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1.
Am J Community Psychol ; 71(1-2): 136-146, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36594881

RESUMO

The COVID-19 pandemic and violence against people of Color during 2020 brought troubling racial inequities to the forefront of American discourse. In line with the Critical Consciousness (CC) and Social Justice Youth Development (SJYD) frameworks, emerging adults may have developed their capacity for critical reflection, motivation, and action against systemic inequities. We drew from interviews with 27 emerging adults (ages 18-23) across the US, and used thematic analysis to explore differences in their reflections, motivations to act, and actions based on their racial/ethnic identification. We found nuanced variability in their critical reflections based on self, social, or global awareness and experiences of marginalization. White and Asian emerging adults used vague language or expressed feeling their reflections were insufficient. Black and Latinx emerging adults emphasized the importance of education and raising awareness. Although all emerging adults took action based on a sense of duty, few engaged in critical action; decisions to take in-person action varied based on whether they viewed racism or COVID-19 as a greater threat. Findings demonstrate that emerging adults' experiences of racialization may have related to their CC development. We share implications for community psychologists conducting antiracist research addressing White fragility and dismantling racial hierarchy.


Assuntos
COVID-19 , Racismo , Adolescente , Adulto , Humanos , Adulto Jovem , Negro ou Afro-Americano , Estado de Consciência , Pandemias , Grupos Raciais , Estados Unidos , Brancos , Asiático , Hispânico ou Latino
2.
J Community Psychol ; 50(2): 760-777, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34352131

RESUMO

Critical consciousness (CC) may promote well-being, particularly during the COVID-19 pandemic. In a national survey of 707 college students conducted in April 2020, we first validated the Short Critical Consciousness Scale (ShoCCS) among youth groups not often specifically examined in CC measurement (i.e., Asian, immigrant-origin, LGBQ+, and women youth). Next, we examined associations between ShoCCS subscales and validated measures of both anxiety (Generalized Anxiety Disorder-7) and hopefulness (The Individual-Differences Measure in Hopefulness). The ShoCCS achieved measurement invariance across racial/ethnic groups and immigrant-origin status, and partial invariance among LGBQ+ and women-identifying youth. We found critical reflection and action associated with anxiety for the full sample, but no evidence of moderation by sociodemographic factors. ShoCCS subscales were differentially associated with hopefulness for Asian youth and LGBQ+ youth. This study contributes to the evolution of CC measurement and extends the field by identifying well-being associations during the onset of the COVID-19 pandemic.


Assuntos
COVID-19 , Estado de Consciência , Adolescente , Feminino , Humanos , Pandemias , SARS-CoV-2 , Estudantes
3.
J Community Psychol ; 50(7): 2950-2972, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35102552

RESUMO

This study examined the role of demographics, civic beliefs, and the impact of the COVID-19 pandemic in association with distinct forms of civic participation. College students were recruited across 10 institutions of higher education to complete an online survey. Bivariate, multivariable linear, and logistic regressions were performed. Findings indicated that participants from traditionally marginalized backgrounds were more likely to engage in systemchallenging forms of civic participation and community engagement than those from more privileged backgrounds. Participants who rated high in critical reflection, viewed racism as a key issue, and were heavily impacted by the COVID-19 pandemic were also more likely to engage in system-challenging forms of civic participation. Participants who endorsed beliefs supporting current systems of power were more likely to report they intended to vote. Results highlight implications for antiracist activism, community engagement, and traditional political civic behaviors.


Assuntos
COVID-19 , Responsabilidade Social , Humanos , Pandemias , Estudantes , Voluntários
4.
Cultur Divers Ethnic Minor Psychol ; 26(2): 169-175, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31436441

RESUMO

OBJECTIVES: Research has documented increased psychological distress among adults during the 2016 U.S. presidential election; however, little is known about how major political events affect adolescents. Despite not actively participating in the election process (e.g., voting), adolescents generally, and Latino youth specifically, may experience a unique stress response during elections, particularly when perceived policy changes center on issues related to their own families' stability and well-being. METHODS: We examined 42 Latino early adolescents (Mage = 12.50 years, SD = .88; 58% male; 94% immigrant background) living in Arizona and explored their psychological and physiological responses during the 2016 U.S. presidential election. Adolescents self-reported their mood and behaviors for 5 consecutive days across election week (November 6-10, 2016): 2 days before the election, election day, and 2 days after the election. They also completed a saliva sampling protocol at waking and bedtime each day, to capture diurnal cortisol concentrations. RESULTS: Multilevel growth models were utilized to examine intraindividual changes in positive affect, negative affect, and diurnal cortisol patterns across election week. Only 2 of the participants reported supporting the winning candidate. Changes in adolescents' stress hormone concentrations were evident; increases in evening cortisol levels and flatter diurnal cortisol slopes emerged across election week. Negative affect, positive affect, and morning cortisol concentrations did not change. CONCLUSIONS: This study provides preliminary evidence that macrolevel factors, such as the recent presidential election, may relate to adolescents' daily stress physiology. Further research is needed to better understand adolescents' responses to sociopolitical change. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Comportamento do Adolescente/psicologia , Hispânico ou Latino/psicologia , Política , Estresse Psicológico/psicologia , Adolescente , Adulto , Afeto/fisiologia , Arizona , Feminino , Humanos , Hidrocortisona/metabolismo , Masculino , Saliva/química , Estresse Psicológico/metabolismo
5.
Youth Soc ; 52(4): 592-617, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-38283668

RESUMO

Adolescent sleep deprivation is a pressing public health issue in the United States as well as other countries. The contexts of adolescents' lives are changing rapidly, but little is known about the factors that adolescents themselves believe affect their sleep. This study uses a social-ecological framework to investigate multiple levels of perceived influence on sleep patterns of urban adolescents. Data were drawn from interviews and surveys conducted in three California public high schools. Most participants identified homework as their primary barrier to sleep, particularly those engaged in procrastinating, multitasking, or those with extracurricular demands. Results indicate that the home context has important implications for adolescent sleep, including noise, household rules, and perceived parent values. These findings identify important areas for future research and intervention, particularly regarding the roles of parents.

6.
Child Dev ; 90(4): 1138-1154, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-29359473

RESUMO

The present study examines links between civic engagement (voting, volunteering, and activism) during late adolescence and early adulthood, and socioeconomic status and mental and physical health in adulthood. Using nationally representative data from the National Longitudinal Study of Adolescent to Adult Health, a propensity score matching approach is used to rigorously estimate how civic engagement is associated with outcomes among 9,471 adolescents and young adults (baseline Mage  = 15.9). All forms of civic engagement are positively associated with subsequent income and education level. Volunteering and voting are favorably associated with subsequent mental health and health behaviors, and activism is associated with more health-risk behaviors and not associated with mental health. Civic engagement is not associated with physical health.


Assuntos
Comportamento do Adolescente , Comportamentos de Risco à Saúde , Saúde Mental , Ativismo Político , Classe Social , Voluntários/psicologia , Adolescente , Comportamento do Adolescente/psicologia , Escolaridade , Feminino , Nível de Saúde , Humanos , Renda , Estudos Longitudinais , Masculino , Política , Pontuação de Propensão , Estados Unidos , Adulto Jovem
7.
J Res Adolesc ; 29(1): 133-154, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30869847

RESUMO

Decades of puberty research have yielded key scientific discoveries. Building on the field's rich history, we highlight four understudied populations: youth of color, boys, sexual minority youth, and gender minority youth. We explore why scientific study has been slow to evolve in these groups and propose paths forward for exciting new work. For ethnically racially diverse youth, we discuss the need to incorporate culture and context. For boys, we highlight methodological issues and challenges of mapping existing conceptual models onto boys. For sexual and gender minority youth, we discuss unique challenges during puberty and suggest ways to better capture their experiences. With an eye toward a new era, we make recommendations for next steps and underscore the importance of transdisciplinary research.


Assuntos
Saúde do Adolescente , Pesquisa Participativa Baseada na Comunidade , Etnicidade/psicologia , Puberdade/psicologia , Minorias Sexuais e de Gênero/psicologia , Adolescente , Competência Cultural , Feminino , Humanos , Masculino , Psicologia do Adolescente , Puberdade/fisiologia , Maturidade Sexual/fisiologia
8.
J Youth Adolesc ; 48(7): 1365-1378, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30989473

RESUMO

There are substantial changes in executive functioning during adolescence that may correspond with the onset and progression of puberty. The current study examines associations between pubertal development (timing and tempo) and changes in specific executive functioning skills (i.e., attention and self-control) across the transition from childhood to adolescence (ages 9.5-15.5) using data from the Study of Early Child Care and Youth Development (1099 youth; 52% female, 81% White, 83% above the poverty line). The findings indicated that early maturation was associated with faster increases in attention skills over adolescence for both boys and girls. Further, early maturation predicted worse self-control among girls but not boys. This study provides new insights on executive functioning during the transition to adolescence-a period of both vulnerability and opportunity.


Assuntos
Comportamento do Adolescente/psicologia , Puberdade/psicologia , Autorrelato , Adolescente , Desenvolvimento do Adolescente , Criança , Feminino , Humanos , Masculino , Psicologia do Adolescente , Fatores Sexuais , Maturidade Sexual
9.
Psychosom Med ; 77(4): 392-401, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25905661

RESUMO

OBJECTIVES: Psychobiological research with adolescent populations tends to focus on negative mood, stress, and psychopathology, but the role of positive emotions is insufficiently understood. The current study examines the relative contributions of both negative and positive affective experiences to the basal activity of the hypothalamic-pituitary-adrenal axis, measured by levels of cortisol across the waking day. METHODS: A sample of 315 ethnically and racially diverse high school students (mean age = 17.1 years, 73% female) completed a multiple-day naturalistic salivary cortisol protocol twice over a 5-year period. Along with each saliva sample, youth provided diary reports of their current mood states. Principal components analysis revealed four factors: high arousal positive affect (PA), low arousal PA, high arousal negative affect (NA), and low arousal NA. RESULTS: Multilevel growth curve models suggested that greater high arousal PA was associated with adaptive patterns of hypothalamic-pituitary-adrenal activity: steeper cortisol slope from waking to bedtime and lower evening cortisol, independent of NA. In addition, increases in high arousal PA over the 5-year follow-up period were associated with a steepening of the diurnal cortisol slope (ß = -0.038, p = .009; negative values indicate the decrease of cortisol throughout the day) and lower evening cortisol levels (ß = -0.661, p = .027) based on within-person fixed-effect regression analysis. CONCLUSIONS: This study shows that high arousal PA, such as feeling alert and active, is associated with a steeper decline in cortisol throughout the day. Low arousal positive emotions did not display this relationship.


Assuntos
Afeto/fisiologia , Nível de Alerta/fisiologia , Ritmo Circadiano/fisiologia , Hidrocortisona/metabolismo , Adolescente , Adulto , Estudos Transversais , Feminino , Humanos , Estudos Longitudinais , Masculino , Saliva/química , Adulto Jovem
10.
J Adolesc ; 43: 132-41, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26107805

RESUMO

Depression is a prevalent and debilitating illness facing many adolescents, especially adolescent girls, whose risk for this disorder is approximately twice that of boys. Many studies have identified mechanisms that place girls at higher risk for depression during adolescence. Few, however, have examined differences in the everyday emotional experiences of boys and girls with varying levels of depressive symptoms. Using the Experience Sampling Method, this study investigated the roles of gender and depressive symptomatology in the emotional experiences of a community sample of youth (11-18 year-olds) from the Sloan 500 Family Study. Females with higher levels of depressive symptoms were more likely than females with fewer depressive symptoms and all males to experience strong negative emotions and to attribute the cause of these emotions to other people. These results suggest that emotional reactivity in interpersonal contexts is especially important to understand gender differences in the daily experience of depressive symptoms.


Assuntos
Atividades Cotidianas/psicologia , Comportamento do Adolescente/psicologia , Depressão/psicologia , Emoções , Adolescente , Criança , Depressão/epidemiologia , Feminino , Humanos , Masculino , Fatores de Risco , Fatores Sexuais
11.
Health Educ Behav ; 51(3): 367-375, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38129987

RESUMO

The COVID-19 pandemic drastically affected higher education and higher education students around the world, but few studies of college students' experiences during the COVID-19 pandemic have been conducted in Latin America. This study describes the COVID-19-related experiences and perspectives of Peruvian college students. We surveyed 3,427 full-time college students (average age: 23 years) attending a multi-campus Peruvian university in fall 2020. Participants were recruited through the digital platform of the learning management system at their university, email, and social media. We asked participants how they were managing risks related to COVID-19; the continuity of social, educational, and work activities; and the psychological and economic impacts of the pandemic on their lives. Since March 2020, 73.0% of participants reported COVID-19-related symptoms, but only 33.9% were tested for COVID-19. During the national quarantine imposed by the Peruvian government (March 15-June 30, 2020), 64.3% of participants remained in their house. Furthermore, while 44.0% of participants were working in February 2020 (95% CI: [41.7%, 46.4%]), only 23.6% (95% CI: [21.7%, 25.7%]) were working immediately after the pandemic began (i.e., at the end of April 2020). Participants were more stressed about the health and educational implications of COVID-19 for Peruvian society and their families than about themselves. The public health, economic, and educational implications of COVID-19 on college students are continuing to unfold. This study informed Peruvian higher education institutions' continued response to the COVID-19 pandemic, the progressive return to postpandemic activities, as well as other future pandemics and other crises.


Assuntos
COVID-19 , SARS-CoV-2 , Estudantes , Humanos , COVID-19/epidemiologia , COVID-19/psicologia , Peru/epidemiologia , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Universidades , Feminino , Masculino , Adulto Jovem , Inquéritos e Questionários , Adulto , Pandemias , Adolescente , Quarentena/psicologia
12.
PLoS One ; 19(7): e0307479, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39046951

RESUMO

INTRODUCTION: The Latinx population has the second highest COVID-19 death rate among racial/ethnic groups in the United States and less than half of Latinx youth aged 5-17 years old completed their COVID-19 primary vaccination series as of September 2022. COVID-19 vaccine misinformation detrimentally impacts vaccination rates. In this study, we examined factors that predicted Latinx youth COVID-19 vaccine hesitancy and vaccination status. METHODS: A community-based sample of 290 Latinx parent and adolescent dyads from a Southwestern metropolitan area of the United States who were recruited to complete an online survey at baseline at T1 (August 2020 -March 2021) and one year later. We tested a longitudinal mediation model in which we examined individual and family factors that would predict youth COVID-19 vaccine hesitancy and vaccination status over time. RESULTS: Youth's pandemic disbelief (i.e., the belief that the COVID-19 pandemic is a conspiracy or not real) predicted greater youth's COVID-19 vaccine hesitancy, and in turn, a lower likelihood of youth's COVID-19 vaccination. Youth's pandemic disbelief also predicted greater parent's vaccination hesitancy which, in turn, predicted greater youth's vaccination hesitancy and a lower likelihood of COVID-19 vaccination. Parents' pandemic disbelief predicted their own COVID-19 hesitancy, but not youth hesitancy. DISCUSSION: Our study findings provide initial evidence that general pandemic disbelief was a significant driver of vaccine hesitancy and vaccination among Latinx families. The study contributes to the limited research investigating COVID-19 vaccination in the Latinx community and among Latinx youth, further aiding how COVID-19 vaccine disparities can be mitigated among racial/ethnic populations.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Hispânico ou Latino , Pais , Hesitação Vacinal , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , COVID-19/prevenção & controle , Vacinas contra COVID-19/administração & dosagem , Conhecimentos, Atitudes e Prática em Saúde , Hispânico ou Latino/psicologia , Estudos Longitudinais , Pais/psicologia , Inquéritos e Questionários , Estados Unidos/epidemiologia , Hesitação Vacinal/psicologia , Hesitação Vacinal/estatística & dados numéricos
13.
J Am Coll Health ; 71(7): 2044-2051, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34398696

RESUMO

Background: Higher subjective social status (SSS) is associated with better mental health among youth; however, few studies have examined youth's perceptions of past (childhood) or future (adulthood) SSS. Methods: Utilizing latent profile analysis, we examined unique profiles of past, present, and future SSS among 401 college students in the United States and tested associations between these profiles and psychological well-being (ie, depressive symptoms, negative affect, positive affect, and flourishing), controlling for family socioeconomic status (SES). Results: Results revealed four profiles: Low SSS (8%), Upward SSS (18%), Moderate SSS (43%), and High SSS (31%). Youth in the High SSS profile had the best psychological well-being, and those in the Low SSS profile had the worst. While the Upward SSS profile was associated with depressive symptoms and negative affect, it was protective in terms of positive affect. Discussion: Findings highlight unique effects of upward SSS mobility.Supplemental data for this article can be accessed online at https://doi.org/10.1080/07448481.2021.1954010.

14.
J Am Coll Health ; : 1-11, 2023 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-36595487

RESUMO

Objective: Although emerging adults' civic engagement is generally associated with positive outcomes, concerns about an elected candidate's leadership ability and the implications of administrative turnover may negatively impact youths' well-being. Using longitudinal data collected during the 2016 election cycle, the current study examined whether negative evaluation of a presidential candidate-who is eventually elected-may be indirectly associated with college students' psychological well-being due to increased election distress.Participants: 286 college-attending emerging adults (Mage= 20, SDage = 1.40) participated in the current study.Methods: Path models linking evaluation of Trump's leadership ability (pre-election) to psychological well-being (approx. 100 days in office) via election distress (presidential inauguration) were computed.Results: Reporting lower confidence in Trump's leadership ability prior to the election was associated with greater election distress 3 months post-election, and in turn, poorer psychological well-being 6 months post-election.Conclusion: Findings underscore the importance of centering college students' well-being within a broader sociopolitical context.

15.
J Am Coll Health ; : 1-5, 2023 Feb 16.
Artigo em Inglês | MEDLINE | ID: mdl-36796083

RESUMO

The purpose of the study was to investigate the moderating effect of discrimination experiences on the association between civic engagement and sleep in youth of color. Participants included 125 college students (Mage = 20.41, SD = 1.41, 22.6% cisgender male). Most of the sample (28%) identified as Hispanic, Latino, or Spanish origin; 26% identified as multi-racial/ethnicity; 23% identified as Asian; 19% identified as Black or African American; and 4% identified as Middle Eastern or North African. Youth self-reported their civic engagement (civic activism and civic efficacy), discriminatory experiences, and sleep duration during the week of the 2016 United States presidential inauguration (T1) and again approximately 100 days later (T2). Civic efficacy was associated with longer sleep duration. In contexts of discrimination, however, more civic activism and efficacy was associated with less sleep duration. In contexts of low discrimination, more civic efficacy was associated with longer sleep duration. Thus, civic engagement within supportive contexts may contribute to positive sleep among youth of color. Working toward dismantling racist systems may be one way to combat the racial/ethnic sleep disparities that underlie long-term health inequalities.

16.
Emerg Adulthood ; 10(2): 546-557, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35382514

RESUMO

We analyzed qualitative data from 707 USA college students aged 18-22 in late April 2020 regarding if and how their relationships had changed at the start of the COVID-19 pandemic. Most (69%) participants experienced relationship changes, most of whom (77%) described negative changes: less overall contact, feeling disconnected, and increased tension, some of which was due to conflict over pandemic-related public health precautions. Physical distancing from social contacts also created emotional distancing: it was harder to maintain affective connections via online platforms and within the isolating context of shelter-in-place. Due to emerging adulthood being a sensitive window for social development, the COVID-19 pandemic-induced emotional distancing could have long-term ramifications for this cohort's relationships over the course of their lives.

17.
JMIR Form Res ; 6(6): e34951, 2022 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-35675115

RESUMO

BACKGROUND: Firefighters are often exposed to occupational stressors that can result in psychological distress (ie, anxiety and depression) and burnout. These occupational stressors have only intensified with the onset of the COVID-19 pandemic and will likely persist in the postpandemic world. OBJECTIVE: To address occupational stressors confronting firefighters, we pilot tested a novel, cost-effective, smartphone app-based meditation intervention created by Healthy Minds Innovations that focused on mindfulness (awareness) training along with practices designed to cultivate positive relationships (connection), insight into the nature of the self (insight), and a sense of purpose in the context of challenge (purpose) with a sample of professional firefighters from a large metropolitan area in southwestern United States. METHODS: A total of 35 participants were recruited from a closed online group listserv and completed the self-guided 10-unit meditation app over the course of 10 days, at 1 unit per day. We assessed anxiety symptoms, depression symptoms, burnout, and negative affect as well as saliva diurnal cortisol rhythm, an objective indicator of stress-related biology, before and after use of the meditation app. RESULTS: This study demonstrated the meditation app was both feasible and acceptable for use by the majority of firefighters. We also found significant reductions in firefighters' anxiety (P=.01), burnout (P=.05), and negative affect (P=.04), as well as changes in cortisol diurnal rhythm, such as waking cortisol (P=.02), from before to after use of the meditation app. CONCLUSIONS: Our study findings call for future research to demonstrate the efficacy of this meditation app to reduce psychological distress and burnout in firefighters.

18.
J Adolesc Health ; 69(3): 383-389, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34294509

RESUMO

PURPOSE: To study how young adult college students are managing their health behaviors and risks related to spreading COVID-19. METHODS: We created a national cohort of full-time college students in late April 2020 (n = 707), and conducted a follow-up survey with participants in July 2020 (n = 543). Participants reported COVID-19-related health risk behaviors and COVID-19 symptoms, and also responded to an open-ended prompt about how the COVID-19 pandemic has affected their lives. Quantitative data were analyzed in Stata and we conducted content analysis to identify themes in the qualitative data. RESULTS: For most health protective behaviors (e.g., frequent handwashing, social distancing), participants were less compliant in summer 2020 than spring 2020, with the exception of face mask use, which increased. In each month of the first half of 2020, only approximately half of participants with any symptoms that could indicate COVID-19 stayed home exclusively while symptomatic (there was no meaningful change from pre-pandemic or over the course of the pandemic). In qualitative data, the participants who had gone to bars or clubs at least twice within a 4-week period this summer reported being bored and/or isolated, stressed, and/or taking pandemic safety measures seriously. CONCLUSIONS: These findings suggest multiple areas for intervention, including harm reduction and risk management education approaches for the students who are going to bars and clubs, and creating policies and programs to better incentivize young people with symptoms to stay home exclusively while symptomatic.


Assuntos
COVID-19 , Pandemias , Adolescente , Humanos , Assunção de Riscos , SARS-CoV-2 , Estudantes , Adulto Jovem
19.
J Adolesc Health ; 69(6): 1024-1031, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34312066

RESUMO

PURPOSE: The purpose of this study is to identify distinct neighborhood profiles patterned by key structural, physical, and social characteristics and test whether living in different profiles are associated with body mass index trajectories during adolescence in racial/ethnic minority female youth. METHODS: Participants were 1,328 sexually active female adolescents and young adults aged 14-23 years, predominately Hispanic and black, enrolled in an human papillomavirus type 4 vaccine (Gardasil) surveillance study at a large adolescent health clinic in New York City between 2007 and 2018. Body mass index was calculated from weight and height every 6 months. A comprehensive set of neighborhood structural, social, and physical characteristics from multiple national and state datasets was linked to each participant based on home address. RESULTS: Latent profile analysis revealed five distinct neighborhood profiles in New York City: High Structural/High Social Advantage, Moderate Advantage/Low Crime, Low SES (Socioeconomic Status)/High Activity, Low SES/High Social Advantage, and High Disadvantage. Results from multilevel growth curve analysis revealed that living in Low SES/High Activity neighborhoods was associated with a lower BMI at age 22 (b = -1.32, 95% confidence interval -2.49, -.16), as well as a slower increase in BMI from age 14 to 22 years (b = -.22, 95% confidence interval -.46, .02), compared to the High Disadvantage profile. CONCLUSIONS: Our findings suggest that improving neighborhood structural, social, and physical environments may help promote healthy weight and reduce health disparities during adolescence and young adulthood.


Assuntos
Minorias Étnicas e Raciais , Etnicidade , Adolescente , Adulto , Índice de Massa Corporal , Feminino , Humanos , Grupos Minoritários , Características de Residência , Fatores Socioeconômicos , Adulto Jovem
20.
J Adolesc Health ; 67(3): 369-375, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32593564

RESUMO

PURPOSE: This is one of the first surveys of a USA-wide sample of full-time college students about their COVID-19-related experiences in spring 2020. METHODS: We surveyed 725 full-time college students aged 18-22 years recruited via Instagram promotions on April 25-30, 2020. We inquired about their COVID-19-related experiences and perspectives, documented opportunities for transmission, and assessed COVID-19's perceived impacts to date. RESULTS: Thirty-five percent of participants experienced any COVID-19-related symptoms from February to April 2020, but less than 5% of them got tested, and only 46% stayed home exclusively while experiencing symptoms. Almost all (95%) had sheltered in place/stayed primarily at home by late April 2020; 53% started sheltering in place before any state had an official stay-at-home order, and more than one-third started sheltering before any metropolitan area had an order. Participants were more stressed about COVID-19's health implications for their family and for American society than for themselves. Participants were open to continuing the restrictions in place in late April 2020 for an extended period of time to reduce pandemic spread. CONCLUSIONS: There is substantial opportunity for improved public health responses to COVID-19 among college students, including for testing and contact tracing. In addition, because most participants restricted their behaviors before official stay-at-home orders went into effect, they may continue to restrict movement after stay-at-home orders are lifted, including when colleges reopen for in-person activities, if they decide it is not yet prudent to circulate freely. The public health, economic, and educational implications of COVID-19 are continuing to unfold; future studies must continue to monitor college student experiences and perspectives.


Assuntos
Atitude Frente a Saúde , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Estudantes/psicologia , Adolescente , COVID-19 , Infecções por Coronavirus/prevenção & controle , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Masculino , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Estados Unidos/epidemiologia , Universidades , Adulto Jovem
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