KNHANES website (http://knhanes.cdc.go.kr). PMID:24585853

  9. Analysis of an innovative survey platform: comparison of the public's responses to human health and salmon genomics surveys.

    PubMed

    Ahmad, Rana; Bailey, Jennifer; Danielson, Peter

    2010-03-01

    This paper presents the results of the first two surveys conducted using the innovative NERD (Norms Evolving in Response to Dilemmas) platform. The structure, results, and analysis of the first two NERD surveys on genomics and human health and salmon genomics are compared. This comparison demonstrates that NERD is a cost-effective and efficient public consultation and experimental tool that has provided insight on public acceptance of new technologies such as genomics.

  10. Health Status of Older US Workers and Nonworkers, National Health Interview Survey, 1997-2011.

    PubMed

    Kachan, Diana; Fleming, Lora E; Christ, Sharon; Muennig, Peter; Prado, Guillermo; Tannenbaum, Stacey L; Yang, Xuan; Caban-Martinez, Alberto J; Lee, David J

    2015-09-24

    Many US workers are increasingly delaying retirement from work, which may be leading to an increase in chronic disease at the workplace. We examined the association of older adults' health status with their employment/occupation and other characteristics. National Health Interview Survey data from 1997 through 2011 were pooled for adults aged 65 or older (n = 83,338; mean age, 74.6 y). Multivariable logistic regression modeling was used to estimate the association of socioeconomic factors and health behaviors with 4 health status measures: 1) self-rated health (fair/poor vs good/very good/excellent); 2) multimorbidity (≤1 vs ≥2 chronic conditions); 3) multiple functional limitations (≤1 vs ≥2); and 4) Health and Activities Limitation Index (HALex) (below vs above 20th percentile). Analyses were stratified by sex and age (young-old vs old-old) where interactions with occupation were significant. Employed older adults had better health outcomes than unemployed older adults. Physically demanding occupations had the lowest risk of poor health outcomes, suggesting a stronger healthy worker effect: service workers were at lowest risk of multiple functional limitations (odds ratio [OR], 0.82; 95% confidence interval [CI], 0.71-0.95); and blue-collar workers were at lowest risk of multimorbidity (OR, 0.84; 95% CI, 0.74-0.97) and multiple functional limitation (OR, 0.84; 95% CI, 0.72-0.98). Hispanics were more likely than non-Hispanic whites to report fair/poor health (OR, 1.62; 95% CI, 1.52-1.73) and lowest HALex quintile (OR, 1.21; 95% CI, 1.13-1.30); however, they were less likely to report multimorbidity (OR, 0.78; 95% CI, 0.73-0.83) or multiple functional limitations (OR, 0.82; 95% CI, 0.77-0.88). A strong association exists between employment and health status in older adults beyond what can be explained by socioeconomic factors (eg, education, income) or health behaviors (eg, smoking). Disability accommodations in the workplace could encourage employment

  11. Weight and mental health status in Massachusetts, National Survey of Children's Health, 2007.

    PubMed

    Lu, Emily; Dayalu, Rashmi; Diop, Hafsatou; Harvey, Elizabeth M; Manning, Susan E; Uzogara, Stella G

    2012-12-01

    This study explores how weight status is related to mental health status among Massachusetts children, aged 10-17 years. We used data from the 2007 National Survey of Children's Health to examine the association between weight status (body mass index-for-age) and parent-reported mental health status among Massachusetts children (N = 827). Multivariable log binomial regression was performed to calculate the adjusted prevalence ratios (aPR) of three mental health outcomes (behavioral, emotional, and social) as related to weight status, after controlling for covariates including physical activity, sex, race/ethnicity, maternal education, poverty status, special health needs, and neighborhood safety. Almost one-third (32.5 %) of Massachusetts children were either overweight or obese. Sex was a significant effect modifier of the association between weight status and negative emotions. After stratifying by sex and controlling for covariates, the relationship between weight status and negative emotions remained significant among girls (aPR = 1.8, 95 % CI 1.3-2.6). Children who did not exercise at all were significantly more likely to exhibit negative behaviors (aPR = 1.3, 95 % CI 1.0-1.6), negative emotions (boys' aPR = 3.3, 95 % CI 1.6-6.9; girls' aPR = 2.6, 95 % CI 1.5-4.5), and fewer social skills (aPR = 1.9, 95 % CI 1.3-2.9) than those who exercised at least 20 min every day of the week. Overweight/obese children, especially girls, were more likely than children of normal weight to have parent-reported negative emotions, suggesting an association between weight status and mental health. Lower levels of physical activity were associated with negative mental health outcomes, supporting the benefits of physical activity for all children.

  12. Occupation and mental health in a national UK survey

    PubMed Central

    Rasul, F. R.; Head, J.; Singleton, N.

    2009-01-01

    Objectives To measure the prevalence of common mental disorder (CMD) by occupation in a representative sample of Great Britain and to identify occupations with increased and decreased risk of CMD. Methods A cross-sectional interview-based survey was carried out including 5,497 working male and female respondents, 16–64 years from a stratified random survey of private households in Britain. Occupations were classified by the Standard Occupational Classification (SOC) into four groups: major, sub-major, minor and constituent unit groups. Common Mental Disorder was measured by the Revised Clinical Interview Schedule. Results Major SOC groups with higher prevalence of common mental disorder included clerical and secretarial, sales, and personal and protective services whereas craft and related, ‘other’ professional occupations and plant and machine operatives had lower prevalence compared to 13% overall prevalence in all adults. In sub-major SOC groups managers and administrators, teaching professionals, clerical and secretarial, ‘other’ sales and personal service occupations had higher prevalence whereas many professional and skilled occupations had lower prevalence. Specific SOC unit groups with higher prevalence included primary and secondary teachers, welfare community, youth workers, security staff, waiters, bar staff, nurse auxiliaries and care assistants. General managers in government and large organizations (OR = 2.79, 95% CI 1.41–5.54), managers in transport and storing (OR = 2.44, 95% CI 1.18–5.03), buyers and mobile sales persons (OR = 2.48, 95% CI 1.09–5.60), sales occupations (NES) (OR = 2.78, 95% CI 1.25–6.19) and clerks (NES) (OR = 2.71, 95% CI 1.59–4.61) had increased risk of common mental disorder relative to specialist managers adjusting for social and financial factors and physical ill-health. Conclusions Occupations with higher risk of common mental disorder may be typified by high levels of job demands, especially

  13. Participant referral rate in the National Eye Health Survey (NEHS)

    PubMed Central

    Keel, Stuart; Lee, Pei Ying; Foreman, Joshua; van Wijngaarden, Peter; Taylor, Hugh R.; Dirani, Mohamed

    2017-01-01

    Purpose To present the rates of referral of participants in the National Eye Health Survey (NEHS) for further eye care. Materials & methods A national sample of 3098 non-Indigenous Australians aged 50–98 and 1738 Indigenous Australians aged 40–92 years living in 30 randomly selected sites was recruited using a door-to-door approach. Participants completed a general questionnaire and a series of eye tests, including vision and anterior segment assessment, intra-ocular pressure measurement, visual field testing and fundus photography. A predefined protocol was used to guide the referral of participants for follow up eye care. An ophthalmologist was on-call to assist with the triaging of participants. Results Of the total sample, 32.1% (994/3098) of non-Indigenous participants and 43.6% (757/1738) of Indigenous participants were referred for further eye care (p<0.001). A significant difference in referral rates for Indigenous Australians was observed between regions of differing geographic remoteness [range = 32.2% (Inner Regional)—60.4% (Very Remote), p <0.001]. After adjusting for covariates, males (OR = 1.24, 95% CI: 1.06–1.46), older age (OR = 1.02 per year, 95% CI: 1.01, 1.02) and longer time since previous eye examination (OR = 1.15 per year, 95% CI: 1.12, 1.19) were associated with higher rates of eye care referral in the non-Indigenous population. In the Indigenous population, older age (OR = 1.02 per year, 95% CI: 1.01–1.03), self-reported diabetes (OR = 1.70, 95% CI: 1.37–2.12), greater geographical remoteness (OR = 1.19, 95% CI: 1.09–1.29) and longer time since previous eye examination (OR = 1.10 per year, 95% CI: 1.07, 1.13) were associated with a higher rate of referral after multivariate adjustments. A total of 25 participants (1.4%) were referred for urgent follow-up of potentially sight threatening conditions. Conclusions Our data has identified several high risk groups that required ophthalmic referral including older Australians, non

  14. [Survey on a public health emergency event caused by norovirus].

    PubMed

    Xing, Y; Jiang, C; Hua, W Y; Liu, F; Zhao, Z; Ding, Y J; Wang, L; Li, J

    2017-09-10

    Objective: To study the epidemiological characteristics of an outbreak caused by norovirus infection in a school in Haidian district, Beijing. Methods: Basic information of the school and data related to patients in the fields survey were collected and analyzed descriptively. Laboratory tests were performed to test the stool and anal swab specimens of both patients and cooks as well as the environmental specimens. Risk factors related to the incidence were analyzed through a case-control study. Results: A total number of 119 patients were identified in the school. Clinical symptoms were mild, mainly involving vomiting (94.1%, 112/119), abdominal pain (46.2%, 55/119), but no need of hospitalization. The average age of the student patients was 6.38, with minimum and maximum between 5 and 11. Patients were found in 22 classes, but mainly in grade 1 and class 7 where 35 patients were found (30.17%). A total of 134 specimens of rectal swabs and stool were collected, with 7 positive for norovirus and 6 for sappovirus. Salmonella, Shigella, lapactic Escherichia coli and Vibrio parahaemolyticus were not found in on dinner sets, residual foods, bottled water or in drinking fountains. Index on water hygiene was unsatisfactory in classrooms or dormitories where more cases were found. Accommodation, north-facing-classrooms, abnormal water hygiene indexes were found related to the occurance of the disease (P<0.05). Conclusions: The outbreak was identified a gastroenteritis infection, caused by norovirus with symptoms as vomiting and abdominal pain. This event reached the reporting standards of public health emergencies-level Ⅳ. Discovery and isolation of the first case was not timely while transmission of the disease might be water-borne. Surveillance programs on symptoms, disinfection of vomit and stool in places like nurseries and schools should be strengthened to prevent the norovirus outbreak.

  15. Behavioral health providers' beliefs about health information exchange: a statewide survey

    PubMed Central

    2011-01-01

    Objective To assess behavioral health providers' beliefs about the benefits and barriers of health information exchange (HIE). Methods Survey of a total of 2010 behavioral health providers in a Midwestern state (33% response rate), with questions based on previously reported open-ended beliefs elicitation interviews. Results Factor analysis resulted in four groupings: beliefs that HIE would improve care and communication, add cost and time burdens, present access and vulnerability concerns, and impact workflow and control (positively and negatively). A regression model including all four factors parsimoniously predicted attitudes toward HIE. Providers clustered into two groups based on their beliefs: a majority (67%) were positive about the impact of HIE, and the remainder (33%) were negative. There were some professional/demographic differences between the two clusters of providers. Discussion Most behavioral health providers are supportive of HIE; however, their adoption and use of it may continue to lag behind that of medical providers due to perceived cost and time burdens and concerns about access to and vulnerability of information. PMID:22184253

  16. CROSS-NATIONAL SOURCES OF HEALTH INEQUALITY: EDUCATION AND TOBACCO USE IN THE WORLD HEALTH SURVEY*

    PubMed Central

    Pampel, Fred C.; Denney, Justin T.; Krueger, Patrick M.

    2012-01-01

    The spread of tobacco use from the West to other parts of the world, especially among disadvantaged socioeconomic groups, raises concerns not only about the indisputable harm to global health but also about worsening health inequality. Arguments relating to economic cost and diffusion posit that rising educational disparities in tobacco use—and associated disparities in health and premature mortality—are associated with higher national income and more advanced stages of cigarette diffusion, particularly among younger persons and males. To test these arguments, we use World Health Survey data for 99,661 men and 123,953 women from 50 low-income to upper-middle-income nations. Multilevel logistic regression models show that increases in national income and cigarette diffusion widen educational disparities in smoking among young persons and men, but have weaker influences among older persons and women. The results suggest that the social and economic patterns of cigarette adoption across low- and middle-income nations foretell continuing, perhaps widening disparities in mortality. PMID:21491184

  17. Barriers to mental health treatment: results from the WHO World Mental Health surveys.

    PubMed

    Andrade, L H; Alonso, J; Mneimneh, Z; Wells, J E; Al-Hamzawi, A; Borges, G; Bromet, E; Bruffaerts, R; de Girolamo, G; de Graaf, R; Florescu, S; Gureje, O; Hinkov, H R; Hu, C; Huang, Y; Hwang, I; Jin, R; Karam, E G; Kovess-Masfety, V; Levinson, D; Matschinger, H; O'Neill, S; Posada-Villa, J; Sagar, R; Sampson, N A; Sasu, C; Stein, D J; Takeshima, T; Viana, M C; Xavier, M; Kessler, R C

    2014-04-01

    To examine barriers to initiation and continuation of mental health treatment among individuals with common mental disorders. Data were from the World Health Organization (WHO) World Mental Health (WMH) surveys. Representative household samples were interviewed face to face in 24 countries. Reasons to initiate and continue treatment were examined in a subsample (n = 63,678) and analyzed at different levels of clinical severity. Among those with a DSM-IV disorder in the past 12 months, low perceived need was the most common reason for not initiating treatment and more common among moderate and mild than severe cases. Women and younger people with disorders were more likely to recognize a need for treatment. A desire to handle the problem on one's own was the most common barrier among respondents with a disorder who perceived a need for treatment (63.8%). Attitudinal barriers were much more important than structural barriers to both initiating and continuing treatment. However, attitudinal barriers dominated for mild-moderate cases and structural barriers for severe cases. Perceived ineffectiveness of treatment was the most commonly reported reason for treatment drop-out (39.3%), followed by negative experiences with treatment providers (26.9% of respondents with severe disorders). Low perceived need and attitudinal barriers are the major barriers to seeking and staying in treatment among individuals with common mental disorders worldwide. Apart from targeting structural barriers, mainly in countries with poor resources, increasing population mental health literacy is an important endeavor worldwide.

  18. Trends in reproductive health indicators in Nigeria using demographic and health surveys (1990-2013).

    PubMed

    Okigbo, Chinelo C; Adegoke, Korede K; Olorunsaiye, Comfort Z

    2016-10-16

    There is an urgent need to improve reproductive health (RH) in Nigeria - the most populous country in Africa. In 2015, Nigeria had the highest number of maternal deaths in the world. This study assessed the trends in select RH indicators in Nigeria over two decades. Data used were from Nigeria Demographic and Health Surveys (NDHS) conducted between 1990 and 2013. The NDHS uses a two-stage cluster sampling design to select nationally representative samples of reproductive-age women. The study sample ranged from 7620 to 38,948 women aged 15-49 across the five surveys. Trends in modern contraceptive prevalence rate, skilled antenatal care, skilled birth attendance, and adolescent birth were assessed. The results show increasing trends in modern contraceptive prevalence rate from 4% in 1990 to 11% in 2013 (p < .001); in skilled antenatal care from 57% in 1990 to 61% in 2013 (p < .001); and in skilled birth attendance from 31% in 1990 to 40% in 2013 (p < .001). The trend in adolescent birth decreased from 24% in 1990 to 17% in 2013 (p < .001). Marked disparities exist as rural, poor, and less educated women bear the greatest burden. Interventions should target the at-risk populations to improve their access and use of RH services.

  19. Sex Education, First Sex and Sexual Health Outcomes in Adulthood: Findings from a Nationally Representative Sexual Health Survey

    ERIC Educational Resources Information Center

    Bourke, Ashling; Boduszek, Daniel; Kelleher, Caroline; McBride, Orla; Morgan, Karen

    2014-01-01

    This study investigated the relationship between school sex education and sexual health behaviours at first sex and later in adulthood, using nationally representative data. Respondents were adults from the 2010 Irish Contraception and Crisis Pregnancy Survey, a cross-sectional survey designed to assess knowledge, attitudes and behaviours relating…

  20. Sex Education, First Sex and Sexual Health Outcomes in Adulthood: Findings from a Nationally Representative Sexual Health Survey

    ERIC Educational Resources Information Center

    Bourke, Ashling; Boduszek, Daniel; Kelleher, Caroline; McBride, Orla; Morgan, Karen

    2014-01-01

    This study investigated the relationship between school sex education and sexual health behaviours at first sex and later in adulthood, using nationally representative data. Respondents were adults from the 2010 Irish Contraception and Crisis Pregnancy Survey, a cross-sectional survey designed to assess knowledge, attitudes and behaviours relating…

  1. Developing a household survey tool for health equity: A practical guide in Islamic Republic of Iran

    PubMed Central

    Beheshtian, Maryam; Khosravi, Ardeshir; Olyaeemanesh, Alireza; Malekafzali, Hossein; Bonakdar Esfahani, Shirin; Hosseiny Ghavamabad, Leila; Aghamohammadi, Saeideh; Nouri, Mahnaz; Kazemi, Elaheh; Zakeri, Mohammadreza; Sagha, Fatemeh

    2015-01-01

    Background: An obvious gradient in health outcomes has been implicated in many evidences relating to social and economic factors. Proper data are requested to convince policy-makers calling for intersectoral action for health. Recently, I.R. of Iran has come up with 52 health equity indicators to monitor health equity through the country. Conducting regular surveys on 14 out of 52 national health equity indicators is needed to provide a basis for the health inequality analysis through the country. We aimed to introduce a survey tool and its related protocols on health equity indicators. Methods: This study was conducted through addressing the literature and expertise of health and demographic surveys at the national and international levels. Also, we conducted technical and consultative committee meetings, a final consensus workshop and a pilot study to finalize the survey tool. Results: We defined the study design, sampling method, reliable questionnaires and instructions, data collection and supervision procedure. We also defined the data analysis protocol on health equity indicators, generated from non-routine data. Conclusion: A valid and reliable tool, which could be employed at the national and sub-national levels, was designed to measure health equity in Iran. Policy-makers can use this survey tool to generate useful information and evidence to design appropriate required intervention and reduce health inequality across the country. PMID:26913268

  2. Socioeconomic Inequalities in Mental Health of Adult Population: Serbian National Health Survey

    PubMed Central

    Santric-Milicevic, Milena; Jankovic, Janko; Trajkovic, Goran; Terzic-Supic, Zorica; Babic, Uros; Petrovic, Marija

    2016-01-01

    Background: The global burden of mental disorders is rising. In Serbia, anxiety is the leading cause of disability-adjusted life years. Serbia has no mental health survey at the population level. The information on prevalence of mental disorders and related socioeconomic inequalities are valuable for mental care improvement. Aims: To explore the prevalence of mental health disorders and socioeconomic inequalities in mental health of adult Serbian population, and to explore whether age years and employment status interact with mental health in urban and rural settlements. Study Design: Cross-sectional study. Methods: This study is an additional analysis of Serbian Health Survey 2006 that was carried out with standardized household questionnaires at the representative sample of 7673 randomly selected households – 15563 adults. The response rate was 93%. A multivariate logistic regression modeling highlighted the predictors of the 5 item Mental Health Inventory (MHI-5), and of chronic anxiety or depression within eight independent variables (age, gender, type of settlement, marital status and self-perceived health, education, employment status and Wealth Index). The significance level in descriptive statistics, chi square analysis and bivariate and multivariate logistic regressions was set at p<0.05. Results: Chronic anxiety or depression was seen in 4.9% of the respondents, and poor MHI-5 in 47% of respondents. Low education (Odds Ratios 1.32; 95% confidence intervals=1.16–1.51), unemployment (1.36; 1.18–1.56), single status (1.34; 1.23–1.45), and Wealth Index middle class (1.20; 1.08–1.32) or poor (1.33; 1.21–1.47) were significantly related with poor MHI-5. Unemployed persons in urban settlements had higher odds for poormMHI-5 than unemployed in rural areas (0.73; 0.59–0.89). Single (1.50; 1.26–1.78), unemployed (1.39; 1.07–1.80) and inactive respondents (1.42; 1.10–1.83) had a higher odds of chronic anxiety or depression than married

  3. Health Physics Enrollments and Degrees Survey, 2007 Data

    SciTech Connect

    Analysis and Evaluation, Science Education Programs

    2008-04-01

    The survey includes degrees granted between September 1, 2006 and August 31, 2007. Enrollment information refers to the fall term 2007. Twenty-nine academic programs were included in the survey universe, and 28 of the 29 responded. The report includes data by degree level including citizenship, gender, and race/ethnicity plus enrollments of junior and senior undergraduate students and graduate students.

  4. Brief 67 Health Physics Enrollments and Degrees Survey, 2009 Data

    SciTech Connect

    Dr. Larry M. Blair, Analysis and Evaluation, Science Education Programs

    2010-03-01

    This survey includes degrees granted between September 1, 2008 and August 31, 2009. Enrollment information refers to the fall term 2009. Twenty-four academic programs were included in the survey universe, and all twenty-four responded. The report includes data by degree level including citizenship, gender, and race/ethnicity, plus enrollments of junior and senior undergraduate students and graduate students.

  5. Report on the Development and Evaluation of the "Survey of Undergraduate Alumni" and the "Survey of Graduate Alumni" in Health Education at San Francisco State University.

    ERIC Educational Resources Information Center

    Yee, Darlene

    The "Survey of Undergraduate Alumni" and the "Survey of Graduate Alumni" for the Department of Health Education at San Francisco State University (California) were developed and evaluated. The surveys were intended to measure alumni satisfaction with the programs in health education. Using a modified Delphi technique, a group…

  6. Improving the Validity and Reliability of a Health Promotion Survey for Physical Therapists

    PubMed Central

    Stephens, Jaca L.; Lowman, John D.; Graham, Cecilia L.; Morris, David M.; Kohler, Connie L.; Waugh, Jonathan B.

    2013-01-01

    Purpose Physical therapists (PTs) have a unique opportunity to intervene in the area of health promotion. However, no instrument has been validated to measure PTs’ views on health promotion in physical therapy practice. The purpose of this study was to evaluate the content validity and test-retest reliability of a health promotion survey designed for PTs. Methods An expert panel of PTs assessed the content validity of “The Role of Health Promotion in Physical Therapy Survey” and provided suggestions for revision. Item content validity was assessed using the content validity ratio (CVR) as well as the modified kappa statistic. Therapists then participated in the test-retest reliability assessment of the revised health promotion survey, which was assessed using a weighted kappa statistic. Results Based on feedback from the expert panelists, significant revisions were made to the original survey. The expert panel reached at least a majority consensus agreement for all items in the revised survey and the survey-CVR improved from 0.44 to 0.66. Only one item on the revised survey had substantial test-retest agreement, with 55% of the items having moderate agreement and 43% poor agreement. Conclusions All items on the revised health promotion survey demonstrated at least fair validity, but few items had reasonable test-retest reliability. Further modifications should be made to strengthen the validity and improve the reliability of this survey. PMID:23754935

  7. Developing Survey Research Infrastructure At An Historically Black College/University To Address Health Disparities

    PubMed Central

    Howard, Daniel L.; Boyd, Carlton L.; Kalsbeek, Bill; Godley, Paul A.

    2011-01-01

    This article describes the development of the Center for Survey Research at Shaw University, a Historically Black College and University (HBCU), and its efforts to build a data collection infrastructure that addresses issues germane to health disparities research in the African American population. Academic institutions that are similar to Shaw in size, mission, and background can use the Project EXPORT collaboration and the Center for Survey Research as models for establishing their own research infrastructure and subsequent survey center in order to address health disparities through the use of survey methodology. PMID:22090795

  8. The genesis of a catalog of oral health-related surveys: locating oral health-related datasets.

    PubMed

    Martinez, Pamela J; Hyman, Jeffrey; Reichman, Marsha E

    2002-01-01

    The National Institute of Dental and Craniofacial Research (NIDCR), in collaboration with the Division of Oral Health, Centers for Disease Control and Prevention (DOH, CDC), has established a Dental, Oral and Craniofacial Data Resource Center (DRC). One element of the DRC is the Catalog of Surveys Related to Oral Health. The Catalog is a searchable electronic database that includes federal, state, international, and privately sponsored surveys and other datasets. Its purpose is to make researchers aware of surveys that have been conducted and to highlight features of complex surveys that relate to oral health. Other components of the DRC include an Archive of Procedures and Methods, Archive of Procedures and Methods Used in Oral Health Surveys, which is linked to the Catalog; an Annual Report, Oral Health U.S., 2002; and a data warehouse of acquired datasets. A Web-based statistical query system related to oral health is also under development. It is the intention of the DRC to meet the needs of NIDCR and DOH, CDC staff as well as other researchers interested in the status of oral health. The Catalog is available on CD-ROM at no cost and in the future will be made available through the NIDCR Web site.

  9. American Association for Health Education (AAHE) 2011 Membership Survey: Summary of Findings

    ERIC Educational Resources Information Center

    Chaney, Elizabeth H.; Chavarria, Enmanuel; Stellefson, Michael L.; Birch, David A.; Spear, Caile

    2012-01-01

    The American Association for Health Education (AAHE), a national health education organization with the mission of advancing the profession of health education, launched the 2011 AAHE membership survey between October 13, 2011 and November 1, 2011, under the leadership of the AAHE Board of Directors and AAHE Staff. The primary objective of the…

  10. 76 FR 625 - Proposed Information Collection (Veterans Health Benefits Handbook Satisfaction Survey) Activity...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-05

    ... AFFAIRS Proposed Information Collection (Veterans Health Benefits Handbook Satisfaction Survey) Activity.... 2900--New (VA Form 10-0507).'' SUPPLEMENTARY INFORMATION: Title: Veterans Health Benefits Handbook... presentation material contained in the Veterans Health Benefits Handbook. VA will use the data collected to...

  11. Women's Health in the Dental School Curriculum: Report of a Survey & Recommendations.

    ERIC Educational Resources Information Center

    Silverton, Susan; Sinkford, Jeanne; Inglehart, Marita; Tedesco, Lisa; Valachovic, Richard

    This report presents the analytical results of a survey of U.S. and Canadian dental schools conducted during 1997 by the American Association of Dental Schools. It documents how women's health and oral health issues are addressed in the curriculum. It also presents an annotated bibliography of research involving oral and craniofacial health and…

  12. A Survey of Complementary and Alternative Medicine Knowledge among Health Educators in the United States

    ERIC Educational Resources Information Center

    Johnson, Ping; Priestley, Jennifer Lewis; Johnson, Roy D.

    2008-01-01

    Background: Complementary and alternative medicine (CAM) is popular among U.S. health care consumers, but no study has examined how much health educators know about CAM. Purpose: To examine the knowledge of basic CAM concepts and common CAM therapies among health educators in the U.S. Methods: An online survey was conducted among 1,299 health…

  13. Adequacy of Training in Preventive Medicine and Public Health: A National Survey of Residency Graduates.

    ERIC Educational Resources Information Center

    Stein, David H.; Salive, Marcel E.

    1996-01-01

    A survey of 797 preventive medicine residency graduates found that improvements are needed in the curricula for health administration, environmental health, health education, and occupational medicine. Women found their training less adequate than men did in all areas except clinical preventive medicine. Graduates tended to practice ultimately in…

  14. A Survey of Practices in Hospital Pharmacies. The UCLA Allied Health Professions Project.

    ERIC Educational Resources Information Center

    Cullen, Thomas D.; Henrich, Robert R.

    A survey was conducted as part of the UCLA Allied Health Professions Project to determine what procedures are used in health care facility pharmacies for the performance of tasks previously selected for inclusion in a proposed curriculum for pharmacy technicians. Questionnaires were distributed to a national sample of 48 health care facilities,…

  15. Adequacy of Training in Preventive Medicine and Public Health: A National Survey of Residency Graduates.

    ERIC Educational Resources Information Center

    Stein, David H.; Salive, Marcel E.

    1996-01-01

    A survey of 797 preventive medicine residency graduates found that improvements are needed in the curricula for health administration, environmental health, health education, and occupational medicine. Women found their training less adequate than men did in all areas except clinical preventive medicine. Graduates tended to practice ultimately in…

  16. Barriers to Mental Health Treatment: Results from the WHO World Mental Health (WMH) Surveys

    PubMed Central

    Andrade, L. H.; Alonso, J.; Mneimneh, Z.; Wells, J. E.; Al-Hamzawi, A.; Borges, G.; Bromet, E.; Bruffaerts, R.; de Girolamo, G.; de Graaf, R.; Florescu, S.; Gureje, O.; Hinkov, H. R.; Hu, C.; Huang, Y.; Hwang, I.; Jin, R.; Karam, E. G.; Kovess-Masfety, V.; Levinson, D.; Matschinger, H.; O’Neill, S.; Posada-Villa, J.; Sagar, R.; Sampson, N. A.; Sasu, C.; Stein, D.; Takeshima, T.; Viana, M. C.; Xavier, M.; Kessler, R. C.

    2014-01-01

    Background To examine barriers to initiation and continuation of mental health treatment among individuals with common mental disorders. Methods Data are from the WHO World Mental Health (WMH) Surveys. Representative household samples were interviewed face-to-face in 24 countries. Reasons to initiate and continue treatment were examined in a subsample (n= 63,678) and analyzed at different levels of clinical severity. Results Among those with a DSM-IV disorder in the past twelve months, low perceived need was the most common reason for not initiating treatment and more common among moderate and mild than severe cases. Women and younger people with disorders were more likely to recognize a need for treatment. Desire to handle the problem on one’s own was the most common barrier among respondents with a disorder who perceived a need for treatment (63.8%). Attitudinal barriers were much more important than structural barriers both to initiating and continuing treatment. However, attitudinal barriers dominated for mild-moderate cases and structural barriers for severe cases. Perceived ineffectiveness of treatment was the most commonly reported reason for treatment dropout (39.3%) followed by negative experiences with treatment providers (26.9% of respondents with severe disorders). Conclusions Low perceived need and attitudinal barriers are the major barriers to seeking and staying in treatment among individuals with common mental disorders worldwide. Apart from targeting structural barriers, mainly in countries with poor resources, increasing population mental health literacy is an important endeavor worldwide. PMID:23931656

  17. Oral health status of older adults in Kentucky: results from the Kentucky Elder Oral Health Survey.

    PubMed

    Bush, Heather M; Dickens, Noel E; Henry, Robert G; Durham, Lisa; Sallee, Nancy; Skelton, Judith; Stein, Pam S; Cecil, James C

    2010-01-01

    The purpose of the Kentucky Elder Oral Health Survey (KEOHS) was to assess the oral health status of Kentuckians 65 and older. The KEOHS consisted of a self-administered questionnaire and a clinical examination. Recruitment occurred from May 2002 through March 2005 of persons aged 65 and older (n = 1,386) whose functional ability was classified by residential setting. Independent elders living in their own homes were designated as "well-elders," those who lived in skilled nursing facilities and who were functionally dependent were designated as "nursing home elders," and those older adults who were considered frail were designated as "homebound elders." Significant associations were found between the functional ability of the elders and demographic characteristics. While elders who were homebound reported the highest rate of barriers to care, dental insurance, affordability, and transportation were consistently reported as barriers for all groups of elders. This study has established the baseline oral health status of older adults in Kentucky and the data show differences that exist for various community living situations.

  18. Oral Health Status of Older Adults in Kentucky: Results from the Kentucky Elder Oral Health Survey

    PubMed Central

    Bush, Heather M.; Dickens, Noel E.; Henry, Robert G.; Durham, Lisa; Sallee, Nancy; Skelton, Judith; Stein, Pam S.; Cecil, James C.

    2010-01-01

    The purpose of the Kentucky Elder Oral Health Survey (KEOHS) was to assess the oral health status of Kentuckians 65 and older. The KEOHS consisted of a self-administered questionnaire and a clinical examination. Recruitment occurred from May 2002 through March 2005 of persons aged 65 and older (n=1386) whose functional ability was classified by residential setting. Independent elders living in their own homes were designated as “well-elders,” those who lived in skilled nursing facilities and who were functionally dependent were designated as “nursing home elders,” and those older adults who were considered frail were designated as “homebound elders.” Significant associations were found between the functional ability of the elders and demographic characteristics. While elders who were homebound reported the highest rate of barriers to care, dental insurance, affordability, and transportation were consistently reported as barriers for all groups of elders. This study has established the baseline oral health status of older adults in Kentucky and the data shows-differences that exist for various community living situations. PMID:20831736

  19. Total and High-Density Lipoprotein Cholesterol in Adults: National Health and Nutrition Examination Survey, 2011-2012

    MedlinePlus

    ... density Lipoprotein Cholesterol in Adults: National Health and Nutrition Examination Survey, 2011–2012 Recommend on Facebook Tweet ... Associate Director for Science Division of Health and Nutrition Examination Surveys Kathryn S. Porter, M.D., M.S., Director ...

  20. Sample selection, recruitment and participation rates in health examination surveys in Europe--experience from seven national surveys.

    PubMed

    Mindell, Jennifer S; Giampaoli, Simona; Goesswald, Antje; Kamtsiuris, Panagiotis; Mann, Charlotte; Männistö, Satu; Morgan, Karen; Shelton, Nicola J; Verschuren, W M Monique; Tolonen, Hanna

    2015-10-05

    Health examination surveys (HESs), carried out in Europe since the 1950's, provide valuable information about the general population's health for health monitoring, policy making, and research. Survey participation rates, important for representativeness, have been falling. International comparisons are hampered by differing exclusion criteria and definitions for non-response. Information was collected about seven national HESs in Europe conducted in 2007-2012. These surveys can be classified into household and individual-based surveys, depending on the sampling frames used. Participation rates of randomly selected adult samples were calculated for four survey modules using standardised definitions and compared by sex, age-group, geographical areas within countries, and over time, where possible. All surveys covered residents not just citizens; three countries excluded those in institutions. In two surveys, physical examinations and blood sample collection were conducted at the participants' home; the others occurred at examination clinics. Recruitment processes varied considerably between surveys. Monetary incentives were used in four surveys. Initial participation rates aged 35-64 were 45% in the Netherlands (phase II), 54% in Germany (new and previous participants combined), 55% in Italy, and 65% in Finland. In Ireland, England and Scotland, household participation rates were 66%, 66% and 63% respectively. Participation rates were generally higher in women and increased with age. Almost all participants attending an examination centre agreed to all modules but surveys conducted in the participants' home had falling responses to each stage. Participation rates in most primate cities were substantially lower than the national average. Age-standardized response rates to blood pressure measurement among those aged 35-64 in Finland, Germany and England fell by 0.7-1.5 percentage points p.a. between 1998-2002 and 2010-2012. Longer trends in some countries show a more

  1. Noncommunicable diseases and the use of health services: analysis of the National Health Survey in Brazil.

    PubMed

    Malta, Deborah Carvalho; Bernal, Regina Tomie Ivata; Lima, Margareth Guimarães; Araújo, Silvânia Suely Caribé de; Silva, Marta Maria Alves da; Freitas, Maria Imaculada de Fátima; Barros, Marilisa Berti de Azevedo

    2017-06-01

    To assess whether sex, education level, and health insurance affect the use of health services among the adult Brazilian population with chronic noncommunicable diseases (NCD). Data from a cross-sectional survey were analyzed, the National Health Survey (PNS). Frequency of use of services in the population that referred at least one NCD were compared with the frequency from a population that did not report NCD, according to sex, education level, health insurance, and NCD number (1, 2, 3, 4, or more). The prevalence and prevalence ratios were calculated crude and adjusted for sex, age, region, and 95% confidence intervals. The presence of a noncommunicable disease was associated with increase in hospitalizations in the last 12 months, in 1.7 times (95%CI 1.53-1.9). Failing to perform usual activities in the last two weeks for health reasons was 3.1 times higher in NCD carriers (95%CI 2.78-3.46); while the prevalence of medical consultation in the last 12 months was 1.26 times higher (95%CI 1.24-1.28). NCD carriers make more use of health services, as well as women, people with higher number of comorbidities, with health insurance, and higher education level. NCD carriers make more use of health services, as well as women, people with higher number of comorbidities, with health insurance, and higher education level. Analisar se sexo, escolaridade e posse de plano de saúde influenciam a utilização de serviços de saúde entre a população adulta brasileira portadora de doenças crônicas não transmissíveis (DCNT). Foram analisados dados de inquérito transversal, a Pesquisa Nacional de Saúde (PNS). Foram comparadas as frequências de uso de serviços na população que referiu pelo menos uma DCNT, com aquelas que não relatam DCNT, segundo sexo, escolaridade, posse de plano de saúde e número de DCNT (1, 2, 3, 4 ou mais). Foram calculadas as prevalências e razões de prevalência (RP) brutas e ajustadas por sexo, idade e região e respectivos intervalos de

  2. A survey of local public health departments and their directors.

    PubMed Central

    Miller, C A; Brooks, E F; DeFriese, G H; Gilbert, B; Jain, S C; Kavaler, F

    1977-01-01

    In 1974 a questionnaire was mailed to the nation's local health officers. Responses were received from 1,345, at least 68 per cent of all local health departments. The present paper presents selected summary data from respondents concerning the health departments, their jurisdictions, organization, finance, functions, staffing, and about the training, salaries, and other characteristics of local health officers. Health departments are extensively involved in rendering health services, including direct personal services (25 per cent of all departments). For many services the health department is the sole provider of essential services in the area of jurisdiction. These services include ambulatory care (8 per cent), maternal and child health (48.5 per cent), home care (44.8 per cent), and family planning (38 per cent). The major constraints to improvement and expansion of programs are perceived as limited financial support, insufficient staff, and inadequate facilities. PMID:911004

  3. Health Physics Enrollments and Degrees Survey, 2004 Data

    SciTech Connect

    Oak Ridge Institute for Science and Education

    2005-03-01

    This annual report details the the number of health physics bachelor's, master's, and doctoral degrees awarded at a sampling of academic programs from 1998-2004. It also looks at health physics degrees by curriculum and the number of students enrolled in health physics degree programs at 28 U.S. universities in 2004.

  4. Health Physics Enrollments and Degrees Survey, 2005 Data

    SciTech Connect

    Oak Ridge Institute for Science and Education

    2006-03-01

    This annual report details the number of health physics bachelor's, master's, and postdoctoral degrees awarded at a sampling of academic programs from 1998-2005. It also looks at health physics degrees by curriculum and the number of students enrolled in health physics degree programs at 30 U.S. universities in 2005.

  5. Inspiring health worker motivation with supportive supervision: a survey of lady health supervisor motivating factors in rural Pakistan.

    PubMed

    Rabbani, Fauziah; Shipton, Leah; Aftab, Wafa; Sangrasi, Kashif; Perveen, Shagufta; Zahidie, Aysha

    2016-08-17

    Community health worker motivation is an important consideration for improving performance and addressing maternal, newborn, and child health in low and middle-income countries. Therefore, identifying health system interventions that address motivating factors in resource-strained settings is essential. This study is part of a larger implementation research project called Nigraan, which is intervening on supportive supervision in the Lady Health Worker Programme to improve community case management of pneumonia and diarrhea in rural Pakistan. This study explored the motivation of Lady Health Supervisors, a cadre of community health workers, with particular attention to their views on supportive supervision. Twenty-nine lady health supervisors enrolled in Nigraan completed open-ended structured surveys with questions exploring factors that affect their motivation. Thematic analysis was conducted using a conceptual framework categorizing motivating factors at individual, community, and health system levels. Supportive supervision, recognition, training, logistics, and salaries are community and health system motivating factors for lady health supervisors. Lady health supervisors are motivated by both their role in providing supportive supervision to lady health workers and by the supervisory support received from their coordinators and managers. Family support, autonomy, and altruism are individual level motivating factors. Health system factors, including supportive supervision, are crucial to improving lady health supervisor motivation. As health worker motivation influences their performance, evaluating the impact of health system interventions on community health worker motivation is important to improving the effectiveness of community health worker programs.

  6. Toward a More Reliable Federal Survey for Tracking Health Insurance Coverage and Access

    PubMed Central

    Kenney, Genevieve; Holahan, John; Nichols, Len

    2006-01-01

    Objective Examination of the extent to which federal surveys provide the data needed to estimate the coverage/cost impacts of policy alternatives to address the problem of uninsurance. Data Sources/Study Setting Assessment of the major federal household surveys that regularly provide information on health insurance and access to care based on an examination of each survey instrument and related survey documentation and the methodological literature. Study Design Identification of the data needed to address key policy questions on insurance coverage, assessment of how well existing surveys meet this need, definition of the critical elements of an ideal survey, and examination of the potential for building on existing surveys. Data Collection/Extraction Methods Collection and critical assessment of pertinent survey documentation and methodological studies. Principal Findings While all the federal surveys examined provide valuable information, the information available to guide key policy decisions still has major gaps. Issues include measurement of insurance coverage and critical content gaps, inadequate sample sizes to support precise state and substate estimates, considerable delays between data collection and availability, and concerns about response rates and item nonresponse. Our assessment is that the Current Population Survey (CPS) and the National Health Interview Survey could be most readily modified to address these issues. Conclusions The vast resources devoted to health care and the magnitude of the uninsurance problem make it critical that we have a reliable source for tracking health care and coverage at the national and state levels and for major local areas. It is plausible that this could be more cost effectively done by building on existing surveys than by designing and fielding a new one, but further research is needed to make a definitive judgment. At a minimum, the health insurance information collected on the CPS should be revised to address

  7. Social media, knowledge translation, and action on the social determinants of health and health equity: A survey of public health practices.

    PubMed

    Ndumbe-Eyoh, Sume; Mazzucco, Agnes

    2016-11-01

    The growth of social media presents opportunities for public health to increase its influence and impact on the social determinants of health and health equity. The National Collaborating Centre for Determinants of Health at St. Francis Xavier University conducted a survey during the first half of 2016 to assess how public health used social media for knowledge translation, relationship building, and specific public health roles to advance health equity. Respondents reported that social media had an important role in public health. Uptake of social media, while relatively high for personal use, was less present in professional settings and varied for different platforms. Over 20 per cent of those surveyed used Twitter or Facebook at least weekly for knowledge exchange. A lesser number used social media for specific health equity action. Opportunities to enhance the use of social media in public health persist. Capacity building and organizational policies that support social media use may help achieve this.

  8. Oral health need and access to dental services: evidence from the National Survey of Children's Health, 2007.

    PubMed

    Bell, Janice F; Huebner, Colleen E; Reed, Sarah C

    2012-04-01

    This study examines associations between parents' report of their children's oral health and receipt of a dental visit for preventive care. We conducted a cross-sectional analysis of oral health status and receipt of a preventive dental visit among US children and youth, ages 1-17 years, using data from the 2007 National Survey of Children's Health (n = 86,764). Survey-weighted logistic regression was used to estimate associations between perceived oral health status and receipt of a preventive dental health visit in the prior 12 months. Overall, 78 % of children and youth received at least one preventive dental health visit in the prior year. Among the youngest children, lower oral health status was associated with higher odds of receiving a preventive dental visit; among older children, lower oral health status was associated with lower odds of receiving a dental visit for preventive care. Use of preventive dental health care is below national target goals. Younger children in worse oral health are more likely, and older youth less likely, to receive preventive dental care. Public health efforts to educate parents to seek early and ongoing preventive oral health care, rather than services in response to problems, may yield oral health benefits later in childhood and over the life course.

  9. Subthreshold posttraumatic stress disorder in the world health organization world mental health surveys.

    PubMed

    McLaughlin, Katie A; Koenen, Karestan C; Friedman, Matthew J; Ruscio, Ayelet Meron; Karam, Elie G; Shahly, Victoria; Stein, Dan J; Hill, Eric D; Petukhova, Maria; Alonso, Jordi; Andrade, Laura Helena; Angermeyer, Matthias C; Borges, Guilherme; de Girolamo, Giovanni; de Graaf, Ron; Demyttenaere, Koen; Florescu, Silvia E; Mladenova, Maya; Posada-Villa, Jose; Scott, Kate M; Takeshima, Tadashi; Kessler, Ronald C

    2015-02-15

    Although only a few people exposed to a traumatic event (TE) develop posttraumatic stress disorder (PTSD), symptoms that do not meet full PTSD criteria are common and often clinically significant. Individuals with these symptoms sometimes have been characterized as having subthreshold PTSD, but no consensus exists on the optimal definition of this term. Data from a large cross-national epidemiologic survey are used in this study to provide a principled basis for such a definition. The World Health Organization World Mental Health Surveys administered fully structured psychiatric diagnostic interviews to community samples in 13 countries containing assessments of PTSD associated with randomly selected TEs. Focusing on the 23,936 respondents reporting lifetime TE exposure, associations of approximated DSM-5 PTSD symptom profiles with six outcomes (distress-impairment, suicidality, comorbid fear-distress disorders, PTSD symptom duration) were examined to investigate implications of different subthreshold definitions. Although consistently highest outcomes for distress-impairment, suicidality, comorbidity, and PTSD symptom duration were observed among the 3.0% of respondents with DSM-5 PTSD rather than other symptom profiles, the additional 3.6% of respondents meeting two or three of DSM-5 criteria B-E also had significantly elevated scores for most outcomes. The proportion of cases with threshold versus subthreshold PTSD varied depending on TE type, with threshold PTSD more common following interpersonal violence and subthreshold PTSD more common following events happening to loved ones. Subthreshold DSM-5 PTSD is most usefully defined as meeting two or three of DSM-5 criteria B-E. Use of a consistent definition is critical to advance understanding of the prevalence, predictors, and clinical significance of subthreshold PTSD. Copyright © 2015 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.

  10. 77 FR 33253 - Regulatory Guide 8.24, Revision 2, Health Physics Surveys During Enriched Uranium-235 Processing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-05

    ... COMMISSION Regulatory Guide 8.24, Revision 2, Health Physics Surveys During Enriched Uranium-235 Processing.... Introduction Revision 2 of Regulatory Guide 8.24, ``Health Physics Surveys During Enriched Uranium-235... occupational health physics program that are closely related to surveys: (1) The number and qualification of...

  11. Secondary Data Analysis of National Surveys in Japan Toward Improving Population Health

    PubMed Central

    Ikeda, Nayu

    2016-01-01

    Secondary data analysis of national health surveys of the general population is a standard methodology for health metrics and evaluation; it is used to monitor trends in population health over time and benchmark the performance of health systems. In Japan, the government has established electronic databases of individual records from national surveys of the population’s health. However, the number of publications based on these datasets is small considering the scale and coverage of the surveys. There appear to be two major obstacles to the secondary use of Japanese national health survey data: strict data access control under the Statistics Act and an inadequate interdisciplinary research environment for resolving methodological difficulties encountered when dealing with secondary data. The usefulness of secondary analysis of survey data is evident with examples from the author’s previous studies based on vital records and the National Health and Nutrition Surveys, which showed that (i) tobacco smoking and high blood pressure are the major risk factors for adult mortality from non-communicable diseases in Japan; (ii) the decrease in mean blood pressure in Japan from the late 1980s to the early 2000s was partly attributable to the increased use of antihypertensive medication and reduced dietary salt intake; and (iii) progress in treatment coverage and control of high blood pressure is slower in Japan than in the United States and Britain. National health surveys in Japan are an invaluable asset, and findings from secondary analyses of these surveys would provide important suggestions for improving health in people around the world. PMID:26902170

  12. Behavioral Health and Service Use Among Civilian Wives of Service Members and Veterans: Evidence from the National Survey of Drug Use and Health

    DTIC Science & Technology

    2015-01-01

    National Survey of Drug Use and Health OR odds ratio RUCA Rural Urban Community Area SAMHSA Substance Abuse and Mental Health Services...Survey of Drug Use and Health (NSDUH), an annual survey of the general U.S. population carried out by the Substance Abuse and Mental Health...wives in more rural areas are less likely to use any type of behavioral health services, significantly so for substance use disorder treatment

  13. National health and nutrition examination survey: plan and operations, 1999-2010.

    PubMed

    Zipf, George; Chiappa, Michele; Porter, Kathryn S; Ostchega, Yechiam; Lewis, Brenda G; Dostal, Jennifer

    2013-08-01

    Background-Starting in 1999, the National Health and Nutrition Examination Survey (NHANES) became a continuous, ongoing annual survey of the noninstitutionalized civilian resident population of the United States. A continuous survey allowed content to change to meet emerging needs. Objective-This report describes how NHANES for 1999-2010 was designed and implemented. NHANES is a national survey designed to provide national estimates on various health-related topics. Methods-The survey used in-person face-to-face interviews and physical examinations for data collection. Approximately 5,000 people per year participated in NHANES. The 5,000 people surveyed each year are representative of the entire U.S. population. All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated.

  14. Development of a respiratory protection survey instrument for occupational health nurses: an educational project.

    PubMed

    Taormina, Deborah; Burgel, Barbara J

    2013-02-01

    The Institute of Medicine (2011) report Occupational Health Nurses and Respiratory Protection: Improving Education and Training outlined seven recommendations to improve the competency of occupational health nurses in respiratory protection. An advisory group was convened in December 2011, with stakeholder representation from the Centers for Disease Control and Prevention/National Institute for Occupational Safety and Health/National Personal Protective Technology Laboratory, American Association of Occupational Health Nurses, Inc., American Board for Occupational Health Nurses, Inc., Association of Occupational Health Professionals in Healthcare, American Nurses Association, and Institute of Medicine Standing Committee on Personal Protective Equipment for Workplace Safety and Health. The initial work of the advisory group included developing and administering a survey to assess current occupational health nurse roles and responsibilities relevant to respiratory protection. Development of the survey was led by a master's student and advisor who worked with the advisory group. The process of tool development and preliminary findings are presented in this article.

  15. 1992 Ontario Survey of Public Health Nurses: perceptions of roles and activities.

    PubMed

    Chambers, L W; Underwood, J; Halbert, T; Woodward, C A; Heale, J; Isaacs, S

    1994-01-01

    A survey of public health nurses (PHNs) who work in official public health units in Ontario was undertaken to determine whether their perceptions of their roles and activities concurred with a 1990 Canadian Public Health Association report which describes the roles and qualifications of public health nursing in Canada. The survey questionnaire was completed by 1,849 PHNs in all 42 public health units (response rate = 85%). About one tenth of the PHNs reported no activity as a caregiver/service provider. Most PHNs reported being active in the roles of educator/consultant, social marketer, and facilitator/communicator/collaborator. The community developer, policy formulator, research/evaluator, and resource manager/planner/coordinator roles were less frequently performed, however, increased activities in such roles were expected in the future. Nurses said that they needed further preparation to perform the latter roles. These results have implications for deployment of PHNs as Ontario's health system shifts to community health and health promotion.

  16. The construct validity of the Health Utilities Index Mark 3 in assessing mental health in population health surveys.

    PubMed

    Feeny, David; Huguet, Nathalie; McFarland, Bentson H; Kaplan, Mark S

    2009-05-01

    To examine the construct validity of the Health Utilities Index Mark 3 (HUI3) by exploring relationships among several well-recognized measures of mental health, the K6 and the Composite International Diagnostic Interview (CIDI), and the HUI3 in a large, nationally representative sample of community-dwelling subjects. Known-group comparisons were also included in the validation process. We specified a priori hypotheses about the expected degree of association between the measures. Correlation coefficients of <0.1 were defined as negligible, 0.1 to <0.3 as small, 0.3 to <0.5 as medium, and > or =0.5 as large. Data from the Statistics Canada National Population Health Survey (NPHS) Cycle 2 (1996/97) for respondents 20 years of age or older (n = 66,435) were used to test the a priori hypotheses. In 58.1% of cases, predictions of association were correct. Predictions were off by one category in 38.9% of cases and a priori predictions were off by two categories in 3.0% of cases. Our results provide evidence supporting the cross-sectional construct validity of the HUI3 emotion and HUI3 in a nationally representative sample of the community-dwelling population. The results also provide further evidence of the cross-sectional construct validity of the HUI3 in assessing population health.

  17. The construct validity of the Health Utilities Index Mark 3 in assessing mental health in population health surveys

    PubMed Central

    Huguet, Nathalie; McFarland, Bentson H.; Kaplan, Mark S.

    2013-01-01

    Purpose To examine the construct validity of the Health Utilities Index Mark 3 (HUI3) by exploring relationships among several well-recognized measures of mental health, the K6 and the Composite International Diagnostic Interview (CIDI), and the HUI3 in a large, nationally representative sample of community-dwelling subjects. Known-group comparisons were also included in the validation process. Methods We specified a priori hypotheses about the expected degree of association between the measures. Correlation coefficients of <0.1 were defined as negligible, 0.1 to <0.3 as small, 0.3 to <0.5 as medium, and ≥0.5 as large. Data from the Statistics Canada National Population Health Survey (NPHS) Cycle 2 (1996/97) for respondents 20 years of age or older (n = 66,435) were used to test the a priori hypotheses. Results In 58.1% of cases, predictions of association were correct. Predictions were off by one category in 38.9% of cases and a priori predictions were off by two categories in 3.0% of cases. Conclusions Our results provide evidence supporting the cross-sectional construct validity of the HUI3 emotion and HUI3 in a nationally representative sample of the community-dwelling population. The results also provide further evidence of the cross-sectional construct validity of the HUI3 in assessing population health. PMID:19277898

  18. Environmental health science at the U.S. Geological Survey

    USGS Publications Warehouse

    Buxton, Herbert T.; Bright, Patricia R.

    2013-01-01

    USGS environmental health science focuses on the environment-health interface. Research characterizes the processes that affect the interaction among the physical environment, the living environment, and people, as well as the factors that affect ecological and human exposure to disease agents and the resulting toxicologic or infectious disease. The mission of USGS in environmental health science is to contribute scientific information to environmental, natural resource, agricultural, and public-health managers, who use that information to support sound decisionmaking. Coordination with partners and stakeholders will enable USGS to focus on the highest priority environmental health issues, to make relevant, timely, and useable contributions, and to become a “partner of first choice” for environmental health science.

  19. Evaluation of Psychological Measures Used in the Health Examination Survey of Children Ages 6-11.

    ERIC Educational Resources Information Center

    Sells, S. B.

    In this report the psychological procedures used in the Health Examination Survey conducted between June 1963 and December 1965 for children ages 6 through 11 are critically evaluated. In his analysis, the author combines his own professional competence with the information obtained in an extensive survey of literature pertaining to the four…

  20. Effects of an Introductory Letter on Response Rates to a Teen/Parent Telephone Health Survey

    ERIC Educational Resources Information Center

    Woodruff, Susan I.; Mayer, Joni A.; Clapp, Elizabeth

    2006-01-01

    The authors conducted a pilot study in preparation for a larger investigation that will rely on telephone surveys to assess select health behaviors of teens and their parents, with a focus on indoor tanning. This study used a randomized design to assess the impact of a presurvey letter on response rates to a telephone survey, as well as prevalence…

  1. Understanding Teachers' Perspectives on Student Mental Health: Findings from a National Survey

    ERIC Educational Resources Information Center

    Froese-Germain, Bernie; Riel, Richard

    2012-01-01

    This 2012 research report, based on a national online survey conducted by the Canadian Teachers’ Federation (CTF) in collaboration with the Mental Health Commission of Canada, gathers the responses of over 3,900 teachers who voluntarily took part in the survey. Teachers were asked to identify the potential barriers to the provision of mental…

  2. Results from the 2010 National Survey on Drug Use and Health: Summary of National Findings

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration, 2011

    2011-01-01

    This report presents a first look at results from the 2010 National Survey on Drug Use and Health (NSDUH), an annual survey of the civilian, noninstitutionalized population of the United States aged 12 years old or older. The report presents national estimates of rates of use, numbers of users, and other measures related to illicit drugs, alcohol,…

  3. 1976 Survey of Health Occupations Training Programs in Hospitals. Final Report.

    ERIC Educational Resources Information Center

    Kralovec, Peter; And Others

    Objectives of a research project, which was a replication of a 1973 survey of preparatory education programs in hospitals, were to (1) update the publication "Health Occupations Training Programs Administered by Hospitals, October 1973, A Directory," compiled from the results of the 1973 survey, (2) collect detailed data on certain education…

  4. Achieving Broad Participation in Congregational Health Surveys at African American and Latino Churches

    ERIC Educational Resources Information Center

    Hawes-Dawson, Jennifer; Derose, Kathryn P.; Aunon, Frances M.; Dominguez, Blanca X.; Felton, Alexandria; Mata, Michael A.; Oden, Clyde W.; Paffen, Sandra

    2017-01-01

    Congregation-based health program evaluations often rely on surveys, but little documentation is available regarding specific methods and challenges. Here we describe methods used to achieve acceptable response rates (73-79%) in a survey of HIV-related attitudes and behaviors in two African American and three Latino churches in high HIV-prevalence…

  5. The Relationship Between Health, Education, and Health Literacy: Results From the Dutch Adult Literacy and Life Skills Survey

    PubMed Central

    van der Heide, Iris; Wang, Jen; Droomers, Mariël; Spreeuwenberg, Peter; Rademakers, Jany; Uiters, Ellen

    2013-01-01

    Health literacy has been put forward as a potential mechanism explaining the well-documented relationship between education and health. However, little empirical research has been undertaken to explore this hypothesis. The present study aims to study whether health literacy could be a pathway by which level of education affects health status. Health literacy was measured by the Health Activities and Literacy Scale, using data from a subsample of 5,136 adults between the ages of 25 and 65 years, gathered within the context of the 2007 Dutch Adult Literacy and Life Skills Survey. Linear regression analyses were used in separate models to estimate the extent to which health literacy mediates educational disparities in self-reported general health, physical health status, and mental health status as measured by the Short Form-12. Health literacy was found to partially mediate the association between low education and low self-reported health status. As such, improving health literacy may be a useful strategy for reducing disparities in health related to education, as health literacy appears to play a role in explaining the underlying mechanism driving the relationship between low level of education and poor health. PMID:24093354

  6. The relationship between health, education, and health literacy: results from the Dutch Adult Literacy and Life Skills Survey.

    PubMed

    van der Heide, Iris; Wang, Jen; Droomers, Mariël; Spreeuwenberg, Peter; Rademakers, Jany; Uiters, Ellen

    2013-01-01

    Health literacy has been put forward as a potential mechanism explaining the well-documented relationship between education and health. However, little empirical research has been undertaken to explore this hypothesis. The present study aims to study whether health literacy could be a pathway by which level of education affects health status. Health literacy was measured by the Health Activities and Literacy Scale, using data from a subsample of 5,136 adults between the ages of 25 and 65 years, gathered within the context of the 2007 Dutch Adult Literacy and Life Skills Survey. Linear regression analyses were used in separate models to estimate the extent to which health literacy mediates educational disparities in self-reported general health, physical health status, and mental health status as measured by the Short Form-12. Health literacy was found to partially mediate the association between low education and low self-reported health status. As such, improving health literacy may be a useful strategy for reducing disparities in health related to education, as health literacy appears to play a role in explaining the underlying mechanism driving the relationship between low level of education and poor health.

  7. Use of and access to health services in Brazil, 2013 National Health Survey.

    PubMed

    Stopa, Sheila Rizzato; Malta, Deborah Carvalho; Monteiro, Camila Nascimento; Szwarcwald, Célia Landmann; Goldbaum, Moisés; Cesar, Chester Luiz Galvão

    2017-06-01

    To analyze the use of health services in the Brazilian population by sociodemographic factors, according to data from the 2013 Brazilian National Health Survey. The study analyzed data from 205,000 Brazilian citizens in all age groups who participated in the Brazilian National Health Survey, a cross-sectional study carried out in 2013. Prevalence and confidence intervals were estimated for indicators related to access to and use of health services according to age group, level of education of head of household, and Brazilian macroregions. Among individuals who sought health services in the two weeks prior to the survey, 95.3% (95%CI 94.9-95.8) received care in their first visit. Percentages were higher in the following groups: 60 years of age and over; head of household with complete tertiary education; living in the South and Southeast regions. In addition, 82.5% (95%CI 81.2-83.7) of individuals who received health care and prescriptions were able to obtain all the necessary medicines, 1/3 of them from SUS. Less than half the Brazilian population (44.4%; 95%CI 43.8-45.1) visited a dentist in the 12 months prior to the survey, with smaller percentages among the following groups: 60 years of age or older; head of household with no education or up to incomplete elementary; living in the North region of Brazil. People living in the South and Southeast regions still have greater access to health services, as do those whose head of household has a higher level of education. The (re)formulation of health policies to reduce disparities should consider differences encountered between regions and social levels. Descrever o uso de serviços de saúde na população brasileira segundo fatores sociodemográficos, de acordo com dados da Pesquisa Nacional de Saúde, 2013. Foram analisados dados referentes a 205 mil brasileiros, de todas as faixas etárias, que participaram da Pesquisa Nacional de Saúde, estudo transversal conduzido em 2013. Calcularam-se as prevalências e seus

  8. A consensus on men's health status and policy in Asia: a Delphi survey.

    PubMed

    Teo, C H; Ng, C J; Ho, C C K; Tan, H M

    2015-01-01

    There is currently no documentation on the availability and implementation of policies related to men's health in Asia. This Delphi study aimed to achieve an Asian consensus on men's health policy based on the opinions and recommendations from men's health key opinion leaders. A two-phase Delphi online survey was used to gather information from men's health stakeholders across Asian countries. All stakeholders were invited to participate in the survey through men's health conferences, personal contacts, recommendations from international men's health organizations and snowballing method. Stakeholders were asked about their concerns on 17 men's health key issues as well as their opinion on the availability and recommendations on men's health policies and programmes in their countries. There were a total of 128 stakeholders (policy makers, clinicians, researchers and consumers), from 28 Asian countries, who responded in the survey. Up to 85% of stakeholders were concerned about various men's health issues in Asia and in their respective country, particularly in smoking, ischaemic heart disease and high blood pressure. There is a lack of men's health policies and programmes in Asia (availability = 11.6-43.5%) and up to 92.9% of stakeholders recommended that these should be developed. These findings call for policy change and development, and more importantly a concerted effort to elevate men's health status in Asia. Copyright © 2014 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  9. The Health and Nutrition Examination Survey (HANES) Reports

    ERIC Educational Resources Information Center

    Sonnier, Isadore I.

    1976-01-01

    Outlines Public Health Service preliminary findings in a study designed to establish health and nutrition baseline data for future comparison and for government food policies. Data collected include caloric and nutrient intake from recollection, nutrient content of blood and urine, examination for incipient malnutrition, and bone and body…

  10. Health behaviours associated with indoor tanning based on the 2012/13 Manitoba Youth Health Survey

    PubMed Central

    Harland, E.; Griffith, J.; Lu, H.; Erickson, T.; Magsino, K.

    2016-01-01

    Abstract Introduction: Although indoor tanning causes cancer, it remains relatively common among adolescents. Little is known about indoor tanning prevalence and habits in Canada, and even less about associated behaviours. This study explores the prevalence of adolescent indoor tanning in Manitoba and its association with other demographic characteristics and health behaviours. Methods: We conducted secondary analyses of the 2012/13 Manitoba Youth Health Survey data collected from Grade 7 to 12 students (n = 64 174) and examined associations between indoor tanning (whether participants had ever used artificial tanning equipment) and 25 variables. Variables with statistically significant associations to indoor tanning were tested for collinearity and grouped based on strong associations. For each group of highly associated variables, the variable with the greatest effect upon indoor tanning was placed into the final logistic regression model. Separate analyses were conducted for males and females to better understand sex-based differences, and analyses were adjusted for age. Results: Overall, 4% of male and 9% of female students reported indoor tanning, and prevalence increased with age. Relationships between indoor tanning and other variables were similar for male and female students. Binary logistic regression models indicated that several variables significantly predicted indoor tanning, including having part-time work, being physically active, engaging in various risk behaviours such as driving after drinking for males and unplanned sex after alcohol/drugs for females, experiencing someone say something bad about one’s body shape/size/appearance, identifying as trans or with another gender, consuming creatine/other supplements and, for females only, never/rarely using sun protection. Conclusion: Indoor tanning among adolescents was associated with age, part-time work, physical activity and many consumption behaviours and lifestyle risk factors. Though

  11. Sleep duration and self-rated health: the national health interview survey 2008.

    PubMed

    Shankar, Anoop; Charumathi, Sabanayagam; Kalidindi, Sita

    2011-09-01

    Self-rated health (SRH) has been shown to consistently predict overall mortality and cardiovascular mortality in several population-based studies across the world. Similarly sleep duration have been found to be associated with cardiovascular disease (CVD) and mortality. However, relatively few studies have examined the association between sleep duration and SRH, and the results have not been consistent. We conducted a cross-sectional study of n = 20,663 National Health Interview Survey 2008 participants ≥ 18 years of age (56.2% women). Sleep duration was categorized as ≤ 5 h, 6 h, 7 h, 8 h, and ≥ 9 h. The main outcome interest was fair/poor SRH (n = 3043). We found both short and long sleep duration to be independently associated with fair/poor SRH, independent of age, sex, race-ethnicity, smoking, alcohol intake, body mass index, physical activity, depression, diabetes mellitus, hypertension, and CVD. Compared with a sleep duration of 7 h (referent), the multivariate odds ratio (95% confidence interval) of fair/poor SRH was 2.29 (1.86-2.83), 1.68 (1.42-2.00), 1.38 (1.18-1.61), and 1.98 (1.63-2.40) for sleep duration ≤ 5, 6, 8, and ≥ 9 h. This association persisted in subgroup analyses by gender, race-ethnicity, and body mass index categories. Compared with sleep duration of 7 h, there was a positive association between both shorter and longer sleep duration and fair/poor self-rated health in a representative sample of US adults.

  12. Are low income patients receiving the benefits of electronic health records? A statewide survey.

    PubMed

    Butler, Matthew J; Harootunian, Gevork; Johnson, William G

    2013-06-01

    There are concerns that physicians serving low-income, Medicaid patients, in the United States are less likely to adopt electronic health records and, if so, that Medicaid patients will be denied the benefits from electronic health record use. This study seeks to determine whether physicians treating Medicaid patients were less likely to have adopted electronic health records. Physician surveys completed during physicians' license renewal process in Arizona were merged with the physician licensing data and Medicaid administrative claims data. Survey responses were received from 50.7 percent (6,780 out of 13,380) of all physicians practicing in Arizona. Physician survey responses were used to identify whether the physician used electronic health records and the degree to which the physician exchanged electronic health records with other health-care providers. Medicaid claims data were used to identify which physicians provided health care to Medicaid beneficiaries. The primary outcome of interest was whether Medicaid providers were more or less likely to have adopted electronic health records. Logistic regression analysis was used to estimate average marginal effects. In multivariate analysis, physicians with 20 or more Medicaid patients during the survey cycle were 4.1 percent more likely to use an electronic health record and 5.2 percent more likely to be able to transmit electronic health records to at least one health-care provider outside of their practice. These effects increase in magnitude when the analysis is restricted to solo practice physicians This is the first study to find a pro-Medicaid gap in electronic health record adoption suggesting that the low income patients served by Arizona's Health Care Cost Containment System are not at a disadvantage with regard to electronic health record access and that Arizona's model of promoting electronic health record adoption merits further study.

  13. The Queensland Young People's Mental Health Survey Report.

    ERIC Educational Resources Information Center

    Donald, Maria; Dower, Jo; Lucke, Jayne; Raphael, Beverley

    This study's data were collected by telephone and written questionnaires from 15- to 24-year-olds, the age reported to be at high risk for disorders such as depression. The survey revealed that of those contacted, one in four females and one in eight males reported high levels of depressive symptomatology. One in three had suicidal thoughts at…

  14. "Sense of community belonging" in health surveys: what social capital is it measuring?

    PubMed

    Carpiano, Richard M; Hystad, Perry W

    2011-03-01

    Canadian national health surveys regularly ask respondents to rate their sense of belonging to their local community. Health studies commonly use this question as a social capital indicator, but what social capital domains community belonging is measuring remains unclear. Analyzing Canadian General Social Survey data, we evaluate the validity of this measure with respect to network-based social capital and health. Results indicate that sense of community belonging is associated positively with several network-based social capital measures. Neighborhood network-based social capital most substantially reduced associations between sense of community belonging and health measures, but results differed by urban and rural settings. These findings indicate the need for public health surveys to include specific measures of respondents' networks.

  15. Surveys of Health Professions Trainees: Prevalence, Response Rates, and Predictive Factors to Guide Researchers.

    PubMed

    Phillips, Andrew W; Friedman, Benjamin T; Utrankar, Amol; Ta, Andrew Q; Reddy, Shalini T; Durning, Steven J

    2017-02-01

    To establish a baseline overall response rate for surveys of health professions trainees, determine strategies associated with improved response rates, and evaluate for the presence of nonresponse bias. The authors performed a comprehensive analysis of all articles published in Academic Medicine, Medical Education, and Advances in Health Sciences Education in 2013, recording response rates. Additionally, they reviewed nonresponse bias analyses and factors suggested in other fields to affect response rate including survey delivery method, prenotification, and incentives. The search yielded 732 total articles; of these, 356 were research articles, and of these, 185 (52.0%) used at least one survey. Of these, 66 articles (35.6%) met inclusion criteria and yielded 73 unique surveys. Of the 73 surveys used, investigators reported a response rate for 63.0% of them; response rates ranged from 26.6% to 100%, mean (standard deviation) 71.3% (19.5%). Investigators reported using incentives for only 16.4% of the 73 surveys. The only survey methodology factor significantly associated with response rate was single- vs. multi-institutional surveys (respectively, 74.6% [21.2%] vs. 62.0% [12.8%], P = .022). Notably, statistical power for all analyses was limited. No articles evaluated for nonresponse bias. Approximately half of the articles evaluated used a survey as part of their methods. Limited data are available to establish a baseline response rate among health professions trainees and inform researchers which strategies are associated with higher response rates. Journals publishing survey-based health professions education research should improve reporting of response rate, nonresponse bias, and other survey factors.

  16. Job satisfaction among public health nurses: a national survey.

    PubMed

    Curtis, Elizabeth A; Glacken, Michele

    2014-07-01

    Despite increasing interest in nurses' job satisfaction relatively few studies have investigated job satisfaction among public health nurses. To establish current level of job satisfaction among public health nurses and identify the main contributing variables/factors to job satisfaction among this population. Quantitative descriptive design. A simple random sample of 1000 public health nurses was conducted yielding a response rate of 35.1% (n = 351). Data was collected using the Index of Work Satisfaction Questionnaire. Descriptive and inferential statistics were deployed. Low levels of job satisfaction among public health nurses emerged. Professional status, interaction and autonomy contributed most to job satisfaction while pay and task-related activities contributed least. Age and tenure were the only biographic factors that correlated significantly with job satisfaction. Public health nurse managers/leaders need to find creative ways of improving the factors that contribute to job satisfaction and address robustly those factors that result in low job satisfaction. The critical issue for public health nurse managers is to determine how job satisfaction can be improved. Greater collaboration and consultation between managers and public health nurses can be regarded as a useful way to begin this process, especially if contemporary nursing is to embrace a responsive approach within the profession. © 2012 John Wiley & Sons Ltd.

  17. Survey of Argentine Health Researchers on the Use of Evidence in Policymaking

    PubMed Central

    Corluka, Adrijana; Hyder, Adnan A.; Segura, Elsa; Winch, Peter; McLean, Robert K. D.

    2015-01-01

    Objective In this study, Argentine health researchers were surveyed regarding their perceptions of facilitators and barriers to evidence-based policymaking in Argentina, as well as their publication activities, and research environment satisfaction. Methods A self-administered online survey was sent to health researchers in Argentina. The survey questions were based on a preceding qualitative study of Argentine health researchers, as well as the scientific literature. Results Of the 647 researchers that were reached, 226 accessed the survey, for a response rate of 34.9%. Over 80% of researchers surveyed had never been involved in or contributed to decision-making, while over 90% of researchers indicated they would like to be involved in the decision-making process. Decision-maker self-interest was perceived to be the driving factor in the development of health and healthcare policies. Research conducted by a research leader was seen to be the most influential factor in influencing health policy, followed by policy relevance of the research. With respect to their occupational environment, researchers rated highest and most favourably the opportunities available to present, discuss and publish research results and their ability to further their education and training. Argentine researchers surveyed demonstrated a strong interest and willingness to contribute their work and expertise to inform Argentine health policy development. Conclusion Despite Argentina’s long scientific tradition, there are relatively few institutionalized linkages between health research results and health policymaking. Based on the results of this study, the disconnect between political decision-making and the health research system, coupled with fewer opportunities for formalized or informal researcher/decision-maker interaction, contribute to the challenges in evidence informing health policymaking in Argentina. Improving personal contact and the building of relationships between

  18. An Overview of Ophthalmologic Survey Methodology in the 2008-2015 Korean National Health and Nutrition Examination Surveys.

    PubMed

    Yoon, Kyung Chul; Choi, Won; Lee, Hyo Seok; Kim, Sang-Duck; Kim, Seung-Hyun; Kim, Chan Yun; Park, Ki Ho; Park, Young Jeung; Baek, Seung-Hee; Song, Su Jeong; Shin, Jae Pil; Yang, Suk-Woo; Yu, Seung-Young; Lee, Jong Soo; Lim, Key Hwan; Oh, Kyung Won; Kang, Se Woong

    2015-12-01

    The Korea National Health and Nutrition Examination Survey (KNHANES) is a national program designed to assess the health and nutritional status of the noninstitutionalized population of South Korea. The KNHANES was initiated in 1998 and has been conducted annually since 2007. Starting in the latter half of 2008, ophthalmologic examinations were included in the survey in order to investigate the prevalence and risk factors of common eye diseases such as visual impairment, refractive errors, strabismus, blepharoptosis, cataract, pterygium, diabetic retinopathy, age-related macular degeneration, glaucoma, dry eye disease, and color vision deficiency. The measurements included in the ophthalmic questionnaire and examination methods were modified in the KNHANES IV, V, and VI. In this article, we provide detailed information about the methodology of the ophthalmic examinations in KNHANES in order to aid in further investigations related to major eye diseases in South Korea.

  19. Survey of accredited master of public health (MPH) programs with health education concentrations: a resource for strengthening the public health workforce.

    PubMed

    Woodhouse, Lynn D; Auld, M Elaine; Livingood, William C; Mulligan, Lori A

    2006-04-01

    The authors designed survey research to assess accredited master of public health (MPH) programs with health education concentrations. A Web-based survey was distributed to program directors and was used to collect characteristics of program faculty, students, graduates, internships, employment, and competency development. Results indicate that students and graduates are diverse; 72% of students complete internships and 61% of graduates work in government or community public health-related agencies; 98% of faculty hold a doctoral degree and 67% have at least one degree from an accredited public health school or program; and 85% of programs build competencies in most of the Institute of Medicine-suggested areas. The authors conclude that accredited MPH programs with a concentration in health education train diverse public health practitioners highly likely to work in a government or community public health agency with competencies to enhance public health.

  20. Usefulness of a survey on underage drinking in a rural American Indian community health clinic.

    PubMed

    Gilder, David A; Luna, Juan A; Roberts, Jennifer; Calac, Daniel; Grube, Joel W; Moore, Roland S; Ehlers, Cindy L

    2013-01-01

    This study examined the usefulness of a survey on underage drinking in a rural American Indian community health clinic. One hundred ninety-seven youth (90 male, 107 female; age range 8-20 years) were recruited from clinic waiting rooms and through community outreach. The study revealed that the usefulness of the survey was twofold: Survey results could be used by clinic staff to screen for underage drinking and associated problems in youth served by the clinic, and the process of organizing, evaluating, and implementing the survey results accomplished several important goals of community-based participatory research.

  1. Utilization of eye health-care services in Australia: the National Eye Health Survey.

    PubMed

    Foreman, Joshua; Xie, Jing; Keel, Stuart; Taylor, Hugh R; Dirani, Mohamed

    2017-08-09

    National data on eye health-care service utilization will inform Australia's eye health policy. To investigate the utilization of eye health-care services by Australians. Cross-sectional survey. Indigenous Australians aged 40 years and older and non-Indigenous Australians aged 50 years and older. One thousand seven hundred thirty-eight Indigenous Australians and 3098 non-Indigenous Australians were recruited from 30 randomly selected sites, stratified by remoteness. Sociodemographic, ocular history and eye health-care service utilization data were collected, and an eye examination was conducted. Recentness of eye examinations, types of providers used and associated risk factors. Approximately 67.0% of Indigenous Australians and 82.5% of non-Indigenous Australians underwent an eye examination within the previous 2 years. Indigenous status (P < 0.001), male gender (P < 0.001), Outer Regional (P < 0.001) and Very Remote (P < 0.001) residence were associated with less recent examinations. Participants with >self-reported eye disease or diabetes were most likely to have been examined within the past year (P < 0.001). For Indigenous Australians, older age was associated with recent eye testing (P = 0.001). Those with retinal disease and cataract were more likely to see an ophthalmologist (P < 0.001), and those with refractive error were more likely to see an optometrist (P < 0.001). In Regional Australia, non-Indigenouspeople were more likely to see optometrists (P < 0.001), and Indigenous Australians were more likely to utilize other, non-specialistservices (P < 0.001). Eye examination frequency has improved in Indigenous and non-Indigenous Australians compared with previous population-based research. Further improvements are required in risk groups including Indigenous Australians and those living in Regional and Remote areas. © 2017 Royal Australian and New Zealand College of Ophthalmologists.

  2. [Health care provisions for asylum-seekers : A nationwide survey of public health authorities in Germany].

    PubMed

    Bozorgmehr, Kayvan; Nöst, Stefan; Thaiss, Heidrun M; Razum, Oliver

    2016-05-01

    Nation-wide studies on the health care situation of asylum-seekers in Germany are lacking, but decision-makers increasingly need such information. The aim of the study was to assess structures, processes and needs related to the health care provision for asylum-seekers along the continuum of reception centres to community dwellings from the perspective of the German public health authorities. A nation-wide cross-sectional mixed-methods survey was carried out. All heads of public health authorities in Germany (N = 389) were invited to complete a standardized questionnaire related to: (1) medical procedures and screening; (2) prevention and health promotion; (3) communication; (4) documentation and information; (5) coordination; (6) structural resources and needs. The quantitative survey was complemented by qualitative semi-structured interviews. In total, 123 heads of public health authorities (response rate: 31,6 %) completed the questionnaire, and 29 were interviewed. Priority areas to improve the health care situation were better coordination and standardisation of care, enhancing vaccination capacities, standardised documentation, better health information exchange (in line with data protection laws), and a stronger focus on a few relevant infectious diseases in the scope of compulsory health entry examinations. The instruments proved useful to assess the health care situation of asylum-seekers in a decentralized health care system. Repeated surveys with a focus on selected domains of the questionnaire could help monitor the health care situation on a regular basis.

  3. Estimating nonresponse bias in a telephone-based health surveillance survey in New York City.

    PubMed

    Lim, Sungwoo; Immerwahr, Stephen; Lee, Sunghee; Harris, Tiffany G

    2013-10-15

    Despite concerns about nonresponse bias due to decreasing response rates, telephone surveys remain a viable option for conducting local population-based surveillance. However, this becomes problematic for urban populations, which typically have higher nonresponse rates. Unfortunately, traditional methods of evaluating nonresponse bias pose challenges for public health practitioners due to high costs. In this study, we sought to increase understanding of survey nonresponse at the zip code level in an urban area and to demonstrate the use of a practical tool for assessing nonresponse bias. Data from the 2008 New York City Community Health Survey, a landline telephone survey of residential households in New York, New York, were matched with zip-code-level data from the 2000 US Census. Although response rates varied across zip codes and zip-code-level sociodemographic characteristics, estimated nonresponse bias for the 5 health measures (general health status, current health insurance coverage, asthma, binge drinking, and physical activity) was not substantial (ranging from -3.8% to 2.4%). Findings confirmed previous research that survey participation rates can vary a great deal across small areas and that there is no direct relationship between response rates and nonresponse bias. This study highlights the importance of assessing nonresponse bias for local urban surveys and demonstrates a workable assessment tool.

  4. A Survey of Attitudes toward Alcoholics and Alcohol Programs among Indian Health Service Personnel.

    ERIC Educational Resources Information Center

    Burns, Thomas R.

    1981-01-01

    A 1973 survey of 50 health professionals from the Indian Health Services in the Phoenix area indicated that the respondents felt generally positive about both their alcoholism treatment program and clients. Available from: White Cloud Center, Gaines Hall UOHSC, 840 Southwest Gaines Road, Portland, OR 97201. (CM)

  5. Family Structure and Children's Health and Behavior: Data from the 1999 National Survey of America's Families

    ERIC Educational Resources Information Center

    Wen, Ming

    2008-01-01

    Using data from the 1999 National Survey of America's Families, this research investigates the association and pathways between family structure and child well-being among children age 6 to 17. Three indicators of child well-being are examined: parent-rated health, limiting health conditions, and child behavior. Results show that both stepfamilies…

  6. Results from the 2006 National Survey on Drug Use and Health: National Findings

    ERIC Educational Resources Information Center

    Substance Abuse and Mental Health Services Administration, 2007

    2007-01-01

    This updated report from Substance Abuse and Mental Health Services Administration's (SAMHSA's) Office of Applied Studies presents the first information from the 2006 National Survey on Drug Use and Health (NSDUH) and is the primary source of information on the prevalence, patterns, and consequences of alcohol, tobacco, and illegal drug use and…

  7. Survey Based Needs Assessment; A Paradigm for Planning the Decentralization of Continuing Health Professional Education.

    ERIC Educational Resources Information Center

    Fryer, George E., Jr.; Krugman, Richard D.

    1981-01-01

    Efforts of the SEARCH/AHEC (Statewide Education Activities for Rural Colorado's Health/Area Health Education Center) Program to base the conduct of administration of its most important program component on results of a survey of potential recipients of its services are described. (Author/GK)

  8. Analysis of forest health monitoring surveys on the Allegheny National Forest (1998-2001)

    Treesearch

    Randall S. Morin; Andrew M Liebhold; K.W. Gottschalk; Chris W. Woodall; Daniel B. Twardus; Robert L. White; Stephen B. Horsley; Todd E. Ristau

    2006-01-01

    Describes forest vegetation and health conditions on the Allegheny National Forest (ANF). During the past 20 years, the ANF has experienced four severe droughts, several outbreaks of exotic and native insect defoliators, and the effects of other disturbance agents. An increase in tree mortality has raised concerns about forest health. Historical aerial surveys (1984-98...

  9. American College Health Association Annual Pap Test and Sexually Transmitted Infection Survey: 2006

    ERIC Educational Resources Information Center

    Smith, P. Davis; Roberts, Craig M.

    2009-01-01

    Objective: The authors describe the cervical cytology and sexually transmitted infection (STI) testing patterns of US college health centers. Participants and Methods: A total of 128 self-selected US college health centers--representing more than 2 million college students--completed an online survey during February and March 2007. Results: Almost…

  10. Comparing Data Collected by Computerized and Written Surveys for Adolescence Health Research

    ERIC Educational Resources Information Center

    Wu, Ying; Newfield, Susan A.

    2007-01-01

    Background: This study assessed whether data-collection formats, computerized versus paper-and-pencil, affect response patterns and descriptive statistics for adolescent health assessment surveys. Youth were assessed as part of a health risk reduction program. Methods: Baseline data from 1131 youth were analyzed. Participants completed the…

  11. American College Health Association Annual Pap Test and Sexually Transmitted Infection Survey: 2006

    ERIC Educational Resources Information Center

    Smith, P. Davis; Roberts, Craig M.

    2009-01-01

    Objective: The authors describe the cervical cytology and sexually transmitted infection (STI) testing patterns of US college health centers. Participants and Methods: A total of 128 self-selected US college health centers--representing more than 2 million college students--completed an online survey during February and March 2007. Results: Almost…

  12. Income Inequality and Health Status in the United States: Evidence from the Current Population Survey.

    ERIC Educational Resources Information Center

    Mellor, Jennifer M.; Milyo, Jeffrey

    2002-01-01

    Current Population Survey data on self-reported health status and income for the general population and those in poverty were analyzed. No consistent association was found between income inequality and individual health status. Previous findings of such an association were attributed to ecological fallacy or failure to control for individual…

  13. Americans Needing Home Care, United States. Data from the National Health Survey.

    ERIC Educational Resources Information Center

    Feller, Barbara A.

    1986-01-01

    This report presents information from the Home Care Supplement to the National Health Interview Survey (NHIS) on the types of help needed by adults with chronic health problems who live outside of institutions. Home care items discussed include: (1) assistance in basic physical activities; (2) assistance in home management activities; (3) adults…

  14. Collaborative design of a health care experience survey for persons with disability.

    PubMed

    Iezzoni, Lisa I; Matulewicz, Holly; Marsella, Sarah A; Warsett, Kimberley S; Heaphy, Dennis; Donelan, Karen

    2017-04-01

    When assessing results of health care delivery system reforms targeting persons with disability, quality metrics must reflect the experiences and perspectives of this population. For persons with disability and researchers to develop collaboratively a survey that addresses critical quality questions about a new Massachusetts health care program for persons with disability dually-eligible for Medicare and Medicaid. Persons with significant physical disability or serious mental health diagnoses participated fully in all research activities, including co-directing the study, co-moderating focus groups, performing qualitative analyses, specifying survey topics, cognitive interviewing, and refining survey language. Several sources informed survey development, including key informant interviews, focus groups, and cognitive testing. We interviewed 18 key informants from key stakeholder groups, including disability advocates, health care providers, and governmental agencies. We conducted 12 total English- and Spanish-language focus groups involving 87 participants (38 with physical disability, 49 with mental health diagnoses). Although some details differed, focus group findings were similar across the two disability groups. Analyses by collaborators with disability identified 29 questions for persons with physical disability and 38 for persons with mental health diagnoses. After cognitive testing, the final survey includes questions on topics ranging from independent living principles to health care delivery system concerns. The Persons with Disabilities Quality Survey (PDQ-S) captures specific quality concerns of Massachusetts residents with physical or mental health disability about an integrated health plan. PDQ-S requires further testing elsewhere to determine its value for quality assessment more generally and to other populations with disability. Copyright © 2017 Elsevier Inc. All rights reserved.

  15. Recruitment of mental health survey participants using Internet advertising: content, characteristics and cost effectiveness.

    PubMed

    Batterham, Philip J

    2014-06-01

    Postal and telephone survey research is threatened by declining response rates and high cost. Online recruitment is becoming more popular, although there is little empirical evidence about its cost-effectiveness or the representativeness of online samples. There is also limited research on optimal strategies for developing advertising content for online recruitment. The present study aimed to assess these aspects of online recruitment. Two mental health surveys used advertisements within a social network website (Facebook) to recruit adult Australian participants. The initial survey used advertisements linking directly to an external survey website, and recruited 1283 participants at $9.82 per completed survey. A subsequent survey used advertisements linking to a Facebook page that featured links to the external survey, recruiting 610 participants at $1.51 per completion. Both surveys were more cost-effective than similar postal surveys conducted previously, which averaged $19.10 per completion. Online and postal surveys both had somewhat unrepresentative samples. However, online surveys tended to be more successful in recruiting hard-to-reach populations. Advertising using "problem" terminology was more effective than "positive" terminology, while there was no significant effect of altruistic versus self-gain terminology. Online recruitment is efficient, flexible and cost-effective, suggesting that online recruitment has considerable potential for specific research designs.

  16. Mental health literacy about schizophrenia: a survey of Portuguese youth.

    PubMed

    Loureiro, Luís Manuel Jesus; Jorm, Anthony Francis; Oliveira, Rui Aragão; Mendes, Aida Maria Oliveira Cruz; dos Santos, José Carlos Pereira; Rodrigues, Manuel Alves; Sousa, Catarina Sofia Ferreira

    2015-06-01

    Mental health literacy about psychotic disorders, specifically schizophrenia, may assist in appropriate help seeking and early intervention, preventing the exacerbation of symptoms and improving health outcomes in the medium and long term. The aim of this study was to characterize the level of mental health literacy of Portuguese youth concerning schizophrenia. A mental health literacy questionnaire was administered to a random sample of Portuguese youth aged 14-24 years. This questionnaire evaluated the following components: recognition of disorders, knowledge about professionals and treatments available, knowledge about the effectiveness of self-help strategies, knowledge and skills to support and provide first aid to others, and knowledge of how to prevent mental disorders. There were 4938 adolescents and young adults who participated in the study. Schizophrenia or psychosis was recognized by 42.17% and 22.21%, respectively. Most young people recognized the potential helpfulness of family doctors, psychologists, psychiatrists and mental health services. There was also widespread belief in the potential helpfulness of family and friends, and lifestyle changes. However, teachers were not generally seen as a source of help. Appropriate mental health first-aid strategies were commonly endorsed, but there was a reluctance to ask about suicidal feelings and many endorsed speaking to the person firmly. Lifestyle factors were also commonly believed to be preventative. Although many Portuguese youth have beliefs that may assist early intervention, there was a substantial minority who did not. Given the central role of teachers in the lives of young people, it is notable that they were not seen as a potential source of help. Mental health first-aid skills of young people also need improvement. © 2014 Wiley Publishing Asia Pty Ltd.

  17. Environmental Survey preliminary report, Laboratory for Energy-Related Health Research, Davis, California

    SciTech Connect

    Not Available

    1988-03-01

    This report presents the preliminary findings from the first phase of the Survey of the United States Department of Energy (DOE) Laboratory for Energy-Related Health Research (LEHR) at the University of California, Davis (UC Davis), conducted November 16 through 20, 1987. The Survey is being conducted by an interdisciplinary team of environmental specialists, led and managed by the Office of Environment, Safety and Health's Office of Environmental Audit. Individual team components are being supplied by a private contractor. The objective of the Survey is to identify environmental problems and areas of environmental risk associated with the LEHR. The Survey covers all environmental media and all areas of environmental regulation, and is being performed in accordance with the DOE Environmental Survey Manual. This phase of the Survey involves the review of existing site environmental data, observations of the operations at the LEHR and interviews with site personnel. The Survey team developed a Sampling and Analysis Plan to assist in further assessing certain of the environmental problems identified during its on-site activities. The Sampling and Analysis Plan will be executed by a DOE National Laboratory or a support contractor. When completed, the results will be incorporated into the Environmental Survey Interim Report for the LEHR at UC Davis. The Interim Report will reflect the final determinations of the LEHR Survey. 75 refs., 26 figs., 23 tabs.

  18. Behavioral Health and the Comprehensive Primary Care (CPC) Initiative: findings from the 2014 CPC behavioral health survey.

    PubMed

    Zivin, Kara; Miller, Benjamin F; Finke, Bruce; Bitton, Asaf; Payne, Perry; Stowe, Edith C; Reddy, Ashok; Day, Timothy J; Lapin, Pauline; Jin, Janel L; Sessums, Laura L

    2017-08-29

    Incorporating behavioral health care into patient centered medical homes is critical for improving patient health and care quality while reducing costs. Despite documented effectiveness of behavioral health integration (BHI) in primary care settings, implementation is limited outside of large health systems. We conducted a survey of BHI in primary care practices participating in the Comprehensive Primary Care (CPC) initiative, a four-year multi-payer initiative of the Centers for Medicare and Medicaid Services (CMS). We sought to explore associations between practice characteristics and the extent of BHI to illuminate possible factors influencing successful implementation. We fielded a survey that addressed six substantive domains (integrated space, training, access, communication and coordination, treatment planning, and available resources) and five behavioral health conditions (depression, anxiety, pain, alcohol use disorder, and cognitive function). Descriptive statistics compared BHI survey respondents to all CPC practices, documented the availability of behavioral health providers, and primary care and behavioral health provider communication. Bivariate relationships compared provider and practice characteristics and domain scores. One hundred sixty-one of 188 eligible primary care practices completed the survey (86% response rate). Scores indicated basic to good baseline implementation of BHI in all domains, with lowest scores on communication and coordination and highest scores for depression. Higher scores were associated with: having any behavioral health provider, multispecialty practice, patient-centered medical home designation, and having any communication between behavioral health and primary care providers. This study provides useful data on opportunities and challenges of scaling BHI integration linked to primary care transformation. Payment reform models such as CPC can assist in BHI promotion and development.

  19. Investigation of presumptive tuberculosis cases by private health providers: lessons learnt from a survey in Pakistan.

    PubMed

    Fatima, R; Qadeer, E; Enarson, D A; Hinderaker, S G; Harris, R; Yaqoob, A; Bassili, A

    2014-06-21

    Pakistan's National Tuberculosis Control Programme (NTP) is missing data on many tuberculosis (TB) cases who visit private providers. A survey on the incidence and under-reporting of TB in Pakistan provided a database for exploring the investigation and referral of presumptive TB cases by private health providers. The survey showed that private health providers requested both sputum smear and X-ray for diagnostic investigations. Of 2161 presumptive TB cases referred, 1189 (55%) were sent for investigations to a district NTP TB centre, of whom only 314 (26.4%) were registered. This indicates an urgent need to strengthen the link between private health providers and NTP to enhance TB notification.

  20. Kids, Schools, & Health--Where Do We Stand? Results of the New Mexico 1991 Youth Risk Behavior and 1992 School Health Surveys.

    ERIC Educational Resources Information Center

    Utah Univ., Salt Lake City. Health Education Dept.

    This report describes the results of two statewide surveys: (1) The 1991 Youth Risk Behavior Survey; and (2) The 1992 New Mexico School Health Education Survey. These findings are intended to be used by educators across New Mexico to help focus the development of effective school-based comprehensive health education programs. Childrens' health…

  1. Sampling in health geography: reconciling geographical objectives and probabilistic methods. An example of a health survey in Vientiane (Lao PDR).

    PubMed

    Vallée, Julie; Souris, Marc; Fournet, Florence; Bochaton, Audrey; Mobillion, Virginie; Peyronnie, Karine; Salem, Gérard

    2007-06-01

    Geographical objectives and probabilistic methods are difficult to reconcile in a unique health survey. Probabilistic methods focus on individuals to provide estimates of a variable's prevalence with a certain precision, while geographical approaches emphasise the selection of specific areas to study interactions between spatial characteristics and health outcomes. A sample selected from a small number of specific areas creates statistical challenges: the observations are not independent at the local level, and this results in poor statistical validity at the global level. Therefore, it is difficult to construct a sample that is appropriate for both geographical and probability methods. We used a two-stage selection procedure with a first non-random stage of selection of clusters. Instead of randomly selecting clusters, we deliberately chose a group of clusters, which as a whole would contain all the variation in health measures in the population. As there was no health information available before the survey, we selected a priori determinants that can influence the spatial homogeneity of the health characteristics. This method yields a distribution of variables in the sample that closely resembles that in the overall population, something that cannot be guaranteed with randomly-selected clusters, especially if the number of selected clusters is small. In this way, we were able to survey specific areas while minimising design effects and maximising statistical precision. We applied this strategy in a health survey carried out in Vientiane, Lao People's Democratic Republic. We selected well-known health determinants with unequal spatial distribution within the city: nationality and literacy. We deliberately selected a combination of clusters whose distribution of nationality and literacy is similar to the distribution in the general population. This paper describes the conceptual reasoning behind the construction of the survey sample and shows that it can be

  2. Sampling in health geography: reconciling geographical objectives and probabilistic methods. An example of a health survey in Vientiane (Lao PDR)

    PubMed Central

    Vallée, Julie; Souris, Marc; Fournet, Florence; Bochaton, Audrey; Mobillion, Virginie; Peyronnie, Karine; Salem, Gérard

    2007-01-01

    Background Geographical objectives and probabilistic methods are difficult to reconcile in a unique health survey. Probabilistic methods focus on individuals to provide estimates of a variable's prevalence with a certain precision, while geographical approaches emphasise the selection of specific areas to study interactions between spatial characteristics and health outcomes. A sample selected from a small number of specific areas creates statistical challenges: the observations are not independent at the local level, and this results in poor statistical validity at the global level. Therefore, it is difficult to construct a sample that is appropriate for both geographical and probability methods. Methods We used a two-stage selection procedure with a first non-random stage of selection of clusters. Instead of randomly selecting clusters, we deliberately chose a group of clusters, which as a whole would contain all the variation in health measures in the population. As there was no health information available before the survey, we selected a priori determinants that can influence the spatial homogeneity of the health characteristics. This method yields a distribution of variables in the sample that closely resembles that in the overall population, something that cannot be guaranteed with randomly-selected clusters, especially if the number of selected clusters is small. In this way, we were able to survey specific areas while minimising design effects and maximising statistical precision. Application We applied this strategy in a health survey carried out in Vientiane, Lao People's Democratic Republic. We selected well-known health determinants with unequal spatial distribution within the city: nationality and literacy. We deliberately selected a combination of clusters whose distribution of nationality and literacy is similar to the distribution in the general population. Conclusion This paper describes the conceptual reasoning behind the construction of the

  3. Duration of daily TV/screen watching with cardiovascular, respiratory, mental and psychiatric health: Scottish Health Survey, 2012-2013.

    PubMed

    Shiue, Ivy

    2015-01-01

    The link of duration of TV and/or screen watching and chronic health conditions by subtypes is unclear. Therefore, the relationship between TV and/or screen watching hours and cardiovascular, respiratory, mental and psychiatric health and well-being (happiness) was assessed in an independent population-based survey to identify correlations of various hours with health conditions. Data was retrieved from the Scottish Health Survey, 2012-2013. Information on demographics, lifestyle factors, self-reported health conditions and TV and/or screen watching duration in both Scottish adults and children was collected by annual household interviews. Chi-square test and survey weighted logistic and multi-nominal modelling were performed. 5527 (57.0%) Scottish adults aged 16-99 watched TV and/or screen daily for 3 + h on average. There was a trend toward more hypertension, angina, stroke, diabetes, chronic obstructive pulmonary disease and poor self-rated health and mental health. Reporting watching TV and/or screen for 4 + h, for 5 + h and for 8 + h was associated with higher rates of heart attack, heart murmur or other heart troubles and abnormal heart rhythms, respectively. 414 (20.7%) Scottish children aged 4-12 watched TV and/or screen for 3h or more. They tended to have poor self-rated health and life difficulties perceived as emotional and behavioural problems. There were associations between various hours of TV and/or screen watching (3+h) and poor health observed both in Scottish adults and children. Future educational and public health programmes minimising TV and/or screen watching in order to protect cardiovascular, respiratory, mental and psychiatric health might be considered. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  4. Bed bugs, public health, and social justice: Part 2, An opinion survey.

    PubMed

    Eddy, Christopher; Jones, Susan C

    2011-04-01

    Bed bug infestations have resurged globally, nationally, and locally, yet the public health community in the U.S. has yet to mount a coordinated response to the escalating bed bug problem. Surveys of attendees at the 2009 National Environmental Health Association Annual Educational Conference & Exhibition, 2009 Ohio Association of Health Commissioners Fall Conference, 2009 Central Ohio Bed Bug Summit, and 2010 Hamilton County Council on Aging Annual Conference were conducted to gauge opinions about bed bugs. Survey results revealed that 90% of all respondents considered bed bugs to be a public health concern, and 73% indicated that bed bugs pose an environmental justice concern. These findings, which indicate that bed bugs are an inescapable public health mandate with environmental justice undertones, should rally public health agencies at federal, state, and local levels to respond with authority of agency to the escalating bed bug problem.

  5. Health of US veterans of 1991 Gulf War: a follow-up survey in 10 years.

    PubMed

    Kang, Han K; Li, Bo; Mahan, Clare M; Eisen, Seth A; Engel, Charles C

    2009-04-01

    To assess periodically the health status of a cohort of 1991 Gulf War veterans by comparing various health outcomes with those of their military peers who were not deployed to the Gulf. We conducted a follow-up health survey to collect health information among population-based samples of 30,000 veterans (15,000 Gulf War veterans and 15,000 Gulf Era veterans) using a structured questionnaire. Gulf veterans reported significantly higher rates of unexplained multi-symptom illness, chronic fatigue syndrome-like illness, posttraumatic stress disorder, functional impairment, health care utilization, a majority of selected physical conditions and all mental disorders queried during the survey than did Gulf Era veteran controls. Fourteen years after deployment, 1991 Gulf War veterans continue to report a higher prevalence of many adverse health outcomes, compared with Gulf Era veterans.

  6. Is Online Health Activity Alive and Well or Flatlining? Findings From 10 Years of the Health Information National Trends Survey.

    PubMed

    Prestin, Abby; Vieux, Sana N; Chou, Wen-Ying Sylvia

    2015-01-01

    The Internet increasingly enables diverse health communication activities, from information seeking to social media interaction. Up-to-date reporting is needed to document the national prevalence, trends, and user profiles of online health activities so that these technologies can be best used in health communication efforts. This study identifies prevalence, trend, and factors associated with seeking health information, e-mailing health care providers, and using social media for health purposes. Four iterations of HINTS survey data, collected in 2003, 2005, 2008, and 2012, were analyzed to assess population-level trends over the last decade, and current prevalence of Internet-based health communication activities. Sociodemographic and health correlates were explored through weighted logistic regression modeling. Findings demonstrated that Internet use has steadily increased, with 78% of U.S. adults online in 2012; however several digital divide factors--among them education, age, and race/ethnicity--still predict access. Once online, 70% of adults use the Internet as their first source for health information, and while 19% have e-mailed health care providers, engagement in health communication on social media is still relatively low. Distinct user profiles characterize each type of communication, with age, population density, and gender emerging as important predictors across online health activities. These findings have important implications for health communication research and practice.

  7. Race, ethnicity, and language data collection by health plans: findings from 2010 AHIPF-RWJF survey.

    PubMed

    Nerenz, David R; Carreón, Rita; Veselovskiy, German

    2013-11-01

    Previous national surveys have documented the increase in collection of race, ethnicity, and language (REL) data by health plans. The latest 2010 survey created an opportunity to examine recent trends and to determine whether the Patient Protection and Affordable Care Act (ACA) had an effect on plans' practices. A 51-item survey was sent to all health plans included in a national listing of plans (N = 250). The majority of responding plans collect data on members' REL. The frequency of race and ethnicity data collection was only slightly greater in 2010 than in 2008, 78.7% and 75% respectively. By 2010, 89.3% of health plans were collecting language data of their members, up from 74% in 2008 and 57.3% in 2003. Since 2008, collection and use of REL data continues gradually to increase among health plans, demonstrating the industry's commitment to address racial/ethnic gaps in care.

  8. Health and socioeconomic effects of groundwater arsenic contamination in rural Bangladesh: new evidence from field surveys.

    PubMed

    Nahar, Nurun; Hossain, Faisal; Hossain, M Delawer

    2008-05-01

    This report discusses the health and socioeconomic problems that have recently emerged in the Bangladesh countryside because of arsenic contamination of the groundwater. A survey found that men in rural households are generally found to be more susceptible to arsenicosis than women. The survey also indicated that villagers with lower annual income are more likely to experience arsenicosis. About 60 percent of the respondents indicated a willingness to pay up to a dollar of their monthly income for safe water. More than 70 percent of women were found to be willing to walk for five minutes to collect safe water. Awareness campaigns conducted over the last decade seem to have been effective for villagers. Overall, findings from the survey paint a picture of a gradually evolving social and health scenario in rural Bangladesh that health officials must heed to safeguard the public health of the rural public.

  9. The Alabama Adolescent Health Survey: Health Knowledge and Behaviors. Summary Report II.

    ERIC Educational Resources Information Center

    Nagy, Stephen; Adcock, Anthony

    This survey is a follow-up to a comprehensive survey of eighth- and tenth-grade public school students conducted in 1988. The 1990 sample includes over 3,400 students from rural, metropolitan, and mixed school districts. Data were collected using a 120-item questionnaire and compared to available information from the 1988 survey. The study…

  10. [Survey on reproductive health status of Shanghai college students].

    PubMed

    Chen, Bin; Wang, Lu-ping; Wang, Hong-xiang; Han, Yin-fa; Zhao, Xiao-ming; Ma, Qing-liang; Sun, Jie; Chen, Xiang-feng; Huang, Xu-yuan; Wang, Yi-xin; Huang, Yi-ran

    2005-10-01

    To explore reproductive health condition of college students in Shanghai and provide scientific