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Use Of Internet To Access Health Information: Differences By Health Status
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ABSTRACTS (ACE)
parental education were considered in relation to the child’s health insurance status, using weighted stratified and logistic regression analysis. RESULTS: A total of 7.6 million or 11% of US children were uninsured, although 68% of uninsured were eligible. We found the following unadjusted effects: citizenship status of the child (OR Z 18), parents born in Mexico (OR Z 7), Mexican-American Ethnicity (OR Z 5), and Spanish spoken at home (OR Z 6). In multivariate analysis, citizenship and education were the significant correlates such that children who were not US citizens or naturalized residents and those whose parents had up to 12 years of education, were more likely to be uninsured with significant ORs of 8 and 2, respectively. CONCLUSION: Low socioeconomic status as measured by education is associated with 42% of uninsured children in the US, while immigration and not US citizenship of the child with only 10% and 6% of uninsured.
P54 USE OF INTERNET TO ACCESS HEALTH INFORMATION: DIFFERENCES BY HEALTH STATUS MA Shaheen, J Smith, R Baker, Charles Drew University of Medicine and Science, CA
PURPOSE: To explore the internet use for health information by self perceived health status among patients attending community clinics in LA. METHODS: cross-sectional survey with face-to-face interview of a systematic sample of 242 patients who used internet to access health information. RESULTS: Of the 242 users, 65% were female, 39% were African American, their median age was 45 years, 48% had income $!25,000, and 34% reported fair/poor health status. Most subjects reported that internet had improved their health information (87%). Most subjects looked for information related to disease/treatment (91%), believed information was useful (90%), helpful (97%), and helped in making health decisions (90%). Compared to those with excellent/good health, those with fair/poor health significantly used the internet less frequent (59% vs. 66%); reported that online information had major impact on their health care (59%, vs. 45%), changed their perception about diet/exercise (73% vs. 57%), and affected the way they cope with health condition (62% vs. 45%).They tend to feel overwhelmed by the amount of online information (30% vs. 17%), confused (25% vs. 12%) and frustrated by the lack of information or inability to find the information (22% vs. 10%). CONCLUSION: Most users valued the usefulness of the internet in improving health information & health decision-making. Health professionals and web developers should interact to have online health information available to patients and sicker patients in simple, easy to use form and
AEP Vol. 18, No. 9 September 2008 : 708–741
train/educate them on how to search for online health information.
INFECTIOUS DISEASE P55 TEMPERATURE INSTABILITY OF RENU WITH MOISTURELOC CONTACT LENS SOLUTION: A NEW THEORY TO EXPLAIN THE WORLDWIDE FUSARIUM KERATIUS OUTBREAK OF 2005–2006 John D Bullock, M.D., M.P.H., M.SC., Ronald E Warwar, M.D., B Laurel Elder, PH.D., Wright State University Boonshaft School of Medicine
PURPOSE: A 2006 Food and Drug Administration (FDA) inspection of Bausch & Lomb’s (B&L) Greenville, SC manufacturing facility indicated that B&L failed to regulate storage and transport temperatures of products produced in this plant. The present study investigated the effect of storage temperature on the ability of contact lens solutions to inhibit the growth of Fusarium sp. METHODS: Four brands of contact lens solutions (ReNu with MoistureLoc [ReNu ML], ReNu MultiPlus, Clear Care, and OPTI-FREE RepleniSH) were studied. Two sealed, unopened bottles of each brand were separately stored at room temperature and at 60 C for 4 weeks. The solutions were then serially diluted and tested for their ability to inhibit growth of seven ocular and four non-ocular isolates of Fusarium in Sabouraud’s Dextrose Broth and RPMI-1640 media. Testing was performed in at least duplicate with all fungi. Two isolates were also tested on separate occasions using different bottles of solutions. RESULTS: Among the four brands tested, ReNu ML was most adversely affected by storage at 60 C. In 6/11 Fusarium isolates, the inhibitory concentration required was fourfold higher for ReNu ML stored at 60 C versus room temperature. OPTI-FREE RepleniSH was also adversely affected by incubation at 60 C but to a lesser degree. In contrast, ReNu MultiPlus and Clear Care completely inhibited fungal growth at all temperatures and dilutions tested. CONCLUSIONS: Improper temperature control of ReNu ML from B&L’s Greenville, SC manufacturing plant may have diminished its fungistatic properties and contributed to this outbreak.
P56 COMBINED ANTIOXIDANT CAROTENOIDS AND THE RISK OF PERSISTENT HUMAN PAPILLOMAVIRUS INFECTION CE Peterson, RL Sedjo, FG Davis, CA Beam, AR Giuliano, University of Illinois at Chicago, School of Public Health, Chicago, IL
PURPOSE: Nutritional status may affect the persistence of HPV infection and the progression of disease. Past studies of
ABSTRACTS (ACE)
parental education were considered in relation to the child’s health insurance status, using weighted stratified and logistic regression analysis. RESULTS: A total of 7.6 million or 11% of US children were uninsured, although 68% of uninsured were eligible. We found the following unadjusted effects: citizenship status of the child (OR Z 18), parents born in Mexico (OR Z 7), Mexican-American Ethnicity (OR Z 5), and Spanish spoken at home (OR Z 6). In multivariate analysis, citizenship and education were the significant correlates such that children who were not US citizens or naturalized residents and those whose parents had up to 12 years of education, were more likely to be uninsured with significant ORs of 8 and 2, respectively. CONCLUSION: Low socioeconomic status as measured by education is associated with 42% of uninsured children in the US, while immigration and not US citizenship of the child with only 10% and 6% of uninsured.
P54 USE OF INTERNET TO ACCESS HEALTH INFORMATION: DIFFERENCES BY HEALTH STATUS MA Shaheen, J Smith, R Baker, Charles Drew University of Medicine and Science, CA
PURPOSE: To explore the internet use for health information by self perceived health status among patients attending community clinics in LA. METHODS: cross-sectional survey with face-to-face interview of a systematic sample of 242 patients who used internet to access health information. RESULTS: Of the 242 users, 65% were female, 39% were African American, their median age was 45 years, 48% had income $!25,000, and 34% reported fair/poor health status. Most subjects reported that internet had improved their health information (87%). Most subjects looked for information related to disease/treatment (91%), believed information was useful (90%), helpful (97%), and helped in making health decisions (90%). Compared to those with excellent/good health, those with fair/poor health significantly used the internet less frequent (59% vs. 66%); reported that online information had major impact on their health care (59%, vs. 45%), changed their perception about diet/exercise (73% vs. 57%), and affected the way they cope with health condition (62% vs. 45%).They tend to feel overwhelmed by the amount of online information (30% vs. 17%), confused (25% vs. 12%) and frustrated by the lack of information or inability to find the information (22% vs. 10%). CONCLUSION: Most users valued the usefulness of the internet in improving health information & health decision-making. Health professionals and web developers should interact to have online health information available to patients and sicker patients in simple, easy to use form and
AEP Vol. 18, No. 9 September 2008 : 708–741
train/educate them on how to search for online health information.
INFECTIOUS DISEASE P55 TEMPERATURE INSTABILITY OF RENU WITH MOISTURELOC CONTACT LENS SOLUTION: A NEW THEORY TO EXPLAIN THE WORLDWIDE FUSARIUM KERATIUS OUTBREAK OF 2005–2006 John D Bullock, M.D., M.P.H., M.SC., Ronald E Warwar, M.D., B Laurel Elder, PH.D., Wright State University Boonshaft School of Medicine
PURPOSE: A 2006 Food and Drug Administration (FDA) inspection of Bausch & Lomb’s (B&L) Greenville, SC manufacturing facility indicated that B&L failed to regulate storage and transport temperatures of products produced in this plant. The present study investigated the effect of storage temperature on the ability of contact lens solutions to inhibit the growth of Fusarium sp. METHODS: Four brands of contact lens solutions (ReNu with MoistureLoc [ReNu ML], ReNu MultiPlus, Clear Care, and OPTI-FREE RepleniSH) were studied. Two sealed, unopened bottles of each brand were separately stored at room temperature and at 60 C for 4 weeks. The solutions were then serially diluted and tested for their ability to inhibit growth of seven ocular and four non-ocular isolates of Fusarium in Sabouraud’s Dextrose Broth and RPMI-1640 media. Testing was performed in at least duplicate with all fungi. Two isolates were also tested on separate occasions using different bottles of solutions. RESULTS: Among the four brands tested, ReNu ML was most adversely affected by storage at 60 C. In 6/11 Fusarium isolates, the inhibitory concentration required was fourfold higher for ReNu ML stored at 60 C versus room temperature. OPTI-FREE RepleniSH was also adversely affected by incubation at 60 C but to a lesser degree. In contrast, ReNu MultiPlus and Clear Care completely inhibited fungal growth at all temperatures and dilutions tested. CONCLUSIONS: Improper temperature control of ReNu ML from B&L’s Greenville, SC manufacturing plant may have diminished its fungistatic properties and contributed to this outbreak.
P56 COMBINED ANTIOXIDANT CAROTENOIDS AND THE RISK OF PERSISTENT HUMAN PAPILLOMAVIRUS INFECTION CE Peterson, RL Sedjo, FG Davis, CA Beam, AR Giuliano, University of Illinois at Chicago, School of Public Health, Chicago, IL
PURPOSE: Nutritional status may affect the persistence of HPV infection and the progression of disease. Past studies of