Factors associated with smoking cessation using the 2005 National Health Interview Survey

Objectives. The objective of this study is to compare the socio-demographic, behavioral, and access to care characteristics of smokers who have quit smoking for one or more years and current smokers who have made an attempt to quit smoking within the last year. ^ Methods. Data from the 2005 National Health Interview Survey (NHIS) were used to compare current smokers who have tried to quit (n=2747) and former smokers who have quit for one or more years (n=6194). The data was analyzed using STATA 9.0 to perform statistical calculations. ^ Results. Age, education, race and income were associated with smoking status. Respondents aged 65 and older were 36 times more likely to have quit smoking. Education and income had higher odds ratios among quitters (OR=1.27 and OR=1.21) and Non-Hispanic Whites were the most likely to have quit smoking compared to Hispanics and Blacks. Adults with health insurance coverage were 3.44 times more likely to have quit smoking. ^ Discussion. Existing research suggests that individual factors relating to demographics behavior and access to care can impact a smoker's ability to quit smoking. This paper discusses the factors that affect cessation and which populations would benefit from additional research and targeted smoking cessation programs. ^

Parental acculturation and adolescent HPV uptake among Hispanics: Results from the California Health Interview Survey

Background. The Centers for Disease Control and Prevention (CDC), the American Cancer Society (ACS), and the American College of Obstetricians and Gynecologists (ACOG) all recommend the HPV vaccine for girls 11-12. The vaccine has the potential to reduce cervical cancer disparities if it is used by populations that do not participate in screening. Evidence suggests that incidence and mortality are higher among Hispanic women compared to non-Hispanic white women because they do not participate in screening. Past literature has found that acculturation has a mixed effect on cervical cancer screening and immunization. Little is known about whether parental acculturation is associated with adolescent HPV vaccine uptake among Hispanics and the mechanisms through which acculturation may affect vaccine uptake.^ Aims. To examine the association between parental acculturation and adolescent HPV uptake among Hispanics in California and test the structural hypothesis of acculturation by determining if socioeconomic status (SES) and health care access mediate the association between acculturation and HPV vaccine uptake.^ Methods. Cross-sectional data from the 2007 California Health Interview Survey (CHIS) were used for bivariate and multivariate logistic regression analyses. The sample used for analysis included 1,090 Hispanic parents, with a daughter age 11-17, who answered questions about the HPV vaccine. Outcome variable of interest was HPV vaccine uptake (≥1dose). Independent variables of interest were language spoken at home (a proxy variable for acculturation), household income (percent of federal poverty level), education level, and health care access (combined measure of health insurance coverage and usual source of care).^ Results. Parents who spoke only English or English and Spanish in the home were more likely to get the HPV vaccine for their daughter than parents who only spoke Spanish (Odds Ratio [OR]: 0.55, 95% Confidence Interval [CI]: 0.31-0.98). When SES and health care access variables were added to the logistic regression model, the association between language acculturation and HPV vaccine uptake became non-significant (OR: 0.68, 95% CI: 0.35-1.29). Both income and health care access were associated with uptake. Parents with lower income or who did not have insurance and a usual source of care were less likely to have a vaccinated daughter.^ Discussion. Socioeconomic status and health care access have a more proximal effect on HPV vaccine uptake than parental language acculturation among Hispanics in California.^ Conclusion. This study found support for the structural hypothesis of acculturation and suggest that interventions focus on informing low SES parents who lack access to health care about programs that provide free HPV vaccines.^

Concordance between medical records and personal interview in ascertaining breast cancer and diabetes status: Analysis of the south Texas women's health project

Accurate ascertainment of risk factors and disease status is vital in public health research for proper classification of research subjects. The two most common ways of obtaining this data is by self-report and review of medical records (MRs). South Texas Women’s Health Project was a case-control study looking at interrelationships between hormones, diet, and body size and breast cancer among Hispanic women 30-79 years of age. History of breast cancer, diabetes mellitus (DM) and use of DM medications was ascertained from a personal interview. At the time of interview, the subject identified her major health care providers and signed the medical records release form, which was sent to the designated providers. The MRs were reviewed to confirm information obtained from the interview.^ Aim of this study was to determine the sensitivity and specificity between MRs and personal interview in diagnosis of breast cancer, DM and DM treatment. We also wanted to assess how successful our low-cost approach was in obtaining pertinent MRs and what factors influenced the quality of MR or interview data. Study sample was 721 women with both self-report and MR data available by June 2007. Overall response rate for MR requests was 74.5%. MRs were 80.9% sensitive and 100% specific in confirming breast cancer status. Prevalence of DM was 22.7% from the interviews and 16% from MRs. MRs did not provide definite information about DM status of 53.6% subjects. Sensitivity and specificity of MRs for DM status was 88.9% and 90.4% respectively. Disagreement on DM status from the two sources was seen in 15.9% subjects. This discordance was more common among older subjects, those who were married and were predominantly Spanish speaking. Income and level of education did not have a statistically significantly association with this disagreement.^ Both self-report and MRs underestimate the prevalence of DM. Relying solely on MRs leads to greater misclassification than relying on self-report data. MRs have good to excellent specificity and thus serve as a good tool to confirm information obtained from self-report. Self-report and MRs should be used in a complementary manner for accurate assessment of DM and breast cancer status.^

Social support, health status and health services utilization among the noninstitutionalized elderly: An analysis of the Supplement on Aging to the 1984 national health interview survey

The association between Social Support, Health Status, and Health Services Utilization of the elderly, was explored based on the analysis of data from the Supplement on Aging to the National Health Interview Survey, 1984 (N = 11,497) using a modified framework of Aday and Andersen's Expanded Behavioral Model. The results suggested that Social Support as operationalized in this study was an independent determinant of the use of health services. The quantity of social activities and the use of community services were the two most consistent determinants across different types of health services use.^ The effects of social support on the use of health services were broken down into three components to facilitate explanations of the mechanisms through which social support operated. The Predisposing and Enabling component of Social Support had independent, although not uniform, effects on the use of health services. Only slight substitute effects of social support were detected. These included the substitution of the use of senior centers for longer stay in the hospital and the substitution of help with IADL problems for the use of formal home care services.^ The effect of financial support on the use of health services was found to be different for middle and low income populations. This differential effect was also found for the presence of intimate networks, the frequencies of interaction with children and the perceived availability of support among urban/rural, male/female and white/non-white subgroups.^ The study also suggested that the selection of appropriate Health Status measures should be based on the type of Health Services Utilization in which a researcher is interested. The level of physical function limitation and role activity limitation were the two most consistent predictors of the volume of physician visits, number of hospital days, and average length of stay in the hospital during the past year.^ Some alternative hypotheses were also raised and evaluated, when possible. The impacts of the complex sample design, the reliability and validity of the measures and other limitations of this analysis were also discussed. Finally, a revised framework was proposed and discussed based on the analysis. Some policy implications and suggestions for future study were also presented. ^

A case-comparison interview study of brain tumors and employment in occupations with presumed electric and magnetic field exposures

Results from epidemiologic studies suggest that persons working in occupations with presumed electric and magnetic field (EMF) exposures are at increased risk of brain cancer. This study utilized data from a completed, population-based, interview case-control study of central nervous system (CNS) tumors and employment in the petrochemical industry to test the hypothesis that employment in EMF-related occupations increases CNS tumor risk. A total of 375 male residents of the Texas-Louisiana Gulf Coast Area, age 20 to 79, with primary neuroglial CNS tumors diagnosed during the period 1980-84 were identified. A population-based comparison group of 450 age, race and geographically matched males was selected. Occupational histories and potential risk factor data were collected via personal interviews with study subjects or their next-of-kin.^ Adjusted odds ratios were less than 1.0 for persons ever employed in an electrical occupation (OR = 0.65; 95% CI = 0.40-1.09) or whose usual occupation was electrical (OR = 0.76; 95% CI = 0.33-1.73). Relative risk estimates did not increase significantly as time since first employment or duration of employment increased. Examination of CNS tumor risk by high (OR = 0.80), medium (OR = 0.88) and low (OR = 0.45) exposure categories for persons whose usual occupation was electrical did not indicate a dose-response pattern. In addition, the mean age of exposed cases was not significantly younger than that for unexposed cases. Analysis of risk by probability of exposure to EMFs showed non-significant elevations in the adjusted odds ratio for definite exposed workers defined by their usual occupation (OR = 1.78; 95% CI = 0.70-4.51) and ever/never employed status (OR = 1.54; 95% CI = 0.17-4.91).^ These findings suggest that employment in occupations with presumed EMF exposures does not increase CNS tumor risk as was suggested by previous investigations. The results of this study also do not support the EMF-tumor promotion hypothesis. ^

Interview with Julie Knobil

An oral interview with Juile (Hotchkiss) Knobil, research professor of physiology and then integrative biology at the Medical School, where she lectured on mammalian physiology and perinatal endocrinology.

Interview with Dorothy Otto

Interview with Dorothy Otto, Associate Professor at the School of Nursing, University of Texas Houston Health Science Center.

Interview with Dianna Milewicz

An oral interview with Dianna Milewicz, M.D., Ph.D., Professor and Vice Chairman of the Department of Internal Medicine at The University of Texas Medical School at Houston and Director of the M.D./Ph.D. Program and co-Director of the Biomedical Engineering Center. Her research interests include the genetic basis of cardiovascular diseases, and understanding the effect of identified mutations on protein function. She has recently established a genetic core laboratory to provide molecular biology and genetic expertise to clinicians who want to initiate genetic studies on their patient populations.

Interview with Anna Steinberger

An oral interview with Dr. Anna Steinberger, who taught and conducted basic research in Reproductive Biology and served as Assistant Dean for Faculty Affairs at UT Medical School-Houston. Her research yielded over 250 scientific articles, books, and book chapters for which she received numerous awards and recognitions in the USA and abroad.

Interview forms for integrating education for conservation in marine protected areas management in Colombia

Environmental Education (EE) is a key component in any marine protected area management. However, its visibility and action plans are still poorly developed and structured as a clear element in management procedures. The objective of this study is to contribute with a methodological route that integrates EE to the existing model of management planning and strategies, taking the Colombian National Natural Parks System as a case study. The creation of the route is proposed as a participatory research with different stakeholders in order to respond to the specific conservation needs and goals for the National Parks System. The EE national diagnosis has shown that its integration within the parks management structure is a first priority need, being a converging result on the two case studies on National Parks from the Pacific Coast of Colombia. The diagnosis also demonstrates that communication, participation, training and evaluation have to be reinforced, linking the community and stakeholders involved in the park management to the whole EE process. The proposed methodology route has been agreed upon by the National Parks staff and incorporates advice and recommendations from different stakeholders, in order to better include the park users. This step will help us to advance toward sustainable management in marine and coastal protected areas elsewhere, taking into account not only the biological but also the social-cultural prism. The main challenges in the management and conservation of coastal and marine ecosystems today are discussed.

Spaces of the Past, Histories of the Present: An Interview with Stuart Elden and Derek Gregory

The ontologies of space and territory, our experience of them and the techniques we use to govern them, the very conception of the socio-spatial formations that we inhabit, are all historically specific: they depend on a genealogy of practices, knowledges, discourses, regulations, performances and representations articulated in a way that is extremely complex yet nevertheless legible over time. In this interview we look at the logic and the patterns that intertwine space and time — both as objects and tools of inquiry — though a cross-disciplinary dialogue. The discussion with Stuart Elden and Derek Gregory covers the place of history in socio-spatial theory and in their own work, old and new ways of thinking about the intersection between history and territory, space and time, the implications of geography and history for thinking about contemporary politics, and the challenges now faced by critical thought and academic work in the current neo-liberal attack on public universities and the welfare state

Professional applications in English for architects: the interview guide

Este estudio hace hincapie en la importancia del estudio previo de las necesidades del mercado a la hora de preparar y llevar a cabo una entrevista profesional. Todos estos aspectos se aplican a la entrevista profesional para arquitectos

Validación de Herramientas Metodológicas de Estudios Sociales y Psicoacústicos de Ruido

El ruido es un contaminante que cada vez va tomando más importancia por ser un tipo de contaminación propio de las sociedades modernas. Su estudio en tanto su origen y efectos en la población, ha sido objeto de numerosas líneas de investigación en el mundo, siendo una de las herramientas más utilizadas las encuestas de percepción de molestias realizadas en numerosos países y de variados diseños metodológicos. Sin embargo, la profusa información recolectada por muchos años y por distintos países por medio de estas herramientas no permite obtener datos relacionados entre ellos para estudiar las distintas condiciones de exposición a distintos tipos de fuentes de ruido, dado que responden a diseños de instrumentos de recolección de datos (encuestas) distintos y, aún más, a escalas de mediciones distintas. Un esfuerzo por generar datos y estudios que puedan ser relacionados para contribuir a mayor conocimiento del ruido y sus efectos en la salud de la población, es la iniciativa desarrollada por el ICBEN (International Commission of Biological Effects on Noise) que desde el año 1997 un grupo de investigadores se ha propuesto generar estudios e investigaciones bajo una metodología que permita comparar los diferentes estudios que se realicen y que sus conclusiones permitan ser utilizadas por el resto y así generar nuevos conocimientos y validar dichos resultados. Uno de los problemas que en la actualidad se tiene es que las encuestas que se utilizan en distintos países, e incluso en ellos mismos, no sólo incorporan preguntas de diversas modalidades y estilos, sino que además para las respuestas que entregan los encuestados se utilizan una variedad de métodos y escalas que no permiten ser extrapolados o comparados con otros estudios. Dado que las escalas que algunos estudios utilizan, para conocer el grado de molestia que presenta la población, sin verbales, las líneas de investigación y recomendaciones internacionales sugieren que cada país desarrolle sus propias escalas y que no se remitan sólo a traducir aquellas utilizadas en otros idiomas. Esto debido que cada palabra que se utilice en las escalas encierra un concepto metrológico, esto es, que las personas le asignan un valor específico de intensidad en el continuo de grados de molestia, por lo que deben ser obtenidas para cada población bajo estudio. Esta investigación, siguiendo las recomendaciones internacionales, ha obtenido una escala verbal para ser utilizada en encuestas de percepción subjetiva de molestias por ruido en Chile, para una población de entre 15 a 65 años de edad. Se ha podido desarrollar un test para obtener dicha escala siguiendo la metodología internacional, lo que ha permitido además discutir y analizar su utilización en futuras investigaciones. Del mismo modo, se ha podido analizar la equivalencia que tiene con otras escalas que podrían ser obtenidas con esta misma metodología, así como la escala que la recomendación internacional ISO propone para el idioma español. Los resultados obtenidos permiten comprobar la necesidad de que cada país hispanoparlante desarrolle sus propias escalas lo que podría explicar, entre otros aspectos, del por qué la norma internacional aún no tiene características de oficial a falta de mayor consenso en la comunidad científica, por lo que los datos aportados en esta investigación permitirán profundizar estos y otros aspectos a los investigadores en esta materia. ABSTRACT Noise is considered as a pollutant that it is growing in importance because it has become recognized as a major annoyance in modern societies. The study of its origin and effects on populations has been the objective of numerous lines of investigation all over the world. The annoyance questionnaire is a tool that is frequently utilized in numerous countries using a variety of design methods. Nevertheless, the quantity of information collected over several years in different countries using these tools has not allowed an interrelated correlation of data because the data indicates that the different study tools designed to collect data have used varying collection techniques and measurement scales that define the exposure to different types and sources of noise pollution. In an effort to generate data and studies then can be combined to better the understanding of noise and its effects on public health, an initiative that was developed by ICBEN (International Commission of Biological Effects on Noise) was proposed in 1997 and is designed to generate and investigate studies under methodologies that allow the comparisons of different studies already undertaken and the coordination of their conclusions. These investigative tools can be used by other investigators who will be able to generate additional information and validates results. One of the currently existing problems is that the questionnaires utilized by different countries and within the same countries not only use questions based on different models and styles, but also the answers given by the subjects being interviewed are interpreted using different methods and measurement scales which do not permit direct comparison of relationship with other studies. Given the measurement tools used to obtain the reported levels of annoyance that the population experiences (without verbal response) the lines of investigation and international recommendations are that each country develops its own scale that does not rely only on verbal responses in the corresponding language. This is because each word utilized in the measurement scale has a numeric concept with which interview subjects will assign a specific numeric intensity from the continuum of levels of annoyance and must be obtained for each population under study. This investigation, which follows international recommendations, has obtained a verbal scale to be utilized in subjective perception questionnaires of noise annoyance in Chile, for a subject population of subjects between 15 and 65 years of age. It has been able to develop a test to obtain said measurement scale following the international methodology guidelines which has permitted discussion and analysis of their use by other investigators. By the same token, it has been possible to analyze the equivalency that exists between other scales that could be obtained with the same methodology including the scale as recommended by international ISO for Spanish Language. The results obtained allows proof of the necessity that each Spanish Speaking Country develop their own measurement scales which could explain, the reason why the international norm still does not have the official characteristics because of a failure of a majority consensus in the scientific community, by which the data contribution from this investigation will allow the investigator to deepen these and other aspects of the subject.