Disparities in Alcohol‐Associated Liver Disease Hospital Encounters Amongst a Texas‐Based Cohort of Patients

Alimentary Pharmacology & Therapeutics, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 16, 2025

ABSTRACT Introduction Alcohol‐associated liver disease (ALD) disproportionately impacts men, racial and ethnic minorities, individuals of low socioeconomic status; however, it's unclear how recent increases in ALD burden have impacted these disparities. We aimed to describe trends racial, disparities alcohol‐associated hospital encounters. Methods conducted a retrospective cohort study adult encounters with diagnoses from three health systems between January 2016 December 2021. The was divided into eras: ‘Historical Era,’ (Oct 2016—June 2018, used only for trends); ‘Era 1’ (July 2018—March 2020); 2’ (April 2020—December 2021). Kaplan Meier Cox regression analyses were performed identify factors associated overall survival. Results identified 19,295 (44.7% White, 29.8% Hispanic, 21.8% non‐Hispanic Black (NHB) individuals), greater increase observed eras 1 2 than the historical era Era (8.7% vs. 5.0%, p < 0.01). By age sex, greatest youngest oldest females but males. race ethnicity, Hispanic had compared White (14.8% 7.5% 6.3%, Older (aSHR: 1.03, 95% CI: 1.03–1.0), higher MELD 1.08, 1.0–1.09), hepatic encephalopathy 1.42, 1.06–1.90), hepatocellular carcinoma (HCC) 3.20, 2.29–4.49) increased mortality. Conclusion highest amongst young NHB women, highlighting variation by age, ethnicity. These merit further investigation elucidate underlying mechanisms develop tailored interventions improve outcomes.

Language: Английский

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Multidimensional social support and associations between COVID-19 stress and depressive/anxiety outcomes among Hispanic/Latinx and White first-year college students

Journal of American College Health, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 12

Published: Jan. 16, 2024

Objective: The COVID-19 pandemic has led to greater depression and anxiety among college students. Social support may alleviate this risk. We examined how social from family, friends, romantic partners influence internalizing psychopathology outcomes associated with COVID-19-related stressful events. Participants: Participants were first-years (N = 425, 34.8% Hispanic/Latinx, 74.9% female) enrolled in a United States public university. Methods: completed an online survey Fall of 2020. Linear regression models associations between stressors, support, depressive symptoms, differences White Hispanic/Latinx Results: Reported stressors elevated symptoms higher Family friend negatively both outcomes. Partner was more predictive students whereas for students' anxiety. Conclusions: These findings demonstrate the importance connectedness during pandemic.

Language: Английский

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Sexual Assault, Mental Health, and Alcohol Use in College Women: The Role of Resilience and Campus Belonging

Journal of Interpersonal Violence, Journal Year: 2023, Volume and Issue: 38(13-14), P. 7990 - 8015

Published: Feb. 9, 2023

Understanding the mental health outcomes of sexual assault among college women is a public priority. Although research has identified risk factors for development problems following an assault, few studies have utilized strengths-based approach to identify personal and social resources that may mediate assault-mental link. Prior allude role resilience perceived campus belonging in explaining relationship between health. This study represents first application stress process model using large sample examine (a) association (i.e., psychological distress, suicidality, self-harm) alcohol use (b) as partial mediators these associations. Data were collected part Spring 2021 American College Health Association National Assessment (ACHA-NCHA; n = 31,328, Mean age 20.26, SD 1.64, 58.8% White), cross-sectional, online survey samples students from 143 self-selected United States colleges. To test our primary hypothesis, structural regression was conducted, which included latent predictor, manifest mediators, outcome, outcome. Mental positively associated with negatively belonging. Resilience partially mediated Campus health, problems. explained 23.2% variance 5.9% use. represent modifiable can be targeted trauma-focused interventions efforts improve victimized women's

Language: Английский

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COVID-19 vaccine perspectives and uptake among university students three years into the pandemic

Vaccine, Journal Year: 2024, Volume and Issue: 42(7), P. 1745 - 1756

Published: Feb. 15, 2024

Language: Английский

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Finding Strength Amidst the Crisis: Student Parent Experiences during the COVID-19 Pandemic

Journal of Child and Family Studies, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 10, 2025

Abstract The COVID-19 pandemic brought unprecedented challenges to college students, with students who are parents at risk for amplified difficulties due the dual responsibilities of parenting and pursuing higher education, but there few studies that compare experiences student non-parenting students. This study employed a quantitative, cross-sectional approach needs, concerns, resources ( n = 167) those non-parent 617) mid-sized public university in Gulf South. Data were collected during Spring 2021 semester using Higher Education Student Parent Survey (HESSPS). Overall, greater proportion student-parents reported resource awareness, receiving social support, positive compared students; significantly more financial insecurity, academic difficulties, psychosocial emotional health issues, negative pandemic-related experiences. However, when two groups divided by age (<25 vs >=25 years), older retained highest reporting support also had lowest difficulties. In contrast, young greatest housing insecurity. Recognizing heterogeneity parents, including their strengths times crisis, is critical addressing equity gaps education informing targeted policies so these under-recognized can accomplish educational family goals.

Language: Английский

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University Students' understanding of masking policies and their mask use in relation to COVID-19 vaccination history, both in and out of the classroom, during the pandemic, 2022–2023

Vaccine X, Journal Year: 2025, Volume and Issue: unknown, P. 100636 - 100636

Published: March 1, 2025

Language: Английский

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Are Universities Ready to Support Autistic Students? A Call to Increase Coordinated Campus Efforts

Autism in Adulthood, Journal Year: 2025, Volume and Issue: unknown

Published: March 31, 2025

Language: Английский

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Effectiveness of Artificial Intelligence Chatbots on Mental Health & Well-being in College Students: A Rapid Systematic Review (Preprint)

Published: April 23, 2025

Mental health disorders among college students have surged in recent years, exacerbated by barriers such as stigma, cost associated with treatment, and limited access to mental providers. Artificial intelligence (AI)-driven chatbots emerged scalable, stigma-free tools deliver evidence-based support, yet their efficacy specifically for populations remains underexplored. This systematic rapid review evaluates the effectiveness of improving outcomes (e.g., anxiety, depression) well-being while identifying key design features implementation barriers. Four databases (PubMed, PsycInfo, Applied Science & Technology Source, ACM Digital Library) were searched studies published between 2014 2024. Two reviewers independently screened articles using predefined PICO criteria, extracted data assessed quality via PEDro scale. Included focused on chatbot interventions targeting DSM-5-defined conditions or students. Nine (n=1,082 participants) included, eight reported statistically significant improvements anxiety GAD-7 reductions), depression PHQ-9 scores), well-being. Effective frequently incorporated cognitive-behavioral therapy (CBT), daily interactions, cultural personalization 22% reduction Woebot; p<0.05). However, heterogeneity study (PEDro scores: 1–7), high attrition rates (up 61%), reliance self-reported generalizability. Though use improvement is promising based review’s results, future research should prioritize rigorous RCTs, standardized outcome measures PHQ-9, GAD-7), strategies improve attrition.

Language: Английский

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Unraveling the controversial effect of Covid-19 on college students’ performance

Scientific Reports, Journal Year: 2023, Volume and Issue: 13(1)

Published: Sept. 23, 2023

We disentangle the channels through which Covid-19 has affected performance of university students by setting up an econometric strategy to identify separately changes in both teaching and evaluation modes, short long term effects mobility restrictions. exploit full detailed information from administrative archives one among first universities be shut down since virus spread Wuhan. The results help solving inconsistencies literature providing evidence a composite picture where negative such as those caused sudden shift remote learning exposure restrictions, overlap opposite due change methods home confinement during exam's preparation. Such conflicting effects, weakening signaling role tertiary education, would add loss further exacerbating future consequences on "Covid" generation.

Language: Английский

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Navigating New Normals: Student Perceptions, Experiences, and Mental Health Service Utilization in Post-Pandemic Academia

Education Sciences, Journal Year: 2024, Volume and Issue: 14(2), P. 125 - 125

Published: Jan. 25, 2024

This study explores the profound impacts of COVID-19 pandemic on higher education, focusing shifts in learning experiences and students’ intentions to utilize mental health services post-pandemic. Utilizing Andersen’s Behavioral Model Health Services Use, this assesses perceptions from a stratified random sample college students post-pandemic service utilization intentions. Findings reveal positive reception university initiatives preference for ongoing virtual classes. There is an evident increase in, varying for, using services, shaped by demographics, employment, prior utilization. Younger female showed increased propensity seek such services. research underscores urgent need universities bolster support create awareness, alongside accommodating diverse preferences transitioning back traditional

Language: Английский

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