From neighborhood to household: connections between neighborhood vacant and abandoned property and family violence.

Rates of family violence, including intimate partner violence (IPV) and child maltreatment, remain high in the U.S. and contribute to substantial health and economic costs. How neighborhood environment may influence family violence remains poorly understood. We examine the association between neighborhood vacant and abandoned properties and family violence, and the role collective efficacy may play in that relationship. Data were used from a longitudinal cohort of 218 maternal-child dyads in a southern U.S. city known for elevated rates of violence. Women were matched on their propensity score, for living in a neighborhood with elevated vacant and cited properties. Analyses accounting for clustering in neighborhood and matched groups were conducted to examine the association between neighborhood vacant and abandoned property and family violence, and the potential mediating relationship of collective efficacy. The likelihood of experiencing child maltreatment at 12-months of age was more than twice as high for children living in neighborhoods with a high vacant and cited property rates compared to women living in neighborhoods with fewer vacant and cited properties (OR=2.11, 95% CI=1.03, 4.31). Women living in neighborhoods characterized by high levels of vacant and cited properties were also more than twice as likely to report IPV (OR=2.52, 95% CI=1.21, 5.25). Associations remained mostly stable after controlling for key covariates. Collective efficacy did not act as a mediator in the relationship between vacant and cited properties and family violence. Reducing neighborhood vacant and cited properties may be an important target for interventions focused on reducing family violence.

COVID-19 indoor exposure levels: An analysis of foot traffic scenarios within an academic building.

Minimizing all aspects of COVID-19 exposure is a high priority as universities prepare to reopen. One of those aspects includes developing protocols for interior spaces such as academic buildings. This paper applies mathematical modeling to investigate different virus exposure levels due to traffic patterns within academic buildings. The assumption used are: 1) Risk of infection is a product of exposure rate and time and 2) the exposure rate decreases with distance. One-way vs. two-way pedestrian traffic scenarios within hallways were modeled and analyzed for various configurations. The underlying assumption that a small exposure to a large number of people is similar to a large exposure to a few people is the driver to minimize exposures levels in all aspects. The analysis indicates that minimizing the time spent in passing between classes is the driving factor in minimizing risk, and one-way traffic may increase the time required to pass between classes. While the case presented is limited, the modeled approaches are intended to provoke future research that can be extended and applied to larger populations to help provide decision makers with more rigorous tools to shape future policies regarding traffic flow within buildings.

Complementary and alternative medicine (CAM) use by African American (AA) and Caucasian American (CA) older adults in a rural setting: a descriptive, comparative study.

BACKGROUND: The use of CAM is at an all time high. There is very little research that compares the use of CAM in elders by ethnicity in rural settings. The purpose of the study was to determine if there was a difference between African American and Caucasian American rural elders on use of CAM and self-reported satisfaction with CAM. METHODS: The design was a descriptive, comparative study of 183 elders who reported the number of CAM used and satisfaction with CAM. A convenience sample was recruited through community service organizations in the state of Mississippi. The availability of elders through the support groups, sampling bias, subject effect, and self-report were limitations of the study. RESULTS: The commonest examples of CAM used by rural elders were prayer, vitamins, exercise, meditation, herbs, chiropractic medicine, glucosamine, and music therapy. Significant findings on SES and marital status were calculated. Differences on ethnicity and demographic variables were significant for age, education, and the use of glucosamine. CONCLUSIONS: Health care providers must be aware that elders are using CAM and are satisfied with their use. Identifying different uses of CAM by ethnicity is important for health care practitioners, impacting how health care is provided.

The development of an educational workshop on complementary and alternative medicine: what every nurse should know.

As complementary and alternative medicine (CAM) is becoming more accepted in Western culture, healthcare consumers are choosing CAM as an adjunct to conventional healthcare practices. A variety of cultural backgrounds contributes to the need to advance knowledge and evaluate outcomes of healthcare practices related to CAM. The issues presented in this article provide critical information for nurses and other healthcare providers to integrate conventional medicine with CAM practices to improve healthcare outcomes for patients who use CAM.