Publications by authors named "Dianna Carroll"

Since 1951, the Epidemic Intelligence Service (EIS) of the U.S. Centers for Disease Control and Prevention (CDC) has trained physicians, nurses, scientists, veterinarians, and other allied health professionals in applied epidemiology.

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  • The study aimed to assess changes in knowledge, attitudes, and prevention practices regarding Ebola during the Sierra Leone outbreak from 2014 to 2015 through four cluster surveys.
  • Results showed significant improvements in 14 out of 16 measured outcomes, such as increased willingness to accept Ebola survivors and decreased belief in spiritual healers’ ability to treat the virus.
  • The findings suggest that targeted community engagement is crucial, especially in high-transmission areas, to enhance public understanding and practices during outbreaks.
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Background: The Physical Activity Guidelines for Americans, second edition, recommend that all adults participate in moderate-intensity equivalent aerobic physical activity at least 150-300 min/week for substantial health benefits and muscle-strengthening activities involving all major muscle groups 2 or more days a week. The prevalence of the general population meeting the Guidelines and the types of physical activity in which they engage have been described elsewhere. Similar descriptions are lacking for individuals with mobility disability whose physical activity profiles may differ from the general population.

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Adults with intellectual and developmental disabilities (IDD) are known to experience significant health disparities; however, few studies have described anti-hypertensive medication adherence in this population. Using administrative data from South Carolina from 2000-2014, we evaluated the odds of adherence to anti-hypertensive medication among a cohort of adults with IDD and hypertension. Approximately half (49.

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Social mobilisation and risk communication were essential to the 2014-2015 West African Ebola response. By March 2015, >8500 Ebola cases and 3370 Ebola deaths were confirmed in Sierra Leone. Response efforts were focused on 'getting to zero and staying at zero'.

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  • * Prevalence of disability was found to be different depending on the measurement method, with BADQ showing 31.1% disabled and 6Q showing 17.5%. Similarly, physical inactivity among people with disabilities was 42.9% for BADQ and 52.5% for 6Q; both methods revealed significant inactivity gaps between disabled and non-disabled groups.
  • * The findings emphasize the importance of choosing appropriate disability measures, as they significantly
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Objective: To assess patterns of contraceptive use at last intercourse among women with physical or cognitive disabilities compared to women without disabilities.

Study Design: We analyzed responses to 12 reproductive health questions added by seven states to their 2013 Behavioral Risk Factor Surveillance System questionnaire. Using responses from female respondents 18-50 years of age, we performed multinomial regression to calculate estimates of contraceptive use among women at risk for unintended pregnancy by disability status and type, adjusted for age, race/ethnicity, marital status, education, health insurance status, and parity.

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Introduction: Information on dietary intake, including sugar-sweetened beverages (SSBs), for adults with disabilities is limited. Such information can inform interventions to prevent chronic disease and promote health among adults with disabilities. The objective of this study was to describe the associations between SSB consumption and disability among adults.

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Introduction: Adults with disabilities are more likely to be physically inactive than those without disabilities. Although receiving a health care provider recommendation is associated with physical activity participation in this population, there is little information on factors associated with primary care providers recommending physical activity to patients with disabilities.

Methods: We used 2014 DocStyles data to assess primary care provider characteristics and perceived barriers to and knowledge-related factors of recommending physical activity to adult patients with disabilities, by how prepared primary care providers felt in making recommendations.

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Background: In Sierra Leone, over 4000 individuals survived Ebola since the outbreak began in 2014. Because Ebola survivorship was largely unprecedented prior to this outbreak, little is known about survivor experiences during and post illness.

Methods: To assess survivors' experiences and attitudes related to Ebola, 28 in-depth interviews and short quantitative surveys with survivors from all four geographic regions of Sierra Leone were conducted in May 2015.

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Each year in the United States, about 4000 deaths are attributed to cervical cancer, and over 40,000 deaths are attributed to breast cancer (U.S. Cancer Statistics Working Group, 2015).

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The ability to make healthy choices is influenced by where one lives, works, shops, and plays. Locally enacted policies and standards can influence these surroundings but little is known about the prevalence of such policies and standards that support healthier behaviors. In this paper, we describe the development of a survey questionnaire designed to capture local level policy supports for healthy eating and active living and findings and lessons learned from a 2012 pilot in two states, Minnesota and California, including respondent burden, survey sampling and administration methods, and survey item feasibility issues.

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Background: Nationally representative normative values for cardiorespiratory fitness (CRF) have not been described for US children since the mid 1980s.

Objective: To provide sex- and age-specific normative values for CRF of US children aged 6-11 years.

Methods: Data from 624 children aged 6-11 years who participated in the CRF testing as part of the 2012 National Health and Nutrition Examination Survey National Youth Fitness Survey, a cross-sectional survey, were analyzed.

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Background: Previous studies have examined participation in specific leisure-time physical activities (PA) among US adults. The purpose of this study was to identify specific activities that contribute substantially to total volume of leisure-time PA in US adults.

Methods: Proportion of total volume of leisure-time PA moderate-equivalent minutes attributable to 9 specific types of activities was estimated using self-reported data from 21,685 adult participants (≥ 18 years) in the National Health and Nutrition Examination Survey 1999-2006.

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Nearly 40 million persons in the United States have a disability, as defined by responses to six questions recommended by the U.S. Department of Health and Human Services as the national standard for identifying disabilities in population-based health surveys (1).

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Article Synopsis
  • Starting in 2013, the Behavioral Risk Factor Surveillance System (BRFSS) expanded its disability questions by adding a 5-question set to better assess disability prevalence and respondent characteristics.
  • Analysis of the 2013 data showed that 21.6% of adults reported disabilities using the 2-question set, while 22.7% reported disabilities with the 5-question set, with over half of those identifying disabilities with both.
  • The new 5-question set enhances understanding of disability types and demographics, aiding in the development of tailored health interventions and programs for individuals with specific disabilities.
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Objectives: People with disabilities are known to experience disparities in behavioral health risk factors including smoking and obesity. What is unknown is how disability, race/ethnicity, and socioeconomic status combine to affect prevalence of these health behaviors. We assessed the association between race/ethnicity, socioeconomic factors (income and education), and disability on two behavioral health risk factors.

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The risk of obesity is reduced when youth engage in recommended levels of physical activity (PA). For that reason, public health organizations in the U.S.

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  • - Understanding disability prevalence is crucial for public health, as it helps address the needs of individuals with disabilities.
  • - The CDC's 2013 analysis of BRFSS data revealed that mobility and cognitive disabilities were the most commonly reported, with varying state-level prevalence rates.
  • - Higher disability rates were noted among women and adults in Southern states, with older age groups particularly affected, providing essential insights for targeted public health interventions.
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Objectives: Our study is the first to describe the prevalence and correlates (demographics, body mass index [BMI], sedentary behaviors, and physical activity) of high school youth who report active videogame playing (active gaming) in a U.S. representative sample.

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Background: Information on specific types of physical activities in which US adults participate is important for community and program development to promote physical activity.

Methods: Prevalence of participation and average time spent for 33 leisure-time aerobic activities and 10 activity categories were calculated using self-reported data from 22,545 participants aged ≥ 18 years in the National Health and Nutrition Examination Survey 1999-2006.

Results: Overall, 38% of US adults reported no leisure-time physical activities, and 43% reported 1 or 2 activities in the past 30 days.

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Background: Walking, the most commonly reported physical activity among U.S. adults, is undertaken in various domains, including transportation and leisure.

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Background: The 2008 Physical Activity Guidelines recommend youth participate in a variety of physical activities; however, few nationally representative studies describe the types and variety of youth activity. This study assessed the most frequently reported types and variety of activities among U.S.

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Purpose: The purpose of this study was to examine the dose-response relationship between physical activity (PA) and health-related quality of life (HRQOL) among adults with and without limitations.

Methods: We dichotomized HRQOL as ≥14 unhealthy (physical or mental) days (past 30 days), or <14 unhealthy days. By using a moderate-intensity minute equivalent, PA categories were as follows: inactive, 10-60, 61-149, 150-300, and >300 min/week.

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