Purpose. To identify correlates of combined hormonal contraception and condom use (dual method use) compared with no methods, condoms only or hormonal contraception only. Data are from a baseline assessment of 335 youth (52% female) enrolled in an intervention trial. Multinomial logistic regression identified theory-based factors associated with dual method use. At last intercourse 47% of respondents used dual methods, 29% condom only, 14% hormonal contraception only, and 10% no methods. No method users were less likely than dual-method users to feel “dirty” about pregnancy, to have ask about historical condom use, to have more than two partners, to view condom use as normative for boys and more likely to perceive pregnancy risk as remote. Hormonal-contraception-only users were more likely to have sex weekly and perceive sex as pleasurable for girls, and less likely to view condom use as normative for boys and to ask a partner to use a condom. Condom-only users were more likely to perceive pregnancy chance as remote, and less likely to have more than two partners and to want peers to think they were virgins. Interventions should include benefits of dual methods while counseling about the negative impact of STI and unplanned teen pregnancy.

To evaluate the effectiveness of the West Virginia Prescription Drug Abuse Quitline (WVPDAQ). Descriptive data and inferential analyses are provided for the period of operations from 9/11/2008 to 3/1/2010. Chi-square tests for Independence compared differences between callers completing at least one follow-up survey against callers completing only the baseline intake survey were observed. A Wilcoxon signed rank sum test tested differences between the scores of intake callers and follow-up callers at the one-week (n = 177) and one-month (n = 89) intervals. A total of 1,056 calls were received, including 670 intakes, 177 1st follow-ups, 89 2nd follow-ups, and 36 3rd follow ups, and 84 caller satisfaction surveys. Chi-square analyses determined that callers who only completed the intake survey tended to have initiated drug use at a younger age (< or = 39 years of age, chi2 = 7.63, p = .02). Longitudinal findings indicated significant self-reported declines in daily drug use (p < .0001), increased intentions to quit in the next 30 days (p < .0001), and declines in requesting a referral for treatment (p < .0001) at the one-month follow-up. Finally, approximately 19% (n = 17) of callers reported obtaining a counseling/ treatment appointment as a result of calling the WVPDAQ at the one-month follow up. Preliminary results suggest the WVPDAQ has established itself as a meaningful resource to combat prescription drug abuse in West Virginia. Sustainable funding and greater integration of the WVPDAQ into existing and developing treatment infrastructure could provide more affordable options for the state of West Virginia and its citizens.

No description available.

A Collegiate Recovery Community (CRC), also called a Collegiate Recovery Program (CRP) provides a college student in recovery (CSR) an opportunity to attend college with a network that supports their choice to remain free from addictive substances and other addictive behaviors. While research has established the value of CRPs on college campuses, less is known about the connection of a CRP and the role of family through the recovery process. This poster will review the primary components of a CRP and provide findings from a qualitative study seeking to understand how CRPs can involve family. The findings of the study also provide practical application for how CRCs can connect with the families of students in recovery to enhance the recovery process. The key takeaways of this poster include presenting information related to the CRC and evidence for how CRCs can support family members and college students in recovery.

East Tennessee State University (ETSU) has offered an undergraduate degree in public health for 60 years. Alumni survey data have documented that the majority of the graduates from this program enter the workforce [see accompanying commentary by Wykoff, et al. (1)]. To keep pace with ongoing changes in the workforce, the decision was made to completely review, and, as appropriate, revise and restructure the Bachelor of Science in Public Health (BSPH) curriculum.

There has been a rapid growth in the number of programs awarding undergraduate degrees in public health and the number of students receiving such degrees (1). There has not, however, been a significant discussion of the purpose of such degree programs. What, if anything, are the recipients of these degrees being trained to do? What careers, if any, are they being prepared to enter? Is the degree designed primarily to prepare students to enter graduate training in public health or some other graduate or health professional programs? Alternatively, does the degree exist because “an understanding of public health is a critical component of good citizenship and a prerequisite for taking responsibility for building healthy societies”? (2).

Dental care has great importance in the overall health of every individual. Many do not realize the effect oral health plays in their overall health and many areas in the United States do not have access to the dental care needed to obtain proper healthcare standards. In many of these areas, such as the Appalachian region, dental services for low-income citizens are limited. Specifically, in the Northeast Tennessee region, these dental services are severely limited. Washington County and Hawkins County of Northeast Tennessee are specific underserved areas in the Appalachian region. The purpose of this project was to explore the services for low-income residents of upper East Tennessee (the Tri-Cities region) to analyze if the services being provided are utilized, if they are meeting the needs of the individuals that are utilizing the service, and if there are barriers for access to dental care for low-income East Tennesseans. In this research, we surveyed three of the four safety-net dental clinics in the Tri-Cities region to determine the number of patients seen in a year; number of dental appointments filled in a week; if they have volunteer, full-time, or part-time dentists; and if they would expand their dental services if they could; and reasons a patient could be turned away. After analyzing the surveys, there is a need for more accessible dental care in the Tri-Cities region. While these clinics are seeing many patients, there is a lack of dentists and a lack of extensive care being given, which is often what these patients are seeking. Possible solutions to this problem could be proper oral health education in schools and dental hygienists working alongside school nurses, forms of transportation for patients to safety-net dental clinics, a mobile in-home dental office, and HRSA grants for dental personnel.

Research on rates of HIV testing among individuals diagnosed with Bipolar Disorder (BPD) is limited, while HIV infection continues to rise among BPD individuals. The problem is that BPD individuals are at high risk for HIV infection due to non-adherence to treatment for bipolar disorder and manic episodes that can lead to high-risk behaviors. The goal of the study was to examine the association between selected demographic variables, having a bipolar diagnosis, engaging in high-risk behaviors, inability to afford treatment for bipolar disorder, non-adherence to treatment for bipolar disorder, and substance abuse, and their relationship to obtaining an HIV test (the dependent variable) for individuals with BPD. The epidemiologic triangle model served as the theoretical model to assist with interpreting findings. Data collected from 383 BPD diagnosed individuals from the 2007 National Health Interview Study were analyzed using binary logistic regression, chi-square, and multiple logistic regression methods. The results indicated that all 5 behavioral independent variables were significantly associated (p=.000) with obtaining an HIV test. Significant associations were also found for demographic variables (race, gender, and homelessness) as confounding factors that influenced HIV testing among BPD individuals. Implications for positive social change are increased education on the risks of HIV infection and the need for appropriate HIV testing among BPD diagnosed individuals in an effort to protect the health and welfare of this vulnerable population.

For decades, blacks have faced shorter life expectancy than their white counterparts. This persistent disparity has led to a gap in life expectancy between the two groups. Nationally, this gap has decreased over the last 40 years. However, this is not the case at the state-level as some states have experienced little or no improvement in the life expectancy gap. Such is the case in Wisconsin, where the life expectancy gap is the largest in the nation for males, and the gap actually has grown for females over the last two decades. This study seeks to examine this persistent gap in Wisconsin by looking at different causes of death and the ages when they contribute most to the gap. Additionally, this study will examine how the contribution of certain causes of death have changed over time, both between blacks and whites, and also within each group. Using 1999-2001 and 2009-2011 data from the National Center for Health Statistics, this study found that heart disease and malignant neoplasms (cancer) contributed most to the life expectancy gap between blacks and whites and also over time within each group. For females, diabetes and perinatal conditions were found to be top contributors to the black-white gap. Diabetes contributed most after the age of 50. For males, homicide was found to be a top contributor to the black-white gap, particularly among youth aged 15 to 29. Homicide among males frequently ranked near heart disease and malignant neoplasms as a leading contributor to the gap. These findings tell us that by reducing death rates from these causes at particular moments in the life course, the life expectancy gap between blacks and whites can be reduced. This study provides important evidence that health policy makers can use to address racial disparities in life expectancy.

College students are among the highest consumers of sweetened beverages, drinking more than 25% of their daily calorie needs from sweetened drinks. They also tend to be low consumers of milk. This is important, as high consumption of sweetened drinks and low consumption of nutrient-dense drinks is associated with obesity, dental caries and bone disease. Point-of-purchase (POP) marketing and nutrition education programs are thought to be effective in changing food selection behaviors of college students. Therefore, we conducted a 2-week intervention that combined POP marketing and nutrition education aiming to 1. decrease sweetened beverage consumption 2. increase milk/milk equivalent consumption and 3. increase knowledge of beverages and health among University of Massachusetts students. To determine effectiveness of the campaign, college students enrolled at UMass Amherst with a meal plan of > six meals/week were recruited via email for survey participation prior to (n=1547) and 14 days after (n=1387) the intervention. We compared self-reported beverage consumption and nutrition knowledge for pre- versus post-intervention and exposed versus unexposed (post-intervention) survey respondents with Chi-square tests. Using both approaches to assess campaign effectiveness, we found that exposed participants were less likely to drink regular soda at least once per week (p =0.001, p = 0.044), more likely to identify fruit juice is not a source of calcium/vitamin D (p<0.001, p = 0.011) and more likely to identify that there is a link between artificial sweeteners and hunger (p<0.001, p<0.001). We found that POP marketing was effective in decreasing soda consumption and increasing nutrition knowledge about calcium/vitamin D and artificial sweeteners in our study. These results suggest that similar POP marketing campaigns may be useful in college settings to improve beverage choices and knowledge. Successful campaigns that impact long-term behavior may also improve long-term health outcomes for college students by decreasing sweetened beverage intake.