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Dental Utilization and Oral Hygiene Behaviors among Mexican-identifying Young Adults: Examining the Roles of Health Literacy, Acculturation, and Psychosocial factors
Get PDFBackground: Mexican-Americans experience a high burden of oral diseases. Oral health behaviors (annual dental visits, daily toothbrushing and flossing) can reduce disease risk. Methods: All three chapters utilized survey data from 340 Mexican-identifying Californians aged 21-40 years. In Chapter 1, logistic regression examined differences in past year dental utilization by health literacy (HL), stratified by birthplace. In Chapter 2, logistic regression assessed dental attendance (a composite of time since last dental visit and reason for visit) by three psychosocial factors (dental anxiety, participant-reported quality of provider interactions, and perceived social support). Chapter 3 used negative binomial regression to examine associations of predisposing, enabling and needs factors with reported one-week frequency of toothbrushing and flossing.
Results: In Chapter 1, mean HL was significantly higher among those with a past year dental visit (Odds Ratio [OR]=1.41, 95% Confidence Interval [CI]=1.05-1.93). In a significant birthplace-language preference interaction, US-born individuals preferring Spanish had higher odds (OR= 3.30, CI=1.56-6.97) of reporting a past year dental visit than US-born individuals preferring English. In Chapter 2, we factors associated with poor dental attendance (dental visit one or more years ago or urgent/emergency dental problem). 58% had poor dental attendance. Those with high dental anxiety and those who perceived that their providers did not explain their oral health status or treatments well had higher odds of reporting poor dental attendance (OR= 2.01, CI=1.03-4.17) (OR=2.02, CI=1.09-3.72) respectively. In Chapter 3, weekly toothbrushing frequency was higher among US-born (Incidence rate ratio [IRR]=1.16, CI=1.03-1.28) than foreign-born adults, increased with each unit increase in perceived oral health importance (IRR=1.04, CI=1.01-1.06), and was higher among adults with a past year dental visit (IRR=1.15, CI=1.03-1.28) versus more than one year ago. Adults with a past year dental visit (IRR=1.79, CI=1.37-2.33) versus more than one year ago had a greater frequency of weekly flossing.
Conclusion: Overall, results indicate that higher HL, being US-born, and a preference for Spanish are important factors in dental care utilization. Higher perceived importance of oral health and past-year dental visit are crucial for maintaining frequent toothbrushing and flossing. Conversely, high dental anxiety and poor patient-provider interactions negatively impact dental attendance
Human Papillomavirus-Related Oropharyngeal Cancer: Understanding Knowledge, Prevention, and Provider Perceptions
Get PDFBackground: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States, with nearly 80% of the population infected at some point in their lifetime. HPV is the cause of approximately 70% of oropharyngeal cancers (OPC). Methods: Chapter 1 utilized data from the Health Information National Trends Survey 5, cycles 1-3; logistic regression analyses examined differences in HPV-related oral cancer knowledge between sexual minorities and their heterosexual counterparts. Chapter 2 utilized electronic health record data of patients without prior history of HPV vaccination. Logistic regression modeling, guided by the Andersen Behavioral Model, examined associations between predisposing, enabling, and need factors with HPV vaccine initiation. Chapter 3 utilized survey data from medical and dental providers that assessed attitudes regarding HPV-related OPC patient engagement. Guided by the Theory of Planned Behavior, HPV-related OPC responses were compared between medical and dental providers using chi-square tests and linear regression analyses.
Results: In Chapter 1, HPV-related oral cancer knowledge overall was low and there were no significant differences in knowledge for sexual minority men or women compared to heterosexual counterparts. In Chapter 2, HPV vaccine initiation rates overall, were relatively low (20%). For males, minority sexual orientation (OR:1.75; 95% CI:1.20-2.55) and HIV+ status (OR:2.63; 95% CI:1.16-5.97) were associated with greater odds of HPV vaccine initiation; as age increased, odds of HPV vaccine initiation decreased (OR:0.74; 95% CI:0.66-0.84). For females, non-White race (OR:1.26; 95% CI:1.04-1.53), having a nurse practitioner/physician assistant as a provider (OR:1.33; 95% CI:1.08-1.65), and more frequent utilization (OR:1.54; 95% CI:1.31-1.80) were associated with greater odds of HPV vaccine initiation. In Chapter 3, regression analysis indicated dental providers had higher levels of agreement related to perceived behavioral control (greater confidence/feeling adequately trained to engage patients) compared to medical providers (p<0.001).
Conclusion: Findings showed HPV-related OPC knowledge and HPV vaccine initiation were low and providers reported lack of adequate training/confidence in HPV-related OPC patient engagement. Action should be taken to increase HPV-related OPC knowledge for vulnerable populations, promote HPV vaccination while considering behavioral risk profiles, and provide continuing education opportunities for providers to improve confidence regarding HPV-related OPC patient engagement
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
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