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Hypercholesterolemia in adolescents (AD): Pilot of a six-week educational intervention
176
JCWRNAL OF ADOLESCENT HEALTH Vol. 12, No. 2
ABSTRACI-S
HIPERCHOLlST8ROtEnIA IN ADOLESCENTS (AD) a PIIUYC A 81X-WELK EDUCATXONAL INTERVERTEON~ ~KQxlOVaky
OP As, KS., R.D., Roochvarq Le, M.D., RusOn18 ET, Ph.D. c .A:r. si Pid., 3~~0b80n M. 8LO.t Depte. of i-id., mat%, Em., w Jev., fed. ctr., Pm+ny& Park, NY.
At&erosclaratfcheart disease is IImjor CLLUBB Qf A comprelletraive six-w66k intermorbidity in t&is country. disciplinary, educationzrL program for 5yperchoPentcrmlmic AR waL9 deaiqneui to Lower SaNPL WB(Iconducteb. The iPter!Iention cholesterol (CH}, modify eating behavfws rmea8ursd by 3-day foe records and on-site aupanutrke+& Euad sslection8). and Seven fnner-tity AD varo hzraasa nutrition JuinovlodSr. raad6tizad
t*sdltianal
this pilot star& to th;~ S~X-VCE~!C interraatim DE nutrition cctuneelling. ffnigue aapacte of the
in
vrekly group sessions include4 visual demonstratian of fat Qontele of foods. instrwtion on reading tood labals, and aartfciaation in a nevliv created board qame. At PtW VsekB
3aaad on the trends absarved in thisl small pi&Qt study, a lsrqer study is planned to furthor BKMIWI~ the hlmrseits of %R program in belpfng AD lower their CW, modify eating behaviors, At@ tncreaclenutrition knoyladgs.
fDSltt7fCATfOH
OF THE SOCIALLY ISULATKD BUT NON-
Rabttt !E. Labmm, M.D. and NeIrnc DELXNQWMT YOUTH, Jet I.tl,,C,P,N.P, Dept. of Padietcie~.Tripior ATPY M&dLcaL Cmtrt, Honolulu, Hauaiia Holy rdblorconc# will idoatiEy a rub-group of ocher ldoleecentm uho do not anaase in my hfgh-rick or dolinqutnr bebavand get along rtll rich their ior@, porforr wall. in ocodcmic~, ptrotet, but uho am cocielly inept and unpcpulor. If tuth . individuoto vi&n lo* *e&fpmpui*tiun rclotioasbipr u&o ordiaoril~ vwld not COG to wr becover thq ate eanridarcd "good" An l aooymour rurvc~ wao edmimietarrd CD agsrn. Adoloeccnt Clinic fat routine tchool phyaicalt which leked about commoixoctivitita, frvoritr mumie, dru# end eicohol brhrwior, texuei eatimetoe of development. grodor in rcboak end molf-perceived istcraceimas wick pcsro. theoo reopooeoa woto forratatad vith their l of the oamo quoatioas and drrrse of poticivt rtif-toecrpr tt oeoaugod by the Tenoorrte Self-Concept Scale. Though the “Rood” of different from Lho otho?l in uhe they rpaac rime with (more virh family, leoa with frienda, p*.Ol), and demire to
&List*, tbttt might bt heae da* TVpool:peer atttnfaon
te%8pttitata it the
activity,
prttatt’
rttptnttt
en emt
gzoup(13
toUP 190) wtrt
ukeir pertma Ipc.QL). they vtrt no differtat in favorite developoeot. trriatted toputerlty and lm~uaf rrF &es*in) by pot&t, cad ihey i;rd clgnific&ily hi&w ee1f-paeitivitp tP~*QOQt). Individus!r ia rho “$a&” group who lcorod pootly on thr &elf-toacepc aurvt7 ooefd not bc ataraet7pad by an7 p8rticular crte#a+y, but they would be ooncidtrtd at rick by tbair mcottt. Wt btlitve chore era iadoad individuala who 4ro vithout good pnw ealationa but vha do not got our setencioa for help booouor they don’t btaac my tutu: hewover, tbcy ore rbot 80 aleoro
lctiViCi?e.
o&oily
kabelltd
o)
their ptttt wtuiJ have it.
abdominal pain has varied wirlaly (OW%j. The diagnastii appmach which best urlccvers organG etiologies iraanot been determined. We reviowk.rl the medical reccrd$ of 158 coM96BdMiuB patWt& &gas 5.W) refermd ‘3 the outpatknt clinics of a terWy care center fcr ~efvet~n cf abdcmr’W*W’i C# I l$tWt Qne mcnth’r dW&iGn. &EllptMn d%iWh, e#tiant of lir;rpruWy workup, and disgnosls WISW rec-otded to esseaa the Incidenoe of u’@ti& etiologies and determine the utility of various diagnostio tests. The distritrution of diagnoses was: nc arttank diaglloc4is. 4SS fn-7781: peptic disease, 29% &4S): dyaftmctionel bowel disorders. 13% fn#): other, 3% (n-14). Patlants were squafty lutaly $0 be given an organic diagnosis regardless of sympram duration. Onfy 2 d 352 iltlai btclad, urine. a# a?~1 tests oontrlbutsd information used in making M ew~twl organicdiagnoeia. One af 70 (1.4%) abdominal uWasounris and 4 at 67 (6%) upper 01 series providtIcl r&W8 which led to an or@&& diagnosis. In c&ntrast+ 4 of 23 (17.4%) barium enemas and 18 of 32 (34.8%] upper enrloscapies ccmt*td dataw6d in m&&g an OrQank diagnosis. These fin&ngs suggest thae in nearly ha8 IDA all patients referred to a tertierj care center f0r recurrent abdominal pain, II0 organic diagnosis will be made. Barium enernaa and ~ppnr@ndwopy aPPew to be more eensitive than body fluid studies, ultreenund, or upper 01 series in the d@noais of patho@f.
LEVELOF KNOYLEOGEOF AIlrS/HIV AN0 PERCEIVEDRISK OF NAVtNG ~~~~N~~~~R ADDLESCEN'fS, RobertH. OuRa& Ph.&, Carolyn . .* and CherylNe~an. N.D.. Repts. of Vedlrtrtcs ati H&fna. E4Wcai Colleaa of Georoia.Augusta. Detpttc tha~developmont of ichoolandctinity based AltK/HZV educattan prugrans,concernremalnsaboutthe adequacyof AlDS knowladge among adolescents. This studyexanined factorsassociated utthAl05 knonledqe md the perceived risk of havingHIV infection ainong adolescents. AnodifledVersionof the Centers for DtserseCantrot’s ttaalth Risk SuFVey WI admtnlrtemd to students('1- 2483) In 11th and 12thgrade hocaereonr fmn 9 schwls in one sau~east~m camunity. The saiaple nas 52,2% fe&s. 52% blri;.3.7% Htspanlc and 94.?% in tAe iltk and 12th grades.Knawkdge was baseff on cMIUtrtive responsesto 12 true-falsequesttons(alpha - .75). Many of ad&¢s incorrectlyanswered 7 of the I2 questions.Misconceptions includedthe perceptronthat AIDS can be aequlwd frofadonatingblood (54.4%).mosquito bttes(53%).bloodterting(S&l%}. ana use of publicto$letsf2cX). Ona fourth of the students thought thatyou couldtell a personhas AIDS by appearance, I&G% thoughtAfDS was only acqelredby hanasexualsand 17,4!6 tkaught oral eontnceptlves fintact& egrinst AIDS. Based on Wltivarlate analyslrof covarlance, lowerAIDS knowledge was associated withno priorschoolh&sadAI05 educatlan(p 5.0.0001).previousIV drug use (p c O.ODDl),male gender ( p 5 O.OfJOl) and being black or *othar*race (p s O.GOOl).Baaed on interaction effects, Hlspaniet not receiving AIDS educationin school(P J OJlOOl)andblack aridother race IV drug users @I c 0.0011) had a lowerAIM knowledge, When CMltWl1fng for A105 knowledgefevel (p 5 O~#W~}, hfgberperceivedrfsk of curmntinfectionwithMY wa3 associated with previousfVdruguse (p 10.CtWl) and ule gender (p 5 0.0001).Honever,previousfV drug userswho had never receivedAlOS educatlcn(p s O.ODOl)or were from blackor other races (p 1 O.OOG)had hrgherperceived risksof presently havingHIv Infectton. Thesodata SUggOst that slgniftcmtdifferences exist In the levelof AIDS knowledge and :kR lCU@iof perceivedrtskof HIY infection amng subgroups of adolescents in J!I~sample and that previousschool-based AiDS educationappeared tti Influence
JCWRNAL OF ADOLESCENT HEALTH Vol. 12, No. 2
ABSTRACI-S
HIPERCHOLlST8ROtEnIA IN ADOLESCENTS (AD) a PIIUYC A 81X-WELK EDUCATXONAL INTERVERTEON~ ~KQxlOVaky
OP As, KS., R.D., Roochvarq Le, M.D., RusOn18 ET, Ph.D. c .A:r. si Pid., 3~~0b80n M. 8LO.t Depte. of i-id., mat%, Em., w Jev., fed. ctr., Pm+ny& Park, NY.
At&erosclaratfcheart disease is IImjor CLLUBB Qf A comprelletraive six-w66k intermorbidity in t&is country. disciplinary, educationzrL program for 5yperchoPentcrmlmic AR waL9 deaiqneui to Lower SaNPL WB(Iconducteb. The iPter!Iention cholesterol (CH}, modify eating behavfws rmea8ursd by 3-day foe records and on-site aupanutrke+& Euad sslection8). and Seven fnner-tity AD varo hzraasa nutrition JuinovlodSr. raad6tizad
t*sdltianal
this pilot star& to th;~ S~X-VCE~!C interraatim DE nutrition cctuneelling. ffnigue aapacte of the
in
vrekly group sessions include4 visual demonstratian of fat Qontele of foods. instrwtion on reading tood labals, and aartfciaation in a nevliv created board qame. At PtW VsekB
3aaad on the trends absarved in thisl small pi&Qt study, a lsrqer study is planned to furthor BKMIWI~ the hlmrseits of %R program in belpfng AD lower their CW, modify eating behaviors, At@ tncreaclenutrition knoyladgs.
fDSltt7fCATfOH
OF THE SOCIALLY ISULATKD BUT NON-
Rabttt !E. Labmm, M.D. and NeIrnc DELXNQWMT YOUTH, Jet I.tl,,C,P,N.P, Dept. of Padietcie~.Tripior ATPY M&dLcaL Cmtrt, Honolulu, Hauaiia Holy rdblorconc# will idoatiEy a rub-group of ocher ldoleecentm uho do not anaase in my hfgh-rick or dolinqutnr bebavand get along rtll rich their ior@, porforr wall. in ocodcmic~, ptrotet, but uho am cocielly inept and unpcpulor. If tuth . individuoto vi&n lo* *e&fpmpui*tiun rclotioasbipr u&o ordiaoril~ vwld not COG to wr becover thq ate eanridarcd "good" An l aooymour rurvc~ wao edmimietarrd CD agsrn. Adoloeccnt Clinic fat routine tchool phyaicalt which leked about commoixoctivitita, frvoritr mumie, dru# end eicohol brhrwior, texuei eatimetoe of development. grodor in rcboak end molf-perceived istcraceimas wick pcsro. theoo reopooeoa woto forratatad vith their l of the oamo quoatioas and drrrse of poticivt rtif-toecrpr tt oeoaugod by the Tenoorrte Self-Concept Scale. Though the “Rood” of different from Lho otho?l in uhe they rpaac rime with (more virh family, leoa with frienda, p*.Ol), and demire to
&List*, tbttt might bt heae da* TVpool:peer atttnfaon
te%8pttitata it the
activity,
prttatt’
rttptnttt
en emt
gzoup(13
toUP 190) wtrt
ukeir pertma Ipc.QL). they vtrt no differtat in favorite developoeot. trriatted toputerlty and lm~uaf rrF &es*in) by pot&t, cad ihey i;rd clgnific&ily hi&w ee1f-paeitivitp tP~*QOQt). Individus!r ia rho “$a&” group who lcorod pootly on thr &elf-toacepc aurvt7 ooefd not bc ataraet7pad by an7 p8rticular crte#a+y, but they would be ooncidtrtd at rick by tbair mcottt. Wt btlitve chore era iadoad individuala who 4ro vithout good pnw ealationa but vha do not got our setencioa for help booouor they don’t btaac my tutu: hewover, tbcy ore rbot 80 aleoro
lctiViCi?e.
o&oily
kabelltd
o)
their ptttt wtuiJ have it.
abdominal pain has varied wirlaly (OW%j. The diagnastii appmach which best urlccvers organG etiologies iraanot been determined. We reviowk.rl the medical reccrd$ of 158 coM96BdMiuB patWt& &gas 5.W) refermd ‘3 the outpatknt clinics of a terWy care center fcr ~efvet~n cf abdcmr’W*W’i C# I l$tWt Qne mcnth’r dW&iGn. &EllptMn d%iWh, e#tiant of lir;rpruWy workup, and disgnosls WISW rec-otded to esseaa the Incidenoe of u’@ti& etiologies and determine the utility of various diagnostio tests. The distritrution of diagnoses was: nc arttank diaglloc4is. 4SS fn-7781: peptic disease, 29% &4S): dyaftmctionel bowel disorders. 13% fn#): other, 3% (n-14). Patlants were squafty lutaly $0 be given an organic diagnosis regardless of sympram duration. Onfy 2 d 352 iltlai btclad, urine. a# a?~1 tests oontrlbutsd information used in making M ew~twl organicdiagnoeia. One af 70 (1.4%) abdominal uWasounris and 4 at 67 (6%) upper 01 series providtIcl r&W8 which led to an or@&& diagnosis. In c&ntrast+ 4 of 23 (17.4%) barium enemas and 18 of 32 (34.8%] upper enrloscapies ccmt*td dataw6d in m&&g an OrQank diagnosis. These fin&ngs suggest thae in nearly ha8 IDA all patients referred to a tertierj care center f0r recurrent abdominal pain, II0 organic diagnosis will be made. Barium enernaa and ~ppnr@ndwopy aPPew to be more eensitive than body fluid studies, ultreenund, or upper 01 series in the d@noais of patho@f.
LEVELOF KNOYLEOGEOF AIlrS/HIV AN0 PERCEIVEDRISK OF NAVtNG ~~~~N~~~~R ADDLESCEN'fS, RobertH. OuRa& Ph.&, Carolyn . .* and CherylNe~an. N.D.. Repts. of Vedlrtrtcs ati H&fna. E4Wcai Colleaa of Georoia.Augusta. Detpttc tha~developmont of ichoolandctinity based AltK/HZV educattan prugrans,concernremalnsaboutthe adequacyof AlDS knowladge among adolescents. This studyexanined factorsassociated utthAl05 knonledqe md the perceived risk of havingHIV infection ainong adolescents. AnodifledVersionof the Centers for DtserseCantrot’s ttaalth Risk SuFVey WI admtnlrtemd to students('1- 2483) In 11th and 12thgrade hocaereonr fmn 9 schwls in one sau~east~m camunity. The saiaple nas 52,2% fe&s. 52% blri;.3.7% Htspanlc and 94.?% in tAe iltk and 12th grades.Knawkdge was baseff on cMIUtrtive responsesto 12 true-falsequesttons(alpha - .75). Many of ad&¢s incorrectlyanswered 7 of the I2 questions.Misconceptions includedthe perceptronthat AIDS can be aequlwd frofadonatingblood (54.4%).mosquito bttes(53%).bloodterting(S&l%}. ana use of publicto$letsf2cX). Ona fourth of the students thought thatyou couldtell a personhas AIDS by appearance, I&G% thoughtAfDS was only acqelredby hanasexualsand 17,4!6 tkaught oral eontnceptlves fintact& egrinst AIDS. Based on Wltivarlate analyslrof covarlance, lowerAIDS knowledge was associated withno priorschoolh&sadAI05 educatlan(p 5.0.0001).previousIV drug use (p c O.ODDl),male gender ( p 5 O.OfJOl) and being black or *othar*race (p s O.GOOl).Baaed on interaction effects, Hlspaniet not receiving AIDS educationin school(P J OJlOOl)andblack aridother race IV drug users @I c 0.0011) had a lowerAIM knowledge, When CMltWl1fng for A105 knowledgefevel (p 5 O~#W~}, hfgberperceivedrfsk of curmntinfectionwithMY wa3 associated with previousfVdruguse (p 10.CtWl) and ule gender (p 5 0.0001).Honever,previousfV drug userswho had never receivedAlOS educatlcn(p s O.ODOl)or were from blackor other races (p 1 O.OOG)had hrgherperceived risksof presently havingHIv Infectton. Thesodata SUggOst that slgniftcmtdifferences exist In the levelof AIDS knowledge and :kR lCU@iof perceivedrtskof HIY infection amng subgroups of adolescents in J!I~sample and that previousschool-based AiDS educationappeared tti Influence