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        The Development and Psychometric Evaluation of the Survey of Obstructive Sleep Apnea Functional Health Literacy

        Robbins Rebecca,Hays Ron D.,Calderón José Luís,Seixas Azizi,Garcia Valerie Newsome,Chung Alicia,Jean-Louis Girardin 대한수면학회 2021 sleep medicine research Vol.12 No.1

        Background and Objective Obstructive sleep apnea (OSA) is a highly prevalent disorder that disparately affects racial/ethnic minorities. OSA functional health literacy can contribute to health disparities. Documenting poor OSA functional health literacy is needed to inform research agendas, policy, and advocacy efforts. The objective of this study is to develop a scale for measuring OSA functional health literacy among diverse audiences and a variety of reading levels and to ascertain its reliability and validity. Methods Development of the 18-item Survey of OSA Functional Health Literacy (SOFHL) was guided by literature review and input from experts. A convenience sample of persons enrolled in a clinical trial completed the survey (n = 194). Factor analysis was used to identify the number of dimensions in the SOFHL and their relationship to other domains that are relevant to OSA functional health literacy. Internal consistency reliability (alpha) was estimated for the SOFHL scales and correlations with educational attainment and income computed. Results All respondents were Black and 29% reported average household income less than $10000 USD. Confirmatory factor analysis provided support for two dimensions: OSA general knowledge (alpha = 0.81) and OSA self-management efficacy (alpha = 0.71). OSA general knowledge was significantly correlated with education (r = 0.41) and income (r = 0.21), and OSA self-management efficacy was significantly correlated with education (r = 0.19) and less depression (r = -0.18). Conclusions Higher educational attainment and socioeconomic status were associated with better OSA functional health literacy. These results provide preliminary support for the SOFHL, a measure that can be used to assess OSA functional health literacy.

      • KCI등재후보

        Cultivatiion Conditions and Selenium Fertilization Alter the Phenolic Profile, Glucosinolate, and Sulforaphane Content of Broccoli

        John W. Finley,Rebecca J. Robbins,Anna-Sigrid Keck,Gary Banuelos 한국식품영양과학회 2005 Journal of medicinal food Vol.8 No.2

        Broccoli is a food often consumed for its potential health-promoting properties. The health benefits of broc-coli are partly associated with secondary plant compounds that have bioactivity; glucosinolates and phenolic acids are two ofthe most abundant and important in broccoli. In an effort to determine how variety, stress, and production conditions affectthe production of these bioactive components broccoli was grown in the greenhouse with and without selenium (Se) fertil-ization, and in the field under conventional or organic farming procedures and with or without water stress. High-performanceliquid chromatography/mass spectrometry was used to separate and identify 12 primary phenolic compounds. Variety had amajor effect: There was a preponderance of flavonoids in the Majestic variety, but hydroxycinnamic esters were relativelymore abundant in the Legacy variety. Organic farming and water stress decreased the overall production of phenolics. Se fer-tilization increased glucosinolates in general, and sulforaphane in particular, up to a point; above that Se fertilization decreasedglucosinolate production. Organic farming and water stress also decreased glucosinolate production. These data show envi-ronmental and genetic variation in phenolics and glucosinolates in broccoli, and warn that not all broccoli may contain allhealth-promoting bioactive components. They further show that selection for one bioactive component (Se) may decrease thecontent of other bioactive components such as phenolics and glucosinolates.

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