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Social Networks and Sugar-Sweetened Beverage Consumption in a Pediatric Urban Academic Practice

Duh-Leong, Carol; Braganza, Sandra
Increased sugar-sweetened beverage (SSB) consumption is linked to childhood obesity. The risk of increased SSB consumption is multifactorial. Limited studies have examined children's SSB consumption and social networks. In order to examine the association between SSB consumption and SSB preferences of a child's social network, a cross-sectional survey was administered to patients aged 8-17 years from June to September 2016. In a questionnaire, subjects completed a beverage consumption recall, identified people important to them along with each person's favorite beverage, and answered questions about habits, environment, and attitudes. Subjects with higher SSB consumption (>16 fl oz) were compared to subjects with lower SSB consumption (≤16 fl oz). 202 surveyed: 55% female, 53% Hispanic, 45% Black, 28% overweight or obese. Children drank an average of 3 cups/day of SSBs, range of 0-15 cups/day. Social networks included caregiver, relative, and friend. Subjects with higher SSB consumption (n = 96) were compared to those with lower SSB consumption (n = 106). We found children with higher SSB consumption had higher odds of reporting a higher number of people in their immediate social networks who prefer SSB, adjusted for habits, environment, and attitudes (aOR 1.41; 95% CI: 1.02-1.99; p < 0.05). Children are more likely to have higher SSB consumption if they list people in their immediate social network who prefer SSB as their favorite drink. Further research is required to explore the influence of social networks on health behaviors of children.
PMID: 30481137
ISSN: 0896-4289
CID: 3677662

Ordering Interruptions in a Tertiary Care Center: A Prospective Observational Study

Dadlez, Nina M; Azzarone, Gabriella; Sinnett, Mark J; Resnick, Micah; Ushay, H Michael; Adelman, Jason S; Broder, Molly; Duh-Leong, Carol; Huang, Joyce; Kiely, Victoria; Nadler, Ariella; Nelson, Vayola; Simcik, Jared; Rinke, Michael L
OBJECTIVES:By self-report, interruptions may contribute to up to 80% of ordering errors. A greater understanding of the frequency and context of interruptions during ordering is needed to identify targets for intervention. We sought to characterize the epidemiology of interruptions during order placement in the pediatric inpatient setting. METHODS:, and run charts were used. RESULTS:= .002). CONCLUSIONS:Residents and physician assistants are interrupted at a rate of 57 interruptions per 100 orders placed. This may contribute to ordering errors and worsen patient safety. Efforts should be made to decrease interruptions during the ordering process and track their effects on medication errors.
PMID: 28148543
ISSN: 2154-1663
CID: 3142002