12 results on '"Gideon N. Aweh"'
Search Results
2. SARS-CoV-2 Vaccine Effectiveness and Breakthrough Infections Among Patients Receiving Maintenance Dialysis
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Harold J. Manley, Nien Chen Li, Gideon N. Aweh, Caroline M. Hsu, Daniel E. Weiner, Dana Miskulin, Antonia M. Harford, Doug Johnson, and Eduardo Lacson
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Nephrology - Abstract
SARS-CoV-2 vaccine effectiveness and immunogenicity threshold associated with protection against COVID-19 related hospitalization or death in the dialysis population is unknown.Retrospective, observational study.Adult patients receiving maintenance dialysis through a national dialysis provider without COVID-19 history treated between February 1, 2021 and December 18, 2021 with follow up through January 17, 2022.SARS-CoV-2 vaccination status.All SARS-CoV-2 infections, composite of hospitalization or death following COVID-19.Logistic regression was used to determine COVID-19 case rates and vaccine effectiveness.Of 16,213 patients receiving dialysis during the study period, 12,278 (76%) were fully vaccinated, 589 (4%) were partially vaccinated and 3,346 (21%) were unvaccinated by the end of follow-up. Of 1,225 COVID-19 cases identified, 550 (45%) occurred in unvaccinated patients, while 891 (73%) cases occurring during the Delta period. Between pre-Delta period and Delta periods vaccine effectiveness against a severe COVID-19 related event (hospitalization or death) was 84% and 70%, respectively. In the subset of 3,202 vaccinated patients with at least one anti-spike IgG assessment, lower anti-spike IgG levels were associated with higher case rates per 10,000 days and adjusted hazard ratios for both infection and COVID-related hospitalization or death.Observational design, residual biases and confounding may exist.Among maintenance dialysis patients, SARS-CoV-2 vaccination was associated with a lower risk of COVID-19 diagnosis and associated hospitalization or death. Among vaccinated patients, low anti-spike IgG level is associated with worse COVID-19 related outcomes.
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- 2021
3. SARS-CoV-2 vaccine effectiveness and breakthrough infections in maintenance dialysis patients
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Harold J. Manley, Gideon N. Aweh, Caroline M. Hsu, Daniel E. Weiner, Dana Miskulin, Antonia M. Harford, Doug Johnson, and Eduardo K. Lacson
- Abstract
BackgroundSARS-CoV-2 vaccine effectiveness during the Delta period and immunogenicity threshold associated with protection against COVID-19 related hospitalization or death in the dialysis population is unknown.MethodsA retrospective, observational study assessed SARS-CoV-2 vaccine effectiveness and immunogenicity threshold in all adult maintenance dialysis patients without COVID-19 history treated between February 1 and October 2, 2021. All COVID-19 infections, composite of hospitalization or death following COVID-19 and available SARS-CoV-2 anti-spike immunoglobulin (Ig) G values were extracted from electronic medical record. COVID-19 cases per 10,000 days at risk and vaccine effectiveness during pre-Delta and Delta periods were determined.ResultsOf 15,718 patients receiving dialysis during the study period, 11,191 (71%) were fully vaccinated, 733 (5%) were partially vaccinated and 3,794 (24%) were unvaccinated. 967 COVID-19 were cases identified: 511 (53%) occurred in unvaccinated patients and 579 (60%) occurred during the Delta period. COVID-19 related hospitalization or death was less likely among vaccinated versus unvaccinated patients for all vaccines (adjusted HR 0.19 [0.12, 0.30]) and for BNT162b2/Pfizer, mRNA-1273/Moderna, and Ad26.COV2.S/Janssen (adjusted HR=0.25 [0.16, 0.40], 0.14 [0.08, 0.22], and 0.34 [0.17, 0.68] respectively). Among those with anti-spike IgG levels, those with IgG level ≥ 7 had significantly lower risk of a COVID-19 diagnosis (HR=0.25 [0.15, 0.42]) and none experienced a COVID-related hospitalization or death.ConclusionsAmong maintenance dialysis patients, SARS-CoV-2 vaccination was associated with a lower risk of COVID-19 diagnosis and associated hospitalization or death. Among vaccinated patients, low anti-spike IgG level is associated with worse COVID-19 related outcomes.Significance StatementSARS-CoV-2 vaccine effectiveness and association between antibody levels and clinical outcomes in maintenance dialysis patients is not known. Between February 1 and October 2, 2021, vaccine effectiveness was 85% against COVID-19 infection and 81% against composite of COVID-related hospitalization or death. COVID-19 case rates and severe outcomes were higher during the Delta dominant period (June 27-October 2, 2021). Increasing time (weeks) since full vaccination status was associated with increased risk for COVID-19 related hospitalization or death. Anti-spike IgG level ≥ 7 had lower risk of a COVID-19 diagnosis and no COVID-related hospitalization or death. Our findings supports utilization of SARS-CoV-2 vaccination and suggests that monitoring SARS-CoV-2 antibody levels and administering additional vaccine doses to maintain adequate immunity will be beneficial.
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- 2021
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4. Seroresponse to SARS-CoV-2 Vaccines among Maintenance Dialysis Patients over 6 Months
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Caroline M. Hsu, Daniel E. Weiner, Harold J. Manley, Gideon N. Aweh, Vladimir Ladik, Jill Frament, Dana Miskulin, Christos Argyropoulos, Kenneth Abreo, Andrew Chin, Reginald Gladish, Loay Salman, Doug Johnson, and Eduardo K. Lacson
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Male ,COVID-19 Vaccines ,Time Factors ,Epidemiology ,Vaccine Efficacy ,Critical Care and Intensive Care Medicine ,Antibodies, Viral ,Immunocompromised Host ,Immunogenicity, Vaccine ,Renal Dialysis ,Humans ,Renal Insufficiency, Chronic ,BNT162 Vaccine ,Aged ,Retrospective Studies ,Aged, 80 and over ,Transplantation ,SARS-CoV-2 ,Vaccination ,COVID-19 ,Middle Aged ,United States ,Treatment Outcome ,Nephrology ,Immunoglobulin G ,Spike Glycoprotein, Coronavirus ,Female ,Original Article ,Biomarkers ,2019-nCoV Vaccine mRNA-1273 - Abstract
BACKGROUND AND OBJECTIVES: Although most patients receiving maintenance dialysis exhibit initial seroresponse to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccination, concerns exist regarding the durability of this antibody response. This study evaluated seroresponse over time. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: This retrospective cohort study included patients on maintenance dialysis, from a midsize national dialysis provider, who received a complete SARS-CoV-2 vaccine series and had at least one antibody titer checked after full vaccination. IgG spike antibodies (anti-spike IgG) titers were assessed monthly with routine laboratory tests after vaccination; the semiquantitative assay reported a range between zero and ≥20 Index. Descriptive analyses compared trends over time by history of coronavirus disease 2019 (COVID-19) and vaccine type. Time-to-event analyses examined the outcome of loss of seroresponse (anti-spike IgG
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- 2021
5. Frequent Tanning Bed Use, Weight Concerns, and Other Health Risk Behaviors in Adolescent Females (United States)
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Alan C. Geller, Alison E. Field, David L. O'Riordan, Graham A. Colditz, Gideon N. Aweh, Daniel R. Brooks, and A. Lindsay Frazier
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Cancer Research ,medicine.medical_specialty ,Adolescent ,Ultraviolet Rays ,Offspring ,Binge drinking ,Logistic regression ,Beauty Culture ,Risk-Taking ,Environmental health ,Epidemiology ,Confidence Intervals ,Odds Ratio ,medicine ,Humans ,Child ,Prospective cohort study ,business.industry ,Public health ,Body Weight ,Oncology ,Female ,Nurses' Health Study ,medicine.symptom ,business ,Dieting - Abstract
To examine the association between tanning bed use and weight concerns, health risk behaviors, and peer influence. The Growing Up Today Study (GUTS) is an ongoing prospective cohort study of adolescents established in 1996. In 1999, a total of 6,373 adolescent females ages 12–18 (offspring of participants in the Nurses Health Study 2) completed the survey. Almost nine percent (8.6%) of the adolescent girls had used a tanning bed 1–9 times and an additional 5.4% had used tanning beds at least 10 times in the past year (frequent users). Logistic regression models revealed that frequent tanning bed use was associated with being highly concerned about weight (OR = 1.5, 95%CI = 1.1, 2.0), frequently dieting to lose weight (OR = 1.5, 95%CI = 1.1, 2.0), using laxatives or vomiting to control weight (OR = 3.6; 95%CI = 2.2–5.8), having friends who placed a lot of importance on being thin (OR = 2.6; 95%CI = 1.3–5.1), smoking cigarettes (OR=1.7, 95%CI = 1.1, 2.6), binge drinking (OR = 2.1, 95%CI = 1.3, 3.1), using recreational drugs (OR = 3.0; 95%CI = 2.4, 3.8), and trying to look like females in the media (sometimes/pretty much: OR = 1.3, 95%CI = 1.0, 1.8). Frequent tanning bed use among adolescent females is associated with a range of health risk behaviors. This effect may be mediated by peer influence and a desire to look like other females in the media. Multi-pronged approaches, particularly those that target attitudes of young females, are needed to combat increased use of tanning beds.
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- 2006
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6. Coffee consumption and risk of rheumatoid arthritis
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Lisa A. Mandl, Gideon N. Aweh, Elizabeth W. Karlson, and Francine Grodstein
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Adult ,Multivariate statistics ,medicine.medical_specialty ,Multivariate analysis ,Immunology ,Drinking Behavior ,Nurses ,Coffee ,Arthritis, Rheumatoid ,Rheumatology ,Risk Factors ,Caffeine ,Surveys and Questionnaires ,Internal medicine ,medicine ,Humans ,Immunology and Allergy ,Pharmacology (medical) ,Prospective Studies ,Risk factor ,Prospective cohort study ,Tea ,Proportional hazards model ,business.industry ,Confounding ,Middle Aged ,United States ,Confidence interval ,Surgery ,Relative risk ,Central Nervous System Stimulants ,Female ,business - Abstract
Objective Recent reports have suggested an association between consumption of coffee or decaffeinated coffee and the risk of rheumatoid arthritis (RA), although data are sparse and somewhat inconsistent. Furthermore, existing studies measured dietary exposures and potential confounders only at baseline and did not consider possible changes in diet or lifestyle over the followup period. We studied whether coffee, decaffeinated coffee, total coffee, tea, or overall caffeine consumption was associated with the risk of RA, using the Nurses' Health Study, a longitudinal cohort study of 121,701 women. Methods Information on beverage consumption was assessed with a food frequency questionnaire (FFQ) that was completed every 4 years, from baseline in 1980 through 1998. Among the 83,124 women who completed the FFQ at baseline, the diagnosis of incident RA (between 1980 and 2000) was confirmed in 480 women by a connective tissue disease screening questionnaire and medical record review for American College of Rheumatology criteria. Relationships between intake of various beverages and the risk of RA were assessed in age-adjusted models and in multivariate Cox proportional hazards models including the cumulative average intake of each beverage during the followup period, adjusted for numerous potential confounders. In addition, for direct comparisons with prior reports, multivariate analyses were repeated using only baseline beverage information. Results We did not find a significant association between decaffeinated coffee consumption of ≥4 cups/day (compared with no decaffeinated coffee consumption) and subsequent risk of incident RA, in either an adjusted multivariate model (relative risk [RR] 1.1, 95% confidence interval [95% CI] 0.5–2.2) or a multivariate model using only baseline reports of decaffeinated coffee consumption (RR 1.0, 95% CI 0.6–1.7). Similarly, there was no relationship between cumulative caffeinated coffee consumption and RA risk (RR 1.1, 95% CI 0.8–1.6 for ≥4 cups per day versus none) or between tea consumption and RA risk (RR 1.1, 95% CI 0.7–1.8 for >3 cups/day versus none). Total coffee and total caffeine consumption were also not associated with the risk of RA. Conclusion In this large, prospective study, we find little evidence of an association between coffee, decaffeinated coffee, or tea consumption and the risk of RA among women.
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- 2003
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7. Total hip replacement due to osteoarthritis: the importance of age, obesity, and other modifiable risk factors
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Matthew H. Liang, Francine Grodstein, Elizabeth W. Karlson, Gideon N. Aweh, Oliver Sangha, and Lisa A. Mandl
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medicine.medical_specialty ,Alcohol Drinking ,Arthroplasty, Replacement, Hip ,Risk Assessment ,Osteoarthritis, Hip ,Hip replacement (animal) ,Body Mass Index ,Risk Factors ,Internal medicine ,Odds Ratio ,Humans ,Medicine ,Obesity ,Risk factor ,Exercise ,Life Style ,Aged ,Hip surgery ,business.industry ,Estrogen Replacement Therapy ,Smoking ,Age Factors ,General Medicine ,Odds ratio ,Middle Aged ,medicine.disease ,Logistic Models ,Treatment Outcome ,Physical therapy ,Recreation ,Female ,business ,Risk assessment ,Body mass index ,Cohort study - Abstract
We studied whether several modifiable factors were associated with the risk of total hip replacement due to hip osteoarthritis among women.We identified 568 women from the Nurses' Health Study who reported total hip replacement due to primary hip osteoarthritis on questionnaires from 1990 to 1996, using a validated algorithm. The relation of potential risk factors, such as age, body mass index, physical activity, smoking, alcohol intake, and hormone use, to hip replacement was assessed using pooled logistic regression models. Higher body mass index was associated with an increased risk of hip replacement due to osteoarthritis (P for trend = 0.0001). Compared with women in the lowest category of body mass index (22 kg/m(2)), those in the highest category of body mass index (or =35 kg/m(2)) had a twofold increased risk (95% confidence interval [CI]: 1.4 to 2.8), whereas those in the highest category of body mass index at age 18 years had more than a fivefold increased risk (95% CI: 2.5 to 10.7). Age also had a positive association; women agedor =70 years were nine times more likely to have hip replacement than those aged55 years (95% CI: 5.4 to 13.9). Recreational physical activity, smoking, alcohol use, and postmenopausal hormone use were not associated with an increased risk of hip replacement. In the Nurses' Health Study, higher body mass index and older age significantly increased the risk of total hip replacement due to osteoarthritis. Part of this risk appeared to be established early in life.
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- 2003
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8. Use of Sunscreen, Sunburning Rates, and Tanning Bed Use Among More Than 10 000 US Children and Adolescents
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Graham A. Colditz, Alan C. Geller, Susan A. Oliveria, Cynthia M. Jorgensen, Gideon N. Aweh, A. Lindsay Frazier, and Karen M. Emmons
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Male ,medicine.medical_specialty ,Skin Neoplasms ,Adolescent ,Ultraviolet Rays ,Cross-sectional study ,Sunburn ,Beauty Culture ,Sex Factors ,Epidemiology ,Prevalence ,medicine ,Humans ,Child ,skin and connective tissue diseases ,Health Education ,Melanoma ,integumentary system ,business.industry ,Age Factors ,Odds ratio ,medicine.disease ,United States ,Surgery ,Cross-Sectional Studies ,Pediatrics, Perinatology and Child Health ,Female ,Nurses' Health Study ,Health education ,Skin cancer ,business ,Sunscreening Agents ,human activities ,Psychosocial ,Demography - Abstract
Objectives. To describe the association of sunscreen use, sunburning, and tanning bed use by age, sex, residence, and psychosocial variables associated with tan-seeking behaviors, and to compare these findings with sun protection recommendations from federal agencies and cancer organizations.Methods. A cross-sectional study, from all 50 states, of 10 079 boys and girls 12 to 18 years of age in 1999. Data were collected from self-report questionnaires with the children of the participants from the Nurses Health Study (Growing Up Today Study).Results. The prevalence of sunscreen use was 34.4% with girls more likely to use sunscreen than boys (40.0 vs 26.4, odds ratio: 1.86; 95% confidence interval: 1.70–2.03). Eighty-three percent of respondents had at least 1 sunburn during the previous summer, and 36% had 3 or more sunburns. Nearly 10% of respondents used a tanning bed during the previous year. Girls were far more likely than boys to report tanning bed use (14.4 vs 2.4), and older girls (ages 15–18) were far more likely than younger girls (ages 12–14) to report tanning bed use (24.6% vs 4.7). Tanning bed use increased from 7% among 14-year-old girls to 16% by age 15, and more than doubled again by age 17 (35%; N = 244). Multivariate analysis demonstrated that attitudes associated with tanning, such as the preference for tanned skin, having many friends who were tanned, and belief in the worth of burning to get a tan, were generally associated with sporadic sunscreen use, more frequent sunburns, and increased use of tanning beds.Conclusions. Our findings suggest that many children are at subsequent risk of skin cancer because of suboptimal sunscreen use, high rates of sunburning, and tanning bed use. Recommendations in the United States for improved sun protection and avoidance of tanning beds and sunburning, which began in the early 1990s, have been primarily unheeded. Nationally coordinated campaigns with strong policy components must be developed and sustained to prevent skin cancer in a new generation of children and adolescents.
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- 2002
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9. Prevalence and Correlates of Pelvic Examinations in Sexually Active Female Adolescents
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Graham A. Colditz, Jessica A. Kahn, A. Lindsay Frazier, and Gideon N. Aweh
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medicine.medical_specialty ,Multivariate analysis ,medicine.diagnostic_test ,business.industry ,General Medicine ,Odds ratio ,Confidence interval ,law.invention ,Adolescent medicine ,Sexual intercourse ,Condom ,law ,Pediatrics, Perinatology and Child Health ,medicine ,business ,Psychiatry ,Pelvic examination ,Demography ,Reproductive health - Abstract
Objectives.—The pelvic examination is an important component of reproductive health services for adolescent girls and is recommended for those who become sexually active. The aims of this study were to describe self-reported rates of pelvic examinations in sexually active adolescent girls and to determine factors associated with having obtained an examination. Methods.—Cross-sectional data from a national self-administered survey of nurses' adolescent daughters were used. Subjects were those girls (N = 635) who reported ever having had sexual intercourse. Bivariate and multivariate analyses were used to identify demographic and psychological variables, preventive health behaviors, and risk behaviors associated with having ever obtained a pelvic examination. Results.—Median subject age was 16.0 years (range 12–19 years), and 46% of subjects reported having had a pelvic examination. Variables associated with having obtained an examination were older age (odds ratio [OR] 1.29, 95% confidence interval [CI] 1.09–1.53), cigarette smoking (OR 1.51, 95% CI 1.02–2.24), higher number of sexual partners (OR 1.29, 95% CI 1.14–1.47), and no condom use during last sexual intercourse (OR 1.80, 95% CI 1.19–2.70). Conclusions.—Fewer than half of these sexually active adolescents had ever obtained a pelvic examination. Younger subjects who did not smoke regularly, had fewer partners, and used condoms were less likely to have obtained an examination; these adolescents may not be seeking reproductive health care services or be recognized by parents or providers as being in need of services.
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- 2002
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10. Prevalence and correlates of pelvic examinations in sexually active female adolescents
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Jessica A, Kahn, Graham, Colditz, Gideon N, Aweh, and A Lindsay, Frazier
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Risk-Taking ,Adolescent ,Health Behavior ,Coitus ,Humans ,Female ,Physical Examination - Abstract
The pelvic examination is an important component of reproductive health services for adolescent girls and is recommended for those who become sexually active. The aims of this study were to describe self-reported rates of pelvic examinations in sexually active adolescent girls and to determine factors associated with having obtained an examination.Cross-sectional data from a national self-administered survey of nurses' adolescent daughters were used. Subjects were those girls (N = 635) who reported ever having had sexual intercourse. Bivariate and multivariate analyses were used to identify demographic and psychological variables, preventive health behaviors, and risk behaviors associated with having ever obtained a pelvic examination.Median subject age was 16.0 years (range 12-19 years), and 46% of subjects reported having had a pelvic examination. Variables associated with having obtained an examination were older age (odds ratio [OR] 1.29, 95% confidence interval [CI] 1.09-1.53), cigarette smoking (OR 1.51, 95% CI 1.02-2.24), higher number of sexual partners (OR 1.29, 95% CI 1.14-1.47), and no condom use during last sexual intercourse (OR 1.80, 95% CI 1.19-2.70).Fewer than half of these sexually active adolescents had ever obtained a pelvic examination. Younger subjects who did not smoke regularly, had fewer partners, and used condoms were less likely to have obtained an examination; these adolescents may not be seeking reproductive health care services or be recognized by parents or providers as being in need of services.
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- 2002
11. Development of a scale to measure adolescents' beliefs and attitudes about postponing sexual initiation
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A. Lindsay Frazier, S. Bryn Austin, Graham A. Colditz, Bin Huang, Jessica A. Kahn, and Gideon N. Aweh
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Adult ,Male ,Health Knowledge, Attitudes, Practice ,Adolescent ,Psychometrics ,Population ,Developmental psychology ,Cronbach's alpha ,Content validity ,Humans ,Longitudinal Studies ,Child ,education ,education.field_of_study ,Coitus ,Public Health, Environmental and Occupational Health ,Construct validity ,United States ,Confirmatory factor analysis ,Exploratory factor analysis ,Psychiatry and Mental health ,Sexual intercourse ,Cross-Sectional Studies ,Pediatrics, Perinatology and Child Health ,Female ,Psychology ,Clinical psychology - Abstract
Purpose To develop a scale to measure adolescent beliefs and attitudes about postponing sexual initiation (PSI). Methods A theory-based, 12-item scale measuring beliefs about PSI was developed and administered via a mailed questionnaire to those participants in an ongoing longitudinal cohort study of adolescents who had not yet initiated sexual intercourse. Internal consistency reliability, content validity, factorial validity, and construct validity were assessed using cross-sectional data. Results Mean age for boys was 14.4 (± 1.6) years and for girls 14.3 (±1.6) years (range 11 to 19 years), and 93% of respondents were white. The beliefs about PSI rated as most important by both girls and boys were concern about pregnancy and sexually transmitted infection. Cronbach alpha for the scale was 0.83 for girls and 0.88 for boys. Exploratory factor analysis demonstrated that the items loaded on four factors consistent with the theoretical basis of the model and confirmatory factor analysis demonstrated good fit of the overall model. The PSI scale score was associated with hypothesized sociodemographic, psychological, and behavioral variables, supporting construct validity of the scale. A higher score was associated with female gender; age ≤ 14 years; higher global and social self-esteem; more frequent attendance at religious services; less peer pressure to have sexual intercourse; nonuse of alcohol, illicit drugs, and cigarettes; and no intention to initiate sexual intercourse in the next year. Conclusions The PSI scale demonstrated satisfactory psychometric properties. Future research is needed to evaluate the utility of this scale in predicting sexual initiation and in interventions aimed at postponing sexual initiation.
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- 2004
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12. Coffee consumption and risk of rheumatoid arthritis.
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Elizabeth W. Karlson, Lisa A. Mandl, Gideon N. Aweh, and Francine Grodstein
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RHEUMATOID arthritis ,CAFFEINE ,MULTIVARIATE analysis ,CONFIDENCE intervals ,COFFEE ,CONSUMPTION (Economics) - Abstract
Recent reports have suggested an association between consumption of coffee or decaffeinated coffee and the risk of rheumatoid arthritis (RA), although data are sparse and somewhat inconsistent. Furthermore, existing studies measured dietary exposures and potential confounders only at baseline and did not consider possible changes in diet or lifestyle over the followup period. We studied whether coffee, decaffeinated coffee, total coffee, tea, or overall caffeine consumption was associated with the risk of RA, using the Nurses'' Health Study, a longitudinal cohort study of 121,701 women. Information on beverage consumption was assessed with a food frequency questionnaire (FFQ) that was completed every 4 years, from baseline in 1980 through 1998. Among the 83,124 women who completed the FFQ at baseline, the diagnosis of incident RA (between 1980 and 2000) was confirmed in 480 women by a connective tissue disease screening questionnaire and medical record review for American College of Rheumatology criteria. Relationships between intake of various beverages and the risk of RA were assessed in age-adjusted models and in multivariate Cox proportional hazards models including the cumulative average intake of each beverage during the followup period, adjusted for numerous potential confounders. In addition, for direct comparisons with prior reports, multivariate analyses were repeated using only baseline beverage information. We did not find a significant association between decaffeinated coffee consumption of ≥4 cups/day (compared with no decaffeinated coffee consumption) and subsequent risk of incident RA, in either an adjusted multivariate model (relative risk [RR] 1.1, 95% confidence interval [95% CI] 0.52.2) or a multivariate model using only baseline reports of decaffeinated coffee consumption (RR 1.0, 95% CI 0.61.7). Similarly, there was no relationship between cumulative caffeinated coffee consumption and RA risk (RR 1.1, 95% CI 0.81.6 for ≥4 cups per day versus none) or between tea consumption and RA risk (RR 1.1, 95% CI 0.71.8 for >3 cups/day versus none). Total coffee and total caffeine consumption were also not associated with the risk of RA. In this large, prospective study, we find little evidence of an association between coffee, decaffeinated coffee, or tea consumption and the risk of RA among women. [ABSTRACT FROM AUTHOR]
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- 2003
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