Category Archives: Violence
Adults with Mobility Issues Have Higher Rates of Obesity, Chronic Illness
Adults with a disability that causes mobility issues are more likely to be obese or suffer from a chronic illness, according to a new study in the American Journal of Preventative Medicine. The chronic illnesses include those commonly linked to overall health and exercise, such as diabetes, hypertension and high cholesterol. They are also twice as likely to take medication for hypertension and lipid-lowering medicine. Researchers say the findings demonstrate the need for health care providers to emphasize lifestyle changes and exercise over just medication. “Health care providers face a challenge when it comes to helping their patients with a disability manage their weight when exercise and physical activity play such an important role in weight management,” said Katherine Froehlich-Grobe, PhD, lead author of the paper and associate professor of health promotion and behavioral science at The UT School of Public Health Dallas Regional Campus. “People with disabilities are underserved by national efforts aiming at reducing and preventing obesity. We must focus on managing and reducing weight for individuals with a disability.” About 54 million Americans have a disability. Read more on obesity.
Study: One in Four Injured Youth in ER Visits Had a Gun
In a study of emergency room treatments for assault injuries in teenagers and young adults in Michigan, approximately one in four of the injured reported owning or carrying a gun. The study appeared in the journal Pediatrics. Researchers found that most were obtained illegally, and while “well-off young men” were most likely to have a gun, the rate did not vary by race. According to a 2003 study, the rate of gun homicides for Americans 15 to 24 years old were about 40 times higher than the rates in comparable nations. While it recommends against guns in the home, the American Academy of Pediatrics says gun-owning families with children should keep guns locked and separate from ammunition. Lead researcher Patrick Carter, MD, from the University of Michigan in Ann Arbor, said more programs need to be developed to prevent future gun violence, but in the mean time communities with high rates of violence need to place more emphasis on safety and responsibility when it comes to discussing guns with youth and young adults. "I would say to parents, talk to your kids about firearms and the dangers associated with firearms and try to look at ways to prevent kids from getting involved in both substance use and violence," he said. Read more on violence.
Even With Same Care, Black Blood Cancer Patients Have Worse Outcomes than White Patients
Even when they receive the same type and level of care, black Americans with chronic lymphocytic leukemia (CLL) do not live as long as white Americans with the same blood cancer, according to a new study in the journal Cancer. While black patients generally saw a shorter time between diagnosis and referral, they also had more advanced CLL at the time of referral and their cancers progressed more quickly. The researchers from the University of Texas M.D. Anderson Cancer Center in Houston and Duke University Medical Center in Durham, N.C., said that biological factors may account for the different survival rates. Research consistently shows that minority patients tend to have worse cancer outcomes than white patients; poverty and access to care have also been identified as potential factors. Read more on health disparities.
National Surgical Groups Offers Tips, Warnings on Fourth of July Fireworks
With the Fourth of July holiday only a few days away, the American Academy of Orthopaedic Surgeons is cautioning adults and children to be careful when it comes to handling fireworks. "Many people consider consumer fireworks to be harmless fun, when in fact they can be extremely dangerous, especially when used by or near children and adolescents," said Boston orthopedic surgeon Tamara Rozental, MD, spokesperson for the group."If caution is not used and safety guidelines are not adhered to, fireworks can cause serious injuries to the hands and fingers as well as the eyes.” The total amount of fireworks purchased by Americans climbed to 212 million pounds in 2011, up from 184 million in 2010. Fireworks led to about 18,700 injuries and more than 7,300 emergency department visits. The group recommends a number of safety tips, including not handling fireworks while consuming alcohol, restriction of use by children and keeping a water source nearby. Read more on injury prevention.
WHO: Expanded Anti-smoking Measures Could Save Millions of Lives Globally
Millions of lives could be saved each year globally if more countries enacted strict anti-smoking measures such as higher taxes on tobacco products, bans on smoking advertisements and restrictions on tobacco use in public places, according to a new study published by the World Health Organization (WHO). Approximately forty countries, including Turkey and Romania, currently utilize such public health regulations. About 6 million people die each year from smoking, with that number expected to rise to eight million annually by 2030, according to the WHO. Researchers believe that by 2050 more than 7 million lives could be saved by expanding the proven anti-tobacco measures. "If anything it is an under-estimate," said Douglas Bettcher, MD, director of WHO's department of noncommunicable diseases, to Reuters. "It is a win-win situation for health and finance ministries to generate revenues that have a major impact on improving health and productivity.” Read more on tobacco.
Dating Violence Patterns Can Be Seen as Early as Middle School
Patterns in dating violence later in life can be seen as early as middle school, according to a new study in the Journal of School Health. According to the study approximately half of middle school students sampled had experienced dating violence, with about 20 percent reporting physical violence and 48.1 percent reporting nonphysical victimization. “Not only are these rates similar to those seen in older, high school populations they are similar to those seen among adult females,”, said Melissa Peskin, MD, assistant professor in the Division of Health Promotion and Behavioral Sciences at the School of Public Health. According to the researchers, the findings demonstrate the need for earlier intervention and prevention efforts. Read more on violence.
RWJF ‘Commission to Build a Healthier America’ Reconvenes to Focus on Early Childhood and Improving Community Health
What do the needs of children in early childhood and improving community health have to do with each other? Everything, according to a group of panelists who addressed the Robert Wood Johnson Foundation (RWJF) Commission to Build a Healthier America at a public meeting in Washington, D.C. yesterday.
Early childhood education and other interventions early in life, particularly for low-income children, can set kids on a path to better jobs, increased income and less toxic stressors such as violence and food insecurity, according to testimony at the today’s meeting. And that in turn creates more stable and healthier communities. Those two issues are the focus of the Commission, which plans to release actionable recommendations in September.
Yesterday’s event marks the first time the Commission is reconvening since it issued recommendations for improving health for all Americans in 2009. It will be co-chaired again by Mark McClellan, MD, PhD, director of the Engelberg Center for Health Care Reform at The Brookings Institution and former Administrator of the Centers for Medicare & Medicaid Services, and Alice M. Rivlin, PhD, senior economist at The Brookings Institution and former director of the Office of Management and Budget.
“Although we have seen progress since the Commission issued its recommendations in 2009, we still have a long way to go before America achieves its full health potential,” said RWJF President and CEO Risa Lavizzo-Mourey, MD, MBA at the Commission’s public meeting in Washington. “We know what works: giving children a healthy start with quality child care and early childhood development programs, and building healthy communities where everyone has an opportunity to make healthy choices. That is why RWJF is reconvening the Commission, to concentrate on these two critical areas.”
New ‘Health Affairs’ Brief Looks at Novel Coverage Idea under the Affordable Care Act
A number of states that have decided against implementing the Medicaid expansion program under the Affordable Care Act, which would give Medicaid benefits to many low-income adults who currently don’t have health insurance, may have another idea for coverage. The states are considering providing people eligible for the Medicaid funds with vouchers to purchase private insurance on their state health insurance exchanges. The exchanges, also known as marketplaces, open October 1, 2013 for health insurance that begins January 1, 2014. A new policy brief from Health Affairs and the Robert Wood Johnson Foundation looks at whether that option can be cost-effective and still provide benefits equal to those provided by the traditional Medicaid program. Read more on access to health care.
Teen Dating Violence Persists Despite Prevention Efforts
Two recent studies by the University of Maryland School of Public Health examine physical dating violence (PDV) among teens found it persists despite decades of national and local prevention efforts. The research showed that PDV rates have remained consistent for girls since 1999 and that rates for boys' PDV have increased. The study on trends in girls, published in the Journal of School Health, found that approximately one in 10 girls experience PDV annually. Teenage girls who reported being physically abused by a girlfriend or boyfriend were also more likely to report feeling sad and hopeless and have suicidal thoughts, violence-related behaviors and engage in sexually risky behavior. A second study, published in the International Quarterly of Community Health Education, found that the prevalence of male PDV victims increased about 30 percent between 1999 and 2009, and according to the study by 2009 almost one in eight high school males reported having been hit, slapped, or physically hurt on purpose by a boyfriend or girlfriend within the past year. The study also found feelings of hopelessness, physical fighting, multiple sex partners and lack of condom use among male victims of PDV. Read more on violence.
USDA, EPA Launch U.S. Food Waste Challenge
The U.S. Department of Agriculture (USDA), and the U.S. Environmental Protection Agency (EPA) have launched the U.S. Food Waste Challenge, which calls on food producers, processors, manufacturers, retailers, communities and government agencies to reduce, recover and recycle food waste. Food waste in the United States is estimated at between 30 to 40 percent of the food supply. In 2010, an estimated 133 billion pounds of food from U.S. retail food stores, restaurants and homes was never consumed. In 2010, the financial value of food waste was pegged at close to $400 for every U.S. consumer. As part of the food challenge, USDA is initiating activities to reduce waste in the school meals program, educate consumers about food waste and food storage, and develop new technologies to reduce food waste. To join the Challenge visit here. Read more on nutrition.
How can we put a stop to violence? Gary Slutkin, MD, believes the key is treating it as we would any contagious disease. The epidemiologist and Founder/Executive Director of Cure Violence recently spoke at TEDMED 2013 about utilizing public health and science-based strategies to prevent violence in communities.
“The greatest predictor of a case of violence is a preceding case of violence,” said Slutkin.
And as with an epidemic such as cholera, the way to stop violence is to find those “first cases” and interrupt the transmission. Cure Violence’s model involves violence interrupters who play a similar role as health workers during epidemics, going into communities to help re-frame issues and cool down situations that could lead to violence. At the same time, outreach workers help people change their behavior and—in time—change the social norms of a community.
>> Watch the full TEDMED presentation.
>>Read more about the public health approach to public safety from Cure Violence.
One in Five Kids At Risk for Suicide Live in Homes with Guns
Nearly one in five children and teens found to be at risk for suicide report that there are guns in their homes and fifteen percent of those with guns in their home said they know how to access both the guns and the bullets, according to a study presented at the Pediatric Academic Societies annual meeting in Washington, D.C.
The study researchers recommend that emergency department doctors screen all children and teens for suicide risk. Suicide is the second leading cause of death among young people ages 10 to 24 years in the United States, according to Centers for Disease Control and Prevention. Nearly half of young people who die by suicide use a gun. Read more on injury prevention.
Teen Girls Who Exercise Are Less Likely to be Violent
A study from the Columbia University Mailman School of Public Health finds that high school girls who play sports or run have a lower risk of being in fights or in a gang. Researchers at the school reviewed results of a 2008 survey completed by 1,312 students at four inner-city high schools in New York to determine if there was an association between regular exercise and violence-related behaviors.
The survey results found that girls who had exercised more than 10 days in the last month had decreased odds of being in a gang, those who did more than 20 sit-ups in the past four weeks had decreased odds of carrying a weapon or being in a gang and those who reported running more than 20 minutes the last time they ran had lower odds of carrying a weapon. Girls who participated in team sports in the past year had decreased odds of carrying a weapon, being in a fight, or being in a gang.
Among boys, none of the exercise measures were linked to decrease in violence-related behaviors. But the researchers say that a connection may not have been found because a smaller percentage of boys than girls completed the survey and that more research is needed to see if exercise interventions can reduce youth violence. Read more on violence.
USDA Announces New Rules to Fund Broadband Service in Underserved Rural Communities
The USDA has announced new rules that simplify the proposals to request funds for internet broadband access in rural areas. USDA broadband funds have provided internet access for nearly 65,000 rural households, businesses, and community organizations such as libraries, schools and first responders. Read more on preparedness.
Crime and violence in U.S. inner cities has a profound impact on public health. The question is how best to combat it. According to recent studies, one answer could be as simple as assigning more police officers to foot patrols in crime hotspots.
With funding in part from the Robert Wood Johnson Foundation’s Public Health Law Research program, researchers from Temple University worked with the Philadelphia Police Department to conduct a study on the impact of police foot patrols on inner city crime. Findings published in Criminology in 2011 found foot patrols helped reduce violent crime — at least temporarily — by 23 percent in high-crime areas of the city. A recent follow-up study in Policing and Society revealed a qualitative look at how the participating officers developed extensive local knowledge and formed community relationships — both of which contributed to the cuts in crime.
These and other results demonstrate the need to involve officers on foot patrol in the development of violence prevention strategies, according to researchers.
>> Read more about the study.
HUD Grants $72M to Improve Local Homeless Programs, Services
The U.S. Department of Housing and Urban Development (HUD) has announced $72 million in grants to strengthen more than 500 homeless housing and service programs. The grants, which are part of HUD’s Continuum of Care Program, will go toward local programs such as street outreach, client assessment and directing housing assistance. This is the second round of HUD funding this year; the agency gave more than $1.5 billion in grants in March and intends to give a third round later in the year. “We know these modest investments in housing and serving our homeless neighbors not only saves money, but saves lives,” said HUD Secretary Shaun Donovan. Read more on housing.
Survey: 90 Percent of Parents Admit to Driving Distracted with Kids in the Car
Approximately 90 percent of parents who drove a child between the ages of 1 and 12 in the past month admit they were distracted by some sort of technology while they were behind the wheel, according to survey findings discussed at the annual meeting of the Pediatric Academic Societies in Washington, D.C. The most common distraction was phone calls, with 70 percent. The survey also found that about that same percentage was distracted by either feeding or dealing with the child, or with self-grooming. "A lot of the attention on the distracted-driving issue has focused on teens and new drivers," said author Michelle Macy, MD, a clinical lecturer in the departments of emergency medicine and pediatrics at the University of Michigan. "But our study is showing that most parents say they were distracted an average of four times when driving their child in the last month, which is more frequent than I had expected.” Read more on safety.
Kids Routinely Injured, Killed by Gun Violence; Easy Access a Serious Issue
While it is often the biggest and scariest incidents that garner media coverage, youth are “routinely” injured or killed by gun violence, according to a new study in the Journal of the American Medical Association. Researchers looked at trauma admissions in two Colorado emergency departments over nine years, finding that 129 of the 6,920 children sought treatment for gunshot wounds. “In 14 percent of these cases children managed to get access to unlocked, loaded guns,” said author Angela Sauaia, MD, associate professor at the Colorado School of Public Health and the University of Colorado School of Medicine. “In an area with so much disagreement, I think we can all agree that children should not have unsupervised access to unlocked, loaded guns.” Sauaia noted that as this only includes kids who went to emergency rooms, the actual totals are likely much higher. Read more on violence.
Idea Gallery is a recurring editorial series on NewPublicHealth in which guest authors provide their perspective on issues affecting public health. In this Idea Gallery, Bryan Samuels, Commissioner of the Administration on Children, Youth and Families, provides his perspective on how communities and organizations and families can work together to keep children safe, in honor of Child Abuse Prevention Month.
Nancy Barrand, Senior Adviser for Program Development at the Robert Wood Johnson Foundation (RWJF), also weighed in to provide some context for Commissioner Samuels' post:
Few events are more traumatic for children than being removed from their families and entered into the foster care system. In 2010, the Robert Wood Johnson Foundation funded the Corporation for Supportive Housing to develop and implement a pilot program in New York City that uses supportive housing to offer stability to families with children who are at risk of recurring involvement in the child welfare system. The New York pilot initiative, called Keeping Families Together (KFT), showed positive results in keeping and reuniting children with their families in a safe, stable environment. A 2011 evaluation indicates that the KFT pilot generated a 91 percent housing retention rate among participating families. By the end of the evaluation, 61 percent of the child welfare cases open at the time of placement in supportive housing had been closed, and there were fewer repeat incidents of child maltreatment.Now, RWJF has partnered with the U.S. Department of Health and Human Services, Administration on Children Youth and Families and three private foundations – the Annie E. Casey Foundation, Casey Family Programs, and the Edna McConnell Clark Foundation – to jointly fund a $35.5 million initiative to further test how supportive housing can help stabilize highly vulnerable families. The national replication effort will be evaluated and we’re anxious to see whether, again, secure and affordable housing, when paired with the right services for struggling families, can reduce instances of child abuse and neglect. The long-term gains in health and well-being, and costs saved, could be tremendous.
Commissioner Bryan Samuels on Child Abuse Prevention
Throughout the month of April, we turn our attention to the prevention of child abuse and neglect, celebrating those efforts in neighborhoods, faith communities, and schools that keep children safe and help families thrive. Whether formal or informal, these efforts involve wrapping caregivers and children in supports that reduce risk factors for maltreatment and promote protective factors, by decreasing stress, boosting parenting skills, and helping parents manage substance abuse or mental health issues.
Last year, more than 675,000 U.S. children were victims of maltreatment. These children are more likely than their peers to have emotional and behavioral problems, struggles in school, and difficulty forming and maintaining relationships. The effects of abuse and neglect can be pernicious and lifelong.
In recent years, we’ve come a long way in learning what it takes to help children who have experienced abuse and neglect heal and recover. We have interventions that help put families back together after maltreatment has occurred. But preventing abuse and neglect in the first place by giving families the support they need, when they need it, yields the best outcomes.
Small Amounts of Daily Exercise Can Help Teens Quit Smoking
As little as 30 minutes of daily exercise can help kids quit smoking, according to a new study in the Journal of Adolescent Health. It can also help to reduce tobacco use. Researchers found that daily smokers were more likely to reduce or quit smoking if they combined a fitness program with a smoking cessation program, rather than just a cessation program alone. Every teen in the study smoked an average of half a pack of cigarettes each weekday and a full pack a day on weekends. And that was just one of the poor health habits of many of the participants. "It is not unusual for teenage smokers to engage in other unhealthy habits,” said author Kimberly Horn, associate dean for research at the George Washington University School of Public Health and Health Services. “Smoking and physical inactivity, for instance, often go hand in hand.” According to the U.S. Centers for Disease Control and Prevention, about 13 percent of Americans age 18 and under smoke tobacco. Read more on tobacco.
Study: Low Food Security, Exposure to Violence Closely Linked
There is a close correlation between low food security and exposure to violence, according to a new study in Public Health Nutrition. Researchers spoke with forty-four mothers of children age 3 and under who participated in public assistance programs, finding increased exposure to violence, which in turn increased the chance of negative mental health, an inability to continue school and an inability to make a living wage. The violence included child abuse, neglect and rape. The study clearly demonstrates the need to consider and include violence prevention efforts when establishing policies to deal with hunger. Read more on violence.
Size of Parents’ Social Groups Can Affect Whether Kids are Vaccinated
What they hear from friends and the people in their social group may affect whether parents have their children vaccinated, according to a new study in the journal Pediatrics. Parents who were less likely to vaccinate were also more likely to have large social groups and rely on books, pamphlets and the Internet for information on vaccines. "I think that what needs to be done is that everybody needs to understand the importance of vaccines,” said Joseph Anthony Bocchini, Jr., MD, chairman of Pediatrics Medicine at Louisiana State University Health Sciences Center in Shreveport. “And they're not only important for the people who receive them but they're also important for the community." About 95 percent of kindergarten-aged children are appropriately vaccinated, according to the U.S. Centers for Disease Control and Prevention. Read more on vaccines.