Medicine and Health Sciences Commons^™

Assessing Feasibility And Readiness To Address Obesity Through Policy In American Indian Reservations, Valarie Blue Bird Jernigan, Gail Boe, Carolyn Noonan, Leslie Carroll, Dedra Buchwald

Journal of Health Disparities Research and Practice

The Institute of Medicine and Centers for Disease Control and Prevention (CDC) have identified policy and environmental strategies as critical to the prevention and control of obesity. However such strategies are rare in American Indian communities despite significant obesity-related disparities. Tribal policymaking processes differ by tribal nation and are often poorly understood by researchers and public health practitioners, hindering the dissemination, implementation, and successful scale-up of evidence-base obesity strategies in tribal communities. To address these gaps in knowledge we surveyed 138 diverse stakeholders in two American Indian reservations to assess the feasibility of and readiness to implement CDC-recommended obesity policy …

Women’S Experiences With Prenatal Care: A Mixed-Methods Study Exploring The Influence Of The Social Determinants Of Health, Karen A. D'Angelo, Janelle K. Bryan, Brenda Kurz

Journal of Health Disparities Research and Practice

Background & Purpose: Racial and ethnic disparities pervade birth outcomes in the United States and the state of Connecticut. While Connecticut’s infant mortality rate is less than the national average, rates for the state’s Black/African American and Hispanic/Latino communities exceed it. This study explored how prenatal care in Connecticut may be enhanced to address these disparities.

Methods: In spring 2013, seven focus groups and two semi-structured interviews were conducted (n=47). Participants also self-administered brief surveys. Recruited by local service providers, participants were 18 or older, pregnant and/or in the first year post-partum at the time. Most self-identified as …

Building Community-Campus Partnerships To Prevent Infant Mortality: Lessons Learned From Building Capacity In Four Us Cities, Renata Schiavo, Isabel Estrada-Portales, Elena Hoeppner, Denisse Ormaza, Radhika Ramesh

Journal of Health Disparities Research and Practice

Infant mortality rate (IMR) is an important indicator of progress toward health equity and socio-economic development. Despite progress, the US is ranked 45th among 192 countries in IMR, with non-Hispanic black IMR 2.2 times that of non-Hispanic white rates, and higher than average IMR in Native American populations. The Preconception Peer Educators (PPE) program of the U.S. DHHS Office of Minority Health Resource Center (OMHRC) aims to raise awareness about IMR disparities in African Americans, and to promote preconception health behaviors among women of childbearing age and sexually active men. Building upon this program, this report focuses on lessons learned …

Healthcare Providers’ Perceptions Of Socioeconomically Disadvantaged Patients With Chronic Pain: A Qualitative Investigation, Nicole A. Hollingshead, Marianne S. Matthias, Matthew Bair, Adam T. Hirsh

Journal of Health Disparities Research and Practice

Socioeconomically disadvantaged individuals are at-risk for chronic pain and disparate care. In this qualitative study, we explored providers’ experiences with socioeconomically disadvantaged patients, with a particular focus on providers’: (1) perceptions of socioeconomically disadvantaged patients’ barriers to pain care, (2) attitudes towards this patient population, and (3) chronic pain decisions for these patients. Individual interviews were conducted with twenty-four healthcare providers. Providers discussed several patient-level access barriers, such as not having health insurance, financial constraints, and scheduling difficulties. Providers believed socioeconomically disadvantaged patients were at-risk to misuse prescription opioids and were less comfortable prescribing opioids to these patients. This investigation …

Effects Of Human Maternal Placentophagy On Postpartum Maternal Affect, Health, And Recovery, Sharon Marie Young

UNLV Theses, Dissertations, Professional Papers, and Capstones

Postpartum ingestion of the afterbirth by the mother, or maternal placentophagy, is a common behavior among eutherian mammals, including non-human primates, with humans as a rare exception. Despite the conspicuous absence of placentophagy in the cross-cultural ethnographic record, the practice appears to be gaining popularity among a small but growing number of advocates in various industrialized contexts who claim that the practice provides benefits to the postpartum mother, namely the relief and prevention of postpartum blues and depressive symptoms, improved breast milk production, and enhanced bonding with their infant. Because the placenta serves as an endocrine organ throughout pregnancy and …

Self-Care And Mobility Disability At Mid-Life In Lucky Few, Early-, And Late-Baby Boom Birth-Cohorts, Carlos Siordia

Journal of Health Disparities Research and Practice

Disability is related in definite ways with makers of social stratum, as it can be influenced by and has the potential to contribute to the production and reproduction of social stratification. Intersectional markers of social stratification processes are ignored determinants of health. The Class, Race, Sex (CRS) hypothesis presented here argues that a low-education, racial-minority, and female disadvantage will compound to affect the prevalence and risks of disability. The evidence presented validates the CRS hypothesis by showing that disability prevalence and risk clusters first by class, race, and then sex. The cross-sectional study of community-dwelling adults in the Unites States, …

Can Children’S Museums Deliver Effective Health Outreach?: Evaluation Results Of The Healthworks! Be A Food Groupie Program For Elementary Students, Kathleen Ragsdale, Ginger Cross

Journal of Health Disparities Research and Practice

Objectives: We evaluated the Be A Food Groupie (BAFG) program’s impact on health/nutrition knowledge among elementary students who received BAFG at HealthWorks! children’s museum.

Methods: In 2012-2013, we conducted a matched comparison evaluation using pre-/post-tests among 446 intervention and 524 comparison students (N = 970) in Grades 3-5 recruited from 11 Mississippi schools to determine whether BAFG improved health/nutrition knowledge across three domains: 1) comprehending food labels, 2) understanding serving sizes, 3) understanding food groups.

Results: After controlling for pre-test scores, ANCOVA results indicate that intervention students scored significantly higher on the post-test across all three domains and across all …

Latinos And Cancer Information: Perspectives Of Patients, Health Professionals And Telephone Cancer Information Specialists, Celia P. Kaplan, Anna Nápoles, Sharon Davis, Monica Lopez, Rena J. Pasick, Jennifer Livaudais-Toman, Eliseo J. Pérez-Stable

Journal of Health Disparities Research and Practice

Semi-structured interviews were conducted with 16 Latino cancer patients diagnosed in California; 10 health professionals from the San Francisco Bay Area and Fresno, California; and 10 Cancer Information Services (CIS) information specialists from the regional offices handling calls from Spanish-speakers. Interview guides were designed by the investigators to answer three main research questions: 1) How do Latinos obtain information about cancer and what types of information do they access?; 2) What sources of cancer information do they seek out and find credible?; and 3) What are the barriers and facilitators to Latinos obtaining cancer information? Stakeholders generally viewed health professionals …

Using The Theory Of Fundamental Causes To Show The Potential Effects Of Socioeconomic Status On Surgical Outcomes, Mehwish Qasim, A.B.D.

Journal of Health Disparities Research and Practice

Surgical procedures are both costly and common. There are large differences in surgical outcomes both within and between hospitals based on patient characteristics such as measures of income. In both 2000 and 2009, patients residing in low-income communities had worse morbidity and mortality rates, across a wide range of quality indicators. In this review, the author will explicate the Theory of Fundamental Causes as it relates to surgical care, review key empirical findings and address potential limitations of the theory. This review will provide a platform for researchers to discuss current research in surgical disparities using the Theory of Fundamental …

Hispanic Representation In A Longitudinal Birth Cohort Study, Julie Postma, Lisa R. Younglove, Kerry Brooks, Tamara Odom-Maryon, Shirley Beresford, Thomas Burbacher, Phillip Butterfield, Patricia Butterfield, Nicole Cederblom, Kimberly Grant, Elaine M. Faustman

Journal of Health Disparities Research and Practice

Background: The purpose of this paper is to report: 1) strategies used to engage Hispanic women and their families in a longitudinal birth cohort study, and 2) comparisons of Hispanic and non-Hispanic groups that received those strategies. This paper augments the current literature by reporting methods and results specific to a subpopulation of Hispanic women, that of self-identified Mexican women. Comparisons between Hispanic and non-Hispanic groups that received those strategies will build the evidence base that supports effective outreach and engagement strategies.

Methods: Cultural responsiveness theory was used to structure outreach and engagement, including: 1) assembling a culturally competent team; …

Research On Problem Gambling Websites, Chang Boon Patrick Lee

International Conference on Gambling & Risk Taking

This is a continuation of a series of studies on problem gambling websites. It has been noted in prior studies that one avenue problem gamblers might look for help was to go online to perform a web search. Online help is practical as help can be located immediately and this can help to ease the gamblers’ concerns that they are left alone to handle their own problems. While there are some anecdotal evidences regarding the success of problem gambling websites, there have been few empirical studies that relate directly to the perceptions and usefulness of the websites for the problem …

A Public Health-Based Approach To German Gaming Regulation, Knut Walter, Gerhard Buehringer

International Conference on Gambling & Risk Taking

The current situation of the German gambling market can be characterized by an unrelated framework of different legal systems, different regulatory authorities and different control principles, and has led to (1) an increasing number of court decisions and information requests by European Commission questioning parts of that regulatory system, (2) public tolerance of illicit gambling, and consequently (3) a lack of consumer protection.

Taking RENO Model 1.0 and 2.0 seriously, a new and comprehensive regulatory framework based on common consumer protection standards for all types of gambling – land-based and online, state-owned and private operated – has been developed and …

Mandatory Pre-Commitment Loss Limits: Six Years’ Experience Shows It Works, Bjorn H. Hoffmann

International Conference on Gambling & Risk Taking

The Norwegian state owned company Norsk Tipping is a pioneer in the gambling indusrty with its secure player identification and mandatory registered play across all channels. Knowing who your player is and having a strong link between the player and his consumption of games across all channels (land based, EGM, web and mobile) is an important premise for having a credible responsible gaming platform.

Norsk Tipping introduced in 2009 EGM’s with both pre commitment tools and maximum loss limits. In 2014 we introduced our Internet casino with probably the best responsible gambling platform in the world, including mandatory loss limits. …

An Empirical Evaluation Of The Clubsnsw (Australia) Multi-Venue Self-Exclusion Program, Dylan A. Pickering, Alexander Blaszczynski, Sally Gainsbury, Rowan Cameron

International Conference on Gambling & Risk Taking

Few empirical studies have evaluated the effectiveness of self-exclusion programs. Research is required to identify factors contributing to decisions to enter and/or breach self-exclusion orders, or to self-excluded gamblers to seek additional treatment. Clinical characteristics of self-excluders remain relatively unknown in addition to factors that differentiate gamblers who do or do not breach. Limitations of current programs are that gamblers can self-exclude from only one or a limited number of venues. The Multi-venue Self-exclusion program, developed and implemented by ClubsNSW (Australia), is a centralised web-based system designed to help problem gamblers self exclude from up to 35 venues at a …

Monitoring Gambling Impacts In Massachusetts: Honing Strategies And Preventing Harm, Rachel A. Volberg, Amanda Houpt

International Conference on Gambling & Risk Taking

In November 2011, an Act Establishing Expanded Gaming in the Commonwealth of Massachusetts was signed into law (Chapter 194 of the Acts of 2011). This legislation permits casinos and slot parlors in Massachusetts under the regulatory auspices of the Massachusetts Gaming Commission (MGC). Section 71 of the Expanded Gaming Act requires the MGC to establish an annual research agenda to assist in understanding the effects of casino gambling in Massachusetts and in minimizing the negative impacts. Research activities launched thus far include a comprehensive study of the social and economic impacts of casino gambling in Massachusetts (SEIGMA), a cohort study …

Best Practices For Self-Exclusion Reinstatement And Renewal, Alex Price

International Conference on Gambling & Risk Taking

While many studies have examined self-exclusion few have focused on the processes through which gamblers return at the end of their agreements. In 2014, the RGC Centre for the Advancement of Best Practices examined voluntary self-exclusion reinstatement and renewal in an effort to develop evidence-informed best-practices for both land-based and online gambling operations. The presentation outlines the findings of the study and the recommended best practices for reintegration and ban renewal.

The study examined a range of practices around the world. In the end the study recommended an active reinstatement process in which all participants are required to apply to …

A Behavioural Account Of Mobile Gambling, Richard James, Richard Tunney, Claire O'Malley

International Conference on Gambling & Risk Taking

Mobile gambling is an emerging market in which there is evidence that some gamblers are introduced to gambling through their mobile device, and that mobile gambling does not ‘cannibalise’ participation with other forms of gambling. There is a concern that mobile gamblers face distinct risks from other forms of gambling, particularly for harmful behaviours. This paper presentation outlines a behavioural account of mobile gambling that combines both the learned characteristics of problem gambling with how individuals interact with their mobile devices. This hypothesizes that the extended gaps between plays or sessions potentially attracts extended play, even in the face of …

Ready, Set, And Go Back: The Role Of The Judiciary In Brazil’S Bingo Ban, Luiza Jobim Llm, Toni Williams

International Conference on Gambling & Risk Taking

Brazil, the host of the 2014 World Cup and the 2016 Olympics, is known for strong competitive traditions in sports and games. It is also one of only three G-20 countries (together with Saudi Arabia and Indonesia) that currently bans non-state provision of gambling products. Bingo was a notable exception to this prohibition, after enabling legislation was enacted in 1993, with the intention that proceeds would help fund national sports development. The game quickly became very popular but there were persistent questions about, and contestations over, the capacity of the regulatory framework to control the dual risks of exploitation of …

Problem Gambling Prevalence And Risk Factors Among Older Adults, Nigel E. Turner Ph.D., John Mccready, Robert Mann Ph.D., Mark Van Der Maas, Hayley Hamilton, Tracy Schrans

International Conference on Gambling & Risk Taking

Reports on the results of a study that interview older adults at casinos and racetrack slot machine venues (racinos) in Ontario. The study used an intercept survey employing cluster sampling methods to obtain a random sample of 2,103 Ontario older adults (aged 55 and older) gambling at seven sites across the province. Older adults exiting the gaming floor were randomly selected to be invited to participate in an interview / survey, which required about 15-20 minutes of their time. Participants provided information about their own gambling behavior and gambling-related problems, attitudes toward gambling, gambling and gambling problems in their community, …

Profiling At-Risk Gamblers, Tapio Jaakkola, Kari Vuorinen, Mirka Smolej

International Conference on Gambling & Risk Taking

The majority of gambling research has been concentrating on problem gambling and on the association between gambling behavior, game design and gambling harm. Much less attention has been directed at recreational gambling or on players that do not suffer from any gambling related problems. However, when it comes to preventing gambling harm we should also target those at risk as well those who are gambling moderately.

As a part of a project on prevention of adult gambling harm we did a study of at-risk gamblers in order to recognize and to define the socio-economic background of our target group. Prior …

Measuring Market Saturation In The U.S. Casino Industry: An Analytical And Empirical Analysis, Clyde W. Barrow, Alan P. Meister, David R. Borges

International Conference on Gambling & Risk Taking

The national and regional economies in the U.S. remain on a slow growth trajectory, while the casino gaming industry has seen a rapid and ongoing expansion. Consequently, states, Native American tribes, and gaming operators have increasingly shifted their attention from gaming expansion to the problems of regional competition, cannibalization, market maturation, and market saturation. The question of “market saturation” has become a salient point of public policy debate and a topic that is now frequently raised in the industry and media. This paper analyzes the concept of saturation in the context of casino gaming markets and compares several metrics for …

Gambling Warning Messages: The Impact Of Winning And Losing On Message Reception Across A Gambling Episode, Rory A. Pfund, Meredith K. Ginley, Samuel C. Peter, James P. Whelan, Andrew W. Meyers

International Conference on Gambling & Risk Taking

Warning messages prevent and modify risk-taking behaviors. When controlling the outcome of each wager, studies suggest such messages can increase a player’s knowledge about gambling-specific risks, modify their gambling-related cognitive distortions, and even change play. The present study takes the next step by asking if the reception of the warning message is influenced by the player’s experience of winning or losing.

In a laboratory study, participants were randomly assigned to a winning or losing gambling experience where they either viewed periodic warning messages or not. Using a mixed model analysis, the influence of the warning messages was related to players’ …

Gambling-Related Problems Of Self-Excluders In Swiss Casinos, Suzanne Lischer

International Conference on Gambling & Risk Taking

No abstract provided.

Interventions For Problem Gamblers In The Correctional System, Nigel E. Turner Ph.D., Flora Matheson

International Conference on Gambling & Risk Taking

The prevalence rates of problem gambling in the adult correctional population are 5 to 10 times higher than those found in the general population. The purpose of this study is to examine the type of interventions used to deal with this population. We conducted a combination of literature review and key informant study to examine the state of programming for problem gambling for clients who experience incarceration. The published literature on this topic is remarkably sparse. In fact only two peer reviewed published studies were identified that formally evaluated a treatment program for problem gambling for clients in these settings. …

Exploring The Utility Of An Extended Theory Of Planned Behaviour Framework For School-Based Gambling Prevention Programs, Renee A. St-Pierre Ph.D., Caroline E. Temcheff Ph.D., Jeffrey L. Derevensky Ph.D., Rina Gupta Ph.D.

International Conference on Gambling & Risk Taking

The theory of planned behaviour (TPB) and the concept of negative anticipated emotions (NAE) have attracted research attention in the formulation of effective preventive interventions. This approach has identified several key constructs of the TPB (i.e., intentions, attitudes, subjective norms, perceptions of behavioural control) and NAE as valid predictors of gambling behaviours and problems among young people (Martin et al., 2010, 2011; St-Pierre et al., 2015). However, no empirical investigation has utilized all of these constructs in the design or evaluation of an adolescent problem gambling preventive intervention. The current research aimed to assess the efficacy of targeting NAE and …

Gamblerization Of Post-Communist Society In Central Europe, Zdeněk Szczyrba, David Fiedor, Irena Smolová

International Conference on Gambling & Risk Taking

Countries of Central European region (Czech Republic, Slovakia, Poland and Hungary) joined a new stage of their development after 1989. In these countries, there was a building process of capitalism which went in parallel with far-reaching structural economic and social changes; such as the privatization of economies, de-industrialization but also gamblerization of society. Clarifying this term, gamblerization, it could be described as the process of a continuous penetration of gaming facilities in the area accompanied by an increased availability and accessibility of gaming machines in the society. It is important to say that this process was particularly allowed owing to …

Gambling Problems In The General Danish Population: Survey Evidence, Morten Lau, Don Ross

International Conference on Gambling & Risk Taking

We develop surveys of gambling problems in the general Danish population. We compare several popular survey instruments of gambling behavior and gambling propensity to assess if they differ in their classification of individuals. We also examine correlations with standard survey instruments for alcohol use, anxiety, depression and impulsiveness. A feature of our design is that nobody was excluded on the basis of their response to a “trigger,” “gateway” or “diagnostic item” question about previous gambling history, allowing us to check for sample selection bias. Our sample consists of 8,405 adult Danes, which is 12.8% of the sample frame of 65,592 …

Generational Differences In Gambling Behavior And Attitudes, Don Feeney, Todd Maki

International Conference on Gambling & Risk Taking

The five generations that make up the adult population of North America and Europe differ greatly in their gambling behavior and their beliefs and attitudes towards gambling. This presentation will discuss data that demonstrate the extent of these differences as well as the cultural background and formative experiences that led to them. It will conclude with a discussion of implications for the gambling industry, responsible gambling, public policy, and for those concerned with the prevention and treatment of gambling problems.

Responsible Gambling Training: How Do We Know What’S Working?, Janine Robinson

International Conference on Gambling & Risk Taking

No abstract provided.

Responsible Gambling Training In Ontario Canada, Janine Robinson

International Conference on Gambling & Risk Taking

No abstract provided.