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A North Carolina Zip Code Specific Analysis Of Community And Environmental Social Determinants Of Health Variables And Health Outcomes: Mortality And Ambulatory Care Sensitive Conditions, Alicia Mcdaniel

MUSC Theses and Dissertations

The COVID-19 pandemic elevated public awareness of the impact of health inequities and the role that social determinants of health (SDOH) play in population health outcomes. Despite the utility, healthcare providers remain ill-informed on the community level SDOH data needed to improve health outcomes due to this information not being integrated into the Electronic Health Record (EHR) (Cantor and Thorpe, 2018; Park, 2018). Therefore, the association between community and environmental SDOH variables at the zip code level, using North Carolina hospital admissions data for infant mortality, adult mortality, and ambulatory care sensitive conditions (ACSC) were evaluated through logistic regression to …

Child Schooling And Other Factors Associated With Covid-19 Vaccine Hesitancy Among Adults That Had Not Been Vaccinated In The Fall Of 2021, Ryan M. Fischer

All ETDs from UAB

Although COVID-19 vaccine hesitancy decreased noticeably over time during the first months of 2021, there was still a high degree of vaccine hesitancy in the United States at the time that the vaccine first became available to adolescents. Data from Phase 3.2 of the U.S. Census Bureau’s Household Pulse Survey (July 21 – October 11th, 2021) was used to conduct an ecological study on COVID-19 vaccine hesitancy that investigated associations between vaccine hesitancy and socio-demographic characteristics as well as child school type (public school, private school, homeschool). Subjects that had not received a vaccine at the time of survey data …

Improve The Risk Of Central Line-Associated Bloodstream Infections With Central Line Dressing Changes Through A Team Approach, Jessica Comstock

Student Scholarly Projects

Practice Problem: Central Line Associated Bloodstream Infections (CLABSI) are a preventable hospital acquired infection which contributes to patient morbidity, mortality and rising healthcare costs.

PICOT: The PICOT question that guided this project was: In adult inpatients with central venous catheters, does the use of a two-person dressing change team, compared to a single person procedure, decrease the rate of central line associated bloodstream infections over the course of 8 weeks?

Evidence: The prevention of CLABSI is most effective when multifaceted line maintenance bundles are implemented and adherence to these bundles nears 100% (Schreiber et al. 2018).

Intervention: A two-person, …

A Longitudinal Analysis Of Socioeconomic Differences In Obesity And Weight Change During The Early Adult Years, Young-Taek Kim

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Obesity has reached epidemic proportions in American society. However, not enough attention has been given to weight change by temporal and dynamic detailed social characteristics, controlled for unobserved heterogeneities nested in county and state. Using the National Longitudinal Survey Youth (NLSY79), this study examined weight change and its development into unhealthy conditions like being overweight or obese, in relation to change in social characteristics including life course events. This study also examined the social characteristics of remaining at a normal weight through all time intervals over a 19-year period. Using hierarchical linear multilevel analysis, this study found that changes in …