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Background: Youth identifying as lesbian, gay, bisexual (LGB) and/or transgender/gender nonconforming (TGNC) are at increased risk of violence. School policies and practices may mitigate this risk. Methods: Researchers merged data from the 2016 New Mexico School Health Profiles and the 2017 New Mexico Youth Risk and Resiliency Survey. Researchers employed multivariable logistic regression to test the associations between school-level measures and violence outcomes. Results: Genders and sexualities alliances (GSAs) were associated with reduced odds of lifetime forced sex among all, heterosexual cisgender, and LGB students, reduced odds of sexual violence among heterosexual cisgender students, and reduced odds of dating violence among LGB students. Inclusive sexual health education was associated with reduced odds of lifetime forced sex among LGB and TGNC students, reduced odds of sexual violence among LGB students, and increased odds of dating violence among heterosexual cisgender students. Inclusive teacher training was associated with increased odds of lifetime forced sex among TGNC students. Implications for School Health Policy, Practice, and Equity: Inclusive sexual health education and the presence of active GSAs may have the greatest potential for reducing violence, especially among LGB and TGNC students. Conclusions: Findings highlight the important role of school policies and practices in addressing violence.

This study examines the validity of a proxy acculturation scale composed of four acculturation-related variables. The authors use data from a nationally representative sample of 1,437 U.S. Hispanics. Results indicate good internal scale reliability, a high degree of correlation between the proxy scale and the full acculturation measure, and substantial agreement between dichotomized versions of the two scales. Although reliability declines slightly, validity increases with removal of generational status from the scale. Validity is found to be high for the three largest subpopulations by country of ancestry (Mexico, Puerto Rico, and Cuba). The proxy acculturation scale is a useful tool for the measurement of acculturation level among the majority of U.S. Hispanics when use of a more comprehensive acculturation scale is infeasible or impractical. (Contains 6 tables.)

Early childhood home visiting (ECHV) is an evidence-based prevention strategy that directly impacts maternal and child health by mitigating the poor outcomes associated with socioeconomic disadvantage and adverse childhood experiences that disproportionately affect marginalized populations. Despite its promise, health care providers in many communities do not routinely refer patients to these services. This qualitative study examined barriers to health care providers' referrals to ECHV services and identified systems-level strategies to overcome those barriers through semistructured interviews with 37 health care providers in New Mexico. Most participants were pediatricians or family practice physicians working in hospitals or community-based primary care settings, and the majority served rural communities. Barriers included insufficient knowledge about ECHV programs; lack of trust of program providers; time constraints; concerns about available funding; lack of a standardized referral process; and concerns about stigma and messaging. Five systems-level recommendations were developed to improve practice: (1) educating health care providers; (2) developing messaging prompts for providers to use when talking with patients about ECHV; (3) increasing engagement among providers and ECHV programs; (4) standardizing referral systems within practices; and (5) promoting universal referrals. Additional research is ongoing to determine the degree to which these health promotion strategies increase referrals and participation in ECHV. [ABSTRACT FROM AUTHOR]

Race is a social construct, commonly used in epidemiologic research to adjust for confounding. However, adjustment of race may mask racial disparities, thereby perpetuating structural racism. We conducted a systematic review of articles published in Epidemiology and American Journal of Epidemiology between 2020 and 2021 to (1) understand how race, ethnicity, and similar social constructs were operationalized, used, and reported; and (2) characterize good and poor practices of utilization and reporting of race data on the basis of the extent to which they reveal or mask systemic racism. Original research articles were considered for full review and data extraction if race data were used in the study analysis. We extracted how race was categorized, used—as a descriptor, confounder, or for effect measure modification (EMM)—and reported if the authors discussed racial disparities and systemic bias–related mechanisms responsible for perpetuating the disparities. Of the 561 articles, 299 had race data available and 192 (34.2%) used race data in analyses. Among the 160 US-based studies, 81 different racial categorizations were used. Race was most often used as a confounder (52%), followed by effect measure modifier (33%), and descriptive variable (12%). Fewer than 1 in 4 articles (22.9%) exhibited good practices (EMM along with discussing disparities and mechanisms), 63.5% of the articles exhibited poor practices (confounding only or not discussing mechanisms), and 13.5% were considered neither poor nor good practices. We discuss implications and provide 13 recommendations for operationalization, utilization, and reporting of race in epidemiologic and public health research. [ABSTRACT FROM AUTHOR]

To ascertain whether sexual and/or gender minority (SGM) students at a Hispanic-serving institution who experience violence are more likely to experience interference with their academic lives when compared to heterosexual, cisgender students, and how this relationship differs by race/ethnicity. Data came from 736 undergraduate students at a university in the Southwestern United States responding to a 2017 Campus Climate Survey. Multivariable logistic regression was conducted on self-identified SGM students and reported interference with their academic lives. The model was also tested for effect modification by race/ethnicity. Two-thirds (67.65%) of SGM students reported four or more incidences of violence. Nearly one-fifth (18.83%) of SGM students reported being harassed, insulted, threatened, or intimidated, and 2.63% reported being physically hurt (including forced sex), because the perpetrator thought the individual might have been gay, lesbian, bisexual, or transgender. SGM students had 2.44 (95% CI: 1.29, 4.61) increased odds of interference with academic life as a result of violence victimization compared with non-SGM students. When the model was evaluated for effect modification by race/ethnicity, large effect sizes were observed, although the results were not significant. SGM undergraduate students are at significantly increased risk of violence and interference with their academic lives. This research emphasizes the need for institutions of higher education to ensure that their policies and practices support equal access to education by SGM students. Additionally, this study contributes insights into a potential protective effect of Hispanic ethnicity that warrants further research. [ABSTRACT FROM AUTHOR]

This study examines the validity of a proxy acculturation scale composed of four acculturation-related variables. The authors use data from a nationally representative sample of 1,437 U.S. Hispanics. Results indicate good internal scale reliability, a high degree of correlation between the proxy scale and the full acculturation measure, and substantial agreement between dichotomized versions of the two scales. Although reliability declines slightly, validity increases with removal of generational status from the scale. Validity is found to be high for the three largest subpopulations by country of ancestry (Mexico, Puerto Rico, and Cuba). The proxy acculturation scale is a useful tool for the measurement of acculturation level among the majority of U.S. Hispanics when use of a more comprehensive acculturation scale is infeasible or impractical. Keywords: Hispanic; Latino; validity; scale; acculturation measure

The article presents the author's views on how to make effective policies on injury prevention. It is opined that one way is to educate lawmakers regarding the science of injury and violence prevention. According to the author, advocacy for the resources to support injury prevention research and implementation is also essential. It is stated that there is a need to build relationships between lawmakers and subject experts.

One in five Americans experiences disability that affects their daily function because of impairments in mobility, cognitive function, sensory impairment, or communication impairment. The need for rehabilitation strategies to optimize function and reduce disability is a clear priority for research to address this public health challenge. The National Institutes of Health (NIH) recently published a Research Plan on Rehabilitation that provides a set of priorities to guide the field over the next 5 years. The plan was developed with input from multiple Institutes and Centers within the NIH, the National Advisory Board for Medical Rehabilitation Research, and the public. This article provides an overview of the need for this research plan, an outline of its development, and a listing of six priority areas for research. The NIH is committed to working with all stakeholder communities engaged in rehabilitation research to track progress made on these priorities and to work to advance the science of medical rehabilitation.This article is being published almost simultaneously in the following six journals: American Journal of Occupational Therapy, American Journal of Physical Medicine and Rehabilitation, Archives of Physical Medicine and Rehabilitation, Neurorehabilitation and Neural Repair, Physical Therapy, and Rehabilitation Psychology. Citation information is as follows: NIH Medical Rehabilitation Coordinating Committee. Am J Phys Med Rehabil. 2017;97(4):404-407., (Copyright © Wolters Kluwer Health, Inc. 2017.)

Given the impaired motor output of the lower limb post-stroke, we argue that cortical damage alters the modular control structure underlying muscle activation patterns during both static and dynamic tasks. Muscle synergies were extracted from EMG collected during isometric hip torque production performed by chronic stroke and control subjects. The stroke group presented a reduction in muscle synergies, consistently displaying only two of the four characteristic synergies identified in the control group. These findings do not support a generalized co-contraction of muscles underlying motor impairments. Our data also indicated that the activation coefficients of the muscle synergies retained by the stroke group were altered. Finally, muscle synergies extracted from the isometric torque production tasks were able to account for a large portion of the variance in the gait EMG at similar limb postures in both subject groups. We therefore propose that muscle activation patterns during the swing phase of gait are constrained by the set of muscle synergies identified under the isometric conditions.