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    Editor's Note

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    “Mental Math”: Building Coping and Problem-solving Skills in Math Class

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    Many youth face mental health obstacles to their learning and wellbeing. School, and especially math class, is an overlooked and underutilized arena for students to learn coping and problem-solving skills and apply them to both academic and broader life challenges. A brief online intervention, Mental Math, developed with cognitive-behavioral principles, had high engagement and significant positive effects on academic performance among high school math students. Implications for future implementation are discussed

    Editorial: The Role of the Built Environment in Our Healthy Academic Communities

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    Exploring the Post-COVID Reasons for IPAPs Student Enrollment

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    Background: Many college students accumulate low levels of physical activity and even more so since the COVID-19 pandemic. Instructional physical activity programs (IPAPs) are a viable option for students to increase physical activity levels, but the reasons students take these courses have not been explored since the pandemic. Aim: This pilot study explores the reasons students choose to take courses in an elective IPAP program. Methods: This study employed a survey-based approach to investigate the reasons behind college students’ enrollment in IPAPs following the COVID-19 pandemic. The survey (n = 85) included demographic information, reasons for taking a course, courses students would have interest in taking, and preferred length and delivery mode. Results: Findings revealed that the top three reasons for females to sign up for an activity course were: (1) wanted to learn a new activity, (2) to exercise regularly, and (3) to improve fitness. For males, the top three reasons were: (1) wanted to have fun, (2) to improve skills of the activity,  and to (3) to exercise regularly. Conclusions: Results from this study show high alignment and slight differences with similar research done prior to the COVID-19 pandemic. Overall, students appear to enjoy fun, fitness-based, and novel course options in IPAP programs

    Board of Directors

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    Editors’ Introduction

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    Earl H. and Anita F. Hess Archives and Special Collections

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    Front Matter

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    Additional Chronic Conditions as Barriers to Depression Management Among Adults Living with HIV

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    Introduction: An estimated 20% to 30% of people living with HIV (PLHIV) suffer from depression. While the collaborative care model (CCM) is an evidence-based intervention designed to reduce depression, little is known of the impact of additional chronic conditions (ACC) on depression management and CCM response among PLHIV.Methods: A retrospective cohort study was conducted among 412 PLHIV enrolled in CCM at a large urban community hospital in Cuyahoga County, Ohio, between July 1, 2015, and June 30, 3017. Study participants were identified as clinically depressed at enrollment with at least two PHQ-9 measurements within a year of enrollment. Additional chronic conditions were studied to assess their association with depression treatment response or remission during the study period. Multivariable logistic regression was used to model response and remission considering ACC while adjusting for demographic, program-related, and clinical measures.Results: Depression outcomes were no different based on the presence or number of ACC. Study participants age 50 years or over with obesity (aOR: 0.15; 95% CI: 0.04-0.64) or heart disease (aOR: 0.15; 95% CI: 0.03-0.84) were less likely to achieve remission. Participants irrespective of age with musculoskeletal disease (MSD) were less likely to achieve remission compared to others without MSD (aOR: 0.48; 95% CI: 0.25-0.93).Conclusion: Strategies that address obesity may be necessary adjuncts to successfully treating depression among older adults with HIV, while barriers posed by heart disease or MSD should be further investigated

    Ohio Beyond the Mean: Socioeconomic Inequality in Body Mass Index Among Adults 2008-2021

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    Background: Obesity is a serious public health problem in Ohio. This study evaluated the heterogeneous relationship between socioeconomic status (SES) and body mass index (BMI) across the BMI distribution and examined the evolution of the gradient across time. Methods: The analyses were conducted using data from the 2008 Ohio Family Health Survey (OFHS) and the 2021 Ohio Medicaid Assessment Survey (OMAS). These surveys are repeated cross-sectional random probability samples of noninstitutionalized adults used to monitor the health and well-being of residential Ohioans. The sample consists of nonpregnant adults aged 19 years and older. Results: The change in BMI between 2008 and 2021 was most dramatic for women, with the entire distribution shifting to the higher range of values with the largest percentage change occurring at the 75th and 90th percentiles. The results showed a persistent educational and income gradient in BMI especially among women. While the income gradient is steepest at higher levels of BMI, the main impact of educational attainment occurs around the median BMI. The difference across the BMI distribution between those with and without a 4-year degree is most striking among women. Conclusion: Overall, women experienced the most significant shift in BMI compared to men. However, rates of BMI vary across socioeconomic indicators, with educational attainment having the greatest impact on BMI

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