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1.
J Community Health ; 42(6): 1096-1101, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28432548

RESUMO

This qualitative study explores prostate cancer knowledge and risk in Black college men. Using the Health Belief Model as a guide, focus groups and interviews were conducted with 35 Black males at a historically black college and university. Thematic analysis was conducted and general themes were found. Results indicate that Black college males have very little knowledge and understanding of what their prostate is and what it does. They are also unaware of their risk of developing prostate cancer. Additionally, while many believe prostate cancer is severe, few believe they are susceptible to getting it. These findings suggest more work needs to be done to educate young Black males on not only their prostate and prostate cancer, but on their general health. Efforts should focus on increasing the health knowledge of younger Black males in addition to that of middle-aged and older Black males so that health disparities can decrease.


Assuntos
Negro ou Afro-Americano , Conhecimentos, Atitudes e Prática em Saúde , Neoplasias da Próstata , Adolescente , Adulto , Negro ou Afro-Americano/psicologia , Negro ou Afro-Americano/estatística & dados numéricos , Grupos Focais , Humanos , Masculino , Adulto Jovem
2.
JMIR Res Protoc ; 13: e59846, 2024 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-39190916

RESUMO

BACKGROUND: In the United States, transgender women are disproportionately impacted by HIV and prioritized in the national strategy to end the epidemic. Individual, interpersonal, and structural vulnerabilities underlie HIV acquisition among transgender women and fuel syndemic conditions, yet no nationwide cohort monitors their HIV and other health outcomes. OBJECTIVE: Our objective is to develop a nationwide cohort to estimate HIV incidence, identify risk factors, and investigate syndemic conditions co-occurring with HIV vulnerability or acquisition among US transgender women. The study is informed by the Syndemics Framework and the Social Ecological Model, positing that stigma-related conditions are synergistically driven by shared multilevel vulnerabilities. METHODS: To address logistical and cost challenges while minimizing technology barriers and research distrust, we aim to establish a novel, hybrid community hub-supported digital cohort (N=3000). The digital cohort is the backbone of the study and is enhanced by hubs strategically located across the United States for increased engagement and in-person support. Study participants are English or Spanish speakers, are aged ≥18 years, identify as transgender women or along the transfeminine spectrum, reside in 1 of the 50 states or Puerto Rico, and do not have HIV (laboratory confirmed). Participants are followed for 24 months, with semiannual assessments. These include a questionnaire and laboratory-based HIV testing using self-collected specimens. Using residential zip codes, person-level data will be merged with contextual geolocated data, including population health measures and economic, housing, and other social and structural factors. Analyses will (1) evaluate the contribution of hub support to the digital cohort using descriptive statistics; (2) estimate and characterize syndemic patterns among transgender women using latent class analysis; (3) examine the role of contextual factors in driving syndemics and HIV prevention over time using multilevel regression models; (4) estimate HIV incidence in transgender women and examine the effect of syndemics and contextual factors on HIV incidence using Poisson regression models; and (5) develop dynamic, compartmental models of multilevel combination HIV prevention interventions among transgender women to simulate their impact on HIV incidence through 2030. RESULTS: Enrollment launched on March 15, 2023, with data collection phases occurring in spring and fall. As of February 24, 2024, a total of 3084 individuals were screened, and 996 (32.3%) met the inclusion criteria and enrolled into the cohort: 2.3% (23/996) enrolled at a hub, and 53.6% (534/996) enrolled through a community hub-supported strategy. Recruitment through purely digital methods contributed 61.5% (1895/3084) of those screened and 42.7% (425/996) of those enrolled in the cohort. CONCLUSIONS: Study findings will inform the development of evidence-based interventions to reduce HIV acquisition and syndemic conditions among US transgender women and advance efforts to end the US HIV epidemic. Methodological findings will also have critical implications for the design of future innovative approaches to HIV research. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/59846.


Assuntos
Infecções por HIV , Pessoas Transgênero , Humanos , Pessoas Transgênero/estatística & dados numéricos , Pessoas Transgênero/psicologia , Infecções por HIV/epidemiologia , Infecções por HIV/prevenção & controle , Estados Unidos/epidemiologia , Feminino , Estudos de Coortes , Adulto , Masculino , Incidência , Adolescente , Adulto Jovem , Fatores de Risco
3.
Mar Genomics ; 59: 100858, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33642199

RESUMO

Aquaculture releases nitrogen to the marine environment, potentially changing dynamics of local plankton populations and causing adverse impacts. Metatranscriptomics have been used to study planktonic nutrient cycles and community dynamics. We hypothesised that the metatranscriptome could be used to monitor changing phytoplankton physiology near leases. To test this hypothesis, opportunistic samples were collected from one oceanic location in winter and one estuarine location in spring and analysed via RNASeq. Transcriptomes from different locations were found to have little overlap, due to different community compositions in the oceanic and estuarine locations. Transcript function was similar at each location. Proximity to the salmon pen had little influence over the transcriptome at the estuarine location. In the oceanic environment, diatom-based activity decreased near pens and dinoflagellate-based activity increased as demonstrated through the abundance of carbon fixation and nitrogen-acquisition-related transcripts. Our initial results suggest that the use of the metatranscriptome in monitoring is promising.


Assuntos
Diatomáceas , Plâncton , Aquicultura , Diatomáceas/genética , Fitoplâncton/genética , Plâncton/genética , Tasmânia
4.
Sci Total Environ ; 586: 1170-1181, 2017 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-28222923

RESUMO

Trophic subsidies can drive widespread ecological change, thus knowledge of how keystone species respond to subsidies is important. Aquaculture of large carnivorous fish generates substantial waste as faeces and lost feed, providing a food source to mobile benthic invertebrates. We used a controlled feeding study combined with a field survey to better understand the interaction between salmon aquaculture and the sea urchin, Echinus acutus, a dominant mobile invertebrate in Norwegian fjords. We tested if diets affected urchin fatty acid composition by feeding them one of three diet treatments ("aquafeed", "composite" and "natural") for 10weeks. To test if proximity to fish farms altered E. acutus fatty acid composition, populations were sampled at 10 locations in Hardangerfjord and Masfjord (Western Norway) from directly adjacent and up to 12km from farms. Fatty acids were measured in gonads and eggs in the diet experiment and in gonads and gut contents from wild animals. Urchins directly assimilated aquaculture waste at farm sites, as evidenced by elevated linoleic acid (LA), oleic acid (OA) and ∑LA, OA in their tissues. The diet experiment highlighted the biosynthetic and selective dietary sparing capacity of E. acutus in both gonads and eggs, with evidence for the elongation and desaturation of eicosapentaenoic acid (EPA) and arachidonic acid (ARA) from C18 fatty acid precursors. Elevated biosynthesis of non-methylene interrupted (NMI) fatty acids, in particular 20:3Δ7,11,14 and 20:2 Δ5,11, were also linked to a high C18 fatty acid, low ≥C20 long-chain polyunsaturated fatty acid (LC-PUFA) diet. Fatty acid composition of gonads of wild urchins indicated a highly variable diet. The study indicates that the generalist feeding ecology of E. acutus, coupled with extensive biosynthetic capacity, enables it to exploit aquaculture waste as an energy-rich trophic subsidy.


Assuntos
Aquicultura , Ácidos Graxos/metabolismo , Ouriços-do-Mar/metabolismo , Ração Animal , Animais , Ácido Araquidônico/metabolismo , Ácido Eicosapentaenoico/metabolismo , Noruega , Salmão
5.
Mar Environ Res ; 122: 67-75, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27686389

RESUMO

Aquaculture of higher trophic level species is increasingly dependent on the use of terrestrial oil products. The input of terrestrially derived n-6 polyunsaturated fatty acids (PUFA) into marine environments has subsequently increased, with unknown consequences for recipient species. We exposed a sea urchin, Heliocidaris erythrogramma to three experimental diets for 78 days: a high n-3 PUFA marine imitation treatment, a high n-6 PUFA "future aquafeed" treatment and an intermediate "current aquafeed" treatment. Female urchins fed the high n-6 PUFA diet produced larvae with lower survival rates than all other treatments. Males fed the high n-6 PUFA diet produced no viable sperm. Fatty acid composition in reproductive material revealed comprehensive biosynthetic and dietary sparing capabilities in H. erythrogramma. Despite this, the ratio of n-6 PUFA to n-3 PUFA in reproductive tissue increased significantly with diet. We suggest alterations to this ratio is the likely mechanism of negative impact on larval development.


Assuntos
Ração Animal , Aquicultura/métodos , Dieta/métodos , Invertebrados/fisiologia , Animais , Aquicultura/tendências , Ácidos Graxos Ômega-3 , Ácidos Graxos Insaturados , Feminino , Masculino , Reprodução
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