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AJPM Focus ; : 100033, 2022.
Article in English | ScienceDirect | ID: covidwho-2031284


Introduction : Few healthy eating, school-based interventions have been rigorously evaluated in American Indian communities. Gardening and healthy eating are priorities in the Navajo Nation. Collaborations between researchers and local partners supported the design and implementation of this project. Study Design : The Yéego! Healthy Eating and Gardening Study was a group randomized controlled trial to evaluate a school-based healthy eating and gardening intervention in six schools on the Navajo Nation. Schools were randomized 1:2 to intervention or comparison. Setting/Participants : The Shiprock and Tsaile/Chinle areas on the Navajo Nation were selected. Elementary schools were screened for eligibility. All students in 3rd and 4th grades were invited to participate in the assessments. Intervention : Delivered during one school year in the intervention schools, the intervention included culturally relevant nutrition and gardening curriculum and a school garden. Main outcome measures : Student self-efficacy for eating fruits and vegetables (F&V) and for gardening, and student healthy foods score from a modified Alternative Healthy Eating Index were assessed in 3rd and 4th graders at the beginning and end of a school year affected by the COVID pandemic. Primary analyses used repeated measures linear mixed models accounting for students nested within schools to estimate the intervention effect and 95% Confidence Intervals (CI). Results : Student self-efficacy for eating F&V was 0.22 higher (95%CI 0.04,0.41) in the intervention compared with comparison schools Although the student healthy foods score increased in the intervention schools, 2.0 (95%CI 0.4,3.6), the differential change was modest 1.7 (95%CI -0.3,3.7). The self-efficacy to grow F&V in the school garden increased among those in the intervention schools (OR=1.92 95%CI 1.02,3.63), but not significantly more than in the comparison schools. (OR=1.29 95%CI 0.60,2.81). Conclusions : The intervention was efficacious in improving self-efficacy for eating F&V among 3rd and 4th grade students over a school year. The findings warrant further evaluation of the intervention in larger group randomized trials with schools in Navajo communities.

MMWR Morb Mortal Wkly Rep ; 69(33): 1139-1143, 2020 Aug 21.
Article in English | MEDLINE | ID: covidwho-724591


Preventing coronavirus disease 2019 (COVID-19) in correctional and detention facilities* can be challenging because of population-dense housing, varied access to hygiene facilities and supplies, and limited space for isolation and quarantine (1). Incarcerated and detained populations have a high prevalence of chronic diseases, increasing their risk for severe COVID-19-associated illness and making early detection critical (2,3). Correctional and detention facilities are not closed systems; SARS-CoV-2, the virus that causes COVID-19, can be transmitted to and from the surrounding community through staff member and visitor movements as well as entry, transfer, and release of incarcerated and detained persons (1). To better understand SARS-CoV-2 prevalence in these settings, CDC requested data from 15 jurisdictions describing results of mass testing events among incarcerated and detained persons and cases identified through earlier symptom-based testing. Six jurisdictions reported SARS-CoV-2 prevalence of 0%-86.8% (median = 29.3%) from mass testing events in 16 adult facilities. Before mass testing, 15 of the 16 facilities had identified at least one COVID-19 case among incarcerated or detained persons using symptom-based testing, and mass testing increased the total number of known cases from 642 to 8,239. Case surveillance from symptom-based testing has likely underestimated SARS-CoV-2 prevalence in correctional and detention facilities. Broad-based testing can provide a more accurate assessment of prevalence and generate data to help control transmission (4).

Clinical Laboratory Techniques/statistics & numerical data , Coronavirus Infections/epidemiology , Disease Outbreaks/prevention & control , Mass Screening , Pneumonia, Viral/epidemiology , Prisons , COVID-19 , COVID-19 Testing , Coronavirus Infections/diagnosis , Coronavirus Infections/prevention & control , Housing/statistics & numerical data , Humans , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , Prevalence , United States/epidemiology
Age Ageing ; 49(5): 692-695, 2020 08 24.
Article in English | MEDLINE | ID: covidwho-197657


The goal of this commentary is to highlight the ageism that has emerged during the COVID-19 pandemic. Over 20 international researchers in the field of ageing have contributed to this document. This commentary discusses how older people are misrepresented and undervalued in the current public discourse surrounding the pandemic. It points to issues in documenting the deaths of older adults, the lack of preparation for such a crisis in long-term care homes, how some 'protective' policies can be considered patronising and how the initial perception of the public was that the virus was really an older adult problem. This commentary also calls attention to important intergenerational solidarity that has occurred during this crisis to ensure support and social-inclusion of older adults, even at a distance. Our hope is that with this commentary we can contribute to the discourse on older adults during this pandemic and diminish the ageist attitudes that have circulated.

Ageism , Aging , Coronavirus Infections , Intergenerational Relations , Pandemics , Pneumonia, Viral , Residential Facilities/standards , Aged , Ageism/prevention & control , Ageism/psychology , Ageism/trends , Aging/ethics , Aging/psychology , Betacoronavirus , COVID-19 , Coronavirus Infections/epidemiology , Coronavirus Infections/psychology , Humans , Needs Assessment , Pneumonia, Viral/epidemiology , Pneumonia, Viral/psychology , Public Opinion , SARS-CoV-2 , Social Perception