Browsing by Subject "educational attainment"

Now showing 1 - 4 of 4
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    Educational disparities in health behaviors among patients with diabetes: the Translating Research Into Action for Diabetes (TRIAD) Study
    (2007-10) Karter, Andrew J.; Stevens, Mark R.; Brown, Arleen F.; Duru, O Kenrik; Gregg, Edward W.; Gary, Tiffany L.; Beckles, Gloria L.; Tseng, Chien-Wen; Marrero, David G.; Waitzfelder, Beth; Herman, William H.; Piette, John D.; Safford, Monika M.; Ettner, Susan L.
    Background Our understanding of social disparities in diabetes-related health behaviors is incomplete. The purpose of this study was to determine if having less education is associated with poorer diabetes-related health behaviors. Methods This observational study was based on a cohort of 8,763 survey respondents drawn from ~180,000 patients with diabetes receiving care from 68 provider groups in ten managed care health plans across the United States. Self-reported survey data included individual educational attainment ("education") and five diabetes self-care behaviors among individuals for whom the behavior would clearly be indicated: foot exams (among those with symptoms of peripheral neuropathy or a history of foot ulcers); self-monitoring of blood glucose (SMBG; among insulin users only); smoking; exercise; and certain diabetes-related health seeking behaviors (use of diabetes health education, website, or support group in last 12 months). Predicted probabilities were modeled at each level of self-reported educational attainment using hierarchical logistic regression models with random effects for clustering within health plans. Results Patients with less education had significantly lower predicted probabilities of being a non-smoker and engaging in regular exercise and health-seeking behaviors, while SMBG and foot self-examination did not vary by education. Extensive adjustment for patient factors revealed no discernable confounding effect on the estimates or their significance, and most education-behavior relationships were similar across sex, race and other patient characteristics. The relationship between education and smoking varied significantly across age, with a strong inverse relationship in those aged 25–44, modest for those ages 45–64, but non-evident for those over 65. Intensity of disease management by the health plan and provider communication did not alter the examined education-behavior relationships. Other measures of socioeconomic position yielded similar findings. Conclusion The relationship between educational attainment and health behaviors was modest in strength for most behaviors. Over the life course, the cumulative effect of reduced practice of multiple self-care behaviors among less educated patients may play an important part in shaping the social health gradient.
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    Educational Disparities in Rates of Smoking Among Diabetic Adults: The Translating Research Into Action for Diabetes Study
    (2008-02) Karter, Andrew J.; Stevens, Mark R.; Gregg, Edward W.; Brown, Arleen F.; Tseng, Chien-Wen; Marrero, David G.; Duru, O Kenrik; Gary, Tiffany L.; Piette, John D.; Waitzfelder, Beth; Herman, William H.; Beckles, Gloria L.; Safford, Monika M.; Ettner, Susan L.
    Objectives. We assessed educational disparities in smoking rates among adults with diabetes in managed care settings. Methods. We used a cross-sectional, survey-based (2002–2003) observational study among 6538 diabetic patients older than 25 years across multiple managed care health plans and states. For smoking at each level of self-reported educational attainment, predicted probabilities were estimated by means of hierarchical logistic regression models with random intercepts for health plan, adjusted for potential confounders. Results. Overall, 15% the participants reported current smoking. An educational gradient in smoking was observed that varied significantly (P<.003) across age groups, with the educational gradient being strong in those aged 25 to 44 years, modest in those aged 45 to 64 years, and nonexistent in those aged 65 years or older. Of particular note, the prevalence of smoking observed in adults aged 25–44 years with less than a high school education was 50% (95% confidence interval: 36% to 63%). Conclusions. Approximately half of poorly educated young adults with diabetes smoke, magnifying the health risk associated with early-onset diabetes. Targeted public health interventions for smoking prevention and cessation among young, poorly educated people with diabetes are needed.
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    The Perceived Intrinsic Value of Leisure Reading & Leisure Among Undergraduates as a Predictor of Their Academic Achievement
    (Office of the Vice Chancellor for Research, 2013-04-05) Baiden, Jonathan; Schendel, Tory L.
    The purpose of this study is to 1) explore the intrinsic values of leisure reading among undergraduates, 2) explore their intrinsic values toward leisure activities, and 3) explore how their leisure reading and leisure activities predict academic success. The research question addresses the following: Is there a correlation between educational attainment (GPA) among IUPUI undergraduates as reflected by their leisure reading and leisure activity satisfaction scores? It is hypothesized that students with high satisfaction scores in recreational reading or leisure activities or both predicts academic success as measured by their cumulative GPA via OneStart. A convenient survey sampling methodology was used to collect the data from students with a class standing of sophomore and higher. This research study is currently in data collection phase and preliminary analysis is expected in April. To our knowledge no study has investigated the relationship of leisure reading and leisure activities among IUPUI undergraduates as a predictor of academic success.
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    Transitioning to Adulthood: An Annotated Bibliography of the PSID-TA Publications
    (Indiana University Lilly Family School of Philanthropy, 2020-01) Herzog, Patricia Snell; Bopp, Monica; Watson, Bethany; Hall, Jessica; Sanburn, Karen; Hillier-Geisler, Megan; Fegley, Bryan; Pockette, Chris; Clark, Donna; Albritton, Brenna; Gates, Niki; Klink, Kendra; Brown, Sydney; Wang, Yujue
    This report provides an annotated bibliography of all 100 publications published to date on the Transition to Adulthood Supplement (TAS) of the Panel Study of Income Dynamics (PSID). Of these publications, 79 are articles in peer-reviewed journals, 6 are book chapters, and 15 are doctoral student dissertations. In terms of topic area, 40 publications focus on the impact of economics and socioeconomic status, another 18 study the effect of childhood and youth savings accounts, 41 study educational attainment and college-level outcomes, 32 study health and wellbeing, 20 investigate marriage and family dynamics, 31 explicitly attend to race and ethnicity, 10 study work and occupations, 7 neighborhood effects, 7 social capital and trust, 3 criminal activity, and 5 explicitly engage technology (note: since publications often engage multiple topics, these categories are not mutually-exclusive).