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Objective: This study investigated relationships among acculturation, sociodemographic, and health characteristics of adult U.S. immigrants and cardiovascular disease. Design: Secondary data analysis using population data from 1,945 immigrant participants in the 2017 National Health Interview Survey (NHIS). Measurements: Acculturation was measured using citizenship status, number of years in the U.S., and English language proficiency. Chi-square tests and multiple logistic regression modeling were utilized. Results: Approximately 4.3% of the study sample had cardiovascular disease. Compared to immigrants without U.S. citizenship, significantly higher proportion of immigrants with U.S. citizenship had cardiovascular disease (6.2% vs. 1.7%, p < .001). In the multivariable-adjusted model, compared to non-citizen immigrants, odds of cardiovascular disease were higher in immigrants with U.S. citizenship (odds ratio 3.80, 95% confidence interval 1.91, 7.56). Conclusion: Acculturation factors, specifically U.S. citizenship, along with sociodemographic and health risk factors were associated with increased odds of cardiovascular disease among immigrants. This study builds upon previous findings demonstrating increased acculturation including U.S. citizenship in immigrant populations is associated with increased odds of cardiovascular disease. These findings inform public health specialists and clinicians of factors to consider for cardiovascular disease risk in immigrants as they adapt to their host country.

We aimed to compare salient characteristics and antecedents of quality of life (QOL) in adolescents and young adults with implantable cardioverter–defibrillators (ICDs) from qualitative methods with quantitative measurement of QOL and correlations between QOL (PedsQL) and measured participant characteristics. Concurrent parallel mixed methods design was used to collect survey data from the PedsQL electronic health record, demographic questionnaire, and semistructured interview data. A convenience sample of 16 individuals with ICDs, aged 13 to 25 years, was obtained from a tertiary pediatric facility. Overall QOL and subdomains of physical, psychosocial, and academic/work were examined by PedsQL and visual analog scale. Select demographics were collected to develop a participant profile. Females with ICDs appear to be at risk of poor QOL given some unknown factors. Financial status of the individual and the family was positively related to QOL. For new ICD persons involved in physical activities that must be stopped, peer support appears to improve QOL.

This study aimed at identifying the attitudes of students enrolled in the Introduction to Education course at Karak University College towards e-learning and its applications in light of its relationship to some variables. The population of the study consisted of students enrolled in the Introduction to Education course in the Department of Educational and Social Sciences at Karak University College in the first semester of the academic year (2020 -2021) The study was applied to the entire population of the study, whose number was (75) male and female students. The study used the descriptive approach and applied a scale to identify students' attitude towards e-learning and its applications. The tool consisted of (39) items and graded on a five-degree scale. The results of the study showed that the students ’attitudes towards e-learning and its applications came as follows. 12 paragraphs of the scale were within the positive high attitudes, while the remaining 27 paragraphs had a neutral attitude and there were no negative attitudes. The mean scores of the scale was (2.94), which indicated that the students ’attitudes were overall neutral. The results of the study also showed that there were no statistically significant differences between the responses of the study sample about their attitudes towards e-learning and its applications according to their academic achievement. The results also showed no statistically significant differences between students' responses about their attitudes towards e-learning and its applications according to their different experiences in the fields of e-learning, and in favor of the sample members with average experience.

Context: As substance use continues to be a public health crisis nationally, it disproportionately affects the Appalachian region. Objectives: Our research seeks to explore whether there is a greater substance use burden in Appalachia and whether that burden is being prioritized in local hospital systems' community health needs assessments (CHNAs) and implementation strategies (ISs). Setting: The setting for this study is the 13 states that are represented within the Appalachian region. Participants: This study examines CHNAs and ISs of a stratified random sample (n = 140) representing 20% of the hospital population within the identified states (those with counties within the Appalachian region). Each sampled hospital is labeled as Appalachian or non-Appalachian based on its county designation. Main Outcome Measures: Our main outcome measures were the percentage of hospitals listing substance abuse in their CHNAs, with comparisons between Appalachian and non-Appalachian subgroups, and percent addressing substance use in their ISs in Appalachia and non-Appalachia. Design: Community health needs assessments and ISs produced between the years 2018 and 2021 were gathered for each hospital within the sample; each document was then coded for the inclusion of substance use. Chi-square tests and logistic regression were employed to conduct the analysis and draw conclusions. Results: Although all non-Appalachian Counties that had substance use listed as a need within a CHNA correspondingly addressed that need in their ISs, only 75% of Appalachian counties that listed substance use a need went on to prioritize substance use in an IS. In addition, logistic regression indicated no significant link between overdose rates and addressing substance use. Conclusions: These findings further support other literature that suggests that lack of resources is limiting Appalachian health care organizations' ability to address substance use issues.