Background: Childhood overweight and obesity continues to be a major public health concern, especially in minority, low-income, and rural populations. In order to develop health promotion interventions aimed at reducing obesity rates, there is a need to identify which populations have the highest rates of obesity and the risk factors associated with these high rates.
Methods: Data collected from low-income, preschool children and their parents in an urban community and a rural community in Alabama were analyzed and compared.
Hypertension (HTN) is a significant public health problem in adults, and rates of HTN are rising in children as well. The purpose of this study was to determine blood pressure (BP) and body mass index (BMI) levels in low-income, rural preschool children and investigate the relationship between child and maternal factors that impact BP and BMI in these children. Results indicated high rates of overweight/obesity and elevated BP levels in this sample.
View Article and Find Full Text PDFJ Health Care Poor Underserved
February 2018
Background: The association between weight, blood pressure, and use of health care services is not well understood in low-income, preschool children.
Methods: This study was a secondary data analysis of previously collected data. Body mass index (BMI) and blood pressure were collected during health screenings, and information regarding use of health care services was collected by parent report.
Childhood obesity remains a significant public health concern. Children from lower income households have a greater risk of being obese. Low-income families generally have less access to healthy, affordable food choices and turn to federal food assistance programs.
View Article and Find Full Text PDFNurs Clin North Am
September 2015
This study identified risk factors (ie, high-risk racial/ethnic group, overweight/obesity, elevated blood pressure, elevated casual blood glucose, and the presence of acanthosis nigricans) for the development of type 2 diabetes mellitus (T2DM) in underserved children with or without a family history of diabetes during annual preschool health screenings. Early identification of risk factors for the development of T2DM will allow for effective interventions to be implemented, thus, improving the long-term health-related quality of life of at-risk children.
View Article and Find Full Text PDFThe number of nurses working in community-based practices with a population focus is increasing rapidly, whereas the rate of employment for nurses in hospitals is expected to grow more slowly. The shift in health care toward primary health care and health promotion requires nurse educators to ensure that students learn to practice in collaborative partnerships in community settings. This article describes an innovative collaborative partnership with the Capstone College of Nursing and the Office of Health Promotion and Wellness at The University of Alabama.
View Article and Find Full Text PDFIntroduction: The use of rehabilitation services to address musculoskeletal, neurological and cardiovascular late effects among childhood cancer survivors could improve physical function and health-related quality-of-life (HRQL). We describe physical therapy (PT) and chiropractic utilization among childhood cancer survivors and their association with HRQL.
Methods: The sample included 5+ year survivors from the Childhood Cancer Survivor Study (N = 9,289).
Purpose/Objectives: To identify treatment, intrapersonal, and provider factors that influence childhood cancer survivors' adherence to recommended mammography screening.Design: Secondary analysis of data derived from three consecutive surveys within the Childhood Cancer Survivor Study.Sample: Female childhood cancer survivors: N = 335, X age = 30.
View Article and Find Full Text PDFBackground: Despite their risk for serious late sequelae, survivors of childhood cancer do not adhere to recommended medical screening guidelines. We identified treatment, survivor, physician, and contextual factors that may influence survivor adherence to recommended echocardiography and bone densitometry screening.
Methods: Structural equation modeling of data from the Childhood Cancer Survivor Study; 838 participants had received a diagnosis of and were treated for pediatric cancers between 1970 and 1986.
Background: Although physical activity may modify the late effects of childhood cancer treatment, from 20% to 52% of adult survivors are sedentary. The authors of this report sought to identify modifiable factors that influence survivors' participation in physical activity.
Methods: Structural equation modeling of data were derived from the Childhood Cancer Survivors Study of adult survivors (current mean age, 30.
Purpose/objectives: To identify intervention targets that will increase the frequency of breast self-examination (BSE) in female survivors of childhood cancer.
Design: Secondary data analysis of longitudinal clinical trial data.
Setting: Outpatient clinic in a children's research hospital.