Sarah Kelly

Vulvodynia: characteristics and associations with comorbidities and quality of life.

OBJECTIVE: This case-control survey compared health history and health care use of women with vulvodynia with a control group reporting absence of gynecologic pain. METHODS: Women with a clinically assessed diagnosis of vulvodynia and asymptomatic controls were matched for age and mailed a confidential survey that evaluated demographics, health history, use of the health care system, and history of vulvodynia. Participants were all current or former ambulatory patients within a university health care system. RESULTS: Of the 512 questionnaires mailed to valid addresses, 70% (n = 91) of cases and 72% (n = 275) of controls responded, with 77 cases and 208 controls meeting eligibility criteria. Women with vulvodynia reported a substantial negative impact on quality of life, with 42% feeling out of control of their lives and 60% feeling out of control of their bodies. Forty-one percent indicated a severe impact on their sexual lives. When comorbidities were evaluated individually and adjusted for age, fibromyalgia (odds ratio 3.84, 95% confidence interval 1.54–9.55) and irritable bowel syndrome (odds ratio 3.11, 95% confidence interval 1.60–6.05) were significantly associated with vulvodynia. On a multivariate level, vulvodynia was correlated with a history of chronic yeast vaginitis and urinary tract infections. CONCLUSION: This survey highlights the psychological distress associated with vulvodynia and underscores the need for prospective studies to investigate the relationship between chronic bladder and vaginal infections as etiologies for this condition. As well, the association of vulvodynia with other comorbid conditions, such as fibromyalgia and irritable bowel syndrome, needs to be further evaluated. LEVEL OF EVIDENCE: II-2

How Illegal Drug Use, Alcohol Use, Tobacco Use, and Depressive Symptoms Affect Adolescent Suicidal Ideation: A Secondary Analysis of the 2011 Youth Risk Behavior Survey

The purpose of this study was to identify the major risk factors among adolescents who have either contemplated or attempted suicide. Along with successful suicides, suicide attempts and contemplation are coexisting factors that are prominent in the adolescent population and therefore warrant major concern. A secondary data analysis of the Youth Risk Behavior Survey (YRBS) was completed to explore the factors that may influence adolescents’ thoughts or actions about suicidal behavior. The YRBS represents high-school students throughout 50 states. Nine questions from the YRBS were used to elicit information about the relationships among the risk factors: (1) Suicidal thoughts and attempts; (2) illegal drug use; (3) alcohol use; (4) tobacco use; and (5) depressive symptoms. Statistically significant relationships among the risk factors were found for adolescents. Adolescents considered suicide (15.8%); attempted suicide at least once (7.8%); were injured while attempting suicide (n = 2.7%). Our findings support the idea that illegal substance use can lead to suicidal thoughts and actions. Depression had a positive relationship with suicidal ideations, supporting similar studies suggesting that depression leads to suicidal action.

The Effects of Exposure to Gang Violence on Adolescent Boys’ Mental Health

Gang violence is a growing public health concern in the United States, and adolescents are influenced by exposure to gang violence. This study explored the influence of exposure to gang violence on adolescent boys’ mental health using a multi-method design. A semi-structured interview guide and the Trauma Symptom Checklist for Children were used to collect data from adolescents. Parents, primary caregivers, and community center employees completed the Child Behavior Checklist or Teacher Report Form. Ten adolescent boys, their parents or primary caregivers, and six community center employees participated in the study. Exposure to gang violence was common among these adolescents and they had a variety of reactions. Parents, primary caregivers, and community center employees had differing perceptions of adolescents’ exposure to violence and their mental health. Adolescent boys’ exposure to gang violence in the community is alarming. These adolescents encountered situations with violence that influenced their mental health.

Knowledge and Awareness of Symptoms, Triggers, and Treatment Among Older Adults With Asthma and/or Chronic Obstructive Pulmonary Disease Community-Based Participatory Research in a Central California County

Asthma can be controlled through proper clinical and environmental management and education; however, public health and allied health professionals, such as respiratory therapists, have not typically been trained in environmental engineering and building safety concepts critical to addressing indoor environmental asthma and allergy triggers. The population is growing and aging: low- to middle-income seniors are working and living longer, and incidence and prevalence of chronic respiratory diseases continue increasing. The authors conducted a community-based participatory research pilot project with a cross-sectional repeated measures design in Visalia, California. This paper presents the study process, the impact of asthma and allergy on quality of life, and the environment- and health-related data collected via 3 baseline knowledge and awareness questionnaires and the technician walk-through survey on the home environment and asthma triggers. Participants were confirmed at baseline as having 1 or more ph...

Incident Surveillance in New Jersey Career and Technical Education Programs, 1999 to 2008

Through school-sponsored career and technical education programs in New Jersey, students work part-time during or after school in paid and unpaid structured learning experiences regulated by the New Jersey Department of Education. Schools submit information on “reportable incidents,” injury or illness resulting in physician treatment. Incidents including reported use of personal protective equipment (PPE) were assessed; 1,600 incident reports (1999 to 2008) were received. Attributes such as type and severity, body parts affected, and PPE use for incidents occurring at school among students grades 9 to 12 or labeled as “adults” during school hours (n = 285) were analyzed. Older teens incurred more injuries. PPE use was consistently low across age and gender. Students most frequently experienced knife injuries involving fingers and hands. Results identified potential injury determinants and training and intervention topics such as PPE, and support development of an enhanced reporting form.

Younger Cosmetology Workers and Environmental and Occupational Asthma Triggers at Training Sites and in Salons

Secondary school students in career, technical, and vocational education (CTE) programs include minors aged ≤17 years. These students enter the workforce starting at age 18 as young adults, and specifically in cosmetology after completing the State of New Jersey mandated 2-part licensing exam (theory and practical). The New Jersey Safe Schools Task Force 2010-2012 focused on potential safety and health (S&H) risks encountered by minors training in cosmetology. We conducted a stakeholder-driven participatory process with relevant state and federal agencies, private sector partners, teachers, administrators, and students from 1-in-3 of 21 county CTE school districts. We developed and disseminated Web pages (http://www.njsafeschools.org/Cosmetology.htm) with science-based information, materials such as “Right to Know” brochures in multiple languages (English, Spanish), and student-designed educational posters. Resources highlight S&H issues such as chemical exposures, including known environmental and occupa...

Factors Influencing Adolescent Girls’ Sexual Behavior: A Secondary Analysis of the 2011 Youth Risk Behavior Survey

Adolescence is a tumultuous and challenging time period in life. Sexual risk behavior among adolescents is a widespread topic of interest in the current literature. Two common factors that influence increased sexual risk behavior are symptoms of depression and negative body image. The purpose of this study was to investigate the effect of body image and symptoms of depression upon sexual risk-taking in an adolescent female population. A secondary data analysis of the 2011 Youth Risk Behavior Survey (YRBS) was used to explore girls’ sexual activity, body image, and mental health. There were 7,708 high-school girls who participated in this study. Three questions were used to represent the constructs under investigation. There were significant correlations between sexual activity, body image, and symptoms of depression; only symptoms of depression were significant predictors of both sexual activity and condom usage. Body image was a predictor of sexual activity, but not condom use. Our findings support previous studies that suggested that people with depressive symptoms were more likely to engage in risky sexual behaviors. Our study also supports the idea that a negative body image decreases sexual activity; however, other researchers have reported that negative body image leads to an increase in sexual activity.

Asthma Diagnosis, Knowledge and Awareness among Recreational Endurance Athletes

Objective: Limited research exists on recreational-level competitors regarding asthma and/or comorbidity. The present purpose was to conduct a study in conjunction with the 2008 ING Georgia Marathon and Half-Marathon in Atlanta.Methods: The authors conducted an online secure survey in winter 2008 using PsychData, using previously validated questions from other research and national surveys. Data were summarized from participating recreational athletes on sociodemographic attributes; training locations; participant and family member diagnosis of asthma; and participant knowledge and awareness of signs, symptoms, and management.Results: There were 1151 participants (99.4%) who provided informed consent and then answered the survey (more than 10% of initially registered athletes); 7 athletes (0.6%) did not consent. There were complete data for 1138 participants (98%). Most participants were women (56.2%), white (88.2%), and of a relatively higher socioeconomic status than the general population. Most partici...

Comparing Efficacy of Online and In-person Versions of a Training on U.S. Federal Wage and Hour, Child Labor Laws and Hazardous Occupations Orders for Secondary School Professionals

Background The New Jersey Safe Schools Program (NJSS) offers courses required for secondary school vocational–career–technical education teachers to become school-sponsored structured learning experience supervisors. The “Federal Wage and Hour and Child Labor Laws, Regulations and Hazardous Order Course” (FWH) was originally conducted in-person by U.S. Department of Labor-Wage and Hour Division from 2005 to Summer 2013, and then NJSS began conducting this course in-person (October 2013–April 2015). Staring in March 2015, this course was conducted online; beta-/pilot tests were conducted in Winter 2014–2015. Starting in May 2015, this course was offered exclusively online. This paper analyzes data from the in-person and online versions of the FWH, including overall course evaluation data comparing two versions with similar questions/constructs. Methods The New Jersey Safe Schools Program modifications to FWH included adding information regarding the Fair Labor Standards Act’s Section 14(c) and supplemental case studies. The online version included information/resources provided during the in-person training plus assessments to supplement each module; the online version was split into modules to allow participants scheduling flexibility. Participants were given multiple possible attempts to achieve a minimum passing grade of 70%, excluding two ungraded activities (crossword puzzles simply completed). Descriptive statistics evaluated user satisfaction online compared to the in-person version of FWH and performance on aforementioned online assessments replacing in-person discussions/interactions. Results Between October 2013 and April 2015, 160 participants completed the training in person; 156 had complete data. Between April and November 2015, 78 participants completed the training online; 74 participants had complete data. Other enrolled participants were in progress (not done as of 12/23/2015). Overall satisfaction was similarly high for in-person and online versions of FWH; over 95% of responding participants recommended this course to colleagues. Course evaluations for in-person participants indicated 83% felt the course objectives were completely met, whereas 95% of the responding online cohort felt course objectives were completely met. Further analyses examined performance of online assessments regarding number of attempts and scores achieved and performance on highlighted questions in certain module lessons. Conclusion Data suggested the online format as a viable alternative to an in-person version of this training and provided NJSS and agency partners with ideas on how modifications/improvements can be made.

New Paths to Professional Nursing: Using Encouragement to Prepare a Minority Workforce to Enter the Nursing Profession

The current professional nursing workforce in the United States is predominantly White and female, even though minorities compose 33% of the national population (Travers, Smaldone, & Cohn, 2015). Minority patients are more effectively cared for when their particular cultural milieu is taken into consideration as part of their health care plan (Sullivan, 2004). According to the Agency for Healthcare Research and Quality (AHRQ), health care quality remains suboptimal for diverse populations in the United States because some individuals do not receive quality care or do not believe their values are honored or respected (AHRQ, 2016). Minority professional nurses are necessary to address the racial and ethnic disparities in health care. Robert Wood Johnson Barnabas Health (RWJBH), in collaboration with Rutgers University School of Nursing (RUSON), implemented New Paths to Professional Nursing (NPPN) to increase the number of minority professional nurses in practice at RWJBH. The program provided financial resources as well as infrastructural, group, and personal support for RWJBH minority employees who desired to complete prerequisites to enter RUSON. The academic success of the employees who participated in NPPN was attributed to a unique combination of financial assistance and support and encouragement. The purpose of this article is to describe in detail the development of the program and the effective encouragement strategies that have led to success for NPPN minority student/employees. This article examines, defines, and illustrates particular types of effective encouragement and suggests that this encouragement was the key to success for the NPPN minority students.