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We examined the relationship of marital status on cause-specific survival and late-stage at diagnosis for early-onset colorecta cancer (EO-CRC), overall and within five racial/ethnic groups (non-Hispanic White [NHW], non-Hispanic Black [NHB], American Indian/Alaskan Native [AI/AN], Asian/ Pacific Islanders [PI], or Hispanic). We conducted a retrospective cohort analysis using data from 2006 to 2015 Surveillance, Epidemiology, and End Results Program. The Kaplan-Meier method, multivariable Cox proportional hazards regression, and logistical regression models were performed. Among 58,884 participants, the lower five-year survival rate was 66.4% for EO-CRC patients who were unmarried (p-value < 0.001). The 5-year survival rate was the lowest for NHB patients (64.9% vs. 69.7% for AI/AN, 70.1% for Hispanic, 72.2% for Asian/PI, and 72.8% for NHW). Unmarried NHW (hazard ratio [HR], 1.25; 95% CI, 1.19–1.30), NHB (HR, 1.28; 95% CI, 1.18–1.39), Asian/PI (HR, 1.17; 95% CI, 1.03–1.32), and Hispanic patients (HR, 1.10; 95% CI, 1.01–1.19) were more likely to die from CRC than those were married. Further, unmarried NHW (OR, 1.16; 95% CI, 1.09–1.22), NHB (OR, 1.23; 95% CI, 1.10–1.38), and Asian/PI patients (OR, 1.18; 95% CI, 1.00-1.38) had a risk for a later stage at diagnosis for CRC. We observed lowest five-year survival rate among unmarried patients. Culturally sensitive interventions aimed at improving EO-CRC survival may benefit individuals across all racial groups. Such efforts can be strengthened by enhancing social support networks and increasing CRC risk awareness as well as equitable access to care, particularly for NHW, NHB, and Asian/PI populations.

Background Formal compilations of implementation strategies like the Expert Recommendations for Implementing Change (ERIC; 1) are relevant for planning and evaluating implementation initiatives. The relationship between these strategies and the particulars of a specific initiative is not always clear, particularly when implementation occurs outside of organized healthcare settings. The present study reports on the process used to develop an adapted glossary of ERIC strategies for implementing evidence-based health promotion programs in African American churches. Methods A glossary adaptation team composed of academics and community representatives met twice a month for six months to adapt implementation strategy definitions to fit the context of the present project. Collaborative discussions were held until consensus was reached for each strategy. This project-adapted glossary was then subjected to coding to document the types of changes that occurred during the adaptation process. Results The glossary adaptation team collectively dedicated 99.5 person-hours to the meetings to obtain consensus for the strategies. The final strategy glossary retained 64 strategies relevant to the project, with 84.4% of strategies involving some level of adaptation. Most of the adaptation involved specifying project-specific actors, specifying that the innovation involved evidence-based health promotion programs, and noting the role the project’s technical assistance team serves in supporting congregations during implementation. Conclusions Adapting implementation strategy definitions to a specific project is a time-intensive process that challenges a team to carefully and creatively consider how strategies may be enacted in a specific context (e.g., faith-based communities). The consensus-based process also served as a type of cultural exchange between the project’s academic partners, community partners, and consultants. The development of a project-specific glossary leverages the ability of project team members to employ implementation strategies as part of project planning and evaluation.

Music is a daily influence in our lives. One aspect of music is being used in a physical activity (PA) setting. One specific area where music is being used is in K-12 physical education (PE) classes. Previous research has been conducted in elementary and junior high school PE. For this study, the effect on high school PE students’ PA was investigated when music was played and when it was not. For this study, 75 high school students (49 males and 26 females) participated. Participants wore pedometers to measure steps taken and time in activity. Student enjoyment in the activities was also measured. The participants participated in two activities: pickleball and badminton. Generally, it was found that high school students took more steps and had more time in the activity when music was playing. This study is the third study dealing specifically with K-12 PE, investigating music’s effect on PE students’ rates of PA.

Due to COVID-19 restrictions, academic institutions have changed their modus operandi, particularly in adopting distance learning in lieu of face-to-face instruction. This has sometimes produced unanticipated effects on students. The purpose of this study was to determine COVID-19 pandemic stressors and coping mechanisms utilized as relief measures by students, faculty, and staff in the College of Health Sciences at a historically Black institution. Cross-sectional study. Sampling: A convenience sample of 209 students, 34 faculty, and 9 staff from the College of Health Sciences at a historically Black institution participated in this study. Instrument: A 32-item Qualtrics survey was utilized to gather demographic data, COVID-19-related stressors, and coping mechanisms. Analysis: Descriptive statistics, Chi-square test for categorical variables, and Cochran–Mantel–Haenszel tests for ordinal variables were used. Female students, African American students (AAS), and undergraduates perceived stress related to the risk of contagion during the pandemic higher than the male students (P-value = 0.0096), other races (P-value = 0.0249) and graduate students (P-value = 0.0141) respectively. Female students perceived more stress related to relationships with relatives (P-value = 0.0128). Caucasian students compared to others (P-value = 0.0240) and graduate students compared to undergraduate students (P-value = 0.0011) reported less perceived stress related to the relationships with other colleagues. Top coping strategies of students and staff included interaction with family and friends, social media, hand hygiene, and meditation/spiritualty. Except for “avoidance of public spaces/transportation”, all other mechanisms were the same for faculty.

Because many students enrolled in Allied Health programs are on track to becoming health practitioners or clinicians and frontline workers who would become critical sources of information for patients it is critical to understand their perspectives about mandatory COVID-19 vaccination. Results: COVID-19 Risk Perception. A significant majority of the respondents had high or strongly high-risk perception of COVID-19, 82(56.6%) strongly agreed and 29(20%) agreed with the statement, COVID-19 is a public health issue (P-value < 0.0001), Comparing by demographic characteristics: African American/Black compared with other races (P-Value = 0.0462), Master of Public Health program, compared with all other graduate programs (P-Value = 0.0140) and fully vaccinated and fully vaccinated and boosted compared with incomplete or not-vaccinated for COVID-19 (P-value = 0.0059) had higher COVID-19 risk perceptions. strongly high-risk perception of COVID-19, 82(56.6%) strongly agreed and 29(20%) agreed with the statement, COVID-19 is a public health issue (P-value < 0.0001), Comparing by demographic characteristics: African American/Black compared with other races (P-Value = 0.0462), Master of Public Health program, compared with all other graduate programs (P-Value = 0.0140) and fully vaccinated and fully vaccinated and boosted compared with incomplete or not-vaccinated for COVID-19 (P-value = 0.0059) had higher COVID-19 risk perceptions.

Physical education (PE) has the potential to educate students to spend a lifetime in physical activity. An up-and-coming activity that has this potential of lifetime activity is spike ball. Generally, spike ball is played with four players with teams of two. The ball is put into play and the players can move anywhere they want. The objective is to hit the ball into the net so that the opposing team cannot return it. Spike ball presents itself to be an activity for students in high school and col-lege/university. One aspect of increasing activity during spike ball is music being played. Research dealing with music in physical activity settings has found it to enhance endurance and color how people inter-pret fatigue. Thus, the purpose of this study was to examine the effects of music on PA rates (measured via pedometer) of college students as they play spike ball. Generally, it was learned that music had a positive effect on increased amounts of steps taken and time in activity during spike ball play.

Purpose We examined colorectal cancer (CRC) risk perceptions among Black men in relation to socio-demographic characteristics, disease prevention factors, and personal/family history of CRC. Methods A self-administered cross-sectional survey was conducted in five major cities in Florida between April 2008 and October 2009. Descriptive statistics and multivariable logistic regression were performed. Results Among 331 eligible men, we found a higher proportion of CRC risk perceptions were exhibited among those aged ≥ 60 years (70.5%) and American nativity (59.1%). Multivariable analyses found men aged ≥ 60 had three times greater odds of having higher CRC risk perceptions compared to those ≤ 49 years (95% CI = 1.51–9.19). The odds of higher CRC risk perception for obese participants were more than four times (95% CI = 1.66–10.00) and overweight were more than twice the odds (95% CI = 1.03–6.31) as compared to healthy weight/underweight participants. Men using the Internet to search for health information also had greater odds of having higher CRC risk perceptions (95% CI = 1.02–4.00). Finally, men with a personal/family history of CRC were ninefold more likely to have higher CRC risk perceptions (95% CI = 2.02–41.79). Conclusion Higher CRC risk perceptions were associated with older age, being obese/overweight, using the Internet as a health information source, and having a personal/family history of CRC. Culturally resonate health promotion interventions are sorely needed to elevate CRC risk perceptions for increasing intention to screen among Black men.

Objective This study examined the factors that predict recommended screening compliance to cervical, breast, and colorectal cancers in low-income African American women. It also examined obstacles to screenings by geographic region and screening status. Methods As a part of the Meharry Community Networks Program (CNP) needs assessment, a 123-item community survey was administered to assess demographic characteristics, health care access and utilization, and screening practices for various cancers in low-income African Americans. For this study, only African American women 40 years and older ( n = 308) were selected from the Meharry CNP community survey database. Results There were several predictors to recommended screening such as being employed and having health insurance ( P < 0.05). Additionally, the obstacles to screening posed a similar level of difficulty for participants from different geographic areas. Discussion Sociodemographic differences and obstacles of screening need to be addressed in educational interventions aimed at improving cancer screenings.

The incorporation of music in the physical education (PE) environment during physical activity has been shown to be beneficial for participants. Karageorghis et al. (1999) created a conceptual framework focusing on asynchronous music, identifying four factors important to a given piece of music: rhythm response, musicality, cultural impact, and association. The purpose of this study was to investigate the effect of two conditions, with and without the incorporation of music, in the PE environment on student moods in 948 junior high school students (501 males, 447 females). The conditions were measured using the Profile of Mood States (POMS) Short Form. Significant differences were observed in the mean scores of POMS between preintervention (without music) and postintervention (with music) for total mood disturbance, tension, anger, fatigue, depression, and confusion (all p values < 0.0001), as well as significantly higher mean scores for esteem-related affect and vigor (p values < 0.0001). Results from this study, and others, provide an impetus for PE teachers and PE teacher education to incorporate music during games/activities for the purpose of improving student moods and subsequent activity levels.

Introduction Human biospecimens are an invaluable resource for addressing cancers and other chronic diseases. The purpose of this study was to assess the impact of an educational intervention on biospecimen knowledge and attitudes. Methods The participants consisted of 112 African Americans, 18 years and older, and who had not provided biospecimens for any health-related research in the past. A total of 55 participants received the educational brochure, and 57 received the educational video. The main outcomes of the study were knowledge and attitudes for biospecimen donation. This information was collected pre- and post-intervention. Results The average knowledge scores increased ( p  < 0.0001) and the average attitude scores for biospecimen donation improved ( p  < 0.0001) post-intervention for both the video and brochure conditions. There was an interaction between the intervention condition and knowledge where the participants who received the educational video showed a greater increase in knowledge pre-to-post compared to those who received the educational brochure ( p  = 0.0061). There were no significant interactions between the two intervention conditions for attitudes toward biospecimen donation. Discussion The results of this study demonstrated the feasibility and efficacy of an academic institution collaborating with the African American community in developing educational tools for biospecimen donation.