74 research outputs found
Resources and resilience in Older Women: Implications for health outcomes and culturally tailored interventions.
Dr. Springfield\u27s Bio:
As a nutritionist, Springfield’s research interests focus on the social, behavioral, and structural determinants of dietary behaviors in African American women and developing community-based interventions to promote health equity. Her most recent work examines relationships between psychological resilience, diet quality, and cardiovascular disease-related outcomes.
Abstract:
Introduction
Resilience – which we define as the “ability to bounce back from stress” – can foster successful aging among older, ethnically diverse women. This study investigated the association between psychological resilience in the Women’s Health Initiative Extension Study (WHI-ES) and three constructs defined by Staudinger’s 2015 model of resilience and aging: (1) perceived stress, (2) non-psychological resources, and (3) psychological resources. We further examined whether the relationship between resilience and key resources differed by race/ethnicity.
Methods
We conducted a secondary analysis on 77,395 women aged 62+ (4,475 African American; 69,448 non-Hispanic White; 1,891 Hispanic/Latina; and 1,581 Asian or Pacific Islanders) who enrolled in the WHI-ES. Participants completed a short version of the Brief Resilience Scale. Guided by Staudinger’s model, we used linear regression analysis to examine the relationships between resilience and resources, adjusting for age, race/ethnicity, and stressful life events. To identify the most significant associations, we applied elastic net regularization to our linear regression models.
Findings
On average, women who reported higher resilience were younger, had fewer stressful life events, and reported access to more resources. African American women reported the highest resilience, followed by Latinas, White, and Asian women. The most important resilience-related resources were psychological, including control beliefs, energy, personal growth, mild-to-no forgetfulness, and experiencing a sense of purpose. Race/ethnicity significantly modified the relationship between resilience and energy (overall interaction p=0.0017).
Conclusion
Increasing resilience among older women may require culturally tailored stress reduction techniques and resource-building strategies, including empowerment to control the important things in life and energy
OPTIMALISASI PEMBONGKARAN SEMEN DI MV. OCEAN SPARKLE
Rezca Viranda, 48114055 N, "Optimizing Discharging Cement on MV. Ocean Sparkle". Diploma Program IV Department of Nautical Polytechnic Merchant Marine Semarang Supervisor material (I): Capt. Sidrotul Muntaha, M.Si, M.Mar, Supervisor methodology and writing (II): Yustina Sapan, S.ST, M.M.
So that the disharging cement at the port can be timely in accordance with the schedule that has been expected, the performance loading and unloading equipment is one important factor that the Dischaging process runs smoothly. To note that the performance of the Discharging quipment the ship is ready and optimized to carry out the stowage is to avoid and minimize the factors that cause performance discharging qupent is not optimal.
Based on experience during practice sailing on the MV. Ocean Sparkle much going constraint on discharging equipment in MV. Ocean Sparkle causing delays caused by the activities of loading and unloading equipment itself and the application of improper loading procedures, so the authors are interested in conducting research analyzes the factors causing is not optimal performance with Qualitative methods such as a method of problem-solving strategies.
The method used in this study is a qualitative method that produces descriptive data in the form of written words of the object under study, in this case to collect data in the form of approach to the object through interviews with sources experienced, through the data associated with the process of discharging cement in MV , Ocean Sparkle. The author will identify the cause of it happening by knowing different causes of damage of loading and unloading equipment and included discharging with the correct procedure.
Having identified the causes of delays in the process when the discharging, we then can do some research to look for things that impede the discharging. With this research, so any crew members will be more consistent in taking care of the means of unloading the ship and, knowing the things that can not be tolerated, it can follow the discharging procedure properly so that the unloading process runs safely, effectively, and efficiently. Conducted oversight of the process of loading and unloading at the treatment tool intended to optimize the discharging.
Key word : Optimizing, Discharging Procedure, Discharging Equipment
Evaluating Diet Quality in African American Breast Cancer Survivors
This study involved a cross-sectional analysis of baseline dietary intake data from African American breast cancer survivors (AABCS) enrolled in “Moving Forward,” a randomized controlled weight management intervention study. Analyses examined: 1) habitual dietary intake; 2) adherence to the general United States (US) population 2010 Dietary Guidelines for Americans (2010 DGAs); and 3) adherence to the American Cancer Society/American Institute of Cancer Research (ACS/AICR) dietary recommendations. We used the Healthy Eating Index-2010 (HEI 2010) to assess adherence to the 2010 DGAs and a 24-point dietary quality scoring system adapted from Berdan et al. 2014 and Hastert et al. 2013 to assess adherence to the combined ACS/AICR dietary recommendations. We also examined predictors of dietary quality including demographics, self-efficacy, social support, and perceived barriers to healthy foods.
In this cohort of AABCS, dietary quality was sub-optimal. However, the dietary quality scores were higher than reported for AA women in the general population and some studies targeting white breast cancer survivors. Dietary components with optimal and poor adherence should be acknowledged when developing interventions, as well as the relationship between education, self-efficacy, and lifestyle factors on dietary adherence. Self-efficacy and perceived barriers to healthy foods play a significant role in dietary adherence. This relationship seems to be modified by lifestyle factors. Greater attention is needed to understand how social, cultural, and environmental factors may work together and be leveraged to strengthen intervention and improve dietary outcomes in AABCS
Evaluating Diet Quality in African American Breast Cancer Survivors
This study involved a cross-sectional analysis of baseline dietary intake data from African American breast cancer survivors (AABCS) enrolled in “Moving Forward,” a randomized controlled weight management intervention study. Analyses examined: 1) habitual dietary intake; 2) adherence to the general United States (US) population 2010 Dietary Guidelines for Americans (2010 DGAs); and 3) adherence to the American Cancer Society/American Institute of Cancer Research (ACS/AICR) dietary recommendations. We used the Healthy Eating Index-2010 (HEI 2010) to assess adherence to the 2010 DGAs and a 24-point dietary quality scoring system adapted from Berdan et al. 2014 and Hastert et al. 2013 to assess adherence to the combined ACS/AICR dietary recommendations. We also examined predictors of dietary quality including demographics, self-efficacy, social support, and perceived barriers to healthy foods.
In this cohort of AABCS, dietary quality was sub-optimal. However, the dietary quality scores were higher than reported for AA women in the general population and some studies targeting white breast cancer survivors. Dietary components with optimal and poor adherence should be acknowledged when developing interventions, as well as the relationship between education, self-efficacy, and lifestyle factors on dietary adherence. Self-efficacy and perceived barriers to healthy foods play a significant role in dietary adherence. This relationship seems to be modified by lifestyle factors. Greater attention is needed to understand how social, cultural, and environmental factors may work together and be leveraged to strengthen intervention and improve dietary outcomes in AABCS
Abstract B52: Describing Adherence to Dietary Guidelines in Overweight African American Breast Cancer Survivors
Abstract
Background
African American women have the greatest breast cancer mortality and shortest survival rates of any racial or ethnic group. Increased adherence to general population dietary guidelines has been linked to improved breast cancer outcomes. Limited information exists on the dietary habits and level of adherence to general population dietary recommendations in African American breast cancer survivors (AABCS).
Objective
We explored differences in diet quality assessed via HEI and AHEI by demographic and anthropometric characteristics.
Design
A cross-sectional analysis of the baseline interview including a food frequency questionnaire.
Participants/setting
Study participants were recruited and enrolled in the Moving Forward intervention study. Moving Forward was a randomized, community-based, 6-month weight management intervention for AABCS.
Main outcome measures
Adherence to population-based dietary recommendations was assessed by the Healthy Eating Index-2010 (HEI) and the Alternate Healthy Eating Index-2010 (AHEI).
Statistical analyses performed
We calculated standard descriptive statistics for nutrient intakes, including total and components scores from HEI and AHEI. Linear regression analysis was conducted to determine the relationship between socio-demographic factors and dietary adherence.
Results
Participants had a mean age of 57 and were approximately seven years post-initial breast cancer diagnosis. The mean HEI total score was 65.1 (range: 38.9-93.9; max score 100) and mean AHEI total score was 56.8 (range: 25.00 - 85.8; max score 110) indicating sub-optimal diet quality. In the adjusted analysis, HEI and AHEI total scores were positively associated with education, income, moderate physical activity (HEI only) and negatively associated with waist-hip ratio, and smoking status.
Conclusion
Generally, non-smokers, who reported more moderate physical activity, more years of education, and smaller waist circumferences had better quality diets compared to other participants. Understanding deficiencies in the diet of AABCS will help to inform the development of effective lifestyle interventions for this at-risk group.
Citation Format: Sparkle Springfield, Angela Odoms-Young, Lisa Tussing-Humphreys, Sally Freels, Giamila Fantuzzi, Melinda Stolley. Describing Adherence to Dietary Guidelines in Overweight African American Breast Cancer Survivors. [abstract]. In: Proceedings of the Ninth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2016 Sep 25-28; Fort Lauderdale, FL. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2017;26(2 Suppl):Abstract nr B52.</jats:p
Sparkle Self-Service Laundry, Community Information and Referral Services, twin babies in stroller, Springfield Avenue, 1970
"Avenues of Newark: Memories of the Central Ward" is a collection of photographs taken by Rutgers-Newark Professor Emerita, Beatrice Tabatchnick Seagull. Professor Seagull took pictures of Springfield Avenue in Newark over the course of decades between approximately 1970 to 2002. The collection consists of 559 35mm color slides housed in two, three-ring binders with vinyl, 2x2-20B Archival Storage Pages for 20 Slides. The slides were digitized by Dr. Samantha Boardman, who also recorded metadata for each slide.Sparkle Laundry Spfd Ave possibleYear of photo approximat
Adverse Childhood Experiences and Diet Quality in young African American women: A descriptive analysis of a community-based survey
Background: High exposure to ACEs (4+) is associated with an increased risk of CVD and poorer health behaviors in adulthood. However, evidence is limited in young adults2-4. Aims. To describe diet quality and exposure to ACEs in AA women aged 18-35 years old. Methods: Descriptive analysis of survey data collected in self-identified AA women aged 18-35 (N=512). Assessments included self-reported ACE exposure (4+ indicates high risk) and WELL Diet score (range 0-120; higher score = better diet quality). Results: XX% of our sample reported high ACEs exposure. Mean Well Diet score was xx (sd:) out of 120. Further research is warranted.
2Su, S., Jimenez, M. P., Roberts, C. T., & Loucks, E. B. (2015). The role of adverse childhood experiences in cardiovascular disease risk: a review with emphasis on plausible mechanisms. Current cardiology reports, 17(10), 88. https://doi.org/10.1007/s11886-015-0645-1
3Nikulina, V., & Widom, C. S. (2014). Do race, neglect, and childhood poverty predict physical health in adulthood? A multilevel prospective analysis. Child abuse & neglect, 38(3), 414–424. https://doi.org/10.1016/j.chiabu.2013.09.007
4Sonu, S., Post, S., & Feinglass, J. (2019). Adverse childhood experiences and the onset of chronic disease in young adulthood. Preventive medicine, 123, 163–170. https://doi.org/10.1016/j.ypmed.2019.03.03
Correlation of the WELL Diet Score and NutritionQuest Fruit, Vegetable, and Fiber Screener
Our study aims to identify a brief DQI that evaluates the diet quality of young African American women (ages 18-35) by examining the association between the WELL Diet Score and the FVF Screener with young, female African American participants. There is currently no gold standard for a DQI to solidify the validity of the WELL Diet Score (Springfield et al., 2020). Nonetheless, the FVF is well substantiated in effectively measuring the dietary components that have been identified as disease causing agents (Block et al., 2000; Dahl et al., 2012). A strong association via correlational statistics between the WELL Diet Score and the established FVF in our target population would provide evidence to support the validation of the WELL Diet Score in accurately assessing the diet quality of young African American women. We hypothesize a strong and significant association between the WELL Diet Score and the FVF Screener, which would support the validation of the WELL Diet Score in young African American women
Love and Power: A Community Power Building Case
Dr. Hatchett\u27s bio:
Dr. Lena Hatchett is a Senior Fellow with We in the World, a diverse team of change agents who are passionate about igniting transformation for well-being and equity in the world. She brings the voice of people with lived experience of inequity to the design process of the Racial Justice Community 2021.
Dr. Springfield’s bio:
As a nutritionist, Springfield’s research interests focus on the social, behavioral, and structural determinants of dietary behaviors in African American women and developing community-based interventions to promote health equity. Her most recent work examines relationships between psychological resilience, diet quality, and cardiovascular disease-related outcomes.
Abstract:
Proviso Partners for Health (PP4H) is a community-led coalition to advance action of racial and economic equity in the food system. Over the last six years, PP4H received funding from multi-sector organizations, including Trinity Health System and Robert Wood Johnson, to implement policy, systems, and environmental (PSE) change initiatives. The long-term sustainability of these efforts beyond the funding period is vital and requires an in-depth inquiry into the effectiveness of community power building strategies. Pastor, Ito, and Wander, 2020, define community power building as the ability of communities most impacted by structural inequity to develop, sustain and grow an organized base of people who act together through democratic structures to set agendas, shift public discourse, influence decision-makers, and cultivate ongoing relationships of mutual accountability with them to change systems and advance health equity.
Multi-sector partners collaboratively designed and conducted a practice-based, action-driven evaluation to answer two questions: 1) What factors facilitate the sustainability of a food justice movement? 2) How can community residents sustain efforts? We used a case study approach that included semi-structured interviews, documentary data and field notes, observations, and quantitative data.
Results found five community power building strategies to catalyzing PSE change in the food system 1) transparency and accountability, 2) shared leadership and power, 3) community voice, 4) leveraged assets, and 5) community love. Conclusion revealed that power-building with people with lived experience of inequity to leverage their individual and collective assets advanced action in the food system. In doing so, PP4H has aligned its work with a more health-equity-oriented vision
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