CDC looks at vaccine coverage among pregnant women | Tool may help identify smoking initiation risk in adolescents | Study links adverse childhood experiences to prediabetes risk
October 19, 2018
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CDC looks at vaccine coverage among pregnant women
CDC researchers report that during the 2017-2018 flu season, only 49.1% of pregnant women were given influenza vaccination before or during pregnancy, and only 54.4% of those who had live births received Tdap immunization during gestation. The findings in the agency's Morbidity and Mortality Weekly Report also showed higher vaccine coverage among those whose providers offered vaccination, while nonvaccination was attributed to flu vaccine efficacy concerns and inadequate awareness of the need for Tdap vaccination during pregnancy.
Physician's Briefing/HealthDay News (10/18) 
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Tool may help identify smoking initiation risk in adolescents
Canadian researchers found that a prognostic tool with 12 variables, including age, alcohol- or tobacco-related items and worry- or stress-related items, yielded a 0.77 c-statistic and showed good calibration in determining teens likely to initiate cigarette smoking. The findings were published in Pediatrics.
Physician's Briefing/HealthDay News (10/18) 
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Pediatric Health Care
Study links adverse childhood experiences to prediabetes risk
A study in the Journal of Diabetes and its Complications showed an association between adverse experiences in childhood and an increased risk for developing prediabetes indicators in adulthood, such as higher body mass index, insulin resistance and waist circumference. Researchers used a cohort of 1,054 individuals with a mean age of 55 and found that physical abuse was tied to increased fasting insulin levels and waist circumference, while sexual abuse and financial strain correlated with an increased BMI.
Healio (free registration)/Endocrine Today (10/18) 
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Self-harm, suicidality tied to adverse health outcomes in teens
Adolescents with self-harm and suicidality and those with self-harm alone had more clinical care visits and reduced global functioning, as well as higher odds of developing psychosocial problems and at least one comorbid mental disorder, compared with controls, according to a study in the Journal of Child Psychology and Psychiatry. Researchers also found that those with self-harm and suicidality were significantly more likely to undergo recurrent clinical care than those in the self-harm-only group and had the highest risk for drug misuse, criminal activity and social welfare recipiency across all groups.
Psychiatry Advisor (10/18) 
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Organized sports participation may up bone density in young adulthood
Youths with consistent participation in organized sports from ages 5 to 17 had improved bone density at age 20, compared with those who dropped out from the sport and those who never played, Australian researchers reported in the Journal of Bone and Mineral Research. The findings also showed that men who played consistently since childhood had greater whole-body density and those who only played in adolescence had better leg bone density, but only leg bone density was improved among women with consistent sports participation since childhood.
Reuters (10/18) 
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Trends & Technology
Deadly crash more likely when only teens are in vehicle
The fatality rates among all people involved in a car crash rise 51% when adolescents are driving with only teen passengers, compared with an 8% decrease when teen drivers have passengers at least 35 years old, finds a study from the AAA Foundation for Traffic Safety. The findings, based on 2016 US data, also showed that more than 1 million crashes that year involved teen drivers, resulting in more than 3,200 deaths.
WWL-TV (New Orleans) (10/18) 
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Study: Accreditation may not confer added health benefits
Mortality rates at hospitals that pay for accreditation by organizations such as the Joint Commission are not lower than mortality rates at hospitals that have state inspections, Harvard University researchers reported in The BMJ. Researchers found choosing a hospital accredited by the Joint Commission was not associated with more health care benefits, compared with choosing a hospital reviewed by other accrediting organizations.
The Wall Street Journal (tiered subscription model) (10/18) 
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Study: Health systems overspend on supply chain operations
A Navigant study found US health systems spent $25 billion more than they needed to on supply chain operations because they did not invest enough in them. Rob Austin of Navigant said health care executives have to engage clinicians and have more people trained in supply chain management, even if they are not from the health care sector.
HealthLeaders Media (10/18) 
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Health Policy & Regulations
Republicans support Americans with pre-existing conditions, Trump says
Less than 20 days before the election, President Donald Trump tweeted Thursday that all Republicans support people with pre-existing conditions, and "if they don't, they will after I speak to them." Trump sent the tweet as GOP candidates are under fire across the country for their efforts to repeal or scale back the Affordable Care Act and its protections for people with pre-existing illnesses.
The Hill (10/18),  CNN (10/18) 
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Health care looms large for voters in midterm elections
A Kaiser Family Foundation survey found 71% of people said health care was very important to their decision about which congressional candidates they will vote for in the upcoming midterm elections, and 30% said it was the most important issue. Results from Florida and Nevada, considered battleground states, showed voter support for maintaining the Affordable Care Act's protection for people with pre-existing conditions.
Kaiser Health News (10/18) 
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Clarity is the antidote to anxiety, and therefore clarity is the preoccupation of the effective leader. If you do nothing else as a leader, be clear.
Marcus Buckingham,
business consultant and author
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