John Schrom

Epidemiologist and political junkie

Best Place to Work in the US…

Nursing Professionals Magazine, a magazine for nursing students, announced recently that Abbott Northwestern Hospital was the best place to work for nurses across the country in 2009! This was based on surveys sent out in early 2008 that asked questions about the flexibility of working arrangements, the work environment, opportunities for professional development, and more.

Of course, this was all before the layoffs and lawsuit – so, if that’s taken its toll on employees, we might see some significant movement for the 2010 survey…

Other ranking hospitals in Minnesota include:

* 37. Mayo Clinic
* 63. St Cloud Hospital
* 84. U of Mn Medical Center

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We’re all a little less illiterate…

The National Endowment for the Arts released the results of its reading survey this week. The survey, started in 1982, has measured the number of people who read (or don’t read, as the case may be), and is commonly cited by those that believe we’re getting stupider. With only 50% of adults not reading anything (book, short story, play — I don’t think the tabloids at the grocery store count), they almost have a point.

This year was different, though. Readership is up across the board, and one of the largest increases was seen by yours truly. 18 to 24 year old males saw a 21% increase in literature reading in the last 4 years. Other increases were seen by African Americans, Hispanics, and high school drop-outs (interestingly, college educated folks didn’t change).

Dana Gioia, the chair of the NEA, seems a little biased against the young folks with their new technologies:

A decline in both reading and reading ability was
clearly documented in the first generation of teenagers and young adults raised in a society full of videogames, cell phones, iPods, laptops, and other electronic devices.

Yet the report continues to talk about high book readership among online readers:

84 percent of adults who read literature (fiction, poetry, or drama) online or downloaded from the Internet also read books, whether print or online. For adults who read online articles, essays, or blogs, the book-reading rate is 77 percent.

Once again, proof that our parent’s generation just never will understand. Technology increases reading and literacy, just not necessarily in traditional media.

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Midwest State of Mind

A new study to be published in June in the American Journal of Preventive Medicine found a link between the state that you live in, and your mental state. The study looked at BRFSS respondent’s frequencies of depression, stress, and other mental problems; the actual measure used was the percent of respondents reporting 14 or more mentally unhealthy days. Naturally, Hawaii had the lowest rate in the country (6.6%), and Kentucky had the highest (14.4%).

The other state-level data isn’t currently available, but the CNN article about this study suggests that the Upper Midwest (ND, SD, NE, KS, MN, IA, MO, WI, IL) has the lowest rates (<8%), while the region by Kentucky had the highest rates (>12%). I’ll need to wait patiently to see where exactly Minnesota falls on this list…

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I Do Like Sponge Bob

Sometimes I wonder if “adults” (~35+) really do ever understand adolescents. Well, I sometimes wonder if journalists portraying youth in the media actually understand them. I read an article this week about the link between TV watching and depression in teens. Depressed teens watched 2.64 hours of TV a day, compared with 2.28 hours in non-depressed teens. That difference equates to one episode of Sponge Bob per day…

With any study, remember that correlation does not imply causation — just because depressed youth watch more TV doesn’t mean TV causes the depression. This is acknowledged in the news article by a psychologist not associated with the study:

“A warning sign would be a teen who doesn’t seem to enjoy doing anything else. A teen who watches a lot of TV, but is also on the football team or belongs to clubs, they may just be using the TV to relax and enjoy some down time.”

This doesn’t invalidate the study. The psychologist is right: TV usage, combined with other factors, might make for a quick screen for depression. My problem regarding this article lies with the conclusions (”red flags”) noted in the article:

Is your teen interested in socializing with others? Be concerned if he doesn’t want to do anything other than watch TV or get on the computer.

Watch for other signs of depression: changes in sleep habits, significant weight gain or weight loss, irritability, pessimism, indifference.

There’s a significant chunk of the youth population that primarily utilizes the computer to socialize with people. Their parents may truly not understand this, and perceive them to not be “socializing” as they aren’t playing sports or musical instruments. I think one of the biggest differences between this generation and their parent’s generation is the use of technology — the kids that used to be ostracized by their peers can now find friends on the internet. Those friendships are just as valuable and rewarding as the relationships established in “real life.” To downplay the importance of this, and completely write these youth off as being “depressed” is unfortunate. After all, the time I spent on the computer growing up has helped me network, gain skills, and get jobs, while I haven’t touched my clarinet since middle school.

And about those symptoms of depression: find me a teen that isn’t irritable, pessimistic, or indifferent, and I’ll show you a youth who hasn’t hit puberty yet.

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