Abstract available through Circulation.

Skin cancer incidence rates, including those for melanoma, continue to rise each year. These rates are increasing fastest among younger generations, making it important to understand the behavioral risks for the disease in this population. Adolescent females are especially at risk because of the ever-increasing popularity of indoor tanning (IT) and purposeful exposure to UV radiation. The study’s objective was to examine the prevalence of IT and the associated sociodemographic correlates in female teens (12-18 years of age) residing in the United States. Adolescent females (N=777) were recruited through Knowledge Networks’ online proprietary Knowledge Panel using dual frame recruiting with address-based and random-digit dialing to provide a national sample. Participants’ age, race, and tanning behavior, marital status of the parents and metropolitan residence status were self-reported in an online questionnaire. Frequencies and percentages were calculated. Multiple logistic regression analyses were performed to identify independent sociodemographic correlates of female teens ever having used a tanning bed or booth. Data analyses were conducted using IBM SPSS Statistics version 19. Eighteen percent of American female teens had ever engaged in IT. The sample was predominantly white (79.9%), lived in a metropolitan area (84.7%), and had parents who were married (75.6%). Metropolitan status was the strongest correlate of IT behavior, with non-metropolitan residents 2 times more likely to have ever indoor tanned compared to females living in metropolitan areas (Odds ratio (OR): 2.09, 95% confidence interval (CI), 1.27-3.44). Additionally, a one-year increase in age was associated with 55% increase in the prevalence of ever IT (OR 1.5, CI 1.37- 1.75). Also, females with unmarried parents were 89% more likely to have ever tanned compared with females whose parents were married (OR: 1.89, 95% CI: 1.23-3.09). White females were 0.16 times more likely to have ever indoor tanned compared to other races (OR: 0.16, 95% CI: 0.08-0.36). All independent variables were statistically significant at the p

Geography disparities exist in obesity and obesity related conditions. This study aimed to examine the geographic differences in obesity prevalence and its risk factors among Asian Americans in California. Data (n = 4,000) from the 2013–2014 California Health Interview Survey were used. Obesity (≥27.5 kg/m2) was defined according to the World Health Organization Asian body mass index cut points in Asian groups. Results suggest that 66.5% of Asians lived in urban areas. Among Asian adults, obesity prevalence was highest in Filipinos (33.8%) and lowest in Koreans (12.8%). Compared to rural Vietnamese, obesity prevalence was higher for urban Vietnamese (8.3% vs. 20.2%, p = 0.0318). Weighted multiple logistic regression analyses showed that being 45–64 years (vs. 65 years or above), being Japanese, Filipino, or other Asians (vs. Chinese) were associated with a higher odds of obesity among urban residents; whereas being 18–44 years and being 45–64 years (vs. 65 years or older), being male, having high school education (vs. having graduate education) were associated with a higher odds of obesity among rural residents. Being Vietnamese (vs. Chinese) was associated with 64% decreased odds of obesity only among rural residents (95% confidence interval = 0.14–0.94). The findings show geography disparities in obesity among Asians in California.

In an effort to bridge the gap between public health practice and academia, the Health Resources and Services Administration–funded Tennessee Public Health Training Center (LIFEPATH) has supported establishment of an academic health department (AHD) involving the East Tennessee State University College of Public Health (COPH) and the Sullivan County Regional Health Department (SCRHD). The SCRHD identified a need to increase internal capacity to conduct ongoing community health assessment and community-centered practice. Similarly, the COPH recognized the need to expand evidence-based practice implementation and evaluation opportunities for public health students. Personnel from the SCRHD, LIFEPATH, and the COPH developed a formal AHD agreement during the summer of 2012 and launched the program the subsequent fall semester. One aspect of the COPH/SCRHD/LIFEPATH model that addresses financial barriers experienced by other AHDs is the competitive awarding of the coordinator position to a doctor of public health student from the COPH, demonstrating investment in the model by the college. The doctor of public health student gains leadership experience through project management, coordination of the local health council, and day-to-day facilitation of undergraduate and master's student interns. The SCRHD benefits from the formal academic background of graduate-level interns dedicated to working in the community. This AHD framework offers an opportunity for doctoral-level students to develop practical leadership skills in a health department while enhancing the capacity of the SCRHD and the COPH to serve their community and stakeholders.

The origin of cancer registries was to create clinical surveys and perform patient follow-up, the objective being to bring surgical patients back to the doctor periodically to identify recurrences. Over the past 60 years, cancer registries have continued to compile patient care data and perform patient follow-up. However, over the past decade, emphasis has been placed on the direct involvement of the cancer registry in monitoring quality of care. In contrast, stroke registries monitor the quality of care for patients, but do not follow them periodically to identify recurrences. The biology of these diseases is an intricate part of the different roles played by both types of registries, yet each has a page to take from the other's book. This article examines the manner in which these registries operate to improve the quality of patient care.

No description available.

No description available.

No description available.

No description available.

Abstract available in the JACC Cardiovascular Interventions.