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1.
Knee Surg Sports Traumatol Arthrosc ; 32(3): 678-684, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-38410061

RESUMEN

PURPOSE: Tourniquet use during total knee arthroplasty (TKA) remains controversial. There are limited data demonstrating the effect of tourniquet use on flexion and extension gaps. The use of a tourniquet can theoretically affect the kinematics of the knee joint, specifically the extension and flexion gaps and the laxity, by mechanically compressing the soft tissues including the muscles above the knee joint. Therefore, this study was designed to prospectively evaluate changes in flexion and extension gaps with and without the use of a tourniquet. METHODS: The following prospective study included 50 consecutive patients who underwent TKA using a surgical robot. The inclusion criteria were advanced osteoarthritis (OA) and varus-alignment or valgus-alignment <3° (hip-knee-ankle angle, standing long-leg X-ray), and the exclusion criteria were BMI >35 kg/m2 and mechanical axis in >3° valgus. A CR-TKA was performed, and the medial and lateral gaps (in mm) throughout the full range of motion in 10° increments were recorded. The procedure was conducted both with and without an applied tourniquet (350 mmHg). RESULTS: No significant differences were observed in the medial joint space. By contrast, the lateral gap showed significant differences in 10-20° of flexion (with a tourniquet 1.9 mm vs. without a tourniquet 2.1 mm, p = 0.018), 20-30° (1.6 vs. 1.8 mm, p = 0.02), 100-110° (0.9 vs. 1.1 mm, p = 0.021), and 110-120° (0.8 vs. 1 mm, p = 0.038). Thus, at the above degrees of flexion on the lateral side, there was a decrease in the mean of 0.2 mm with the use of a tourniquet. CONCLUSION: Although the use of a tourniquet showed a detectable change in the lateral gap in four 10° segments of flexion, clinical relevance with an average difference of 0.2 mm is not achieved. Thus, the use of a tourniquet in TKA can still be advocated based on the presented data. LEVEL OF EVIDENCE: Level I.


Asunto(s)
Artroplastia de Reemplazo de Rodilla , Osteoartritis de la Rodilla , Procedimientos Quirúrgicos Robotizados , Humanos , Artroplastia de Reemplazo de Rodilla/métodos , Estudios Prospectivos , Osteoartritis de la Rodilla/cirugía , Procedimientos Quirúrgicos Robotizados/métodos , Fenómenos Biomecánicos , Torniquetes , Articulación de la Rodilla/cirugía , Rango del Movimiento Articular/fisiología
2.
J Dual Diagn ; 18(4): 220-227, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-30183574

RESUMEN

Objective: In clinical and athlete populations, research has found that experiencing a concussion (or traumatic brain injury) is correlated with experiencing other psychiatric conditions, including depression and alcohol problems. However, less is known about concussion comorbidity in other population segments. The purpose of this study is to examine the relationships between concussions and depression symptoms, anxiety symptoms, and hazardous drinking among a large sample of college students (N = 1776) enrolled in a mandatory health course. Methods: This study used an online health survey to examine concussion frequency (informal and formal diagnoses), sports-related concussions, depression symptoms, anxiety symptoms, and hazardous drinking in the sample. Bivariate and multivariate analyses were conducted to examine comorbid relationships between concussion frequency and the dependent variables of interest (anxiety symptoms, depression symptoms, and hazardous drinking). Results: We found that 691 (39.1%) participants indicated having at least one concussion. Analyses indicated that concussion frequency scores of both formal or informal diagnoses were significantly associated with scores of depression symptoms, anxiety symptoms, and hazardous drinking. When examining concussion frequency scores of only formal diagnoses, only hazardous drinking evidenced a statistically significant relationship. In addition, participants who had a sports concussion had significantly higher concussion frequency scores and hazardous drinking scores than those who have had a concussion that was not sport-related. Conclusions: The comorbid concussion relationships found in this study are consistent with those observed in clinical and athlete populations. It is important for college health professionals to be aware that concussion comorbidity is not limited to the athlete population and can impact the entire student body.


Asunto(s)
Trastornos Relacionados con Alcohol , Depresión , Humanos , Depresión/epidemiología , Depresión/complicaciones , Ansiedad/complicaciones , Estudiantes/psicología , Universidades
3.
Subst Use Misuse ; 54(6): 1017-1023, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30614346

RESUMEN

BACKGROUND: Investigations examining the association between pregaming, or the consumption of alcohol prior to attending a social gathering or drinking establishment, and blood alcohol concentrations have primarily relied on estimations (i.e., Widmark equation), rather than objective biologic samples, such as breath alcohol concentration (BrAC). OBJECTIVES: The current study assessed: (1) pregaming, using quantity-based measures, among a sample of college and non-college affiliated bar patrons, (2) associations between pregaming intensity/status and participant intoxication (BrAC), and (3) whether participants who pregamed were more likely to identify as a hazardous drinker. METHODS: 548 bar patrons provided data on the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) and a single pregaming item assessing quantity of alcohol consumed prior to visiting a bar/restaurant district in 2015. BrAC samples were collected post interview. We used hierarchical linear regression models, respectively, to assess whether pregaming significantly impacted BrAC and whether presence of hazardous drinking predicted pregaming behavior. RESULTS: After controlling for sex, race/ethnicity, age, student status, and Greek affiliation, the linear regression model explained 32.3% (R2 = .323) of the variance of BrAC levels (F(12) = 21.162, p < .001), with 4.30% of the variance explained solely by pregaming (ß = 0.014; p < .001). The linear regression model to assess if harzardous drinking behavior (AUDIT-C) significantly predicted pregaming explained 31.2% (R2 = .312) of the variance of pregaming behavior (F(18) = 13.276, p < .001), with 4.2% of the variance explained solely by AUDIT-C scores (ß = 0.280; p < .001). CONCLUSION: Findings further highlight pregaming as a harmful risk behavior linked to elevated levels of hazardous drinking and intoxication.


Asunto(s)
Consumo de Bebidas Alcohólicas/epidemiología , Conducta Peligrosa , Restaurantes/estadística & datos numéricos , Adolescente , Adulto , Consumo de Bebidas Alcohólicas/metabolismo , Pruebas Respiratorias , Femenino , Humanos , Modelos Lineales , Masculino , Persona de Mediana Edad , Adulto Joven
4.
J Gambl Stud ; 35(1): 181-204, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30607671

RESUMEN

Daily fantasy sports (DFS), a rapidly growing industry, allows players to create fantasy teams of real-life players and potentially win cash prizes, derived from entry fees. Some stakeholders have expressed concern that DFS's accelerated nature and other features might promote excessive play and related harm. We conducted the first descriptive summary of actual DFS play using records from a cohort of subscribers to a dominant operator, DraftKings. Participants (N = 10,385) initially entered paid National Football League (NFL) contests. Across all participants, players entered a median of two contests per entry day and typically submitted a single entry for each contest they entered. Players paid a median of $87 in entry fees throughout the 2014 NFL season and experienced an overall median net loss of $30.7. However, we identified heavily involved sub-groups of players based on number of contests entered, total entry fees, and net loss. These top 1% groups were less likely to restrict themselves to NFL games, exhibited greater time involvement, but also won a greater percentage of the contests they entered than typical players. Our observations of typical and heavily involved players tend to mirror those generated in previous Internet sports gambling research.


Asunto(s)
Conducta Adictiva/psicología , Fútbol Americano , Juego de Azar/psicología , Deportes/psicología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Canadá , Estudios de Cohortes , Fantasía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Motivación , Encuestas y Cuestionarios , Estados Unidos
5.
J Community Health ; 43(6): 1119-1123, 2018 12.
Artículo en Inglés | MEDLINE | ID: mdl-29774456

RESUMEN

While the association between current smoking and alcohol consumption is well known, the relationship between social smoking and alcohol consumption is less understood. The purpose of this study was to examine the association between smoking status and two alcohol consumption measures in a sample of college student bar patrons. The data used in this study was collected in fall 2015. Study participants (N = 415) were college student bar patrons who agreed to complete an interview that assessed smoking status (i.e., regular smoker, social smoker, non-smoker) and two alcohol consumption measures: (1) breath alcohol concentration (BrAC) levels (using a handheld breathalyzer device) and (2) hazardous drinking scores (using the AUDIT-C scale). We conducted one-way ANOVAs with Bonferroni correction to examine differences in BrAC levels and hazardous drinking scores by smoking status. Among sample participants, 25.3% were regular smokers, 14.7% were social smokers, and 60.0% were non-smokers. Smokers had significantly higher BrAC levels than social smokers and non-smokers. Regular smokers also had significantly higher hazardous drinking scores than social smokers and non-smokers. The BrAC levels and hazardous drinking scores of social smokers and non-smokers were not significantly different. The drinking habits of social smokers reflected those of non-smokers and being a regular smoker was associated with higher drinking levels than the rest of the sample. Because of the association found between alcohol consumption and regular smoking, combining efforts to reduce these behaviors in college students might be advantageous.


Asunto(s)
Consumo de Bebidas Alcohólicas/epidemiología , Nivel de Alcohol en Sangre , Etanol/análisis , Fumar/epidemiología , Estudiantes/estadística & datos numéricos , Adulto , Pruebas Respiratorias/métodos , Femenino , Humanos , Masculino , Fumadores/estadística & datos numéricos , Estados Unidos , Adulto Joven
6.
Subst Use Misuse ; 53(3): 446-450, 2018 02 23.
Artículo en Inglés | MEDLINE | ID: mdl-28777684

RESUMEN

BACKGROUND: Alcohol consumption and experiencing a concussion are positively correlated. Concussion history has not been examined previously in any alcohol field study (i.e., conducted in a natural setting). OBJECTIVE: To better understand the relationship between concussion history and alcohol consumption. METHODS: We conducted two anonymous field studies among a 2015 sample of bar patrons (N = 544; 62.5% males) in a college town to assess concussion history and two alcohol consumption measures: (1) breath alcohol concentration (BrAC) levels and (2) hazardous drinking scores (based on the AUDIT-C). Next, we conducted a logistic regression analysis to predict concussion history using the two alcohol consumption measures and other potential covariates (i.e., age, gender, race, college student status). RESULTS: Among participants in our sample, the average BrAC level was.070 (SD =.053) and the average hazardous drinking score was 4.7 (SD = 2.5). Less than half of participants indicated that they had experienced a concussion in their lifetime (235; 43.2%). The logistic regression model indicated that hazardous drinking scores were significantly, positively associated with having experienced a concussion, whereas other covariates (i.e., BrAC, age, gender, race, college student status) did not significantly predict concussion history. Conclusions/Importance: Hazardous drinkers were more likely to have experienced a concussion. Therefore, the relationship found in this sample, between hazardous drinking behavior and concussion history, points to hazardous drinking as a possible risk factor for having had a concussion in the past.


Asunto(s)
Consumo de Bebidas Alcohólicas/psicología , Conmoción Encefálica/epidemiología , Adolescente , Adulto , Pruebas Respiratorias , Escolaridad , Femenino , Humanos , Actividades Recreativas/psicología , Modelos Logísticos , Masculino , Persona de Mediana Edad , North Carolina/epidemiología , Asunción de Riesgos , Adulto Joven
7.
J Community Health ; 42(2): 287-294, 2017 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-27628563

RESUMEN

The misuse of prescription stimulant medications (MPS) and academic dishonesty (AD) are both problematic behaviors among college students. Although both behaviors are linked to a student's desire to succeed academically, little research has been conducted to examine the relationship between these behaviors. The purpose of this study was to determine if students who engaged in past-year MPS committed acts of AD more frequently than those who do not engage in MPS. We collected our data from a sample of undergraduates (n = 974) between the ages of 18 and 25 enrolled at one of three universities in the US who completed an online questionnaire to assess AD and MPS. Results indicated that 18.2 % of the sample engaged in MPS in the past year and 65 % committed one or more acts of AD during the past year. An increased frequency of AD increased the odds of reporting MPS when controlling for known covariates (e.g., gender, stimulant prescription status, and energy drink consumption). In addition, higher rates of MPS were identified in students affiliated with a Greek organization, those with a current stimulant prescription, those who consume energy drinks, and those who misuse other prescriptions. Concerning specific AD-types, misusers reported copying off someone else's homework, having someone copy of their homework, and using the internet to commit acts of dishonesty more frequently than those who do not engage in MPS. This study adds to the MPS college student literature by highlighting the relationship between MPS and AD.


Asunto(s)
Estimulantes del Sistema Nervioso Central/efectos adversos , Fraude/psicología , Mal Uso de Medicamentos de Venta con Receta/estadística & datos numéricos , Estudiantes/psicología , Rendimiento Académico/psicología , Rendimiento Académico/estadística & datos numéricos , Adolescente , Adulto , Bebidas Energéticas/efectos adversos , Bebidas Energéticas/estadística & datos numéricos , Femenino , Fraude/estadística & datos numéricos , Humanos , Masculino , Mal Uso de Medicamentos de Venta con Receta/psicología , Estudiantes/estadística & datos numéricos , Estados Unidos/epidemiología , Universidades/estadística & datos numéricos , Adulto Joven
8.
Am J Addict ; 25(1): 31-6, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26688283

RESUMEN

BACKGROUND AND OBJECTIVES: In March 2015, the Alcohol and Tobacco Tax and Trade Bureau approved the sale of Palcohol, the first powdered alcohol product to be marketed and sold in the U.S. Powdered alcohol is freeze-dried, and one individual-serving size packet added to 6 ounces of liquid is equivalent to a standard drink. This study assessed awareness of powered alcohol and likelihood to use and/or misuse powdered alcohol among college students. METHODS: Surveys were administered to a convenience sample of 1,841 undergraduate students. RESULTS: Only 16.4% of respondents had heard of powdered alcohol. After being provided a brief description of powdered alcohol, 23% indicated that they would use the product if available, and of those, 62.1% also indicated likelihood of misusing the product (eg, snorting it, mixing it with alcohol). Caucasian students (OR = 1.5) and hazardous drinkers (based on AUDIT-C scores; OR = 4.7) were significantly more likely to indicate likelihood of use. Hazardous drinkers were also six times more likely to indicate likelihood to misuse the product. DISCUSSION AND CONCLUSIONS: These findings can inform upstream prevention efforts in states debating bans on powdered alcohol. In states where powdered alcohol will soon be available, alcohol education initiatives should be updated to include information on the potential risks of use and be targeted to those populations most likely to misuse. SCIENTIFIC SIGNIFICANCE: This is the first peer-reviewed study to assess the awareness of and likelihood to use and/or misuse powdered alcohol, a potentially emerging form of alcohol.


Asunto(s)
Consumo de Alcohol en la Universidad/psicología , Etanol/efectos adversos , Conocimientos, Actitudes y Práctica en Salud , Adolescente , Femenino , Humanos , Masculino , Estados Unidos , Adulto Joven
9.
Am J Addict ; 25(2): 132-7, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26824504

RESUMEN

BACKGROUND: Alcohol-related injuries are a serious public health issue and research has found that alcohol consumption is positively correlated with injury risk. OBJECTIVE: To better understand the association between alcohol consumption and injury risk. METHODS: We conducted four anonymous cross-sectional field studies among a sample of bar patrons (N = 917) to assess breath alcohol concentration (BrAC) levels, hazardous drinking levels (based on AUDIT-C score), and past year alcohol-related injuries in Fall 2014. Next, we conducted two logistic regression analyses to predict alcohol-related injuries: one model used hazardous drinking level as a predictor variable and the other model used BrAC. RESULTS: Among participants in our sample, the average BrAC% was .076 (SD =.055) and the average hazardous drinking score (based on the AUDIT-C) was 5.0 (SD = 2.6). The majority of participants indicated that they had not experienced an alcohol-related injury in the past year (859; 93.7%). Our regression analyses found that each incremental increase in a participants' hazardous drinking score increased the odds of experiencing a self-reported alcohol-related injury by 1.4 times and as BrAC increased one unit of change (percentage), the odds of a past-year alcohol related injury increased twofold (OR = 2.2). Other covariates (ie, age, gender, race, college student status) did not significantly predict alcohol-related injuries in either model. DISCUSSION AND CONCLUSIONS: High-risk drinking behaviors, including higher BrAC levels, greatly influenced experiencing an alcohol-related injury. SCIENTIFIC SIGNIFICANCE: This is the first examination of BrAC levels and alcohol-related injuries in a primarily college student sample.


Asunto(s)
Consumo de Alcohol en la Universidad , Consumo de Bebidas Alcohólicas/efectos adversos , Trastornos Relacionados con Alcohol/complicaciones , Conducta Peligrosa , Etanol/análisis , Heridas y Lesiones/epidemiología , Heridas y Lesiones/etiología , Adolescente , Adulto , Consumo de Alcohol en la Universidad/psicología , Trastornos Relacionados con Alcohol/epidemiología , Trastornos Relacionados con Alcohol/psicología , Pruebas Respiratorias , Niño , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Psicológicos , North Carolina/epidemiología , Autoinforme , Heridas y Lesiones/psicología , Adulto Joven
10.
J Community Health ; 41(1): 109-18, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26255272

RESUMEN

To assess energy drink (ED) consumption, potential ED correlates, and ED-related motivations among a sample of college students to determine differences based on athlete status (student athlete vs. non-athlete). Six hundred and ninety-two college students completed surveys at a large private university in the United States. Participants completed a paper based questionnaire assessing ED and ED-related variables. Over thirty-six percent (197 non-athletes, 58 student athletes) of participants reported ED consumption in the preceding 30 days. Multivariately, there was no difference in ED consumption based on athlete status. Heavy episodic drinking and prescription stimulant misuse were both correlated with increased ED consumption. ED motivations differed based on the frequency of ED consumption. ED use was common among student athletes and non-athletes in our sample. It is important to be aware of the correlation between heavy episodic drinking, prescription stimulant misuse, and ED consumption among college student populations because of the adverse consequences associated with these behaviors.


Asunto(s)
Atletas/estadística & datos numéricos , Bebidas Energéticas , Estudiantes/estadística & datos numéricos , Universidades , Adolescente , Adulto , Factores de Edad , Trastornos Relacionados con Anfetaminas/epidemiología , Consumo Excesivo de Bebidas Alcohólicas/epidemiología , Femenino , Humanos , Masculino , Grupos Raciales , Factores Sexuales , Fumar/epidemiología , Factores Socioeconómicos , Estados Unidos/epidemiología , Adulto Joven
11.
Subst Abus ; 37(3): 488-493, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26820817

RESUMEN

BACKGROUND: "Weight-conscious drinking" refers to behaviors to restrict calories in conjunction with consuming alcohol and is associated with numerous negative consequences. This behavior has been observed in the college student population but has not been examined among college student athletes. METHODS: This cross-sectional study assessed drinking, hazardous drinking levels (Alcohol Use Disorders Identification Test-Consumption [AUDIT-C] sum score), and weight-conscious drinking behaviors (for weight loss purposes and for intoxication purposes) using a paper-and-pencil survey that was completed by students at a large, private university in the Southwest United States. The sample for this study included college student nonathletes (n = 482; 212 males and 270 females) who completed the survey in 1 of 34 classes and college student athletes (n = 201; 79 males and 122 females) who completed the survey during practice. These analyses examined whether hazardous drinking level and other personal covariates (gender, race, and athlete status) predicted the 2 weight-conscious drinking behaviors of interest. RESULTS: Among the subsample of students who drank, the same proportion of participants indicated weight-conscious drinking behavior for weight loss and weight-conscious drinking behavior for intoxication (both 24.9%; n = 122). In the multivariate analyses, students with higher hazardous drinking scores and females were significantly more likely to report engaging in both weight-conscious drinking behaviors. In those analyses, neither weight-conscious drinking behavior varied by athlete status. CONCLUSIONS: In this sample of college students, hazardous drinking most predicted weight-conscious drinking behavior and superseded gender and athlete status. In response, college health professionals should consider evidenced-based approaches to address hazardous drinking.


Asunto(s)
Consumo de Alcohol en la Universidad/psicología , Atletas/psicología , Restricción Calórica/psicología , Estudiantes/psicología , Intoxicación Alcohólica/psicología , Estudios Transversales , Femenino , Humanos , Masculino , Modelos Psicológicos
12.
J Gambl Stud ; 32(2): 567-79, 2016 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-26183955

RESUMEN

College students experience higher rates of gambling-related problems than most other population segments, including the general population. Although Division I (D1) athletes often have more at stake than the average student if and when they gamble (e.g., the potential to lose their athletic eligibility), relatively few studies have assessed the gambling behavior of this population and none have specifically assessed fantasy sports gambling. We conducted a study to examine gambling behavior (past-year gambling, gambling-related problems, and fantasy sport gambling) among a sample (N = 692) of college students at a private religiously affiliated university in the Southwest US. The sample for our study was unique in that approximately 30 % of the participants were D1 athletes. We compared the gambling behavior among three groups based on the athlete status: D1 athletes, club/intramural/recreational (CIR) athletes, and non-athletes (NAs). Compared to females in our sample, males observed higher rates of past year gambling, fantasy sports participation, fantasy sports gambling, and gambling-related problems. Among males, we found that CIR athletes observed the highest rates of past year gambling and fantasy sports participation and D1 athletes observed higher rates than NAs. We did not find differences in fantasy sport gambling and past year gambling-related problems based on athlete status in males or females.


Asunto(s)
Atletas/psicología , Fantasía , Juego de Azar/psicología , Asunción de Riesgos , Estudiantes/psicología , Adulto , Femenino , Humanos , Masculino , Medición de Riesgo , Estados Unidos , Universidades , Adulto Joven
13.
Am J Addict ; 24(4): 285-8, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-25823777

RESUMEN

BACKGROUND AND OBJECTIVE: The college student population is one of the heaviest drinking demographic groups in the US and impaired driving is a serious alcohol-related problem. The objective of this study is to better understand the relationship between alcohol-related behaviors and "plans to get home" among a sample of college students. METHODS: We conducted four anonymous field studies to examine associations between breath alcohol concentration (BrAC) levels, Alcohol Use Disorders Identification Test (AUDIT-C) classification, and plans for getting home among a sample of bar-attending college students (N = 713). RESULTS, DISCUSSION AND CONCLUSIONS: The vast majority of participants in our sample (approximately 95%) were not intending to drive and the average BrAC% of those intending to drive was .041. Our one-way ANOVAs indicated that (1) participants classified by the AUDIT-C as not having an alcohol problem had a significantly lower BrAC% than those classified as having a potential problem and (2) participants planning to drive had a significantly lower BrAC% than those with a plan that did not involve them driving and those without a plan to get home. Although it is encouraging that most of our sample was not intending to drive, it is important to continue to attempt to reduce impaired driving in this population. SCIENTIFIC SIGNIFICANCE: This study helps college health professionals and administrators to better understand the relationship between alcohol-related behaviors and plans to get home among college students.


Asunto(s)
Accidentes de Tránsito/prevención & control , Accidentes de Tránsito/psicología , Intoxicación Alcohólica/sangre , Intoxicación Alcohólica/epidemiología , Alcoholismo/sangre , Alcoholismo/epidemiología , Nivel de Alcohol en Sangre , Pruebas Respiratorias , Conducir bajo la Influencia/legislación & jurisprudencia , Conducir bajo la Influencia/estadística & datos numéricos , Intención , Estudiantes/psicología , Estudiantes/estadística & datos numéricos , Accidentes de Tránsito/legislación & jurisprudencia , Adolescente , Adulto , Intoxicación Alcohólica/clasificación , Alcoholismo/clasificación , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Estudiantes/legislación & jurisprudencia , Estados Unidos , Adulto Joven
14.
J Gambl Stud ; 30(2): 321-33, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-23430449

RESUMEN

We assessed the occurrence of co-morbid psychiatric disorders (i.e., problem drinking, anxiety, and depression) among college students who met the threshold for disordered gambling. The participants included a large sample of undergraduate students (n = 1,430) who were enrolled in an introductory health course at a large, southeastern university in Spring 2011 and completed an online assessment that included scales to assess disordered gambling, problem drinking, anxiety, and depression. We calculated screening scores, computed prevalence rates for each disorder, and calculated Pearson correlations and Chi square tests to examine correlations and co-morbid relationships between the four disorders. Analyses indicated that all disorders were significantly associated (p < .01) except for disordered gambling and anxiety. Because college students who experience disordered gambling (and other psychiatric disorders) are at increased risk of experiencing co-occurring disorders, it might be useful for college health professionals to concurrently screen and intervene for co-occurring disorders.


Asunto(s)
Alcoholismo/epidemiología , Trastornos de Ansiedad/epidemiología , Trastorno Depresivo/epidemiología , Juego de Azar/epidemiología , Juego de Azar/psicología , Estudiantes/psicología , Adolescente , Comorbilidad , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Prevalencia , Estudiantes/estadística & datos numéricos , Universidades , Adulto Joven
15.
Glob Health Promot ; 30(1): 16-22, 2023 03.
Artículo en Inglés | MEDLINE | ID: mdl-35897155

RESUMEN

Survey research is important for understanding health and improving practice among health professions. However, survey research can have drawbacks, such as overuse and excessively lengthy questionnaires that burden respondents. These issues lead to poor response rates and incomplete questionnaires. Low and incomplete response rates result in missing data and reduced sample size, damaging the value, usability and generalizability of the information collected. To address issues related to response rates and improve health research, shorter surveys are recommended because they impose less of a burden on respondents and are useful with larger populations. Health-related surveys also often focus on the factors leading to ill health without dedicating equal attention to factors supporting positive health. This study developed and tested a short form (SF) of the validated Salutogenic Wellness Promotion Scale (SWPS), which measures causes of health (rather than causes of disease), using responses from 2052 college students. The participants answered questions about their demographics and completed the SWPS and a perceived health assessment. Statistical tests demonstrated the SWPS-SF had significant relationships with the full SWPS, health status, and Grade Point Average (GPA). Statistical tests were also used to establish cutoff scores that had a high true positive and low false negative rate. These cutoff scores demonstrated a relationship of higher performance and better health. These promising results suggest this short test can provide valid information without burdening the respondents. Authors recommend additional tests be completed to validate the SWPS-SF.


Asunto(s)
Promoción de la Salud , Sentido de Coherencia , Humanos , Promoción de la Salud/métodos , Encuestas y Cuestionarios , Estudiantes , Estado de Salud
16.
Adv Neurodev Disord ; : 1-14, 2023 May 12.
Artículo en Inglés | MEDLINE | ID: mdl-37363188

RESUMEN

Objectives: Many autistic children exhibit challenging and disruptive behaviors that can present challenges for both children and their families by interfering with acquisition of adaptive skills and affecting family and peer relationships. Behavioral parent training (BPT) is an evidence-based approach to reducing autistic children's disruptive behavior, but many families face a number of barriers to accessing BPT, such as availability of BPT in their community, and transportation and scheduling challenges. Therefore, we sought to explore the feasibility and promise of effectiveness of adapting an established BPT program to a telehealth format during the COVID-19 pandemic. Methods: A feasibility trial of BPT via telehealth was conducted with fourteen parents of autistic children. Results: Parents and clinicians were able to implement BPT via telehealth with a high degree of fidelity, and parents rated both BPT and the telehealth format favorably. The program also showed promise of effectiveness in reducing autistic children's disruptive behavior, improving their adaptive skills, as well as reducing parents' stress, and improving parents' sense of parenting competence. Conclusions: The findings replicate and extend findings from previous studies, further demonstrating the promise of telehealth as a viable alternative format for delivering BPT. We also explore implications for future research, including the opportunity for more thorough evaluation of the effectiveness of BPT via telehealth.

18.
Traffic Inj Prev ; 22(8): 599-604, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34699291

RESUMEN

Objective: Risky driving behaviors, such as texting while driving, are common among young adults and increase risk of traffic accidents and injuries. We examine the relationship between poor sleep and risky driving behaviors among college students as potential targets for traffic injury prevention.Methods: Data for this study were obtained from a cross-sectional survey administered to a college student sample in the United States Midwest (n = 1,305). Sleep was measured using the Pittsburgh Sleep Quality Index (PSQI). Risky driving behaviors were measured, including sending texts/emails; reading texts/emails while driving; talking on the phone while driving; falling asleep while driving; and driving under the influence. Risky driving behavior was defined as a response of "just once," "rarely," "sometimes," "fairly often" or "regularly" (reference = "never"). Logistic regression was used to examine the relationship between sleep and risky driving, after adjusting for confounders.Results: Among participants, 75% reported sending texts/emails while driving, 82% reported reading texts/emails while driving, and 84% reported phone talking while driving; 20% reported falling asleep while driving; 8% reported driving under the influence; and 62% reported 3 or more risky behaviors. Compared to those reporting no sleep disturbance, those with sleep disturbance "once or twice a week" were more likely to report sending a text/email while driving (aOR: 2.9, 95%CI:1.7-4.9), reading a text/email while driving (aOR:3.1,95%CI:1.5-5.5), talking on the phone while driving (aOR:1.9, 95%CI:1.0-3.4), and falling asleep while driving (aOR:3.4,95%CI:1.5-7.4). Compared to those reporting no daytime dysfunction, those reporting issues "once or twice a week" were more likely to report talking on the phone while driving (aOR:1.7, 95%CI:1.1-2.7) and falling asleep while driving (aOR:3.6,95%CI:2.3-5.6).Conclusions: Future research may consider designing behavioral interventions that aim to improve sleep, reduce drowsy driving among young adults.


Asunto(s)
Conducción de Automóvil , Calidad del Sueño , Accidentes de Tránsito , Estudios Transversales , Humanos , Asunción de Riesgos , Estudiantes , Estados Unidos/epidemiología , Adulto Joven
19.
J Sport Health Sci ; 8(1): 8-16, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30719378

RESUMEN

BACKGROUND: Preventing anterior cruciate ligament (ACL) injuries is important to avoid long-term adverse health consequences. Identifying barriers to implementation of these prevention programs is crucial to reducing the incidence of these injuries. Our purpose was to identify barriers of implementation for ACL injury prevention programs and suggest mechanisms for reducing the barriers through application of a Socio-Ecological Model (SEM). METHODS: Studies investigating ACL prevention program effectiveness were searched in Medline via PubMed and the Cochrane Library, and a subsequent review of the references of the identified articles, yielded 15 articles total. Inclusion criteria encompassed prospective controlled trials, published in English, with ACL injuries as the primary outcome. Studies were independently appraised by 2 reviewers for methodological quality using the PEDro scale. Barriers to implementation were identified when reported in at least 2 separate studies. A SEM was used to suggest ways to reduce the identified barriers. RESULTS: Five barriers were identified: motivation, time requirements, skill requirements for program facilitators, compliance, and cost. The SEM suggested ways to minimize the barriers at all levels of the model from the individual through policy levels. CONCLUSION: Identification of barriers to program implementation and suggesting how to reduce them through the SEM is a critical first step toward enabling ACL prevention programs to be more effective and ultimately reducing the incidence of these injuries.

20.
Am J Drug Alcohol Abuse ; 34(4): 433-40, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-18584573

RESUMEN

Excessive alcohol consumption is a predominant health concern on college campuses in the United States. A stepwise multiple regression analysis was used to examine the predictive values of demographic factors in relation to alcohol subscales (Drinking Context Scale, College Alcohol Problems Scale-revised, and Social Modeling Scale) with the outcome of number of drinking days in the past 30 days among a sample (n = 224) of first-year college students. The final model predicted 37.5% of the variability in drinking days in the past month. All variables, except for race, were significantly associated with the outcome (p < .05).


Asunto(s)
Consumo de Bebidas Alcohólicas/epidemiología , Grupo Paritario , Estudiantes/estadística & datos numéricos , Universidades , Adulto , Femenino , Humanos , Masculino , Prevalencia , Factores Sexuales , Encuestas y Cuestionarios
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