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Cyberbullying And Self-Perceptions Of Students Associated With Their Academic Performance, Maham Muzamil, Gulzar H. Shah Dec 2016

Cyberbullying And Self-Perceptions Of Students Associated With Their Academic Performance, Maham Muzamil, Gulzar H. Shah

Department of Health Policy and Community Health Faculty Publications

The aim of this study is to explore the factors influencing students’ academic achievements in secondary school level (grades 09 and 10). Those factors include students’ self-reported psychological and issues (e.g. being bullied through social media) as well as socioeconomic status. Study participants included610 students at senior secondary level (237 male and 363 female) randomly selected from ten different government schools. The schools were randomly selected from the lists provided by their respective Education District Officer (EDO). The data were collected by researchers with the help of teachers. Participants’ were offered as incentives a drawing for a gift certificate. Bivariate …


Associations Between Major Depression, Health-Risk Behaviors, And Medication Adherence Among Hiv-Positive Adults Receiving Medical Care In Georgia, Rachel Culbreth, Shanta R. Dube, David Maggio Oct 2016

Associations Between Major Depression, Health-Risk Behaviors, And Medication Adherence Among Hiv-Positive Adults Receiving Medical Care In Georgia, Rachel Culbreth, Shanta R. Dube, David Maggio

Journal of the Georgia Public Health Association

Background: There are approximately 1.2 million people in the United States living with HIV, and 25.6% of HIV-positive adults suffer from depression. The purpose of this study is to examine the contribution of depression to substance use and medication adherence among HIV-positive adults receiving medical care for HIV in Georgia.

Methods: Secondary data with a probability sample of 775 HIV-positive adults who took part in the 2009-2013 Georgia Medical Monitoring Project (MMP) were analyzed. Descriptive analyses and multivariate logistic regressions were conducted to assess relationships between depression and current cigarette smoking, injection drug use, other non-injection drug use, and medication …


Cohe 7234 - Community Health Analysis And Assessment, Moya L. Alfonso Oct 2016

Cohe 7234 - Community Health Analysis And Assessment, Moya L. Alfonso

Jiann-Ping Hsu College of Public Health Syllabi

This course familiarizes students with concepts and approaches for community health assessment and analysis. This includes discussion of social action, organizational development, policy advocacy, capacity building, community diagnosis (needs assessment), social networking and coalition formation to bring about health and quality of life improvement. Special focus will be placed on the application of qualitative, quantitative, and mixed methods methods and CBPR approaches for assessment.


Does Actual Overweight Or Perception Of Overweight Elevate Suicide Risk In Bullied Vs. Non-Bullied Students?, Ashley Kalle, Yunmi Chungs, Wonksuk Yoo Oct 2016

Does Actual Overweight Or Perception Of Overweight Elevate Suicide Risk In Bullied Vs. Non-Bullied Students?, Ashley Kalle, Yunmi Chungs, Wonksuk Yoo

Journal of the Georgia Public Health Association

Background: For individuals in Georgia aged 10-14 and 15-24, suicide is the third leading cause of death. Those who are overweight are often bullied by their peers, and being bullying can lead to higher risks of suicidality. There is, however, mixed evidence about the relationship between high weight and suicide. Weight perception may be a stronger predictor of suicide than actual weight. The aim of the present study was to examine, in a national sample of high school students, the interaction between weight and bullying on suicide outcomes.

Methods: A secondary data analysis was performed with data from the 2015 …


Black College Women Sexual Health Peer Education At Clark Atlanta University, Clarissa Francis, Josephine Bradley, Christopher Bass, Karla Scipio, Ronald Braithwaite Oct 2016

Black College Women Sexual Health Peer Education At Clark Atlanta University, Clarissa Francis, Josephine Bradley, Christopher Bass, Karla Scipio, Ronald Braithwaite

Journal of the Georgia Public Health Association

Background: This research was based on the premise that various factors, such as social determinants, cultural competency, use of statistics and location, contribute to the efficacy of the transmission of sexual health education. In the United States, African American women account for 60% of the cases of human immunodeficiency virus (HIV) of women. Considerable research has noted the high rates of HIV among African-American women. The present research, however, focused exclusively on Black college women at Clark Atlanta University (CAU).

Methods: A mixed method approach using surveys and participant observation in an exploratory case study was used to evaluate responses …


Association Between Intimate Partner Violence And Mentally Unhealthy Days In Women In The U.S., Danielle Broadnax, Reinetta Thompson Waldrop, Mechelle D. Claridy, Elaine Archie Booker, Ernest Alema-Mensah Oct 2016

Association Between Intimate Partner Violence And Mentally Unhealthy Days In Women In The U.S., Danielle Broadnax, Reinetta Thompson Waldrop, Mechelle D. Claridy, Elaine Archie Booker, Ernest Alema-Mensah

Journal of the Georgia Public Health Association

Background: In the United States (U.S.), intimate partner violence (IPV) is a serious public health concern, mainly affecting the health and well-being of women. The objective of this study was to identify the IPV and socio-demographic factors associated with mentally unhealthy days among women in the U.S. of ages ≥18 years.

Methods: Data for this study were obtained from the 2007 Behavioral Risk Factor Surveillance System. Multivariable analyses were used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (95% CIs) for factors associated with IPV and 14 or more mentally unhealthy days per month. Analyses were conducted using …


Violence Related Injuries Among Individuals Admitted To A Level I Trauma Center In Atlanta, 2011-2013, Fahruk O. Akinleye, Gemechu Gerbi, Omar Danner, Elaine Archie-Booker, Stephanie Miles-Richardson Oct 2016

Violence Related Injuries Among Individuals Admitted To A Level I Trauma Center In Atlanta, 2011-2013, Fahruk O. Akinleye, Gemechu Gerbi, Omar Danner, Elaine Archie-Booker, Stephanie Miles-Richardson

Journal of the Georgia Public Health Association

Background: Violence related injuries (VRIs) are a major public health problem in the United States (US). According to the Centers for Disease Control and Prevention (CDC), homicide is the 11th leading cause of death in the US and the third leading cause of death among persons aged 15-24 years old. Among African Americans aged 10-34, homicide is the leading cause of death and is the fifth leading cause of death among those 35-44 years old. One form of homicide that can result in injury resulting in death is firearm violence. The objective of this study is to assess the rates …


Intersecting Motivations For Leaving Abusive Relationships, Substance Abuse, And Transactional Sex Among Hiv High-Risk Women, Naomi S. David, Sophia A. Hussen, Dawn L. Comeau, Ameeta S. Kalokhe Oct 2016

Intersecting Motivations For Leaving Abusive Relationships, Substance Abuse, And Transactional Sex Among Hiv High-Risk Women, Naomi S. David, Sophia A. Hussen, Dawn L. Comeau, Ameeta S. Kalokhe

Journal of the Georgia Public Health Association

Background: Women bear a significant burden of the HIV epidemic in the United States. Women classified as ‘HIV high-risk’ often bring co-existing histories of intimate partner violence (IPV), drug use, and transactional sex. To help inform future comprehensive HIV prevention strategies, we aimed to explore common motivating reasons and barriers to leaving and/or terminating engagement in each of these riskpromoting situations.

Methods: Between August and November 2014, in-depth interviews were conducted with 14 HIV high-risk women in Atlanta, Georgia who had experienced IPV in the previous 12 months, and used drugs and/or engaged in transactional sex in the previous five …


The Eating And Cooking Healthy (Teach) Kitchen: A Research Protocol, Sashia White, Roberto Alva-Ruiz, Lucia Chen, Jason Conger, Christopher Kuang, Cameron Murphy, Najeah Okashah, Eric Ollila, Selina A. Smith, Benjamin E. Ansa Oct 2016

The Eating And Cooking Healthy (Teach) Kitchen: A Research Protocol, Sashia White, Roberto Alva-Ruiz, Lucia Chen, Jason Conger, Christopher Kuang, Cameron Murphy, Najeah Okashah, Eric Ollila, Selina A. Smith, Benjamin E. Ansa

Journal of the Georgia Public Health Association

Background: Diet-related chronic diseases, such as diabetes mellitus, hypertension, and hyperlipidemia have affected millions of individuals, resulting in disease-related complications and mortality. Strategies that may improve the outcome of chronic disease management include modification of lifestyle risk factors such as unhealthy diets. TEACH Kitchen is an experiential education program related to community nutrition, the goal of which is to teach patients management of chronic disease through dietary change.

Methods: Adults (n=144) ≥18 years old and their children (n=144) 7-17 years old will complete four 2-hour sessions. Components of each session will include brief nutrition education (20 min), an interactive cooking …


Bios 6531 - Categorical Data Analysis, Haresh Rochani Oct 2016

Bios 6531 - Categorical Data Analysis, Haresh Rochani

Jiann-Ping Hsu College of Public Health Syllabi

This course introduces statistical methods for analyzing both univariate and multivariate categorical data and count in medical research and other health-related fields. The course will introduce how to distinguish among the different measurement scales, the commonly used statistical probability distribution and inference methods for categorical and count data. Emphasis will be placed on the application of the methodology and computational aspects rather than theory. The students will learn how to apply SAS procedures to data and interpret the results.


Pubh 3130 - Substance Use And Abuse, Jamie S. Cromley Oct 2016

Pubh 3130 - Substance Use And Abuse, Jamie S. Cromley

Jiann-Ping Hsu College of Public Health Syllabi

This course is required for students majoring in Health and Physical Education and serves as a guided elective for students in the following majors: Health Education and Promotion, Child and Family Development, Exercise Science, Justice Studies, and Recreation. All other majors are welcome.


Educational Attainment And Self-Rated Health Among African-Americans In Pitt County, Nc, Eeshwar K. Chandrasekar, Zimo Z. Banta, Kathleen R. Ragan, Michelle M. Schmitz, Sherman A. James Oct 2016

Educational Attainment And Self-Rated Health Among African-Americans In Pitt County, Nc, Eeshwar K. Chandrasekar, Zimo Z. Banta, Kathleen R. Ragan, Michelle M. Schmitz, Sherman A. James

Journal of the Georgia Public Health Association

Background: To help fill the knowledge gap regarding relationships between educational attainment and self-rated health (SRH) in minority populations, we analyzed the data of a community-based cohort of African-Americans residing in Pitt County, NC, between 1988 and 2001.

Methods: Data from the Pitt County Study (a community-based, longitudinal survey of risk factors for hypertension and related disorders disproportionately affecting African-Americans) were used to explore associations between educational attainment and SRH, stratified by sex, in a cohort of individuals from 1988 (n=1,773), 1993 (n=1,195), and 2001 (n=1,117) using continuous, ordinal, and binary correlated data analyses.

Results: For males and females with …


The Association Of Stress With Anxiety And Depression: Evidence From A Community Health Needs Assessment, Nicole La Tournous, Grace Bagwell-Adams Oct 2016

The Association Of Stress With Anxiety And Depression: Evidence From A Community Health Needs Assessment, Nicole La Tournous, Grace Bagwell-Adams

Journal of the Georgia Public Health Association

Background: Mental illness affects approximately 1 in 5 Americans, making mental health an important area of study for public health. Much research has been conducted on two of the most prevalent mental health disorders, anxiety and depression. However, the association of stress with these disorders, especially specific types of stress (e.g., financial, health, relationship), has been under-studied at the local level. This study aimed to gain insight into the relationship between stress, anxiety, and depression in Athens-Clarke County, Georgia.

Methods: Data collected in the 2015 Athens-Clarke County Community Health Needs Assessment were analyzed using linear regression models to explore the …


Sexual Risk-Taking Among At-Risk Alcohol And Drug Users Presenting To Emergency Departments, Rebecca Howell, Aaron Johnson Oct 2016

Sexual Risk-Taking Among At-Risk Alcohol And Drug Users Presenting To Emergency Departments, Rebecca Howell, Aaron Johnson

Journal of the Georgia Public Health Association

Background: Alcohol use is linked to increased sexual risk-taking, including unprotected sexual contacts, and illegal drug use is associated with an increased likelihood of sexual risk-taking and at-risk alcohol use. Risky sexual behavior is co-morbid with anxiety, depression, and mood disorders. The purpose this study was to identify factors associated with sexual risk-taking among adult, at-risk alcohol or drug users presenting to emergency departments (EDs).

Methods: Data were derived from self-report surveys conducted with a random sample of ED patients screening positive for at-risk alcohol or drug use. As part of an alcohol and drug assessment completed by a health …


State And Trait Anxiety: A Comparison Of The On And Off Field Anxiety Levels Of Athletes And Non-Athletes, Asha Satori Rutland Stegall Sep 2016

State And Trait Anxiety: A Comparison Of The On And Off Field Anxiety Levels Of Athletes And Non-Athletes, Asha Satori Rutland Stegall

Honors College Theses

The purpose of this study was to quantitatively compare anxiety levels among collegiate basketball players and intramural athletes at a public, Division I university in the Southern part of the United States. This research looked at two different forms of anxiety: State Anxiety and Trait Anxiety. Surveys were completed by 60 students, 30 of which were classified as collegiate basketball players and the remaining 30 students were classified as non-collegiate intramural athletes. The data were analyzed using SPSS statistical software. The results showed no statistical difference in state or trait anxiety levels among different genders or athlete type. Further research …


Practicing Health Literate Communication To Engage Black Msm In Care, Rene Esler Sep 2016

Practicing Health Literate Communication To Engage Black Msm In Care, Rene Esler

9th Annual Rural HIV Research and Training Conference (2014-2019)

In It Together: National Health Literacy Project for Black MSM is designed to improve the capacity of health departments and community-based organizations to deliver health literate HIV services, with a particular focus on health services provided to Black/African American MSM. This workshop will provide a short training designed to promote health literacy as a component of culturally appropriate service delivery.


Syphilis In Georgia, 2009-2014, Kathryn Moore, Leonardo Parker, Joy Wells Jul 2016

Syphilis In Georgia, 2009-2014, Kathryn Moore, Leonardo Parker, Joy Wells

Journal of the Georgia Public Health Association

Background: In the period of 2002-2014, Georgia has ranked among the top three states in the United States for rates of primary and secondary syphilis cases, creating a continuing need to analyze the data and to plan and implement disease prevention efforts.

Methods: The present effort involved analysis of data from Georgia’s electronic disease reporting system, State Electronic Disease Surveillance System (SendSS), including demographic characteristics by year for the period of 2009-2014 and behavioral data obtained from interviews with communicable disease specialists.

Results: In Georgia, from 2009-2014, primary and secondary syphilis, the infectious stages of the disease, were seen most …


The Effect Of A Nutrition Intervention On Parents Living In A Rural Georgia Community, Regina Elliott-Walker, Dawn M. Hayes, Emeka Oraka, Rashunda Lewis, Andre Leon Jul 2016

The Effect Of A Nutrition Intervention On Parents Living In A Rural Georgia Community, Regina Elliott-Walker, Dawn M. Hayes, Emeka Oraka, Rashunda Lewis, Andre Leon

Journal of the Georgia Public Health Association

Background: Childhood obesity is a concern for public health organizations. Nearly one in four children living in rural communities are obese, and children living in rural Georgia communities are no exception. For rural communities, prevention efforts are needed to address challenges to reducing childhood obesity. The objective of the present effort was to increase the knowledge of parents in a rural community of the benefits of fruit and vegetable consumption and other healthy options.

Methods: The “We Can Energize Families” curriculum, developed by the National Heart, Lung, and Blood Institute was implemented in a rural Georgia community. Pender’s Health Promotion …


The Importance Of Early Brain Development, Brenda Fitzgerald Jul 2016

The Importance Of Early Brain Development, Brenda Fitzgerald

Journal of the Georgia Public Health Association

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Assessment Of Distress, Unmet Needs, And Receipt Of Care Plans Among Cancer Survivors In Georgia, Cam Escoffery, Angie Patterson, Nancy M. Paris, Logan Kirsch, Cassiopeia Frank, Jean O'Connor Jul 2016

Assessment Of Distress, Unmet Needs, And Receipt Of Care Plans Among Cancer Survivors In Georgia, Cam Escoffery, Angie Patterson, Nancy M. Paris, Logan Kirsch, Cassiopeia Frank, Jean O'Connor

Journal of the Georgia Public Health Association

Background: Cancer survivors have distinctive healthcare needs. The Survivorship Working Group of the Georgia Cancer Control Consortium conducted an assessment to understand the physical, psychological, practical, and spiritual needs of adult cancer survivors; patient perceptions regarding patient-provider communications; and their perceived need for services.

Methods: In 2014, a convenience sample of Georgia cancer survivors completed a paper or online survey about the presence of and distress associated with unmet physical, emotional, spiritual, and practical needs, and receipt of assistance in those areas. They were also asked about receipt of cancer treatment and survivorship care plans.

Results: Survivors were primarily female, …


Psychotropic Medications, Weight Gain And Chronic Diseases In A Correctional Setting: Impact On Women’S Health, Madison L. Gates, Elizabeth Ferguson, Thad Wilkins, Darra Balance, Wonsuk Yoo Jul 2016

Psychotropic Medications, Weight Gain And Chronic Diseases In A Correctional Setting: Impact On Women’S Health, Madison L. Gates, Elizabeth Ferguson, Thad Wilkins, Darra Balance, Wonsuk Yoo

Journal of the Georgia Public Health Association

Background: Studies with non-incarcerated populations have found a relationship between psychotropic medications and metabolic side effects, such as weight gain. Few studies have investigated the relationship between psychotropic medications associated with weight gain in prisoners, despite data showing that 73% of female and 55% of male offenders have a mental health problem and 15% have had medications prescribed.

Methods: This longitudinal study investigated the relationship among psychotropic medications and weight gain in prisoners. We hypothesized that women prescribed psychotropic medications gain more weight than men. Data were extracted from Department of Corrections’ electronic health records. All prisoners with active records …


Assessment Of Medical Needs Of The Hispanic Community In Macon-Bibb County, Georgia, Kim Bélanger-Giguère, Jose Pino, Brad Lian Jul 2016

Assessment Of Medical Needs Of The Hispanic Community In Macon-Bibb County, Georgia, Kim Bélanger-Giguère, Jose Pino, Brad Lian

Journal of the Georgia Public Health Association

Background: Little is known about the health concerns and issues among the Hispanic community in growing, mid-sized cities, such as Macon, Georgia.

Methods: A questionnaire on general health-related issues was given to a sample of 125 Hispanic participants.

Results: The top health concerns of the Hispanic community were diabetes, obesity, and dental hygiene; the most common factors preventing Hispanics from receiving medical treatment were the lack of insurance, language barriers, and copayments or deductibles being too high.

Conclusions: Lack of higher education and the inability to communicate effectively in English may be manifested as difficulties in finding proper information about …


Integrating Food And Language Nutrition To Reach Georgia’S Children In Early Care And Education Environments, Jean O'Connor, Chinwe Ejikeme, Maria Fernandez, Kia Powell-Threets, Audrey Idaikkadar, Christi Kay, Emily Anne Vall, Kimberly Ross, Brenda Fitzgerald Jul 2016

Integrating Food And Language Nutrition To Reach Georgia’S Children In Early Care And Education Environments, Jean O'Connor, Chinwe Ejikeme, Maria Fernandez, Kia Powell-Threets, Audrey Idaikkadar, Christi Kay, Emily Anne Vall, Kimberly Ross, Brenda Fitzgerald

Journal of the Georgia Public Health Association

Background: Educational attainment and health are mutually reinforcing outcomes. Good health supports children in the achievement of academic milestones, such as grade-level reading, and is associated with higher socio-economic status, longer life expectancy, and lower lifelong chronic disease. Improving health outcomes and increasing the potential for high educational attainment is necessary for reducing disparities, improving population health, and reducing morbidity. Early childhood and associated settings present opportunities to address lifelong health.

Methods: To guide the development of programs to reach large numbers of children, we reviewed the literature associated with interventions during early childhood to promote healthy food consumption patterns …


Perceptions Of Adults With Intellectual Disabilities On Experiences At A Weeklong Camp, Erica P. Teilhaber Apr 2016

Perceptions Of Adults With Intellectual Disabilities On Experiences At A Weeklong Camp, Erica P. Teilhaber

Honors College Theses

This study was conducted to attempt to understand the perceptions of a weeklong camp experience for adults with Intellectual/Developmental Disabilities. A survey was administered to campers from two of the three locations, asking questions pertaining to their time spent at camp. Specifically researchers asked questions related to the conceptual, social, and practical domains. Additionally, researchers sent a follow up survey to make sure the data they summarized was correct. Results showed positive feedback, and convey the participants perceived improvements in aspects related to the conceptual, social, and practical domains.


Secondary Data Analysis Based On Children Health Survey: On Factors Associated To Overall Dental Health Of Children In Usa, Kavita Gohil Apr 2016

Secondary Data Analysis Based On Children Health Survey: On Factors Associated To Overall Dental Health Of Children In Usa, Kavita Gohil

GS4 Georgia Southern Student Scholars Symposium

The mouth is the portal of entry into the body, thus it is essential to attain and maintain oral health care. This process begins from the early period of life. Humans have two sets of teeth, and they start developing even before birth and development lasts till the age of around 25 years. Thus it is essential to take care of teeth during early stages of life, as they can affect overall well-being of the human. This paper describes how children's oral health is affected by external and internal factors and also risk factors which are associated with their oral …


Epidemiology News, Georgia Southern University Apr 2016

Epidemiology News, Georgia Southern University

Epidemiology News (2012-2018)

  • Georgia Southern students assess characteristics for weight underestimation of children with obesity


Using The Exercise Is Medicine® On Campus Platform To Assess College Students’ Practice Of Physical Activity In A Rural Setting, Bridget Melton, Jazmin A. Williamson, Helen Bland, Jian Zhang Apr 2016

Using The Exercise Is Medicine® On Campus Platform To Assess College Students’ Practice Of Physical Activity In A Rural Setting, Bridget Melton, Jazmin A. Williamson, Helen Bland, Jian Zhang

Journal of the Georgia Public Health Association

Background: The college setting offers public health educators and exercise scientists a favorable environment to implement wide-spread change in levels of physical activities. With over two-thirds of all adults in the U.S. now categorized as obese or overweight (CDC, 2015), it has become necessary to increase physical activity levels on college campuses. Exercise is Medicine® on Campus (EIM®-OC) is a national initiative to increase physical activity on college campuses by creating an environment to change the subjective norm of diminished exercise movement and fitness among adults. The purpose of the present study was to use the EIM®-OC platform to assess …


The Association Between Obesity, Depression, And Anxiety: Evidence From A Community Health Needs Assessment Survey, Grace B. Adams, Angela Murcia Apr 2016

The Association Between Obesity, Depression, And Anxiety: Evidence From A Community Health Needs Assessment Survey, Grace B. Adams, Angela Murcia

Journal of the Georgia Public Health Association

Background: The obesity epidemic has garnered much attention as a public health crisis. In order to make progress, it is necessary to understand the factors associated with obesity. One area of research needing more development is the link between obesity and other chronic health conditions. The objective of the present study was to further understand the relationship between obesity and the prevalence of anxiety and depression in Athens-Clarke County in northeast Georgia.

Methods: Data from the 2015 Athens-Clarke County Community Health Needs Assessment (n=1234) were used to assess the relationship between obesity and the prevalence of anxiety and depression among …


Capital And Technical Assistance Needs Of Georgia’S Health-Related Nonprofits: An Exploratory Study, Jerry B. Daniel, Cherysh Green-Caldwell Apr 2016

Capital And Technical Assistance Needs Of Georgia’S Health-Related Nonprofits: An Exploratory Study, Jerry B. Daniel, Cherysh Green-Caldwell

Journal of the Georgia Public Health Association

Background: Nonprofit organizations, particularly those related to health and human services, are involved in addressing needs of the American population. They provide an array of services in small and large communities throughout the United States. Compared to for-profit organizations, health-related nonprofits are increasing in number. Despite having a substantial share of the health care market, nonprofit organizations face difficulties delivering services to those in need. The difficulties faced by rural nonprofits may be greater than those for their urban counterparts. The impetus for this study came from Healthcare Georgia Foundation’s goal of strengthening nonprofits to address the burgeoning health inequities …


A Comparison Of Hospital Utilization In Urban And Rural Areas Of South Carolina, Vivian G. Dicks Apr 2016

A Comparison Of Hospital Utilization In Urban And Rural Areas Of South Carolina, Vivian G. Dicks

Journal of the Georgia Public Health Association

Background: Previous studies have described health care utilization based on insurance status and ethnicity. Few investigations, however, have looked at rural populations in relation to distance in securing health care.

Methods: The 2008 to 2009 Healthcare Cost and Utilization Project (HCUP) State Inpatient Database (SID) for South Carolina was used to assess the relationship of living in rural versus urban communities and the demographic variables related to insurance coverage. By use of bivariate and multivariate analyses, patient socio-demographic characteristics were explored for working-aged groups in relation to their income and for payer status (Medicaid or uninsured) relative to those privately …