Tobacco use is the leading cause of morbidity and mortality in United States. Hookah a growing tobacco trend among young adults; yet little known about how adult college student hookah smokers differ from nonsmokers or cigarette smokers.Results 18- to 24-year-old participants Fall 2008-Spring 2009 National College Health Assessment II (N = 82,155) were used multinomial logistic regression models compare nonsmokers, cigarette-only smokers, hookah-only dual (cigarette hookah) users.Ten percent...

OBJECTIVE: To understand the influence of physical activity on teen smoking-cessation outcomes. METHODS: Teens (N = 233; 14–19 years age) from West Virginia high schools who smoked >1 cigarette in previous 30 days were included. High with >300 students selected randomly and assigned to brief intervention (BI), Not Tobacco (N-O-T) (a proven cessation program), or N-O-T plus a module (N-O-T+FIT). Quit rates determined 3 6 months after baseline by using self-classified 7-day point...

Background Cell phone use while driving laws do not appear to be heavily enforced in the USA. This study seeks gain law enforcements’ perspective and learn potential barriers cell enforcement. Methods Qualitative interviews (ie, focus groups) were conducted with officers (N=19) from five West Virginia enforcement agencies. The who participated >18 years of age, sworn into their departments employed for >1 year. Focus group sessions lasted 45–60 min followed a standardised, pilot-tested...

Objectives: In this study, we examined the co-occurrence of multiple health-risk behaviors to determine whether there are any differences in pattern by sex. Methods: We conducted latent class analysis using national 2013 Youth Risk Behavior Survey data for overall sample, and separately sex (N = 13,583). Results: Over half sample (53%) belonged low risk subgroup (Class 1). Class 2 accounted 15% adolescents, over 40% reported riding with a drunk driver, 63% texting while driving vehicle. 14%...

We examined participant characteristics as moderators of adolescents' smoking cessation outcomes a function intervention: Not-on-Tobacco (N-O-T), N-O-T with physical activity (PA) module (N-O-T+FIT), or Brief Intervention (BI).

Studies have suggested that triglyceride to HDL-cholesterol ratio (TRG/HDL) is a surrogate marker of insulin resistance (IR), but information regarding its use in pediatric patients limited. This study investigated the ability TRG/HDL assess IR obese and overweight children.The sample consisted de-identified electronic medical records aged 10-17 years (n=223). Logistic regression was performed using as predictor hyperinsulinemia or defined homeostasis model assessment score.TRG/HDL had...

School-based professionals often report high burnout, particularly in geographic areas like Appalachia, where school-aged children are exposed to levels of adverse childhood experiences, which may be exacerbated by the COVID-19 pandemic. While school-based mindfulness trainings can reduce their efficacy is influenced expectations intervention personnel ahead implementation. The present study assessed and perceptions a training among school 21 Appalachian schools during Upon enrollment...

Facilitators are often responsible for the implementation of public health programs, yet little is known about how they influence outcomes. Not-On-Tobacco (N-O-T) a youth smoking-cessation program implemented by trained facilitators. The purpose this study was to investigate teens' perceptions facilitator characteristics and relationship between those outcomes.Data were collected from N-O-T participants aged 14 19 who completed survey that linked outcomes 3 months post-baseline (n = 769)....

Research on effective teen smoking cessation interventions is critical to reducing the tobacco-related disease burden and risk of lifetime negative health outcomes for youth. However, informed consent procedures requiring active parental may restrict or influence participation in programs.Not On Tobacco (N-O-T) a intervention that has been implemented under both passive conditions. The present study determined if there are differences characteristics youth enrolled each condition. Data were...

Metabolic syndrome refers to a group of risk factors that increase person’s chance developing cardiovascular disease and/or diabetes mellitus type II. Hypertension and insulin resistance, two associated with metabolic syndrome, are reflective prenatal androgen exposure. Androgen exposure in utero is also related the ratio of length 2nd 4th digits hand (2D:4D). Objective: To test hypothesis 2D:4D correlates parameters metabolic syndrome measuring range for disease. If our correct,...

"The challenges of enforcing cell phone use while driving laws among police: A qualitative study." Traffic Injury Prevention, 19(sup2), pp. S192–S193

The Not-On-Tobacco program is an evidence-based teen smoking cessation adopted by the American Lung Association (ALA). Although widely disseminated nationally via ALA Master Trainers, in recent years, adoption and implementation of N-O-T West Virginia has slowed. Virginia, unfortunately, one highest rates US. it a goal public health science, dissemination interventions woefully understudied. present manuscript reviews theoretical model Virginia. Based on social marketing, diffusion...

Kentucky has among the highest rates of diabetes and obesity in United States. The Diabetes Obesity Collaborative (KDOC) was designed to develop a novel research infrastructure that can be used by researchers focusing on patients cared for Federally Qualified Health Centers (FQHC) serving rural Kentucky. Focus groups were carried out an understanding needs interests FQHC practitioners staff regarding participation KDOC. conducted with 6 FQHCs included total 41 individuals including health...

Medication reconciliation is a critical step in the health care process to prevent hospital readmission, adverse drug events, and fall prevention. The purpose of study was pilot test medication process, MedManage, informed by Medications at Transitions Clinical Handoffs (MATCH) toolkit with nursing staff rural primary clinic.

Examine possible message topics to promote rural vaccination using psychosocial antecedents of vaccination.

Objectives: The coronavirus disease 2019 (COVID-19) pandemic has negatively impacted the lifestyles and routines of adolescents, making it difficult to prioritize sleep. This raised concerns regarding sleep hygiene young individuals, as good is important for healthy youth development. Therefore, understanding how disproportionally affected specific subgroups essential developing interventions alleviate poor its adverse consequences. Methods: School-based survey data from Young Mountaineer...

Background: Adequate medication reconciliation is related to patients' safety. Rural populations are at increased risk of adverse drug events due errors in and often receiving medical care across multiple health entities long distances with separate electronic records. Methods: This study examined the implementation Medications Transitions Clinical Handoffs Toolkit (MATCH) a rural primary clinic assessed acceptability feasibility implementation. Intervention: MATCH was developed as workflow...

Public health experts recommend school-based policies as a population based approach to increase youth physical activity. The purpose of this case study is describe one, largely rural, state's efforts translate recommendation into practice. Details about the genesis, implementation and evolution two state level (physical education activity), well in-house State Department Education monitor policy compliance challenges encountered are described. Two specific years highlighted, due monitoring...