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Morales M, Wilkinson-Lee AM, Ingram M, Nuño T, Guernsey De Zapien JE, Sepulveda R, Carvajal S. Risk factors associated with loneliness among mexican-origin adults in southern Arizona. BMC Public Health 2024; 24:1694. [PMID: 38918747 PMCID: PMC11197176 DOI: 10.1186/s12889-024-19199-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 06/19/2024] [Indexed: 06/27/2024] Open
Abstract
This study examines factors associated with symptoms of loneliness among a sample (n = 213) of mostly Mexican-origin adults at risk of chronic diseases in Southern Arizona's Pima, Yuma, and Santa Cruz counties. It uses baseline data from a community-based participatory research partnership and multinominal logistic regression models. Controlling for chronic diseases and sociodemographic characteristics, perceived social support and hope exhibit negative main effects on loneliness when comparing individuals who experienced loneliness for 5-7 days in the preceding week with those who did not encounter such feelings during the same period (adjusted odds ratio, AOR = 0.49 and 0.47; 95% confidence interval, CI = 0.34-0.73 and 0.29-0.75, respectively). However, when considered together, perceived social support and hope display a positive and statistically significant combined effect on loneliness (AOR = 1.03; 95% CI = 1.01-1.06). Holding all covariates constant, individuals reporting loneliness for 5-7 days exhibit a relative risk ratio of 1.24 (95% CI = 1.06-1.46) for a one-unit increase in physical problem severity compared to those who do not experience loneliness. Moreover, being 65 years old or older (AOR = 0.16, 95% CI = 0.03-0.84), and having been born in Mexico and lived in the US for less than 30 years (AOR = 0.12, 95% CI = 0.02-0.74) are associated with negative main effects on loneliness when comparing individuals who experienced loneliness 1-2, and 5-7 days in the preceding week with those who did not feel loneliness during the same timeframe, respectively. Recognizing the crucial role of loneliness in shaping health outcomes for Mexican-origin adults, our findings underscore the significance of fostering supportive environments that not only enhance well-being but also cultivate robust community bonds within the US-Mexico border region.
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Affiliation(s)
- Mario Morales
- Arizona Prevention Research Center, Health Promotion Sciences Department, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ, 85724, USA.
| | - Ada M Wilkinson-Lee
- Arizona Prevention Research Center, Health Promotion Sciences Department, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ, 85724, USA
- Department of Mexican American Studies, The University of Arizona, Tucson, AZ, 85721, USA
| | - Maia Ingram
- Arizona Prevention Research Center, Health Promotion Sciences Department, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ, 85724, USA
| | - Thomas Nuño
- Arizona Prevention Research Center, Health Promotion Sciences Department, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ, 85724, USA
| | - Jill E Guernsey De Zapien
- Arizona Prevention Research Center, Health Promotion Sciences Department, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ, 85724, USA
| | - Ramses Sepulveda
- Arizona Prevention Research Center, Health Promotion Sciences Department, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ, 85724, USA
| | - Scott Carvajal
- Arizona Prevention Research Center, Health Promotion Sciences Department, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ, 85724, USA
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Morales M, Ingram M, Coulter KM, Nuño T, Wilkinson-Lee AM, Guernsey De Zapien JE, Carvajal S. Factors Associated with Depressive Symptoms among Mexican-Origin Adults in a Community Sample at the US Mexico Border Region. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6017. [PMID: 37297621 PMCID: PMC10252936 DOI: 10.3390/ijerph20116017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 05/26/2023] [Accepted: 05/30/2023] [Indexed: 06/12/2023]
Abstract
Using baseline data from three partnering federally qualified health centers, we examined factors associated with depressive symptoms among Mexican-origin adults at risk of chronic disease living in three counties in Southern Arizona (i.e., Pima, Yuma, and Santa Cruz). Multivariable linear regression models identified correlates of depressive symptoms for this population controlling for sociodemographic characteristics. Among 206 participants, 85.9% were female and 49% were between 45 and 64 years of age. The proportion of depressive symptoms was 26.8%. Low levels of physical pain and high levels of hope and social support were also reported. Physical pain was positively and significantly related to depressive symptoms (β = 0.22; 95% CI = 0.13, 0.30). Conversely, hope was negatively and significantly associated with depressive symptoms (β = -0.53; 95% CI = -0.78, -0.29). A better understanding of factors related to depressive symptoms among Mexican-origin adults is necessary to fulfill their mental health needs, as well as to achieve health equity and to eliminate health disparities in the US-Mexico border region.
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Affiliation(s)
- Mario Morales
- Arizona Prevention Research Center, Health Promotion Sciences Department, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ 85724, USA
| | - Maia Ingram
- Arizona Prevention Research Center, Health Promotion Sciences Department, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ 85724, USA
| | - Kiera M. Coulter
- Population Research Center, College of Liberal Arts, The University of Texas, Austin, TX 78712, USA
| | - Thomas Nuño
- Arizona Prevention Research Center, Health Promotion Sciences Department, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ 85724, USA
| | - Ada M. Wilkinson-Lee
- Arizona Prevention Research Center, Health Promotion Sciences Department, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ 85724, USA
- Department of Mexican American Studies, The University of Arizona, Tucson, AZ 85724, USA
| | - Jill E. Guernsey De Zapien
- Arizona Prevention Research Center, Health Promotion Sciences Department, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ 85724, USA
| | - Scott Carvajal
- Arizona Prevention Research Center, Health Promotion Sciences Department, Mel & Enid Zuckerman College of Public Health, The University of Arizona, Tucson, AZ 85724, USA
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Curran C, Baker JG, Smitley M, Baker RT. A Descriptive Analysis of Patient Outcomes and Experiences at a Student-Run Athletic Training Clinic. J Athl Train 2023; 58:163-176. [PMID: 35622949 PMCID: PMC10072096 DOI: 10.4085/1062-6050-0051.22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT The prevalence of student-run clinics is rising due to educational benefits and the ability to provide cost-effective care to underserved patients. Current literature on the effect of athletic training student-run clinics on patient outcomes and experiences is limited. OBJECTIVE To explore patient-reported outcomes (PROs), patient experiences, and patient demographics in an athletic training student-run clinic. DESIGN Mixed-methods study: cross-sectional survey with retrospective analysis of deidentified patient outcomes from November 2017-October 2021. SETTING Athletic training student-run clinic. PATIENTS OR OTHER PARTICIPANTS A total of 388 patients from the university (ie, students and staff) and local community with a variety of musculoskeletal injuries. MAIN OUTCOME MEASURE(S) Participants completed a packet to provide their responses to demographic items and PRO scales: Disablement in the Physically Active Scale Short Form-8, Numeric Pain Rating Scale, Patient-Specific Functional Scale, and Global Rating of Change Scale at 3 time points. They also completed an electronic patient experience survey after their final visit to the student-run clinic. RESULTS Most participants reported clinically significant improvements across all PRO scales: an average improvement of 39.1% in pain, 39.3% in function, and 43.1% in quality of life in <11 days, on average. Furthermore, they described a high level of satisfaction with care and a globally positive experience at the student-run clinic. CONCLUSIONS Patients experienced clinically significant improvements in pain, function, disablement, and quality of life when receiving care from athletic training students at a student-run clinic. In addition, they indicated a high level of satisfaction with the care provided and a positive overall experience with an athletic training student-run clinic.
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Affiliation(s)
- Camas Curran
- WWAMI [Washington, Wyoming, Alaska, Montana, Idaho] Medical Education Program
- WWAMI Medical Education Program, University of Washington, Seattle
| | | | | | - Russell T. Baker
- WWAMI [Washington, Wyoming, Alaska, Montana, Idaho] Medical Education Program
- Department of Movement Sciences
- Idaho Office of Underserved and Rural Medical Research, University of Idaho, Moscow
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Reep NC, Leverett SN, Heywood RM, Baker RT, Barnes DL, Cheatham SW. The Efficacy of the Mulligan Concept to Treat Meniscal Pathology: A Systematic Review. Int J Sports Phys Ther 2022; 17:1219-1235. [PMID: 36518834 PMCID: PMC9718724 DOI: 10.26603/001c.55540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 09/12/2022] [Indexed: 11/11/2023] Open
Abstract
Background Meniscal pathologies are common knee injuries and arthroscopic surgery is the current accepted gold standard for treatment. However, there is evidence to support the use of the Mulligan Concept (MC) Mobilization with Movement (MWM) for meniscal pathologies including the 'Squeeze' technique, tibial internal rotation (IR), and tibial external rotation (ER). Hypothesis/Purpose The purpose of this systematic review was to critically appraise the literature to investigate the effectiveness of MC MWMs for meniscal lesions on patient reported pain, function, and multi-dimensional health status in patients with clinically diagnosed meniscal pathologies. Study Design Systematic Review. Methods A literature search was completed across multiple databases using combinations of the words "knee, function, mobilization with movement, MWM, mulligan concept, MC, meniscal pathology, meniscal derangement, and meniscal tear." Studies written within the prior 10 years that examined MC MWM techniques to treat knee meniscal injury were included. Articles that met the inclusion criteria (used MC MWM 'Squeeze' technique, tibial IR, or tibial ER for treatment of clinically diagnosed meniscal pathologies; Patient reported outcome [PRO] measures had to be used in the assessment of knee pain or function) were analyzed for quality. Randomized control trials were analyzed using the PEDro scale and the Downs & Black (D&B) checklist, case series were analyzed using the Joanna Briggs Institute (JBI) checklist, and case reports were analyzed using the CARES checklist. Results Six articles met the inclusion criteria and were included in this review, two randomized controlled studies, two case series, and two case reports consisting of 72 subjects. All six papers included reports of improvements in pain and function that were either statistically significant or met the minimal clinically important difference (MCID). Five studies reported the Disablement in the Physically Active (DPA) scale that also demonstrated statistically significant differences or met the MCID. The MC MWM 'Squeeze' technique, tibial IR, or tibial ER demonstrated the ability to reduce pain, improve function, and improve patient perceived disability following treatment of a clinically diagnosed meniscal pathology. These studies demonstrated short term results lasting from one week to 21 weeks. Conclusion Treatment interventions incorporating MC MWM techniques demonstrated reduction of pain and improvement in function in the short term in patients with clinically diagnosed meniscal pathologies. Level of Evidence 2a.
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Affiliation(s)
| | | | | | - Russell T Baker
- Department of Movement Sciences University of Idaho
- WWAMI Medical Education University of Idaho
| | | | - Scott W Cheatham
- Department of Kinesiology California State University Dominguez Hills
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Gribble PA, Kleis RE, Simon JE, Vela LI, Thomas AC. Differences in health-related quality of life among patients after ankle injury. Front Sports Act Living 2022; 4:909921. [PMID: 35992155 PMCID: PMC9382240 DOI: 10.3389/fspor.2022.909921] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 07/07/2022] [Indexed: 11/13/2022] Open
Abstract
Ankle sprains are the most common injuries sustained in the physically active, often associated with pain and functional limitations long after initial recovery. In recent years, the impact of ankle sprains on general health and health-related quality of life (HRQoL) has been noted in athletes, but is not well-documented in the general population. We examined differences in HRQoL and general health between individuals with ankle sprain history and healthy controls. Those with ankle sprain reported significantly higher body mass index and general body pain, and lower SF-8 physical component scores than healthy controls. Additionally, there is some indication that physical activity is lower in those with ankle sprain history. This is an important step in illustrating the adverse sequelae of ankle sprains on population health and HRQoL.
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Affiliation(s)
- Phillip A. Gribble
- Department of Athletic Training and Clinical Nutrition, College of Health Sciences, University of Kentucky, Lexington, KY, United States
- *Correspondence: Phillip A. Gribble
| | - Rachel E. Kleis
- Department of Athletic Training and Clinical Nutrition, College of Health Sciences, University of Kentucky, Lexington, KY, United States
| | - Janet E. Simon
- Division of Athletic Training, Ohio University, Athens, OH, United States
| | - Luzita I. Vela
- Department of Health, Human Performance and Recreation, University of Arkansas, Fayetteville, AR, United States
| | - Abbey C. Thomas
- Department of Kinesiology and Center for Biomedical Engineering and Science, University of North Carolina at Charlotte, Charlotte, NC, United States
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