Health Care Provider Mobility Counseling Provision to Older Adults: A Rural/Urban Comparison

Huseth-Zosel, Andrea; Sanders, Gregory F.; O’Connor, Melissa; Fuller-Iglesias, Heather R.; Langley, Linda K.

doi:10.1007/s10900-015-0055-8

Cited by 15 publications

(12 citation statements)

References 32 publications

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“…It is also plausible that participant’s perceptions of ST use as a form of “stress relief” or “relaxation” may actually be a coping strategy for dealing with adverse personal experiences. A recent study among a nationally representative sample of adults found that certain adverse childhood experiences were associated with increased odds for current ST use (28). Whether participants were dealing with nicotine withdrawal, stress, or coping with adverse childhood experiences , beliefs that ST, and nicotine generally, offers positive physiological effects was evident among ST-users and never-users.…”

Section: Discussionmentioning

confidence: 99%

Smokeless Tobacco Decision-Making Among Rural Adolescent Males in California

et al. 2016

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Smokeless tobacco (ST) use among US high school males living in rural areas exceeds national levels. Subgroups at heightened risk of ST use have been identified, but less is known regarding ST decision-making within high-risk groups. The study objective was to describe rural adolescent males' perceived ST acceptability, health risks, and social implications and how those perceptions differ between ST users and never-users. Methods Semi-structured individual interviews were conducted with a purposeful sample of 55 male students (32 ST ever-users) at three rural California high schools. Interviews were audio recorded and professionally transcribed. Investigators collaboratively developed a codebook based on thematic content and then independently coded transcripts, reconvening frequently to achieve consensus. Coded text was systematically organized into themes following a general inductive approach. ST users and non-users shared multiple ST-related perceptions, including: that ST is a common, normative way of life in rural "country" culture among certain groups; that ST use conveys oral health risks; and that the decision to use (or not to use) is rooted in personal choice. ST users' and never-users' perceptions differed regarding the immediacy, severity, and inevitability of health risks, particularly relative to cigarette smoking. Other differences included perceived parental permissiveness and the expected social benefits of ST use, such as peer acceptance and conveying maturity. Within this population of rural male adolescents, ST users emphasized the social benefits of ST use, while acknowledging but discounting health risks. Differences and similarities in tobacco perceptions among adolescents living in similar environments may inform effective health communication.

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Section: Discussionmentioning

confidence: 99%

Smokeless Tobacco Decision-Making Among Rural Adolescent Males in California

et al. 2016

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“…Adolescents also consider e-cigarettes to be trendier, more prevalent, and more acceptable than conventional cigarettes (Anand et al, 2015; Hammal & Finegan, 2016; Roditis & Halpern-Felsher, 2015; Trumbo & Harper, 2013). The lowest perceptions of harm and more positive attitudes regarding e-cigarettes have been reported by adolescents who have used e-cigarettes (Ambrose et al, 2014, 2015; Anand et al, 2015; Chaffee et al, 2015; Kong et al, 2015; Roditis and Halpern-Felsher, 2015; Roditis et al, 2015; Trumbo & Harper, 2013).…”

Section: Introductionmentioning

confidence: 99%

Adolescents' attitudes towards e-cigarette ingredients, safety, addictive properties, social norms, and regulation

Gorukanti

Delucchi

Ling

et al. 2017

Preventive Medicine

159

141

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E-cigarette use has dramatically increased. While studies have examined adolescents’ attitudes towards smoking, few have extended this research to adolescents’ attitudes towards e-cigarettes. The goal of this study was to examine adolescents' attitudes regarding e-cigarette ingredients, safety, addictive properties, social norms, accessibility, price, and regulation; and determine whether attitudes differ by past cigarette/e-cigarette use. Participants were 786 9th and 12th graders from California (63.21% females; mean age = 16.10 years [SD = 1.6]; 26.61% White, 21.98% Asian/Pacific Islander, 29.82% Hispanic, and 21.59% other). Results indicated that 19.05% of participants believed smoke from e-cigarettes is water; 23.03% believed e-cigarettes aren't a tobacco product; 40.36% considered e-cigarettes to be for cessation, and 43.13% felt they were safer than cigarettes. Participants felt it was more acceptable to use e-cigarettes indoors and outdoors compared to cigarettes (p < .0001), 23.13% felt raising e-cigarette taxes is a bad idea, 63.95% thought e-cigarettes were easier to get than cigarettes, 54.42% felt e-cigarettes cost too much, 64.33% felt the age for buying e-cigarettes should be raised, and 64.37% favored e-cigarette regulation. Adolescents who used e-cigarettes and/or cigarettes had significantly more favorable e-cigarette attitudes than non-users. This study indicates that adolescents are aware of some of the risks of e-cigarettes, although many harbor misperceptions and hold more favorable attitudes towards e-cigarettes than cigarettes. Of concern is the relationship between favorable e-cigarette attitudes and use. Findings suggest the need to provide adolescents with correct information about e-cigarette ingredients, risks, and the insufficient evidence of their role in cigarette cessation.

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“…Multiple interventions are necessary to prevent and manage chronic disease while promoting social engagement. Environmental interventions focused on the built environment can be a critical component that can both target social interactions and physical activity [ 39 , 40 ]. Identifying sustainable solutions—namely walkable environments that will help increase or maintain adequate levels of physical activity [ 12 , 39 , 40 , 41 , 42 ]—is critical.…”

Section: Discussionmentioning

confidence: 99%

Restricted Social Engagement among Adults Living with Chronic Conditions

Meek

Bergeron

Towne

et al. 2018

IJERPH

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Background: Social engagement is key to health and quality of life. Little is known about social engagement patterns of middle-aged and older adults who live with one or more chronic illnesses. This study investigated social engagement restrictions among middle-aged and older adults with chronic conditions and factors associated with these restrictions. Methods: Cross-sectional representative data from the National Council on Aging Chronic Care Survey were examined for relationships between social engagement restrictions and chronic conditions, health status, support, quality of life implications, self-care barriers, caregiving, and demographics. Associations were tested using bivariate analyses and binary logistic regression. Results: Participants were 793 middle-aged (age 44–64) and older adults (age 65+) with one or more chronic conditions. Factors associated with social engagement restrictions included having higher education, receiving care, having more physician visits and hospitalizations, being disabled, being unemployed, and having higher Emotional and Physical Problems Scale scores. Conclusions: Findings reveal the prevalence of social engagement restrictions among middle-aged and older adults with chronic conditions. Results highlight the importance of promoting research, assessments, and interventions to increase social engagement among this aging population.

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Health Care Provider Mobility Counseling Provision to Older Adults: A Rural/Urban Comparison

Cited by 15 publications

References 32 publications

Smokeless Tobacco Decision-Making Among Rural Adolescent Males in California

Smokeless Tobacco Decision-Making Among Rural Adolescent Males in California

Adolescents' attitudes towards e-cigarette ingredients, safety, addictive properties, social norms, and regulation

Restricted Social Engagement among Adults Living with Chronic Conditions

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