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1.
J Gerontol B Psychol Sci Soc Sci ; 65(4): 449-58, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20498454

RESUMO

This study tested the hypothesis that latent list and text recall invoke somewhat different processes. A bivariate outcome path model of latent list and text recall evaluated the effects of age, latent speed, working memory, and vocabulary as their predictors. Independent of age, working memory reliably predicted both recall variables, whereas speed reliably predicted list recall only. The relationship between vocabulary and recall was mediated by age, working memory, and speed. The generalizability of this model, based on data from the 1994 testing of the Long Beach Longitudinal Study, was evaluated across samples by testing its invariance on baseline data from an additional panel and for eventual attrition at baseline and at a subsequent testing of retested participants and dropouts. Results showed that the model was invariant over all groups, supporting a replicable distinction between list and text recall.


Assuntos
Rememoração Mental , Fatores Etários , Idoso , Envelhecimento/psicologia , California , Escolaridade , Feminino , Nível de Saúde , Humanos , Estudos Longitudinais , Masculino , Memória de Curto Prazo , Modelos Psicológicos , Testes Neuropsicológicos/normas , Reprodutibilidade dos Testes , Fatores de Tempo , Vocabulário
2.
J Nutr Educ Behav ; 42(3): 178-84, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20303827

RESUMO

OBJECTIVE: Determine child/maternal factors associated with overweight among 2- to 4-year-olds enrolled in the Texas Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). DESIGN: Matched child and maternal data collected by self-report of the mother during WIC certification. These data were extracted from existing statewide WIC databases and merged. SETTING: Texas WIC children aged 2 to 4 years in April 2006. PARTICIPANTS: Final sample was 22,837 mother-child dyads. MAIN OUTCOME MEASURE: Dependent variable--child overweight; independent variables: Child-related--gender, age, race/ethnicity, Medicaid status, living area, and dental problems; Maternal-related--certification status, age, times certified, overweight, high maternal weight gain, and gestational diabetes. ANALYSIS: Bivariate relationships at P < .05 were included in the logistic regression. RESULTS: Living in a nonborder urban area associated with greater odds of overweight compared to living in a border area. Mother's overweight, high gestational weight gain, and gestational diabetes associated with greater odds of child overweight. CONCLUSIONS AND IMPLICATIONS: Several child- and maternal-related factors were found to be associated with overweight in Texas WIC preschoolers. Health interventions should target 4-year-old Hispanic children living in nonborder urban areas and mothers who are overweight, have high gestational weight gain, or have gestational diabetes.


Assuntos
Sobrepeso/epidemiologia , Pobreza , Pré-Escolar , Saúde da Família , Feminino , Serviços de Alimentação , Humanos , Masculino , Fenômenos Fisiológicos da Nutrição Materna , Centros de Saúde Materno-Infantil , Assistência Pública , Texas , População Urbana
3.
Prev Chronic Dis ; 5(4): A116, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18793504

RESUMO

INTRODUCTION: The objective of this study was to examine correlates of ever having had a Papanicolaou (Pap) test among women who recently delivered a live infant and who resided near the US-Mexico border. METHODS: This cross-sectional study included women who delivered a live infant in Matamoros, Mexico (n = 488) and Cameron County, Texas (n = 453). Women were interviewed in the hospital before discharge between August 21 and November 9, 2005. Multivariable logistic regression was used to estimate the odds of ever having had a Pap test. RESULTS: Significantly fewer Matamoros women (62.1%) than Cameron County women (95.7%) reported ever having had a Pap test. Only 12% of Matamoros women said they received their most recent Pap test during prenatal care, compared with nearly 75% of Cameron County women. After adjusting for potential confounders, the odds of ever having had a Pap test were 7.41 times greater in Cameron County than in Matamoros (95% confidence interval, 4.07-13.48). CONCLUSION: The Healthy Border 2010 goals are to cut cervical cancer mortality by 20% to 30% in the border region. The significant difference in Pap test prevalence among our survey respondents may reflect that routine prenatal Pap testing is more common in the United States than in Mexico. Because women who are receiving prenatal care have increased interaction with health care providers, Matamoros providers may need to be educated about the need to screen for cervical cancer during this time.


Assuntos
Neoplasias do Colo do Útero/diagnóstico , Serviços de Saúde da Mulher/organização & administração , Estudos Transversais , Di-Hidroergotamina , Educação , Feminino , Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Hispânico ou Latino , Humanos , México , Análise Multivariada , Teste de Papanicolaou , Parto , Gravidez , Cuidado Pré-Natal , Fatores Socioeconômicos , Texas , Esfregaço Vaginal
4.
Prev Chronic Dis ; 5(4): A120, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18793508

RESUMO

INTRODUCTION: Childbearing during adolescence and young adulthood is associated with adverse effects on health and quality of life. Lowering birth rates among young women is a binational priority in the US-Mexico border region, yet baseline information about birth rates and pregnancy risk is lacking. Increased understanding of the characteristics of young women who give birth in the region will help target high-risk groups for sexual and reproductive health services. METHODS: We examined data on reproductive health characteristics collected in hospitals from 456 women aged 24 years or younger who gave birth from August 21 through November 9, 2005, in Matamoros, Tamaulipas, Mexico, and Cameron County, Texas. We calculated weighted percentages and 95% confidence intervals (CIs) for each characteristic and adjusted odds ratios (AORs) for Matamoros and Cameron County women by using multiple logistic regression techniques. RESULTS: Numbers of births per 1,000 women aged 15 to 19 years and 20 to 24 years were similar in the 2 communities (110.6 and 190.2 in Matamoros and 97.5 and 213.1 in Cameron County, respectively). Overall, 38.5% of women experienced cesarean birth. Matamoros women reported fewer prior pregnancies than did Cameron County women and were less likely to receive early prenatal care but more likely to initiate breastfeeding. Few women smoked before pregnancy, but the prevalence of alcohol use in Cameron County was more than double that of Matamoros. In both communities combined, 34.0% of women used contraception at first sexual intercourse. CONCLUSION: Despite geographic proximity, similar ethnic origin, and comparable birth outcomes, young Mexican and US women showed different health behavior patterns. Findings suggest possible pregnancy prevention and health promotion interventions.


Assuntos
Cooperação Internacional , Parto , Adolescente , Distribuição por Idade , Feminino , Infecções por HIV/prevenção & controle , Humanos , México , Projetos Piloto , Gravidez , Gravidez não Desejada , Prática de Saúde Pública , Serviços de Saúde Reprodutiva , Texas , Adulto Jovem
5.
Prev Chronic Dis ; 5(4): A121, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18793509

RESUMO

INTRODUCTION: Routine prenatal human immunodeficiency virus (HIV) screening provides a critical opportunity to diagnose HIV infection, begin chronic care, and prevent mother-to-child transmission. However, little is known about the prevalence of prenatal HIV testing in the US-Mexico border region. We explored the correlation between prenatal HIV testing and sociodemographic, health behavior, and health exposure characteristics. METHODS: The study sample consisted of women who delivered live infants in 2005 in hospitals with more than 100 deliveries per year and resided in Matamoros, Tamaulipas, Mexico (n = 489), or Cameron County, Texas (n = 458). We examined univariate and bivariate distributions of HIV testing in Matamoros and Cameron County and quantified the difference in odds of HIV testing by using logistic regression. RESULTS: The prevalence of prenatal HIV testing varied by place of residence--57.6% in Matamoros and 94.8% in Cameron County. Women in Cameron County were significantly more likely than those in Matamoros to be tested. Marital status, education, knowledge of methods to prevent HIV transmission (adult-to-adult), discussion of HIV screening with a health care professional during prenatal care, and previous HIV testing were significantly associated with prenatal HIV testing in Matamoros, although only the latter 2 variables were significant in Cameron County. CONCLUSION: Although national policies in both the United States and Mexico recommend prenatal testing for HIV, a greater proportion of women in Cameron County were tested, compared with women in Matamoros. Efforts between Matamoros and Cameron County to improve HIV testing during pregnancy in the border region should consider correlates for testing in each community.


Assuntos
Infecções por HIV/diagnóstico , Cooperação Internacional , Cuidado Pré-Natal , Serviços de Saúde da Mulher/organização & administração , Adolescente , Adulto , Feminino , Infecções por HIV/epidemiologia , Humanos , Seguro Saúde , México , Vigilância da População , Gravidez , Prevalência , Texas
6.
Prev Chronic Dis ; 5(4): A128, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18793516

RESUMO

INTRODUCTION: Dramatic population growth in the US-Mexico border region suggests more effective family planning services are needed, yet binational data are scarce. The Brownsville-Matamoros Sister City Project for Women's Health collected binational, standardized data from 947 postpartum women in Cameron County (Texas) and Matamoros (Tamaulipas, Mexico) hospitals from August through November 2005. METHODS: We analyzed these data to estimate the proportion of women with unintended pregnancy and the proportion of these women who reported contraceptive use, and to identify associated factors. RESULTS: The current pregnancy was unintended for 48% of women overall. Almost half of these women reportedly used birth control at conception, but many used low-efficacy methods. Among women with unintended pregnancy who did not use contraception, 34.1% of Mexico residents believed they could not become pregnant and 28.4% of US residents reported no reason for nonuse. Overall, contraceptive use to prevent pregnancy was less common among younger than older women and among women who had not graduated high school compared with those who had. Among Mexico residents, those who had a source of routine health care were more likely than those who did not to have used contraception. CONCLUSION: More effective contraceptive practices are needed in this population, especially among younger and less-educated women. A cooperative binational approach that integrates reproductive and family planning services may be most effective.


Assuntos
Comportamento Contraceptivo/estatística & dados numéricos , Anticoncepcionais Femininos , Cooperação Internacional , Parto , Adulto , Serviços de Planejamento Familiar/estatística & dados numéricos , Feminino , Hispânico ou Latino , Humanos , Seguro Saúde , Modelos Logísticos , México , Gravidez , Fatores de Risco , Inquéritos e Questionários , Texas
7.
Health Promot Pract ; 9(1): 45-58, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18166667

RESUMO

One of the fastest growing segments of the population infected with HIV is the nation's youths. Thus, prevention in this high-risk population is vital. The authors detail the process of adapting an evidence-based HIV/AIDS educational program (HIVEd) to the unique needs of high-risk youths in adjudicated and detained facilities and alternative high schools. The HIVEd program derives from St. Lawrence's Becoming A Responsible Teen (BART) curriculum. This article describes the modification of BART into HIVEd, identifies the challenges encountered and lessons learned, and suggests future directions for HIVEd as a useful tool for prevention of HIV/AIDS and sexually transmitted infection in high-risk youths.


Assuntos
Infecções por HIV/prevenção & controle , Educação em Saúde/organização & administração , Desenvolvimento de Programas , Adolescente , Adulto , Currículo , Medicina Baseada em Evidências , Feminino , Humanos , Masculino , Infecções Sexualmente Transmissíveis/prevenção & controle , Texas
8.
Psychol Aging ; 18(4): 727-45, 2003 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-14692860

RESUMO

Adult age differences in covariance structures of latent variables of vocabulary, list recall, speed, working memory, and text recall, were analyzed to test hypotheses of structural changes with age. There were baseline data from 613 men and women aged 30-97, data from a second wave of testing from 322 people, and complete longitudinal data from 289 people. There were age differences in the size but not configuration of factor loadings cross-sectionally but not longitudinally. There were no changes in factor standard deviations or covariances. Findings did not support models of dedifferentiation with age.


Assuntos
Envelhecimento/psicologia , Transtornos Cognitivos/psicologia , Transtornos da Memória/psicologia , Processos Mentais , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes
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