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1.
Prev Sci ; 25(4): 603-615, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38459353

RESUMO

Teen dating violence (TDV) is a significant public health problem that can have lifelong consequences. Using a longitudinal, cluster randomized controlled trial (RCT), this study examines whether the Dating Matters comprehensive prevention model, implemented in middle school, prevented TDV and negative relationship behaviors and promoted positive relationship behaviors in high school (9th-11th grades), when compared with a standard of care intervention. Dating Matters includes programs for sixth to eighth grade youth and their parents, training for school staff, a youth communications program, and policy and data activities implemented in the community. Self-report survey data were collected from students in 46 middle schools that were randomly assigned to condition within site. Students completed two surveys (fall and spring) in each middle school grade and a single survey in the spring of each high school grade. This study examined self-reported TDV perpetration and victimization, use of negative conflict resolution strategies, and positive relationship skills in the high school follow-up. While varying patterns emerged, latent panel models demonstrated significant program effects for all outcomes. Dating Matters students reported 19% reduced risk for TDV perpetration, 24% reduced risk for TDV victimization, 7% reduced risk for use of negative conflict strategies, and 3% more use of positive relationship skills, on average across time and cohort, than standard of care students. On average, Dating Matters, implemented in middle school, continued to be more effective at reducing TDV perpetration, TDV victimization, and use of negative conflict resolution strategies in high school than an evidence-based comparison program.Trial Registration: clinicaltrials.gov Identifier: NCT01672541.


Assuntos
Violência por Parceiro Íntimo , Humanos , Adolescente , Feminino , Masculino , Violência por Parceiro Íntimo/prevenção & controle , Instituições Acadêmicas , Seguimentos , Relações Interpessoais , Comportamento do Adolescente , Estudos Longitudinais
2.
J Child Sex Abus ; 33(2): 127-145, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38456682

RESUMO

College students have high rates of post-traumatic stress disorder (PTSD) symptoms as well as high rates of sexual assault. What is less clear, however, is whether different sexual assault types (e.g. coercive, physically forced, and incapacitation) are associated with greater PTSD symptoms. Moreover, understanding early familial and mental health histories of college students is important for explaining PTSD symptoms. As such, we use a social stress framework to examine the relationships between early familial risk (i.e. child abuse, perceived maternal rejection), borderline personality (BP) symptoms, and three sexual assault types with PTSD symptoms among college students. A total of 783 undergraduate students (65.4% female) completed paper and pencil surveys in fall 2019 and spring 2020 at a large public university. Results revealed that females were more likely to experience child sexual abuse and all three forms of sexual assault, while males experienced higher rates of child physical abuse. OLS regression results showed positive associations between child sexual abuse, perceived maternal rejection, BP symptoms and all three types of sexual assault with PTSD symptoms. Females also experienced more PTSD symptoms compared to males. Findings have implications for targeted interventions to improve mental health outcomes.


Assuntos
Abuso Sexual na Infância , Vítimas de Crime , Delitos Sexuais , Transtornos de Estresse Pós-Traumáticos , Masculino , Criança , Humanos , Feminino , Transtornos de Estresse Pós-Traumáticos/psicologia , Abuso Sexual na Infância/psicologia , Fatores de Risco , Delitos Sexuais/psicologia , Estudantes/psicologia , Predisposição Genética para Doença , Personalidade , Vítimas de Crime/psicologia
3.
Molecules ; 28(3)2023 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-36770587

RESUMO

Adulteration of food products is a widespread problem of great concern to society and dairy products are no exception to this. Due to new methods of adulteration being devised in order to circumvent existing detection methods, new detection methods must be developed to counter fraud. Bovine hard cheeses such as Asiago, Parmesan, and Romano are widely sold and consumed in pre-grated form for convenience. Due to being processed products, there is ample opportunity for the introduction of inexpensive adulterants and as such, there is concern regarding the authenticity of these products. An analytical method was developed using a simple organic extraction to verify the authenticity of bovine hard cheese products by examining the lipid profile of these cheeses via proton Nuclear Magnetic Resonance (NMR) spectroscopy. In this study, 52 samples of pre-grated hard cheese were analyzed as a market survey and a significant number of these samples were found to be adulterated with vegetable oils. This method is well suited to high throughput analysis of these products and relies on ratiometrics of the lipids in the samples themselves. Genuine cheeses were found to have a very consistent lipid profile from sample to sample, improving the power of this approach to detect vegetable oil adulteration. The method is purely ratiometric with no need for internal or external references, reducing sample preparation time and reducing the potential for the introduction of error.


Assuntos
Queijo , Óleos de Plantas , Animais , Bovinos , Óleos de Plantas/análise , Queijo/análise , Laticínios/análise , Espectroscopia de Ressonância Magnética/métodos , Espectroscopia de Prótons por Ressonância Magnética , Contaminação de Alimentos/análise
4.
Violence Vict ; 38(6): 839-857, 2023 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-37949460

RESUMO

This study describes rates of violence victimization, perpetration, and witnessing in 6th-11th grade for a multisite sample (N = 3,466) of predominantly Black and Hispanic middle- and high-school students from urban areas with high rates of crime and economic disadvantage. Students completed surveys in middle and high school assessing teen dating violence, stalking, sexual violence and harassment, bullying, cyberbullying, and physical violence perpetration and victimization, as well as witnessing violence. The highest prevalence rates are observed most often in 8th or 9th grade. Youth reported high rates of witnessing serious assault and severe community violence throughout adolescence. These findings suggest that efforts to prevent violence among youth living in under-resourced communities need to start early and address community-level socioeconomic disparities.


Assuntos
Comportamento do Adolescente , Bullying , Vítimas de Crime , Violência por Parceiro Íntimo , Delitos Sexuais , Adolescente , Humanos , Prevalência , Violência , Bullying/prevenção & controle
5.
MMWR Morb Mortal Wkly Rep ; 71(41): 1301-1305, 2022 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-36227769

RESUMO

Social and educational disruptions during the COVID-19 pandemic have exacerbated concerns about adolescents' mental health and suicidal behavior. Data from the 2021 Adolescent Behaviors and Experiences Survey (ABES) indicate that 37.1% of U.S. high school students reported poor mental health during the COVID-19 pandemic, with 19.9% considering and 9.0% attempting suicide in the preceding year (1). Adverse childhood experiences (ACEs)* are associated with poor mental health and suicidal behaviors (2,3), and high prevalence of some ACEs have been documented during the pandemic (4). ACEs are preventable, potentially traumatic events that occur in childhood (ages 0-17 years) such as neglect, experiencing or witnessing violence, or having a family member attempt or die by suicide. Also included are aspects of a child's environment that can undermine their sense of safety, stability, and bonding. Associations between ACEs occurring during the pandemic and mental health or suicidal behaviors among U.S. high school students were examined using ABES data. Experience of one to two ACEs was associated with poorer mental health and increased suicidal behaviors, and these deleterious outcomes increased with additional ACE exposure. After adjusting for demographic characteristics, adolescents who reported four or more ACEs during the pandemic had a prevalence of poor current mental health four times as high as, and a prevalence of past-year suicide attempts 25 times as high as, those without ACEs during the pandemic. Experience of specific ACE types (e.g., emotional abuse) was associated with higher prevalences of poor mental health and suicidal behaviors. Prevention and intervention strategies (5), including early identification and trauma-informed mental health service and support provision, for ACEs and their acute and long-term impacts could help address the U.S. child and adolescent mental health and suicide crisis.†.


Assuntos
Comportamento do Adolescente , Experiências Adversas da Infância , COVID-19 , Adolescente , Comportamento do Adolescente/psicologia , COVID-19/epidemiologia , Criança , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Saúde Mental , Pandemias , Estudantes , Ideação Suicida , Estados Unidos/epidemiologia
6.
Magn Reson Chem ; 60(1): 80-85, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-33963614

RESUMO

Nuclear magnetic resonance (NMR)-based screening of materials is a powerful tool for quality control, authenticity testing, and purity testing of compounds. However, reliance on 3-(trimethylsilyl)-propane-1-sulfonate (DSS) and 3-(trimethylsilyl)propanoic acid (TMSP) for referencing the spectra of aqueous samples is not without hazard, particularly with automated analyses. The assumption that these reference signals always represent 0 ppm is ubiquitous in NMR spectroscopy and is routinely used for spectral alignment. However, it has been found that cyclodextrins readily generate inclusion complexes with DSS and TMSP with the effect of rendering this assumption incorrect. These inclusion complexes alter the electronic shielding of the trimethylsilane functional groups on DSS and TMSP yielding a small, but significant, shift to a higher frequency in the signal relied upon for spectral referencing. As a result, samples containing traces of these compounds may be incorrectly declared fraudulent, inconsistent with standards, or adulterated. In order to maintain the viability of this screening method, vigilance and/or improved referencing of spectra is needed.

7.
Molecules ; 27(20)2022 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-36296514

RESUMO

Due to increased concerns regarding unidentified impurities in delta-8 tetrahydrocannabinol (Δ-8 THC) consumer products, a study using Nuclear Magnetic Resonance (NMR), high performance liquid chromatography (HPLC), and mass spectrometry (MS) was conducted to further investigate these products. Ten Δ-8 THC products, including distillates and ready to use vaporizer cartridges, were analyzed. The results yield findings that the tested products contain several impurities in concentrations far beyond what is declared on certificates of analysis for these products. As Δ-8 THC is a synthetic product synthesized from cannabidiol (CBD), there are valid concerns regarding the presence of impurities in these products with unknown effects on the human body. Compounding this problem is apparent inadequate testing of these products by producers and independent laboratories.


Assuntos
Canabidiol , Cannabis , Humanos , Canabidiol/análise , Dronabinol/análise , Cannabis/química , Cromatografia Líquida de Alta Pressão/métodos , Imageamento por Ressonância Magnética
8.
Violence Vict ; 37(4): 532-546, 2022 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-35896328

RESUMO

Though high rates of sexual assault are found on college campuses, prevalence rates between studies can vary considerable by gender, sexual orientation, and other student characteristics. Thus, it is unknown whether these are "true" differences for such characteristics or if there are methodological differences to consider. As such the current study examined whether student characteristics including gender, race, sexual orientation, sexual attraction, Greek affiliation, and relationship status are uniquely associated with reporting on two different sexual assault scales. Data were gathered from 783 college students in 2019-2020 at a large Midwestern university. Results revealed that the two different scales consistently provided different prevalence rates of sexual assault. Moreover, for each type of sexual assault (e.g., coercion, incapacitation, and physical force), there were also significant differences with students consistently reporting higher prevalence rates on one scale over the other. Finally, significant differences were found in prevalence rates across gender, sexual attraction, and Greek affiliated status.


Assuntos
Vítimas de Crime , Delitos Sexuais , Feminino , Humanos , Masculino , Comportamento Sexual , Estudantes , Universidades
9.
Molecules ; 27(1)2021 Dec 30.
Artigo em Inglês | MEDLINE | ID: mdl-35011445

RESUMO

A new NMR-based method for the discrimination of olive oils of any grade from seed oils and mixtures thereof was developed with the aim of allowing the verification of olive oil authenticity. Ten seed oils and seven monovarietal and blended extra virgin olive oils were utilized to develop a principal component analysis (PCA) based analysis of 1H NMR spectra to rapidly and accurately determine the authenticity of olive oils. Another twenty-eight olive oils were utilized to test the principal component analysis (PCA) based analysis. Detection of seed oil adulteration levels as low as 5% v/v has been shown using simple one-dimensional proton spectra obtained using a 400 MHz NMR spectrometer equipped with a room temperature inverse probe. The combination of simple sample preparation, rapid sample analysis, novel processing parameters, and easily interpreted results, makes this method an easily accessible tool for olive oil fraud detection by substitution or dilution compared to other methods already published.


Assuntos
Azeite de Oliva/análise , Azeite de Oliva/química , Espectroscopia de Prótons por Ressonância Magnética , Análise de Alimentos , Contaminação de Alimentos/análise , Qualidade dos Alimentos , Estrutura Molecular , Análise Multivariada , Óleos de Plantas/análise , Análise de Componente Principal , Espectroscopia de Prótons por Ressonância Magnética/métodos
10.
Youth Soc ; 52(5): 850-866, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-32863452

RESUMO

Little is known about the location and consistency of sleeping arrangements among youth experiencing homelessness (YEH) and how this is linked to their well-being. This study addresses this gap using ecological momentary assessment (EMA) via short message service (SMS) surveying with 150 YEH over 30 days, to examine how various sleeping arrangements are associated with depression, marijuana use, support received, and service utilization. Results revealed that the average number of consecutive days youth stayed at any particular location varied considerably. Youth who stayed more frequently with a friend/partner or in a transitional living facility (TLF) reported fewer days of being depressed, whereas staying with a friend/ partner was associated with using marijuana more frequently. Finally, youth staying with a friend/partner, stranger, or TLF reported using services on fewer days. Because sleeping arrangements change almost daily, on average, this has important public health implications for agencies finding permanent housing for YEH.

12.
J Child Adolesc Subst Abuse ; 28(3): 170-179, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-33013152

RESUMO

We used short message service surveying (SMS) with 150 homeless youth to examine the time ordering of feeling depressed with drinking alcohol, using marijuana, and using substances with friends. Multilevel binary logistic regression results revealed that youth who were depressed earlier in the day were more likely to drink alcohol later that day. Among depressed youth, heterosexual youth were less likely to drink alcohol than lesbian, gay, and bisexual (LGB) youth. Depressed youth had increased odds of using marijuana by a factor of 1.6, while heterosexual youth, compared to LGB youth, were 80% less likely to use marijuana. Females were 82% less likely and heterosexual youth 75% less likely to use substances with friends compared to males and LGB youth, respectively. These findings improve upon prior retrospective studies by using SMS to understand time ordering between feeling depressed and substance use in the same day.

13.
Child Youth Serv Rev ; 1072019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31827311

RESUMO

BACKGROUND: Though research finds that youth experiencing homelessness (YEH) have high rates of substance use, which can lead to numerous long-term negative health effects, less is known about both risk and protective factors for substance use. Moreover, even less is known about whether these factors differ for lesbian, gay and bisexual (LGB) youth compared to non-LGB youth. In the current study, we compared risk and protective factors for binge drinking, marijuana use, and illicit drug use (i.e. substance use) among heterosexual and sexual minority YEH. METHODS: The sample included 322 young people experiencing homelessness in the Midwestern United States and who were between 16 and 26 years of age. Almost one-half of our sample were female (N = 146; 45%) and 68 youth (21%) identified as LGB. RESULTS: Youth who experienced more child physical abuse, ran away from home more frequently, and those who had a parent(s) with drug problems were more likely to have reported binge drinking in the past 30 days. Additionally, having parents with drug problems was associated with the use of marijuana and illicit drugs. Conversely, having higher parental monitoring while growing up reduced the likelihood of using marijuana and illicit drugs. Tests for interactions revealed that while self-efficacy had no relationship with the probability of binge drinking for heterosexual youth, as self-efficacy increased, the probability of binge drinking declined drastically for sexual minority youth suggesting this protective mechanism operates differently for these two groups of youth. Additionally, tests of interactions showed that the probability of binge drinking among heterosexual and sexual minority youth also varied by child sexual abuse and street sexual victimization. CONCLUSION: Study results have implications for service providers who serve YEH.

14.
J Res Adolesc ; 28(1): 199-210, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29460358

RESUMO

We employ a social stress framework, which examines the influence of multiple stressors (e.g., physical abuse, foster care placement) on an individual's ability to function (e.g., mental well-being), to longitudinally examine the effects of stressful life events on mental health and the role of the social environment in this process among 150 homeless youth. Results revealed that numerous stressors, such as physical abuse and running away from home more frequently, were associated with greater depressive symptoms and elevated anxiety. Having mentors and family and friends from home that youth can rely on resulted in more positive social support, which subsequently lowered the risk for depressive symptoms and anxiety at wave 2.


Assuntos
Ansiedade/psicologia , Depressão/psicologia , Jovens em Situação de Rua/psicologia , Saúde Mental/normas , Adolescente , Ansiedade/epidemiologia , Criança Acolhida/psicologia , Depressão/epidemiologia , Feminino , Humanos , Masculino , Saúde Mental/tendências , Meio-Oeste dos Estados Unidos/epidemiologia , Abuso Físico/psicologia , Fatores de Proteção , Comportamento de Redução do Risco , Comportamento Sexual/psicologia , Apoio Social , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Estados Unidos/epidemiologia , Adulto Jovem
15.
Subst Use Misuse ; 53(5): 724-733, 2018 04 16.
Artigo em Inglês | MEDLINE | ID: mdl-28952844

RESUMO

BACKGROUND: Though research has examined heavy drinking by housing type, the link between type of college student housing and protective behavioral strategies (PBS) has rarely been examined comparing different college campuses. OBJECTIVES: The purpose of this study is to examine the role of housing type, perceptions of peer drinking, and PBS with respondent heavy drinking among undergraduate college students from one Southeastern and one Midwestern university in the United States. METHODS: 1,448 college students enrolled in undergraduate courses at two public universities completed a paper and pencil survey of attitudes and experiences about dating, sexuality, and substance use. Data were analyzed using multiple group path analysis. RESULTS: Students living in Greek housing perceived their close friends as engaging in more risky drinking, and had higher rates of heavy drinking compared to those living in other housing types. The effect of perceptions of peer drinking on PBS was significantly different between campuses as were several other indirect pathways to heavy drinking. Conclusion/Importance: Understanding more about the differing roles of college residential environments can help inform effective drinking interventions, and reduce heavy drinking among college students.


Assuntos
Consumo de Álcool na Faculdade/psicologia , Consumo Excessivo de Bebidas Alcoólicas/psicologia , Habitação , Grupo Associado , Meio Social , Estudantes/psicologia , Feminino , Humanos , Relações Interpessoais , Masculino , Estudos Retrospectivos , Estados Unidos
16.
J Child Sex Abus ; 27(3): 305-320, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29533149

RESUMO

Disclosure of child sexual abuse can be a stressful experience for the child. Gaining a better understanding of how best to serve the child, while preserving the quality of their disclosure, is an ever-evolving process. The data to answer this question come from 51 children aged 4-16 (M = 9.1, SD = 3.5), who were referred to a child advocacy center in Virginia for a forensic interview (FI) following allegations of sexual abuse. A repeated measures design was conducted to examine how the presence of a service-trained facility dog (e.g. animal-assisted intervention (AAI) may serve as a mode of lowering stress levels in children during their FIs. Children were randomized to one of the two FI conditions: experimental condition (service-trained facility dog present-AAI) or control condition (service-trained facility dog not present- standard forensic interview). Stress biomarkers salivary cortisol, alpha-amylase, immunoglobulin A (IgA), heart rate, and blood pressure, and Immunoglobulin A were collected before and after the FI. Self-report data were also collected. Results supported a significant decrease in heart rate for those in the experimental condition (p = .0086) vs the control condition (p = .4986). Regression models revealed a significant decrease in systolic and diastolic blood pressure in the experimental condition (p = .03285) and (p = .04381), respectively. Statistically significant changes in alpha-amylase and IgA were also found in relation to disclosure and type of offense. The results of this study support the stress reducing effects of a service-trained facility dog for children undergoing FI for allegations of child sexual abuse.


Assuntos
Abuso Sexual na Infância/diagnóstico , Psiquiatria Legal , Vínculo Humano-Animal , Entrevista Psicológica , Estresse Psicológico/terapia , Revelação da Verdade , Adolescente , Animais , Pressão Sanguínea/fisiologia , Criança , Abuso Sexual na Infância/psicologia , Defesa da Criança e do Adolescente , Pré-Escolar , Cães , Feminino , Frequência Cardíaca/fisiologia , Humanos , Hidrocortisona/análise , Masculino , Saliva/química , alfa-Amilases Salivares/análise , Estresse Psicológico/psicologia
17.
Violence Vict ; 32(6): 1079-1095, 2017 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-29021012

RESUMO

Dating violence continues to be pervasive among college students (Stappenbeck & Fromme, 2010). Given the paucity of research investigating the various pathways through which risk factors are linked to dating violence among different college campuses, we use multiple group path analysis to examine the role of child abuse, self-control, entitlement, and risky behaviors on dating violence perpetration among college students from one Southeastern and one Midwestern university. There were 1,482 college students (51% female) enrolled in undergraduate courses at 2 large public universities who completed paper and pencil surveys. Dating violence perpetration was directly associated with gender, child physical abuse, and sexual and drug risk behaviors and indirectly associated with college Greek letter fraternity affiliation, self-control, and entitlement. Moreover, significant differences in the pathways to dating violence were found between the Southeast and Midwest campuses.


Assuntos
Relações Interpessoais , Violência por Parceiro Íntimo/psicologia , Assunção de Riscos , Autocontrole , Estudantes , Feminino , Georgia/epidemiologia , Humanos , Violência por Parceiro Íntimo/estatística & dados numéricos , Masculino , Nebraska/epidemiologia , Inquéritos e Questionários , Universidades , Adulto Jovem
18.
J Am Coll Health ; 71(3): 705-714, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-34788559

RESUMO

Objective: Understand the relationship between risk factors (eg, different sexual assault types - coercive, physical, incapacitation by alcohol/drugs) and protective factors (eg, strong maternal ties) with depressive symptoms and post-traumatic stress disorder (PTSD) symptoms among college students. Participants: Six hundred twenty-five undergraduate students. Methods: Students completed paper and pencil surveys in fall 2019 at a large public university. Results: Risk factors of child physical and sexual abuse, all three sexual assault types, and combined sexual assault were associated with greater PTSD symptoms while maternal relationship quality and religious influence served as protective factors. Risk factors of child physical and sexual abuse, coercive sexual assault, and combined sexual assault were associated with depressive symptoms while maternal relationship quality served as a protective factor. Males who identified as sexual minority (SM) had more PTSD symptoms compared to females who identified as SM. Conclusions: Findings have implications for targeted interventions to improve mental health outcomes.


Assuntos
Vítimas de Crime , Delitos Sexuais , Minorias Sexuais e de Gênero , Transtornos de Estresse Pós-Traumáticos , Feminino , Humanos , Masculino , Vítimas de Crime/psicologia , Heterossexualidade , Avaliação de Resultados em Cuidados de Saúde , Fatores de Proteção , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Estudantes/psicologia , Universidades
19.
J Homosex ; 70(12): 2901-2924, 2023 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-35700379

RESUMO

Sexual minority youth (SMY) are at increased risk for interpersonal violence victimization compared to heterosexual youth. The current study examined how self-reported victimization (i.e., bullying, sexual harassment and dating violence) among middle school youth varied as a function of sexual/romantic attraction as well as gender identity. Cross-sectional data were gathered from students at seven middle schools in New England (n = 2245). Mean comparisons with post-hoc Tukey tests determined differences in rates of past 6-month and lifetime interpersonal violence victimization by sexual/romantic attraction and the intersection of gender and attraction. As hypothesized, interpersonal violence victimization among middle school youth differed as a function of sexual/romantic attraction as well as gender. To date, most research has focused on older samples, particularly high-school youth and young adults. These data are consistent with these prior studies documenting increased risk for interpersonal violence victimization among youth who indicate same-gender attraction but add to the literature in demonstrating the expansive forms of peer victimization that same-gender-attracted youth already experience by early adolescence. Given that victimization is associated acutely and longitudinally with many deleterious outcomes, including poorer mental health and increased risk for subsequent victimization, greater structural supports are needed for early adolescent SMY.


Assuntos
Bullying , Vítimas de Crime , Violência por Parceiro Íntimo , Minorias Sexuais e de Gênero , Adulto Jovem , Humanos , Masculino , Feminino , Adolescente , Identidade de Gênero , Estudos Transversais , Vítimas de Crime/psicologia , Instituições Acadêmicas
20.
J Prev (2022) ; 44(6): 663-678, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37750981

RESUMO

People experiencing homelessness (PEH) are at disproportionate risk of becoming infected and having severe illness from coronavirus disease 2019 (COVID-19), especially when residing in congregate settings like homeless shelters. Behavioral health problems related to substance use disorder (SUD) and severe mental illness (SMI) may have created additional challenges for PEH to practice prevention measures like mask wearing, physical distancing, handwashing, and quarantine and isolation. The study objective was to understand the perceived barriers PEH face regarding COVID-19 non-pharmaceutical prevention strategies and identify recommendations for overcoming barriers. From August-October 2020, qualitative phone interviews with 50 purposively selected behavioral health professionals across the United States serving PEH with SUD or SMI were conducted. Professionals described that PEH faced barriers to prevention that were structural (e.g., access to necessary resources), behavioral (related to SUD or SMI), or related to the priority of other needs. Recommendations to overcome these barriers included providing free prevention resources (e.g., masks and hand sanitizer), providing education about importance of prevention strategies, and prioritizing access to stable housing. Interviews took place before COVID-19 vaccines were available, so barriers to vaccination are not included in this paper. Findings can help support tailored approaches during COVID-19 and future public health threats.


Assuntos
COVID-19 , Pessoas Mal Alojadas , Transtornos Mentais , Transtornos Relacionados ao Uso de Substâncias , Humanos , Vacinas contra COVID-19 , COVID-19/prevenção & controle , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Mentais/epidemiologia
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