Preventive medicine
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Preventive medicine · Jul 2019
Clinical TrialUV detection stickers can assist people to reapply sunscreen.
Sunscreen when applied at the recommended concentration (2 mg/cm2) has been shown to block the harmful molecular effects of ultraviolet radiation (UVR) in vivo. In real world conditions, however, sunscreen is often not applied/reapplied sufficiently to yield protection. This field study tested the effectiveness of UV detection stickers to prevent sunburn and improve reapplication of sunscreen. ⋯ Participants provided with a UV detection sticker were more likely to re-apply sunscreen than controls (80% vs 68%, p = 0.04); but do not reduce sunburn rates. UV detection stickers may improve sunscreen re-application in a high UV-environment. Trial registration: Australian and New Zealand clinical trials register (ACTRN12617001572358).
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Preventive medicine · Jul 2019
Risk factors for alcohol use among pregnant women, ages 15-44, in the United States, 2002 to 2017.
Fetal alcohol exposure can lead to severe birth and developmental defects. Determining which pregnant women are most likely to drink is essential for targeting interventions. In National Survey on Drug Use and Health data on pregnant women from 2002 to 2017 (N = 13,488), logistic regression was used to produce adjusted odds ratios (aOR) indicating characteristics associated with two past-month outcomes: any alcohol use and binge drinking. ⋯ In trimester 1, lower risk was observed in middle ages (aOR = 0.4). In trimesters 2/3, higher risk was observed in Blacks (aOR = 3.3) and those with lower income (aORs 3.5-3.9), while lower risk was observed in those with higher education (aOR = 0.3). To prevent severe prenatal harm, health care providers should focus on women at higher risk for binge drinking during pregnancy: women with tobacco or drug use, alcohol use disorder, or depression, and women who are unmarried, Black, or of lower socioeconomic status.
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Preventive medicine · Jul 2019
Consequences of inadequate sleep during the college years: Sleep deprivation, grade point average, and college graduation.
Sleep deprivation can have substantial consequences for college learning and achievement. However, prior studies on this topic are limited due to the reliance on small and convenience samples, the use of cross-sectional data, inadequate control for confounders, and the lack of outcome data from official school records. The present study used two waves of longitudinal data from the U. ⋯ Students who experienced sleep deprivation from their freshman to senior years had a lower chance of graduation than students who were not sleep deprived. Furthermore, sleep deprivation during students' senior year was found to be more consequential for college graduation than sleep deprivation during their freshman year. Findings suggest that the ramifications of chronic sleep deprivation extend beyond short-term GPA; sleep deprivation predicts the likelihood of obtaining a college degree.
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Preventive medicine · Jul 2019
Population-based primary HPV mRNA cervical screening compared with cytology screening.
Primary HPV screening for cervical cancer by HPV mRNA testing (Aptima) was implemented in January 2017, for women ≥30 through 70 years, in the Region of Skåne, Sweden. HPV positive samples underwent cytology assessment, and women with any degree of abnormal cytology were referred for colposcopy. The aim was to audit the primary HPV screening program, by comparing the cytology results to those of corresponding women (aged ≥30 through 65 years) screened with conventional cytology during 2016. ⋯ The colposcopy referral rate increased by 54% (3.70 vs 2.41%), when primary HPV screening was introduced. In conclusion, the implemented primary HPV screening approach demonstrated similar prevalence of ASCUS+ cytology as conventional screening. In addition, primary HPV screening decreased cytology assessments by 86% in our screening population of women 30 through 70 years taken into account the co-tested women.
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Preventive medicine · Jul 2019
Pediatric resident firearm-related anticipatory guidance: Why are we still not talking about guns?
This study characterizes the current firearm-related anticipatory guidance practices of pediatricians-in-training and the factors affecting those practices. In this study of Pediatric residents in the Mid-Atlantic region, surveys were distributed to 189 trainees at three hospitals. Eighty-one responses were collected between June 2017 and March 2018. ⋯ For pediatricians to provide potentially lifesaving counseling on firearm safety, they must be well-versed in the subject and feel comfortable and confident in doing so. Educational interventions addressing physician self-efficacy are necessary to accomplish this. There is an urgent need to develop a comprehensive firearm safety education program for physicians and trainees to improve firearm counseling.