Pres aapor2011 may13_boudreaux

Wirtschaft & Finanzen Technologie

Do cell phone users differ by frame and should we care? Presenter Michel Boudreaux AAPOR, Phoenix, Arizona May 13, 2011 Funded by a grant from the Robert Wood Johnson Foundation

Acknowledgments Funding support: MN Department of Human Services MN Department of Health Coauthors: Kathleen Thiede Call Donna McAlpine Tim Beebe Brett Fried David Dutwin 2

To screen or not to screen Lack of consensus in field on whether to: Screen for cell phone only (CO) households Include all but landline mostly Interview the entire cell phone frame Excluding some cell users could introduce error Including all users complicates weighting due to overlapping probabilities of selection 4

Research questions Are cases omitted when screening for CO households different depending on which frame they are captured in (LL vs. Cell)? Do these differences disappear when controlling for post-stratification variables? 5

Data Sources 2009 MN Health Access Survey (MNHA) Ongoing survey of health insurance/access Accepted all cell phone completes 2010 MN Survey on Adult Substance Use Focus on prevalence of drug/alcohol use and treatment patterns Accepted only CO and CM cases 6

Analysis T-test/pairwise comparisons of: Cell mostly sampled in LL versus Cell frame Regression models with telephone usage as predictor, controlling for weighting variables Full sample weights applied 7

Unadjusted Health-Related Outcomes, MNSASU 12 *

Adjusted Health-Related Outcomes, MNSASU 13

Discussion CM users from landline vs. cell frames do differ on health outcomes However, post-stratification weighting appears to correct for these differences This suggests that we can safely screen for CO However, cost and variance remains an issue 14

15 Contact information Michel Boudreaux State Health Access Data Assistance Center (SHADAC) boudr019@umn.edu ©2002-2009 Regents of the University of Minnesota. All rights reserved.The University of Minnesota is an Equal Opportunity Employer

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Running head: Physician’s Ability to Address Driving Safety with Their Patients 1 8 Physician’s Ability to Address Driving Safety with Their Patients The University of Toledo Juliane Johnson 11/30/2011 Scope of the Problem Injury and death due to motor vehicle accidents are serious, but often neglected issues globally. According to the U.S. Census, there are about 312,689,471 people in the United States and about 196,165,666 of them have driver’s licenses(Bureau, 2011). With so many drivers on the road education and awareness of driving safety are key factors in decreasing the risk of accidents and deaths among those driving. The amount of accidents due to distracted driving, driving under the influence and other driving errors is overwhelming and there many things that can be done to decrease the amount of accidents, injuries, and fatalities. There have been advances in the prevention of motor vehicle crash rates and over the past few decades the volume of motor vehicle accident fatalities has decreased for every age group. In 1985, there were about 17.8 deaths per 100,000 people between the ages of 35-69 and in 2009 that number dropped to about 12.5(Safety, 2008). Over time, new education programs, safer vehicles, safer roads and many other factors have contributed to these decreases in deaths, but the problem has not vanished completely. Motor vehicle accidents still account for more deaths between the ages 5-34 than any other cause. As of 2008, unintentional motor vehicle traffic deaths were the leading cause of death for all people between the ages 5-34 and accounted for 37,985 deaths in all people("Injury Prevention & Control: Data & Statistics," 2010). One of the most crucial aspects of intervention programs is beginning to reach the individuals who are at the highest risk of accidents along with finding new venues to reach all populations(McEvoy, Stevenson, & Woodward, 2007). Specifically, distractions while driving are a leading cause of motor vehicle accidents that can be addressed with a change of behavior. According to the Fatality Analysis Reporting System (FARS), there were a total of 51,857 fatalities caused by crashes involving distractions in 2008 (Wilson & Stimpson, 2010). Drivers are more frequently using distracting devices like cell phones, GPS units and complex stereos while in cars than ever before. These devices may even be built directly into new models as a standard package, which can sometimes give the misconception that the devices can be used safely while driving and this is not a healthy message to send drivers.(Jacobson & Gostin, 2010). The most recent statistics even suggest that up to 21% of all traffic accidents are due to distractions while driving. Finding out how to stop this critical trend is very important to decreasing the amount of fatalities reported. One clear answer is passing legislation that can prohibit or reduce these distracted behaviors. “Since 2007, 34 states have ena.

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What would you do for those you love? Imagine being forced to leave everything behind, venturing into a new world where you sell your body for sex in the hope of providing for your family. You leave for a garment factory job with the hope of sending money home, but learn the conditions are unlivable. If you want a better future, or perhaps just survive, it seems the only solution is to have sex for a paycheck. Thousands of Cambodian girls, teens, and women work in the sex industry. This session explores the feasibility of a mHealth SRH education intervention targeted at reducing their HIV risk. In 2013, the number of mobile subscribers reached 20 million, 5 million more than the population. This affords a new, unique medium of private, inexpensive information dissemination. If you are interested in social justice, global health, and innovative solutions, this presentation is for you!

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The paper intends to assess the level of utilization and socio-economic factors influencing adherence to utilization of Anti Retroviral Therapy (ART) for People Living with HIV/AIDS in Dodoma Municipality and Kongwa District in Tanzania. Documentary review, interview and Focus Group Discussion were used in collecting data. A total of 140 respondents (99 PLWHIV/AIDS and 41 key informants) from four hospitals, two health centers and one dispensary were selected and interviewed as representatives for the purpose of this study. Quantitative data were collected and analyzed by using SPSS version 16 software. The study revealed 100% of PLWHIV/AIDS used ART drugs in Dodoma General Hospital, Kongwa Hospital, Mkoka Health Center and Makole Health Center while 40% in St. Gemma Hospital. Also the study indicated there were high dropout from utilization of ART drugs among PLWHIV/AIDS, 60% in Mirembe hospital, (50%) in Mkoka health center and (44%) in St. Gemma hospital as compared to the rest health centers and hospitals. The drop out caused by ART drugs side effects such as vomiting (25.1%), frequently sickness (19.9%) and decrease in CD 4 (11.2%). Lastly the study revealed four main socio-economic factors influencing adherence to utilization of ART services among PLHIV/AIDS including lack of employment support (66.7 %,) lack of confidentiality (50 %,) patient’s preference to traditional medicines (30%) and cultural belief (29.3%). The study recommends all PLWHIV/AIDS with side effects should report their cases to health centers and hospitals because not all side effects require a change of drugs or discontinuation, PLWHIV/AIDS should be assisted by Government and Non-Government Organizations and family members to secure soft loans that will enable them to establish income generation activities, education on patients confidentiality should be provided to services providers in hospitals and health centers

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