Description
- Abstract:
- ABSTRACT #1: Substance use patterns and in-hospital care of adolescents and young adults attending music concerts. Introduction: There are few studies that describe medical complaints and substance use patterns related to attending music concerts. As such, the objective of this study is to describe patient demographics, substance use and intoxication patterns, and medical interventions provided to adolescents and young adults assessed in an emergency department (ED) for complaints directly related to concert attendance. Methods: A retrospective chart review of patients 13-30 years old who were transported to the ED directly from music concerts between January 2011 and December 2015 was conducted. Descriptive statistics and logistic regression were used to analyze patient demographic, intervention, and substance use data. Results: There were 115 concerts identified, of which 48 (42%) were linked to 142 relevant ED visits. Patient mean age was 19.5 with 72% < 21; 71% were female and 96% of visits were substance-use related. Mean blood alcohol level was 242 mg/dL (range 104-412, SD 70). Glasgow Coma Scale (GCS) scores ranged from 3-15. Two patients required intubation and 61% of patients required interventions, including medications (47%), intravenous fluids (46%), specialty consultation (20%), restraints (14%), imaging (6%), and laceration repair (3%). Attendance at pop and EDM concerts was associated with the widest ranges of GCS scores, mass casualty incident declarations, and among the highest mean blood alcohol levels. Conclusions: Substance use was nearly ubiquitous among patients presenting to the ED from music concerts. Such patients may have serious illnesses and require multiple medical interventions. These data demonstrate the need for additional large-scale studies to confirm trends and increase awareness of this important public health problem. ABSTRACT #2: The negative relationship between digital media exposure and childhood flourishing. Introduction: Digital media exposure (DME) is linked with negative physical, behavioral and neurocognitive effects in children. This study describes the relationship between DME and parental perception of childhood flourishing, or overall positive well-being. It is hypothesized that there is a negative association between measures of childhood flourishing and increasing daily DME. Methods: Parental responses for children ages 6-17 years (N=64,464) from 2011-2012 National Survey of Children’s Health were analyzed. Average weekday DME that was not school work related was categorized in two hour intervals: 0 to < 2, 2 to < 4, 4 to < 6, and ≥6 hours. The relationship between DME and parent-reported frequency of five childhood flourishing markers was examined. The markers were: completing homework, caring about academics, finishing tasks, staying calm when challenged, and showing interest in learning. Results: Only 31% reported less than 2 hours of weekday DME. For the remaining children, daily DME was 36% (2 to <4 hours), 17% (4 to <6 hours), and 17% (≥6 hours). In a model adjusted for age, sex, and poverty level, there was a dose-dependent decrease in the odds of demonstrating all 5 markers of flourishing as weekday DME increased; test for trend for each outcome P < 0.001. In stratified analyses, this relationship held true regardless of the child’s age group, sex, or poverty level. Conclusions: This study provides new evidence that, among school aged children, increasing weekday DME has a negative dose-dependent impact on multiple childhood flourishing markers.
- Notes:
- Thesis (M. P. H.)--Brown University, 2017
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Citation
Ruest, Stephanie,
"1. Substance use patterns and in-hospital care of adolescents and young adults attending music concerts. & 2. The negative relationship between digital media exposure and childhood flourishing."
(2017).
Public Health Theses and Dissertations.
Brown Digital Repository. Brown University Library.
https://doi.org/10.7301/Z04X568K
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Public Health Theses and Dissertations
Theses and Dissertations for the Public Health department....