National Status Research Articles

Understanding factors that impact the acquisition of independent living skills (ILS) among young people transitioning from out-of-home care

Background and AimsIndependent Living Skills (ILS) are essential to support young people as they enter adulthood. Negative outcomes are consistently observed across a variety of different independent living areas of life for care experienced young people. This study aimed to understand ILS measure scores across eight ILS domains and overall, completed by young people from Western Australia (WA), how they differ between participants who were still in-care (n = 49) and who had left-care (n = 73), and what factors (such as care experience and personal characteristics) moderate the acquisition of ILS. For this paper, the overarching concept of ILS is defined by young people’s ILS measure scores, where higher self-reported scores are interpreted as greater confidence and competence in ILS (overall and for each of the eight ILS domains). MethodsParticipants (N = 122) aged between 15 and 25 years completed an ILS measure as part of the Navigating Through Life, longitudinal, mixed-method, population-based study. This present study considers data from wave 1 (of 5) of the NTL study, where eight ILS domains were identified: Financial Management, Knowledge of Accessing Available Supports, Managing Housing, Education Planning, Job Seeking, Health Risk Management, Domestic and Self-help Task, and Managing Relationships. This study explored how dependent variables (the ILS overall scores and 8 ILS domain scores) are associated with participants’ care experience and demographic characteristics (the independent variables) via linear regression and an exploratory multivariate moderator analysis. ResultsThe in-care and left-care groups’ ILS measure scores were comparable. Of the independent variables, care status, self-determination, and regionality were significant (p-value=<.05), predicting greater ILS measure scores across the ILS domains and/or overall. Whereas the independent variables of placement stability, longest placement type, gender, taking part in an enhanced leaving care scheme (ELCS), and Aboriginal and Torres Strait Islander status were not significant predictors of higher ILS measure scores. Moderator analyses were conducted for the overall ILS scores, the Health Risk Management, and the Domestic and Self-help Task domain scores (dependent variables). No significant interaction effects were found for care status, self-determination, and regionality, which were identified as significant factors in and of themselves. Discussion and ConclusionThis study emphasises that ILS domains are interlinked, and findings should be utilised to further highlight the significance of the transition to adulthood stage, especially given the similarities in scores for both in-care and left-care groups. Future research could look at transition pathways that prioritise different ILS domains depending on young people’s different needs at different times to support their overall ILS acquisition.

When Is a Dingo Not a Dingo?

In 2019 the Western Australian government recategorised the dingo ( Canis dingo) as a wild dog ( Canis familiaris) whose status is legally declared to be a pest. Despite its iconic native status, Canis dingo has been rendered non-existent and liable to be disposed of by inhumane means. Dumped in a legal black hole via a signifying regime of signs, dingoes are confronted with the fact of their own non-existence. Regarding the dingo as a dingoing, a multiplicity and a process, rather than a characteristic, I read the reclassification event symptomatologically and interrogate the constellations of symptoms and regimes of signs which legitimate the event and its performativity. I examine order-words including ‘pest’ and ‘wild dog’ to shift the focus from the words’ meaning to what they do. I subsequently enquire whether ‘dingo’ might become a pass-word, a component of passage, such that dingoes might exist under reprieve in a post-signifying regime. I argue that post-signifying regimes are codified, however, as subjects are individuated along lines of subjectification. I conclude by contemplating whether it is possible to break with subjectification, liberating these demonic nonhuman animals from the signifiers which territorialise them and permitting dingoes to become-animal.

The majority of 30-days survivors return to work one-year after in-hospital cardiac arrest

Abstract Background Surviving in-hospital cardiac arrest poses a significant risk of anoxic brain damage, which can impede survivors’ ability to return to work. Purpose This study aimed to examine return to work among in-hospital cardiac arrest survivors. Methods In this cohort study we included all 30-day survivors of working age (18-64 years), who experienced an in-hospital cardiac arrest between January 1st, 2013, and December 31st, 2018. Data was obtained from the national Danish in-hospital cardiac arrest registry (DANARREST) and employment status was retrieved from a registry from the Danish National Labor Market Authorities. We used a previously validated definition of "working" as any individual who was not on any social benefits, except state education fund grants, maternity leave pays, or leave-of-absence. Only patients working four weeks prior to the event were included in the study. Kaplan-Meier survival analysis was applied to estimate the probability of returning to work. Results Among 7,254 in-hospital cardiac arrest patients in Denmark from 2013-2018, 1,781 were of working-age, with 734 surviving at least 30 days. A total of 348 patients, who were working four weeks before their event, formed the final study population (Figure 1). Median age was 54 (Interquartile range (IQR) 46-59) and 70.4% were male. The cumulative incidence for return to work was 67.0% (95% CI: 62.0%-71.9%) with 4.6% (95% CI: 2.4%-6.8%) dying by one-year post-arrest as a competing risk (Figure 2). Age and sex distribution were comparable between survivors returning to work, those who did return to work, and those who died. A higher proportion of survivors returning to work had a Carlson’s Comorbidity Index score of 1 (70.8%) compared to survivors without work (58.1%) and those who died (33.3%). Additionally, an initial shockable rhythm was more frequent among survivors returning to work (49.8%) compared to survivors who did not return to work (45.2%), and those who died (9.1%). Conclusion We found that 67% of 30-day survivors of in-hospital cardiac arrest returned to work one year after their event. While survivors retuning to work shared comparable age and sex distributions with survivors who did not return to work and non-survivors, factors such as a lower Carlson’s Comorbidity Index score and a higher proportion with an initial shockable rhythm were distinguishing characteristics for those who returned to work.FlowchartCumulative incidence curves

Empowering youths through citizen science to address health inequalities in adolescence

Abstract Citizen Science (CS) stands as a beacon of hope in the fight against inequalities in adolescent health, revolutionizing scientific research by involving individuals from diverse backgrounds. Unlike traditional methods, CS transcends academic boundaries, fostering inclusivity and collaboration irrespective of age, nationality, or social status. This approach has gained momentum in adolescent health research, empowering young people as co-researchers from project inception, thereby reducing disparities in health knowledge and access. Studies demonstrate its efficacy in enhancing empowerment and health literacy among participants. YouthChronic is an example of how CS can mitigate health inequalities among adolescents. The project ensures active participation in every research stage by engaging adolescents with chronic conditions as citizen scientists. Open-ended questions facilitate detailed responses, while participation in analysis and dissemination enhances their research involvement and sense of ownership. Through initiatives like YouthChronic, CS is reshaping the research landscape, making it more relevant and impactful to bridge the inequality gap. Young Citizen Scientists’ views on their participation: “As part of YouthChronic, we felt like our experiences with chronic conditions were finally being heard. The researchers were cool-they listened to us, let us be flexible with our participation, and even taught us some research skills. Learning from other peers’ experiences made us feel less alone and gave us new insights. But it’s frustrating that we’re limited by resources. We have big ideas, like running an advocacy campaign, but we need funding to make them happen”. In conclusion, by actively involving adolescents in the scientific process through CS initiatives like YouthChronic, we can reduce inequalities in adolescent health, empower marginalized voices, and pave the way for a brighter, more inclusive future in scientific exploration and discovery.

Healthcare workers' knowledge, attitudes, and practices towards cardiovascular disease prevention: a multi-national cross-sectional study

Abstract Introduction Prior studies have shown that improved primordial prevention of cardiovascular disease (CVD) may significantly delay its onset. Healthcare workers (HCWs) are well-placed to influence healthy lifestyle habits for CVD prevention. However, it is unclear how well HCWs fare in this role given the multiple demands on their time in clinical practice. Purpose We sought to understand the CVD prevention knowledge, attitudes and practices (KAPs) of HCWs across 25 nations. Insights gained could help inform efforts to optimise CVD prevention by HCWs. Methodology: Data was collected via an anonymous, online questionnaire which consisted of pre-validated CVD prevention and smoking cessation subscales adapted from the Preventive Medicine Attitudes and Activities Questionnaire (PMAAQ). The subscales have been previously validated in a study population of primary care residents in the US, demonstrating validity and reliability. Results 668 HCWs (60% doctors, 28% nurses, 12% medical students) from 25 nations responded to the survey. Overall, 74.86% of HCWs routinely assessed patients’ cardiovascular (CV) risk profiles in clinical practice. 65.65% of HCWs counselled patients who were asymptomatic for CVD on tangible lifestyle changes to improve their CV risk profiles, while 68.22% of HCWs did so when patients were overweight. Of note, only 51.26% of HCWs implemented comprehensive smoking cessation interventions for their patients. Practising HCWs demonstrated higher levels of CVD prevention promotion than medical students in all aspects (Fig 1b), except for self-reported importance of CVD risk factor counselling in primary prevention (Tukey HSD diff: 0.31, p-value: 0.051). Among practising HCWs, there were no significant differences in their promotion of CVD prevention across varying lengths of clinical practice. HCWs from higher income nations[1] tended to fare worse than their lower income counterparts in the promotion of CVD prevention (Fig 1a). Conclusion A large multi-national survey reveals significant gaps in the promotion of CVD prevention by HCWs, highlighting key differences in CVD prevention practices based on national income status. The results also demonstrate significant differences between medical students and practising HCWs’ CVD prevention behaviours, highlighting the role of continuing education for the promotion of long-term positive CVD prevention clinical practices amongst HCWs. Further efforts may target the medical education of early-career HCWs, especially in higher income nations. [1] National income level is defined as per the World Bank's classification, with the exception of Taiwan which is not classified as an independent nation under the World Bank. However, Taiwan is still labelled as a high income nation as her GNI (US$33,565) fits the criterion of the World Bank's definition of a high income nation (GNI per capita of &amp;gt;US$13,846).Table 1:Participant demographicsFigure 1a and 1b

Global burden of ischemic stroke attributable to high body mass index in 204 countries and territories, 1990–2021

BackgroundA high body mass index (hBMI) is one of the major risk factors for ischemic stroke (IS), although independent estimates of the global burden and trend of IS attributable to hBMI are unclear.MethodsStudy data were extracted from the Global Burden of Diseases, Injuries, and Risk Factors Study and analysed by age, sex, year, and geographical location. The sociodemographic index (SDI) and the human development index (HDI) were used as indicators of national socioeconomic status. Geographic distributions and trends were assessed by calculating the estimated annual percentage change (EAPC). Associations between the age-standardized death rate (ASMR) or disability-adjusted life year rate (DALY) and socioeconomic status were analysed.ResultsDeaths and DALYs increased worldwide from 1990–2021, with increases of 95.74% for the former and 133.00% for the latter; the ASMR and ASDR decreased, with an ASMR and ASDR-related EAPCs of -1.10 (95% CI: -1.24–-0.96) and 0.04 (95% CI:-0.47–0.55), respectively; women had greater numbers of deaths and DALYs, and the majority of deaths and DALYs were shared by those aged ≥ 70. The highest burden rates were shared by Eastern Europe, North Africa, the Middle East, and Central Asia. The ASMR-related EAPCs were associated with the ASMR in 1990 (R = -0.35, P < 0.001) and the SDI in 2021 in different countries (R = -0.66, P < 0.001); these patterns were similar to those of the ASDR; the HDI in 2021 was associated with the ASMR-related EAPC (R = -0.71, P < 0.001) and the ASDR-related EAPC in different countries (R = -0.71, P < 0.001).ConclusionsThe number of deaths and DALYs from ischemic stroke attributable to hBMI worldwide increased substantially from 1990–2021. Successful population-wide initiatives targeting hBMI may mitigate a wide range of burdens on this disease. Taking into account variations in the SDI burden, future prevention and control strategies must be developed and implemented according to country-specific development status.

The Influence of Religion on Economic Development

Religion is one of the most important institutions in the process of socialization. Which has a profound effect on a thinking and behavior of individuals and groups. As well Religion affects economic system and is an important part of regulating economic life of individuals, however, nation building and national consciousness are based on the national economy. An important part of the preservation and development of nations is through the economy. Culture, religion and social traditions play an important role in shaping the economic status of nations. This is an important part of sanctified the work, work ethic, and love of work. Some opinion believe that religions have a profound effect on the way of life of individuals and groups. So that the basis of work, production and trade is sanctify mundane efforts. At the same time, it distorts the topics related to squandering and social virtues. This study is qualitative research, the aim of the study is to present the relationship between religion and the economy. As a result of this study, we found that religion and economics are two socio-cultural phenomena, and there is a strong influence and interaction between them. The level of influence and the relationship between them varies from one society to another. Religion also has strong influences on national economic development; therefore, religious discourse can play a powerful role in the process of encouraging the development of work culture and work ethics in societies. Reflecting economic growth in societies.

To what extent could eliminating racial discrimination reduce inequities in mental health and sleep problems among Aboriginal and Torres Strait Islander children? A causal mediation study

BackgroundRacism is a fundamental cause of health inequities for Aboriginal and Torres Strait Islander children. We estimated the potential reduction in inequities in Aboriginal and Torres Strait Islander children’s mental health and sleep problems if interpersonal racial discrimination was eliminated. MethodsWe drew on cross-sectional data from the Speak Out Against Racism (SOAR; N=2818) and longitudinal data from the Longitudinal Study of Australian Children (LSAC; N=8627). The SOAR was completed in 2017 and the LSAC followed children from 2004 to 2014 in the kindergarten cohort and from 2008 to 2018 in the birth cohort. Exposure: Aboriginal and Torres Strait Islander status (Aboriginal and Torres Strait Islander/Anglo-European), a proxy measure of structural racism (SOAR: 10-15 years; LSAC: 4-5 years); Mediator: interpersonal racial discrimination (yes/no) (SOAR: 10-15 years; LSAC: 12-13 years); Outcomes: mental health problems (yes/no) and sleep problems (yes/no) (SOAR: 10-15 years; LSAC: 14-15 years). An interventional effects causal mediation approach was used. FindingsAboriginal and Torres Strait Islander children had higher prevalence of mental health problems (SOAR: 40·1% versus 13·5%; LSAC: 25·3% versus 7·6%) and sleep problems (SOAR: 28·5% versus 18·4%; LSAC: 14·0% versus 9·9%) than Anglo-European children. Hypothetical interventions eliminating Aboriginal and Torres Strait Islander children’s experiences of interpersonal racial discrimination could reduce 42·4% and 48·5% of mental health and sleep inequities in SOAR (equivalent to 11·2% and 4·7% absolute reductions) and 25·6% and 1·6% of mental health and sleep inequities in LSAC (equivalent to 5·5% and 0·1% absolute reductions). Absolute remaining inequities were similar across both studies for both outcomes. InterpretationTargeted policy interventions that eliminate racial discrimination against Aboriginal and Torres Strait Islander children could have high potential to reduce inequities in mental health and sleep problems. Addressing racism and racial discrimination needs a multi-component and multi-level approach directed by Aboriginal and Torres Strait Islander communities.Funding: National Health and Medical Research Council of Australia and Medical Research Future Fund of Australia

Healthcare expenditures among older immigrants in the US with Alzheimer's disease and related dementias: Population-based study between 2007 and 2020.

Using nationally representative datasets, this study examined differences in healthcare expenditures between US-born and foreign-born individuals aged 65 and above by the presence of Alzheimer's disease and related dementias (ADRD) and cognitive limitations (CL). This study further examined whether healthcare expenditures among foreign-born individuals vary by their duration of residence in the US. The study used the 2007-2020 Medical Expenditure Panel Survey (MEPS) and employed generalized linear regression models to estimate differences in healthcare expenditures between US-born and foreign-born older adults with ADRD, CL, and without ADRD or CL. Survey weights were applied to all estimates. Our study identified significant differences in healthcare expenditures among older adults by the presence of ADRD/CL and immigrant status. Having ADRD/CL had a more pronounced impact on high healthcare expenditures among foreign-born older adults than US-born adults with ADRD/CL, thereby diminishing the difference in healthcare expenditures by US nativity status for the older adults with ADRD or CL. In the analysis further distinguishing immigrants by their duration of residence, lower healthcare expenditures were primarily observed among foreign-born individuals with ADRD or CL who had lived in the US for less than ten years. Our results suggest potential shifts in costs resulting from delayed access to, and diagnosis or treatment of ADRD at a younger age, leading to increased healthcare needs and expenses among US foreign-born older adults.

Evaluation of Plant Growth and Flowering Performance of Florida Native and Non-native Ornamentals under Varying Irrigation

Pollinator gardening has gained momentum with an increased consumer interest in selecting native rather than non-native plant species to reduce water dependence and maximize the biodiversity value in both public greenspaces and residential gardens. Native plant species can enhance biological control and benefit ecosystems and wildlife. Often, they are also better-adapted to local environmental conditions, including temperature and rainfall, thus increasing their survival and reducing associated maintenance costs, primarily by requiring less water. Commercially available pollinator-friendly plant mixes often include both native and non-native species. A 2-year study was conducted to determine the main effects of plant provenance (native or non-native) and irrigation (full or partial irrigation) on landscape performance and flowering of 20 plants, including 10 congeneric pairs of native and non-native taxa that were planted in two locations (north and northcentral Florida). Native and non-native taxa were paired by genus to analyze the effect of the plant native status on vegetative and floral traits while controlling for variations in leaf and floral morphologies, growth habits, and blooming periods, which was a key and novel component of our study design. Represented native species included Spanish needles (Bidens alba), false rosemary (Conradina grandiflora), tickseed coreopsis (Coreopsis leavenworthii), blanket-flower (Gaillardia pulchella), swamp rosemallow (Hibiscus grandiflorus), inkberry (Ilex glabra), spotted beebalm (Monarda punctata), azure blue sage (Salvia azurea), Florida scrub skullcap (Scutellaria arenicola), and Walter's viburnum (Viburnum obovatum). Non-native taxa paired with native congeners included Beedance® painted red bidens (Bidens ferulifolia) or Goldilocks Rocks® bidens (Bidens ferulifolia ‘BID 16101’), barbeque rosemary (Salvia rosmarinus ‘Barbeque’), Jethro Tull coreopsis (Coreopsis × ‘Jethro Tull’), Arizona sun blanket-flower (Gaillardia ×grandiflora ‘Arizona Sun’), Ruffled Satin® rose of Sharon (Hibiscus syriacus ‘SHIMCR1’), dwarf Burford holly (Ilex cornuta ‘Dwarf Burford’), pardon my pink beebalm (Monarda didyma ‘Pardon My Pink’), big blue salvia (Salvia longispicata × S. farinacea ‘PAS1246577’), Malaysian skullcap (Scutellaria javanica), and Sandankwa viburnum (Viburnum suspensum). Overall, the results revealed that native plants outperformed non-native plants and exhibited greater survival, more vegetative growth, and greater floral abundance regardless of the irrigation treatment. Although there was no overall effect of irrigation on plant size or flower abundance, there were some species-specific responses, especially during the establishment year, and plants under full irrigation had greater survival in the establishment year. Thus, in general, the effects of plant provenance were stronger and more consistent across years than irrigation. Additional studies are underway to determine the floral rewards of these species and their attraction to diverse pollinators.

How Traditional Fishing Villages Move Towards Sustainable Management: A Case Study of Industrial Transformation and Multi-Party Governance Models

The purpose of this study is to explore the key roles and functions of institutions or organizations in the process of the spatial activation and industrial transformation of leisure fishing villages and to summarize this operating model. This study takes Xunpu Village, Quanzhou City, Fujian Province as the research object, which is well-known for its recreational fisheries. It mainly uses case study methods and uses on-site surveys and interviews to understand the formation time, spatial distribution, and business type information of the Zanhuawei shops in Xunpu Village. Zanhuawei, which refers to the traditional hairstyle of Xunpu women, was later applied for national intangible cultural heritage status in China. After the outbreak, the spread of Zanhuawei on the Internet inspired a large number of tourists to visit Xunpu Village to experience Zanhuawei. The study found that (1) Zanhuawei industry replaced traditional fishery and became the leading industry type in Xunpu Village. (2) The operating model led by the government and integrating public and private funds has had a stimulating effect on the revitalization of local commercial and residential space, and a large number of idle spaces have been reactivated. (3) The cooperation model between a large number of investors and local fisherwomen has completely changed the economic model of the village. Zanhuawei industry mobilized all official and media resources to promote spatial activation at various scales, including regions, settlements and commercial spaces.

Understanding Entrepreneurial Commitment: A Test of Side-Bet Theory

This paper contributes to the burgeoning literature on entrepreneurial commitment by providing a first empirical investigation of Howard Becker’s side-bet theory in the context of nascent entrepreneurship. We investigate how different forms of commitment relate to both entrepreneurial behavior and various side-bet categories: satisfying conditions, non-work concerns, others’ expectations, impersonal bureaucratic arrangements, perceived lack of alternatives, individual adjustments to social positions, and self-presentation concerns. We collected data from a representative sample (n = 242) of individuals granted with the French national student-entrepreneur status (NSES). Results froms hierarchical linear regressions reveal different patterns of side bets associated with entrepreneurial commitment, depending on its nature (value-based or exchange-based) and on its focus (the project or the profession). Our study (1) extends side-bet theory to the field of entrepreneurship and (2) improves understanding of factors associated with commitment during the volitional phase of the entrepreneurial process.

Верховний суд як суд першої інстанції щодо справ державної вагомості для України

The article examines the consideration by the Supreme Court as a court of first instance for the certain categories of cases defined by the Codex of Administrative Justice of Ukraine (disputes regarding the results of elections and referenda, inaction of the Cabinet of Ministers of Ukraine regarding the implementation of the results of the All-Ukrainian referendum; acts, decisions, actions or inactions of the President of Ukraine, the Verkhovna Rada of Ukraine, the High Council of Justice, High Qualification Commission of Judges of Ukraine, the subjects of the appointment of judges of the Constitutional Court of Ukraine in the course of competitive selection, removal of a People’s Deputy of Ukraine from office), as well as in extrajudicial constitutional processes (removal of the President of Ukraine from office due to health or impeachment). The admissibility of such a court hearing by the Supreme Court was established in order to ensure the fastest professional just decision, considering the special significance of solving such cases for the state. The main point of the analysis is that the Supreme Court, which administers justice on the basis of the rule of law, is obliged to protect the status of the Ukrainian nation as the only source of power in Ukraine. Therefore, it has to protect the results of his expression of will in the implementation of a direct form of the democracy (the results of elections and referenda), as well as related to the representative mandate. Considering the issue of appeal of the acts, actions or inaction of some authorities, it is established that it concerns the bodies with the most responsible position in Ukraine, and therefore the resolution of such disputes is urgent for the functioning of the state. The role of the Supreme Court in extrajudicial constitutional processes in establishing the legal facts is important, but is not final in the results of such a process, because the Verkhovna Rada of Ukraine is responsible for this.

Abstract A096: Differences by nativity status in knowledge of and adherence to breast cancer screening guidelines: A Community Initiative Towards Improving Equity and Health Status (CITIES) study

Abstract Introduction: While immigrants initially demonstrate better health relative to those US-born, with longer length of US residency, immigrants tend to experience increased risk of many diseases – including breast cancer (BC) – compared to those US-born. However, immigrants are less likely to access preventive health services like BC screenings. Fortunately, research suggests that improved knowledge of BC screening guidelines can lead to increased guideline adherence. This project aimed to describe BC screening guideline knowledge and adherence among female Ohioans over 40 years old and to identify how these characteristics differed by nativity status. Methods: The Community Initiative Towards Improving Equity and Health Status (CITIES) project was a survey of Ohio residents focused on identifying factors contributing to cancer disparities. Wave 1 occurred in 2017-2018. Participants were asked about their knowledge of BC screening guidelines using the item, “At what age are most women supposed to start having mammograms?” The correct age was 40 years. Participants were also asked about their adherence to BC screening guidelines using the item, “How long ago has it been since you had your last mammogram?” Participants were up to date with screening if their last mammogram was within one year. Nativity status was foreign-born or US-born. Frequencies and percentages were used to describe knowledge of and adherence to BC screening guidelines. To identify how BC screening knowledge and adherence differed by nativity status, chi-square tests assessing differences in the frequencies of these factors for those foreign-born and US-born were used. Results: The study sample included 307 women over age 40: 18.6% were foreign-born, 32.2% were Black, non-Hispanic, and the mean age was 61.3 years (SD=7.1). The percentage of women with correct knowledge of BC screening guidelines was 52.4% (n=161). The percentage of women up to date with guidelines was 75.9% (n=233), of which 13.3% (n=31) were foreign- born. Overall, women with correct knowledge were more likely to be up to date with guidelines than were those with incorrect knowledge (43.0% vs. 32.9%; χ 2 p=0.01). This relationship was also observed among US-born women (47.2% vs. 33.6%; χ 2 p=0.04). However, foreign-born women with correct knowledge were no more likely to be up to date with guidelines than were foreign-born women with incorrect knowledge (24.6% vs. 29.8%; χ 2 p=0.42). Conclusions: Half of female Ohioans over age 40 had correct knowledge of BC screening guidelines and three- quarters were up to date with guidelines. More US-born than foreign-born women had correct knowledge of and were up to date with guidelines. A significant association existed between knowledge of BC screening guidelines and being up to date with guidelines among women overall and US-born women, but not among foreign-born women. Future research should identify strategies to improve knowledge of BC screening guidelines among foreign-born women, which may increase their BC screening uptake. Citation Format: Katarina M. Bischof, Mohamed I. Elsaid, Chloe M. Hery, Ryan D. Baltic, Cecilia R. DeGraffinreid, Chasity M. Washington, Electra D. Paskett. Differences by nativity status in knowledge of and adherence to breast cancer screening guidelines: A Community Initiative Towards Improving Equity and Health Status (CITIES) study [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr A096.

Abstract A008: Proof-of-Concept: A machine learning classifier to impute nativity status in Hispanic/Latino/a/x cancer patients in the California Cancer Registry

Abstract Background: Cancer disparities exist within the Hispanic/Latino/a/x (H/L) population by nativity status. Non-US born H/L colorectal cancer (CRC) patients and Prostate Cancer (PCa) patients in California have a statistically significant lower risk of cancer-specific survival when compared to Non-Hispanic White patients after controlling for confounders. However, birthplace information is largely incomplete in population-based cancer registries. For example, more than 40% of H/L patients have missing information on nativity in the California Cancer Registry (CCR) database. With the goal of better imputing missing birthplace, we built a Machine Learning (ML) model to predict nativity among CCR H/L cancer patients. Methods: H/L cases with primary invasive CRC (n = 75,613) and PCa (n = 93,042) at least 18 years old, diagnosed between 1988 and 2021 contained in the CCR research file were analyzed (46.36% had missing birthplace). A binary indicator variable assigning cases with known birthplace to US-born vs. Non-US born was constructed as the target for prediction. A stratified split by levels of the outcome was used to generate training (70%, n = 63,323) and testing (30%, n = 27,139) datasets. We used a pruned classification tree to perform feature selection, with the 10 features with the highest importance (measured by the overall reduction in impurity for any split containing each feature) used to predict nativity. Missing observations of the quantitative and qualitative features were mean, or mode imputed, respectively. The classification methods considered were classification trees, Random Forest (RF), and Boosting. Model performance was evaluated using the area under the receiver operating characteristic curve (AUC), sensitivity, specificity, and the rate of correctly classified observations. Results: The top three features with the highest importance were the NHIA (NAACCR Hispanic/Latino Identification Algorithm) label, the Hispanic/Spanish identity, and the year of social security number issuance (SSN); the latter is part of a current SSN-based algorithm used to impute nativity status in this population. Classification models showed similar prediction performance. The highest AUC was reported by the RF (AUC = 0.9822), followed by Boosting (AUC = 0.9785), and the pruned classification tree (AUC = 0.9647). A similar rate of correctly classified observations was reported for the Boosting and RF models (∼94%). The RF model ranked feature importance in a similar order as the pruned classification tree. Ultimately, the RF model was the best performing classifier with a sensitivity and specificity of 0.61 and 0.90, respectively. This classifier substantially outperforms the SSN-based algorithm, which reported a correct classification rate of 81%, a sensitivity = 0.54, and a specificity = 0.41 in this dataset. Conclusions: This proof-of-concept analysis showcases a potential for developing a ML model to overcome missing nativity status in H/L cancer patients to enable more accurate classification by nativity in future research using CCR data. Citation Format: Proof-of-Concept: A machine learning classifier to impute nativity status in Hispanic/Latino/a/x cancer patients in the California Cancer Registry. Joel Sanchez Mendez, Lihua Liu, Juan P. Lewinger, Laura Fejerman, Mariana C. Stern [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr A008.

Abstract C034: Impact of survivorship care plans on self-reported health and functional well-being

Abstract Introduction: Cancer survivors have varying physical, psychosocial, and informational needs. Organizations such as American Society of Clinical Oncology have developed survivorship care plans (SCP) for cancer screening, treatment side effect management, and care coordination. There is a need to better understand SCP utilization among underserved and diverse patient communities. Methods: Adults ages 18+ years with breast or colorectal cancer diagnosed between 2019 and 2021 were recruited from the Greater Bay Area Cancer Registry. Participants completed a 30-minute survey about their survivorship plans, quality of life, health behaviors, and social support. Analysis: Overall comparisons between groups were evaluated with chi-square tests. Associations between demographic characteristics and receipt of any type of survivorship plan were evaluated with univariate binomial logistic regression models, and associations between receipt of any type of survivorship plan and health/well-being outcomes were assessed using univariate ordinal regression models. Multivariable models will be built using relevant variables. Results: Participants (n=872) were on average 59 years (range=24-95) and mostly female (70.2%). Participants had either breast (41.3%) or colorectal cancer (58.7%). Participants were American Indian/Alaska Native (AIAN) (1.0%), Asian American (18.2%), NH Black (12.8%), NH White (38.0%), LatinX (29.0%), and Native Hawaiian or Pacific Islander (0.8%). Receipt of a SCP was reported by 258 (29.6%) participants, 328 (37.6%) had another type of post-treatment guide provided to them, and 224 (25.7%) were not offered any kind of survivorship plan. There were no differences in race/ethnicity, nativity status, non-English language spoken at home, marital status, or educational attainment between those who received any kind of survivorship plan vs. no plan. Being female was associated with 40% lower odds of receiving any kind of survivorship plan (OR=0.60, 95%CI=0.42-0.87). Being on public insurance was also associated with lower odds of receiving a survivorship plan than being on private insurance (OR=0.59, 95%CI=0.43-0.81). Receipt of a survivorship plan was associated with 52% higher odds of reporting a higher level of overall current health (OR=1.52, 95%CI=1.14-2.02) compared to those who did not receive any plan. Receiving a survivorship plan was also associated with higher odds of reporting a higher level of ability to work (OR=1.58, 95%CI=1.18-2.11), more fulfilling work (OR=1.69, 95%CI=1.27-2.23), ability to enjoy life (OR=1.55, 95%CI=1.17-2.06), ability to sleep well (OR=1.35, 95%CI=1.03-1.79), and contentment with their current quality of life (OR=1.51, 95%CI=1.14-1.99). Conclusion: Receipt of any survivorship plan was associated with higher levels of self-reported current overall health and measures of functional well-being. Women, as well as people on public insurance, are less likely to receive a survivorship plan, highlighting disparities in survivorship care planning for these populations. Citation Format: Aly M. Cortella, Katarina Wang, Debby Oh, Niharika Dixit, Zinnia Loya, Kathie Lau, Michelle Wadhwa, Chris Duffy, Salma Shariff-Marco, Kristan Olazo, Vlad Honcharov, Marika Dy, Urmimala Sarkar, Scarlett Lin Gomez. Impact of survivorship care plans on self-reported health and functional well-being [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr C034.

The Prognostic Significance of Nativity, Enclave Residence, and Socioeconomic Status Among Hispanic Patients with Hepatocellular Carcinoma

The Prognostic Significance of Nativity, Enclave Residence, and Socioeconomic Status Among Hispanic Patients with Hepatocellular Carcinoma

ASO Visual Abstract: The Prognostic Significance of Nativity, Enclave Residence, and Socioeconomic Status Among Hispanics with Hepatocellular Carcinoma

ASO Visual Abstract: The Prognostic Significance of Nativity, Enclave Residence, and Socioeconomic Status Among Hispanics with Hepatocellular Carcinoma

Spatial Pattern Analysis and Conservation Assessment of Apiaceae in Mongolia.

The family Apiaceae, distributed throughout the Northern Hemisphere, is the largest family of angiosperms. However, little is known about the conservation status, diversity, and distribution of Apiaceae species in Mongolia. This study had two main aims: (1) to assess the national status of Apiaceae species under IUCN Red List Criterion B; (2) to evaluate the species diversity and richness of Apiaceae across Mongolia. We utilized ConR packages to assess the national Red List status of all known Mongolian Apiaceae species by analyzing their most comprehensive occurrence records. The results indicated that 27 species were classified as threatened, including 4 Critically Endangered (CR), 9 Endangered (EN), and 14 Vulnerable (VU) species. Meanwhile, 39 species were assessed as non-threatened, with 2 Near Threatened (NT) species and 37 species of Least Concern (LC). Furthermore, detailed distribution maps for 66 Apiaceae species in Mongolia were presented. We assessed the species diversity and Shannon and Simpson diversity indices of Apiaceae by analyzing all occurrence records using the iNext package. Overall, the Hill diversity estimates indicate that the sampling conducted in Mongolia adequately captured species occurrences. For species pattern analysis, we examined the species richness, weighted endemism, and the corrected weighted endemism index using Biodiverse v.4.1 software. Mongolia was portioned into 715 grid cells based on 0.5° × 0.5° grid sizes (equivalent to approximately 50 × 50 km2). There was a total of 3062 unique occurrences of all Apiaceae species across Mongolia. In the species richness analysis, we identified 10 grids that exhibited high species richness (18-29 species) and 36 grids with 11-17 species. For genus richness, we observed seven grids that exhibited a high genus richness of 16-22 genera. Furthermore, we analyzed species richness with a specific focus on threatened species, encompassing CR, EN, and VU species throughout Mongolia. A total of 92 grids contained at least one threatened species. There were six grids that had two to five threatened species, which were adequately covered by protected areas in western Mongolia. Overall, our results on species richness and conservation status will serve as important foundational research for future conservation and land management efforts in Mongolia.

Determination of appropriate policy targets to reduce the prevalence of stunting in children under five years of age in urban-poor communities in Indonesia: a secondary data analysis of the 2022 Indonesian national nutritional status survey

ObjectiveBased on previous studies, urban-poor societies are very vulnerable to stunted children under five. The study aims to determine the appropriate policy targets to reduce the prevalence of stunted under-five...