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arizona regional behavioral health

Mai H Oushy, Rebecca Palacios, Alan E C Holden, Amelie G Ramirez, Kipling J Gallion, Mary A O'Connell
BACKGROUND: Cancer health disparities research depends on access to biospecimens from diverse racial/ethnic populations. This multimethodological study, using mixed methods for quantitative and qualitative analysis of survey results, assessed barriers, concerns, and practices for sharing biospecimens/data among researchers working with biospecimens from minority populations in a 5 state region of the United States (Arizona, Colorado, New Mexico, Oklahoma, and Texas). The ultimate goals of this research were to understand data sharing barriers among biomedical researchers; guide strategies to increase participation in biospecimen research; and strengthen collaborative opportunities among researchers...
2015: PloS One
Christine M Markham, Stephanie Craig Rushing, Cornelia Jessen, Travis L Lane, Gwenda Gorman, Amanda Gaston, Taija Koogei Revels, Jennifer Torres, Jennifer Williamson, Elizabeth R Baumler, Robert C Addy, Melissa F Peskin, Ross Shegog
PURPOSE: American Indian and Alaska Native (AI/AN) youth experience disparities associated with sexual and reproductive health, including early age of sexual initiation. Identifying factors that are most proximally related to early sexual intercourse and that are modifiable through health promotion interventions may help to reduce these disparities. Using a multisystem approach, we assessed individual (biological, psychological, and behavioral), familial, and extrafamilial (peer behavioral) factors associated with lifetime sexual experience among AI/AN early adolescents living in three geographically dispersed U...
September 2015: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Meghan M Slining, Sara E Benjamin Neelon, Kiyah J Duffey
BACKGROUND: The purpose of this study was to review state regulations promoting increased physical activity and decreased sedentary behaviors in infants in child care and to assess consistency with recent Institute of Medicine (IOM) recommendations. METHODS: We compared existing state and territory licensing and administrative regulations to recent IOM recommendations to promote physical activity and decrease sedentary time in very young children attending out-of-home child care (both child care centers and family child care homes)...
November 22, 2014: International Journal of Behavioral Nutrition and Physical Activity
Diana Kachan, Stacey L Tannenbaum, Henry A Olano, William G LeBlanc, Laura A McClure, David J Lee
INTRODUCTION: Health-related quality of life (HRQOL) is an important predictor of morbidity and mortality; however, its geographical variation in older adults in the United States has not been characterized. We compared HRQOL among older adults in the 50 US states and the District of Columbia using the Health and Activities Limitation Index (HALex). We also compared the HRQOL of 4 regions: South, West, Midwest, and Northeast. METHODS: We analyzed pooled data from 1997 through 2010 from the National Health Interview Survey for participants aged 65 or older...
July 3, 2014: Preventing Chronic Disease
Glen E Duncan, Casey L McDougall, Elizabeth Dansie, Eva Garroutte, Dedra Buchwald, Jeffrey A Henderson
OBJECTIVE: Cultural factors are associated with health behaviors among American Indians. Accordingly, the objective of our study was to investigate whether cultural identity, defined as the primary language spoken at home, is associated with: 1) higher total physical activity levels, and 2) levels of leisure-time physical activity recommended for health benefits in a diverse sample of American Indians. DESIGN: Cross-sectional analysis of 5,207 American Indian adults 18 to 82 years...
2014: Ethnicity & Disease
Monica D Ramirez-Andreotta, Mark L Brusseau, Paloma Beamer, Raina M Maier
The human-health risk posed by gardening near a legacy mine and smelter in an arsenic-endemic region of Arizona was characterized in this study. Residential soils were used in a greenhouse study to grow common vegetables, and local residents, after training, collected soil, water, and vegetables samples from their home gardens. Concentrations of arsenic measured in water, soil, and vegetable samples were used in conjunction with reported US intake rates to calculate the daily dose, Incremental Excess Lifetime Cancer Risk (IELCR), and Hazard Quotient for arsenic...
June 1, 2013: Science of the Total Environment
Donna A Hartz, Anthony J Brazel, Jay S Golden
Research into the health impacts of heat has proliferated since 2000. Temperature increases could exacerbate the increased heat already experienced by urban populations due to urbanization. Heat-related mortality studies have found that hot southern cities in North America have not experienced the summer increases in mortality found in their more northern counterparts. Heat-related morbidity studies have not assessed this possible regional difference. This comparison study uses data from emergency 911 dispatches [referred to as heat-related dispatches (HRD)] identified by responders as heat-related for two United States cities located in different regions with very different climates: Chicago, Illinois in the upper midwest and Phoenix, Arizona in the southwest...
September 2013: International Journal of Biometeorology
Suad Ghaddar, Cynthia J Brown, José A Pagán, Violeta Díaz
OBJECTIVE: To explore the relationship between acculturation and healthy lifestyle habits in the largely Hispanic populations living in underserved communities in the United States of America along the U.S.-Mexico border. METHODS: A cross-sectional study was conducted from April 2006 to June 2008 using survey data from the Alliance for a Healthy Border, a program designed to reduce health disparities in the U.S.-Mexico border region by funding nutrition and physical activity education programs at 12 federally qualified community health centers in Arizona, California, New Mexico, and Texas...
September 2010: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
Marylyn Morris McEwen, Alice Pasvogel, Gwen Gallegos, Lourdes Barrera
OBJECTIVES: To pilot test the efficacy of a culturally tailored diabetes self-management social support intervention for Mexican American adults with Type 2 diabetes (T2DM) living in the U.S.-Mexico border region and to test the feasibility of recruiting and training promotoras to participate in intervention delivery. DESIGN AND SAMPLE: This study used a single-group pretest and posttest design. The convenience sample consisted of 21 Mexican American adults with T2DM...
July 2010: Public Health Nursing
Rebecca L Drummond, Lisa K Staten, Mary Reyes Sanford, Christopher L Davidson, Maria Magda Ciocazan, Kai-Ning Khor, Frances Kaplan
Through Steps to a Healthier Arizona, a unique partnership was developed to reach the culturally diverse, rural communities of Southern Arizona. This partnership included local, regional, and state agencies and coalitions focused on reducing the burden of chronic disease and health disparities. This article describes the success of a program aimed at preventing childhood obesity and diabetes. Partners in Yuma County worked with child care providers to implement organizational best practices which promote positive nutrition and physical activity behaviors in young children...
April 2009: Health Promotion Practice
Lois J Loescher, Kyung Hee Lim, Ofri Leitner, Jessica Ray, Joyce D'Souza, Cary M Armstrong
PURPOSE/OBJECTIVES: To investigate cancer surveillance behaviors of women at risk for hereditary breast and ovarian cancer (HBOC) who presented for clinical BRCA cancer susceptibility testing, specifically to describe cancer surveillance behaviors and reasons for not engaging in behaviors, compare surveillance behaviors with existing surveillance guidelines, and evaluate associations of cancer surveillance behaviors with BRCA results. DESIGN: Cross-sectional, descriptive...
March 2009: Oncology Nursing Forum
Carrie M Nielson, Robin B Harris, Eileen F Dunne, Martha Abrahamsen, Mary R Papenfuss, Roberto Flores, Lauri E Markowitz, Anna R Giuliano
BACKGROUND: Human papillomavirus (HPV) is strongly associated with cervical and other anogenital cancers. Identification of risk factors for HPV infection in men may improve our understanding of HPV transmission and prevention. METHODS: HPV testing for 37 types was conducted in 463 men 18-40 years old recruited from 2 US cities. The entire anogenital region and semen were sampled. A self-administered questionnaire was completed. Multivariate logistic regression aided the identification of independent risk factors for any HPV type, oncogenic HPV types, and nononcogenic HPV types...
October 15, 2007: Journal of Infectious Diseases
Judy Krysik, Craig W LeCroy
Healthy Families Arizona is a broadly implemented home visitation program aimed at preventing child abuse and neglect, improving child health and development, and promoting positive parent/child interaction. The program began as a pilot in two sites in 1991 and by 2004 had grown to 48 sites located in urban, rural, and tribal regions of the state. The unique administrative structure of the program and collaboration between evaluation and quality assurance have helped overcome many of the problems familiar to home visitation programs...
2007: Journal of Prevention & Intervention in the Community
Marylyn Morris McEwen, Martha Baird, Alice Pasvogel, Gwen Gallegos
Multiple and complex health-illness transitions are required for successful diabetes self-management. Diabetes health-illness transitions influence the daily lives and interactions of Mexican immigrant women with diabetes. This article reports the findings from an intervention study designed to facilitate the health-illness transition in Mexican immigrant women with type 2 diabetes who reside in the Arizona-Sonora region of the US-Mexico border. There was a significant (P<0.001) increase from preintervention to postintervention in diabetes knowledge and diabetes self-efficacy and a significant decrease (P <or= 0...
July 2007: Family & Community Health
Yorghos Apostolopoulos, Sevil Sonmez, Jennie Kronenfeld, Ellis Castillo, Lucia McLendon, Donna Smith
The influx of Latino laborers into the U.S. and the confluence of migration-driven factors in an environment ripe for risk-taking have the potential to exacerbate already rising STI/HIV rates among migrants and their social networks at both the home and receiving regions. This paper focuses on Mexican migrant laborers who are among the most marginalized and exploited Latinos in the U.S. This study used ethnographic methods to delineate the sociocultural and spatial contexts and social organization of migrant farmwork, and examined how intertwined individual and environmental factors render migrant farmworkers vulnerable to STI/HIV risks...
July 2006: Journal of Immigrant and Minority Health
Joel S Meister, Jill Guernsey de Zapien
BACKGROUND: Systemic, environmental, and socioeconomic conditions create the context in which community members deal with their health concerns. Comprehensive, community-based chronic disease prevention interventions should address community-wide or regional policy issues that influence lifestyle behaviors associated with chronic diseases. CONTEXT: In two communities along the Arizona-Mexico border, community coalitions that administered a comprehensive diabetes prevention and control intervention expanded their membership to become policy and advocacy coalitions with broad community representation...
January 2005: Preventing Chronic Disease
Mardy Taylor, Kevin Keighron
Yavapai Regional Medical Center (YRMC) has created, developed, embraced, and shared its vision of a total healing environment. The management/leadership team identified the values of respect, integrity, accountability, commitment, and quality as norms of behavior to reach YRMC's vision. This article describes how senior management at YRMC supports and reinforces the healing process as part of their everyday work life, resulting in better patient care and an improved bottom line. Nursing executives know that healing is the mantra of caregiving and the foundation of nursing itself...
October 2004: Nursing Administration Quarterly
Patricia Nez Henderson, Dorothy Rhoades, Jeffrey A Henderson, Thomas K Welty, Dedra Buchwald
OBJECTIVE: To examine the relationship between sociodemographic, clinical, and smoking history factors, and smoking cessation among older American Indians. DESIGN: Nested cohort study of cigarette smokers in the Strong Heart Study, a longitudinal study of cardiovascular disease among American Indians. SETTING: Thirteen American Indian tribes from Arizona, Oklahoma, and North and South Dakota. PARTICIPANTS: American Indian men and women (N = 998), aged 45-74 years, who identified themselves as smokers at the initial Strong Heart Study examination...
2004: Ethnicity & Disease
Steven S Coughlin, Robert J Uhler, Thomas Richards, Katherine M Wilson
This study examined the breast and cervical cancer screening practices of Hispanic and non-Hispanic women (n = 3,568) in counties that approximate the US southern border region. According to the Health Resources Services Administration (HRSA), border counties are those in which any part of the county is within 100 kilometers (62.14 miles) of the border. The study used data from Behavioral Risk Factor Surveillance System (BRFSS) surveys of adults aged > or = 18 years conducted in 1999 and 2000. The study looked at recent use of mammography and the Papanicolaou (Pap) test...
April 2003: Family & Community Health
J C Will, C Denny, M Serdula, B Muneta
OBJECTIVES: This study compared trends in body mass index for American Indian men and women across selected regions of the United States. METHODS: Self-reported data were collected from the Behavioral Risk Factor Surveillance System. RESULTS: Among women in the Dakotas, New Mexico and Arizona, and Washington and Oregon, average adjusted body mass index increased significantly by 0.1 to 0.2 units per year. Among men in Alaska and the Dakotas, average adjusted body mass index also increased significantly by 0...
March 1999: American Journal of Public Health
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