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1.
Conserv Biol ; 38(2): e14190, 2024 Apr.
Article in English | MEDLINE | ID: mdl-37768181

ABSTRACT

The fundamental goal of a rare plant translocation is to create self-sustaining populations with the evolutionary resilience to persist in the long term. Yet, most plant translocation syntheses focus on a few factors influencing short-term benchmarks of success (e.g., survival and reproduction). Short-term benchmarks can be misleading when trying to infer future growth and viability because the factors that promote establishment may differ from those required for long-term persistence. We assembled a large (n = 275) and broadly representative data set of well-documented and monitored (7.9 years on average) at-risk plant translocations to identify the most important site attributes, management techniques, and species' traits for six life-cycle benchmarks and population metrics of translocation success. We used the random forest algorithm to quantify the relative importance of 29 predictor variables for each metric of success. Drivers of translocation outcomes varied across time frames and success metrics. Management techniques had the greatest relative influence on the attainment of life-cycle benchmarks and short-term population trends, whereas site attributes and species' traits were more important for population persistence and long-term trends. Specifically, large founder sizes increased the potential for reproduction and recruitment into the next generation, whereas declining habitat quality and the outplanting of species with low seed production led to increased extinction risks and a reduction in potential reproductive output in the long-term, respectively. We also detected novel interactions between some of the most important drivers, such as an increased probability of next-generation recruitment in species with greater seed production rates, but only when coupled with large founder sizes. Because most significant barriers to plant translocation success can be overcome by improving techniques or resolving site-level issues through early intervention and management, we suggest that by combining long-term monitoring with adaptive management, translocation programs can enhance the prospects of achieving long-term success.


Identificación de pronosticadores del éxito de reubicación en especies raras de plantas Resumen El objetivo fundamental de la reubicación de plantas raras es la creación de poblaciones autosuficientes con resiliencia evolutiva que persistan a la larga. De todas maneras, la mayoría de las síntesis de estas reubicaciones se enfocan en unos cuantos factores que influyen sobre los parámetros a corto plazo del éxito (supervivencia y reproducción). Los parámetros a corto plazo pueden ser engañosos si se intenta inferir el crecimiento y la viabilidad en el futuro ya que los factores que promueven el establecimiento pueden diferir de aquellos requeridos para la persistencia a largo plazo. Ensamblamos un conjunto grande de datos representativos en general (n = 275) de las reubicaciones de plantas en riesgo bien documentadas y monitoreadas (7.9 años en promedio) para identificar los atributos de sitio más importantes, las técnicas de manejo y los rasgos de las especies para seis parámetros de ciclos de vida y medidas poblacionales del éxito de reubicación. Usamos el algoritmo de bosque aleatorio para cuantificar la importancia relativa de las 29 variables de pronosticadores para cada medida del éxito. Los factores en los resultados de las reubicaciones variaron con los marcos temporales y las medidas de éxito. Las técnicas de manejo tuvieron la mayor influencia relativa sobre la obtención de parámetros de ciclos de vida y tendencias poblacionales a corto plazo, mientras que los atributos de sitio y los rasgos de la especie fueron más importantes para la persistencia poblacional y las tendencias a largo plazo. En específico, las grandes cantidades de fundadores incrementaron el potencial de reproducción y reclutamiento de la siguiente generación, mientras que la declinación de la calidad del hábitat incrementó el riesgo de extinción y el trasplante de especies con baja producción de semillas redujo el rendimiento del potencial reproductivo a la larga. También detectamos interacciones novedosas entre algunos de los factores más importantes, como el aumento en la probabilidad del reclutamiento en la siguiente generación en especies con tasas mayores de producción de semillas, pero sólo cuando se emparejó con grandes cantidades de fundadores. Ya que las barreras más significativas para el éxito de la reubicación de plantas pueden superarse al mejorar las técnicas o resolver los temas a nivel de sitio por medio de un manejo y una intervención temprana, sugerimos que con la combinación del monitoreo a largo plazo con el manejo adaptativo los programas de reubicación pueden aumentar el prospecto de lograr el éxito a largo plazo.


Subject(s)
Conservation of Natural Resources , Plants , Conservation of Natural Resources/methods , Reproduction , Seeds , Ecosystem
2.
Plants (Basel) ; 12(7)2023 Mar 23.
Article in English | MEDLINE | ID: mdl-37050055

ABSTRACT

In Big Cypress National Preserve, the federally threatened Everglades bully (Sideroxylon reclinatum subsp. austrofloridense) is sympatric with its conspecific, more widespread relative, the Florida bully (Sideroxylon reclinatum subsp. reclinatum). In this area of overlap, the only reliable characters to distinguish the two are cryptic, micromorphological traits of the abaxial laminar surface. In order to better understand the distribution of the federally threatened taxon, we used a combination of habitat suitability modeling (HSM), field surveys, and microscopy. Using models to inform initial surveys, we collected leaf material of 96 individuals in the field, 86 of which we were able to identify to subspecies. Of these, 73 (85%) were identified as the threatened taxon, expanding both the known range and population size within Big Cypress. We used these 73 new occurrences to rerun HSMs to create a more accurate picture of where the taxon is likely to occur. A total of 15,015 hectares were predicted to be suitable habitat within Big Cypress, with 34,069 hectares across the entire study area. These model results could be used to inform the critical habitat designation for this taxon. For at-risk, cryptic taxa, such as the Everglades bully, multiple approaches are needed to inform management and conservation priorities, including the consideration of a hybridization zone.

3.
Article in English | MEDLINE | ID: mdl-36429963

ABSTRACT

Little is known about the relationship of food security (FS) status with mental health among students at minority-serving institutions. We aimed to elucidate the association of FS status with psychological distress and loneliness among full-time undergraduate students at a minority-serving institution. We used data from the National Collegiate Health Assessment III (n = 441). To assess FS, students responded to the USDA 6-item short form (range: 0-6) and responses were categorized as high (0), marginal (1) or low/very low (2-6) FS. The Kessler 6 scale assessed psychological distress (range: 0-24). The UCLA loneliness scale assessed loneliness (range: 3-9). Higher scores indicated higher psychological distress and loneliness. Using adjusted linear regression models, we examined the association of FS with psychological distress and loneliness. Compared to students with high FS (mean (SD): 9.4 (0.8)), students with marginal (11.4 (1.0); p < 0.05) or low/very low (11.8 (0.8); p < 0.01) FS had higher psychological distress scores. Compared to students with high FS (5.5 (0.3)), students with low/very low FS (6.0 (0.3); p < 0.05) had higher loneliness scores. Future studies should further explore these relationships using mixed methods, to provide complementary quantitative findings with the emic perspective of students and their experiences, which can inform programming to prevent and reduce food insecurity.


Subject(s)
Loneliness , Psychological Distress , Humans , Minority Groups , Students , Food Security
4.
J Infect Dis ; 224(11): 1907-1915, 2021 12 01.
Article in English | MEDLINE | ID: mdl-34013349

ABSTRACT

BACKGROUND: The effect of malaria infection on the immunogenicity of the recombinant vesicular stomatitis virus-Zaire Ebola virus envelope glycoprotein (GP) vaccine (rVSVΔG-ZEBOV-GP) (ERVEBO) is unknown. METHODS: The Sierra Leone Trial to Introduce a Vaccine Against Ebola (STRIVE) vaccinated 7998 asymptomatic adults with rVSVΔG-ZEBOV-GP during the 2014-2016 Ebola epidemic. In STRIVE's immunogenicity substudy, participants provided blood samples at baseline and at 1, 6, and 9-12 months. Anti-GP binding and neutralizing antibodies were measured using validated assays. Baseline samples were tested for malaria parasites by polymerase chain reaction. RESULTS: Overall, 506 participants enrolled in the immunogenicity substudy and had ≥1 postvaccination antibody titer. Of 499 participants with a result, baseline malaria parasitemia was detected in 73 (14.6%). All GP enzyme-linked immunosorbent assay (ELISA) and plaque reduction neutralization test (PRNT) geometric mean titers (GMTs) at 1, 6, and 9-12 months were above baseline, and 94.1% of participants showed seroresponse by GP-ELISA (≥2-fold rise and ≥200 ELISA units/mL), while 81.5% showed seroresponse by PRNT (≥4-fold rise) at ≥1 postvaccination assessment. In participants with baseline malaria parasitemia, the PRNT seroresponse proportion was lower, while PRNT GMTs and GP-ELISA seroresponse and GMTs showed a trend toward lower responses at 6 and 9-12 months. CONCLUSION: Asymptomatic adults with or without malaria parasitemia had robust immune responses to rVSVΔG-ZEBOV-GP, persisting for 9-12 months. Responses in those with malaria parasitemia were somewhat lower.


Subject(s)
Ebola Vaccines/immunology , Ebolavirus , Hemorrhagic Fever, Ebola/prevention & control , Immunogenicity, Vaccine , Vesicular Stomatitis/immunology , Viral Envelope Proteins/immunology , Adolescent , Adult , Aged , Animals , Antibodies, Viral/blood , Asymptomatic Infections , Ebola Vaccines/administration & dosage , Ebola Vaccines/adverse effects , Ebolavirus/genetics , Ebolavirus/isolation & purification , Enzyme-Linked Immunosorbent Assay , Female , Hemorrhagic Fever, Ebola/immunology , Humans , Malaria , Male , Middle Aged , Parasitemia/prevention & control , Recombinant Proteins , Sierra Leone , Viral Envelope Proteins/adverse effects
5.
Accid Anal Prev ; 146: 105740, 2020 Oct.
Article in English | MEDLINE | ID: mdl-32866769

ABSTRACT

BACKGROUND: No economic evaluations exist of free or subsidized ridesharing services designed to reduce impaired driving. OBJECTIVES: To evaluate the effects and economics of a 17-weekend program that provided rideshare coupons good for free one-way or round trips to/from the hospitality zones in Columbus, Ohio, coupled with a modest increase in enforcement and a media campaign that used messaging about enforcement to promote usage. METHODS: Web surveys of riders and intercept surveys of foot traffic in the hospitality zones yielded data on the reduction in driving after drinking and the change in alcohol consumption associated with coupon use. We estimated crash changes from trip data using national studies, then confirmed with an ARIMA analysis of monthly police crash reports. Costs and output data came from program and rideshare company records. RESULTS: 70.8% of 19,649 responding coupon redeemers said coupon use reduced the chance they would drive after drinking. An estimated 1 in 4,310 drink-driving trips results in an alcohol-attributable crash, so the coupons prevented an estimated 3.2 crashes. Consistent with that minimal change, the ARIMA analysis did not detect a drunk-driving crash reduction. Self-reports indicated alcohol consumption rose by an average of 0.4 drinks per coupon redeemer, possibly with an equal rise among people who rode with the redeemer. The program cost almost $650,000 and saved an estimated 1.8 years of healthy life. Across a range of discount rates and values for a year of healthy life, it cost $366,000 to $791,000 per year of healthy life saved. Its estimated benefit-cost ratio was between 0.31 and 0.59, meaning it cost far more than it saved. CONCLUSIONS: Ridesharing, coupled with a media campaign and increased enforcement, was not a cost-effective drunk-driving intervention. Although it reduced drink-driving crashes and saved years of healthy life, those savings were modest and expensive. Moreover, the self-reported increase in participant drinking imposed countervailing risks. Even sensitivity analyses that potentially overestimate the benefits and underestimate the costs indicate a significant imbalance between program costs and savings. Any funding devoted to ridesharing would divert scarce resources from interventions with benefit-cost ratios above 1. Thus, our evaluation suggests that governments should not devote energy or resources to ridesharing programs if their primary objective is to reduce drink-driving or harmful alcohol use.


Subject(s)
Accidents, Traffic/prevention & control , Alcohol Drinking/epidemiology , Driving Under the Influence/prevention & control , Accidents, Traffic/economics , Accidents, Traffic/statistics & numerical data , Cost-Benefit Analysis , Driving Under the Influence/statistics & numerical data , Female , Humans , Male , Ohio/epidemiology , Program Evaluation/economics , Quality-Adjusted Life Years , Self Report
6.
Front Vet Sci ; 6: 312, 2019.
Article in English | MEDLINE | ID: mdl-31608294

ABSTRACT

Objective: To compare intraosseous catheter placement difficulty, success rates, and flow rates at four different locations in canine cadavers. Design: Prospective study. Setting: Private referral center. Animals: Eleven fresh canine cadavers. Interventions: With owner consent, animals presenting for euthanasia were recruited. Animals received heparin (1,000 IU/kg IV) at least 5 min prior to euthanasia. After euthanasia, EZIO intraosseous catheters were placed into the ilial wing, proximal medial tibia, proximal lateral humerus, and distal lateral femur on one side of the animal. Time to catheter placement and catheter difficulty were scored for each placement site. Sterile saline was infused into each location simultaneously over 5 min, first via gravity then using 300 mmHg pressure. Animals were repositioned onto the contra-lateral side and the experiment repeated. Measurements and Main Results: Placement was successful in 16/22 ilial, 18/22 tibial, and 22/22 femoral and humoral attempts. A post-hoc analysis revealed the ileum had a significantly greater difficulty score when compared to the femur and humerus (p ≤ 0.0001). The femur had a statistically significant faster placement time when compared to the ileum (p ≤ 0.05). Gravity infusion rates were statistically lower in the tibia when compared to humerus (p ≤ 0.01) and between the tibia when compared to the femur (p ≤0.001). Additionally, pressurized infusion rates were statistically lower in the tibia compared to the humerus (p ≤ 0.0001), the femur (p ≤ 0.0001), and the ileum (p ≤ 0.01). Conclusions: The femur and humerus had high success rate for IO catheter placement and low placement time and difficulty scores. Pressurized intraosseous flow rates were highest in the humerus and femur. Contrary to human literature, success rates for catheter placement in the humerus and femur were higher than at other sites, suggesting the humerus and femur may be preferred sites for intraosseous catheter placement in the dog. Further investigation through a larger sample size is required to confirm these findings.

7.
Am J Bot ; 105(10): 1735-1747, 2018 10.
Article in English | MEDLINE | ID: mdl-30300935

ABSTRACT

PREMISE OF THE STUDY: Community phylogenetic methods incorporate information on evolutionary relationships into studies of organismal assemblages. We used a community phylogenetic framework to investigate relationships and biogeographic affinities and to calculate phylogenetic signal of endemism and invasiveness for the flora of the pine rocklands-a globally critically imperiled ecosystem with a significant portion of its distribution in South Florida, United States. METHODS: We reconstructed phylogenetic relationships of 538 vascular plant taxa, which represent 92.28% of the vascular flora of the pine rocklands. We estimated phylogenetic signal for endemism and invasiveness using phylogenetic generalized linear mixed models. We determined the native range for each species in the data set and calculated the total number of species sourced from each region and all possible combinations of these regions. KEY RESULTS: The pine rockland flora includes representatives of all major vascular plant lineages, and most species have native ranges in the New World. There was strong phylogenetic signal for endemism, but not for invasiveness. CONCLUSIONS: Community phylogenetics has high potential value for conservation planning, particularly for fragmented and endangered ecosystems like the pine rockland. Strong phylogenetic signal for endemic species in our data set, which also tend to be threatened or endangered, can help to identify species at risk, as well as fragments where those species occur, highlighting conservation priorities. Our results indicate, at least in the pine rockland ecosystem, no phylogenetic signal for invasive species, and thus other information must be used to predict the potential for invasiveness.


Subject(s)
Biological Evolution , Biota , Embryophyta/physiology , Plant Dispersal , Conservation of Natural Resources , Ecosystem , Embryophyta/classification , Florida , Phylogeny
8.
Alcohol Clin Exp Res ; 38(4): 1100-7, 2014 Apr.
Article in English | MEDLINE | ID: mdl-24224931

ABSTRACT

BACKGROUND: Young people's social standing among friends and peers has been linked to general levels of drinking and has been shown to influence others' drinking. We extend previous research by examining young adults' status within their natural-occurring drinking groups as a predictor of their subsequent alcohol consumption and encouragement of group members' alcohol consumption during a night out at licensed drinking establishments, a salient context for heavy drinking and alcohol-related risk among young adults. METHODS: We recruited same-sex young adult drinking groups (n = 104 groups; 63 all-male; average group size = 3.4 members; Mage = 21.86) on their way to drinking establishments to complete a survey-containing measures of member-nominated within-group status, likeability, and self-reported alcohol consumption-and a breathalyzer test. At the end of the evening, participants completed the same alcohol consumption measures and were asked to nominate group members who encouraged other members to drink that night. RESULTS: Multilevel analysis revealed that higher-status members engaged in the most alcohol consumption (via both self-report and breathalyzer) but in heavier drinking groups only. Higher-status members also encouraged the most alcohol consumed by others, regardless of levels of group drinking. Further, even though being liked by one's peers was positively related to intoxication that night, it did not account for the significant relationship between within-group status and drinking. CONCLUSIONS: Results suggest that peer-related prevention programs for young adults' problem drinking may benefit from focusing on the structure and dynamic of young people's drinking groups. Also, programs targeting peer norms may be more successful if they incorporate status-related issues.


Subject(s)
Alcohol Drinking/epidemiology , Alcohol Drinking/psychology , Group Structure , Peer Group , Self Report , Social Environment , Adult , Alcohol Drinking/trends , Commerce/trends , Data Collection/methods , Data Collection/trends , Female , Humans , Male , Ontario/epidemiology , Young Adult
9.
J Appl Soc Psychol ; 43(12): 2391-2400, 2013 Dec.
Article in English | MEDLINE | ID: mdl-26236043

ABSTRACT

This study tested the effects of committed relationships and presence of dates on alcohol consumption and preliminary sexual outcomes in natural drinking groups (NDGs). Undergraduate drinkers (N = 302) answered an online questionnaire on their most recent participation in a NDG. The interaction between relationship commitment and presence of a date on alcohol consumption was significant. Among students not in committed relationships, those dating within their NDG reported heavier drinking than those not dating. Students in committed relationships drank less than those who were not committed only when their partners were present. The positive correlation between drinking and sexual contact was significant only for those who were not in committed relationships. Implications for future research and interventions are discussed.

10.
Am J Health Behav ; 35(5): 535-45, 2011 Sep.
Article in English | MEDLINE | ID: mdl-22040615

ABSTRACT

OBJECTIVES: To test the relationship between alcohol intoxication and smoking behaviors in a field sample of 1139 young adults. METHODS: A self-administered survey and an objective measure of intoxication were used for data collection. We tested the relationship between smoking status and alcohol intoxication as well as the relationship between alcohol intoxication and smoking behaviors/intentions among occasional smokers. RESULTS: Occasional smokers were significantly more intoxicated than never smokers. Among occasional smokers, higher levels of intoxication were significantly associated with smoking behavior. CONCLUSIONS: The importance of using field studies to investigate the co-occurring use of alcohol and cigarettes is discussed.


Subject(s)
Alcoholic Intoxication/psychology , Health Surveys/statistics & numerical data , Research Report , Smoking/psychology , Adult , Female , Humans , Intention , Linear Models , Male , Self Report
11.
Addict Behav ; 36(12): 1341-3, 2011 Dec.
Article in English | MEDLINE | ID: mdl-21862231

ABSTRACT

Pre-drinking (e.g., pre-gaming, pre-loading) occurs frequently among young adult and college-aged drinkers and is associated with increased intoxication as well as alcohol-related problems. The purpose of the following study was to examine pre-drinking behaviors in situ, and to test whether drinking intentions mediate the relationship between heavy episodic drinking history and pre-drinking behaviors. We randomly selected a sample of 1040 young adults bar patrons at 32 bars in a major metropolitan city in Southern California and asked participants to complete an interview concerning drinking behavior as well as provide a breath sample used to measure breath alcohol concentration. We used multilevel path analysis to test two meditational models. Results showed drinking intentions mediated the relationship between heavy episodic drinking history and pre-drinking behavior as well as the relationship between heavy episodic drinking history and level of pre-drinking intoxication. Gender did not moderate these meditational relationships suggesting similar pre-drinking behaviors for both men and women. Potential methods to prevent pre-drinking behaviors in this population of young people are discussed.


Subject(s)
Alcohol Drinking/epidemiology , Alcoholic Intoxication/epidemiology , Adult , Alcohol Drinking/psychology , Alcoholic Intoxication/psychology , Breath Tests , California/epidemiology , Cross-Sectional Studies , Ethanol/analysis , Ethanol/poisoning , Female , Humans , Intention , Leisure Activities , Male , Sex Factors , Young Adult
12.
Am J Drug Alcohol Abuse ; 36(4): 202-7, 2010 Jul.
Article in English | MEDLINE | ID: mdl-20560839

ABSTRACT

BACKGROUND: Although most young people begin smoking before the age of 18, the results of a growing number of recent studies have shown a sizable minority of college students initiate smoking while in college. Moreover, the use of alcohol by college students has been linked to smoking initiation in some studies in the literature. OBJECTIVES: The purpose of this study was to examine the association between past-year drinking frequency and past-year smoking initiation among a sample of college students. METHODS: A total of 1,523 undergraduate students attending a large urban university in the southwestern United States were invited to participate in an Internet study examining college student lifestyles and behaviors. RESULTS: The results of a logistic regression analysis indicated a significant association between past-year alcohol consumption and the likelihood of past-year smoking initiation after controlling for respondent race, the past-year use of marijuana, illicit drug use, and prescription drug use. CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: These results suggest alcohol consumption may serve as an influence on smoking initiation among some college students. These results provide additional support to a growing literature linking alcohol use to smoking initiation in college student populations. Additional research is needed to determine the mechanisms that explain this relationship.


Subject(s)
Alcohol Drinking/psychology , Smoking/psychology , Students/psychology , Adolescent , Adult , Alcohol Drinking/epidemiology , Alcohol Drinking/prevention & control , Alcoholic Intoxication/psychology , Cross-Sectional Studies , Female , Humans , Illicit Drugs , Male , Prescription Drugs , Risk-Taking , Smoking/epidemiology , Smoking Prevention , Students/statistics & numerical data , Surveys and Questionnaires , Universities , Young Adult
13.
Drug Alcohol Depend ; 108(1-2): 138-40, 2010 Apr 01.
Article in English | MEDLINE | ID: mdl-20031341

ABSTRACT

Salvia divinorum (salvia) is an intense, short-acting hallucinogenic plant gaining popularity among adolescents in the United States. There has been little scientific documentation of salvia's effects. The popular video-sharing website YouTube has received literally thousands of video-posts of people using salvia. The objective of this study was to assess the effects of salvia use through systematic observations of YouTube videos. A sample of salvia videos was obtained using the search term "salvia." The videos were further screened and only videos that captured the entire drug "trip" without video edits were included in the analyses described here (n=34). Three trained research assistants independently watched the videos and rated their observations on 42 effects in 30-s intervals. Onset of symptoms was quick (often less than 30s) and tended to dissipate within 8min. Further, there was a relationship between salvia dose and effect duration. Since salvia's effects on humans are largely undocumented, this study provides the look at users in a non-laboratory environment (e.g. self-taped videos) exhibiting impairments and behaviors consistent with this powerful hallucinogen. Also, this study demonstrates the feasibility and shortcomings of using YouTube videos to assess emerging drugs and drug effects.


Subject(s)
Hallucinogens , Internet/statistics & numerical data , Salvia , Substance-Related Disorders/epidemiology , Administration, Inhalation , Adolescent , Dose-Response Relationship, Drug , Hallucinogens/adverse effects , Humans , Reproducibility of Results , Salvia/adverse effects , United States/epidemiology , Video Recording , Young Adult
14.
AIDS Behav ; 14(3): 697-707, 2010 Jun.
Article in English | MEDLINE | ID: mdl-18770022

ABSTRACT

We examined provider-reported barriers to rapid HIV testing in U.S. urban non-profit community clinics, community-based organizations (CBOs), and hospitals. 12 primary metropolitan statistical areas (PMSAs; three per region) were sampled randomly, with sampling weights proportional to AIDS case reports. Across PMSAs, all 671 hospitals and a random sample of 738 clinics/CBOs were telephoned for a survey on rapid HIV test availability. Of the 671 hospitals, 172 hospitals were randomly selected for barriers questions, for which 158 laboratory and 136 department staff were eligible and interviewed in 2005. Of the 738 clinics/CBOs, 276 were randomly selected for barriers questions, 206 were reached, and 118 were eligible and interviewed in 2005-2006. In multivariate models, barriers regarding translation of administrative/quality assurance policies into practice were significantly associated with rapid HIV testing availability. For greater rapid testing diffusion, policies are needed to reduce administrative barriers and provide quality assurance training to non-laboratory staff.


Subject(s)
AIDS Serodiagnosis , HIV Infections/diagnosis , Health Personnel/psychology , Hospitals, Urban/statistics & numerical data , AIDS Serodiagnosis/statistics & numerical data , Ambulatory Care Facilities/statistics & numerical data , Community Health Services , HIV Infections/epidemiology , HIV-1 , Health Services Accessibility , Health Surveys , Humans , Organizations, Nonprofit , Time Factors , United States/epidemiology , Urban Population
15.
J Stud Alcohol Drugs ; 70(5): 683-8, 2009 Sep.
Article in English | MEDLINE | ID: mdl-19737492

ABSTRACT

OBJECTIVE: To identify predictors of error in estimated blood alcohol concentration (eBAC) in a sample of bar patrons. METHOD: Six hundred sixty-six patrons (43.6% female) were randomly sampled from 32 bars. Patrons were asked to provide a breath sample into a handheld breath alcohol concentration test unit upon entrance and exit from the bar. Patrons also completed a brief survey at entrance and exit. For analyses, this sample was stratified by whether patrons consumed alcohol before attending the bar. Estimates of BAC were calculated using Matthews and Miller's formula (1979). A three-category dependent variable was created based on the estimation accuracy of eBAC relative to breath alcohol concentration: accurate (within .02), underestimate of BAC, and overestimate of BAC. RESULTS: Of those that drank before arriving at the bar, 29% of eBACs were accurate, 32.3% were underestimates, and 38.8% were overestimates. For those who drank only at the bar, 42.0% were accurate, 20.8% were underestimates, and 37.7% were overestimates. Among those who drank before attending the bar, the number of drinks consumed before attending the bar was significantly related to eBAC underestimate. Among those who drank only at the bar, predictors of overestimate included being female, drinking more, and drinking longer. CONCLUSIONS: The accuracy of eBAC is poor at best. In an earlier study of parties, eBACs were often underestimated; in the bar setting, eBACs were often overestimated. More research is needed to understand the role of setting on eBAC calculations.


Subject(s)
Alcohol Drinking/blood , Research Design/statistics & numerical data , Research Design/standards , Adult , Alcohol Drinking/epidemiology , Breath Tests/methods , Female , Humans , Male , Middle Aged , Predictive Value of Tests , Young Adult
16.
J Stud Alcohol Drugs Suppl ; (16): 86-95, 2009 Jul.
Article in English | MEDLINE | ID: mdl-19538916

ABSTRACT

OBJECTIVE: Participation in residential learning communities (RLCs) is associated with lower rates of alcohol consumption among college students. This study used variable- and pattern-centered analytic approaches to examine the influence of RLCs on the drinking behavior of students during their first 2 years in college. METHOD: A Web-based survey was administered to a stratified random sample of 1,196 first-year students (51.8% women) attending a large university. The sample included 456 students (38.1%) who lived in and participated in RLCs and 740 students (61.9%) who did not participate in RLCs (non-RLCs). During their first semester, students reported on their precollege and current drinking. Students also completed measures of alcohol involvement 6 months later during their second semester and 18 months later during their fourth semester. RESULTS: Mixed factorial analyses of variance showed that RLC students reported fewer drinks per occasion than non-RLC students before college. RLC and non-RLC students showed increases in maximum drinks per occasion from precollege to first and second semesters, but only non-RLC students continued to increase their drinking from second to fourth semester. Latent class growth analyses indicated four trajectory classes: (1) low stable (25.1%), (2) light increasing (19.2%), (3) moderate increasing (36.8%), and (4) heavy increasing (18.9%). Non-RLC students had higher odds of being in the heavy-increasing drinking trajectory class. CONCLUSIONS: Compared with their non-RLC peers, RLC students not only drink less before college and show smaller increases in drinking over time but also are less likely to be in a high-risk drinking trajectory group. Identification of selection, socialization, and reciprocal influence processes that underlie RLC effects can better inform prevention efforts for sustained lower risk drinking among college students.


Subject(s)
Alcohol Drinking/psychology , Housing , Learning , Social Environment , Adolescent , Adult , Alcohol Drinking/trends , Educational Status , Female , Health Surveys , Humans , Longitudinal Studies , Male , Motivation , Probability , Racial Groups/statistics & numerical data , Sex Factors , Socialization , Students/psychology , Students/statistics & numerical data , Universities/organization & administration , Universities/statistics & numerical data
17.
Public Health Rep ; 123(4): 494-503, 2008.
Article in English | MEDLINE | ID: mdl-18763412

ABSTRACT

OBJECTIVE: The present study examined the scope of rapid human immunodeficiency virus (HIV) testing in urban U.S. hospitals. METHODS: In a multistage national probability sample, 12 primary metropolitan statistical areas (three per region) were sampled randomly, with weights proportionate to acquired immunodeficiency syndrome (AIDS) populations. All 671 eligible hospitals within areas were selected. Laboratory staff from 584 hospitals (87%) were interviewed by telephone in 2005. RESULTS: About 52% reported rapid HIV test availability (50% in occupational health, 29% in labor and delivery, and 13% in emergency department/urgent care), and 86% of hospitals offering rapid tests processed them in the laboratory. In multivariate models, rapid test availability was more likely in hospitals serving more patients, and located in high-poverty, high-AIDS prevalence areas, and in the South or Midwest vs. West. It was less likely in hospitals serving areas with large percentages of people who were black/African American or Hispanic/Latino (p<0.05). CONCLUSIONS: Rapid HIV testing is increasing across urban U.S. hospitals, primarily for occupational exposure and in hospitals with greater resources and need. To achieve routine HIV screening, policies should encourage greater breadth of diffusion of rapid testing at the point of care, especially in smaller facilities, the West, and communities with racial/ethnic diversity.


Subject(s)
AIDS Serodiagnosis , HIV Infections/diagnosis , HIV Seropositivity/diagnosis , HIV-1/isolation & purification , Hospitals, Urban , Diffusion of Innovation , HIV Antibodies/analysis , Health Care Surveys , Humans , Time Factors , United States
18.
Psychol Addict Behav ; 22(3): 349-61, 2008 Sep.
Article in English | MEDLINE | ID: mdl-18778128

ABSTRACT

College students' alcohol consumption has received considerable attention in the scientific literature and the media for its impact on students and the college community. Misuse of alcohol can lead to a wide range of consequences, the most severe being alcohol abuse, dependence, and death. Researchers have struggled to develop effective methods to assess problems related to alcohol, and the literature on college drinking lacks a strong theoretical framework for such assessment. The authors contend that measures of alcohol-related problems for college students should assess specific dimensions pertaining to 3 main domains: alcohol abuse, alcohol dependence, and what the authors define as risky drinking. The authors examined how existing measures fit into this model. In a comprehensive review of the college literature, the authors identified 9 measures (and their revised versions) assessing alcohol-related problems. Their analysis revealed that most measures do not assess comprehensively the domains outlined, and instead provide only partial assessments of the potential consequences of drinking for college students. The authors include directions for future research so that measurement of drinking consequences for college students can be refined.


Subject(s)
Alcohol-Related Disorders/diagnosis , Alcohol-Related Disorders/epidemiology , Psychometrics/methods , Students/statistics & numerical data , Adolescent , Adult , Alcohol Drinking/adverse effects , Alcohol Drinking/psychology , Alcohol-Related Disorders/psychology , Alcoholism/diagnosis , Alcoholism/epidemiology , Alcoholism/psychology , Diagnostic and Statistical Manual of Mental Disorders , Follow-Up Studies , Humans , Mass Screening/methods , Mass Screening/statistics & numerical data , Personality Inventory/statistics & numerical data , Psychiatric Status Rating Scales/statistics & numerical data , Psychometrics/statistics & numerical data , Reproducibility of Results , Sensitivity and Specificity , Students/psychology , Surveys and Questionnaires , Universities/statistics & numerical data
19.
Drug Alcohol Rev ; 27(5): 509-18, 2008 Sep.
Article in English | MEDLINE | ID: mdl-18696298

ABSTRACT

INTRODUCTION AND AIMS: The objectives of this exploratory research were to (1) explore the characteristics and risks associated with college theme parties, (2) assess differences in risk associated with college theme parties compared to non-theme parties and (3) to assess differences in risk associated with risqué theme parties as compared to non-risqué theme parties. DESIGN AND METHODS: We used a mixed methods design. Results are presented from three exploratory studies of alcohol consumption in college theme parties: (1) four qualitative focus groups of students who have attended such events, (2) a web-based survey and (3) a multi-level (observational, survey, breath blood alcohol samples) study of 226 college parties, 29 of which were themed events. Focus group participants included a convenience sample of 17 college students aged 18-24 years; participants for the web survey included a convenience sample of 407 college students; participants for the multi-level study of college parties included 1725 randomly selected individuals at college parties. RESULTS: Themes tended to be highly sexualized. Compared to non-themed parties, theme parties have been observed to be more rowdy, louder, involve drinking games, feature kegs and feature hard liquor. DISCUSSION AND CONCLUSIONS: Themed parties are associated with heavy drinking and are consistent with environments sought by heavy drinkers. As a result, themed parties are marked by a greater number of alcohol-related problems. Further research is needed to understand more clearly the risks involved in themed and risqué themed events.


Subject(s)
Alcohol Drinking/psychology , Alcoholic Intoxication/psychology , Social Environment , Students/psychology , Universities/statistics & numerical data , Adult , Alcohol Drinking/adverse effects , Alcohol Drinking/epidemiology , Alcoholic Intoxication/epidemiology , California , Cross-Sectional Studies , Female , Humans , Logistic Models , Male , Risk Factors , Students/statistics & numerical data , Surveys and Questionnaires
20.
Addict Behav ; 33(8): 987-93, 2008 Aug.
Article in English | MEDLINE | ID: mdl-18485609

ABSTRACT

Gender and living environment are two of the most consistent factors associated with heavy episodic drinking on college campuses. This study aimed to determine group differences in alcohol misuse and its attendant consequences between undergraduate women living in four distinct on-campus residential environments. A Web-based survey was self-administered to a stratified random sample of full-time students attending a large Midwestern University, and living in four distinct on-campus residential environments: 1) single-sex (all female) residential learning communities (RLCs), 2) mixed-sex (male and female) RLCs, 3) single-sex (all female) non-RLCs and 4) mixed-sex (male and female) non-RLCs. Respondents living in single-sex and mixed-sex RLCs had significantly lower rates of alcohol use, heavy episodic drinking and related primary alcohol-related consequences when compared to respondents living in non-RLCs; however, women in single-sex RLCs had the lowest rates. RLCs - particularly single-sex learning communities - appear to provide undergraduate women with an environment that supports lower rates of alcohol use and abuse.


Subject(s)
Alcohol Drinking/adverse effects , Alcoholic Intoxication/complications , Students/psychology , Adolescent , Alcohol Drinking/psychology , Ethanol/poisoning , Female , Humans , Longitudinal Studies , Male , Peer Group , Sex Characteristics , Social Environment , Students/statistics & numerical data , Universities/statistics & numerical data , Young Adult
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