healthy people 2020 - Society for Public Health Education

✯ Conference Abstracts ✯
saturday | november 6
for one to successfully commit suicide. According to Joiner, thwarted
belongingness occurs when one experiences a profound feeling of disconnectedness
from others and perceived burdensomeness is defined as
an individual’s perception that they are a burden to others.
Correlations among all study variables were investigated and found to
be significant (p < .001). The main research questions were to determine
if belongingness and burdensomeness mediated the relation
between alcohol-related problems and measures of suicide proneness
and suicide ideation after controlling for covariates (i.e., gender, race,
social desirability). To test for potential mediation of belongingness and
burdensomeness, four models were estimated in Mplus v.5.1 (Muthén
& Muthén, 2008), with suicide proneness and suicide ideation serving
as the outcome variables and examining the two mediators separately.
Asymmetric confidence intervals (CI) for indirect effects were created
using the bias-corrected percentile bootstrap.
Results indicated the direct effects from alcohol-related problems to
the mediators to the suicide outcomes were all significant at p < .001 in
the 4 models. Further, perceived burdensomeness partially mediated
the relation between alcohol-related problems and suicide proneness
(indirect effect: b = 0.129, 95% CI: .076 to .189),, and between alcoholrelated
problems and suicide ideation (indirect effect: b = 0.020, 95% CI:
.012 to .029). Similarly, belongingness partially mediated the relation
between alcohol-related problems and suicide proneness (indirect effect:
b = 0.079, 95% CI: .037 to .128), and between alcohol-related problems
and suicide ideation (indirect effect: b = 0.009, 95% CI: .004 to .016).
Moreover, as hypothesized, tests of equality constraints indicated that the
mediation via perceived burdensomeness was significantly stronger than
the mediation via belongingness for both suicide outcomes. Once the
nature of the associations among alcohol-related problems, burdensomeness,
belongingness, and suicidal behavior are better understood, more
effective suicide prevention programs may be designed and implemented
on college campuses.
Grounds for Change: How Transportation-Related Analysis as
Part of a Health Impact Assessment can be Used to Advance
the Healthiest Cap and Trade Program.
Tina Yuen, PharmD, MCP (c), MPH, University of California Berkeley
background: Climate change is a global health problem and presents
challenges not only due to its complexity and scale of impact, but
also because it exacerbates existing inequities and threatens to worsen
present health disparities.1, 2 In the context of exposures to traffic on
busy roadways, socioeconomic and other vulnerability characteristics
are associated with who lives or spends a great deal of time in proximity
to major roadways and are, thus, unduly affected.3-6 California’s AB32
Climate Change Mitigation, with offsets, is expected reduce passenger
vehicle greenhouse gas (GHG) emissions by 13% and will potentially
reduce traffic related co-pollutants and other risks.7 The legislation
presents an opportunity for public health practitioners to address and
mitigate environmental health inequities in highly impacted areas, specifically
around exposures to traffic.
aim: Through a transportation-related analysis as part of a Health
Impact Assessment, a framework of health and equity can be used to
advance the most health-promoting Cap and Trade policy design.
methods: From the economic analysis of the climate change legislation,
estimated changes in fuel prices, fuel use, and vehicular miles traveled
(VMT) formed the basis for how near roadway mobile emissions and air
quality would be affected using the CALINE3 model in two highly impacted
communities in California, Richmond and Wilmington. Health outcomes
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sophe conference ✯ november 4-6, 2010
saturday | november 6
were analyzed and combined with social and demographic characteristics to
illuminate the impact that changes in transportation-related behaviors and
vehicular emissions will have on overburdened communities.
POWERPLAY Curriculum Project.
Laura L. Colbert, MPH(c), Emory University
In 2005, the Georgia Department of Human Resources found that 40%
of African American children and 28% of white children in middle
school were overweight or at risk for being overweight. Many students
are not getting adequate exercise and proper nutrition. Since health behaviors
are established during adolescence, teaching prevention through
physical activity and good eating habits is a crucial step in the reduction
of obesity and the prevention of related chronic diseases. In order
to stem this trend, children and their families should be provided with
the knowledge and skills necessary to live healthier lives by increasing
nutritional knowledge among participants, improving eating behaviors,
and providing a structured setting for physical activity.
By partnering with Emory University’s Challenge and Champions
three-week summer camp, lesson plans based on the POWERPLAY
curriculum will be administered to 65 middle school students. One third
of the students are homeless or low-income, and many nationalities and
cultures are represented within the group.
Health and wellness information will be integrated into the students’ two
subject classes, stand-alone sessions, lunch period, and the structured
physical activity time. Covered subject matter includes nutrition information
and related skills (such as nutrition label reading), structured physical
activity time, goal-setting, healthy body images, and youth empowerment.
By integrating health and wellness curriculum into an established, existing
camp, sustainability of the curriculum is much more likely. Students
who participate in future Challenge and Champions programs will also
be able to benefit from the POWERPLAY curriculum.
current sessions d2
Room: Mattie Silks
healthy aging: living long, living well
Examining the Relationship between the Health Literacy and
Health-Related Outcomes in an Older Cohort-Study Population.
Melissa Valerio, PhD, MPH, University of Michigan; Patricia Andreski, MA,
University of Michigan Institute for Social Research
background: A high percentage of older adults have inadequate health
literacy. Additionally, this population has been found to have two to three
chronic diseases. Hypothesis: Inadequate health literacy will be associated
with poor health outcomes in the national sample of older adults.
methods: Participants of the Panel Study for Income Dynamics (PSID)
aged 65 and older (N=1353) were included in this analysis. The Demographic
Assessment of Health Literacy (DAHL) was used to estimate
health literacy of the population. Health related outcomes examined
included overall health status, type 2 diabetes, hypertension, mental
distress, ADL help and IADL difficulties. Univariate and multivariate
analysis were completed. Multiple regression controlling for marital
status, and wealth were computed to examine the relationship between
inadequate health literacy and health outcomes.
results: 28% of the population were between the age of 65-69, 22% were
70-74, 22% were 75-79, 15% were 80-84 and 13% were 85 years of age
or older. 58% of the population was female; 8% were African American,