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R J McDermott

Publications and source records attributed to R J McDermott.

At least 19 recordsLinked to original sources
PubMed2001

Developing youth capacity for community-based research: the Sarasota County demonstration project.

Although youth involvement in health promotion efforts is not a new concept, projects that actively involve youths in planning research, collecting data, and making research design decisions are rare. This article describes the evaluation process and outcomes for a youth-directed data collection initiative. Eleven youth researchers conducted 112 personal in-depth interviews and 22 focus groups involving 206 youths in 5th through 12th grade. Youth researchers felt confident they could conduct focus groups and in-depth interviews and staff ratings of youths' effectiveness in moderating focus groups indicated they were successful in carrying out the qualitative research.

Adolescent↗
PubMed2001

Health risk behavior of rural secondary school students in Zimbabwe.

A socioculturally appropriate health risk behavior instrument, modeled after the U.S. Centers for Disease Control and Prevention's Youth Risk Behavior Survey (YRBS), was administered to 717 secondary school students in a rural area of Zimbabwe. Comparisons of risk behaviors by gender and school grade were made using univariate procedures and multiple logistic regression. Males were significantly more likely than females to have had sexual intercourse (odds ratio = 5.02, p < .0001) and to report drug use behaviors. Males also were significantly more likely to report early initiation (by age 13 years) of alcohol use, cigarette smoking, and marijuana use. School site violence and drug use behaviors also were prevalent in this sample. An interaction between gender and grade was evident for some behaviors. Additional research may further the understanding of these risk behaviors and facilitate development of effective, culturally relevant risk reduction programs.

Adolescent↗
PubMed2000

Youth and tattoos: what school health personnel should know.

Though tattooing has been practiced by various cultures for centuries, this art form has undergone dramatic changes the past few decades. Today, tattoos appeal to diverse populations and mainstream culture. The proliferation of tattooing prompted increased concern for safety and awareness of hazardous conditions. Transmission of infectious diseases, such as hepatitis B and C, and theoretically, HIV, can occur when proper sterilization and safety procedures are not followed. While there are many populations at risk, a critical at-risk group is adolescents. Tattooing among adolescents is a risk-taking behavior that warrants the attention of health education in assisting adolescents in becoming informed decision-makers. Teaching and advocacy strategies are suggested, and roles for school health personnel are presented.

Adolescent↗
PubMed1999

Alcohol attitudes and beliefs related to actual alcohol experience in a fifth-grade cohort.

Despite a gradual overall decrease in alcohol consumption in the United States, alcohol remains the most widely used and abused drug in society. This study assessed lifetime and recent alcohol use in a cohort of fifth graders, and examined attitudes and beliefs held by these youth concerning alcohol. An instrument addressing alcohol use, other substance use, and other health-related problem behaviors was completed by 813 fifth graders in a west central Florida school district. Among respondents, 48.9% had "ever tried" alcohol, and 17.9% had consumed alcohol in the past 30 days (active drinkers). Significant differences in alcohol-related attitudes and beliefs were found according to current drinking status, gender, and race/ethnicity. Possible reasons for these differential findings are presented, and implications for prevention and intervention are discussed.

Adolescent↗
PubMed1998

Middle school students and bicycle helmet use: knowledge, attitudes, beliefs, and behaviors.

Previous research has shown that bicycle helmet use among older children and adolescents continues to be low. This study determined middle school students' knowledge, attitudes, beliefs, and behaviors related to bicycle helmet use. Six middle schools in Hillsborough County, Fla., served as the research settings. A pretested survey instrument was administered to students. Overall, 3,333 sixth and seventh graders responded. Results showed that most children owned a bicycle, 38.1% owned a helmet, but only 15.8% wore a helmet the last time they rode a bike. Many students (49.7%) did not know or did not believe there was a bicycle helmet law in Florida. Predictors of helmet use were intention to use a helmet the next time one rides a bike, having a helmet, siblings' use of helmets, and friends' use of helmets.

Adolescent↗
PubMed1998

Relationship of adolescent self-esteem to selected academic variables.

This study investigated whether self-esteem precedes various academic behaviors and beliefs among 593 high school students (63.7% female, 60.9% African American). Measures of home and school self-esteem, grade point average, perceived academic standing and progress, and educational plans were collected by survey and archival review of grade and attendance records at the beginning (pre-test) and end of the school year (post-test). Self-esteem and academic variables differed by gender, race, and guardianship. Self-esteem related significantly to academics and absenteeism. Results suggest selected academic variables predict self-esteem even when the effects of gender, race, and guardianship are removed and pretest self-esteem scores are controlled. In conclusion, student academic performance influences subsequent academic and home self-esteem. Creation of positive academic experiences for youth may be a critical activity, since experts contend that low self-esteem is associated with subsequent behavioral problems. The markedly lower self-esteem of Native American and Hispanic youth warrants further investigation.

Adolescent↗
PubMed1998

Evaluation of a poison prevention lesson for kindergarten and third grade students.

OBJECTIVES: The purpose of this study was to evaluate the MORE HEALTH poison prevention lesson that is given to kindergarten and third grade students in Hillsborough County, Florida. The lesson reaches approximately 6000 students per year. METHODS: The evaluation was based on a post-test only control group design. Three schools were chosen as evaluation sites and three served as control settings. Students were administered a previously tested, age appropriate questionnaire that addressed the goals of the poison lessons. In addition, a survey was developed for intervention school parents to determine their poison prevention practices. RESULTS: One hundred ninety four intervention schoolchildren and 184 control schoolchildren completed the study. Children in the intervention schools consistently answered more questions correctly than those in the control schools. The parent survey showed that the majority have homes that are safe from poisons, although fewer than 50% said they had syrup of ipecac in their homes. CONCLUSIONS: These results show that key concepts related to poison prevention can be communicated effectively to primary school students and parents report having homes safe from many poisons.

Case-Control Studies↗
PubMed1998

An academic paradox: high school students' perceptions of their class standing and self-reported risk-taking.

The centers for Disease Control and Prevention (CDC) administered its 75-item 1991 Youth Risk Behavior Surveillance survey to a nationwide random sample of 12,248 high school students. In a secondary analysis of their data, one item on students' perceived class standing, was compared with selected health risk-taking practices. The 7.7% of students who indicated that they were "below the middle" in comparison with their classmates reported more participation in all risk-taking behaviors than students who reported being "in the middle" (28.6%) or "above the middle" (63.7%). Students' grades, ages, and ethnicity showed significant differences, with younger students and selected ethnocultural minority students more likely to report being "below the middle." Perceived class standing may be a proxy measure for estimating participation in health-compromising practices.

Achievement↗
PubMed1997

Restricting smoking at the University of Köln, Germany: a case study.

The effects of a new policy limiting smoking to separate, designated areas in School of Education buildings at the University of Köln, Germany, were analyzed. Although the majority (77%) of the 1,223 students surveyed did not expect the changed policy to affect their smoking habits, approximately 28% of the men and 30% of the women said they were smoking less at the university after the change went into effect. Ninety-one percent of the nonsmoking students and 68% of the smokers supported the new policy. Smoking rates among Köln students are not significantly different from those of the adult German population, where 34% of the women and 41% of the men are smokers. The findings in this study indicate that such a policy change may result in a net decrease in amount smoked and could be a successful intervention in countries where smoking rates are traditionally higher than they are in the United States.

Attitude↗
PubMed1997

Instruments to measure social support and related constructs in pregnant adolescents: a review.

This review examines some of the key issues related to measuring social support and identifies 28 instruments which have been used in research with pregnant adolescents. The major external and internal variables that affect social support for pregnant adolescents are defined. Relevant questions are offered to guide the researcher in the choice of a social support instrument, and the 28 social support instruments are described by author, availability, length and item type, psychometric properties, and selected references and notes. Although not an exhaustive list, these 28 instruments are representative of the broad spectrum of measurement tools available which were chosen because they have been used in a variety of social support research endeavors.

Adolescent↗
PubMed1996

Acquisition of high-risk behavior by African-American, Latino, and Caucasian middle-school students.

The purpose of this study was to measure the stages of acquisition of selected high-risk health behaviors in 768 randomly selected 7th- and 8th-graders in a Florida school district. Specific high-risk health behaviors included use of alcohol, tobacco, and drugs, fighting and weapon carrying, and suicide ideation. Analysis indicated few behaviors that were significantly different when African-American and Latino students were compared with Caucasian students. The most weapon carrying was reported by Latinos. Fewer Caucasian students than their minority peers used inhalants. Knowledge of stages of acquisition among small diverse samples may assist school personnel to intervene during the inculcation process with appropriate responsive programs.

Adolescent↗
PubMed1996

HIV risk behaviors: a comparison of U.S. Hispanic and Dominican Republic youth.

Sexual behaviors of adolescents place them at a high risk for HIV infection and other sexually transmitted diseases. International comparisons of sexual risk-taking among youth employing a common set of survey items are rare. Moreover, such studies can assist in explaining observed differences in disease rates, or predicting future trends in transmission, and identifying health educational needs unique to a particular population or setting. To assess variations in risk-taking patterns, a comparison of HIV behavioral risk factors was made between U.S. Hispanic and Dominican Republic (D.R.) youth. The Spanish version of the Youth Risk Behavior Surveillance (YRBS) survey was administered to 1,175 D.R. high school students. Responses were compared to those in the U.S. from the Centers for Disease Control and Prevention's 1990 YRBS data tape for 2285 Hispanic youth. Frequency and cross-tabulation data were compared by country and gender. There were significant differences in AIDS education at school, discussions about AIDS conducted in the home, age of first sexual experience, condom use, and past experience with STDs. Results show that adolescents in both countries are at risk, but with different mediating factors. Inadequate condom use and early initiation of sex place the D.R. youth at risk, while more U.S. youth are engaging in sexual intercourse and using alcohol or other drugs in conjunction with sexual episodes. Some implications for prevention education are discussed.

Adolescent↗
PubMed1996

Sexual risk-taking by Muscovite youth attending school.

Sexual behaviors of adolescents place them at a high risk for HIV and other sexually transmissible infections. Studies of sexual risk-taking and other health compromising practices by youth in countries other than the United States are relatively rare. Examination of health practices across cultures provides insights with respect to explaining international differences in disease rates, helps predict future trends in disease transmission, and identifies health education needs of particular populations or settings. Sexual behavioral risk factors were studied in a sample of 1,090 youth (mean age = 14 years) in Moscow using a translated version of the Youth Risk Behavior Surveillance (YRBS) survey developed by the U.S. Centers for Disease Control and Prevention. Only 26.3% of Muscovite youth report being taught about HIV/AIDS infection in school, and just 41.7% indicate discussion of HIV/AIDS occurred with parents or other familial adults. Overall, 15.7% of females and 23.7% of males report at least one sexual intercourse in their lifetime. About 8.8% of the sample reported participation in sexual intercourse before age 12, and 34.9% indicated having had sexual intercourse with four or more partners. Concomitant use of alcohol and other drugs is common (24.4%) prior to the most recent intercourse, and use of a condom occurs in fewer than half (41.7%) of recent sexual episodes.

Acquired Immunodeficiency Syndrome↗
PubMed1995

The MORE HEALTH bicycle safety project.

A K-2 MORE HEALTH bicycle safety education program was provided in nine elementary schools in Hillsborough County, Florida. This innovative community program consisted of interactive education sessions and reduced-cost bicycle helmet sales. Evaluation of the pilot program showed that it affected helmet use in the intervention schools compared to nine other schools that served as controls. More than 1,000 helmets were distributed through the bicycle helmet sales. Approximately 3,500 children participated in the education sessions. The preprogram helmet use rate among all schools was 8.5%. Postprogram results showed that the helmet use rate among intervention schools was significantly greater than among control schools (p < .01). This report describes the MORE HEALTH bicycle helmet promotion program.

Adolescent↗
PubMed1993

Using focus group interviews to identify salient issues concerning college students' alcohol abuse.

Despite extensive efforts to decrease alcohol abuse among college students, prevention approaches have had limited success. This study attempted to clarify reasons for this limited success and to identify directions for future interventions by directly interviewing college students on this topic. Five issues were discussed in the focus group interviews: (1) reasons for drinking alcohol, (2) reasons for not drinking alcohol, (3) circumstances surrounding overconsumption of alcohol, (4) topics and methods for prevention, and (5) gender differences in drinking patterns. The focus group interviews were found to be a valid tool for elucidating sensitive aspects of these issues and the relative importance of these issues to each other. The students revealed how susceptible they are to societal pressures to drink alcohol and how the limitations of their intrapersonal skills affect their alcohol consumption, most notably regarding sexuality issues. The authors contend that improving intrapersonal skills should be a major focus of programs to prevent alcohol abuse.

Adult↗
PubMed1993

The relationship between youth substance use and area-specific self-esteem.

A cross-sectional survey design investigated the relationship of school and home self-esteem to history of substance use, membership in alternative education (non-mainstream) school programs, gender, and race. Self-esteem was assessed using the Hare Self-Esteem Scale. Four hundred eleven sixth grade students completed the survey. Results revealed home self-esteem related inversely to tobacco use (F = 15.39, df = 2,343, p < .0001), alcohol use (F = 12.08, df = 2,343, p < .0001), and use of other drugs (F = 12.28, df = 2,338, p < .0001). Similarly, school self-esteem related inversely to tobacco use (F = 15.47, df = 2,354, p < .0001), alcohol use (F = 8.74, df = 2,353, p = .0002), and use of other drugs (F = 9.30, df = 2,350, p < .0001). Regardless of type of drug, recent users had the lowest self-esteem scores on both subscales and never users had the highest scores. Subjects enrolled in non-mainstream programs had significantly lower home and school self-esteem scores than did subjects in mainstream classes. Race and gender were not associated significantly with self-esteem. Implications for youth substance use prevention and research are discussed.

Adolescent↗
PubMed1993

Infant mortality statistics do not adequately reflect the impact of short gestation.

OBJECTIVE: To determine the accuracy of National Center for Health Statistics cause-specific infant mortality data. The National Center for Health Statistics compiles these data by applying World Health Organization (WHO) selection rules to death certificate data. The WHO rules arrange medical entities into a hierarchical order and select a single underlying cause of death (ULCD). DESIGN: A comparison was made between ULCD assigned to a cohort of 335 infant death certificates by (1) a neonatologist panel, and (2) application of WHO selection rules by the Florida State Office of Vital Statistics (OVS). RESULTS: Among the 146 infants with birth weights 1500 to 4649 g, agreement between neonatologists and OVS was 88%, while among the 189 infants with birth weights 0 to 1499 g (very low birth weight), agreement was just 41%. Neonatologists selected short gestation as the underlying cause of death for 82% of very low birth weight infant records, vs 25% by OVS. Due to the application of specific WHO selection rules, OVS frequently selected immediate causes of death, such as "cardiac arrest," as the ULCD, even when the medical certifier had indicated short gestation as the ULCD. In vital statistics reports, many of these immediate causes are reported as "other respiratory conditions of newborn," or "all other perinatal conditions." CONCLUSION: WHO ULCD selection rules should be modified to allow short gestation to have a higher priority over immediate causes of infant death.

Birth Weight↗