OREGON STATE UNIVERSITY

college of public health and human sciences

Children with autism are more sedentary than their peers, new OSU study shows

CORVALLIS, Ore. – A new Oregon State University study of children with autism found that they are more sedentary than their typically-developing peers, averaging 50 minutes less a day of moderate physical activity and 70 minutes more each day sitting.

The small study of 29 children, some with autism and some without, showed that children with autism perform as well as their typical peers on fitness assessments such as body mass index, aerobic fitness levels and flexibility. The results warrant expanding the study to a larger group of children, said Megan MacDonald, an assistant professor in OSU’s College of Public Health and Human Sciences.

“These kids, compared to their peers, are similarly fit,” MacDonald said. “That’s really exciting, because it means those underlying fitness abilities are there.”

The findings were published this month in the journal “Autism Research and Treatment.” Co-authors are Kiley Tyler, a doctoral student at OSU, and Kristi Menear of the University of Alabama at Birmingham. The study was funded in part by the U.S. Department of Education with additional support from OSU.

For the study, researchers tested the fitness and physical activity levels of 17 children with autism and 12 children without autism. The fitness assessments, conducted in the Movement Studies in Disability Lab at OSU, included a 20-meter, multi-stage shuttle run to measure aerobic fitness; a sit-and-reach test to measure flexibility and a strength test to measure handgrip strength; as well as height, weight and body mass index measurements.

The fitness tests were selected in part because they are commonly used in schools, MacDonald said. Children in the study also wore accelerometers for a week to measure their movement, and parents filled out supplemental forms to report other important information.

Even though they were more sedentary, the children with autism lagged behind their peers on only one fitness measure, the strength test. The results were surprising but also encouraging because they show that children with autism are essentially on par with their peers when it comes to physical fitness activities, MacDonald said.

“That’s really important for parents and teachers to understand, because it opens the door for them to participate in so many activities,” she said. 

More research is needed to determine why children with autism tend to be more sedentary, MacDonald said. It may be that children with autism have fewer opportunities to participate in organized sports or physical education activities, but if that is the case, it needs to change, she said.

“They can do it. Those abilities are there,” she said. “We need to work with them to give them opportunities.”

MacDonald encourages parents to make physical activity such as a daily walk or trip to the park part of the family’s routine. She’s also an advocate for adaptive physical education programs, which are school-based programs designed around a child’s abilities and needs. Some communities also offer physical fitness programs such as soccer clubs that are inclusive for children with autism or other disabilities, she said.

“Physical fitness and physical activity are so important for living a healthy life, and we learn those behaviors as children,” MacDonald said. “Anything we can do to help encourage children with autism to be more active is beneficial.”

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Megan MacDonald, 541-737-3273, Megan.MacDonald@oregonstate.edu

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Megan MacDonald

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Even small stressors may be harmful to men’s health, new OSU research shows

CORVALLIS, Ore. – Older men who lead high-stress lives, either from chronic everyday hassles or because of a series of significant life events, are likely to die earlier than the average for their peers, new research from Oregon State University shows.

“We’re looking at long-term patterns of stress – if your stress level is chronically high, it could impact your mortality, or if you have a series of stressful life events, that could affect your mortality,” said Carolyn Aldwin, director of the Center for Healthy Aging Research in the College of Public Health and Human Sciences at OSU.

Her study looked at two types of stress: the everyday hassles of such things as commuting, job stress or arguments with family and friends; and significant life events, such as job loss or the death of a spouse.

Both types appear to be harmful to men’s health, but each type of stress appears to have an independent effect on mortality. Someone experiencing several stressful life events does not necessarily have high levels of stress from everyday hassles, Aldwin said. That is determined more by how a person reacts to the stress.

“It’s not the number of hassles that does you in, it’s the perception of them being a big deal that causes problems,” Aldwin said. “Taking things in stride may protect you.”

Aldwin’s latest research on long-term patterns of stress in men was published recently in the journal “Experimental Gerontology.” Co-authors of the study were Yu-Jin Jeong of Chonbuk National University in Korea; Heidi Igarashi and Soyoung Choun of OSU; and Avron Spiro III of Boston University. The research was funded by the National Institutes of Health and the Department of Veterans Affairs.

The researchers used data from the Veterans Affairs Normative Aging Study. They studied stressful life events and everyday hassles for 1,293 men between 1989 and 2005 then followed the men until 2010. About 43 percent of the men had died by the end of the study period.

About a third of the men who reported having few stressful life events had died, while closer to half of the men reporting moderate or high numbers of stressful events had died by the end of the study.

Men who reported few everyday hassles had the lowest mortality rate, at 28.7 percent. Just under half of the men reporting a mid-range number of hassles had died by the end of the study, while 64.3 percent of the men reporting a high number of hassles had died.

Stressful life events are hard to avoid, but men may live longer if they’re able to control their attitudes about everyday hassles, such as long lines at the store or traffic jams on the drive home, Aldwin said.

“Don’t make mountains out of molehills,” she said. “Coping skills are very important.”

The study gives a snapshot of the effects of stress on men’s lives and the findings are not a long-term predictor of health, she said. Stress and other health issues can develop over a long period of time.

Aldwin said future research will look more closely at the different stressors’ effects on health to see if the two types of stress have similar or different impacts on the body’s physiology. Understanding how stress affects health.

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Carolyn Aldwin, 541-737-2024, Carolyn.aldwin@oregonstate.edu

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Carolyn Aldwin

Carolyn Aldwin

Greener neighborhoods lead to better birth outcomes, new research shows

CORVALLIS, Ore. – Mothers who live in neighborhoods with plenty of grass, trees or other green vegetation are more likely to deliver at full term and their babies are born at higher weights, compared to mothers who live in urban areas that aren’t as green, a new study shows.

The findings held up even when results were adjusted for factors such as neighborhood income, exposure to air pollution, noise, and neighborhood walkability, according to researchers at Oregon State University and the University of British Columbia.

“This was a surprise,” said Perry Hystad, an environmental epidemiologist in the College of Public Health and Human Sciences at Oregon State and lead author of the study. “We expected the association between greenness and birth outcomes to disappear once we accounted for other environmental exposures such as air pollution and noise. The research really suggests that greenness affects birth outcomes in other ways, such as psychologically or socially.”

Researchers aren’t sure yet where the link between greenness and birth outcome is. More study is needed to determine if additional green space provides more social opportunities and enhances a person’s sense of belonging in the community, or if it has a psychological effect, reducing stress and depression, Hystad said.

In a study of more than 64,000 births, researchers found that very pre-term births were 20 percent lower and moderate pre-term births were 13 percent lower for infants whose mothers lived in greener neighborhoods.

They also found that fewer infants from greener neighborhoods were considered small for their gestational age. Babies from the greener neighborhoods weighed 45 grams more at birth than infants from less green neighborhoods, Hystad said.

The study establishes an important link between residential “greenness” and birth outcomes that could have significant implications for public health, said Hystad, an assistant professor of environmental and occupational health.

“From a medical standpoint, those are small changes in birth weight, but across a large population, those are substantial differences that would have a significant impact on the health of infants in a community,” Hystad said.

Babies born early or underweight often have more health and developmental problems, not just at birth but also as they continue to grow up, and the cost to care for pre-term and underweight infants also can be much higher, Hystad said.

Results of the study were published recently in the journal “Environmental Health Perspectives.” Co-authors were Hugh W. Davies, Lawrence Frank, Josh Van Loon, Lillian Tamburic and Michael Brauer of the University of British Columbia; and Ulrike Gehring of Utrecht University in The Netherlands. The research was supported by a grant from Health Canada.

The study is also part of a growing body of work that indicates green space has a positive influence on health, Hystad said. Researchers examined more than 64,000 births in the Vancouver, British Columbia, area between 1999 and 2002, for individual environmental factors such as exposure to green space that might affect birth outcomes.

Since half the world’s population lives in urban areas, it’s important to understand how different aspects of the built environment – the buildings, parks and other human-made space we live in – might affect health, researchers said.

“We know a lot about the negative influences such as living closer to major roads, but demonstrating that a design choice can have benefits is really uplifting,” said Brauer, the study’s senior author. “With the high cost of healthcare, modifying urban design features such as increasing green space may turn out to be extremely cost-effective strategies to prevent disease, while at the same time also providing ecological benefits.”

It’s unclear how much or what type of green space is of most benefit to developing infants, but researchers do know that adding a planter to the patio or a tree to the sidewalk median probably won’t make a significant difference in birth outcomes.

“Planting one tree likely won’t help,” Hystad said. “You don’t really see the beneficial effects of green space until you reach a certain threshold of greenness in a neighborhood.”

One of the next steps for researchers is to better understand what that threshold is and why it makes a difference.

“We know green space is good. How do we maximize that benefit to improve health outcomes?” Hystad said. “The answer could have significant implications for land use planning and development.”

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Perry Hystad, 541-737-4829, perry.hystad@oregonstate.edu or Katherine Came, 604-822-0530, Katherine.came@ubc.ca

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This map shows levels of greenness in Vancouver, British Columbia. Babies in greener areas had higher birthweights. Vancouvergreenness

Researcher Perry Hystad

Hystad

OSU students to run across Oregon this summer promoting health and physical activity

CORVALLIS, Ore. – Oregon State University students and brothers Jeremiah and Isaiah Godby will spend their summer running across Oregon in an effort to encourage Oregonians to improve their health through better eating and exercise.

The “Health Extension Run 2014” was designed to inspire Oregonians to take charge of their health and educate community residents about the role the OSU College of Public Health and Human Sciences and OSU Extension Service offices in each county play in building healthy communities. The event coincides with the recent accreditation of the College of Public Health and Human Sciences.

The run begins July 7 on the Oregon State campus in Corvallis and is expected to finish Sept. 5 at OSU. The Godbys plan to run 1,675 miles through 30 Oregon counties, with stops in many communities along the route for public events such as health festivals and county fairs. OSU students, alumni and all other supporters are encouraged to run or walk with the brothers in their communities.

Jeremiah, 21, and Isaiah, 23, are exercise and sports science majors in the College of Public Health and Human Sciences. They said they are motivated to run in hopes that they can inspire others to get more exercise, eat better and make other health improvements.

Jeremiah Godby is an example of the difference exercise can make. After he decided to cut back on video-game playing and began running in high school, he lost 45 pounds.

“I feel so much better,” he said. “I just enjoy life more.”

He and his brother took up long-distance running as a form of advocacy and, after completing similar long runs in the past, volunteered for this summer’s Health Extension Run. 

“We just want to inspire people to live a balanced life,” said Isaiah Godby. “It’s not as complicated as people think. Walk an extra block or park your car further away in the parking lot.”

The run will kick off at 9:30 a.m. on July 7 with a short send-off ceremony on the steps of the Memorial Union quad on the Oregon State campus in Corvallis. The Godbys will then run around the OSU campus before heading north on Highway 99.

The brothers will run about 32 miles a day, traveling north from Corvallis to Astoria, down the Oregon Coast, across to Eugene and then south to Medford before heading east to Klamath Falls, where they’ll participate in the 100th anniversary celebration of the Klamath Basin Research & Extension Center. From Klamath Falls, they’ll run to Bend, Prineville, John Day, Burns and Ontario.

The Godbys also will spend a day in Boise, Idaho, where they’ll run through the city and participate in a Beavers alumni event. For more information or to register for that event, visit http://bit.ly/1rf1gOT.

From Boise, the runners will head back to Ontario, where they’ll head north to Baker City and LaGrande, then work their way back west through towns including Pendleton, Heppner, Condon, The Dalles and Hood River. They’ll be in Portland for a few days before running to Salem for the Oregon State Fair, then to Albany before wrapping in Corvallis on Sept. 5.

Find more information about events in the community at http://bit.ly/V9zK8a and follow along with the Godbys on their blog, http://bit.ly/1z65ue8.


Editor's note: Video b-roll is available to download for use with this news release: http://health.oregonstate.edu/broll/healthextensionrun.
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Isaiah Godby, 530-574-7420 or godbyi@onid.oregonstate.edu; Jeremiah Godby, 530-574-7421 or godbyj@onid.oregonstate.edu; Kathryn Stroppel, 541-737-6612 or Kathryn.Stroppel@oregonstate.edu

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Jeremiah, left, and Isaiah Godby

Health Extension Run 2014

OSU gains state’s first accredited school of public health

CORVALLIS, Ore. – Oregon State University’s College of Public Health and Human Sciences was granted accreditation today, making it the first school of public health in Oregon to earn that recognition.

The accreditation, from the Council on Education for Public Health, means OSU has the only accredited school of public health between San Francisco and Seattle. The distinction elevates the College of Public Health and Human Sciences’ visibility and stature, increases its ability to attract and retain committed students and world-class faculty, and helps the college continue its mission of education, research and outreach, OSU officials say. The recognition also allows the college to support a qualified work force in Oregon and beyond.

The college is a leader in efforts to redesign and integrate the public health curriculum. Harvard and Columbia University are among the handful of other accredited schools in the United States using this approach. At Oregon State, faculty members already work across disciplines in public health and the human sciences.

“Integration is where the future of public health is headed,” said Tammy Bray, dean of the College of Public Health and Human Sciences. “We believe a life-span, interdisciplinary approach will make the greatest impact on society’s most complex public health issues, which don’t come in discipline-shaped blocks.”

Helping Oregonians become healthier at all stages of life, with an emphasis on prevention and outreach, is a central focus of the college.

“Our faculty in OSU Extension, including programs in 4-H and Family and Community Health, have worked with their neighbors in every county in Oregon for 100 years to create local solutions to their health challenges,” Bray said. “Of the nation’s 50-plus schools of public health, we’re the only one with that level of community outreach built in.”

Bray said receiving accreditation means that experts in the field of public health agree that the College of Public Health and Human Sciences is of high quality; has the curriculum, faculty and resources needed to continue meeting high standards; and produces graduates that have the knowledge and skills to succeed in their fields.

The council awarded the College of Public Health and Human Sciences a five-year accreditation, the maximum granted. The decision follows an extensive and rigorous review of the college’s academic programs that took more than four years to complete. The college’s accreditation will be up for review and renewal in 2019.

“This accreditation establishes our role as a credible leader in public health in Oregon and beyond,” Bray said. “It comes at a time when a spotlight is on the public’s health like never before, and we are uniquely positioned to work with our communities in creating healthy environments that enhance lifelong health and well-being.”

This year, the college extended its reach beyond state and national borders by launching the new Center for Global Health, which joins three existing research centers – the Hallie E. Ford Center for Healthy Children and Families; the Moore Family Center for Whole Grain Foods, Nutrition and Preventive Health; and the Center for Healthy Aging Research.

The college serves more than 3,500 undergraduate and 300 graduate students, and its alumni go on to work in a variety of positions in high-demand health care settings, including federal and state health agencies, hospitals and clinics, community organizations, county health departments, non-governmental organizations and many more.

“Public health is an increasingly relevant and vital profession. At OSU, enrollment in our public health programs is up 116 percent over the last five years, a trend that’s still on the rise,” Bray said.

“That’s a good thing for the public, because more than three times the number of current public health graduates is needed to meet the health needs of the future,” she said. “Our graduates will be well prepared to work collaboratively to solve current and emerging public health challenges not only in Oregon but across the globe.”


About the Council on Education for Public Health: The council is an independent agency recognized by the U.S. Department of Education to accredit schools of public health and public health programs that prepare students for careers in public health. The primary professional degree in these programs is the Master of Public Health.

Editor's Note: Video b-roll is available to download for use with this news release: http://health.oregonstate.edu/broll/accreditation

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Tammy Bray, 541-737-3256, tammy.bray@oregonstate.edu

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College of Public Health and Human Sciences Dean Tammy Bray

Dean Tammy Bray

Norm Hord (left) is the Celia Strickland and G. Kenneth Austin III Endowed Professor in the College of Public Health and Human Sciences.
Norm Hord

OSU seeks participants for new health promotion program

CORVALLIS, Ore. – Researchers who are organizing Physical Activity Centered Education, a new health promotion program aimed at people with physical mobility issues, are seeking participants from the Corvallis area.

Megan MacDonald, assistant professor in exercise and sport science at Oregon State University, is creating the program based on a successful model developed at a medical facility in Texas.

The program is aimed at people ages 18 and older who have limited mobility – defined as having difficulty walking one block, or using an assistive device such as a walker, cane or wheelchair.

Participants must be able to communicate in English, attend the program once a week for 90 minutes during an eight-week period, and will receive up to $75 for taking part. It will take place in the Movement Studies in Disabilities Lab in the Women’s Building on the OSU campus.

This is part of a research project on how a health promotion program can influence the physical activity of people with a mobility disability. It helps people learn social and behavioral skills to become healthier, such as setting goals, rewarding themselves for making their goals, and how to overcome barriers to being healthy and active.

To learn more information on qualifications for the program and to sign up to participate, email health.disability@oregonstate.edu or call 541-737-6928.

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Megan MacDonald, 541-737-6928; megan.macdonald@oregonstate.edu

OSU Ballroom Dance Company to perform showcase in Corvallis

CORVALLIS, Ore. – The Oregon State University Ballroom Dance Company will perform May 30 and 31 at Corvallis High School.

The company’s showcase, “Swingin’ Ballroom,” will feature two pieces with country western flair. Other numbers include a West Coast Swing interpretation of the movie “Men in Black” and a Lindy hop, as well as dances featuring salsa, fox trot, cha cha, tango and more.

The 42-member company is comprised of the original Cool Shoes Dance Troupe and an additional team, New Shoes. The company is sponsored by the Physical Activity Course Program in OSU’S College of Public Health and Human Sciences.

The OSU Ballroom Dance Company, under the direction of Cathy Dark and Mark Baker, has toured throughout the Pacific Northwest. This spring, Cool Shoes toured southern Oregon and San Francisco, receiving numerous accolades for their performances.

The performances begin at 7:30 p.m. in the Corvallis High School Auditorium, 1400 N.W. Buchanan Ave. Tickets are $10 for general admission or $8 for students and seniors, and can be purchased at the door the nights of the performances.

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Cathy Dark, 541-737-5929 or cathy.dark@oregonstate.edu

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Cool Shoes Ballroom Dance Troupe

 

Cool Shoes Cool Shoes

Study: Targeted funding can help address inequities in early child care programs

CORVALLIS, Ore. – The quality of early child care and education programs is influenced both by funding and by the characteristics of the communities in which the programs operate, new research from Oregon State University shows.

The findings indicate that law- and policy-makers may need to consider the demographics of communities when making funding decisions about early childhood programs, said Bridget Hatfield, an assistant professor in OSU’s College of Public Health and Human Sciences.

That’s especially important now because many states, including Oregon, are adopting or revising quality ratings systems that tie funding to program quality, Hatfield said.

Her findings were published recently in “Early Childhood Research Quarterly.” Co-authors were Joanna K. Lower of Lower & Company, Deborah J. Cassidy of the University of North Carolina at Greensboro and Richard A. Faldowski of the University of North Carolina at Chapel Hill. Lower received funding for the research from the Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services. Hatfield received funding for the research from the Institute of Education Sciences at the University of Virginia.

Hatfield studied about 7,000 licensed early child care and education programs in North Carolina, which has one of the nation’s oldest quality rating and improvement systems for early child care and education programs. These systems are used by many states to determine how much government funding an early child care and education program receives.

Oregon and many other states are in the midst of implementing a quality rating system.

Hatfield found that children from low-income communities have less access to high-quality early child care and preschool, even though they are likely to gain more benefits from it.

“There are a lot of barriers to high-quality education in disadvantaged communities,” she said. “Hiring teachers with bachelor’s degrees, providing appropriate school supplies and play equipment – you need money to do all those things.”

Her research also showed that additional government funding can provide a significant boost to the quality of programs in disadvantaged communities. Those programs make bigger quality improvements when they receive extra funding than programs that are in more affluent communities, Hatfield found.

“Just because a program is in a disadvantaged community doesn’t mean it can’t attain high quality,” she said. “The extra money helps the programs in disadvantaged communities close the gap.”

Hatfield studied family child care homes, where child care is provided in a private home, as well as child care centers and preschool programs, including federal programs such as Head Start.

The research shows that quality of child care can vary based on funding, but other factors also affect program quality, Hatfield said. For example, in other research projects, she is studying the interactions between teachers and children in the classroom. That kind of research will help child care program leaders determine how best to spend money they receive to improve their programs.

“If we give people more money, what’s the best way to spend it?” she said. “Do we buy more puzzles for the children or train the teachers to better use the puzzles they have?”

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Bridget Hatfield, 541-737-6438, Bridget.hatfield@oregonstate.edu

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Bridget Hatfield

Bridget Hatfield

Changes in processing, handling could reduce commercial fishing injuries, research shows

CORVALLIS, Ore. – Handling frozen fish caused nearly half of all injuries aboard commercial freezer-trawlers and about a quarter of the injuries on freezer-longliner vessels operating off the coast of Alaska, new research from Oregon State University shows.

Many of those injuries and others aboard the two types of vessels could be prevented with the right interventions, and the research methods used in the study could help identify and reduce injuries and fatalities in other types of commercial fishing, said researcher Devin Lucas. His findings were published in the “American Journal of Industrial Medicine.”

“We’ve drilled down to such a detailed level in the injury data that we can actually address specific hazards and develop prevention strategies,” said Lucas, who recently received his Ph.D. in public health from OSU’s College of Public Health and Human Sciences and works for the National Institute for Occupational Safety and Health (NIOSH) in the Alaska Pacific office.  

Lucas’ study is the first scientific assessment of the risk of fishing on freezer-trawlers and freezer-longliners. In both types of vessels, the processing of fish is handled on-board. The vessels had reputations for being among the most dangerous in commercial fishing in part because of a few incidents that resulted in multiple fatalities.

However, an analysis of 12 years of injury data showed that fishing on the freezer vessels was less risky than many other types of commercial fishing, which is one of the most dangerous occupations in the United States, Lucas said. The rate of injury on freezer-trawlers was about the same as the national average for commercial fishing, while the rate aboard freezer-longliners was about half of the national average.

“The reality is that many fisheries elsewhere in the U.S., including Oregon Dungeness crabbing, are much more dangerous,” Lucas said.

His review of injury data indicated that the majority of injuries in the freezer-trawler fleet occurred in the factories and freezer holds, while the most common injuries in the freezer-longliner fleet occurred on deck while working the fishing gear. Injuries from processing and handling fish were also common on the longliners, the research showed.

Study co-author Laurel Kincl, an assistant professor of environmental and occupational health and safety in the College of Public Health and Human Sciences, said the methods used in the research, including describing and categorizing the types of injuries, can now be applied to other commercial fishing industries to identify safety issues and pinpoint areas for prevention.

“Not all commercial fishing is the same,” Kincl said. “You have different equipment, different processes.”

Kincl said researchers are hoping to build from this research and explore other fishing-related injuries and prevention strategies. The Dungeness crab industry is one area that may be explored and another is land-based fish-processing, she said.

Additional authors of the study were Viktor E. Bovbjerg and Adam J. Branscum, associate professors in the College of Public Health and Human Sciences at OSU and Jennifer M. Lincoln of NIOSH. The research was supported by OSU and NIOSH.

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Devin Lucas, 907-271-2386, dlucas@cdc.gov

Laurel Kincl, 541-737-1445, Laurel.kincl@oregonstate.edu

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Devin Lucas

Researcher Devin Lucas

Mistrust, discrimination influence Latino health care satisfaction

CORVALLIS, Ore. – Mistrust of the medical community and perceived discrimination by health care providers can affect how satisfied young adult Latinos in rural Oregon are with their health care, new research from Oregon State University shows.

Health care satisfaction, or the lack of, could influence health outcomes for patients, affect participation in health care programs under the new Affordable Care Act, and contribute to disparities in health care access for Latinos, said lead researcher Daniel López-Cevallos, associate director of research for the Center for Latino/a Studies and Engagement at OSU

“Health care reform is about people getting insurance so they have access to services, but mistrust may lead people to delay care,” López-Cevallos said.

Findings of the research were published recently in “The Journal of Rural Health.”  The article was co-authored by S. Marie Harvey, associate dean and professor of public health, and Jocelyn T. Warren, assistant research professor in the College of Public Health and Human Sciences. Harvey received funding from the Centers for Disease Control and Prevention for the research.

Researchers surveyed 387 young adult Latinos, 18 to 25, living in rural Oregon. Patient satisfaction information was collected as part of a larger study about health issues among young, rural Latinos. Participants were not asked about their immigration status; more than half, about 58 percent, were born outside the U.S. and the average length of U.S. residency was 13.8 years.

The majority of participants, about 73 percent, reported being moderately or very satisfied with their health care. Among those who were not satisfied, medical mistrust and perceived discrimination were identified as factors. Other factors including age and health insurance did not affect satisfaction, the study showed.

The research suggests a need to improve “cultural competency” among health care providers, from the doctors to the receptionists to the lab technicians, so Latinos are treated with respect and dignity, the researchers said. A bilingual/bicultural workforce may be more effective in addressing health issues affecting a patient.

“Trust is huge; it allows patients to disclose concerns and be honest,” Harvey said. “In a previous study we conducted, young adult Latino men reported that ‘confianza,’ a term that encompasses trust, respect, level of communication and confidentiality, affected their access to and use of health care services.  

Efforts to enroll Latinos in health care programs under the Affordable Care Act won’t be successful if patients don’t feel comfortable at their doctor’s office, López-Cevallos said.

“These are young, healthy adults,” he said. “We want them in our health insurance pools to help average the risk and keep costs down. This is an opportunity, but we have a lot of work to do.”

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S. Marie Harvey, 541-737-3824, Marie.harvey@oregonstate.edu

Daniel López-Cevallos, 541-737-3850, Daniel.lopez-cevallos@oregonstate.edu