American journal of preventive medicine
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Taking proper protective action upon receiving tornado warnings is critical to reducing casualties. With more warning information sources becoming available, how the number of such information sources affects decision making should be quantitatively investigated. ⋯ Receiving warnings from more warning information sources might be more beneficial in places with less previous exposure to tornadoes and for populations with lower awareness of a potential tornado and higher probability of receiving no warnings. Emergency management agencies and public health officials should give priority to these places and populations when formulating disaster mitigation decisions and policies.
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Colorectal cancer (CRC) is largely preventable by finding and removing adenomas, but many people have not been screened, especially the uninsured with low income. ⋯ The CCSP, a successful community clinic/academic partnership provides cost-effective CRC screening and prevention services to low-income uninsured Coloradans and establishes the infrastructure to support screening low-income Coloradans as Affordable Care Act reforms provide payer coverage for them.
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Rotating night shift work imposes circadian strain and is linked to the risk of several chronic diseases. ⋯ Women working rotating night shifts for ≥5 years have a modest increase in all-cause and CVD mortality; those working ≥15 years of rotating night shift work have a modest increase in lung cancer mortality. These results add to prior evidence of a potentially detrimental effect of rotating night shift work on health and longevity.
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There is currently no population-based research on the maternal characteristics or birth outcomes of U.S. women with intellectual and developmental disabilities (IDDs). Findings from small-sample studies among non-U.S. women indicate that women with IDDs and their infants are at higher risk of adverse health outcomes. ⋯ Women with IDDs are at a heightened risk for adverse pregnancy outcomes. These findings highlight the need for a systematic investigation of the pregnancy-related risks, complications, costs, and outcomes of women with IDDs.
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Recent evidence suggests that opening a grocery store in a food desert does not translate to better diet quality among community residents. ⋯ NCT00911885.