Predictors of veteran attendance in an intimate partner violence intervention

This study examined session attendance data from 2,754 veterans who participated in a national implementation of a trauma-informed intimate partner violence intervention, Strength at Home, across the Veterans Affairs Healthcare System. Potential correlates of attendance were demographic characteristics, posttraumatic stress disorder (PTSD) symptom severity, alcohol use, court involvement, current military involvement, and intervention modality (in-person vs. virtual). Given the trauma-informed nature of the intervention, it was expected that trauma-relevant risk factors, specifically PTSD symptom severity and racial minority status, would be less strongly associated with attendance than barriers related to other demographic variables and higher alcohol use, intervention modality, and court involvement. Results indicated that age, education level, employment status, retirement status, PTSD symptom severity, alcohol use, and court involvement were associated with session attendance in the expected direction at the bivariate level. Only education level, employment status, retirement status, alcohol use, and court involvement emerged as unique predictors of attendance such that more educated, employed, retired, and court-mandated veterans with less alcohol use attended more sessions. These findings suggest the importance of a trauma-informed, coordinated community response to intimate partner violence intervention and integration of motivational components surrounding problematic alcohol use to enhance compliance and mitigate barriers to attendance. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

The predictive power of airborne gamma ray survey data on the locations of domestic radon hazards in Norway: A strong case for utilizing airborne data in large-scale radon potential mapping

It is estimated that exposure to radon in Norwegian dwellings is responsible for as many as 300 deaths a year due to lung cancer. To address this, the authorities in Norway have developed a national action plan that has the aim of reducing exposure to radon in Norway (Norwegian Ministries, 2010). The plan includes further investigation of the relationship between radon hazard and geological conditions, and development of map-based tools for assessing the large spatial variation in radon hazard levels across Norway. The main focus of the present contribution is to describe how we generate map predictions of radon potential (RP), a measure of radon hazard, from available airborne gamma ray spectrometry (AGRS) surveys in Norway, and what impact these map predictions can be expected to have on radon protection work including land-use planning and targeted surveying. We have compiled 11 contiguous AGRS surveys centred on the most populated part of Norway around Oslo to produce an equivalent uranium map measuring 180 km × 102 km that represents the relative concentrations of radon in the near surface of the ground with a spatial resolution in the 100 s of metres. We find that this map of radon in the ground offers a far more detailed and reliable picture of the distribution of radon in the sub-surface than can be deduced from the available digital geology maps. We tested the performances of digital geology and AGRS data as predictors of RP. We find that digital geology explains approximately 40% of the observed variance in ln RP nationally, while the AGRS data in the Oslo area split into 14 bands explains approximately 70% of the variance in the same parameter. We also notice that there are too few indoor data to characterise all geological settings in Norway which leaves areas in the geology-based RP map in the Oslo area, and elsewhere, unclassified. The AGRS RP map is derived from fewer classes, all characterised by more than 30 indoor measurements, and the corresponding RP map of the Oslo area has no unclassified parts. We used statistics of proportions to add 95% confidence limits to estimates of RP on our predictive maps, offering public health strategists an objective measure of uncertainty in the model. The geological and AGRS RP maps were further compared in terms of their performances in correctly classifying local areas known to be radon affected and less affected. Both maps were accurate in their predictions; however the AGRS map out-performed the geology map in its ability to offer confident predictions of RP for all of the local areas tested. We compared the AGRS RP map with the 2015 distribution of population in the Oslo area to determine the likely impact of radon contamination on the population. 11.4% of the population currently reside in the area classified as radon affected. 34% of ground floor living spaces in this affected area are expected to exceed the maximum limit of 200 Bq/m³, while 8.4% of similar spaces outside the affected area exceed this same limit, indicating that the map is very efficient at separating areas with quite different radon contamination profiles. The usefulness of the AGRS RP map in guiding new indoor radon surveys in the Oslo area was also examined. It is shown that indoor measuring programmes targeted on elevated RP areas could be as much as 6 times more efficient at identifying ground floor living spaces above the radon action level compared with surveys based on a random sampling strategy. Also, targeted measuring using the AGRS RP map as a guide makes it practical to search for the worst affected homes in the Oslo area: 10% of the incidences of very high radon contamination in ground floor living spaces (≥800 Bq/m³) are concentrated in just 1.2% of the populated part of the area.

Car-borne gamma spectrometry: a virtual exercise in emergency response

In recent years car-borne gamma spectrometry has expanded from its role as a geological survey platform to being a useful asset in searching for orphan sources and for surveying in the aftermath of an incident involving the release of radioactive materials. The opportunities for gaining practical experience in the field however are limited by cost considerations and practicability. These limitations are exacerbated by the fact that field data can differ significantly from data generated in the laboratory. As a means of exercising existing emergency measuring/surveying capability and introducing car-borne measurements to a larger group, a virtual exercise was devised. The exercise ORPEX (Orphan Sources and Fresh Fallout Virtual Exercise in Mobile Measurement) featured two typical emergency scenarios: a search for orphan sources and surveying to delineate fallout from a local release point. Synthetic spectral data were generated for point sources and inserted into genuine car-borne measurement data. Participants were presented with a typical software tool and data and were asked to report source locations and isotopes within a time limit. In the second scenario, synthetic data representing fallout from a local fire involving radioactive material were added to real car-borne data, participants being asked to produce maps identifying and characterising the regions of contamination. Fourteen individual organisations from seven different countries supplied results which indicated that for strong sources of isotopes with simple spectra featuring high energy peaks, location and identification was not a problem. Problems arose for isotopes with low energy signals or that presented a weak signal even when visible for extended periods. Experienced analysts tended to perform better in identification of sources irrespective of experience with mobile measurements whereas those with experience in such measurements were more confident in providing more precise estimates of location. The results indicated the need for the inclusion of less frequently encountered sources in field exercise related to mobile measurements.