UCLA Public Health Magazine - Fall 1987 by UCLA Fielding School of Public Health

Volume 7, Number 1 Fall 1987

UCLA Public Health

Volume 7, Number 1

Fall 1987

4 Teen Pregnancy, a Lesson Learned too Late

Faced with the fact that 40,000 teenage girls get pregnant each year in L.A., public health professionals are struggling to correct what has become one of the biggest issues in health care.

7 Internships Are Only Limited by Imagination

For public health students, an internship is the ticket to a wealth of professional experience.

10 Depression: No Fun Even in the L.A. Sun

According to faculty research, depression can strike any age, sex or station in life, even in the sun and fun capital of Los Angeles.

14 Graduates Achieve Success at Its Best

Two School of Public Health alums tell how they landed good jobs, virtually right out of school.

Page 7

16 News 17 Project Updates

18 Faculty Notes

Page JO

19 Alumni News 20 Alumni Notes

21 Best Year Ever for Dean's Council

Page 14

23 Dean's Message

UCLA Public Health is published by Health Sciences Communications, UCLA Public Communications/Public Affairs, for the UCLA School of Public Health. It is issued twice a year for the alumni, faculty, staff and friends of the School. Charles E. Young, Chancellor Abdelmonem A. Afifi, Dean Michael T McManus, A5sistant Vice Chancellor, Public Communications Rich Elbaum, Acting Director, Health Sciences Communications

Editor: Fran Tardiff Writers: Cathy Dunn, Jon Marmor, Fran Tardiff Art Director: Juliet Beynon Designers: Laura Ganter, Jackie Morrow

Illustration: Laura Ganter, cover. Myron Grossman, page 7. Editorial Board: Dr. A.A. Afifi, Dr. Snehenclu Kar, Dr. Shoshanna Sofaer, Peggy Convey, Rhona McNally, Susan Uretsky, Rich Elbaum. ÂŠ Copyright 1987 by The Regents of the University of California. Permission to reprint any portion of UCLA Public Health must be obtained fi'om the editor. Contact Health Sciences Communications, Weyburn Center; Suite 344, Center for the Health Sciences, UCLA, Los Angeles, California 90024 (213) 206-1960

UCLA PUBLIC HEALTH FAIL 1987

Teen· Pregnancy By ]on Marmor

f it were up to Diana Bonta, children would start their formal sex education in grade school. "By the time they get into high school, it may already be too late," she says. "We need to start early. " Bonta knows whereof she speaks. As deputy executive director of the Los Angeles Regional Family Planning Council Inc., Bonta, M.P.H. '75 in population and family health, oversees 35 agencies in Los Angeles County that operate more than 100 clinics and treat up to 160,000 people per year. Teenagers make up a segment of the population in need of family planning. Unfortunately, that isn't much of a surprise, as Los Angeles has one of the highest rates of teen pregnancy in the nation, says Bonta. But health care professionals like Bonta are doing all they can to try to correct what has become one of the biggest issues in health care in Los Angeles and throughout the country. One step in that direction was the creation of the Los Angeles Adolescent Pregnancy ChildWatch in 1984, an organization of health care professionals, educators and volunteers who are trying, mainly through public awareness efforts, to reduce the huge number of teens giving birth and to help those who do have children deal with the ramifications. ChildWatch, which has the support of such organizations as the March of Dimes, the Black Women 's Forum, the Junior League of Los Angeles and the Comision Feminil Mexicana Nacional, an organization of Hispanic women, has also convinced the Los Angeles County Board of Supervisors to establish a task force on adolescent pregnancy. The problem facing all these forces is monumental: • Approximately one in eight live births in Los Angeles County is to a teen mother. • 40,000 teenage girls get pregnant each year in Los Angeles County, and 22,000 have abortions. • Of those who become mothers, most never finish school or develop any skills. The majority of those girls will be forced to

a Lesson Learned too Late depend on state and federal support that is estimated to reach a total of $8.6 billion a year. If Diana Bonta had her way, high schools and junior highs would have health clinics that would, among other things, teach family life education. "Some people have the notion that when you talk about a school-based clinic, you are talking just about dispensing contra-

ceptives, saying 'Here's your pill , here's your IUD'. "But that isn't what we're talking about. We are talking about kids, who for the most part are sexually active," says Bonta. ''They still have notions that are incorrect about whether or not they can get pregnant. " School-based clinics have always been controversial because of the perceived emphasis on family planning. Bonta notes, however, that school districts which have implemented school-based clinics have had great success in reducing teen pregnancy. In fact, three Los Angeles high schools were supposed to implement their own clinics this September. The Los Angeles Regional Family Planning Council has undertaken quite a bit of research into teen pregnancy prevention. One program that proved quite successful was the Teen Advocate Program, fostered by Dr. Snehendu B. Kar, chairman and asso-

Diana Banta is deputy director of the Los Angeles Regional Family Planning Council and a strong advocate of early sex education.

ciate dean of the UCLA School of Public Health, and conducted under the auspices of the council. The Teen Advocate Program used the novel approach of training teens as peer counselors in the battle to prevent unwanted teen pregnancies. The experiment worked in many areas, Dr. Kar says. For instance, teen counselors were more successful than professional counselors in reaching younger teens. It was also found that the teen counselors had a profound effect in convincing their fellow teens to use contraceptives nearly four times the influence that professional counselors had on their teen clients. The Teen Advocate Program, which was the subject of a report by Dr. Kar in the 1986 journal "Education for Health," published by the World Health Organization, came to an end a couple years ago when its funding ran out. But Diana Bonta is trying to revive programs directed at preventing unwanted teen pregnancy. However, that takes money. For Bonta, who is trying to squeeze work on her doctorate in population and family planning into her 60-hour workweek, that means the added job of soliciting corporations in the Los Angeles area. "Private business can be a very important partner in this plan ," said Bonta. "GTE, TRW and other kinds of firms can really help a lot. "Community involvement is the only way we will ever get the message across. Education is the way to do it, and if it doesn't happen in the home, it has to happen in our schools. But it won't happen anywhere without funding. " Although Diana Bonta is in charge of the day-to-day operation of an agency that manages $30 million per year, she is careful to focus those financial responsibilities on the real object of her work - the people the council tries to help. In her role of deputy director, she oversees the monitoring and quality of care aspects of the council's work with clients. Each clinic site has an evaluation by a team of health care professionals. Diana partici-

pates in the exit interview conference to see firsthand the agency's and staff's performance. Bonta, who entered the health care field as a registered nurse after graduating from the State University of New York in Buffalo, felt frustrated in that capacity because she wasn't in a position to affect policy. Although she enjoyed the personal interaction with patients, she wanted a chance to help the greater good. So she went into administration. And not only is she able to develop policy on how teen pregnancy should be handled and

"II you know anything about teen-

agers, you know they are terrible contraceptors." Dr.CarolAneshensel

what kinds of prenatal care should be made available to teen mothers, she is quite busy trying to educate legislators and corporations alike to gain the financial support the council needs. Bonta also points out how complementary the work of faculty in the School of Public Health has been with the goals of the Regional Family Planning Council. In addition to Dr. Kar's work on the Teen Advocate Program, other School faculty have been involved with contraceptive research. Anne Coulson, adjunct research epidemiologist, and Dr. Virginia Clark, professor of biostatistics, have been involved in research on the cervical cap and sponge. Dr. Carol Aneshensel, associate professor in population and family health, is coinvestigator in a study of girls 13 to 19 years old. She and Dr. Rosina Becerra, professor in the UCLA School of Social Welfare, studied 1,000 girls - one-third were Anglo American; the majority were MexicanAmerican - to find out the differences in sexual and contraceptive behavior between the two cultural groups.

Although they've just begun analyzing data collected since 1983, the researchers have found some interesting facets of the teenage pregnancy problem. "Pregnancy rates are higher for MexicanAmerican girls than for the Anglo girls," reports Aneshensel. "But their sexual activity rates are lower. And Mexican-American girls begin sexual activity later. Yet there appears to be something in their culture or lifestyle that, once they start sexual behavior, they are more likely to get pregnant than Anglo girls and less likely to abort." One of the possible answers the researchers will explore is contraception. "If you know anything about teenagers, you know they are terrible contraceptors," Dr. Aneshensel says. However, she and Dr. Becerra will also be examining the data to discover the influence of parental attitudes and constraints vs. the influence of peers on these young women. Âˇ "Ultimately, we're trying to evaluate why some girls are sexually active and others aren't, and why some are more effective contraceptors than others," she concludes. Despite the work of the family planning council, abetted by support from local organizations and research at the School of Public Health, its staff estimates that barely a fourth of the potential audience of teenage girls is being reached. "There are a lot of women, including professional women, who still have the 'not me' syndrome, believing they won't be the ones who get pregnant," Bonta says. "And if an adult has those kinds of thoughts, just imagine what an uninformed teenager thinks." â&#x20AC;˘

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UCLA PUBLIC HEALlH FAIL 1987

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doctoral student in the School of Public Health. "Internships are so important," says Howard, who had already completed two on her way to an M.P.H. in population and family health in 1986. "They prb vide the hands-on experience you couldn 't get anywhere else." After years of classwork, students finally get an opportunity to try out all the concepts they've been studying when they embark on internships. "They provide students with their first real-life experience in the field they are studying," says Ruth Richards, field program supervisor and lecture[ They are so important, in fact, that all graduate students in public health are required to complete an internship. Most .internships are done after the first year of the two-year master's program. Ideas for internships come from students, facu lty members, and advisors. Often, health care agencies themselves will contact the school asking for students to help with public health activities. In many cases, a student's imagination is the only limit. While many choose to work for health care agencies in Southern California, students have secured internships in places like Africa, Switzerland, Alaska, and on American Indian reservations. The choice is up to the student, and depends on many factors, such as money and basic interests. Cheri Todoroff, 22, of Santa Monica, chose to stay local and spent 21/2 months working for the City of Los Angeles' Wellness Program, a pilot program designed to teach city employees how to stay healthy on the job. Todoroff, who is studying behavioral sciences and health education, was responsible for writing newsletter articles and assisting in classes for city employees. Most of the classes dealt with back safety and focused on teaching gardeners and public works laborers how to lift things and handle equipment properly to avoid back injuries. "The city has a problem with back injuries," said Todoroff. "A lot of workers were getting hurt. So we had to come up with a plan showing them how to be careful, to be able to do their job yet not injure themselves." Todoroff also helped organize "health risk classes" in which city employees were given screenings and information on such health issues as blood pressure, cholesterol, weight, nutrition, stress management, the risk of cancer and the dangers of smoking. Todoroff was constantly on the go, traveling from San Pedro to the San Fernando Valley to Griffith Park to deliver her message for better health.

"Each month we had a new emphasis," she said. "We'd go from exercise to nutrition to stress management. We wanted to cover a lot of topics and spread the information." The classes also proved to be a big hit with employees-turned-students. "Everyone who came enjoyed and learned from them," said Todoroff, who also helped stage a Wellness Fair last spring at the Los Angeles City Hall. "They always asked for more. They enjoyed the personal attention and the information. "It was so beneficial for me to see all the concepts we studied in action," said Todoroff, who has a bachelor's degree in sociology from UC Berkeley. "I really hadn't seen public health education in action like that. "I got to meet all kinds of people and work with every kind of occupation, from administrators to zoo keepers to gardeners. I also got a good insight into the politics involved in health care in a city government. That's a side of the profession I hadn't been aware of before. " Deborah Howard, on the other hand, has long been aware of the benefits of internships. After all, she is now embarking on her third in the last four years. Howard, 26, now a doctoral student in population and family health, has had internships in Santa Monica and Geneva, Switzerland, and is currently in the nation's capital as part of her public health education. "No matter how practical your classroom experience may be, there is nothing like being out there, actually working with a problem," Howard says. "Internships are absolutely vital to one's education in this field." .Howard began her intern career back in 1983, when she worked for a Santa Monica community heal th center which specializes in well-woman gynecology and prenatal care. As director of public relations, trying mainly to reach out to Latina women, she posted flyers in laundromats and edited a small newslette[ In 1985, she left for Geneva to work in the Division of Family Health at the World Health Organization (WHO). She was able to finance her trip with a $2,000 scholarship as the winner of the UCLA Alumni Association's Distinguished Scholar Award in 1985. That money was a godsend for Howard, who couldn't go to the WHO internship the year before because she couldn't raise the money. Howard, who was also the presi-

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dent of the UCLA Graduate Students Association from 1984-1986, said that the staff in the student affairs office in Public Health, especially Carol Eglin and Glenda Baker, were very helpful in providing her with information about scho larships and other possible funding sources. In Geneva, Howard did a review of maternal-child health in the Third World, documenting a number of serious problems. For instance, she found that many Third World women are prone to uterine ruptures or fistulae, which can result from cases of prolonged labo r in which the laboring woman's internal organs are subjected to severe pressure. "So little had been in done in terms of documenting what the problems were," she said from her Washington office. "We had to pinpoint the problems, then develop strategies for coming up with solutions." Her work will be included as the first chapter in a book titled "Advances in International Maternal and Child Health", edited by Dr. Derrick B. and Patrice E.F. Jelliffe. Dr. DerrickJelliffe is division head of population and family health at the UCLA School of Public Health. His wife Patrice is an adjunct associate researcher in the School. Howard, who earned her bachelor's degree fro m Brown University and spent her junior year abroad in Japan, then was faced with another challenge as she looked for an internship to fulfill requirements for her Dr.P.H. She landed an internship at the Children's Defense Fund in Washington, D.C., working with its Child Health Director, Sara Rosenbaum. Her project was to review what kind of benefits and services were available for pregnant women on Medicaid. But she needed money. A grant from the Pew Foundation was of much help, but what really made things easier for her was that appearance on "The $100,000 Pyramid." She had tried out as a contestant more than a year before during a "cattle-call" interview at the 1V studio. She had almost given up about the program when she got a call telling her she had been chosen. It was obviously worth the wait. She was already in Washington working on her internship by the time she received her money, which went to her living expenses. Howard may be something of a gameshow devotee, but there's a quite practical side to it, and that is the potential money winnings. "Internships, especially if you go away from your home base, are more expensive than you might think," she explains. "Even if you live a spartan lifestyle, it can be tough

because students don't have much money coming in. Geneva, Switzerland, was incredibly expensive. I had to buy day-old bread and cheese." But as Howard says, "Students have to be creative when it comes to financing I do talk to a lot of students about all the possibilities to get money. There are some scholarships and grants, and even things like game shows can enable a person to afford taking a trip for an internship." Finding support money is critical, because most internships don't pay. But they do give a student a feeling of what it is like to be on the staff of a health care agency or institution. First, students must enter into a contract with a field work placement supervisor like Ruth Richards and the ir health professional supervisor on the job. Duties and goals are clearly outlined and students must turn in weekly reports. Evaluations are conducted twice during the quarter and students are graded on a number of categories, ranging from enthusiasm to the specific tasks they handle. Richards says that the School of Public Health has excellent contacts with the health care community. Many of the agency supervisors who arrange internships are, in fact, UCLA graduates, she adds. Those student contacts offer myriad possibilities for work experience. And they don't have to go far. Some of the Los Angeles agencies who have School of Public Health interns working for them include: the Los Ange les Veterans Administration Hospital, Unocal, the Arthritis Fo undation's Southern California Chapter, Kaiser Permanente Medical Center, the Congress of California Seniors and the Los Angeles Regional Family Planning Council. "Los Angeles is such a microcosm of the world that you can find any type of situation there," Howard says. "It is so diverse that you don't have to travel to gain quality experience." And students reap plenty of benefits. Besides the actual work experience, they make contacts which often can lead to career opportunities later on. And they get a taste of what it's like to be in the field to see if a particular job is really for them. Richards, who first started the internship requirement 11 years ago, said no matter where they go, students can't lose when they embark on an internship. "They can see the good and bad of the actual day-to-day experience in a certain job," she said. "They may decide something isn't for them. But it helps them develop their own goals and objectives, and lets them see the breadth of opportunities available to them in public health."â&#x20AC;˘

UCLA PUBLIC HEALTH FAU 1987

No Fun Even in the L..A. Sun By Fran Tardiff

ore than just the "blahs,'' real depression can seem like an e ndless winter of the spirit. For most, it occurs once and then leaves for good. But for some the gloom returns, weeks, months, even years later, like a common cold of the emotions. From a representative sample of 1,000 Los Angeles residents, researchers in the UCLA School of Public Health found thatbalmy weather and beach party lifestyle aside - people in L. A. get depressed about as much as residents in other cities. Dr. Carol Aneshensel, principal investigator of the "Los Angeles Depression Study," and her colleagues interviewed the ir subjects from a check! ist of 20 symptoms of depression. Depression is an "affective disorder," a disturbance of the spirit. So its symptoms may include feeling sad or "blue," lethargy, irritability, insomnia or sleeping too much, inability to concentrate, restlessness, low self-esteem and eating disturbances. For an actual diagnosis of depression, a person must experience four of these symptoms for at least two weeks. The public health depression study began with four interviews conducted from 1979 to 1980, a fifth interview took place four years later to discover the long-

term, recurrent aspects of the depressive symptoms. Describing the results, Dr. Aneshensel says that about 60 percent of the population studied appeared to be free of symptoms in each of the five interviews. About 30 to 40 percent indicated they had some of these symptoms of depression once or twice, and 2 percent were symptomatic every time they were interviewed. Jo ining Dr. Aneshensel in the depression study were co-investigators Dr. Ralph Frerichs, professor of epidemiology and Dr. Virginia Clark, professor of biostatistics in the School of Public Health. One of their main objectives was to discover the course of depressive symptoms over a long period of time. "We were interested in describing how many people have symptoms of depression and get better vs. how many have symptoms on a chronic basis," Dr. Aneshensel says. What the researchers found were two d istinct types of depression: The acute but transient episode of depression sometimes caused by some major life event - death of a loved one, a lost job or other isolated crisis. In this type the person returned to being asymptomatic after the crisis passed. In contrast were the people with recurrent episodes who were depressed the majority of the times they were interviewed. What distinguishes those people, says Dr.

UCLA PUBLIC HEALTH FALL 1987

"Once a person is at the point where he's had multiple symptoms of depression, the probability is high the episodes will continue, unless that person seeks help."

UCLA PUBLIC HEALTH FAU 1987

Aneshensel, is the persistence of problems possibly associated with work, marriage or children. Findings that especially interested Dr. Aneshensel were the gender differences in the symptoms of depression. The study subjects were about equally divided between male and female, age 18 or older. Yet the women - whether they were married, single or divorced - tended to be more depressed than the men. "Most problematic for married women is when they have young children under age six," she says. 'Yet their depression is still less than for single women. "Women who have stress in their marriages appear to be slightly better off if they're working, even if they also have stress in that role." Certainly the potential for stress and depression abounds in all the female roles: wife, mother and career woman. "But if a woman can achieve the best of worlds married with a family and working, and all going very well, then she has a low risk of depression," Dr. Aneshensel says. "There are women like that, but I don't know them personally." The combination of marriage, work and children seems to agree with men, however. The study concludes that married men, especially with children in the household, have exceptionally low rates of depression compared to eveyone else. Men in the widowed, single, and never married categories tend to have more depression than their married counterparts. "And every time you have an episode of depression it increases the chances of having another one," adds Dr. Aneshensel. Once a person is at the point where he's had multiple symptoms, the probability is high the episodes will continue, unless the person seeks help. Effective help for severe depression comes in the form of treatment with antidepressant medications, often combined with psychotherapy It's found, however, that only about one in five sufferers of depression actually seek help for the disorder. Those who do seek help turn to their primary physician, not necessarily a mental health professional, says Dr. Aneshensel. Ordinarily, when the doctor prescribes medication to alleviate the depressive moods, it's a short-term measure. But the public health researchers found that some of their subjects were continuing on medications for three or four years. "Paradoxically, these people seemed to be in worse shape than those who were untreated," notes Dr. Aneshensel, "which doesn't mean the treatment was ineffective;

it just raises the question, would they have been even worse without treatment?" The study also seemed to reveal a relationship between depression and alcohol use. One of the reasons for drinking is to alleviate tension, or "feeling down." Higher levels of depression tend to lead to more drinking, the research revealed. Over the short term of the study, in fact, some decrease in depression occurred among those who used alcohol. "But over a year you see the opposite effect," Dr. Aneshensel notes. "High levels of alcohol use lead to an increase of symptoms. So the illusion is that alcohol helps you deal with the problems. But by way of a coping mechanism, drinking only exacerbates depression." Right now, Dr. Aneshensel and her colleagues are still analyzing data from the Los Angeles study, and that will continue for some time. But one important conclusion they've been able to make involves the way social support affects depression. People who have caring, supporting, sustaining ties to other people are tremendously less likely to be depressed, the study says. This fact has spawned some interesting questions for the researchers: Can friends and relatives protect one from stressors and help a depressed person deal with stress when it happens, before it gets serious? Or is it that healthy people attract healthy, supportive relationships? It may be a little of both, says Dr. Aneshensel. What she's trying to do now with the data is to tease out the answers to those questions. "While the dominant thrust seems to be that social support seems to guard you somewhat against depression, there also seems to be a trend in the opposite direction where depression leads to a decrease in the person's perceptions of social support." And there may be some basis for that. Depressed people are difficult to get along with, often unpleasant to be around, adds Dr. Aneshensel, who is a sociologist by training. Those who try to help want to be rewarded for it by seeing some improvement. So it's very disappointing when the depression keeps going on and on. Those giving support may stop trying to help. But undeniably, data from the depression study has produced a strong correlation with the number of friends and relatives a person has and the person's sense of being cared for, a circumstance that reduced the level of depression, over the long term, for participants of the study "I think one of the valuable aspects of this study has also been to point out the need to study this type of disorder as we did, longitudinally, over an extended period," Dr. Aneshensel comments. Most research in depression has been crosssectional. But when you look at depression over a period of time, features surface that weren't apparent cross-sectionally, comments the researcher. "In particular, you see how an acute crisis pales in compari-

son to more ongoing problems - like the ripples on top of the ocean. " Partly because of its longitudinal nature, the "Los Angeles Depression Study" has resulted in numerous publications. And because it's such a large data set, Dr. Aneshensel expects that the data will be used by students in the School of Public Health for quite some time. There have already been three doctoral dissertations stemming from the study, she adds. Dr. Aneshensel hopes also to delve into some unexplored territory with future depression studies. She would like to extend the method used in the L.A. study to a survey of teenagers, an area where not much work has been done thus far. "It's a misperception that depression is more prevalent among the elderly," she says. The youngest people in the study were 18 and a large number of those young adults reported frequent stressors and bouts of depression. 'Youth is a period of time when we start a lot of things - career, education, sexual relationships, marriage - and teens often don't have the experience to cope with these major life changes. " remarks Dr. Aneshensel. The theory has been that depression was not possible until adulthood, a theory that has been discarded lately It's pretty clear, says the sociologist who has two teenagers of her own, that there is a substantial minority of teens who suffer severe depression, some to the point of suicide. Clearly, more information is needed, and soon. Therefore, Dr. Aneshensel and her colleagues have talked to about 50 teens in the past year gathering information to stimulate funding for a study on adolescent depression. . Not content to stop with the groups already mentioned, Dr. Aneshensel is also beginning to analyze data for a study of ethnicity and depression. (See "Project Updates" in this issue.) Along with other faculty in the School, she'll be examining "Models of Ethnicity and Depression over Time" with data from an existing survey of 3,000 adults - half of them Mexican American and half non-Hispanic whites. She wants to apply the same analytical models used to study whites to the Mexican American population and then do direct comparisons between these groups. Studying depression in such detail , over so long a time, Dr. Aneshensel has become convinced of the futility of this disorder that darkens the lives of many Americans. "I used to be a lot moodier than I am now. But dealing with other people's moods, learning how they suffer, I realized what a self-perpetuating cycle it can be. And I just wanted to shake them and say, 'Shake this off. You can do it."' Unfortunately, the problem isn't that easy to overcome. Over 30 million Americans will experience depression at least once, and severe depression is currently responsible for 60 percent of all suicides.â&#x20AC;˘

UCLA PUBLIC HEALTH FALL 1987

Graduates achieve career success at its best W by Cathy Dunn

For alumni Mary Kay Meltvedt (below) and Lester Reams (right), it was a smooth transition after graduation to the jobs of their choice. Meltuedt is with Hoag Hospital in Newport Beach; Reams worksfor the City of Los Angeles.

Photos by Mark Harmel

hat does it take to find a good job in public health - right out of school? According to two successful UCLA School of Public Health graduates, it takes lots of searching plus being in the right place at the right time. Lester Reams, M.P.H. '86, says his work experiences while in school led to a unique job with lots of challenges: health educator for the City of Los Angeles Health Services Department. "When I started at the School in 1984, I wanted to build on the skil ls I'd already developed through my undergraduate

work in business and psychology. That's why I was attracted to the Behavioral Sciences and Health Education Program," Reams explains. And it was his involvement with the Health Careers Opportunity Program and with Ruth Richards, field program supervisor, that brought him his lucky break, he says. She helped to place him in an internship at the Los Angeles County Health Services Department. Reams' responsibilities were enormous: to help educate groups throughout the city about a then-incipient disease called AIDS.

"I assisted in preparing educational materials, setting up lectures and presenting programs at bathhouses, gay organizations, county and public health care facilities, high schools and colleges, and clinics treating sexually transmitted diseases," he recalls. The job prepared him to handle educational aspects of a major public health issue. He coordinated programs, drafted proposals, made presentations, wrote educational materials and learned a great deal about the administrative aspects of health planning and health education. The experience also helped him focus his career. "Because of the work I did for the county, I decided I wanted a job in health care marketing or health promotion." During his senior year, Reams pursued his interest by interviewing with major health maintenance organizations, consulting firms and state and local health care agencies. He was considering other offers when he heard of a newly created job for a health educator in the city's Occupational Health and Safety Divsion. He was a natural for the job. Reams enthusiastically began to develop and implement educational health promotion programs for the city's 33,000 employees throughout five work sites. He initiated a monthly newsletter, "Workshop on Wellness," to alert employees about informative seminars. He also prepared statistics on disease detection and intervention , and set up wellness seminars on such topics as exercise, nutrition, heart attack risk factors and back injury prevention. Reams' job continues to evolve. "I've had the freedom to add new responsibilities," he says. 'Tm establishing new protocols, networking to increase awareness of the department's programs and purchasing a computer system to handle massive amounts of information more efficiently." For those seeking an equally interesting chance to apply their education, Reams has some good advice. "Don't hesitate to accept unusual internships. They can often lead to exciting and innovative projects. Get involved in professional organizations during college and continue that involvement after graduation. Keep persevering in your job search, and, above all, investigate all areas of health care. You may discover an interesting opportunity in an unlikely place." Mary Kay Meltvedt, M.P.H. '85 in health services, wanted more on-the-job experience after completing her internship as an undergraduate at Berkeley. So she chose the UCLA School of Public Heal th for her master's degree specifically because of the strong residency program. Along with other residency program participants, she visited eight health care facilities. Then she chose four facilities for personal follow-up interviews.

UCLA PUBLIC HEALTH FAll 1987

For several reasons, she was drawn to Hoag Memorial Hospital in Newport Beach, Calif. 'Tm a left-brained, numbersoriented person and I saw an opportunity to further develop my organizational skills as a part of the planning department." A not-for-profit, 471-bed hospital in an upscale market area of Southern California, Hoag is well-respected in the health care field and noted among students for its outstanding residency program. "I knew I'd find a challenging environment there," Meltvedt adds. Plenty of challenges were, indeed, waiting for Meltvedt, who is now assistant director of planning at Hoag. As a resident she was responsible for revamping the surgical admissions program, making it possible for patients to be admitted the day of surgery rather than the night before. She also implemented a plan to have recovering patients in the emergency room transferred to outpatient recovery, thus freeing up more beds for incoming emergency patients. Hospital officials were so impressed with Meltvedt's work that they offered her a permanent job as administrative assistant at the end of her residency in 1985. During the next two years, she was promoted to planning analyst, then to assistant director of planning in February of this year. She is not the first resident to be hired as a full-time staff member. In fact, UCLA

School of Public Health graduates Diane Laird, Hoag's vice president of planning and marketing; along with Vice Presidents of Operations Tim Smith and Tami Parrott, also joined the staff at the end of their puplic health residencies. As assistant director of planning, Meltvedt writes general planning reports, prepares computer analyses, simplifies technical market share information into a readable format, handles licensing issues for hospital satellites such as the hospitals' walk-in clinic in Irvine, Calif., and monitors ever-changing insurance reimbursement procedures. Recently, she was appointed liaison between the hospital's medical staff and insurance companies to coordinate preferred provider contracting. To prepare students for the job market, Meltvedt highly recommends the School's residency program. "It's an excellent learning experience because it gives students a chance to find out about the nuts and bolts of an organization. Sometimes, it leads to a good working relationship between student and employer." For Meltvedt and Hoag Hospital, it's more than a good relationship. It's a perfect match.â&#x20AC;˘

UCLA PUBLIC HEALTH FAll 1987

News Three students receive Fulbright grant

hree public health students are beginning six months of research in Uruguay as recipients of a Fulbright Collaborative Research

Grant. Bonnie Taub, Nancy Murray and Melody Knutson are all joint public healthfultin American studies graduates who have worked in Latin America before. This time, in the barrios of Montevideo, the trio will survey mothers of children under five to learn about infant feeding practices in the ~ country, such things as how food is prepared and the women's cultural beliefs Âˇ;:: regarding nutrition. The Fulbright Grant Â§ awards a total of $21,600 to the three 6 women for travel and living expenses. .s, They are, understandably, very excited ~ about the project and about returning to i)> the Latin American country where Taub and Murray worked together on a health services assessment project two summers Dr. Raymond Goodman (left) joins fellow recipients of the University Service Award: ago. Pauline Svenson, Dr. Elwin Svenson and Harold Haytin.

Dr. Raymond D. Goodman receives University Service Award

"In school for three years we have been absorbing a lot of theory," says Melody Knutson. "This grant gives us the chance to put what we've learned into practice." When they return from Uruguay, Knutson and Taub will be entering a doctoral program in medical anthropology at UCLA. Nancy Murray will pursue an intership in population policy through the University of Michigan.

efore an audience of more than 900 alumni and friends, Dr. Raymond D. Goodman, M.P.H. '72, received the University Service Award for 1987 at the UCLA Alumni Awards of Excellence held June 6 on campus. He is the first alumnus of the School to be so honored. His achievement was also highlighted by Dean Afifi at the School of Public Health commencement on June 14. Dr. Goodman, adjunct associate professor in the School of Public Health, was founding president of the School of Public Health Alumni Association and founding chairman of the Dean's Council. Dr. Goodman, who first joined the UCLA faculty in 1950 and has taught the entire time without salary, has given lectures, endowed three annual scholarships for public health students and also endowed in perpetuity the Lester Breslow Distinguished Lectureship in Public Health. 'Tm very honored and pleased to have my peers recognize me," said Dr. Goodman. "It has been my great satisfaction to share knowledge with other governments and universities and, hopefully, I've made some contributions to enhance the health of humankind. " Dr. Goodman, who earned his medical degree from the University of Chicago, has

practiced medicine for 25 years and did clinical service for medically indigent patients at Cedars-Sinai Medical Center. He enrolled in UCLA's School of Public Health in 1970 to earn a master's degree.

New Members of Sigma Xi

he following public health faculty, graduates and students were recently selected for membership in the University of California, Los Angeles Chapter of Sigma Xi, The Scientific Research Society:

Full Membership Dr. Abdelmonem A. Afifi, Dean Virginia F Flack, Assistant Professor of Biostastics Chwan-Chueh King, Epidemiology

Associate Membership Ellen M. Andersen, Epidemiology Judith M. Ashley, Environmental and Occupational Health Sciences Lauri 0. Byerley, Nutritional Sciences Wei-June Chen, Epidemiology Dana Ann Crague, Nutritional Sciences David W Gjertson, Biostatistics Jeffrey A. Gornbein, Biostatistics Jiun-Kae Jack Lee, Biostatistics

Fred H. Bixby Foundation donates $260,000 for doctoral endowment fund

he Fred H. Bixby Foundation has given the School a $260,000 gift to establish the Fred H. Bixby Doctoral Fellowship Endowment Fund in population and family health. The endowment will support two doctoral students each year, starting this fall. _"This is a very important breakthrough," said Dr. Judith Blake, Fred H. Bixby '.rofessor of Population Policy "It symbolizes the trustees' confidence in our efforts. " The endowment will support two doctoral students each year, starting this fall. "This fellowship endowment fund will permit stable support of a small cadre of outstanding doctoral candidates, thus allowing them to devote full attention to their studies," commented Dean A A Afifi. The Bixbys are a distinguished Southern California family of pioneer land developers, who became concerned with overpopulation. Thus they organized the Bixby Foundation to support activities related lO overpopulation problems. In 1976, the Foundation established the Fred H. Bixby Chair in Population Policy at the School of Public Health - a chair that is now held by Dr.Judith Blake, Fred H. Bixby Professor of Population Policy. Responding to the doctoral fellowship endowment, Dr. Blake said, "This is a very important breakthrough. It symbolizes the trustees' confidence in our efforts." The Trustees of the Bixby Foundation awarded the $260,000 doctoral fellowship to the School in May. The trustees are: Mr. Howard I. Friedman, Mr. Owen B. Patotzka ' and Mr. John S. Warren.

ARCO Establishes Fellowships in Environmental and Health Sciences

he Atlantic Richfield Company has given the School $150,000 for fellowships to worthy graduate students enrolled in the Division of Environmental and Occupational Health Sciences. At least one graduate fellowship will be awarded each year in the spring quarter. The Atlantic Richfield Fellowship Fund offers financial aid and encouragement to students intending advanced work in the field of environmental health sciences and engineering. Recipients' work will be related to the Hazardous Substances Control Engineering Research Center at UCLA. "This generous award to our public health students will help strengthen our environmental health program," noted Dr. A A Afifi, dean of the School. At current interest rates, each of the endowed graduate fellowships will yield a stipend of approximately $10,500 a year for environmental studies.â&#x20AC;˘

UCLA PUBLIC HEALTH FAll 1987

Project Updates Coping with Chronic Illness Dr. Alfred H. Katz, professor emeritus of public health and social welfare, has been able to inventory and construct a profile and natural history of psychosocial issues in patients with systemic lupus erythomatosis (SLE). His project, "Life Adjustment Problems and Coping Behavior in Chronic Illness," is a pilot study of psychosocial adaptations in SLE. Seventy-five patients with recent diagnoses (18 months or less) of SLE have been interviewed and given a battery of psychosocial assessment instruments. All of them have been regular participants in self-help groups. A similar number of patients have been in a control group, which did not receive this intervention. Psychosocial status after nine months was conducted for both groups. The project will be completed in December 1987. Contact: (213) 825-5333.

Ethnicity and Depression Dr. Carol S. Aneshensel, associate professor of population and family health, is studying the interethnic differences between Mexican American and non-Hispanic whites regarding the impact of stress and social support on depression. The analysis is based on existing data collected in the L.A. Epidemiologic Catchment Area Program. Three interviews were conducted over a one-year period with a sample of Mexican Americans, non-Hispanic whites

and other racial/ethnic groups. In addition to interethnic comparisons, the study will examine intraethnic variation in the Mexican American sample for characteristics like gender, age and social class. Joining Dr. Aneshensel in the project from the School are: Dr. Michael Goldstein, associate professor; Dr. Peter Lachenbruch, professor and Jacqueline Golding, project d!fector. Contact: (213) 825-7479.

California Health Insurance Dr. Milton I. Roemer, professor emeritus in health services, is one of the drafters of the California Health Insurance Program , or CHIP, which was introduced to the state legislature in March. Dr. Roemer and Dr. Richard Brown, associate professor of behavioral sciences and health education helped to draft the plan that would provid~ basic health insurance to California residents. "One of the strengths of the program," says Dr. Roemer, "is that it is built on the present network of private insurance plans and does not set up a new state system that could provoke the kind of opposition that has killed previous national heal th care proposals. " Contact ( 213) 825-6957

Safety for Children in Out-of-home Care Programs Dr. Albert Chang, associate professor of maternal and child health, is co-chair of a national project to develop "Natural Health and Safety Performance Standards for Children in Out-of Home Care Programs. "

UCLA PUBLIC HEALTH FAll 1987 Begun in August 1987, the three-year project is a collaboration of the American Public Health Association and the American Academy of Pediatrics and is funded by the Division of Maternal and Child Health of the U.S. Department of Health and Human Services. Contact: (213) 825-9481.

Breast Cancer Dr. Robert Haile, assistant professor of epidemiology, is collaborating on a "Genetic-Epidemiologic Study of Bilateral Breast Cancer" with other researchers from UCLA, the University of Southern California, Yale University, and the Institute Armand-Frappier in Montreal, Canada. The project is studying families with a high risk of breast cancer to understand the role, or roles, genetic factors may play in the etiology of the disease. The researchers hope to identify genetic markers for presumed breast cancer genes, understand how they operate and see whether they interact with environmental exposures to increase the risk of breast cancer. To date, 201 families have been studied and there is evidence suggesting a major gene, reports Dr. Haile. Contact: (213) 825-8193.

Faculty Notes Dr. Albert Chang, associate professor of maternal-child health, co-authored an article titled "Services for Children with Special Needs in Private Day Care Centers" in the Spring 1987 issue of Child and Youth Care Quarterly He also was appointed a member of the National Committee on Early Childhood and Dependent Children of the American Academy of Pediatrics. He delivered the keynote speech on "Accidents: A Worldwide Public Health Problem" at the Second Congress of the Costa Rican Public Health Association in Sanjose, Costa Rica, last April. Dr. Roger Detels, professor of epidemiology, has co-authored recently published reports related to his ongoing AIDS Research: "T-cell Phenotyping in the Diagnosis and Management of AIDS and AIDSrelated Disease," in "Proceedings" of the Second International Conference on AIDS held in Paris earlier this year; "Immune Pathogenesis of AIDS and Related Syn-

Chemical Agents in Wastewater Dr. William Glaze, professor, and Dr. John Froines, associate professor of environmental and occupational health sciences, have begun an evaluation of potential health risks presented by chemical agents associated with the San Diego Total Resource Recovery Program. Part of a comprehensive study being coordinated by the Western Consortium for the Health Professions, the evaluation will determine the risks involved in San Diego's plan to reuse its domestic wastewater. The UCLA researchers will examine the risks of chemical agents in wastewater after purification at the Advanced Wastewater Treatment Facility in San Diego, Calif. In addition to "priority pollutants," the study will focus on non-conventional pollutants, which may be present in large numbers at very low concentrations. The project began in April and is slated for completion in 1991. Contact (213) 206-1278.â&#x20AC;˘

dromes" in the same "Proceedings;" and "Predictors of Clinical AIDS in Young Homosexual Men in a High-Risk Area" in the International journal qf Epidemiology, July 1987. Dr. Robert Haile, assistant professor of epidemiology, was appointed a fellow at the Institute on Global Conflict and Cooperation at the University of California, San Diego. He attended a two-week seminar on global security and arms control and will put together a course on this topic for public health students. Dr. William C. Hinds, professor of environmental and occupational health sciences, has been appointed head of the Division of Environmental and Occupational Health Sciences, effective July 1, 1987. He replaces Dr. David Wegman, who resigned in June. Dr. Wegman had been head of the division since 1983. Dr. Alfred H. Katz, professor emeritus of population and family health, authored "Coping Behavior in Lupus" for the journal Social Science and Medicine. He delivered a report on his lupus research at the annual meeting of the American Public Health Association in New Orleans in October.

Dr. Donald Morisky, assistant professor in behavioral sciences and health education, presented his study, "Innovative Educational Approaches to Improve Adherence to Medical Regimens for Tuberculo,sis Patients" at the XI Scientific Meeting of the International Epidemiology Association. The meeting was held in Helsinki , Finland, in August 1987. Ruth F. Richards, lecturer, field program supervisor and director of counseling, is current president of the Society for Public Health Education. Dr. Barbara Visscher, associate professor and head of the Division of Epidemiology, presented several abstracts of her collaborative AIDS research at the International Conference on AIDS in Washington, D. C. , earlier this year. Among the presentations were: "Reversibility and Progression of Persisting AIDS-related Complex," "No HIV Sero-conversion among Men Refraining from Anal-Genital Intercourse," "Evidence for a Codeterminant of AIDS Acquired through Receptive Anal Intercourse," and "Changes in Sexual Activities Among Participants in the Multicenter AIDS Cohort Study"â&#x20AC;˘

UCLA PUBLIC HEALTH FAll 1987

Alumni News SPHAA Annual Dinner

he annual School of Public Health Alumni Association dinner was held at the Lotus West restaurant on June 4. The association honored Dr. Milton Roemer, professor emeritus in health services, upon his recent retirement and his more than 45-year career of achievement in health care. Dr. Roemer, a true public health statesman and winner of the American Public Health Association's Sedgwick Memorial Medal in 1983, addressed the alumni group on "Public Health - Past, Present and Future?"

The association gathered also to honor public health student achievers. Feted at the dinner were the 1987 recipients of the School of Public Health Alumni Association's Outstanding Graduate Student Awards: Pamela Erickson, population and family health; Jeffrey Gornbein, biostatistics; Jennifer Kozakowski, health services; Susan Nakamura, nutritional sciences; Pierre Onda, behavioral sciences and health education; Clifford Wang, epidemiology; and Patrick Wilson, environmental sciences. These students were selected, not only for their academic achievement, but also for their demonstrated leadership ability and character in a range of extracurricu lar activities, including volunteer service to the community and the School, professional work, research and publications.

Where Are They Now? In the Alumni Directory

f you 've every wondered what became of your college classmates, wonder no more. An alumni directory for tli!e schools of the UCLA Center fo r the Heal,lh Sciences is in production and will be released early next year. The directory will contain sections on each of the four schools: Dentistry, Medicine, Public Health and Nursing. It will offer such information as an alum's job title, company name, address and phone number, as well as his or her home phone and address. Some photos will enhance each secti'on. However, the company compiling the directory needs alumni cooperation. The Bernard C. Harris Publishing Co. will send questionnaires to all health sciences alumni in October. They ask that graduates fill out the questionnaires completely and return them promptly Alumni can then expect a follow-up mailing, as well as a telephone call verifying the information. At that time, the directory may be ordered. The entire project will be undertaken at virtually no cost to UCLA. The Harris Publishing Co. will finance the directory production through sales of the directory - to UCLA alumni only While the Schools won't benefit financially from directory sales, they wil l benefit from updated alumni records provided by the Harris Publishing Co.

New Officers

T Credit Cards for Alumni

he UCLA Alumni Association has announced the formation of the UCLA Alumni Association Visa and MasterCard Program, made possible by a unique agreement with First Interstate Bank. Specially designed, four-color Master Card and Visa credit cards, featuring historic Royce Hall, are available exclusively to UCLA alumni and friends through this new program. Under the agreement with First Interstate, the Alumni Association wil l receive a donation from the bank each time a card is issued or used. In this way, UCLA customers can help support the Alumni Association and its programs, such as student scholarships, governmental relations and alumni recognition. Competitive benefits are offered to program participants, including no annual

fee for the first year and lower-thanaverage interest rates. Cardholders may select e ither a preferred annual interest rate that remains 2 percent below the banks' regular fixed rate (currently 21 percent) or a variable rate keyed to the prime rate (16.5 percent as of the first quarter of 1987). Cardholders may also take advantage of an interest-free grace period (no interest charge if balance is paid in full each month), a special travel bonus (a certificate good for 50 percent off a Northwest Airlines ticket with one regular-priced fare), and the convenience of banking at any of First lnterstate's 1,000 full-service offices in the western states. For further information, please contact the association's membership department at (213) 825-3901.

he following graduates are serving as officers of the School of Public Health Alumni Association for the 1987-88 academic year:

President

Todd Smayda, M.P.H. '80, (213)205-5300 President-Elect Deborah Howard, M.P.H. '86, (213)206-8496 Vice President, Lester Reams, M.P.H. '86 Program (213)485-2923 Vice President, Bruce Davidson, M.P.H. Membership '79, (213)825-7863 Treasurer McKay Krampton, M.P.H. '86, (213)456-2980 Secretary Maureen Magers, M.P.H. '81, (818)901-3914

Graduates interested in becoming involved with the School of Public Health Alumni Association can contact any of the above officers for membership information or details of upcoming events.â&#x20AC;˘

UCLA PUBLIC HEALTH FALL 1987

Alumni Notes Lester Meis, B.A. '47 in bacteriology, B.S. '48 in public health, is president of National Bugmobiles Inc. in Victoria, Texas. A member of the first graduating class in public health, he has been a member of the Dean's Council since its inception and has helped to establish the A. Harry Bliss Scholarship Fund. Lee Zusman, '52, is president of Rose Exterminator Co., headquartered in San Francisco, Calif. He was named Industry Man of the Year in 1986. Dr. Burton Sokoloff, M.P.H. '52 in environmental and occupational health sciences, is in private pediatric practice in Canoga Park, Calif. He is a consultant to the American Academy of Pediatrics' Committee on Early Childhood, Adoption and Dependent Care. In November 1986, his article "Alternative Methods of Reproduction: Are They in the Best Interest of the Child" was published in Clinical Pediatrics.

Joel Kovner, M.P.H. '64, Dr.P.H. '68, in health services, is president, chief executive officer and chairman of the board of First Professional Bank in Santa Monica, Calif. He has been a member of the School of Public Health Dean's Council since 1979. Ira R. Alpert, M.S.P.H. '66 in health

services, has been elected to The UCLA Foundation Board of Trustees, effective July 1, 1987.

Dr. Alexander Bokor, M.P.H. '70 in health administration, is associate medical director and director of quality assurance for General Med, a staff model HMO based in Orange, Calif.

and is working as an international health consultant. Her current assignment is with UNICEF in Brazil, developing an information system for a nationwide child survival program.

Ellen Canepa Bryztna, M.P.H. '72 in health administration, was recently appointed to serve as a consumer member on the Ohio Dental Board. She created and received foundation funding for a hospital trustee institute to serve 1,800 hospital trustees in northeast Ohio. She has been a hospital trustee for nine years and serves on numerous health and social service boards in Cleveland, Ohio.

Neil Nathason, M.P.H. '77 in population and family health, has been director of the Los Angeles Central Area Health Education Center since 1985.

William Benbassat, M.S.P.H. '74, Dr.P.H. '76, in behavioral sciences and health education, is president of Reliable Health Care Systems, one of its functions being that of a nursing registry in Los Angeles, Calif. Dr. Terence Collins, M.P.H. '74 in epidemiology, is an associate professor in the Department of Community Health and Family Medicine at the University of Florida. He recently received the Distinguished Service Award from the American College of Preventive Medicine. Peter A. Cortese, Dr.P.H. '75 in health education, is associate dean of the School of Applied Arts and Sciences at California State University, Long Beach. He was also president of the Association for the Advancement of Health Education from 1984-1986. Karen Johnson Lassner, M.P.H. '76 in population, family and international health, has lived in Brazil the past 11 years

Barbara Broide, M.P.H. '77 in health services, is assistant executive director of the Los Angeles Coastal Cities Unit of the American Cancer Society She has held the post since 1980. Lynn Ann Andrews, M.P.H. '84 in nutritional sciences, is attending medical school at Tulane University in New Orleans, La. Michael L. Prelip, M.P.H. '85 in nutritional sciences, is regional perinatal health educator for Family Health Plan (FHP). Karen Spagna, M.P.H. '85 in nutritional sciences, is wellness coordinator and staff dietician for Montgomery Fitness, a hospital-based wellness center in Norristown , Pa.

In Memoriam Jack Thomas Chang, M.P.H. '86 in population and family health, died unexpectedly June 8 of complications arising from acute leukemia and serious blood infection. He was 29. Chang had worked with World Vision International since 1979 and was deeply involved with child survival projects, caring for children and families in needy communities throughout the Third World.â&#x20AC;˘

--------------.-----.--------Alumni Information Update Let's hear from you!

The Alumni Association, and the School, would like to know your current address and place of employment. We ask you to also include your personal and professional news for the Alumni Notes section of this magazine. Please take a moment to complete this form so we can further strengtlien our alumni network. Name:

Personal and Professional News:

(Be sure to include dates for special events, appointments, awards, honors, publications, etc. Use more paper if needed.) Send the above information to: Health Sciences Communications, Weyburn Center Suite 344, UCLA Center for the Health Sciences, Los Angeles, CA 90024-1708.

Best Year Ever

for

Dean's Council

At a recent Dean's Council reception, henf!factor William A Benbassat (far right) chats with Dean Nifi and another reception guest Ms. Maha Salem.

UCLA PUBLIC HEALTH FAIL 1987

t the beginning of the 1986-87 academic year, the goal of the Dean 's Council was to raise $25,000. But when June ended, that goal hadn't been met - it had been exceeded with contributions totalling more than $28,300. It was the best year ever for the Dean's Council. Donations doubled the preceding year. Donors increased from 127 in 1985-86 to 264. "This increase in donor support was due in part to the tremendous response we received from alumni during the spring phonathon," commented Rhona McNally, from the Office of Health Sciences Development. Also contributing to this year's success were two donations at the newly created Benefactor level of $2,500 or more. Membership in the Dean's Council may be obtained for a minimum donation of $100. Categories of membership are: $2,500 Benefactor $1,000 Patron $600 Sponsor $300 Sustaining $100 Individual Contributions to the Dean's Council support the School in many ways. Recently funds have been used as seed money for the development of research projects, to assist in faculty recruitment, as well as to send students and faculty to professional and community events. All contributions are tax-deductible and should be made payable to The UCLA Foundation. Please send your contribution to the School of Public Health Dean's Council, P.O. Box 24209, Los Angeles, Calif., 90024. For further information call Rhona McNally at (213)206-0500. ' The School is grateful to the following members of the council for their support during the period from July 1986 through June 1987:

BENEFACTORS

William A Benbassat, Dr.P.H., M.S.P.H. Mr. and Mrs. Thomas E. Plott PATRONS

Carolbeth G. Korn, B.S. SPONSORS

Anonymous Dr. and Mrs. Lester Breslow Kung-Kai Kuo, M.D., M.P.H. SUSX4INING MEMBERS

Abdelmonem A Afifi, Ph.D. and Marianne Afifi, M.B.A. Diana Bonta, M.P.H. Ms. Peggy King Convey Mr. and Mrs. John Coulson Raymond D. Goodman, M.D., M.P.H. Dr. and Mrs. Peter A Lachenbruch

Frank P. Matricardi, Dr.P.H. Sue Verity, Dr.P.H., M.P.H. Fred W Wasserman, Dr.P.H. and Pamela Anderson Wasserman, M.P.H. INDIVIDUAL MEMBERS

Ms. Haruye Helen Adachi Omar S. Alfi, M.D. Ira R. Alpert, M.S.P.H. Elise C.W Anderson, M.S.P.H. Ms. Mary E. Ashley Donald W Avant, M.S.P.H. M. Bashar Bakdash, D.D.S. Captain Samuel H. Barboo Mr. and Mrs. Allan R. Barr Sylvia P. Becerra, M.P.H. Dr. Robert Merle Bersin Dr. and Mrs. Wladyslaw Binek Mr. Peter Bjorklund and Ann Bjorklund, M.P.H. Judith Blake, Ph.D. Ms. Arlene G. Block James R. Bock, Ph.D. Leslie W Breckenridge, M.P.H. Helene G. Brown, B.A. Wayne 0. Buck, M.D., M.P.H. Mrs. Carol S. Wahl Buitrago Teresa Lavanda Byrd, M.P.H. Mrs. Dennice L. Calihan Charles Larry Carr, M.S.P.H. Mr. and Mrs. John P. Casey Albert Chang, M.D., M.P.H. Mr. and Mrs. Frank]. Chu Mr. Welden E. Clark and Virginia A Clark, Ph.D. Dr. and Mrs. Douglas B. Clarkson Dr. and Mrs. Roger A Clemens Dr. and Mrs. Richard Cohen Mr. Richard Corgel and Dr. Joan OtomoCorgel Dr. Jean F. Coria-Mc Michael Anahid T Crecelius, Dr.P.H. , M.P.H. Mr. Barton L. Cross William G. Cumberland, Ph.D. Mr. Thomas G. Cunningham Jing Ling Dai, M.P.H. Bruce N. Davidson, M.P.H. Dr. and Mrs. Climis A Davos Ms. Cynthia A De Motte Rosalyn A Deigh Hewertson, M.P.H. Brian P. Dolan, M.D., M.P.H. Olive Jean Dunn, Ph.D. Ms. Janet F. Eckhouse Joel M. Ellenzweig, M.D., M.P.H. Mr. and Mrs. Sam Elrod James E. Enstrom, Ph.D. Agnes K. Eubanks, M.P.H. Mrs. Robin Bryna Evans Garold L. Faber, M.D., M.P.H., FACPM Jean S. Felton, M.D. Eve Picardy Fielder, M.P.H. Diana M. Fiore, M.P.H. Paul M. Fleiss, M.D., M.P.H. Mr. Jeffrey S. Friedman Dana Mary Gallagher, M.P.H. Ms. Elizabeth Beeson Glaser Ms. Jane G. Goodall

UCLA PUBLIC HEALTH FAll 1987

Donald]. Goodwin , Dr.P.H. Rochelle Green, M.S. Mr. Richard Greene and Nancy Greene, M.P.H. Mr. and Mrs. Murray Greenwood Mr. Joseph M. Hafey Linda M. Hargrove, M.P.H. Lori A Hildemann, M.P.H. Horace W. M. Hinkston, M.P.H. Dr. and Mrs. Carl E. Hopkins Dr. and Mrs. Larry H. Iida Joseph K. Indenbaum, M.D., M.P.H. Derrick B. Jelliffe, M.D. Olive G. Johnson, B.A. Mr. Jeffrey L. Joseph Stephen W. Kahane, Ph.D. Mr. Fredrick H. Kahn and Barbara R. Visscher, M.D. Dr. and Mrs. Snehendu B. Kar Mrs. Patricia C. Kelly Leonard E. Kleinman, M.D., M.P.H. and Melodye T Kleinman , M.P.H. Mr. Masao Koketsu Dr. and Mrs. Joel W. Kovner Peter Scott Kramer, M.P.H., M.B.A. Anna]. Kraus, M.P.H. Mr. David Vincent Kraus Ms. Ruby M. Kuratomi Jane Kurtzman, Dr.P.H. Jean P. La Cour, Dr.P.H., M.P.H. Mr. Paul E. Laughlin Joyce Trattner Leanse, M.P.H. Dr. and Mrs. Jack Lee Mr. Mike L. W. Lorimer and Ann Lorimer, M.P.H. Dr. and Mrs. Irvin M. Lourie Neiman C. Low, M.D. Bryan R. Luce, Ph.D. Mary Ellen Ludwig, M.P.H. Laura Emma Mac Arthur, M.P.H. Nancy Robbins Mann, Ph.D. Frank Massey, Jr., Ph.D., M.A. Richard Alan Mc Cartney Marie E. Michnich, Dr.P.H. Jean L. Mickey, Ph.D. Ruth M. Mickey, Ph.D. James L. Monahan, D.D.S., M.P.H. Young Hahn Moon, M.D., M.P.H. Charles N. Moss, M.D., Dr.P.H. Mr. Raymond ]. Nassief Mrs. Lynn D. Negus Alfred Neumann, Ph.D. and Charlotte Neumann, M.D. Dr. and Mrs. Edward]. O'Neill Jean]. Ospital, Dr.P.H., M.P.H. James]. Palmersheim, Ph.D. Christos A Papatheodorou , M.D., M.P.H. Catherine G. Percy, B.A. Sondra Tamasy Perdue, Dr.P.H. Mr. William K. Piche Carl Pierchala, Ph.D. James D. Pinckney, B.S. Shirley W. Rich, M.P.H. Ruth F. Richards, M.P.H., M.A. Rosalyn Riguis-Trapp, M.P.H. H. Jeffrey Rostami, Ph.D. Wilma P. Rowe, M.S.P.H. Dr. and Mrs. Harold H. Royaltey

Mrs. Barbara E. Rydgren Ralph R. Sachs, M.D. Alan Samuels, M.P.H. Kenneth P. Satin, Dr.P.H. Ms. Diana Sayler August W. Schara, M.S.P.H. Dr. and Mrs. Max H. Schoen Jamar Jurras Schoessow, M.P.H. Dr. and Mrs. Stuart 0. Schweitzer Maria M. Segarra-Hines, M.P.H. Ms. Jacqueline Silvers Richard E. Sinaiko, M.P.H. Grant G. Slater, Ph.D. and Roslyn B. A.lfinSlater, Ph.D. Ms. Maryln S. Slawson Daniel F. Smith, Dr.P.H. Gary W Smith, M.D. Mrs. Jean Finch Smith William E. Smith, Jr., M.P.H. Herbert N. Snow, D.V.M., M.P.H. Marian E. Swendseid, Ph.D. Ms. Jane E. Szymanski Kwong Yiu Tam, M.S. Mr. and Mrs. Samuel ]. Tibbitts Dr. Paul R. Torrens Mr. Citron Toy Dr. John Van Atta Beverly Mytinger Ware, Dr.P.H. Dr. and Mrs. David H. Wegman Dr. G. Darryl Wieland Graeme A W Williams, M.D., M.P.H. Mr. and Mrs. Alton E. Wilson Judith S. Wolstan, M.P.H. Mimi C. Yu, Ph.D. Ms. Bonnie L. Zirbes Drury

Contributors of less than $100 to the Dean's Council are: SUPPORTERS Mr. Richard C. Alexander Ms. Victoria R. Alla Gladys Ancrum, Dr.P.H. Dr. Nguyen-Thi Anh Estella M. Bassett, M.P.H. Ms. Patti]. Benson Ms. Janice S. Bigler Ms. Kimberly Jeanne Brad ley Clyde Perry Brown, Jr., Dr.P.H. Mrs. Diane K. Brown Linda Burhansstipanov, Dr.P.H. Ms. Jeni Catch Mrs. Julie Aldrich Cerny Mrs. Naomi Chan Mr. Ying Y Chao Dr. and Mrs. Edwin Chen Sofia Kuen-Ju Chen, M.P.H. Sylvia G. Corral, M.D., M.P.H. Ms. Catherine Cosgrove Mr. John P. Friel Christopher C. Fulton, M.P.H. Ms. Lisa K. Garfield Ms. Lorraine G. Gay Bernard F. Hansen, M.D. Ms. Cynthia Harding Grace Marie Henley, M.P.H. Dr. Judith Lynn Hibbard Elise M. Holloway, M.P.H. Christopher P. Howson, Ph.D.

Mr. Harvey D. Kern Victoria Schermer-Kleinkopf, M.P.H. James D. Knoke, Ph.D. Larrie Lynn Lance, Dr.P.H. Dr. and Mrs. Mark ]. Lavin Mrs. Elise Lee Mr. John P. Lee Dr. Stanley A Lemeshow, Ph.D. Ms. Nancy E. Lichtenstein Mr. Barry H. Lloyd Ruth S. Lohr, M.S. Mr. Herbert L. Lundblad Mr. Jeffrey L. Lyon Peter E. Makowski , M.P.H. Ms. Barbara L. Mallery Ms. Marian ]. Manocchio Laurene Mascola, M.P.H. Mr. Donald A Mc Callum Norman A Melnick, M.P.H. Joel D. Mil ler, M.P.H. William L. Minkowski, M.D., M.P.H. Mrs. Kathy Y Murakami Susan Siu Nimmo, D.D.S. , M.P.H. Laura K. Nystrom , M.P.H. Gabrielle Olivka, M.P.H. Mrs. Rosaleen Muench Ostrick Kathtyn A Owens, M.P.H. Norman A Palley, M.S. Jack C. Palmaro, M.P.H. Pau l Joseph Papanek, Jr., M.D. Ms. Tammie Bennett Parrott Mr. Michael Allan Parsont Mr. & Mrs. John Jeffrey Phillips Susan G. Piper, M.P.H. Ms. Susan M. Reed Lloyd A Reiser, M.D. Ms. Diane M. Ross-Simon Ronald L. Sackett, M.P.H. Denise Goldstein Schaefer, M.P.H. Mrs. Carole Schwartz Robert Scofield, Jr. , Ph.D. , M.P.H. Jean E. Scott, Dr.P.H. â&#x20AC;¢ Mrs. Barbara S. Segal Mrs. Elestia E. Shackelford Julie Shaperman , M.S.P.H. Craig C. Sherbrooke, Ph.D. Mr. and Mrs. Harshad V Sheth Ms. Dale Susan Silver James B. Simpson, M.P.H. Eleanor Frances Smith, Dr.P.H. Guy W. Soohoo, M.D., M.P.H. Arthur M. Southam, M.D. and Cornelia B. Daly, M.D. Walter F. Stewart, M.P.H. Gail Stroessner, M.P.H. Mr. Christopher Suchil Veda Varadarajan, M.S. Ms. Sharon Wal lace Michael R. Watson Ms. Jane Groman Williams Mr. Robert Orel! Wilson Susan R. Young, M.D. MATCHING GIFT COMPANIES The Aerospace Corporation Hughes Aircraft Company Times Mirror Company

UCLA PUBLIC HEALTH FAU, 1987

or the School of Public Health, the academic year 1986-87 was a year of self-examination and inner reflection. This year, on the other hand, promises to be a year of looking forward, of building and of external searches. By the time you read this message, we will have opened searches for 12 new faculty members. We will look for the very best in their particular specialty in public health. We intend to hire several nationally and internationally recognized scholars, and some of the most promising, upcoming public health professionals. We will also be finalizing our plan for the School departmentalization. After years of deliberation, the faculty of the School of Public Health have almost unanimously agreed on a plan to create four new departments: Biostatistics, Environmental and Occupational Health Sciences, Epidemiology and Health Services. The Divisions of Behavioral Sciences and Health Education and of Population and Family Health will be the two components of a fifth department. Nutritional Sciences will be an interdepartmental program with participation from faculty in various departments of the School. The administrative and academic proposals are scheduled to be submitted to the campus during the Fall 1987 Quarter, with projected finalization of the reorganization in the Spring of 1988. We are all excited about being able to bring the organization structure of the School in step with the size and stature that we have achieved over the period of our existence as a major school of public health. In this issue of UCLA Public Health, the main articles deal with the behavioral and social aspects of the School's academic programs. Two major social problems that affect the public's health are highlighted, they are teen pregnancy and depression. Several of the faculty and students of the School are integrally involved in seeking solutions to these problems. Also covered in this issue are two important aspects of student life; namely, the search for an internship or residency in connection with a graduate degree, and the search for employment following graduation. The myriad possibilities are "limited only by one's imagination. "

The School's endowment fund continues to grow with the addition of the Bixby Foundation endowment and the ARCO Fellowship established this year. The number of members has increased so much that we decided to update the list in this issue rather than wait until the next. We hope that this is the beginning of a new level of strong support from all of you for your School.

Dr. Abdelmonem A Afifi

Non Profit Org. U.S. Postage Paid UCIA

UCIA School of Public Health 405 Hilgard Avenue Los Angeles, California 90024-1672

Address Correction Requested RZ 17

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