High School Education Research Articles

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.

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.

일반계 고등학교에서 체육계열 전문교과 운영 경험에 대한 현상학적 연구

Purpose: The purpose of this study was to recognize the current situation, analyze the difficulties, and propose improvement measures for the effective operation of specialized subjects in physical education in general high schools. Methods: This study utilized Colaizzi's phenomenological analysis method to draw conclusions from five physical education teachers who had experience of operating specialized subjects in physical education in a general high school. Results: First, the specialty departments recognized the need for specialized practical subjects and in-depth training for career advancement. Secondly, the cases of poor teaching due to cumbersome course organization, insufficient budgetary support, harsh teaching environment due to complex teaching conditions, arbitrary application of teaching, and lack of teaching materials were identified as difficulties in the operation of specialized subjects in physical education. Third, it was concluded that teachers' willingness to personalize education and learner-centered elective courses are necessary for the continued operation of specialized subjects in physical education. Conclusion: In conclusion, in the upcoming 2022 revised curriculum, physical education specialty courses will be more accessible to students as general education electives, so it is necessary to find more effective ways to operate them through the experience of operating specialized subjects in physical education.

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.

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.

Social Justice Leadership: Creating Equity-Driven Advanced Placement Programs

ABSTRACT A rigorous academic education in high school is one of the most important predictors of college success. The College Board’s Advanced Placement (AP) program allows students to earn college credit and/or advanced placement in high school. However, the lack of equitable participation in the AP program has not gone unnoticed by educators, policymakers, or researchers. This qualitative study was designed to fill a gap in the existing research by investigating the implementation of equity-focused AP programs in two urban districts in the Midwest. This qualitative, multiple-case study centered on the voices of 29 participants in two urban school districts who shared descriptions of their beliefs, actions, and reflections about their leadership practices regarding their AP programs. The findings show evidence of community-engaged social justice leadership in the school leaders’ personal beliefs about student access to AP, their situational awareness of their respective school communities, and the equity-focused leadership actions in service of their AP programs. Findings also demonstrated the importance of building the capacity of educators in different roles to engage in leadership activities in service of the equity-focused AP program.

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.

Employee Engagement Dynamics in High School Education: Investigating Influential Factors Across Contexts at a Ghanaian Institution

Employee engagement, a key element of organisational success, is influenced by various factors. However, there is limited clarity on how these factors impact employee engagement in high schools, particularly within the Ghanaian context. Hence, this study investigated perceived influential factors of employee engagement among high school teachers at Opoku Ware School in Ghana and their varying levels of influence across contexts using a structured survey administered to teachers (n = 75). Data analysis involving descriptive and inferential statistics, specifically ANOVA, was conducted to examine relationships between variables and test hypotheses. Key findings indicate that the employees have moderate engagement levels (M = 3.3), which are significantly impacted by leadership style, organisational culture, professional development, work-life balance, and recognition and rewards, with leadership style emerging as the most influential factor (M = 4.0). Furthermore, the analysis revealed significant differences in engagement factors across different departments (p < 0.05) and levels of seniority (p < 0.05), indicating that targeted interventions are required to address the diverse needs of teachers. However, unique results uncovered a consistency in leadership style (p = 0.33) across departments, and organisational culture (p = 0.81) and work-life balance (p = 0.76) across levels of seniority, suggesting the widespread potential impact of these specific factors. The study’s findings aligned with existing research and theories on employee engagement, emphasising the universal importance of the influential factors in driving engagement and offering valuable insights into ways high schools can enhance teacher engagement.

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 A135: Social disparities in breast cancer screening: Up-to-date screening versus overscreening

Abstract Objective: The United States Preventative Services Task Force breast cancer (BC) screening guidelines in 2022 recommended biennial mammography for women aged 50-74 and cited insufficient evidence to assess mammography’s benefits vs. harms in women aged ≥75. Other guidelines recommend screening cessation for women with <10 years of life expectancy. We examined how racial/ethnic, socioeconomic and geographic patterns observed in up-to-date screening (UTDS) for age-eligible women differ from women aged out of these guidelines or those with limited life expectancy (i.e. overscreening). Methods: We used nationally representative data from the 2022 Behavioral Risk Factor Surveillance System for women aged 50+. Women screened in the past 1-2 years were considered UTDS in age group 50-74 and ‘overscreened’ if 75+ or with a high mortality risk of any age (≥8 score using modified Lee mortality index). We used multivariable logistic regressions to examine UTDS and overscreening in relation to self-identified race/ethnicity, metropolitan status, having a personal health care provider, highest education level, and marital status, stratified by age group and mortality risk. Results: 19.2% of 99601 women aged 50-74 did not have UTDS, while 73.7% of 34545 women 75+ and 60.2% of 22225 women with limited life expectancy continued to receive screening (overscreened). Among those aged 50-74, compared to non-Hispanic (NH) White, NH American Indian/Alaskan Native women (OR=0.60, 95% CI=0.45–0.82) and NH women of unknown race (OR=0.61, 95% CI=0.45–0.82) were less likely to have UTDS while NH Black (OR=1.81, 95% CI=1.60–2.03) and Hispanic (OR=1.24, 95% CI=1.05–1.46) women were more likely to have UTDS. Lower socioeconomic resources were consistently associated with lower likelihood of UTDS (e.g. not having vs. having a personal health care provider (OR=0.22, 95% CI=0.19–0.26) or high school or less education vs. higher than high school (OR=0.73, 95% CI=0.67–0.79)). In ages 75+, compared to NH White, NH Black women were more likely to be overscreened (OR=1.32, 95% CI=1.06–1.65), and NH women of unknown race were less likely to be overscreened (OR=0.49, 95% CI=0.29–0.83). Low socioeconomic indicators were also associated with lower likelihood of overscreening (e.g. not having vs. having a personal health care provider (OR=0.48, 95% CI=0.36–0.63) or high school or less education vs. higher than high school (OR=0.76, 95% CI=0.67–0.86)). Among women with a higher mortality risk, NH Black women (OR=2.05, 95% CI=1.64–2.56) and Hispanic women (OR=1.61, 95% CI=1.09– 2.38) were more likely to be overscreened than NH White women. Conclusion: The findings reveal racial/ethnic, socioeconomic and geographic disparities in UTDS. NH Black and Hispanic women, who are more likely to have UTDS, may be at risk of overscreening as they age or if they have limited life expectancy. These patterns in UTDS and overscreening are critical considerations for implementing equitable BC screening guidelines and optimizing the benefits while minimizing the harms of screening in diverse populations. Citation Format: Michelle L. Lui, Erica Lee Argov, Anita G. Karr, Rebecca D. Kehm, Parisa Tehranifar. Social disparities in breast cancer screening: Up-to-date screening versus overscreening [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 A135.

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.

Abstract A108: Movement Over Virtual Reality (MOVR)-Latinx: Exploring the Acceptability and Feasibility of a Novel Virtual Reality Latin Dance Intervention among Latinos/as to Promote Physical Activity

Abstract Introduction: Physical inactivity is a significant public health concern contributing to numerous chronic diseases including cancer. Latina/o/x adults have higher rates of sedentary behavior compared to other racial/ethnic groups in the United States. Despite evidence supporting the efficacy and growing adoption of VR exercise programs, little is known about the role they play in the Latina/o/x community. The purpose of this study is to assess the acceptability and feasibility of a culturally tailored Latin dance inspired Virtual Reality (VR) intervention to promote physical activity and reduce cancer risk factors among Latina/o/x adults in Los Angeles. Methods: We used a community based participatory research approach to conduct two focus groups (n = 24) with diverse participants who self-identified as Latina/o/x and had not previously participated in a VR activity to explore acceptability and feasibility of a future culturally tailored VR study to promote physical activity in the Latina/o/x community. Participants were paired with culturally and language congruent student guides who provided 1:1 instruction and a 30-minute introductory session. The VR session was followed by in-person focus groups and baseline surveys that included demographic questions. Participants received a $100 gift card for their participation. Results: All participants were Spanish-speaking (n = 23, 95%) Latinos born outside the U.S. and the majority were Mexican (n = 9; 37.5%), the average age was 45 (range = 26 - 71), more than half had a high school education or higher (n = 13; 54.2%), and many were married or living with a partner (n = 15; 62.5%). Preliminary themes included: VR to promote intergenerational connections, the use or VR to overcome physical or environmental barriers, acceptability of VR as a therapeutic intervention, stress reduction via VR engagement, and the need for cultural tailoring to promote VR engagement. Conclusion: The majority of our sample of Latina/o/x participants reported VR as an acceptable means to engage in physical activity. Exploring ways to engage diverse racial and ethnic groups in research through community based participatory research and leveraging technology to build culturally informed interventions is an innovate approach to address cancer disparities. The information gained from this study will provide valuable insights into the acceptability and feasibility of a future randomized controlled trial. Citation Format: Desiree R. Acosta, Vanessa N Torres, Gael Perez, Jailene Cruz, Liana Gutierrez, Josyel Castellon, Paulina Monteon-Garcia, Yelba Castellon-Lopez. Movement Over Virtual Reality (MOVR)-Latinx: Exploring the Acceptability and Feasibility of a Novel Virtual Reality Latin Dance Intervention among Latinos/as to Promote Physical Activity [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 A108.

Abstract PR001: A comparison of modeling approaches to assess the interplay of social, behavioral, and environmental factors on lung cancer racial disparities

Abstract Purpose: While risk factors for lung cancer incidence are well established, our understanding of factors driving an increased risk of lung cancer among Black/African American populations remains incomplete. Methods: We assembled data from five U.S. lung cancer case-control studies matched on race, gender and age: the Southern Community Cohort Study, the Inflammation, Health, Ancestry and Lung Epidemiology study, the Northern California Lung Cancer Study, three Detroit area lung studies, and the NCI-Maryland Lung Cancer Study. Incident lung cancers were ascertained from state and regional cancer registries or National Death Index mortality records. Social, behavioral, and environmental factors were ascertained by in-person interviews or mailed-in questionnaires. Participant's residential addresses were geocoded and area-level area deprivation and environmental justice variables were linked at the census block. We evaluated interactions between known lung cancer risk factors and race using multilevel logistic regression analyses and novel tree-based approaches to identify potential factors contributing to racial disparities. Tree-based approaches included a conditional matched classification tree analysis designed to detect complex interactions, as well as a specialized partially recursively induced structured moderation (PRISM) analysis to study variation in disparity in lung cancer risk across levels of educational status. Results: Among 5,829 lung cancer cases and 10,671 controls (64% self-identified Black/African American and 36% White), the average age was 60 years, 50% were female, and 24% had less than a high school education. Conditional logistic regression models fit after imputation of missing data identified increased risk of lung cancer associated with personal history of cancer, family history of lung cancer, current smoking status, smoking duration, smoking pack-years, and higher neighborhood deprivation; whereas, reduced lung cancer risk was associated with higher education and increased BMI. Similar patterns were observed among Black/African Americans only, with the addition of secondhand smoke exposure. Assessment for interactions with race identified significant interactions between race and body mass index (BMI) (p-value < 0.0001), PM2.5 (p= 0.010) and gender (p=0.001) and lung cancer risk. A conditional matched classification tree analysis identified both increased and decreased risk subgroups defined by multi-way interactions of similar variables that were identified as significant main effects in the conditional logistic regression analysis. Smoking pack-years and BMI were identified as the most important determinants of heterogeneity of disparity in lung cancer risk across educational levels in our study population. Conclusions: The use of both traditional and novel tree-based based approaches provide approaches for identifying factors contributing to racial disparities. Future studies should assess the interplay of lung cancer risk factors to inform development of targeted interventions. Citation Format: Melinda C. Aldrich, Chen Zhao, Christine M Lusk, Lucie McCoy, James Jaworski, Michael Mumma, Catherine Pichardo, Michael Betti, John K Wiencke, Brid Ryan, Ann G Schwartz, Sunil Rao. A comparison of modeling approaches to assess the interplay of social, behavioral, and environmental factors on lung cancer racial disparities [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 PR001.

Abstract B017: Kick Vaping: Feasibility, acceptability, and preliminary impact of a vaping cessation text messaging intervention for Latino young adults

Abstract Objective: The purpose of this study was to assess the feasibility, acceptability, and preliminary impact of Kick Vaping among Latino young adults. Methods: Forty Latino young adults (ages 18 to 25) who were currently vaping received Kick Vaping, a vaping cessation text messaging intervention available in English and Spanish. Feasibility was measured by the eligibility rate (defined as the proportion of individuals screened who were eligible), enrollment rate (the proportion of eligible individuals who enrolled), and follow-up rate (the proportion of participants who completed the follow-up assessment at Month 3). Acceptability was measured by overall satisfaction with the intervention and perceived helpfulness. Preliminary impact was measured by self-reported 7-day point prevalence abstinence (not vaping, even a single puff, in the past seven days) and changes in self-efficacy. Results: A total of 203 individuals were identified, 61 completed the eligibility assessment, and 55 were eligible to participate in the study. Forty individuals consented to participate in the study and enrolled in Kick Vaping. The eligibility and enrollment rates were 30.0% (61/203) and 72.7% (40/55), respectively. At baseline, participants’ mean age was 22.3 years old (SD 2.1), 45.0% of participants were female, and 45.0% were heterosexual or straight. Half of the participants had a high school education or less (50.0%) and were currently employed. Fourteen (35.0%) participants reported speaking English and Spanish equally. Most participants used disposable devices (70%), vaped daily (97.5%), had low (37.5%) or medium (35.0%) e-cigarette dependence, and had attempted to quit in the past year (72.5%). At Month 3, the follow-up rate was 90% (36/40). Treating those lost to follow-up as participants who continued vaping, 75% (30/40) of participants self-reported 7-day point prevalence abstinence. Self-efficacy mean scores significantly increased from 30.65 (SD 8.07) at baseline to 50.11 (SD 10.57) at follow-up (p<0.01). Moreover, most participants (88.9%, 32/36) reported being satisfied/extremely satisfied with Kick Vaping. Additionally, most participants (83.3%, 30/36) reported that the intervention included “just the right amount of messages”. Lastly, most participants (86.1%, 31/16) reported that Kick Vaping helped them quit vaping “a lot”. Conclusion: It is feasible to recruit and retain Latino young adults in a vaping cessation text messaging intervention. Moreover, Kick Vaping generated high satisfaction and perceived helpfulness among Latino young adults, significantly increased self-efficacy, and resulted in a notable vaping cessation rate at Month 3. Additional testing in a randomized clinical trial is warranted to assess the efficacy of the intervention. Citation Format: Rafael H. Orfin, Jeffrey Wilmer Ramos Santiago, Ritsel Decena Soriano, Eliany Romero Acosta, Diana Bermudez, Yaneth L. Rodriguez, Dongmei Li, Irfan Rahman, Scott McIntosh, Deborah J. Ossip, Ana Paula Cupertino, Francisco Cartujano-Barrera. Kick Vaping: Feasibility, acceptability, and preliminary impact of a vaping cessation text messaging intervention for Latino young adults [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 B017.

Associations between changes in deprivation and alcohol use disorder: a nationwide longitudinal study.

Despite conflicting findings on the association between socioeconomic status and drinking, little is known about the impact of deprivation as a measure of inequality on alcohol use disorders (AUDs). We used the Korea Welfare Panel Study, a longitudinal survey conducted from 2012 to 2022, and included 1569 Korean adult participants. Deprivation (at least one including food, housing, medical, educational, and credit deprivation) was measured by self-report and divided into four categories according to the change in deprivation experience from the previous year to the following year. AUD was measured using the Korean version of the Alcohol Use Disorders Identification Test scale. Multivariable logistic regression was used to estimate odds ratios and 95% confidence intervals and adjusted for confounders. Among 1569 participants, worsened deprivation and consistent deprivation were positively associated with AUD compared to non-deprivation. In particular, worsened deprivation was more likely to be associated with AUD in participants with low household income, high school education level, and economic activity. We found that worsened deprivation and consistent deprivation were associated with AUD. Deprivation should be considered as a health policy intervention to improve drinking problems.

“We Will Just Have to Take It Underground”: A Black Studies Approach to Teacher Education and Critical Professional Development

In the context of contemporary attacks on Diversity, Equity, and Inclusion (DEI) and curricula that critically interrogate race and power, as well as the Eurocentric nature of traditional teacher education, out-of-school spaces for the critical development of teachers seeking to bring Black studies into their classrooms are necessary. Informed by the historical approaches of Black educators, the authors of this essay partnered with high school and university educators of color to engage in a collaborative process of teacher education, professional development, and curriculum design. The collaboration highlights the importance of curriculum codesign as a teaching method for developing educators’ content and pedagogical knowledge.

Understanding Party Size in Ride-Hailing: Solo Versus Group Travel

Emerging mobility technologies, like ride-hailing, are underrepresented in travel behavior surveys. Consequently, travel demand modelers have often resorted to simplistic solo-traveler assumptions or relied on aggregate trip size factors within activity- and agent-based models. To address this gap and help modelers understand ride-hail party size, this study analyzed data collected from a 2021 to 2022 household travel survey in the greater Twin Cities (Minneapolis–St. Paul, MN) region. Ride-hail trips were paired with person-, household-, and trip-level attributes to provide context for both single-party and multiparty ride-hailing. Binary logistic regression models indicated that shared micromobility users, households with more children, renters in large multifamily buildings, and individuals with at most a high school education were significantly more likely to use ride-hailing for group travel than for solo trips. A hurdle regression for party size count revealed that lower-income households, while less likely to use ride-hailing, were more likely to opt for group travel and form larger parties than other income cohorts. These findings offer insights into who takes ride-hailing for group travel, enabling policy makers to devise strategies targeting solo, unshared ride-hailing without negatively affecting large groups.

Epidemiology and SARIMA model of deaths in a tertiary comprehensive hospital in Hangzhou from 2015 to 2022

BackgroundBy analysing the deaths of inpatients in a tertiary hospital in Hangzhou, this study aimed to understand the epidemiological distribution characteristics and the composition of the causes of death. Additionally, this study aimed to predict the changing trend in the number of deaths, providing valuable insights for hospitals to formulate relevant strategies and measures aimed at reducing mortality rates.MethodsIn this study, data on inpatient mortality at a tertiary hospital in Hangzhou from 2015 to 2022 were obtained via the population information registration system of the Chinese Center for Disease Control and Prevention. The death data of inpatients were described and analysed through a retrospective study. Excel 2016 was utilized for data sorting, and SPSS 22.0 software was employed for data analysis. The statistical inference of single factor differences was conducted via χ2 tests. The SARIMA model was established via the forecast, aTSA, and tseries software packages (version 4.3.0) to forecast future changes in the number of deaths.ResultsA total of 1938 inpatients died at the tertiary hospital in Hangzhou, with the greatest number of deaths occurring in 2022 (262, 13.52%). The sex ratio was 2.22:1, and there were significant differences between sexes in terms of age, marital status, educational level, and place of residence (P < 0.05). The percentage of males in the groups aged of 20 to 29 and 30 to 39 years was significantly greater than that of females (χ2 = 46.905, P < 0.001). More females than males died in the widowed group, and divorced and married males experienced a greater number of deaths than divorced and married females did (χ2 = 61.130, P < 0.001). The proportions of male students with a junior college and senior high school education were significantly greater than that of female students (χ2 = 12.310, P < 0.05). The primary causes of mortality within the hospital setting included circulatory system diseases, injury, poisoning, tumours, and respiratory system diseases. These leading factors accounted for 86.12% of all recorded deaths. Finally, the SARIMA (2, 1, 1) (1, 1, 1)12 model was determined to be the optimal model, with an AIC of 380.23, a BIC of 392.79, and an AICc of 381.81. The MAPE was 14.99%, indicating a satisfactory overall fit of this model. The relative error between the predicted and actual number of deaths in 2022 was 8.02%. Therefore, the SARIMA (2, 1, 1) (1, 1, 1)12 model demonstrates good predictive performance.ConclusionsHospitals should enhance the management of sudden cardiac death, acute myocardial infarction, severe craniocerebral injury, lung cancer, and lung infection to reduce the mortality rate. The SARIMA model can be employed for predicting the number of deaths.

Self-Reported Financial Difficulties Among Patients with Multiple Myeloma and Chronic Lymphocytic Leukemia Treated at U.S. Community Oncology Clinics (Alliance A231602CD).

To estimate the proportion and correlates of self-reported financial difficulty among patients with multiple myeloma (MM) or chronic lymphocytic leukemia (CLL). 23 U.S. community and minority oncology practice sites affiliated with the National Cancer Institute Community Oncology Research Program (NCORP). 521 patients (≥18 years) with MM or CLL were consented and 416 responded to a survey (completion rate=79.8%). Respondents had a MM diagnosis (74.0%), an associate degree or higher (53.4%), were White (89.2%), insured (100%) and treated with clinician-administered drugs (68.0%). Observational, prospective, protocol-based survey administered in 2019-2020. Financial difficulty was assessed using a single-item standard measure, the EORTC QLQC30: "Has your physical condition or medical treatment caused you financial difficulties in the past year?" and using an 'any-or-none' composite measure of 22 items assessing financial difficulty, worries and the use of cost-coping strategies. Multivariable logistic regression models assessed the association between financial difficulty, diagnosis, and socioeconomic and treatment characteristics. 16.8% reported experiencing financial difficulty using the single-item measure and 60.3% using the composite measure. Most frequently endorsed items in the composite measure were financial worry about having to pay large medical bills related to cancer and difficulty paying medical bills. Financial difficulty using the single-item measure was associated with having MM versus CLL (adjusted odds ratio [aOR], 0.34; 95% CI, 0.13-0.84; P=.02), having insurance other than Medicare (aOR, 2.53; 95% CI, 1.37-4.66; P=.003), being non-White (aOR, 2.21; 95% CI, 1.04-4.72; P=.04), and having a high school education or below (aOR, 0.36; 95% CI, 0.21-0.64; P=.001). Financial difficulty using the composite measure was associated with having a high school education or below (aOR, 0.62; 95% CI, 0.41-0.94; P=.03). U.S. patients with blood cancer report financial difficulty, especially those with low socio-economic status. Evidence-based and targeted interventions are needed.