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Women with inadequate health insurance have lower mammography rates than the general population. Finding successful strategies to enroll eligible women is an ongoing challenge for the National Breast and Cervical Cancer Early Detection Program. To test the effectiveness of a population-based strategy to increase mammography utilization among lowincome underinsured women ages 40 to 64 years, a randomized trial was conducted to assess the effect of two mailed interventions on mammography utilization through Sage, the National Breast and Cervical

We explored the relative strength of environmental and social factors associated with pediatric asthma in middle class families and considered the efficacy of recruitment for an educational study at a science museum. Eligibility criteria were having a child aged 4–12 and English fluency. Our questionnaire included information on demographics, home environment, medical history, and environmental toxicant exposures. Statistically significant associations were found for: child’s age (t = −2.46; p = 0.014), allergies (OR = 11.5; 95%CI = 5.9–22.5), maternal asthma (OR = 2.2; 95%CI = 1.2–3.9), parents’ education level (OR = 0.5; 95%CI = 0.3–0.9), family income (OR = 2.4; 95%CI = 1.1–5.5), water damage at home (OR = 2.5; 95%CI = 1.1–5.5), stuffed animals in bedroom (OR = 0.4; 95%CI = 0.2–0.7), hospitalization within a week after birth (OR = 3.2; 95%CI = 1.4–7.0), diagnosis of pneumonia (OR = 2.8; 95%CI = 1.4–5.9), and multiple colds in a year (OR = 2.9; 95%CI = 1.5–5.7). Several other associations approached statistical significance, including African American race (OR = 3.3; 95%CI = 1.0–10.7), vitamin D supplement directive (OR = 0.2; 95%CI = 0.02–1.2), mice in the home (OR = 0.5, 95%CI = 0.2–1.1), and cockroaches in the home (OR = 4.3; CI = 0.8–21.6). In logistic regression, age, parents’ education, allergies, mold allergies, hospitalization after birth, stuffed animals in the bedroom, vitamin D supplement directive, and water damage in the home were all significant independent predictors of asthma. The urban science museum was a low-resource approach to address the relative importance of risk factors in this population.

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Introduction While psychological stress is adversely linked to sleep, the bidirectional and temporal relationships between sleep and psychological stress in the context of daily life are largely understudied, particularly among Latinxs. We examined the bidirectional relationships between daily sleep duration, sleep quality, perceived stress, and negative mood in Latinx adults. Methods Between 2016-2019, healthy Latinxs (N=42), defined as those without any major physical or psychiatric morbidities, and free from polysomnography-assessed sleep disorders, were recruited from a community sample in New York. Participants naïve to study hypotheses completed 40 consecutive days of actigraphy and ecological momentary assessment of psychological stress and negative mood (depressed, anxious mood) using a 0 (not at all) to 10 (extremely) scale, contributing 1713 observations. Daily sleep duration was measured via wrist-actigraphy, and perceived daily sleep quality (1[very bad] to 4[very good]) was assessed via morning self-report. Sources of daily stress, including sociocultural stress, were collected once each evening. Multi-level modeling was used to examine within-person effects and temporal associations with adjustment for day of the week. Results Mean age=37.2 (SD=11.8), 69.1% women, 36.6% unemployed, 64.3% immigrant, and 38.1% Spanish-speaking. Non-specific stress (43%), work (28%), and family/relationship (21%) stress were the most common sources of daily stress. Discrimination and immigration stress were rarely reported as daily sources of stress (1.2%). Mean nightly sleep duration was 403.9 minutes (±81.3). Preliminary lagged linear mixed models indicated that a 60-minute increase in sleep duration during the night predicted a -.12 change in stress ratings (SE=.001,p<.0001) the next day, as well as -.06 change in anxious mood (SE=.001,p=.003). Better perceived sleep quality on a 4-point scale during the night predicted lower stress ratings (ß=-.11,SE=.05,p=.04) and less anxious mood (ß=-.13,SE=.05,p=.01) the next day. A one-point higher rating of depressed mood during the day predicted a -.03 decrease in perceived sleep quality that night (SE=.01,p<.05). Conclusion Overall, these results imply distinct associations of sleep with both anxiety and depressed mood. Longer sleep duration and improved perceived sleep quality were associated with subsequent decreased stress and anxiety. Increased depressed mood predicted worse sleep quality that night. Future research should identify the mechanisms of action for these differential associations. Support (if any):