High Education Research Articles

Residential food environment and dietary antioxidant consumption among pregnant women: Modifying effects of socioeconomic factors and ethnic identity

BackgroundResidential food environment influences dietary patterns, however the impact of individuals' perceived social identity on the antioxidant intake, an indicator of healthy dietary patterns, remains underexplored. ObjectiveWe conducted a cross-sectional analysis using data collected in a longitudinal cohort. In the study, we aim to investigate the interactions between the food environment and two indicators of social identity, specifically a subjective ladder measure of socioeconomic status (SES) and the Multigroup Ethnic Identity Measure (MEIM) score, in relation to dietary antioxidant intake (DAI) among n = 512 Boston and NYC-resident pregnant women. MethodsThe modified Retail Food Environment Index (mRFEI) was calculated using the Centers for Disease Control and Prevention's equation, with higher scores indicating a healthier food environment. DAI was estimated by summing standardized data from six micronutrients (magnesium, selenium, zinc, and vitamins A, C, and E) obtained through the Block98 Food Frequency Questionnaires administered during pregnancy, with higher scores indicating increased intake. The mRFEI and DAI were dichotomized based on a median split. Multivariable-adjusted logistic regressions were used to analyze associations, both with and without considering women's subjective SES or MEIM levels as effect modifiers. ResultsWomen were racially/ethnically mixed (19.2 % White, 42.7 % Black, and 33.1 % Hispanic) with 32.2 % reporting more than high school education. In the main effect models, no significant association was observed between mRFEI and DAI. Women with higher MEIM scores exhibited higher DAI [Odds ratio (OR) =1.85, 95 % Confidence interval (CI) = 1.26–2.73]. Exploratory interaction models showed that subjective SES significantly modified the association (p-value for interaction = 0.03), women perceiving themselves to have a lower SES compared to their community (n = 45) exhibited a significantly positive association between mRFEI and DAI. ConclusionThese findings suggest that women perceiving their SES to be lower than their neighborhoods may benefit from better access to healthy food.

Patient’s Satisfaction towards the Behavior of the Hospital Staffs

The study investigates the punctuality and behavior of hospital staff and examines the relationship between socio-demographic characteristics and these factors among patients in Kathmandu hospitals. Data was collected from 128 participants through structured questionnaires and their aged were above 20 years of age. Descriptive analysis shows that a majority are female, unmarried, and with a high school education. The findings indicated that most patients perceived the hospital staff, including registration, lab, blood bank, and nursing staff, as punctual and polite. Majority respondents realized improvements in their health compared to post-visit. Correlation analysis showed no significant relationships between gender and satisfaction, or between the number of hospital visits and satisfaction levels. These results highlight the generally positive perceptions of hospital services.

The Role of Age-friendly City Indicators in Predicting Social Belonging in Older Adults Residing in Mohammadiyeh County, Qazvin, Iran

Objectives A strong sense of belonging is crucial for the physical and mental health of older adults and their social interactions. The age-friendly city offers various opportunities for social participation of older adults. The present study aims to determine the role of age friendly-city indicators in predicting social belonging of older adults residing in Mohammadiyeh County, Qazvin Province, Iran. Methods & Materials This descriptive-analytical study was conducted on 300 older adults in 2022, who were selected by a cluster sampling method from six municipal districts of Mohammadiyeh County. Data were collected using a demographic checklist, an age-friendly city scale, and a social belonging scale. Data analysis was conducted in SPSS software version 23 using multivariate linear regression analysis. The significance level was set at 0.05. Results The mean age of participants was 67.55±6 years, ranging from 60 to 84 years. The majority of them were male (n=157, 52.33%), married (n=216, 72%), and illiterate (n=157, 52.33%). Among the age-friendly city indicators, the highest score was related to the safety/ease of transportation (16.86±4.51) and open public spaces (45.61±11.47) indicators. The results of multivariate regression analysis showed that marital status (β=-0.150, P=0.006), lower than high school education (β=0.170, P=0.003) and high school diploma (β=0.192, P=0.001), and the age-friendly city indicator of safety/ease of transportation (β=0.328, P<0.001) were predictors of social belonging in older adults. Conclusion The majority of older adults in Mohammadiyeh County are dissatisfied with age-friendly indicators. Those who feel safe and have easy access to public transportation are more likely to have a stronger sense of social belonging. The results of this study can effectively help policymakers and city managers in proper planning in order to develop an age-friendly city.

Structural risks and family adjustment in midwestern Latine immigrant families: Extending the family stress model.

We tested an extended family stress model of economic hardship (FSM; Conger et al., 2010) incorporating structural risks (discrimination, immigration, and COVID-19 experiences) and qualitative data, to better understand the impact of culturally relevant experiences on family stress processes in rural, immigrant Latine families in the U.S. Midwest. Participants were Latine families (N = 307) with a child aged 10-15 (Mage = 12.21 years, 51.0% boys; 71.5% two parent; 93.1% of caregivers and 29% of youth born outside the United States) Mean household income was 25-30K and 65% of caregivers had less than a high school education. We tested a cross-sectional structural equation model in Mplus and analyzed qualitative interviews with a subsample of mother-youth dyads (n = 19). COVID-19 experiences predicted economic pressure, and both COVID-19 and discrimination experiences were linked to caregiver psychological distress. Consistent with the FSM, economic pressure predicted psychological distress, which was associated with interparental relationship problems and parenting. Parenting was associated with youth global health. Unexpectedly, interparental relationship problems to parenting were not significant. The indirect association linking COVID-19 experiences to youth global health via psychological distress and parenting was significant. Qualitative data revealed five themes demonstrating how structural and economic risks contributed to distress, conflict, and maladjustment within the family system. Culturally relevant structural risks exert a negative influence on family processes in rural Latine immigrant families through contributing to economic pressures and parental distress. The additional impact of these experiences should be considered when addressing the FSM in Latine populations. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Enhancing Global Sustainable Higher Education Through Sustainability Window Approach

The sustainability window approach began as a model that could explain the way to sustainable economic development. This theory places emphasis on ecological, economic and social linkages for making comprehensive analysis and policy towards United Nation’s Sustainable Development Goals. It identifies four theoretically sustainable paths; two associated with economic growth and the others requiring growth conditional or strict adherence to environmental and social criteria. Many studies confirm that higher education institutions have not been able to completely embrace the concept of sustainability window approach. The paper asserts that these are the most effective ways through which global higher education establishments can achieve sustainability: well-being of society, environmental protection, low consumption, and limited social usage. Finally, it concludes by calling on high education institutions to incorporate sustainability window and integrate it with triple bottom line and responsible management education approaches. The paper argues that in order to determine whether such a change might be suitable in different settings, it is recommended that we test this revised framework using empirical evidence

Rural financial institutions, access to credit and production inputs of rural households

This paper studies the impact of rural financial institutions on farmers' production input from the perspective of rural bank branch adjustment and rural household credit access. Based on the data of rural bank outlets and China Household Income Survey (CHIP) in 293 prefecture-level cities in China from 2013 to 2018, the results show that rural financial outlets have a significant positive impact on farmers' production input, and each unit increase in the number of bank outlets will increase farmers' production input by 0.24 units, and the proportion of consumer expenditure will decrease by 0.071 units. The number of bank outlets has significant heterogeneity of household head and region on the production input of farmers, and the bank outlets have a greater impact on the production input of farmers with high education level. The increase in the number of bank outlets in the eastern region can significantly increase the production input of farmers, but the increase in the number of bank outlets in the central and western regions will reduce the production input of farmers. The mechanism analysis shows that the increase of branches of rural financial institutions improves farmers' access to credit, which is an important channel affecting farmers' production input. This study provides a reference for the reform of rural financial institutions and the revitalization of rural industries in China.

Predicting Student Graduation Grades Using the C4.5 Algorithm: An Implementation Study

SMP KEMALA BHAYANGKARI as one of the private schools, students follow the learning process and are carried out mid-semester exams, semester final exams in completing junior high school level education. test scores as one of the requirements for grade promotion or for graduation mark the end of junior high school level, and the value of knowledge is one of the keys to a person's ability to complete education. predicting student graduation with the C4.5 algorithm method In the application of the C4.5 algorithm using Rapidminer tools, after manual calculation, the results will be tested using Rapidminer tools. the results of manual calculation of the C4.5 algorithm and the results of calculations using rapidminer tools will produce an Accuracy Level resulting from this calculation of 92.22% for graduation grades at SMP Kemala Bhayangkari Kotabumi.

Does School Consolidation in Rural Areas Affect Students' Education? Empirical Evidence From China

ABSTRACTIn the late 1990s, an extensive consolidation of schools in rural China led to the amalgamation of numerous primary and secondary schools into urban schools or their discontinuation. The study aimed to investigate whether China's school consolidation movement has influenced the educational attainment of rural students. The data are sourced from the China Household Income Project (CHIP) and regional statistical yearbooks, and the cross‐section difference‐in‐differences (DID) method is used to analyse the differences in high school enrolment of rural students between regions with different degrees of school consolidation. Empirical analysis results indicate that school consolidation substantially enhances the probability of rural students receiving high school education, as well as having a positive impact on rural students taking the college entrance examination and receiving a longer formal education. Moreover, the findings of the empirical analysis remain significant even after controlling for variations in government educational expenditures, substituting the explained variables, as well as eliminating the influence of school‐entering age. The adjustment of rural schools, as an inevitable historical trend, is beneficial to improving rural educational attainment.

Family Management of Hypertension in Brazil: A Cross-Sectional Study.

In Brazil, research indicates that primary family members are the main source of support for individuals with chronic conditions such as hypertension (HTN). The burden of caregiving not only hinders effective HTN management but can also cause stress and anxiety, potentially leading to HTN in caregivers. Despite this, few studies have explored the impact of caregiving on these family members. Aims of the study were to: (1) Describe the prevalence of blood pressure (BP) control in family members of individuals with HTN; (2) identify family member perspectives on facilitators and barriers to HTN management; and (3) identify influences that help or interfere with family member functioning (levels of stress, quality of life [QOL], and caregiver burden). This descriptive, cross-sectional study included 213 family members randomly selected from 3 Family Health Strategy units. Family members were largely female (n = 143; 67.1%); the mean age was 60.1 years (SD ± 17.02) and 42.6% (n = 96) had less than a high school education. The three most important facilitators and barriers were related to medication, medical visits, healthy eating, physical activity, and stress. The mean systolic BP was 132.7 (SD ± 21.9) mmHg and a diastolic BP of 85.9 (SD ± 18.1) mmHg with 120 (56.3%) of family members classified as having normal BP. In regard to family member contributions to the self-care of the individual with HTN, family members displayed low levels of self-care maintenance (n = 148; 69.4%) and management (n = 47; 71.2%) support, while a slight majority (n = 114; 53.5%) had adequate levels of self-care confidence in supporting the individual with HTN. Family members (n = 189; 88.8%) showed moderate-to-high levels of perceived stress, but good physical (n = 189; 88.7%) and mental QOL (n = 196; 92%) and low levels of caregiver burden (n = 113; 53.1%). A variety of contextual sociocultural influences were associated with the outcomes under study. Family-based interventions are urgently needed to address the inadequate management of HTN.

Postpartum Emergency Care Visits Among North Carolina Medicaid Beneficiaries, 2013-2019.

Objective: To describe the rate, timing, and primary diagnosis codes for emergency care visits up to 8 weeks (56 days) after live birth among Medicaid beneficiaries in North Carolina (NC). Materials and Methods: Using a linked dataset of Medicaid hospital claims and certificates of live birth, which included Medicaid beneficiaries who had a live-born infant in NC between January 1, 2013, and November 4, 2019, and met inclusion criteria (n = 321,879), we estimated week-specific visit rates for emergency care visits that did not result in hospital admission (outpatient) and those that did (inpatient). We assessed the 10 leading diagnosis code categories for emergency care visits and described the characteristics of people with 0, 1, or ≥2 outpatient emergency care visits. Results: One in eight (12.4%) Medicaid beneficiaries had an emergency care visit that did not result in inpatient hospital admission during the first 8 weeks postpartum. Visit rates peaked in postpartum week 2. Diagnosis codes for nonspecific symptoms and substance use were the two leading diagnosis code categories for outpatient emergency care visits. Respiratory concerns and gastrointestinal concerns were the two leading diagnosis code categories for inpatient emergency care visits. Compared with those with zero outpatient emergency care visits, a greater proportion of people with ≥2 visits had less than a high school education, used tobacco during pregnancy, had Medicaid insurance outside of pregnancy, had mental health as a medical comorbidity, and/or had ≥2 medical comorbidities. Conclusions: These findings support scheduling health care visits early in the postpartum period, when emergency care visits are most frequent, and point to unmet needs for substance use support.

Classification of Social Assistance Recipients Using Machine Learning

Social assistance is assistance funds provided by local governments. In the Minister of Home Affairs Regulation No. 32 of 2011, it is explained that social assistance is the provision of assistance in the form of money/goods from local governments to individuals, families, groups, and communities which is not continuous and selective in nature. One of the villages in North Lampung still often experiences problems, including high poverty rates and low education levels. The Naive Bayes algorithm method was chosen to classify aid recipients based on employment, age, and income. The spreadsheet calculations show that the Family Hope Program Assistance (PKH) class is 135 people and the Direct Cash Assistance (BLT) class is 39 people with a total of 176 people in the social assistance recipient data. From the results of Rapid Miner calculations, the accuracy value for the PKH and BLT classes is 100.00%.

Exploring the Impact of Meditation Therapy on CD4 Levels in HIV/AIDS Patients at Karawang Hospital

Background: The HIV/AIDS epidemic remains a significant global health concern, with increasing prevalence in Indonesia's Karawang Regency. People living with HIV/AIDS face numerous challenges, including a decline in immune function and CD4 T-cell depletion. While antiretroviral therapy (ART) is the primary treatment, there is a growing interest in complementary therapies to support immune function and overall well-being. Objective: This study aimed to investigate the effect of meditation therapy on CD4 levels in HIV/AIDS patients at Karawang Regional General Hospital. Methods: A quasiexperimental study with a prepost design was conducted on 15 HIV/AIDS patients with CD4 levels ranging from 200–500 cells/mm3. The participants engaged in meditation sessions twice a week, twice daily, for one month. CD4 levels were measured before and after the intervention. Demographic data were collected, and statistical analyses were performed via paired t tests (p<0.05). Results: Most of the participants were male (80%), aged 31-37 years (46.7%), and had a vocational high school education (40%). Preintervention CD4 levels ranged from 226 to 459 cells/mm3 (mean: 334.87±57.583), whereas postintervention levels ranged from 220 to 467 cells/mm3 (mean: 340.93±62.721). A paired t test revealed no statistically significant effect of meditation therapy on CD4 levels (p=0.150). Conclusion: This study revealed no significant increase in CD4 levels following a one-month meditation intervention in HIV/AIDS patients. While this research does not support the use of short-term meditation therapy to increase CD4 levels in HIV/AIDS patients, it underscores the need for further investigation of complementary therapies for this population.

Efektifitas Komsumsi Tablet Fe dengan Air Jeruk Nipis terhadap Peningkatan Kadar HB Ibu Hamil Anemia Ringan Trimester III

Background: Anemia is a body condition where the hemoglobin level in red blood cells is lower than the normal standard. Pregnant women are said to be anemic if their Hb content is <11gr/dL. According to WHO, the prevalence of pregnant women throughout the world who experience anemia is 41.8%. The percentage of anemia in pregnant women in Indonesia is 37.1%. For the Special Region of Yogyakarta, the prevalence in pregnant women is 19.01%, and the highest incidence of anemia is in Bantul Regency (27.67%). Data from the Bantul District Health Service, from 27 Community Health Centers, there are 5 Community Health Centers with the highest number of anemia, namely at Sewon II Community Health Center. From this data, Sewon II Community Health Center is in second place. Objective: To determine the effectiveness of consuming fe tablets with lime juice on increasing Hb levels in mildly anemic pregnant women at the Sewon II Bantul Community Health Center, Yogyakarta. Method: This quasi-experiment research uses a one group pretest-posttest design. The sample in the study consisted of 30 pregnant women. The sampling technique uses total sampling. The research instrument gave lime to pregnant women with mild anemia for 2 weeks. Then the hemoglobin level was checked before and after drinking lime using a hemoglobin meter checking device in collaboration with the Puskesmas lab section. Results: The results of this research are based on univariate analysis of the characteristics of respondents aged 20-35 years as many as 26 (86.3%) respondents, the majority have a high school education as many as 26 (86.7%) respondents, the occupation of respondents is housewives 28 (93.3%) ) respondents. The results of the bivariate analysis showed that there was a significant effect on the average value of increasing hemoglobin levels before (10.21) and after drinking lime (11.23) with an average of (1.02). Conclusion: Based on the research results, it can be concluded that there is an effect of giving lime juice on hemoglobin levels in pregnant women in the second trimester at the Sewon II Bantul Community Health Center.

Experiences of peer educators in a high school sexual and reproductive health peer education programme in Rwanda

Background: To contribute to a reduction in teenage pregnancy among in-school adolescents in Rwanda, a sexual and reproductive health peer education programme (SRHPEP) was developed and implemented. Reflecting on the unique characteristics of this newly implemented programme, and understanding peer educators’ (PEs) and facilitators’ perspectives, can provide insights into the programme’s effectiveness and feedback to improve the programme in the future. This study explored the experiences of being a PE in the SRHPEP from the perspectives of PEs and facilitators. Design: Qualitative exploratory design. Setting: Data collection took placed in three public high schools in Rwanda. Method: Three focus group discussions (FGDs) with 22 PEs and 5 in-depth interviews with facilitators were conducted. Results: Thematic analysis identified the benefits of being a PE, including increased competence, enhanced relationships and an improved society’s understanding of sexual and reproductive health (SRH). PEs faced challenges, however, including bullying, limited resources and time constraints. A support system (comprising PEs themselves, facilitators and school leadership) and refresher training made being a PE easier. Study participants suggested allocating enough time, training larger numbers of PEs and the provision of contextually relevant educational materials to improve the programme. Conclusion: Findings from this study can be used to guide the development of future ways of strengthening the SRHPEP in schools. They can also help to ensure that PEs are adequately supported in their roles and the needs of the students are met.

Feasibility Of Using AI Supervision System to Improve Teaching Quality

In Chinese educational circles, improving the quality of high school teachers' classroom content has become a hot topic of current research, but there are still shortcomings in how to use AI technology to achieve this purpose. This article analyzes the current situation of high school education in China and the possibility of applying an AI supervision system in practical teaching. The analysis of this article shows that the AI system is very effective in actual teaching, and teachers can greatly improve the teaching quality after using this system, and students' concentration and learning efficiency will be significantly improved. Based on this, this paper puts forward the following suggestions, hoping that relevant departments can support the popularization of AI supervision systems in high schools, and teachers can make reasonable use of this system to adjust the teaching methods of students and themselves. Finally, it is also hoped that the AI system itself can continue to improve to complete classroom supervision more efficiently.

Sorvebol como alternativa para educação física escolar: uma visão docente

The aim was to analyze teachers' knowledge of sorvebol in physical education classes at a school in Santana, Amapá, Brazil. A case study with a qualitative approach was carried out by applying a questionnaire to three high school physical education teachers. It was found that the teachers know about and have used some unconventional sports in their classes. However, with regard to sorvebol, the results revealed that the majority of the teachers knew about the sport, but had never used it in their classes. They also expressed that the precariousness of materials and space or structure are characterized as the greatest limitations to working with sorvebol and other sports. Therefore, it is concluded that, given the diversity of sports, it seems necessary to outline possibilities for experimenting with non-traditional sports in the classroom. It is suggested that similar studies be carried out with a larger sample in order to point out other aspects of intervention for the practice of sorvebol at school.

The impact of digital technology on entrepreneurship--Evidence from China General Social Survey.

In light of the rapid development of digital technology, it is imperative to study the impact of digital technology on the labour force's entrepreneurial choices with the utmost urgency. This paper first constructs a theoretical mechanism for how digital technology affects individual entrepreneurship. It then empirically examines data from the China General Social Survey (CGSS) to test the theory. The results show that digital technology significantly increases individual entrepreneurial choices. Furthermore, the conclusions of the study are robust even when the estimation method and variable measurement are changed. Finally, the study finds that digital technology has the greatest impact on entrepreneurship among individuals with low education, the second-largest impact on those with medium education, and the third-largest impact on those with high education. Individuals with higher education levels have the second largest impact on the entrepreneurship of individuals with higher education levels, while the smallest impact is observed in this group. Digital technology development has a stronger role in promoting entrepreneurship of individuals with urban household registration than those with rural household registration. In terms of sub-region, digital technology has a larger role in individual entrepreneurship in the eastern and central regions, and has a less significant role in the western region. The findings of this study suggest that there is a need to implement measures to accelerate the pace of digital technology development, enhance the training of entrepreneurial skills and attitudes among highly educated individuals, and direct efforts towards enhancing digital technology development in rural and western China.

The Association Between Level of Education and Source of Information with Community’s Optimal Prevention Measures Against Dengue Haemorrhagic Fever: A Cross-Sectional Study in The Coastal Area of Suli Village, Maluku, Indonesia

Objective: This study aimed to examine the relationship between sociodemographic factors and sources of information about dengue haemorrhagic fever (DHF) and the level of DHF prevention measures in the coastal community of Suli Village, Maluku Province, Indonesia.Material and Methods: The data were derived from a survey conducted in December 2022 involving 217 participants living in the coastal area of Suli Village, Central Maluku District. The dependent variable was the level of DHF prevention measures (i.e., high if the score was 8 to 10 points and low if the score was 7 points or lower). The independent variables included respondents’ age, sex, occupation, education level, household income, and sources of information about DHF. Logistic regression analyses were performed to examine the associations between sociodemographic factors and sources of information about DHF and levels of DHF prevention measures.Results: Only 31% of the respondents had high DHF prevention measures. The odds of having a high level of DHF prevention measures were lower in respondents with junior/senior high school education (adjusted odds ratio (aOR)=0.23; 95% confidence interval [CI]: 0.09–0.57; p-value=0.002). The odds were also lower in respondents who received information about DHF from family/friends/neighbours compared to those who received the information from health workers (aOR=0.22; 95% CI: 0.07–0.71; p-value=0.011).Conclusion: Health workers play an important role as health educators. Future studies should consider using both qualitative and qualitative methods to explore motivations, beliefs, and various contextual factors that influence DHF prevention measures in a community.

Abstract B152: Joint Associations of Neighborhood Socioeconomic Status and Education on the Incidence of Colorectal Cancer: The Multiethnic Cohort Study

Abstract Background: Colorectal cancer (CRC) is the 3rd most diagnosed cancer worldwide. When considered separately, both neighborhood- and individual-level SES exposures have been associated with CRC incidence. However, the joint associations of neighborhood- and individual-level SES on CRC incidence have not been examined. Methods: In a prospective study of 153,725 Multiethnic Cohort (MEC) participants (24,764 African American, 44,447 Japanese American, 34,974 Latino, 11,511 Native Hawaiian, and 38,029 White participants) recruited from predominantly Los Angeles County, California (CA), and Hawaii (HI), we examined the joint association of neighborhood SES (nSES) and individual-level education with CRC incidence (CA: 2,519, HI: 2,210 cases). Education, other demographics, and health behaviors were self-reported in the baseline questionnaire (1993-1996). CRC diagnosis was determined via linkages with state cancer registries. nSES was derived using a composite score based on 1990 US Census block group data and assigned to geocoded baseline addresses. Our joint SES measure included four categories: high nSES (quintiles 4-5) and high education (> high school), high nSES and low education (≤ high school), low nSES (quintiles 1-3) and high education, and low nSES and low education. State-specific hazards ratios (HR) for CRC incidence were estimated for joint SES categories. Cox regression adjusted for age at cohort entry, CRC family history, polyp history, obesity, diabetes, diet, alcohol, smoking, physical activity, and NSAID, multivitamin, and hormone therapy use. Subgroup analyses were conducted by sex, race, and ethnicity. Results: For HI MEC participants, compared to individuals with high nSES and high education, risk for CRC was highest among those with low nSES and low education (HR=1.27; 95% CI:1.11-1.45) followed by high nSES and low education (HR=1.25; 95% CI:1.12-1.41), and low nSES and high education (HR=1.17; 95% CI: 1.03-1.31). This pattern of association was observed across sex but differed across race and ethnicity (p-heterogeneity=0.04). The overall pattern of association was observed among White participants in HI. However, for Japanese American individuals in HI, compared to those with high nSES and high education, risk for CRC was highest for low nSES and high education (HR=1.29; 95% CI:1.09-1.53) and high nSES and low education (HR= 1.28; 95% CI; 1.10-1.50). For Native Hawaiian individuals, compared to those with high nSES and high education, CRC risk was highest for those with low nSES and low education (HR=1.70; 95% CI: 1.20-2.42). Associations were not statistically significant between the joint SES measure and CRC risk in CA (HRs: 0.92-0.97). Conclusion: Among MEC participants in HI, CRC risk varied with the joint measure of nSES and education across racial and ethnic groups. These findings emphasize the importance of considering the joint associations of neighborhood- and individual-level SES in understanding racial and ethnic disparities in CRC. Citation Format: Catherine Walsh, Meera Sangaramoorthy, Songyi Park, Sung-shim (Lani) Park, Gertraud Maskarinec, Lynne Wilkens, Christopher Haiman, Anna Wu, Salma Shariff-Marco, Loic Le Marchand, Iona Cheng. Joint Associations of Neighborhood Socioeconomic Status and Education on the Incidence of Colorectal Cancer: The Multiethnic Cohort 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 B152.

Abstract B058: Preliminary findings of a multilevel community-based clinical trials and genomic navigation program implemented in the southern United States

Abstract Introduction: Advances in genomics have increased our understanding of the interplay between genetics, environment, behavior, and disease. However, these scientific advances are hampered by the inadequate representation of African American (AA) and Hispanic populations in genomic studies and clinical trials; thus, it is important to identify effective engagement and navigation strategies. The goal of the MSM/TU/UAB OCCC Partnerships to Advance Cancer Health Equity (PACHE) Outreach Core is to implement and evaluate an evidence-based, theory-informed, multi-level, clinical trial and cancer genomics education program (CTC-GEP) to address the determinants for AA and Hispanic participation in clinical trials and genomic research. The program consists of a clinical and genomic navigator and a high and low-tech toolkit. We will present preliminary data characterizing the feasibility phase of this two-arm behavioral trial. Methods: The Attitudes and Intentions to Enroll in a Therapeutic Trial (AIET) questionnaire and a culturally tailored social and demographic questionnaire were used by navigators to obtain participants information. Cumulative logistic regression was used to assess the correlation of age, race, education, and type of health insurance with attaining a higher score on the Likert scale used in AIET survey questions at pre- and post-test. Results: Younger participants (18-49 years) were significantly more likely than older participants (ages 50 and above) to hold several positive views about participating in clinical trials. Specifically, they were 3.6 times as likely to believe that participating in a clinical trial could help advance science to improve community health (P-value = 0.0393); 4.6 times as likely to think there are benefits for others like them (P-value = 0.25); 5.6 times as likely to trust that clinical trial centers have rules to protect their records (P-value = 0.024); and 3.9 times as likely to trust health workers (P-value = 0.002). Additionally, participants with a high school education or less were 3.2 times as likely to consider themselves at risk of cancer compared to those with a college education or higher (P- value = 0.0015). Medicare & Medicaid recipients, compared to those with private insurance, viewed privacy as a major concern when participating in research (P-value = 0.008). Furthermore, Black/AA participants were more likely than White participants to believe that Blacks are used in research without their knowledge (P-value = 0.005). Conclusions: CTC- GEP was demonstrated to be feasible and acceptable among study participants. Findings from the AIET survey highlight privacy concerns are more pronounced among Medicare & Medicaid recipients, indicating a need for better communication about privacy protections. As well, age and racial disparities exist in trust regarding the ethical conduct of research, with older and AA participants expressing significant concern about being used in research inappropriately and without their knowledge. Citation Format: Mohamed Mubasher, Osato Eke, Victoria Churchill, Vivian Carter, Yu-Mei Schoenberger, Desiree Rivers, Jamirah Chevrin, Stephen Sodeke, Christina Wilkerson, Makeeta Rayton, Teresa Hall, Illeana Barrios Zermeno, Angela Morris, Jennifer Culbertson, Roland Matthews, Brian Rivers. Preliminary findings of a multilevel community-based clinical trials and genomic navigation program implemented in the southern United States [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 B058.