|February 22, 2016||Posted by M. P. under Health, Research||
Although it is preventable, dental disease is perhaps the most prevalent chronic childhood illness in the United States. According to the Centers for Disease Control and Prevention, 20 percent of children 5 to 11 years old have one tooth with untreated decay, a situation that may lead to more severe health problems. Youth from lower-income families have a higher rate of untreated tooth decay than their peers.
As dental care has long been a component of public health policy, RAND examined access to dental care across Pennsylvania using a series of indicators to determine the distribution and available of dentists and dental hygienists. Two counties (Potter and Juniata) did not meet the guideline of full-time dentist per number of residents. Other counties varied greatly across study indicators. A sample of findings:
- Two counties do not have dentists that accept Medicaid.
- 58 percent of counties in Pennsylvania do not have pediatric dental specialists.
- High unemployment rates were associated with fewer providers of dental care.
- The Head Start program appears to be a successful method in getting dental care to children who might not otherwise have access to it.
Citation: Baird, Matthew D., Michelle K. Baird and Joseph V. Vesely. Access to Dental Providers in Pennsylvania: Exploration of the County-Level Distribution of Dental Providers and Populations in 2013. Santa Monica, CA: RAND Corporation, 2016. http://www.rand.org/pubs/research_reports/RR1351.html.
|January 20, 2016||Posted by M. P. under Education, Research, Youth Development||
The inclusion of ethnic studies (ES) in high school curricula is a topic of much debate, with one state banning some ES classes and another state’s Governor vetoing a bill that would have mandated them in public schools. Although both critics and supporters of culturally relevant teaching have strong views regarding its impact on students, there was little quantitative research in this area. Until now.
A study out of Stanford University found statistically significant increases in key academic outcomes among at-risk students in ES classes. Data from several student cohorts from 3 schools in the San Francisco Unified School District indicate that those students enrolled in the classes increased school attendance by 21 percent, GPA by 1.4 points and academic credits earned by 23. Male students and Hispanic students showed the largest increase in positive outcomes.
The authors of the study note that while their work offers empirical evidence of the impact of culturally relevant pedagogy on student performance, questions remain on the scalability of the approach and the size of the effect (if any) on students with higher levels of academic achievement. The paper is available for download on the Stanford Center for Education Policy Analysis webpage.
Citation: Dee, T., & Penner, E. (2016). The Casual Effects of Cultural Relevance: Evidence from an Ethnic Studies Curriculum (CEPA Working Paper No.16-01). Retrieved from Stanford Center for Education Policy Analysis: http://cepa.stanford.edu/wp16-01
|January 7, 2016||Posted by M. P. under Elderly, Health, Research, Youth Development|
As a kind of addendum to my previous post, I wanted to note that another study has identified links between social interaction and health, not just with the elderly but at two distinct stages of life. Researchers associated with the University of North Carolina Chapel Hill used data from four national samples to determine if an association existed between elements of personal relationships and physical health markers. Published in the Proceedings of the National Academy of Sciences, the study concluded that level of social involvement and size of social network are associated with the risk of poor health. Among senior citizens, social connection was associated with lower risk of disease development, particularly around obesity and hypertension. An even more interesting finding – the level of social engagement among adolescents predicted their risk of health complications later in life.
Citation: , , , , , and Social relationships and physiological determinants of longevity across the human life span. PNAS 2016 ; published ahead of print January 4, 2016, doi:10.1073/pnas.1511085112
|December 5, 2015||Posted by M. P. under Elderly, Health, News, Research||
At this time of year there is heightened awareness of the needs of others. We donate dollars, coats, toys and gifts, bags of food, or whatever else is needed to help make the holiday season a little less difficult for those facing economic hardship. But social needs are also important, and when they are neglected due to self-imposed or situational isolation, there is an emotional and physical toll. A holiday advertisement from the German store chain Edeka has been in the news this week for its powerful imagery of a lonely widower who is only able to bring his children and grandchildren together at Christmas by his (fake) death. Well played, Grandpa.
Sniffle inducing commercials aside, there are scientific links between loneliness and poor health. Studies released this year indicate that loneliness can make you ill and can be detrimental to longevity. Research out of Brigham Young University suggested that social isolation is as much of a risk factor to well-being as obesity, regardless of whether a person prefers solitude or is around others but feels alone. Even for younger people in the sample, little or weak social connection was a mortality risk.
Advancing their research on how loneliness results in changes at the molecular level, a research team including experts from the University of Chicago, UCLA and the California National Primate Research Center at the University of California-Davis, found that perceived social isolation leads to stress signaling, which affects genetic expression and cell production and lessens the body’s resistance to infection and illness. The cells of lonely individuals contained “conserved transcriptional response to adversity” or CTRA (genes linked to inflammation in previous research). In this study however, loneliness was identified as a predictor of future genetic changes and a related decrease in the effectiveness of the immune system. The team plans to continue their work on the links between loneliness, disease, and mortality to better understand the health risks and outcomes related to social isolation.
Holt-Lunstad, T. B. Smith, M. Baker, T. Harris, D. Stephenson. Loneliness and Social Isolation as Risk Factors for Mortality: A Meta-Analytic Review. Perspectives on Psychological Science, 2015; 10 (2): 227 DOI: 10.1177/1745691614568352
Steven W. Cole, John P. Capitanio, Katie Chun, Jesusa M. G. Arevalo, Jeffrey Ma, John T. Cacioppo. Myeloid differentiation architecture of leukocyte transcriptome dynamics in perceived social isolation. Proceedings of the National Academy of Sciences, 2015; 201514249 DOI: 10.1073/pnas.1514249112