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  1. Article ; Online: Disparities in Implementing COVID-19 Prevention Strategies in Public Schools, United States, 2021-22 School Year.

    Pampati, Sanjana / Rasberry, Catherine N / Timpe, Zach / McConnell, Luke / Moore, Shamia / Spencer, Patricia / Lee, Sarah / Murray, Colleen Crittenden / Adkins, Susan Hocevar / Conklin, Sarah / Deng, Xiaoyi / Iachan, Ronaldo / Tripathi, Tasneem / Barrios, Lisa C

    Emerging infectious diseases

    2023  Volume 29, Issue 5, Page(s) 937–944

    Abstract: ... representative of US public K-12 schools (N = 437), we determined prevalence estimates of COVID-19 prevention ...

    Abstract During the COVID-19 pandemic, US schools have been encouraged to take a layered approach to prevention, incorporating multiple strategies to curb transmission of SARS-CoV-2. Using survey data representative of US public K-12 schools (N = 437), we determined prevalence estimates of COVID-19 prevention strategies early in the 2021-22 school year and describe disparities in implementing strategies by school characteristics. Prevalence of prevention strategies ranged from 9.3% (offered COVID-19 screening testing to students and staff) to 95.1% (had a school-based system to report COVID-19 outcomes). Schools with a full-time school nurse or school-based health center had significantly higher odds of implementing several strategies, including those related to COVID-19 vaccination. We identified additional disparities in prevalence of strategies by locale, school level, and poverty. Advancing school health workforce and infrastructure, ensuring schools use available COVID-19 funding effectively, and promoting efforts in schools with the lowest prevalence of infection prevention strategies are needed for pandemic preparedness.
    MeSH term(s) Humans ; United States/epidemiology ; COVID-19/epidemiology ; COVID-19/prevention & control ; SARS-CoV-2 ; Pandemics/prevention & control ; COVID-19 Vaccines ; Schools
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2023-03-29
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 1380686-5
    ISSN 1080-6059 ; 1080-6040
    ISSN (online) 1080-6059
    ISSN 1080-6040
    DOI 10.3201/eid2905.221533
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Disparities in Implementing COVID-19 Prevention Strategies in Public Schools, United States, 2021–22 School Year

    Sanjana Pampati / Catherine N. Rasberry / Zach Timpe / Luke McConnell / Shamia Moore / Patricia Spencer / Sarah Lee / Colleen Crittenden Murray / Susan Hocevar Adkins / Sarah Conklin / Xiaoyi Deng / Ronaldo Iachan / Tasneem Tripathi / Lisa C. Barrios

    Emerging Infectious Diseases, Vol 29, Iss 5, Pp 937-

    2023  Volume 944

    Abstract: ... representative of US public K–12 schools (N = 437), we determined prevalence estimates of COVID-19 prevention ...

    Abstract During the COVID-19 pandemic, US schools have been encouraged to take a layered approach to prevention, incorporating multiple strategies to curb transmission of SARS-CoV-2. Using survey data representative of US public K–12 schools (N = 437), we determined prevalence estimates of COVID-19 prevention strategies early in the 2021–22 school year and describe disparities in implementing strategies by school characteristics. Prevalence of prevention strategies ranged from 9.3% (offered COVID-19 screening testing to students and staff) to 95.1% (had a school-based system to report COVID-19 outcomes). Schools with a full-time school nurse or school-based health center had significantly higher odds of implementing several strategies, including those related to COVID-19 vaccination. We identified additional disparities in prevalence of strategies by locale, school level, and poverty. Advancing school health workforce and infrastructure, ensuring schools use available COVID-19 funding effectively, and promoting efforts in schools with the lowest prevalence of infection prevention strategies are needed for pandemic preparedness.
    Keywords COVID-19 ; schools ; health equity ; coronavirus disease ; SARS-CoV-2 ; severe acute respiratory syndrome coronavirus 2 ; Medicine ; R ; Infectious and parasitic diseases ; RC109-216
    Language English
    Publishing date 2023-05-01T00:00:00Z
    Publisher Centers for Disease Control and Prevention
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: A Brief Overview of the National Outbreak of e-Cigarette, or Vaping, Product Use-Associated Lung Injury and the Primary Causes.

    Kiernan, Emily / Click, Eleanor S / Melstrom, Paul / Evans, Mary E / Layer, Mark R / Weissman, David N / Reagan-Steiner, Sarah / Wiltz, Jennifer L / Hocevar, Susan / Goodman, Alyson B / Twentyman, Evelyn

    Chest

    2020  Volume 159, Issue 1, Page(s) 426–431

    MeSH term(s) Disease Outbreaks ; Electronic Nicotine Delivery Systems ; Humans ; Lung Injury/epidemiology ; United States/epidemiology ; Vaping/adverse effects ; Vaping/epidemiology
    Language English
    Publishing date 2020-08-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2020.07.068
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Practice guidelines for the diagnosis, treatment and prevention of childhood and adolescent obesity.

    Hocevar, Susan N / Key, Janice D

    Journal of the South Carolina Medical Association (1975)

    2009  Volume 105, Issue 2, Page(s) 46–50

    Abstract: Obesity affects one third of children and adolescents, many of whom already have serious medical consequences. Therefore primary care providers must deliver clinical service that incorporates preventive practices, improves early diagnosis, and evaluates ... ...

    Abstract Obesity affects one third of children and adolescents, many of whom already have serious medical consequences. Therefore primary care providers must deliver clinical service that incorporates preventive practices, improves early diagnosis, and evaluates co-morbid conditions. In addition physicians must become more knowledgeable about changing practice in treating overweight and obese children.
    MeSH term(s) Adolescent ; Body Mass Index ; Child ; Family Health ; Health Behavior ; Humans ; Metabolic Syndrome/epidemiology ; Obesity/diagnosis ; Obesity/epidemiology ; Obesity/prevention & control ; Obesity/therapy
    Language English
    Publishing date 2009-04
    Publishing country United States
    Document type Journal Article ; Practice Guideline
    ZDB-ID 603510-3
    ISSN 0038-3139
    ISSN 0038-3139
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Sex Differences in School Safety and Bullying Experiences Among Sexual Minority Youth.

    Rose, India D / Sheremenko, Ganna / Rasberry, Catherine N / Lesesne, Catherine A / Adkins, Susan N Hocevar

    The Journal of school nursing : the official publication of the National Association of School Nurses

    2018  Volume 34, Issue 4, Page(s) 301–309

    Abstract: Schools play an integral role in creating safe, supportive environments for students, especially for sexual minority youth (SMY). Using 2016 questionnaire data from seven high schools in a Florida school district, we obtained a sample of 1,364 SMY. ... ...

    Abstract Schools play an integral role in creating safe, supportive environments for students, especially for sexual minority youth (SMY). Using 2016 questionnaire data from seven high schools in a Florida school district, we obtained a sample of 1,364 SMY. Logistic regressions controlling for sex (as applicable), age, grade, race/ethnicity, and school explored differences between SMY and nonsexual minority youth (non-SMY). Sex differences related to school environment perceptions and experiences related to safety, bullying, and hearing homophobic remarks were also explored. SMY were more likely than non-SMY to report several negative school environment perceptions and experiences. Where differences existed within SMY, male SMY were more likely than female SMY to have missed school in the past 30 days (odds ratio [ OR] = 1.66, p = .03), report avoiding spaces at school due to safety concerns ( OR = 1.38, p = .02), and report hearing homophobic remarks from teachers ( OR = 2.00, p = .01). Implications for school nursing are discussed.
    MeSH term(s) Adolescent ; Adolescent Behavior/psychology ; Bullying/prevention & control ; Female ; Florida ; Homophobia/psychology ; Homophobia/statistics & numerical data ; Humans ; Male ; Minority Groups/statistics & numerical data ; Peer Group ; Sexual and Gender Minorities/psychology ; Sexual and Gender Minorities/statistics & numerical data ; Students/statistics & numerical data
    Language English
    Publishing date 2018-03-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1217746-5
    ISSN 1546-8364 ; 1059-8405 ; 0048-945X
    ISSN (online) 1546-8364
    ISSN 1059-8405 ; 0048-945X
    DOI 10.1177/1059840518762536
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Disparities in Unmet Health Care Needs Among US Children During the COVID-19 Pandemic.

    Pampati, Sanjana / Liddon, Nicole / Stuart, Elizabeth A / Waller, Lance A / Mpofu, Jonetta J / Lopman, Benjamin / Adkins, Susan Hocevar / Guest, Jodie L / Jones, Jeb

    Annals of family medicine

    2024  Volume 22, Issue 2, Page(s) 130–139

    Abstract: Purpose: The COVID-19 pandemic disrupted pediatric health care in the United States, and this disruption layered on existing barriers to health care. We sought to characterize disparities in unmet pediatric health care needs during this period.: ... ...

    Abstract Purpose: The COVID-19 pandemic disrupted pediatric health care in the United States, and this disruption layered on existing barriers to health care. We sought to characterize disparities in unmet pediatric health care needs during this period.
    Methods: We analyzed data from Wave 1 (October through November 2020) and Wave 2 (March through May 2021) of the COVID Experiences Survey, a national longitudinal survey delivered online or via telephone to parents of children aged 5 through 12 years using a probability-based sample representative of the US household population. We examined 3 indicators of unmet pediatric health care needs as outcomes: forgone care and forgone well-child visits during fall 2020 through spring 2021, and no well-child visit in the past year as of spring 2021. Multivariate models examined relationships of child-, parent-, household-, and county-level characteristics with these indicators, adjusting for child's age, sex, and race/ethnicity.
    Results: On the basis of parent report, 16.3% of children aged 5 through 12 years had forgone care, 10.9% had forgone well-child visits, and 30.1% had no well-child visit in the past year. Adjusted analyses identified disparities in indicators of pediatric health care access by characteristics at the level of the child (eg, race/ethnicity, existing health conditions, mode of school instruction), parent (eg, childcare challenges), household (eg, income), and county (eg, urban-rural classification, availability of primary care physicians). Both child and parent experiences of racism were also associated with specific indicators of unmet health care needs.
    Conclusions: Our findings highlight the need for continued research examining unmet health care needs and for continued efforts to optimize the clinical experience to be culturally inclusive.
    MeSH term(s) Child ; Humans ; United States/epidemiology ; Pandemics ; COVID-19/epidemiology ; Ethnicity ; Health Services Accessibility ; Health Services Research
    Language English
    Publishing date 2024-03-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2171425-3
    ISSN 1544-1717 ; 1544-1709
    ISSN (online) 1544-1717
    ISSN 1544-1709
    DOI 10.1370/afm.3079
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Associations Between Sexual Risk-Related Behaviors and School-Based Education on HIV and Condom Use for Adolescent Sexual Minority Males and Their Non-Sexual-Minority Peers.

    Rasberry, Catherine N / Condron, D Susanne / Lesesne, Catherine A / Adkins, Susan Hocevar / Sheremenko, Ganna / Kroupa, Elizabeth

    LGBT health

    2017  Volume 5, Issue 1, Page(s) 69–77

    Abstract: ... non-sexual-minority male (non-ASMM) peers.: Methods: Students (n = 11,681) from seven Florida high ... was created by using propensity score-matching techniques (n = 572). Logistic regressions controlling ...

    Abstract Purpose: With HIV and sexually transmitted disease (STD) rates disproportionately high among adolescent sexual minority males (ASMM), it is important to understand how school-based sexual health education may relate to sexual risk-related behavior among this population. This analysis explores reported HIV/AIDS- and condom-related education and sexual risk-related behaviors among ASMM and their adolescent non-sexual-minority male (non-ASMM) peers.
    Methods: Students (n = 11,681) from seven Florida high schools completed paper-and-pencil questionnaires. A matched analytic sample of ASMM and non-ASMM students was created by using propensity score-matching techniques (n = 572). Logistic regressions controlling for individual and school characteristics examined reporting having been taught about AIDS or HIV in school, having been taught in school about using condoms, condom use at last sex, HIV/STD testing, and associations between these variables.
    Results: Compared with matched non-ASMM peers, ASMM students were less likely to report having been taught about AIDS or HIV in school (odds ratio [OR] = 0.58, P = 0.04) and having used a condom at last sex (OR = 0.39, P < 0.01), but were more likely to report having been tested for HIV or STDs (OR = 1.88, P = 0.02). There were no significant differences for reporting having been taught in school about using condoms. Among non-ASMM, reporting having been taught in school about using condoms was associated with a greater likelihood of condom use at last sex (OR = 4.78, P < 0.01); this was not seen for ASMM.
    Conclusions: Differential reports of receiving HIV/AIDS education and differential associations between condom-related education and condom use in ASMM and non-ASMM suggest that sexual health education in schools may not be resonating with ASMM and non-ASMM in the same way.
    MeSH term(s) Adolescent ; Adolescent Behavior/psychology ; Condoms ; Florida ; HIV Infections/prevention & control ; HIV Infections/psychology ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Safe Sex/psychology ; Schools ; Sex Education ; Sexual and Gender Minorities/psychology ; Students/psychology ; Unsafe Sex/psychology ; Young Adult
    Language English
    Publishing date 2017-12-14
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2727303-9
    ISSN 2325-8306 ; 2325-8292
    ISSN (online) 2325-8306
    ISSN 2325-8292
    DOI 10.1089/lgbt.2017.0111
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Infection prevention practices in neonatal intensive care units reporting to the national healthcare safety network.

    Hocevar, Susan N / Lessa, Fernanda C / Gallagher, Lauren / Conover, Craig / Gorwitz, Rachel / Iwamoto, Martha

    Infection control and hospital epidemiology

    2014  Volume 35, Issue 9, Page(s) 1126–1132

    Abstract: Background: Patients in the neonatal intensive care unit (NICU) are at high risk for healthcare-associated infections. Variability in reported infection rates among NICUs exists, possibly related to differences in prevention strategies. A better ... ...

    Abstract Background: Patients in the neonatal intensive care unit (NICU) are at high risk for healthcare-associated infections. Variability in reported infection rates among NICUs exists, possibly related to differences in prevention strategies. A better understanding of current prevention practices may help identify prevention gaps and areas for further research.
    Methods: We surveyed infection control staff in NICUs reporting to the National Healthcare Safety Network (NHSN) to assess strategies used to prevent methicillin-resistant Staphylococcus aureus (MRSA) transmission and central line-associated bloodstream infections in NICUs.
    Results: Staff from 162 of 342 NICUs responded (response rate, 47.3%). Most (92.3%) NICUs use central line insertion and maintenance bundles, but maintenance practices varied, including agents used for antisepsis and frequency of dressing changes. Forty-two percent reported routine screening for MRSA colonization upon admission for all patients. Chlorhexidine gluconate (CHG) use for central line care for at least 1 indication (central line insertion, dressing changes, or port/cap antisepsis) was reported in 82 NICUs (51.3%). Among sixty-five NICUs responding to questions on CHG use restrictions, 46.2% reported no restrictions.
    Conclusions: Our survey illustrated heterogeneity of CLABSI and MRSA prevention practices and underscores the need for further research to define optimal strategies and evidence-based prevention recommendations for neonates.
    MeSH term(s) Bacteremia/prevention & control ; Catheter-Related Infections/prevention & control ; Cross Infection/prevention & control ; Health Care Surveys ; Humans ; Infant, Newborn ; Infection Control/methods ; Infection Control/statistics & numerical data ; Intensive Care Units, Neonatal ; Methicillin-Resistant Staphylococcus aureus ; Staphylococcal Infections/prevention & control ; United States
    Language English
    Publishing date 2014-07-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639378-0
    ISSN 1559-6834 ; 0195-9417 ; 0899-823X
    ISSN (online) 1559-6834
    ISSN 0195-9417 ; 0899-823X
    DOI 10.1086/677636
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Update: Interim Guidance for Health Care Professionals Evaluating and Caring for Patients with Suspected E-cigarette, or Vaping, Product Use-Associated Lung Injury and for Reducing the Risk for Rehospitalization and Death Following Hospital Discharge - United States, December 2019.

    Evans, Mary E / Twentyman, Evelyn / Click, Eleanor S / Goodman, Alyson B / Weissman, David N / Kiernan, Emily / Hocevar, Susan Adkins / Mikosz, Christina A / Danielson, Melissa / Anderson, Kayla N / Ellington, Sascha / Lozier, Matthew J / Pollack, Lori A / Rose, Dale A / Krishnasamy, Vikram / Jones, Christopher M / Briss, Peter / King, Brian A / Wiltz, Jennifer L

    MMWR. Morbidity and mortality weekly report

    2020  Volume 68, Issue 5152, Page(s) 1189–1194

    MeSH term(s) Centers for Disease Control and Prevention, U.S. ; Humans ; Lung Injury/epidemiology ; Lung Injury/mortality ; Lung Injury/therapy ; Patient Discharge ; Patient Readmission/statistics & numerical data ; United States/epidemiology ; Vaping/adverse effects
    Language English
    Publishing date 2020-01-03
    Publishing country United States
    Document type Journal Article ; Practice Guideline
    ZDB-ID 412775-4
    ISSN 1545-861X ; 0149-2195
    ISSN (online) 1545-861X
    ISSN 0149-2195
    DOI 10.15585/mmwr.mm685152e2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Student-Reported School Safety Perceptions, Connectedness, and Absenteeism Following a Multiple-Fatality School Shooting - Broward County, Florida, February 14-21, 2018.

    Rasberry, Catherine N / Sheremenko, Ganna / Lesesne, Catherine A / Rose, India D / Adkins, Susan Hocevar / Barrios, Lisa C / Holland, Kristin M / Sims, Valerie / O'Connor, Kevin / Grasso, Dominic J / James, Sebrina R / Simon, Thomas R

    MMWR. Morbidity and mortality weekly report

    2020  Volume 69, Issue 9, Page(s) 231–235

    Abstract: From July 2009 to June 2018, the rates of multiple-victim, school-associated homicides in the United States fluctuated substantially, with evidence of a significant increase in recent years (1). Data on the effects of such incidents on students' school ... ...

    Abstract From July 2009 to June 2018, the rates of multiple-victim, school-associated homicides in the United States fluctuated substantially, with evidence of a significant increase in recent years (1). Data on the effects of such incidents on students' school attendance and perceptions of safety and connectedness are limited (2,3) but important. This study used data from a neighboring within-district school before and after a multiple-fatality shooting at Marjory Stoneman Douglas High School in Parkland, Florida, on February 14, 2018. Self-administered questionnaires were completed by one group of students on February 14 just before the shooting (575) and another group during February 15-21 (502); demographics for these groups appeared similar. Linear and logistic regression analyses controlling for demographic characteristics explored differences between groups for safety-related perceptions or experiences, school connectedness, and absenteeism. Compared with students surveyed before the shooting, students surveyed in the days immediately following the shooting had lower odds of feeling safe at school, higher odds of absenteeism, and higher school connectedness scores. Findings suggest the shooting had an immediate, sizeable effect on safety perceptions and absenteeism among students in a neighboring school. Findings also suggest higher school connectedness following the shooting. Further study of school connectedness, including how to enhance and sustain it, might help schools and communities better respond to traumatic events in the community.
    MeSH term(s) Absenteeism ; Adolescent ; Child ; Female ; Florida ; Gun Violence ; Humans ; Interpersonal Relations ; Male ; Mass Casualty Incidents ; Safety ; Schools ; Social Perception ; Students/psychology ; Students/statistics & numerical data ; Surveys and Questionnaires
    Language English
    Publishing date 2020-03-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 412775-4
    ISSN 1545-861X ; 0149-2195
    ISSN (online) 1545-861X
    ISSN 0149-2195
    DOI 10.15585/mmwr.mm6909a3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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