Examining rurality and social determinants of health among women with GDM: a 15-year comprehensive population analysis.

Background: Gestational diabetes mellitus (GDM) is a common pregnancy complication with long-term health consequences for mothers and their children. The escalating trends of GDM coupled with the growing prevalence of maternal obesity, a significant GDM risk factor projected to approach nearly 60% by 2030 in Kansas, has emerged as a pressing public health issue.

Methods: The aim of this study was to compare GDM and maternal obesity trends in rural and urban areas and investigate maternal demographic characteristics influencing the risk of GDM development over a 15-year period.

Risk Factors, Depression, and Drugs Influencing Sexual Activity in Individuals With and Without Stroke.

Purpose: The aim of the study was to analyze factors affecting sexual activity in individuals with and without stroke, ages 40-59 years, in a national, cross-sectional, population-based sample derived from the National Health and Nutrition Examination Survey (NHANES).

Design: Descriptive, cross-sectional survey.

Methods: Data were obtained from the NHANES (2011-2012) data set from individuals (N = 3,649) completing items related to cardiovascular risk factors, drugs, and sexual activity.

Depression, Quality of Life, Physical Activity, and the Impact of Drugs on Sexual Activity in a Population-Based Sample, Ages 20-59 Years.

Sexual quality of life is important for many individuals; therefore, this study examined the frequency of depression in a younger and middle-aged population-based sample, and the impact on physical activity, quality of life, and sexual activity, and the role of antidepressant and cardiac drugs on sexual function. The sample, ages 20 to 59 years, completed relevant items for depression, sexual activity, physical activity, quality of life, and drugs. Data were analyzed using descriptive statistics, Pearson correlations, t-tests, and analysis of variance.

The Influence of Comorbidities, Risk Factors, and Medications on Sexual Activity in Individuals Aged 40 to 59 Years With and Without Cardiac Conditions: US National Health and Nutrition Examination Survey, 2011 to 2012.

Background: Sexual activity is increasingly recognized as an important aspect of quality of life for many individuals with cardiovascular disease, although less is known about the factors contributing to sexual functioning in younger adults.

Objective: This study examined factors influencing sexual activity in individuals aged 40 to 59 years, comparing those reporting a cardiac condition with those without a cardiac condition, in a national population-based sample.

Methods: The data were derived from the 2011 to 2012 National Health and Nutrition Examination Survey, a publicly available data set with a noninstitutionalized nationally representative sample.

Baccalaureate nursing students' application of social-cognitive sexual counseling for cardiovascular patients: A web-based educational intervention.

Background: A gap in knowledge and practice exists for sexual counseling of cardiovascular patients, and innovative approaches are needed to address patients' sexual quality of life.

Aim: To evaluate a web-based social-cognitive intervention for evidence-based sexual counseling by baccalaureate nursing students with cardiovascular patients.

Methods: A pre- post-test survey design was used: pre-test (T1), immediate post-test after intervention (T2), and at 4 to 6weeks post-intervention (T3).

Predictors of change in sexual activity after cardiac diagnosis: Elements to inform sexual counseling.

Safely returning to sexual activity after being diagnosed with a cardiac condition is at the core of sexual counseling strategies. To further inform sexual counseling, this study examined changes in sexual activity before and after a cardiac diagnosis. Logistic analysis was used to suggest factors that can contribute to a change in sexual activity among cardiac patients.

Change in sexual activity after a cardiac event: the role of medications, comorbidity, and psychosocial factors.

Aim: The aim of this study was to examine change in sexual activity before and after cardiac diagnosis in men and women by medication class.

Background: Decline in sexual activity after cardiac diagnosis frequently occurs, with adverse effects of medications believed to play a role, although literature by subclass of drugs are conflicting.

Methods: Mixed methods approach was used to evaluate cardiac patients' (N=211) self-reported medications and changes in sexual activity before and after cardiac diagnosis via mailed survey.

Medication use and predictors of sexual activity in men and women with CVD.

Purpose: To examine the influence of cardiac and noncardiac medications on sexual activity by drug classification and generation of the drug, among men and women with cardiovascular disease.

Data Sources: This study was a subanalysis (n = 224) of survey data from a cross-sectional sample of 336 cardiac patients. Self-reported medications were categorized by generic drug name, classification, and subclass and/or generation of the drug.

Cardiac comorbidities and sexual activity predict sexual self-perception and adjustment.

Background: Changes in sexual satisfaction and sexual activity are often reported by cardiac patients, although factors influencing sexual adjustment are not well established. Knowledge of risk and protective factors can guide nurses in addressing physical and psychological needs of patients.

Objectives: We examined predictors of sexual self-perception and adjustment in a cross section of cardiac patients.

Sexual concerns of cardiac patients: A psychometric analysis.

The primary aim of this study was to evaluate the psychometric properties of the Steinke Sexual Concerns Inventory-General Cardiac Version (SSCI-GCV) and to examine its use across multiple cardiac diagnoses. A sub-analysis of a cross-sectional sample of 205 cardiac patients from the central USA was completed. Our analyses yielded promising evidence that the SSCI-GCV is a reliable (Cronbach's alpha = 0.

Sexual concerns of cardiac patients: predictors and the influence of specific sexual activities.

Background: Addressing sexual concerns of cardiac patients is integral to comprehensive patient-centered nursing care, and instruments for use across cardiac populations are needed to promote this activity. Knowing the factors that contribute to sexual concerns provides insights that help to promote inclusion of assessment of relevant sexual activity and provide sexual counseling as a standard of care.

Aim: This study examined demographic factors, comorbid conditions, and sexual activities as predictive of sexual concerns.

The impact of emotional and material social support on women's drug treatment completion.

This study assessed how women's perceptions of emotional and material social support affect their completion of residential drug treatment. Although previous research has examined how social support affects recovery, few studies, if any, have examined both the types and the sources of social support. The study hypothesized that women's perceptions of the emotional and material social support they receive from family, friends, partners, drug treatment, child welfare, and welfare agencies will affect treatment completion.

Prescription for trouble: Medicare Part D and patterns of computer and internet access among the elderly.

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 specifically encourages Medicare enrollees to use the Internet to obtain information regarding the new prescription drug insurance plans and to enroll in a plan. This reliance on computer technology and the Internet leads to practical questions regarding implementation of the insurance coverage. For example, it seems unlikely that all Medicare enrollees have access to computers and the Internet or that they are all computer literate.

The Impact of Foster Care and Temporary Assistance for Needy Families (TANF) on Women's Drug Treatment Outcomes.

This study assesses the impact of having a child in foster care and receiving cash benefits through Temporary Assistance for Needy Families (TANF) on women's completion of a residential drug treatment program. The study's hypothesis was that drug treatment completion rates for women who had children in foster care and/or who were receiving TANF would differ from women who did not receive these services. The sample included 117 women age 19 to 54, in a Midwestern state.

Grandchild, grandparent, and parent coresidence from 1970 to 1990: structural factors affecting state patterns.

This study analyzes structural forces affecting state patterns of parental presence within grandparent-grandchild coresidence by testing demographic, social change, policy environment, and social problems models. The project combines published state-level data with the 1970, 1980, and 1990 Census Public Use Microdata Samples. While factors differentially affect the proportion of children living in each household structure, coresidence seems to be encouraged by social contexts in which people are poor, the middle generation is likely to die, and which have higher rates of births to teens.

Grandparents in law: investigating the institutionalization of extended family roles.

Previous research on grandparents has focused on the individual and familial level and has characterized grandparent roles as ambiguous and contingent. Emphasizing instead structural phenomena, this theoretical paper argues that grandmother and grandfather roles are being institutionalized through state and federal legislation. This phenomenon provides an opportunity to investigate the process of institutionalization as it happens.